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Doctor insights on: Paternity Determination

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Hello Dr The health issues of my son are numerous though he is such a courageous young man that if a football team had his determination they would?

Hello Dr 
The health issues of my son are numerous though he is such a courageous young man that if a football team had his determination they would?

Please be specific: With > 100 specialties represented on healthtap, there is seldom any health issue that is not within our areas of study. But you must ask a question. Nonspecific ramblings represented by your question go no where.It is also not a chat room, so your questions are not linked.Please start over and give basic info followed by a clear question. ...Read more

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I really want to lose weight but i don't have any determination and eat what i shouldnt. I never stick to a diet for a long time. Need help please! ?

I really want to lose weight but i don't have any determination and eat what i shouldnt. I never stick to a diet for a long time. Need  help please! ?

Diet: A diet is how you eat all of the time not what you go on to lose weight. Try some diet changes that you can live with forever as opposed to going on a diet. General healthy rules: eat more fruits and veggies, drink more water. Walk daily! ...Read more

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Nt scan and gender determination, how is this done?

Nt scan and gender determination, how is this done?

Nt scan and sex: NT is the ultrasound appearance of neck tissue in the first 3 months of a pregnancy. In a study of 56,000 pts, for an unknown reason, the neck in females is about 10% thinner. http://s3.amazonaws.com/publicationslist.org/data/kevinspencer1/ref-184/pnd2009_29_578_581.pdf The measurement is to exclude Down's, not for sexing. Most reliable is to wait until you can see a penis later in the pregnancy. ...Read more

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Will determination alone able to overcome fears? What are the common steps of the process of overcoming fears?

Will determination alone able to overcome fears? What are the common steps of the process of overcoming fears?

Good start: Determination is an important part in overcoming fears. But as important is the right "game plan". Talking with a therapist, counselor, or psychiatrist can help you understand your fears and then possibly to create a hierarchy of fears from least fearful to most. Then you work your way up the hierarchy. They will help you create this graded plan as it involves some creativity. ...Read more

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I just want to say thank you to all the doctors who have the determination, courage,compassion to assist their patients get well and feel better :)?

I just want to say thank you to all the doctors who have the determination, courage,compassion to assist their patients get well and feel better :)?

You're welcome!: "Time, sympathy and understanding must be lavishly dispensed, but the reward is to be found in that personal bond which forms the greatest satisfaction of the practice of medicine. One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient." --Dr. Francis W. Peabody, 21 October 1926, to Harvard medical students. ...Read more

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Do leg length discrepancies increase/decrease over time? I'm 47; at 25 yrs I had x-ray determination of 0.66 discrepancy. In 22 yrs. could it change?

Do leg length discrepancies increase/decrease over time? I'm 47; at 25 yrs I had x-ray determination of 0.66 discrepancy. In 22 yrs. could it change?

Not usually: Once longitudinal growth has ended usually no change in lengths of legs unless intervening issue such as complicated fracture, arthritis with joint space narrowing, infection with bone and joint destruction, etc. ...Read more

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What's the doctor's recommendation to increase my power of concentration and my determination to study?

What's the doctor's recommendation to increase my power of concentration and my determination to study?

EVALUATION: Get a psychological/psychiatric evaluation for adhd, tbi, etc. As well as stress in life, depression, anxiety - all sorts of things that get considered in a good evaluation. Then you will probably have a real answer to that question. ...Read more

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How accurate is ultrasound done at 20 weeks for gender determination of fetus. Is obstretics ultrasound with same accuracy. Same question for 22 wks?

How accurate is ultrasound done at 20 weeks for gender determination of fetus. Is obstretics ultrasound with same accuracy. Same question for 22 wks?

Depends.: My rule has always been: don't guess! if the fetus is in a poor position for viewing the genitals then no determination can be made. At 20 weeks, if the genital region is visible there is a very high level of accuracy for gender determination. It all depends on the skill of the person doing the scan. ...Read more

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I am 17 weeks pregnant.Should i go for baby gender determination.? I am v excited about her or his shopping.

I am 17 weeks pregnant.Should i go for baby gender determination.? I am v excited about her or his shopping.

Yes: The sex of most babies can be determined by ultrasound somewhere around 17-19 weeks. You may want to wait another week or two to increase the odds that the ultrasound will clearly show the sex. ...Read more

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How do you know if you need an snri or dnri? (seeking info on symptom determination) was on Effexor (venlafaxine) yrs ago, considering wellbutrin now.

How do you know if you need an snri or dnri? (seeking info on symptom determination) was on Effexor (venlafaxine) yrs ago, considering wellbutrin now.

Stop smoking: It is a little known fact that 65% of smokers get depression. I would recommend a trial on wellbutrin under your doctor's supervision. Fewer side effects than effexor, (venlafaxine) no withdrawal, and knocks out smoking cravings quite well. Why not kill two birds with one stone? ...Read more

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I lack the determination to do the psychotherapy required for treatment of OCD, Example: exposure. I also refuse meds. Is treatment for me impossible?

I lack the determination to do the psychotherapy required for treatment of OCD, Example: exposure. I also refuse meds. Is treatment for me impossible?

Never impossible!: You're demonstrating at least some determination just by asking your question. Don't underestimate the accumulating power of small steps in exposure, healthy risk-taking, and self-encouragement. Just keep moving in the direction of what's important to you. If you wish, a treating professional can be your ally and collaborator. ...Read more

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My doctor suspects Parkinson's and wants me to take carbidopa levadopa to make final determination. Why?

My doctor suspects Parkinson's and wants me to take carbidopa levadopa to make final determination. Why?

Therapeutic trial: In years past, this approach was used to confirm ambiguous cases, but nowadays, very rarely, if ever needed. We could readily confirm via a PET scan. ...Read more

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What do you suggest if my doctor suspects Parkinson's and wants me to take carbidopa levadopa to make final determination:?

What do you suggest if my doctor suspects Parkinson's and wants me to take carbidopa levadopa to make final determination:?

Confirmation?: At one time confirmation of Parkinson's in somewhat equivocal cases used L-DOPA therapy to prove diagnosis. This is NOT used commonly, and now we have PET scanning if we need to sort out Parkinsonian complexes of a variable nature. Sounds like enough uncertainty to warrant a second opinion. ...Read more

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M 16 weeks 3 days 1st time pregnant .Should i go for altrasound for baby sex determination? But my belly still not showing.

M 16 weeks 3 days 1st time pregnant .Should i go for altrasound for baby sex determination? But my belly still not showing.

Better Reason!: An ultrasound is not primarily done for sex determination. It should be done to determine how far along the pregnancy is and to verify that the fetus appears normal. I understand that in india sex determination is illegal since parents were selectively aborting female fetuses. Is this practice common in pakistan? ...Read more