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Doctor insights on: Patient Able Understand

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What cultures are the less likely to come? Are you able to understand your patients and are they able to understand you?

What cultures are the less likely to come? Are you able to understand your patients and are they able to understand you?

Depends on area: I have all nationalities and cultures come into my office. Most of the time the the patients children do the intrepreting for me. Sometimes the patient will bring in a friend as a translater.

And yes, there are some patients that do not speak any english and this is very difficult situation for me. ...Read more

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What cultures are the less likely to come? Are you able to understand your patients and are they able to understand you?

What cultures are the less likely to come? Are you able to understand your patients and are they able to understand you?

Do not understand: If you are asking whether your doctor should be understanding you and you them, all doctors have an obligation to obtain a translator if there is difficulty with communication because of language skills. ...Read more

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Ever see patient side effects decrease with an increase in dosage? Ex. Increase dose from 20mg Lipitor (atorvastatin) to 40mg. I understand illogic, just curious

Ever see patient side effects decrease with an increase in dosage? Ex. Increase dose from 20mg Lipitor (atorvastatin) to 40mg. I understand illogic, just curious

Possible explanation: Perhaps the perceived side effect from the lower dose was not related to the medicine and resolved as per it's natural course which simply coincided with increase in the dose of the medicine. Or perhaps the body adapted well thus overcoming the side effect which simply coincided with increase in the dose of the medicine. ...Read more

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Some patients are not able to speak. In some cases they are paralytic on one side. So they can't write down. How to understand or help them?

Some patients are not able to speak. In some cases they are paralytic on one side. So they can't write down. How to understand or help them?

Speech therapist: Speech therapists work with these challenges constantly, and they have terrific techniques to not only deal with this, but to rehabilitate the unfortunate pt. ...Read more

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What type of aphasia affects the stroke patient's ability to understand sarcasm, connotations, etc?

What type of aphasia affects the stroke patient's ability to understand sarcasm, connotations, etc?

Usually R side.: Whereas stroke in the left hemisphere can affect a patient's ability to speak or to understand the words of speech, strokes in the right hemisphere (especially temporal and parietal) can affect the ability to understand the non-word aspects of language, such as tone, sarcasm, innuendo. ...Read more

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Can an orthopedic doctor order xrays before seeing the patient in wa state I understand in ca that a doctor cannot order xrays before physically examing the patient, however, I am new in my role and see value in patient flow in our facility if the orthope

Can an orthopedic doctor order xrays before seeing the patient in wa state I understand in ca that a doctor cannot order xrays before physically examing the patient, however, I am new in my role and see value in patient flow in our facility if the orthope

In Wisconsin U can-: -but I had a very capable assistant & she was able 2 C them initially & decide if I should C them first. The only time I always did was with patients who were under treatment from somewhere else & came to my care. It was really for legal reasons to document what their fractures looked like, then if time I would have the cast removed & re-X-ray them. Did not want 2 B blamed 4 another's poor care. ...Read more

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I have muscles pain for over a year. I even hardly can brush my hair. Alot of doctors don't understand my illness. Am I the only patient who suffer?

I have muscles pain for over a year. I even hardly can brush my hair. Alot of doctors don't understand my illness. Am I the only patient who suffer?

No, and it sounds: Like a form of "functional somatic syndrome", like fibromyalgia. Grind teeth at night and/ or have bad insomnia? Snore badly? Consider treating insomnia with med that helps muscles relax, I like clonazepam, 1-2 mg at night, with an snri, like cymbalta, (duloxetine) mproves pain filter, tramadol may help, has similar function but partial opiod stimulator. Pain and mood are related. Top down approach way 2 go. ...Read more

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I understand that hypostatic pneumonia can be caused by a virus or bacteria (if a patient is non-ambulatory for a long time). Are there any other causes?

I understand that hypostatic pneumonia can be caused by a virus or bacteria (if a patient is non-ambulatory for a long time). Are there any other causes?

Yes: Fungal in some cases as well but very unlikely unless immunosuppressed. More likely bacterial or viral. Depending on the facility you may be able to get chest physiotherapy which may assist and possibly reduce the risk of this unfortunate complication developing ...Read more

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Please help me understand the process for getting a CT scan and the results. Does a child have to undergo anestesia? How long does it take to get results? How often does a patient need to wait between scans?

Please help me understand the process for getting a CT scan and the results. Does a child have to undergo anestesia? How long does it take to get results? How often does a patient need to wait between scans?

Depends on child: Frequently an older child can undergo a ct scan without anesthesia. Smaller children might need sedation or anesthesia in order to remain still for the procedure. The scan is very short, less than 10 minutes usually, and then the radiologist has to read the results. This takes longer. Ct scans do subject the patient to a lot of radiation, so they should not be used as a routine screening device. ...Read more

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I understand that if a patient has delirium and suspected sepsis (I am not referring to myself), some doctors are reluctant to perform a straight catherization. Why? Are the risks very serious?

I understand that if a patient has delirium and suspected sepsis (I am not referring to myself), some doctors are reluctant to perform a straight catherization. Why? Are the risks very serious?

Hmmm....: Suppose you have delirium or have dementia. How would the medical staff convince you that you should help them do a bladder catheterization on you to get a sterile urine sample to look for urinary infection... when the medical staff appear to be several large strangers, suddenly appearing at your bedside, speaking in garbled words, waving a long, thick rubber object, aiming for your..... ...Read more

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What specifc therapy can be given to multi infarct stroke dementia patient, 67, to improve cognitive functions and part memory loss. Also need tips for the caregiver to understand the patients needs?

What specifc therapy can be given to multi infarct stroke dementia patient, 67, to improve cognitive functions and part memory loss. Also need tips for the caregiver to understand the patients needs?

Support groups: A support group for caregivers of dementia patients or alzheimer's patients can be very helpful. There you can find out from others what their troubles have been and what they have tried. The alzheimer's association or the alzheimer's foundation of america have good online websites with information that often applies to all types of dementia including multiinfarct or vascular dementia. ...Read more

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Does blood flow down the back of someones throat during rhinoplasty surgery? I don't understand how a nose job is logistically possible. Does blood flow down the back of a patients throat during rhinoplasty surgery? .

Does blood flow down the back of someones throat during rhinoplasty surgery? I don't understand how a nose job is logistically possible. Does blood flow down the back of a patients throat during rhinoplasty surgery? .

Bleeding is minimal: Bleeding during rhinoplasty is generally quite minimal. Your anesthesiologist and your surgeon will work together to prevent blood in the back of the nose or throat causing problems. ...Read more

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Nutrition support for patient s/p Whipple.

Nutrition support for patient s/p Whipple.

Short term;long term: If no j-tube (feeding tube), oral diet will be started with clear liquids & slowly advance to solid food. Eating small, frequent (6-8) meals is usually a good idea as is avoiding greasy and fried foods. Gradually increase raw fruits and vegetables. 8-10 cups water/day, but limit liquids with meals. Consider high calorie beverages: smoothies/supplement drinks. Pancreatic enzymes/vits may be needed ...Read more

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Sleeve patients diet?

Sleeve patients diet?

Avoid carbonated...: Avoid carbonated sodas or drinks, to decrease gas bloating. Eat soft foods, and chew foods carefully. Cooked fruits and vegetables are good, though be careful about fibrous vegetables as these might result in problems if they are not pureed. Have a nutritious, well-balanced diet. Be sure not to gorge or overeat. Small meals throughout the day are best. ...Read more

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What is patient autonomy?

What is patient autonomy?

You own your body: I always tell my patients, "you own your body. My job is to tell you your options and then to make your choices happen, if possible."

another term for patient autonomy is self-determination.

Unwanted medical care may be chosen for you, should you lose this ability to make decisions for yourself (ex: coma or stroke) and you have not written your medical wishes in the form of advance directive. ...Read more

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I am uricasid patient. What I do?

I am uricasid patient. What I do?

Gout?: I assume you mean uric acid? If you have recurrent gout and your uric acid levels are high you should use a combo of prudent avoidance of foods high in purines (see inranet and use your own experience) and medications - usually allopurinol. ...Read more

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What can a colosterol patient eat?

What can a colosterol patient eat?

Healthy: Eat a healthy diet, ideally all plant-based. Cholesterol is only in animal cells so if you don't eat any animal products (meat, poultry, fish, eggs, dairy), you cannot get exogenous cholesterol. You may have a genetic/family predisposition to high cholesterol anyway but medicine will treat that. For diet, eat lots of veggies, fruits, whole grains, beans, nuts. Exercise daily even walking. ...Read more

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Acidity is bad for malena patient?

Acidity is bad for malena patient?

Malena is bad: Bleeding in the GI tract resulting in malena is bad with or without aciditiy and needs evaluation immediately. See this site for more info.
http://www. Ncbi. Nlm. Nih. Gov/books/nbk411/. ...Read more

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Patient has removed this question.

Patient has removed this question.

Not herpes: This cannot possibly be herpes if you have never had sexual contact with another person. And this doesn't sound like herpes anyway. On dry skin like the penis, herpes lesions go from red bump to blister to pimple to open sore to scab over 1-2 weeks. "Yellowish bumps" probably are normal, maybe just hair follicles or sebaceous glands that appear more prominent with sexual maturity. ...Read more

Dr. Tony Ho Dr. Ho
2 doctors agreed:
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Can an efiliepcy patient be normal?

Dr. Tony Ho Dr. Ho
2 doctors agreed:
Can an efiliepcy patient be normal?

Yes: If the seizures are controlled with medication, a patient with epilepsy can presumably lead a normal life. ...Read more

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At what age do most patients get mg?

At what age do most patients get mg?

MG?: By mg, could you mean myasthenia gravis? A neurologist is a medical specialist who can help with this condition, if that is what you mean by mg. ...Read more

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How many patients do you see each day?

Why do you ask?: That's an unusual question for this website. It varies, why? Perhaps if you explained why you asked the question, you would get a better answer. ...Read more

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What happens when a patient aspirates?

What happens when a patient aspirates?

"Inhaling lunch"...: ...Gets a new and literal meaning. Aspiration is when stomach contents reflux up the esophagus and run into / are inhaled into the larynx. Depending on consistency and ph, variable degrees of chemical burn can occur in addition to depositing food matter in the airways which attract bacteria and white blood cells and a vigorous inflammatory response--which can raise WBC and cause fever. ...Read more

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How do you look after an m.S. Patient?

How do you look after an m.S. Patient?

Best approaches: Prevention here is worth a ton of cure. Make certain that the individual is followed by an ms expert, that the medication used is potent, such as either tysabri (natalizumab) or gilenya, or maybe tecfidera, supplement vitamin d, follow a low fat low sodium diet, do regular aerobic exercise, avoid smoking, and deal proactivally with stress. ...Read more

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What drugs should post-mi patients take?

What drugs should post-mi patients take?

Several: At least Aspirin, beta blockers and ACE inhibitors or Angiotensin receptor blockers.
If they had stents, add antiplatelet agents (clopidogrel)
If LDL cholesterol high (and even if normal): statins.
Plenty more medications if they developed heart failure. ...Read more

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Sir I m b o patient can I use shatawry?

Sir I m b o patient can I use shatawry?

Question unclear: Sorry, question is unclear as I'm not familiar with "shatawry". Do you have the word spelled correctly? Is it a prescribed drug or an herbal supplement? Please provide more information so we can help you better. ...Read more

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