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Doctor insights on: Patient Has A Huge Pannus

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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

Pannus (Definition)

A pannus is an apron of fat ...Read more


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What causes uncontrolled urination in elders ? P.S the patient has diabetes

What causes uncontrolled urination in elders ? P.S the patient has diabetes

Diabetes: Poorly controlled diabetes can affect nerves to the bladder. Patients have trouble urinating and emptying their bladder completely. This causes frequent urination. ...Read more

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How can a clinician assess a patient’s pain?

How can a clinician assess a patient’s pain?

Thorough history: Answers that patients give concerning their pain can vary from day to day, hour to hour. A thorough history is critical, even to a point of having a patient keep a pain diary. Listening to the patient is imperative and then an exam with further tests can follow if necessary. ...Read more

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I am s depraishion patient wat I do to be happy&confidece.

I am s depraishion patient wat I do to be happy&confidece.

Simple...: Simple see a PMD. Depending on your situation....Antidepressant / CBT or both will help. ...Read more

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I s am an existing patient, needing an apt ?

Online appt: It would be my pleasure to have a virtual appointment with you. Please go to the following link to set up an appointment or leave an inbox consult. Perhaps 9 am Tuesday morning or some other time would be good. However, I will not be available Wed morning this week. http://www.healthtap.com/drharoldmandel ...Read more

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Can a patients 02sat be in the high 90's while the patients abg shows a po2 in the 50's ? And what could cause this?

Can a patients 02sat be in the high 90's while the patients abg shows a  po2 in the 50's ? And what could cause this?

Several issues: The po2 may not be accurate because it includes venous blood. The spo2 may not be accurate because carbon monoxide is read as o2. The oximeter has many potential errors. Motion, light and other issues can create abnormal values. ...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’s it like to be a burn patient? That must be agony!

What’s it like to be a burn patient? That must be agony!

Painful, difficult: You are right that burn patients usually are in terrible pain. If the burns are extensive and deep, serious medical problems such as nfections and fluid loss complicate treatment. Healing takes months to years and often requires many surgeries, and long, painful rehabilitation. ...Read more