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Doctor insights on: Patient Rights

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Please answer! what safeguards are taken to ensure that HIV positive patients 'rights to privacy are not violated?

Please answer! what safeguards are taken to ensure that HIV positive patients 'rights to privacy are not violated?

Wrong forum: You can check your local medical board and insurance companies for the policies about this. But your question is so big it is impossible to answer within our 400 character limit. ...Read more

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What precautions are taken to ensure that HIV positive patients' rights to privacy are not violated?

What precautions are taken to ensure that HIV positive patients' rights to privacy are not violated?

Violations very rare: There are strong laws to prevent inappropriate disclosure of HIV status (or other medical information), including the Privacy Rule of the fedeeral Heaith Information Portability and Accountability Act (HIPAA) http://www.hhs.gov/hipaa/ All states also have their own laws, and the fines are very high, often $5,000 or more. Violations almost never happen. Contact the health dept for local details. ...Read more

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Do Pharmacies give patients prescription brand based on their insurance? Do patients have rights to reject if they feel prescription a discrimination?

Do Pharmacies give patients prescription brand based on their insurance? Do patients have rights to reject if they feel prescription a discrimination?

1-Unlikely. 2-Yes.: A patient can ask for the brand of medication he desires, as long as it matches the prescription. One can just ask the pharmacist what brand he stocks and how long it takes to get a specially requested brand. This would be a custom, personalized service, so be sure to pay in advance the full cost of the pharmacist's ordering a single item, the cost of the drug, etc... One need not use insurance. ...Read more

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Do patients have any rights to request money back on a dental bridge that has been redone 3 times and still doesn't fit.

Do patients have any rights to request money back on a dental bridge that has been redone 3 times and still doesn't fit.

Compromise?: I always feel that the public should not make judgments on court cases not actually being in the court seeing & hearing all the testimony in person. Similarly, we as dentists on this site are not privy to all that has expired & why in your case. It is always best to try to work out an equitable compromise between dentist & patient when something goes wrong. As an alternative consider peer review. ...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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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?

Exam and imaging: Pain is what you feel. What we diagnose is the cause of the pain. Most of us over the age of 50, and many younger, have back malformations that can cause pain. Some diagnoses are obvious to the trained ear, such as "my back hurts here and the pain radiates to there". Others need xrays or mri's so we can "see" inside you. See a trained specialist to get a diagnosis - before treatment. ...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

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With what medication should the wilson’s disease patient begin treatment? 

With what medication should the wilson’s disease patient begin treatment? 

Wilson's Disease: The problem is a build up of copper in the body, especially in the liver. Your doctor will prescribe a chelating agent that binds and gets rid of the copper, such as trientine. Once the levels are down, you will likely be given another medication to keep the copper levels low, such as zinc acetate. ...Read more

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Hiv ag/ab combo : non reactive, patient s/co: 0.23 (ref : reactive >=1.0 s/co). What does this mean. After 1 year of exposure.

Hiv ag/ab combo : non reactive, patient s/co: 0.23 (ref : reactive >=1.0 s/co). What does this mean. After 1 year of exposure.

Not infected: S/co is a way of saying that your value is 23% of the cutoff that would make it positive. This does not mean you have a little bit of the virus, it's just the way that the test works in today's age of molecular medicine. ...Read more

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I student studying medicine .. Just 3 years to be G.P This years we practice in hospitals and I meet a lot of patients .. So how can protect myself.

I student studying medicine ..
Just 3 years to be G.P

This years we practice in hospitals and I meet a lot of patients ..
So how can protect myself.

Universal precaution: They should be providing lots of education on universal precautions in your medical training. Wash hands with soap and water, wear gloves when examining patients, put on mask/eye protection/gown if splash of blood or bodily fluids is likely, follow any "isolation" rules for patient, and discard all waste/needles appropriately. Have fun. ...Read more

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What is a progressive neurological disease that affects adults (in 30's or 40's) where the patient approximately 10-20 years after onset of symptoms?

Please clarify: There is a word or phrase or something missing from your question. "What is a progressive neurological disease that affects adults (in 30's or 40's)" is okay, but the rest makes no sense. You can see that, right? Please repost your question with clearer wording. ...Read more

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What;s the best pain medicine for lupus patients?

What;s the best pain medicine for lupus patients?

Acetaminophen NSAIDS: For symptom relief of pain you can use Acetaminophen or NSAIDs like Ibuprofen or o Naprooxen or Cox 2 Celebrex Along wih Antimalarials (Hydroxychlroquin) and low dose steroids ...Read more

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Can drs advice us on ecgs of our patients s i m a gp?

Can drs advice us on ecgs of our patients s i m a gp?

Ecg: I am not aware of a present mechanism for you to submit and ECG to healthtap and get a reading. You might suggest it to the healthtap management. ...Read more