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Doctor insights on: Pt Appt Reminder

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I have an ortho appointment to look at my knee. Pain 7-9, no medication relief, burning and numbness. They have my x-rays, nothing has been broken what should I expect as a pt. On my first visit?

I have an ortho appointment to look at my knee. Pain 7-9, no medication relief, burning and numbness. They have my x-rays, nothing has been broken what should I expect as a pt. On my first visit?

Knee pain: There are a number of reasons as to why you may be having knee pain. The orthopedic surgeon will need to have a detailed history followed by a physical examination, which will shed light as to possible causes of your pain. If they deem it necessary they may refer you to physical therapy or consider further imaging with an mri.
Hope that this was helpful. ...Read more

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At one of my dietician appts I was weighed in & gained 4 pounds from previous month. I'm suppose to get the sleeve. Can this specifically get me denied?

At one of my dietician appts I was weighed in & gained 4 pounds from previous month. I'm suppose to get the sleeve. Can this specifically get me denied?

Here are some...: Multiple factors contribute to the decision-making for a planned procedures, which may be adjusted from time to time so to optimize the outcome of surgery. Hence, go to have preoperative counseling, then decide. A candidate for gastric sleeve procedures requires a lot of personal and professional dedication before and after surgery so to minimize its related complication and sustain weight control ...Read more

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I need a good specialist for pots. Was diagnosed last year, moved to central in, have appts in tn comic. G up. Anyone closer -- even farther if better?

I need a good specialist for pots. Was diagnosed last year, moved to central in, have appts in tn comic. G up. Anyone closer -- even farther if better?

Vanderbilt: I think the leading center in the world for pots is the autonomic dysfunction center at vanderbilt university. They described several genetic causes.

http://www. Mc.vanderbilt. Edu/root/vumc. Php? Site=adc

i am not affiliated with them, but I believe all patients need a referral note from their physician. Hope this helps. ...Read more

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I am due soon. Drs won't see me im too far along, don't take my insurance or no appts soon. What do I do. I'm being denied prenatal care. Found out late.

I am due soon. Drs won't see me im too far along, don't take my insurance or no appts soon. What do I do. I'm being denied prenatal care. Found out late.

Still ok, because: In the old days, no one got prenatal care, women still had child-births. You already had 6 births, so you should be able to draw from prior experiences. The difference is higher risk, that is why prenatal care is highly recommended. Ask your doctor what he/she recommends in your situation. Even if no ob/gyn doctor will take you now, you can ask your primary care or family medicine doctor. ...Read more

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My doc doesn't want to return phone calls. I had previous appts with him and have questions. Nurse phones me and insists to diagnose me. What can I do?

My doc doesn't want to return phone calls. I had previous appts with him and have questions. Nurse phones me and insists to diagnose me. What can I do?

Make a follow up: Unfortunately doctors don't get paid to make telephone calls like a lawyer or other professional. Your best way to get answers is to see them in person. ...Read more

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I have my 1st appointment with a neurologist next week for frequent H/As and migraines, what do I need to do to prepare for this appt? What to bring?

I have my 1st appointment with a neurologist next week for frequent H/As and migraines, what do I need to do to prepare for this appt? What to bring?

Good Question: It is so nice to see someone proactive about their care. If you can look up online for the MIDAS questionnaire and fill that out. Also bring any prior scans and lab reports available. If you can visit your doc's website you can frequently fill out the patient information forms before you arrive. If you kept track of your headaches on a headache calendar make sure to bring t ...Read more

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What negative effects can occur when T Bilirubin is too high while on Accutane? Mine went from. 8 to 1.7 six weeks later (two wks off it between appts

What negative effects can occur when T Bilirubin is too high while on Accutane? Mine went from. 8 to 1.7 six weeks later (two wks off it between appts

Accutane & liver dz: Bilirubin is a breakdown product of hemoglobin and excreted via the liver into the gallbladder and intestine. Accutane can mess up the liver! Sop taking it! In addition, you are a woman and it is stored in body fatty tissues and released after you stop taking it too. It is a very potent teratogen! Don't even think of getting pregnant for a year after you stop taking it! ...Read more

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What can I do about doctors that ignore your needs so you cant get help? Like cysts they won't do biopsies on or dentists that cancel appts constantly?

What can I do about doctors that ignore your needs so you cant get help? Like cysts they won't do biopsies on or dentists that cancel appts constantly?

Free Choice: You are free to see any provider you wish. Understand that you cannot dictate your own care and you cannot control how each office is managed. Find a good fit with your providers and you will be happy. ...Read more

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What's the best trestment for white coat syndrome? I get soooo nervous at dr. Appts and get an insanely high BP reading but normal at home.

What's the best trestment for white coat syndrome? I get soooo nervous at dr. Appts and get an insanely high BP reading but normal at home.

See below: You've taken the first step by acknowledging your difficulty. Psychologically the next step would be to identify your fears specifically and then confront them rationally careful to remove our tendency to catastrophize. Let your doctors know of your fear so they can help. There is a very nice review here: http://www. Webmd. Com/anxiety-panic/features/beyond-white-coat-syndrome? ...Read more

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After multiple job losses with comorbid psychiatric illnesses when is it time to consider ssdi? 3 dr.'s in 10 years. Multiple meds. ..No missed appts

After multiple job losses with comorbid psychiatric illnesses when is it time to consider ssdi? 3 dr.'s in 10 years. Multiple meds. ..No missed appts

Disability: Any condition could be or not a disability. Disability means that you cannot perform adequately in a working environment. There are multiple working choices and schedules to accommodate persons with anxiety disorders. Vocational rehabilitation and recovery programs are invested in finding a more appropriate and productive work environment when you have anxiety issues. Make a consult with them asap. ...Read more

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Had a massive bruise that grew over few days, now 3 more on other leg and a big one under thigh. Is this serious? Hate unnecessary dr appts

Had a massive bruise that grew over few days, now 3 more on other leg and a big one under thigh. Is this serious? Hate unnecessary dr appts

Spontaneous bruise: Spontaneous bruises can occur because of medications, platelet problems or clotting issues. You should be evaluated to find the cause. ...Read more

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I'm terrified of going to the dentist. It's been 9yrs. My teeth are horrible. I'm embarrassed &afraid of being judged. I make appts then panic. Advice?

I'm terrified of going to the dentist. It's been 9yrs. My teeth are horrible. I'm embarrassed &afraid of being judged. I make appts then panic. Advice?

Common phobia: This kind of phobia is common and can be intense. It can be easily remedied, call your pcp who will prescribe an anxiolytic medication like Klonopin (clonazepam) to overcome this anxiety. ...Read more

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Is it true garlic is just as good as an antibiotic? I might have a gum infection and my dentist was always cancelling appts so could I just take that?

Garlic: Garlic is great in foods and it is claimed that it has several health related benefits. It is not an antibiotic substitute, and neither will it cure rotten teeth or gum disease. Find another dentist. ...Read more

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Need Psych Dr and prescriptions via online or phone appts. Do you offer this service for clients who are unable to have PCP. I travel w husband's job.

Need Psych Dr and prescriptions via online or phone appts. Do you offer this service for clients who are unable to have PCP. I travel w husband's job.

Try CONCIERGE: HealthTap Concierge doctors can see and treat their patients via smartphone, tablet, or laptop. They can see photos you upload into your FILES. You can also send images while in the middle of a live Concierge consultation. Certain medications (not all) can be prescribed. Each situation is somewhat unique. Fees are probably the same, regardless of whether or not medications are prescribed. ...Read more

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I saw 25 doctors for a 3mm thyroid nodule-- every dr said the same thing - benign. But I couldn't stop going to appts. What's wrong with me?

I saw 25 doctors for a 3mm thyroid nodule-- every dr said the same thing - benign. But I couldn't stop going to appts. What's wrong with me?

Somatoform illness: You may be suffering from a type of somatoform disorder known as hypochondriasis, which involves excessive worry about having a serious illness. It might help to discuss your worries and anxiety with a therapist to help you understand the reasons for your concerns and help you to cope better with your persistent fears if medical workups have all been negative. ...Read more

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I've had on and off shoulder, neck, knee pain, as well as migraines for several years. I can't afford extensive tests and doctors appts. Suggestions?

I've had on and off shoulder, neck, knee pain, as well as migraines for several years. I can't afford extensive tests and doctors appts. Suggestions?

Try exercise: On and off and several years makes anything serious unlikely. Some type of exercise that involves stretching could help. Try yoga and relax. ...Read more

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Dentist said wisdom teeth must come out, but I can do ea side in separate appts. How long should I wait for one side to heal b4 having other side done?

Dentist said wisdom teeth must come out, but I can do ea side in separate appts. How long should I wait for one side to heal b4 having other side done?

6-8 weeks: Removing all four wisdom teeth at once is recommended. Removing two wisdom teeth on one side produces the same amount of restrictions in diet, pain and other functions as removing all four. In either case, it might be a 6-8 weeks recovery period. ...Read more

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Hav barets eosophagus been sick with small amounts of blood in vomit daily tried to make appt with consultant no appts available 4 a while wot do I do?

Hav barets eosophagus been sick with small amounts of blood in vomit daily tried to make appt with consultant no appts available 4 a while wot do I do?

Hematemesis: If you are having daily vomiting of bloody emesis, you should be seen ASAP. If you cannot get to your specialist, go see your primary care doctor or go to the emergency room. Do not delay. Good luck. ...Read more

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Appts take a lot of time so can someone name most or even all possible reason one would have sharp chest pains while breathing/inhaling?

Appts take a lot of time so can someone name most or even all possible reason one would have sharp chest pains while breathing/inhaling?

Panic or Anxiety: For a 21 year old? It is stress, fatigue, or anxiety. That is unless you are an athlete and have injured a muscle with your exercise.

We hold our breath tight, clench our chest muscles when we are stressed. Sometimes we are doing this without even realizing it.
Many young people have this problem and it can take some time to learn new ways of breathing and living to reduce anxiety. ...Read more

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Can tests/meds be done over app? Was taken off lexapro, too much mania. Pretty sure I have bipolar 2 and ADHD. Psych appts are weeks out : (

Can tests/meds be done over app? Was taken off lexapro, too much mania. Pretty sure I have bipolar 2 and ADHD. Psych appts are weeks out : (

No: This part of HealthTap is designed for medical health education. HealthTap Prime and Concierge are for medical consults. Psychiatric medications cannot be prescribed on HealthTap Prime or Concierge. Keep your appointment with your psychiatrist. ...Read more

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I get very nervous during dr appts and my EKG had me at tachycardia range. Why does this happen to me? I have been cutting down on alcohol and coffee.

I get very nervous during dr appts and my EKG had me at tachycardia range. Why does this happen to me? I have been cutting down on alcohol and coffee.

Anxiety: Will trigger the "flight or fight" reaction which causes your heart to race. You may have had a bad experience with doctors in the past or have a predisposition (or both) to high anxiety in certain situations such as the medical setting. Anxiety or panic attacks, in the absence of medical factors, are treatable. See: http://www. Nimh. Nih. Gov/health/topics/anxiety-disorders/index. Shtml Take care. ...Read more

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Dx'd mesenteric lymphadenitis 1month ago. Followed up w/two docs; waiting for other appts. Severe pain (right abd) after doc office hrs. What do I do?

Go to ER: Make sure it is not appendicitis, if you have severe pains and unable to reach your doctor. Usually mesenteric lymphadenitis is an operating room diagnosis when it is not an acute appendicitis. ...Read more

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I go to my pediatrician every couple of months for ADHD med checks. When I go to college, do I still have to go to those appts but with another doc?

I go to my pediatrician every couple of months for ADHD med checks. When I go to college, do I still have to go to those appts but with another doc?

ADHD: I commend you for follow up of your condition,
ADHD diagnosis should be re-evaluated as stresses causing Anxiety can have the symptoms of ADHD.
ADHD medications can have many side effects affecting school, relationships with parents, siblings and friends.
See a Psychiatrist for diagnosis, Therapy for unresolved emotional conflicts, self-esteem, and identity issues, with regular follow up. ...Read more

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Cat showed 2 CM mass beside my aorta. History of cancer. Gen doc wants pet/mri/other tests & other specialist appts set up. What? 's should I be asking?

Cat showed 2 CM mass beside my aorta. History of cancer. Gen doc wants pet/mri/other tests & other specialist appts set up. What? 's should I be asking?

Concerning: Given your cancer history, your doc is likely concerned this may be related. The other imaging tests (pet/mri) will confirm this and see if there is spread anywhere else in your body (staging). Your doc will also want a biopsy of the 2 cm mass so a pathologist can determine exactly what it is. This helps determine treatment. The questions/answers will come after all the tests are done. ...Read more

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Cat scan showed 2 mm mass beside aorta. Gen. Doc wants pet/mri/other tests & other specialist appts set up. What? S should I be asking?

Cat scan showed 2 mm mass beside aorta. Gen. Doc wants pet/mri/other tests & other specialist appts set up. What? S should I be asking?

2 mm, really?: If the mass is really 2 mm, it is too small for pet. If it is 2 cm, then pet may be helpful.

? S to ask - what organ is it originating from - if the aorta, consider a consult with a cardiologist.
? - was it seen on any older scans - if, in retrospect, it was there 2 years ago and unchanged, then it is probably benign.

Why was ct done in the first place? ...Read more

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5yo perf eardrum mild hearing loss that is getting worse. Failed tympanography. Why hearing getting worse? Worry about mastoiditis? Regular ent appts.

5yo perf eardrum mild hearing loss that is getting worse. Failed tympanography. Why hearing getting worse? Worry about mastoiditis? Regular ent appts.

It happens/rare: Mastoiditis is rare today in children or adults that have access to medical care. When there is a recurrent middle ear issue there is often mild hearing loss due to the muck that accumulates in the middle ear and interferes with the ear bones ability to amplify hearing. Over time, it should improve & regular monitoring is your best way to assure that it does. ...Read more

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I take clonidine as needed for anxiety. I also take wkly allergy shots. I have to take an epipen (epinephrine) with me to appts. Will these two adversly interact?

I take clonidine as needed for anxiety. I also take wkly allergy shots. I have to take an epipen (epinephrine) with me to appts. Will these two adversly interact?

Seems not.: I looked up the drug interactions for clonidine, and there does not seem to be any significant interactions between the drug and medications that are similar to epinephrine but every person's experience is different so it is good to be mindful. ...Read more

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I have vertigo and and vomiting. I have been vomiting for over 8 hours. I also have a sinus infection. No appts with GP til next week

I have vertigo and and vomiting. I have been vomiting for over 8 hours. I also have a sinus infection. No appts with GP til next week

Stemitil: The most likely cause for your vertigo & vomiting is an infection that has affected the inner ear. Commonly the virus that causes an upper respiratory tract infection will spread to the vestibular organ (in the inner ear, controls balance). These symptoms tend to gradually get better but can be improved by taking a medicine like promethazine (stemitil) which you can buy from a pharmacy. ...Read more

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I have crps. The pain is moving from my hand up my arm. I have no dr. Appts till 7/11/13. Is there something they can do to help me in the er?

I have crps. The pain is moving from my hand up my arm. I have no dr. Appts till 7/11/13. Is there something they can do to help me in the er?

Not much: Most er doctors are not trained in acute or chronic management in crps. You need a series of stellate ganglion blocks. In the er all you will receive is IV pain medication and will be discharged home. If you can control your pain at home, don't go to the er. ...Read more

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My obgyn does not measure my belly at my prenatal appts, now I'm 22 weeks pregnant. Is that okay? She listens to heart and has done 3 sonos so far...

My obgyn does not measure my belly at my prenatal appts, now I'm 22 weeks pregnant. Is that okay? She listens to heart and has done 3 sonos so far...

Many paths...: Some Ob/Gyns substitute ultrasound for abdominal measurements. Ultrasound is more accurate than measuring the uterus. Other Ob/Gyns use finger-breadth measurements indicating the number of finger-breadths above and below the umbilicus. Any of these are acceptable. If you are curious, ask your Ob/Gyn how she is monitoring the baby's growth. Best wishes! ...Read more

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I believe my 19yo gf has HPV presenting w pronounced genital warts and a strong vaginal odor, what type of physician (s) should appts be made with?

I believe my 19yo gf has HPV presenting w pronounced genital warts and a strong vaginal odor, what type of physician (s) should appts be made with?

OB/Gyn: The physicians best trained to assess & treat this spectrum of disorders including such rx as laser ablation are ob/gyns. ...Read more