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Doctor insights on: Pulimonligist Iowa City

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I live in a city, am I more likely to get the plague?

I live in a city, am I more likely to get the plague?

Whoa: This seems to be one of several fictitious questions. This really isn't the place to bring homework assignments -- you're best doing your own work. Plague in the us is almost always contracted from wild animals, famously woodchucks in the western half of the nation. ...Read more

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Is it possible that I might have athsma at 60 in polluted city?

Is it possible that I might have athsma at 60 in polluted city?

Yes: External pollutants can stimulate asthma and make it worse. You do not need to be sixty to be affectedin a polluted city. ...Read more

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Why would one child getting measles trigger a city-wide health alert?

Why would one child getting measles trigger a city-wide health alert?

Vulnerable groups: Recent cases in Houston and Ohio have been traced to cases brought in by international travelers. Unvaccinated infants and some that had only one dose are most vulnerable to the disease, which can produce death or disability. The surge in vaccine deniers makes the possibility of community outbreaks more likely. ...Read more

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Does the city fumigate parks and if so what are the health hazards of doing so?

Does the city fumigate parks and if so what are the health hazards of doing so?

Possibly: Fumigation is only performed when there is a public health menace of illness like west Nile virus or equine encephalitis, for example, which are transmitted by mosquitoes. In those instances, ample warnings should be issued to the public to avoid exposure to the pesticides. ...Read more

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Where is the best place in the u.S. (city or state) to live if you have a disabled child?

Where is the best place in the u.S. (city or state) to live if you have a disabled child?

No best place: As the mother of a teen with special needs I know there is no "best place" city or state to raise a child with disabilities. The key is to learn how to network with other families with children with similar conditions. It is important to find a pediatrician who can be your child's medical advocate help you to coordinate medical services. With you on the journey of amazon advocacy:). ...Read more

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I am an lpn with 33 years of nursing experience. Family relocating. Want city with highest per hour pay?

I am an lpn with 33 years of nursing experience. Family relocating. Want city with highest per hour pay?

Internet question: I also have an mba in addition to an md and I would suggest looking for the city with the highest ratio of pay to cost of living. You might get paid 1.5x in new york but find you cost of living 2.5x so you would actually be making a big mistake. That information should be available on the internet. ...Read more

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Can I lose 15 kg in three months of winter. Dec, jan, feb. In my city temperature in winter exist between 15 to 20 degree centigrade.?

Can I lose 15 kg in three months of winter. Dec, jan, feb. In my city temperature in winter exist between 15 to 20 degree centigrade.?

Possible: It is possible but will take a lot of work with dieting and exercise. What does your city's temperature have to do with anything? That is an excuse. If you are committed to losing that much weight in that time frame, you can either exercise outside when it's comfortable or go to an indoor gym. It can be 0 or 35 deg celsius - it doesn't matter. ...Read more

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Are rural doctors less proficient than their urban counterparts? It seems like very reputable doctors would prefer a city with good technology.

Are rural doctors less proficient than their urban counterparts? It seems like very reputable doctors would prefer a city with good technology.

Not necessarily!: There are "good" City Docs & "good" Country Docs. There are also "bad" City Docs & "bad" Country Docs. Doctors, independent of ability, are people, too. Lots of docs prefer no traffic or parking fees, & urban dangers for themselves & their families. They have the same concerns as you & the same unique preferences. Of course, there may not be as many high tech options & less specialty support. ...Read more

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How common is rabies in an average us city?

How common is rabies in an average us city?

Extremely rare: The average U.S. City should not have rabies, due to the success of pet vaccination programs and animal control programs. Rabies in the U.S. Is carried by raccoons, skunks, foxes, coyotes, and bats. Urban areas have very few of these animals. However, exposure (such as a bite) from such an animal requires a visit to the doctor to decide whether or not rabies shots should be given to the patient. ...Read more

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Who does tubal reversals in the kansas city area?

Who does tubal reversals in the kansas city area?

Go to SART: Go to www. Sart. Org and look for providers in your area. If you are 49 yo the chances for success are exceedingly low, and would not recommend it. However if you must do it, do testing to check your ovarian reserve and make sure its normal before you do the operation, otherwise an even higher failure rate. Egg donation may be the better choice and will not need surgery for that. ...Read more

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Angiography surgery -should I travel to a city for this?

Angiography surgery -should I travel to a city for this?

Yes: Yes if you need to get angiogram (? With possible stent placement of that blood vessel) if that service is not available in your local area. ...Read more

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How much does inside the city affect children with asthma?

How much does inside the city affect children with asthma?

A lot: Pollution, car/diesel fumes, dust, smoke all can exacerbate asthma, especially when repeatedly exposed. Same goes for rented apartments where you can't get rid of carpeting, shades etc that collect dust and mold. Unfortunately, sometimes you don't have a choice. See your doctor for a more comprehensive list of what your child should avoid. Good luck! ...Read more

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I live in a large city. Am I more susceptible to tuberculosis?

I live in a large city. Am I more susceptible to tuberculosis?

Yes: Tb is contracted from people who have the disease. In cities with contact with more people, crowded situations, exposure will increase you chances of exposure. Also cities often have more people from foreign countries. Some countries have much higher rates of TB and thus also increasing your risk of exposure. ...Read more

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Is it possible to develop allergies from visiting a polluted city?

Is it possible to develop allergies from visiting a polluted city?

Yes: Air pollution can aggravate allergy symptoms and even cause problems in people without allergies. People with lungs problems should avoid high levels of air pollution whenever possible. ...Read more

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What are the emergency precautions one should take in a tornado prone city?

What are the emergency precautions one should take in a tornado prone city?

Have a safe haven: You should be aware of the presence of tornadoes through the warning system of the national weather service in any city in which this occurs. Have a safe place to go, best in basement, and have a radio, cell phone, flashlight and other similar items readily available. ...Read more

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Hi, I lived in smoke pollution city. Could I know how to keep healthy lungs?

Hi, I lived in smoke pollution city. Could I know how to keep healthy lungs?

Nose mask: Hi, Sometimes if you are in heavily smoke area, nose mask might help. Always wear protective devices as much as you can. ...Read more

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Should young babies and children wear masks when the smog is bad in the city?

Should young babies and children wear masks when the smog is bad in the city?

No: It is not practical to try to keep a mask properly fitted on a baby or young child. If a child is sensitive to bad air, keep his room (or the whole house, if possible) air clean by not having dusty items (fabric furniture, carpets, etc.). On bad air days, stay indoors and run the hepa filter. Invest in a car with a hepa filter, for when driving is needed. When traveling, bring a hepa filter along. ...Read more

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How much does living in a city, or even a suburb, affect children with asthma?

How much does living in a city, or even a suburb, affect children with asthma?

Depends: Asthma can effect anyone. However one can see some differences in various populations. Poor socioeconomic circumstances, lack of access to care, exposure to different allergens and pollution all effect the development of asthma and its progression. ...Read more

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What must I know about my health insurance before going to the ER in another city?

What must I know about my health insurance before going to the ER in another city?

Nothing: If you have an emergency, it doesn't matter about your insurance. Er's are legally obligated to treat/stabilize anyone regardless of their financial/insurance status. Insurance companies may balk, but if you need emergent care, the payment is secondary. ...Read more

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What can result from tubing or swimming in a river that is by a city that is possibly polluted?

What can result from tubing or swimming in a river that is by a city that is possibly polluted?

Waterborne diseases: There is a possibility of waterborne chemicals, bacteria, parasites and viruses if the water is polluted. That can lead to infection or other health problems. ...Read more

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What is the risk of contracting zika in San Francisco? Is zika locally transmitted in this city?

Call health dept: Call board of health and ask if zika found in your city. I don't know risk of zika in every city in the country. ...Read more

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Met someone at college. So worried he will find someone over the summer. Should I move to his city?

Met someone at college. So worried he will find someone over the summer. Should I move to his city?

What's best for u?: Well, a few things to consider.

1: you have to do what's best for you.

2: if the relationship is genuine, then distance shouldn't matter.

Another way to look at it, if he goes, and does find someone else, it wasn't meant to be, and you've seen his true colors!

good luck! ...Read more

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How harmful is street grime? I.e. dried car oil/grease and everything else that seems to collect on city streets.

How harmful is street grime? I.e. dried car oil/grease and everything else that seems to collect on city streets.

Toxic: These are very toxic materials and have to be handled with care to minimize exposure to your body (skin, respiratory and gastrointestinal tracts). In addition they have to be disposed of properly in biohazard manner in order to protect others and our environment. ...Read more

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I live in a very hot and sunny city side, my flat is burning when its hot outside, how bad is it for my baby, 4 month old.

I live in a very hot and sunny city side, my flat is burning when its hot outside, how bad is it for my baby, 4 month old.

Heat and Sun Safety: During summer heat- important to keep your place as ventilated as possible. Infants are especially sensitive to heat. Your infant may need more frequent breastfeeding or if bottle feeding more formula. Do not give water. Also keep baby well shaded if outside- avoid 10am-2 pm when sun is most intense. Never leave infant alone in the car even for a few minutes. Use cooling centers if available. ...Read more

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My daughter moved into my cramped apartment in the city and likes to party. I am worried sick every night she is out. Advice?

My daughter moved into my cramped apartment in the city and likes to party. I am worried sick every night she is out. Advice?

It depends.: It depends on her age and situation. If she is in college, she might be better off in your apartment where you can keep an eye on her. It would also help to remind her that education is important too and it would help in getting a job. Also there can be negative consequences of being out at parties, like alcohol intoxication, and a visit to a doctor for counseling can help avoid trouble. ...Read more

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I'm often tired these days. I'm less active due to lng work hrs & a move to a less outdoorsy city but I'm only 34. Cold it be something else? Illness?

I'm often tired these days. I'm less active due to lng work hrs & a move to a less outdoorsy city but I'm only 34. Cold it be something else? Illness?

Get to the club: I had a patient come to see me because he was tired for four months. He recently got a new job working night shift and then was only getting three hours of sleep. He wanted to know why he was tired. Fix the obvious things, get to the health club and get sleep. If you're still feeling bad after a month get it checked out. Also start taking 2000 units vit. D. Welcome to boston. ...Read more

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I'm visiting a friend and they live in another city, so if I have to go to the er. Does that ER have my records from my previous visits to my local er?

I'm visiting a friend and they live in another city, so if I have to go to the er. Does that ER have my records from my previous visits to my local er?

Not likely. . .: Unfortunately, hospitals & medical practices don't communicate very well w/each other. In one sense, it's good b/c it protects your privacy. But it certainly hampers your care when you're sick & need to get your records from one doc to another. So unless your friend's er is in the same practice/system eg kaiser as your local one, chances are it'll take a while to get your records transferred over. ...Read more

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I think I have amoebas but I haven't been in any lakes or ponds or anything except the shower and its city water is it possible to get amoebas from it?

I think I have amoebas but I haven't been in any lakes or ponds or anything except the shower and its city water is it possible to get amoebas from it?

Many ways to get: I'm not sure why you think you have amoeba in particular. Intestinal parasites are very common but the symptoms are non-specific ; overlap so it's hard to distinguish between amoeba, giardia, blastocystis hominis etc. By symptoms. One can get some parasites (not amoeba) from city water but this is rare. It's more common from eating certain foods- see https://humaworm. Com/how_we_get_parasites. Html. ...Read more

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What are the illnesses that I can get by getting bitten by mosquitoes in a big city where the mosquitoes probably bit a lot of people before biting me?

Almost none: Mosquito borne infections are extremely rare in the US, especially urban areas. You can look at websites of your local or state health department (or phone them) to see if there are any current, rare outbreaks of mosquito borne problems in your area, but probably not. No worries! ...Read more

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What is the sytpmons of toxin city from Dilantin?

What is the sytpmons of toxin city from Dilantin?

Many: Loss of balance and incoordination, intention tremors of arms and legs, possible nausea and anorexia, perhaps dizziness, and falling. A blood test will reveal the Dilantin level and pinpoint the problem. ...Read more

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Is oncoloogy a career that can be found in any city?

Is oncoloogy a career that can be found in any city?

If you were in: A small city without a hospital - it is possible that there might not be an oncologist in the vicinity. But, for the most part the answer is yes. ...Read more

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Living in the city. Are roaches dangerous to people?

Living in the city. Are roaches dangerous to people?

No: Roaches are common in city living. They are very shy of humans and hide when disturbed. They do not carry any known diseases or parasites. However they may reflect a certain amount of lack of cleanliness in your living situation. ...Read more

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How could my actions affect how my child reacts to a tragedy in the city?

How could my actions affect how my child reacts to a tragedy in the city?

Directly: Children look to adults/parents for cues and clues on how to react. They need to understand at their level what is going on. Do not suppress your reaction as it is honest and real. However, provide your child with age- appropriate cues and answer questions honestly. They know when something is tragic as well and they need to feel safe.
(i hope other mds will expand this response.). ...Read more

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My city-raised daughter is fearful of driving?

My city-raised daughter is fearful of driving?

Don't blame her: Driving is frustrating and scary, don't get down on her. Oftentimes people can be fearful of driving. You have to be patients and probably let her learn to be more comfortable. Consider driving lessons or practice without traffic. ...Read more