Doctor insights on:
Scleral Depression Techniques
My retina specialist did not examine me by scleral depression(lattice).He said there was no need and he would do that if he saw any suspicious spots?
Good peripheral view: Retina specialist are trained to examine the entire retina all the way to the most peripheral parts, to search for defects. The view to the far periphery is dependent on factors such as pupil dilation, clarity of media, presence/absence of native lens or lens implant, experience of the retina specialist, etc. If factors are favorable, there may not be a need for scleral depression in some cases. ...Read moreSee 1 more doctor answer
Include being down or sad most of the time, loss of interest/pleasure in usual activities, unintended increase or decrease in appetite/weight, sleeping more or less than usual, being agitated or lethargic, feeling worthless or inappropriately guilty or self critical, having difficulty concentrating or making decisions, & thinking of death & dying. Suicidal ...Read more
When is scleral depression indicated?Doc said it was not required for me.He did a dilated non-depressed exam to review my symptomatic lattice(retina).
Not much: It has not been studied and has no proven benefit. It was developed mostly to improve posture, balance and alleviate pain. It is more widely use by performers and athletes and is taught by certified teachers who have gone through about a 3 year certification program usually in wellness centers. ...Read more
Depression Prevent: Spend time with your friends. If a religion, practice it routinely. Exercise - but do not overdo it. Insist on restorative sleep. Avoid anything more than infrequent alcohol intake. Emphasize happines, fun, and pleasure as part of your life goals. Mindful meditation practiced routinely helps. Being grateful, forgiving youself/others, engaging in flow experiences. Have clear goals and find meaning. ...Read moreSee 2 more doctor answers
What is the best method/technique of fat harvesting and injecting? Dear doctors,
i have linear morphea on my face. I consulted some cosmetic surgeons, they all advised me fat transfer to fill/correct the depression (fat loss) on the face caused by the m
As : As other surgeons have indicated, the most important factor in a successful fat transfer procedure is proper, gentle handling of the harvested fat. There are two major methods of fat harvesting. The first is the standard technique of manual suction, washing, and separation of the fat. The newer technique is an in-line harvesting system, which uses a more standard liposuction technique with collection, separation, and washing of the fat within the suctioning system. The second approach avoids multiple transfers and air exposures of the harvested fat, and offers equivalent long term results following transfer. Also important to the ultimate outcome of fat transfer is the injection technique. Surgeons may choose to use standard injection needles or custom designed blunt fat injection cannulas with no difference in results. The important factor in injection technique is very small volume injections made in multiple passes through the appropriate tissue planes. Postoperatively, one should avoid repetitive use of the treated area, especially in active areas such as the hand. Despite excellent technique with both harvesting and injection, transferred fat may be expected to retain approximately 40-80% (average 60%) of its volume in long term follow up. For this reason, most patients may expect that fat transfer may need to be performed as a several stage procedure. All the best, dr. Skourtis. ...Read moreSee 2 more doctor answers
Depression: if you have had depressive symptoms for more than a few weeks then see your physician. your PCP is a good place to start and may be able to provide adequate care. so see psychiatrist. alternatively, u could see a therapist and begin psychotherapy. both therapy and medication are very effective. if you feel unsafe or suicidal then please go to the er or call 911. ...Read moreSee 1 more doctor answer
Teen depression: Is harder to diagnose than depression in adults. All teens have some moodiness and rapid mood swings which can be similar to depression. If you are concerned about a teenager you know consider speaking with a psychologist about your concerns and possibly set up an evaluation for the teen. If a teen is extremely isolated and lacking interest in life ( possibly suicidal) get help asap. ...Read more
Could you tell me what to do if my depressions keeps getting worse because i can't make any friends?
Depression: Consider group therapy where you could learn to improve your interpersonal skills, ask your doctor for a referral to a clinical psychologist who does both individual and group psychotherapy. Start with individual to establish trust and rapport and then you can transition to group therapy. Best. ...Read more
I've gone thru 8 rTMS sessions for GAD and depressions. How long until i begin feeling better. Im still on my meds with rTMS. Tyvm Drs in advance?
Good Question: You may start to feel better sooner, especially because you are on the combination of medications and rTMS but with rTMS you should give it the full 30 treatments (6weeks) and with dTMS you should give it the full 20 (4 weeks)treatments (though an additional 7% of patients got better with dTMS after the maintenance phase (4 weeks of daily "acute" and 12 weeks of twice weekly "maintenance." ...Read moreSee 1 more doctor answer
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