Doctor insights on:
Sepsis Order Set
Part 2: Pts with recent hospitalization. Pts with recent heart attacks ( 6 months). Pts with not well controlled diseases like hypertension, diabetes. Pts with significant pain, and more would be better if they consult before traveling by plain or long distances by car or if they travel to a high altitude city. ...Read moreSee 1 more doctor answer
Well...: The patient must be able to breathe on his or her own. The Dr. weans off respirator slowly... ...Read more
Exercise: is good for us all but we need to adapt it to our physical condition. Please see your doctor to make sure it is ok for you then start gently, perhaps w/a brisk walk daily. If you feel fatigue please stop. Peace and good health. Yoga can stretch muscles, oxygenate the body, and calm the mind. That's another possible option. ...Read more
Varies by region: Lab value norms are set up by regional populations. For instance, people living in new york city will have a slight variation of what is normal for a vitamin d level as compared to those living in miami, florida. The same may be true for potassium, thyroid, blood count, etc. Higher elevations affect norms. Take this into consideration and do not be alarmed - there are many variations all around us. ...Read more
Is it ethical/legal for blood banks to cite fictional patient cases in an attempt to get donations? ie, "A dialysis patient needs your blood type..."
Aggressive illness: Maddie, there are many reasons why this could happen. Not knowing the specifics, it is difficult to tell. As a guidance, an infection can start as a simple"uri" and as it moves into the bronchial tubes and then to the lung tissue, it can cause significant sob. The infection then can move into the blood stream and cause sepsis and cardiovascular collapse. But, there may be many other reasons.. ...Read moreSee 1 more doctor answer
Not in 400 Letters: Essentially, sepsis is a response to a bacterial infection that spreads to the blood stream, and thus the whole body. In neonatal sepsis, a bacterium is transmitted to the newborn at or around the time of birth, and because of an immature immune system, it spreads to affect all organ systems. It can cause significant damage to the organs because of decreased blood pressure and inflammation. ...Read more
Went to the ER with fast pulse low blood pressure . Was their CBC test sufficient enough to rule our sepsis?
InfectDoesn't=sepsis: Sepsis is at the severe end in a broad range of infection sequelae. A CBC can be quite telling when we are looking for infection, but the physical exam is just as if not more important when looking at a septic patient. They didn't rule-out the diagnosis just based on the CBC, they used it as an added piece of information...another piece in the puzzle to explain your symptoms. ...Read more
Are doctors/hospitals allowed to send a child with severe epileptic fits home with morphine to die?
Never heard of this: You are describing doctor/hospital assisted suicide, which, other than dr kevorkian, has never existed in the United States. A terminally ill child with on-going epilepsy would be kept within intensive care until stable, and if no hope, would be transferred to hospice care. There would not be this scenario in accredited facilities, with doctors licensed in america, at least currently. ...Read moreSee 1 more doctor answer
Yes.: If appropriate for this kind of visit, HealthTap doctors can order certain basic lab tests. Most specialized rare tests cannot be ordered, though. Please set up a virtual consult to discuss - and know that getting to the lab, and payment for the tests, are your responsibility and lab tests aren't covered by your visit cost. Good luck! ...Read more
Under what circumstance will post streptococcal glomerulonephritis lead to nephrotic syndrome? Will it weaken immunity of reproductive organs?
Rarely and no: In nephrotic syndrome there is a large amount of protein in the urine because of abnormally porous filters in the kidneys and is a chronic progressive problem with many different causes. Post strep glomerulonephritis is an acute inflammatory autoimmune disease following a strep infection where even blood cells get thru but usually resolves. Neither affects reproductive organs or their "immunity". ...Read more
Could a portable neonatal abdomen xray fulfill the requirement that the arrt wants for a pediatric abdomen?
Often, yes: I do not know what 'arrt' means, so i cannot address that specific issue. In the neonatal unit, almost all the abdominal x-rays are done portably. There are specific instances when one wuld need to transport the baby off the unit toget more high quality images or images with contrast such as an upper GI study or esophagram. ...Read more
How can hospitals prevent patient fear their care will be compromised due to their living will or dnr order?
Talk to your Dr: Discuss with your doctor.Get a more detailed answer ›
Hospital admission: Generally, orthopedic injuries that create immediate mobility difficulties will earn a hospital admission. Digit reattachments, loss of consciousness, will also get spomeone admitted. However, it is important to realize that injuries that get an individual admitted to the hospital all have potential to be life htreatening. ...Read more
Call: Contact the moniter's company.Using the agency or internet should work. ...Read more
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
DNR: Is parsed into "levels", but hospitals assume that all patients want "full code" - intubation, counter shock and icu, even in ases where there are no expectations that the underlying conditin can be cured, or meaningful, enjoyable prolongation of life can be sustained. Prolonging suffering and death can ensue, so it is very important to clarify what you r a loved one wants rather than waiting. ...Read more