Doctor insights on:
That's something: that you definitely should do under the care of a live physician who knows your case. ...Read more
30yr old female, 10 weeks pregnant in status migrainosus; would you try steroid, triptans, or both?
How to abort status migrainosus in pregnancy? Been 6 days, tried Norco, (hydrocodone and acetaminophen) IV morphine, IV magnesium sulfate... Nothing works more than 3-4hrs. Pls help!
DSS limitation: Please see following internet page: http://www.Overcomingmultiplesclerosis.Org/about-ms/types-of-ms/kurtzke-edss-scale/.Get a more detailed answer ›
Limited: Doctors less and less are moving to rural areas due to the incredible debt they get from medical scvhool. Rural health care is more, and more from physician extenders like nurse practitioners and physician assistants. There is also less funding for rural hospitals and rural public health. So the status is getting less favorable. ...Read moreSee 2 more doctor answers
Severe brain insult: There are multiple problems but all involve acute insults to the brain. This can include, strokes, infections like encephalitis, severe metabolic problems, including "ischemia/ hypoxia" ( lack of blood flow/oxygen to the brain as with a cardiac arrest for example), certain kinds of drug intoxication. Sudden cessation of anti-seizure meds in someone with epilepsy. There are other causes as well. ...Read moreSee 1 more doctor answer
Maybe: Propofol can be used in combination with other medicines for status epilepticus. Typically it is not a first line agent to stop a seizure or status epilepticus. If it has gotten to the point where Propofol is being employed, then the patient is likely in an ICU and multiple agents have already been tried. ...Read more
Not normally: The definition of status epilepticus from the working group of the epilepsy foundation is " "more than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures." so there could be consciousness, particularly with non-convulsive status epilepticus, but it wouldn't be the person's normal state. ...Read more
A B C: Protect the airway - head to side and nothing in the mouth. Be sure breathing is adequate and airway is clear when they try to breath. Check the cardiac status that the heart is beating well and is perusing the brain. Once these issues are addressed, call for help, and then administer rescue medication if you have any available. Save the panic reaction to after completing above. ...Read more
Social determinants: Wealth doesn't guarantee health, but being poor can strain well-being. World health org calls this social determinants of health. In us, poorer neighborhoods often have less access to healthy foods, safe places to exercise; more crime, violence & stress. In developing world, may be less access to clean water, sanitation, food. Everywhere less access to healthcare services. Education best equalizer. ...Read more
Not perfectly clear,: The reasons for WBC elevation after splenectomy are not completely elucidated, but is known a higher count of >16000/mm3 is present in those developing infection. So, high wbc signaled the body in a big fight against infection. More? Ask your doctor who knows more about his/her patients than anyone online. ...Read more
Not normally: The definition of status epilepticus from the working group of the epilepsy foundation is " "more than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures." so there could be sone consciousness, for example with non-convulsive status epilepticus, but it wouldn't be close to the person's normal state. ...Read more
EEG or clinical : Recurrent seizures without waking up in between. Several types. Most dangerous type is recurrent convulsions. Another type is non convulsive status epilepticus: recurrent episodes of a confused state (there are subtypes of this). Need continuous eeg to diagnose. ...Read moreSee 1 more doctor answer