Doctor insights on:
Supply Aid Patient
Safety: Make sure that the patient is not in a situation where he or she can hurt themselves such as by falling or hitting something hard, turn them on their side to keep tongue or other material from blocking the windpipe, call for help. ...Read more
Yes there is: With proper ENT ; audio exam.Get a more detailed answer ›
Will DDAVP (desmopressin) aid in active bleeding if the patient doesn't have any history of bleeding disorders?
DDAVP (desmopressin): According to your question the patient does not have any history of bleeding tendencies and the indications for DDAVP (desmopressin) are for patients with hemophilia A with factor VIII coagulant activity levels greater than 5%. So bottom line it does not work unless the above indications are there. ...Read more
How can therapy help aid a child with severe mental disorders to prevent them from becoming a full fledged mental patient?
Reduces symptoms: Therapy can improve outcomes and change the trajectory of a child. The mechanisms are many including reduction of anxiety, reducing stress, improving adaptability, improving interpersonal dynamics and enhancing academic progression. Each of these phenomena can improve the prognosis of a child. For example, ocd treated with cognitive behavioral therapy shows improvements in brain function. ...Read more
Geriatric issues: It sounds like these issues are best approached by a geriatric psychologist, and a geriatric psychiatrist. Which is to say, you're looking for a psychologist and a psychiatrist both of whom specialize in geriatric issues, like the ones that you have described. State psychology and psychiatric organizations can help you find the best practitioners for these issues. ...Read more
What consequences will a patient have if he or she swallows an aspirin tablet without chewing it. The consequences I saw in my first aid manual seemed to be quite serious and severe?
Surgeon told patient after a scope they still had food in stomach from prior day no advic what are easiest foods to digest or can help to aid in diges?
Gastroparesis diet: Since fats & large meals take longer to exit stomach, modify your diet to six small low fat feedings. Since liquids exit your stomach faster than solids, delay drinking liquids with meal rather than before. That being said, there are many reasons for gastroparesis (some reversible, some progressive). If your gastroparesis is diabetic-related, nix (permethrin) diet recommendations above & see diabetic provider. ...Read more
Yes: Yes, it is safe.Get a more detailed answer ›
Just prior to the more painful mouth palate injections in preparation for oral surgery can a patient request nitrous oxide as an helpful aid, or not?
Sure, or a general.: Palatal, roof of the mouth injections, for oral surgery procedures such as dental implants etc. Can be uncomfortable. Sometimes a topical anesthetic and a little distracting pressure with a dental instrument will suffice. Otherwise, nitrous oxide. (inexpensive) oral sedation more ( expensive) twilight sleep or general anesthesia (most expensive) does the job. What is it worth to you? ...Read moreSee 3 more doctor answers
For sleep aid, patient with severe insomnia you dr. had to choose between prescribing Amitriptyline or Trazadone or Flexeril, (cyclobenzaprine hcl) which one would you choose? and how would you monitor it?
Adjunct,side effects: It all depends on the situation. The bigger question to me is "why does the patient have insomnia?" and then deal with that piece. You mentioned that you're on methotrexate, but not why. Similarly, you've had a cardiac catheterization, but don't state the reason. The choice of drug when treating insomnia, if a drug therapy is required at all, depends strongly on the other conditions. ...Read moreSee 1 more doctor answer
Healthy: Eat a healthy diet, ideally all plant-based. Cholesterol is only in animal cells so if you don't eat any animal products (meat, poultry, fish, eggs, dairy), you cannot get exogenous cholesterol. You may have a genetic/family predisposition to high cholesterol anyway but medicine will treat that. For diet, eat lots of veggies, fruits, whole grains, beans, nuts. Exercise daily even walking. ...Read moreSee 1 more doctor answer
Not herpes: This cannot possibly be herpes if you have never had sexual contact with another person. And this doesn't sound like herpes anyway. On dry skin like the penis, herpes lesions go from red bump to blister to pimple to open sore to scab over 1-2 weeks. "Yellowish bumps" probably are normal, maybe just hair follicles or sebaceous glands that appear more prominent with sexual maturity. ...Read more
Question unclear: Sorry, question is unclear as i'm not familiar with "shatawry". Do you have the word spelled correctly? Is it a prescribed drug or an herbal supplement? Please provide more information so we can help you better. ...Read more
Honor: The majority of encounters with patients do not involve things of which privacy is critical. Privacy enters when the issue is drug habits, sexual habits, criminal behavior and mental disorder. Significant legislation limits the passage of such information and patient permission is almost always required. The limits are legal allowances such as public health matters, and insurance inquiries. ...Read more
Short term;long term: If no j-tube (feeding tube), oral diet will be started with clear liquids & slowly advance to solid food. Eating small, frequent (6-8) meals is usually a good idea as is avoiding greasy and fried foods. Gradually increase raw fruits and vegetables. 8-10 cups water/day, but limit liquids with meals. Consider high calorie beverages: smoothies/supplement drinks. Pancreatic enzymes/vits may be needed ...Read more
Exam and imaging: Pain is what you feel. What we diagnose is the cause of the pain. Most of us over the age of 50, and many younger, have back malformations that can cause pain. Some diagnoses are obvious to the trained ear, such as "my back hurts here and the pain radiates to there". Others need xrays or mri's so we can "see" inside you. See a trained specialist to get a diagnosis - before treatment. ...Read moreSee 1 more doctor answer
Really good question: Some people don't want to express much when they're hurting, it's true. For instance, some native american cultures may seem this way. One thing you can try is a simple pictorial pain scale like the wong-baker http://www.Partnersagainstpain.Com/printouts/a7012as6.Pdf you might also observe changes in facial expression, muscle tension, agitation, pulse, bp, respiration, and even sweating. ...Read more
Wealth: Baby boomers are leading a healthcare revolution by utilizing their wealth. The want to look good and are willing to spend their money on procedure that make them look younger and revitalized. ...Read more
Depends..: It depends on- what is your agenda? If you need pain med, work excuse, fake work excuse, disability ..only a certain group engage in that. Try to figure out whether the Dr is caring for you or your wallet......whether he is worried about your medical condition or pimping for his medical network ( hospital ) ...Read moreSee 2 more doctor answers
I believe so: I know this for a fact, but with time when prove yourself thing of that sort will diminish. ...Read more
Simple...: Simple see a PMD. Depending on your situation....Antidepressant / CBT or both will help. ...Read more
No: This is used just as it sounds. Providers are in the field because we like people and we are often struck by someone who is especially delightful, kindly, charming, or pleasant in return. It makes our day and sometimes we even pop it into a note. Irony or sarcasm is not something that a provider places in a chart. I think you likely had a compliment! ...Read moreSee 2 more doctor answers
Current opiod dose: We take the dosage of the oral opioid you are already on and convert it to the appropriate equivalent dosage of the Fentanyl patch. It is based upon your tolerance to opioid therapy already. It is not uncommon to have to increase the Fentanyl dose but because it's such a powerful drug that is very harmful in doses too big for your system, we tend to start a little lower and go from there. ...Read more
What cultures are the less likely to come? Are you able to understand your patients and are they able to understand you?
Depends on area: I have all nationalities and cultures come into my office. Most of the time the the patients children do the intrepreting for me. Sometimes the patient will bring in a friend as a translater. And yes, there are some patients that do not speak any english and this is very difficult situation for me. ...Read moreSee 1 more doctor answer
What cultures are the less likely to come?
Are you able to understand your patients and are they able to understand you?
Do not understand: If you are asking whether your doctor should be understanding you and you them, all doctors have an obligation to obtain a translator if there is difficulty with communication because of language skills. ...Read more