Doctor insights on:
Do uptodate protocols for severe preeclampsia in regards to delivery no longer apply if blood pressure goes down with medication?
Let's hear OB's: While I would defer this to my OB colleagues, my understanding is with SEVERE pre-eclampsia that delivery is still indicated even if blood pressure comes down. Blood pressure is not the only thing they are concerned about with this disorder, and if yours is severe as you elude to, I don't think just getting BP controlled would by the fix. Love to hear from OB colleagues! ...Read more
Some do: A yearly flu vaccine can help you avoid the flu and avoid carrying it to the important people in your life. The tetanus booster needs to be repeated every 10 years, and we encourage use of the tdap booster that covers for diphtheria and whooping cough as well. The extra prevents you from carrying these illnesses to babies who are the most vulnerable. Other shots may be needed depending on travel. ...Read more
Ok: Ok, Good for you. What's your question?? ...Read more
Yes: You can find information at spineuniverse. Com or spinehealth. Com to start or see an orthopaedic surgeon for further information. ...Read more
The web: Websites such as medindia. Net and others have lists of the international health days. ...Read more
What's the environmental impact now of meat production? I read frances moore lappe and want an update.
Ask others but...: Political correctness aside, in today's world there are many more total people, mostly much better nourished, and eating much more meat than in the 1970's of "diet for a small planet." is it sustainable? My reading makes me think it is, and that most world malnutrition (africa, china, etc.) is due to evil / stupid social policies. I would pay much more for meat raised humanely. Hear from others? ...Read more
Genetic studies only: You are asking about facial-scapular-humaral dystrophy. This is a very familial form of mild muscular dystrophy that involves the face and shoulders and upper arms and is progressive from adolescence on. There are no definite treatments except exercises and at times tendon-muscle transfers. Advances in the genetic evaluation seem exciting. There are trials of Prednisone such as in duchenne's. ...Read more
Several options: Some newer treatments shown to be effective in a recent article in a major dermatology journal include antibiotics (clindamycin + rifampin), Infliximab (a biologic drug), yag laser, and surgical excision and primary closure with a gentamycin sulfate-collagen sponge. Other options include cryotherapy, pdt light treatments, finasteride, zinc gluconate, resorcinol, & acitretin. ...Read more
Confusing question: Why would physicians based in the US have any knowledge of the Indian health system? Try a site based in your country. ...Read more
See a lawyer: It is best to discuss with an attorney who specializes in drafiting wills. Depending on the state in which you live, your estate will not automatically be inherited by your child. You and your partner will also want to clearly state whom will be responsible for the custody of the child. ...Read more
See details: There are numerous newer biologic meds for RA. Search the web and you can easily find and read about them. Also, ask your rheumatologist. ...Read more
Not a bad idea.: Healthcare and the way healthcare is provided is dramatically changing in these last few years. 'Obamacare', insurance payments, doctors not choosing to build a solo practice are among these. You're at a time where you can decide as you go what you wish to pursue as healthcare will not remain as you know it today and will continue dynamically changing. Technology/ Economy are related. ...Read more
My 12 year old son (attending special school) had problems last year. What about a testing update before school?
Great idea: You should be working with your family doctor and your son's therepists. Convene a meeting to decide what needs to be measured. ...Read more
Update: after testing positive to 6 hpt's, I tested negative 3 times within the past few days. What does this mean?
Am I pregnant?: There must be more to this story, especially getting that many tests.... But, many if not most of pregnancies end in miscarriage. Women often are not even aware they are pregnant and then they have a particularly hard blood flow or cramping. Neither of the above tests were probably wrong. I would bet you have had a miscarriage. ...Read more
Can you provide an update: teva, xenon receives us fda orphan drug status for pain rx, tv-45070 (for erythromelalgia). When available? An ointment?
New drug for pain: Most physicians do not know about this drug because it is so new and not released yet. Check with your local pain expert in your area for more information regarding this drug. They will know the most about it. Also the reps will be chatting this up before it is to be released and they may learn about this drug through them. Good luck and fell better! ...Read more
I confirmed case: Still one confirmed case so far. Identification of at risk patients beefed up at airports and hospitals. Experimental drug in short supply with a company contracted to make more ZMAPP. No need to panic CDC had already put guidelines in place prior to first case with significant improvement to ensure containment. Get your flu shots if you are not allergic. ...Read more
Tons of articles: Nimh (national institutes of mental health) is a good place to start: http://www. Nimh. Nih. Gov/health/topics/panic-disorder/index. Shtml there are links to significant literature there. You will also find hundreds of articles on pubmed. ...Read more
Please tell me if it is normal for critical care doctors to not update family member on a loved ones status?
Not usually: It really depends on which team is the primary team taking care of your loved one. Many times the critical care team is the primary team who is responsible for updating family members as well as providing care. Sometimes however the critical care team is only a consultant team and at the request of the primary team may give minor updates to the family if the primary team wants to take that role. ...Read more
How safe are childhood vaccines really? Are any worse than others? Scared to get my toddlers 18 month update.
All are safe: All vaccines are safe and effective. They are not associated with developing autism. For more reassurance go to websites of centers for disease control, american academy of pediatrics- kid's health and children's hospital of philadelphia. All have great information about vaccine safety and the importance of children getting all their vaccines on time. ...Read more
Artificial insemination of anonymous donor--what are his obligations to provide updated health information about him/his family?
Legally Obliged: A donor is legally obliged to provide updates. That being said, I'm not sure there are any good mechanisms in place to monitor that. Any it is entirely possible that anyone can have a change in health information for another family member and not be aware of it. ...Read more
As a child, I was classified as a "sudden, severe asthmatic." Is there a more updated classification system? What would it be called today?
Hard to say: The label "sudden, severe" is a description rather than a classification. While some kids start out with mild initial symptoms, others can have an initial major event, particularly when their family is unaware of the potential for progression. Delays in seeking treatment can turn a mild event into a major one. A detailed history from your mother might give this answer, but I wouldn't take the time ...Read more
What is optimization value of blood pressure for man. The age 49. What update medicine to reduce blood pressure where my blood pressure about 150/95?
Blood pressure: Target close to 120/80, for medication talk to your doctor. ...Read more
My arm was biten by something that made it swell up. Today it is half the size it was yesterday, but I woke up with a small circle of puss should I pop?
Don't pop: It would create a portal for infection. Intact skin is a natural barrier against most germs. Take care. ...Read more
Why won't donor sign off on genetic history after giving update on the phone to cryobank? I paid for it and my kid needs proof
Diagnostic imaging in 2009: update on evidence-based practice of pediatric imaging. What is the role of imaging in sinusitis?
Complicated but: Imaging indicated in sinusitis for chronic infections (>90 days), recurrent infections, concern for complications of sinusitis (e.g. Periorbital cellulitis, brain abscess), or preoperatively before sinus surgery. Ct scans are almost always done, but mris are helpful for intracranial or orbital extension. Threshold to image is higher in pediatric population in order to avoid unnecessary radiation. ...Read more
I have been ttc for over 8 months, I take OPK and update a calander each day, what can hubby and I do to speed up the process?
When child turned 18 I asked sperm bank to contact donor for updated info. He told them on phone but then wouldn't follow up. Why?
Anonymity: It may be the donor wants to remain just that. A donor. ...Read more