Doctor insights on:
Any advantage to having a insurance company's employee become involved in care decisions when ppo ins w no pre-approv reqd? Would add pre-approv req
Don't think so: Not sure i fully understand but in general i'd say health care decisions are best made with your doctor(s) and family members-the people who have your health as their priority. Insurance companies often have profit for the company as their first priority. Even if they say otherwise, there is always the potential that what's good for ur health & what's good for bottom line aren't the same. ...Read more
What happens to colonized resistant bacteria (eg: esbl kleb) when trachee decannulated? Technical & references/links appreciated.
Varies with patients: If a person had a trach and got it removed, and then healed up and resumed normal, natural clearing of mucus and microorganisms, that person should be able to be free of bacteria in the trachea and lungs (regardless of whether the bacteria is antibiotic resistant or not, because the human body doesn't know about antibiotic resistance). If the person remains abnormal, then some bacteria may remain. ...Read moreSee 1 more doctor answer
My 5yo trachee has been positive for esbl kleb o. Now each aspirate also is + for "staph" - is it MRSA & docs are evasive? Isn't MRSA just esbl staph
Colonizers?: The major question in trach cultures is always whether the organisms are causing illness. Sputum cannot be sterilized and always has colonizing organisms, with staph being most commonly found; resistance patterns in colonizers is less important. Discomfort with this complexity may account for the perception that a doc is not giving a "straight" answer. ...Read more
My aunt is acting paranoid, aggressive, verbally abusive to family members, drs don't know why, she has cancer & is on morphine. She is on morphine drip, but now she is acting very strange, paranoid, aggressive, verbally abusive, screaming at family membe
You : You have described a complex situation. I am sorry to hear about your auntâ€™s health. There are a number of possible reasons for this behavior. Possible side effects from morphine can include paranoia, hallucinations, agitation, confusion, mood swings, restlessness, difficulty with thinking and delerium. Delerium is sudden confusion and rapid changes in brain function. You described that she is confused. Confusion can be related to electrolyte disturbances, to severe depression, medications, malignancies effecting the brain, insufficient oxygen, infections and failure of various organs (just to mention some causes). It is doubtful that her cancer caused her to become schizophrenic. It can be difficult in a very ill patient who may have delerium, especially if she is older, to determine what the exact cause is. ...Read more
Chicken or the egg?: The title behind the professional is not as important as the years of expertise in the subject matter, the level of interest and compasion for the patients problems, and your ease , trust and communication with him/her.Md and psychologists are part of a comprehensive team of professionals, not mutually exclusive, i propose you see both! ...Read moreSee 2 more doctor answers
My mom needs a specialist not on her insurance. Are doctors reluctant to negotiate fees with cash patients?
Doctors will often: negotiate w/cash patients. The main thing is to get your mom seen by the proper doc. Please don't hesitate to search. If the person at the front desk won't help, drop in and have a chat. Some folks in doc offices are much better to deal w/than others. Be kind and patient and hopefully you will succeed. Peace and good health. ...Read more
How do university surgeons get paid? Is it just salary or salary + procedures? Is private vs public school any different? Ex usc vs ucla surgeons.
Salary alone.: University-employed professors are salaried and thus have no incentive to perform additional procedures unless they are clearly indicated. My understanding is that some private universities may give year-end bonuses on productivity, but most public ones do not. ...Read more
Hi, Quick question, my psychologist thinks I have Bipolar tendencies but psychiatrist says it's psychosocial, am I allowed a second opinion?
MY OPINION: I have always felt that patients of mine with PPO's (straight up and traditional) far outpaced everything else you've listed in terms of reimbursements, allowed services, and covered medications. Your best bet is to get a couple of the plans to check them side by side. ...Read more
What might b good way 2 approach spouse addiction 2 internet(OBSESSED w news&posting on political msg boards)w/o making him defensive&angry?PLZ HELP!
Alanon? Therapy?: Many discover that there is little we can do to change others. It is hard enough to change ourselves! You can find possible support at an Alanon meeting or from a psychotherapist. Then, you might find the voice to use to invite spouse to help you with your problem. I know this sounds backward. It's not. Best wishes. ...Read more
Psychology: I am so very bored in retirement but cannot find paid employment. Top educated. Advice?
Retirement goes best: when someone has a plan of action in place prior to retirement. One can always create one later if needed. If you can do so financially, consider volunteer work through a civic organization or religious group, e.g., hospice visitor, soup kitchen, meals on wheels, blood bank, etc. The world needs you and what you can do to help the rest of us a bit. Peace and good health. ...Read moreSee 1 more doctor answer
I cannot find a psychiatrist who accepts new patients in Richmond VA Metro area. I want to be evaluated for Adult ADHD and/or Depression?
Psych help...: (1) Look at aacap.org (American Academy of Child&Adolescent Psychiatry) psychiatrist finder. Most child psychiatrists see adults as well and are skilled at diagnosing ADHD. (2) Look at your local hospital website doctor finder under psychiatry. (3) Ask your pcp for a referral. (4) Go online to find psychiatrists on your insurance plan. (5) Call your county medical society for referrals. Take care. ...Read more
How to get child into private school without public school help, using my rights as parent because l believe my child has medica Issues, misdiagnosed?
Odd idea: You get into a private school by paying for the service, not making demands of the public system. Private schools are also not required to make any accommodations for kids with special needs, be they learning or medical.Public schools are required to make these accommodations.You need to meet with a representative of your local special services department and explore your available options. ...Read moreSee 1 more doctor answer
Need local dr caring helpful listens understands accepts caresource. Very athletic can't run anymore inpain pt and accupunture was no help canton ohio?
Honesty : Please let your physician know. If it was my practice i would want to know to fix the problem so our patients feel at home and are welcomed. ...Read more
Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.
HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read moreSee 3 more doctor answers
Broad range: Surrogacy is expensive and ranges from $40k - $100k or more. Price shopping is worthwhile but hard to pinpoint because surrogates all have custom made contracts with intended parents. I believe the key to success is the legal contract, so make sure of attny who helps. Get everything spelled out and make sure it is complete. Laws vary between states - use state where baby will be born. Best wishes. ...Read more