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Doctor insights on: What Is The Best Treatment For Difficulty Making A Decision

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40 year-old white woman with narcolepsy and cataplexy since childhood, plus migraines, still searching for an effective treatment.....?

40 year-old white woman with narcolepsy and cataplexy since childhood, plus migraines, still searching for an effective treatment.....?

Please repost: Please repost your question with an explanation of what you mean by "effective" treatment. What is "ineffective" about the current treatment regimen? Bearing in mind that both conditions are hereditary (though the genetics are complex) and the only REALLY effective treatment is to make a better choice of parents. ...Read more

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A 28 year-old man wishes to know if a tendon transfer is the only option for a wrist drop after a humerus fracture.....?

A 28 year-old man wishes to know if a tendon transfer is the only option for a wrist drop after a humerus fracture.....?

It depends: Sounds like you might have a radial nerve injury after a humerus fracture which unfortunately can be relatively common. Is it a post op nerve palsy? or was no surgery done to fix the humerus. How long has it been? If its been >6 weeks, an EMG can be helpful to see if there is any re-inervation. Make sure you are doing at least passive range of motion to avoid stiffness. We can set up a consult. ...Read more

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What is the definition or description of: Difficulty making a decision?

What is the definition or description of: Difficulty making a decision?

Indecisive.: Difficulty making a decision = indecisive. Difficulty making decisions may be seen with different conditions such as major depression & dependent personality disorder. ...Read more

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3 month old coughing and mucus sounding congestion in throat. No fever. What is best treatment or should I call pediatrician?

3 month old coughing and mucus sounding congestion in throat. No fever. What is best treatment or should I call pediatrician?

Mgt/workup: Babies breathe through their noses, and gently removing the mucus with a suction bulb and nasal saline will help to alleviate the symptoms. If he continues to cough or is any distress please see the ED. They will advise regarding a possible cause including RSV and pertussis. ...Read more

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If my doctor offers me prostate screening, what should I think about before making a decision?

If my doctor offers me prostate screening, what should I think about before making a decision?

Prostat screening: First of all, 23 year olds don't need screening yet because prostate cancer doesn't occur in that age group. When you are closer to 50 years old, screening becomes a real issue. Most urologists firmly believe in dre/psa screening. The real controversy is what to do after a diagnosis of prostate cancer is made. If no one is screened, no one will be diagnosed at a treatable stage. ...Read more

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Why isn't diflucan (fluconazole) over-the-counter? Why are some medication OTC and some precription only? What goes into fda making a decision to go OTC?

Why isn't diflucan (fluconazole) over-the-counter? Why are some medication OTC and some precription only? What goes into fda making a decision to go OTC?

Side effects: The main reason medications are prescription vs over the counter concerns the side effects of the medication. If a medication has many side effects, it is the doctors responsibility to be sure it is safe for the patient to use. Otc drugs generally have less side effects or complications. ...Read more

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How does an oncolgist know if chemo and/or radiation is really benefitting the patient? How long can the process take in making a decision?

How does an oncolgist know if chemo and/or radiation is really benefitting the patient? How long can the process take in making a decision?

It depends on stage: There are several different scenarios when chemotherapy and or radiotherapy are used for the treatment of breast Cancer.When the breast tumor is still intact/visible, it is easy to see the benefit of treatment because the tumor will shrink in size if the treatment is working well. This takes about 6-8 weeks to determine. When the gross tumor has been removed, then chemo/Radio use is preventive onl ...Read more

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CIN1 positive of HPV16. Doctor recommended laser treatment for removal. Is this the right decision? Isn't it mild and will disappear without treatment?

CIN1 positive of HPV16. Doctor recommended laser treatment for removal. Is this the right decision? Isn't it mild and will disappear without treatment?

NO LASER FOR CIN 1: Don't let your doctor do a procedure on your cervix for CIN 1. It is a localized, self limiting infection that only needs to be followed carefully with pap smears or HPV at least every 6 months. Again, a laser is not indicated. ...Read more

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I saw a psychologist and was diagnosed w/adhd. He suggested Adderall (dextroamphetamine and racemic amphetamine) but asked me to research before making a decision. Can it be used in a safe way?

I saw a psychologist and was diagnosed w/adhd. He suggested Adderall (dextroamphetamine and racemic amphetamine) but asked me to research before making a decision. Can it be used in a safe way?

Certainly. See your: Primary physician for a physical exam with baseline blood pressure, weight & height. Give your doctor any history of heart problems in your family & yourself & share your psychological evaluation. Your doctor may refer you to an adult psychiatrist for medication management. See chadd. Org for tips on medications, therapy & environmental manipulations for optimal multimodal treatment of adhd. ...Read more

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I do hav sum acne marks n my doctor suggested me laser treatment. Is it a good decision and will I get rid of it?

I do hav sum acne marks n my doctor suggested me laser treatment. Is it a good decision and will I get rid of it?

Sounds good: This can be very helpful. I'm sorry your acne wasn't managed as it should have been, but today's lasers are remarkably helpful for scars. ...Read more

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Answers on healthtap are not intended for individual diagnosis, treatment or prescription. If you think you may have a medical emergency, call 911?

Answers on healthtap are not intended for individual diagnosis, treatment or prescription. If you think you may have a medical emergency, call 911?

Crystal Clear Query: Absolutely. Healthtap is an informational service and is designed to address your general questions about medical topics. A prudent adult would differentiate between an emergency and the desire to obtain reliable general information in an online setting. Having a personal physician or "medical home" is always a good idea and helps to develop a long term relationship for your overall healthcare. ...Read more

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What do you call a fertility treatment doctor?

What do you call a fertility treatment doctor?

R E I: A fertility treatment physician is called a reproductive endocrinologist and infertility subspecialist. The training consists of medical school, ob/gyn residency, and reproductive endocrine infertility fellowship. ...Read more

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My Derm. Referred me for a treatment to another Dermatologist. Called to make sure with regular Dr. About treatment & he said call the refer Dr. Why

My Derm. Referred me for a treatment to another Dermatologist. Called to make sure with regular Dr. About treatment & he said call the refer Dr. Why

He/she does not know: Maybe your "regular doc" is not aware or know about the proposed/referred treatment and so cannot answer you. Your Derm doc should have explained to you why you are being referred. Or reason could be that the referral likely will require the "regular doc"--I assume your primary care doc--to do/authorize the referral (time&resource needed) and does not want to do this...not paid. Good luck. ...Read more

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I have a basal call carcinoma, on my upper arm 3 CM in diameter. Can I hang off for another 10 weeks for treatment?

Maybe (not). . .: Basal cell carcinoma is typically the slowest growing and least likely to metastasize (spread) of the various skin cancers. In fact, it's just about the polar opposite of melanoma which is quite deadly. In other words, it's rare for someone to die from bcc. However, 3cm is a pretty good size. Best to ask your dermatologist for his/her opinion. Get a 2nd opinion if you must, but don't delay much! ...Read more

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I've had a blocked salivary duct for two weeks now almost three. What's the treatment for that? Dentist said if its not gone after two weeks call her

I've had a blocked salivary duct for two weeks now almost three. What's the treatment for that? Dentist said if its not gone after two weeks call her

Depends on location: If a minor lip gland, relatively simple excision and minimal post- operative trouble. If sublingual or parotid, removal is more complex. Speak to your dentist about treatment options if the blockage doesn't clear within two weeks on its own. ...Read more

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I have nail pitting on my finger nail and I google and found out it is call psoriasis. May I know what are the treatment to cure it.

I have nail pitting on my finger nail and I google and found out it is call psoriasis. May I know what are the treatment to cure it.

Pitting: Not necessarily psoriasis -- other posssibilty can be trauma (injury to the nail) if all/many nails are involved, could be more likely a systemic process as psoriasis or eczema. ...Read more

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Because ipl for dry eye is not covered by insurance, is there a list of doctors that provide this treatment for me to call and get price of treatment?

Because ipl for dry eye is not covered by insurance, is there a list of doctors that provide this treatment for me to call and get price of treatment?

Not sure which IPL: If it is intense pulsed light (laser), how is this supposed to help dry eye? In any event, I would call and or check on the web the american academy of ophthmalogy, and also the mayo clinic dry eye page. ...Read more

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I have a drop wart (thats what my parents call them) on my neck. Only thing that bothers me is its location rubs on necklaces and it itches. Treatment?

I have a drop wart (thats what my parents call them) on my neck. Only thing that bothers me is its location rubs on necklaces and it itches. Treatment?

Skin Tags: This extra skin is not, in reality, a wart caused by hpv-the wart virus. But, it is extra skin caused by friction of clothing, skin or jewelry. Many of us in the primary care setting freeze these with liquid nitrogen as a simple way to shrink or remove them. ...Read more

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What os the differene between bug/bedbug bites, hives and rashes, what is thr treatment, when to call doctor?

What os the differene between bug/bedbug bites, hives and rashes, what is thr treatment, when to call doctor?

Bed bug bites may: Have no sx's/signs except for 2 small skin puncture points. A reaction may show from an hr to several days later. It can cause itchy, pink, swollen, lesions w clear center. If hypersensitive blisters may occur. Telltale sign is linear track of lesions from sequential feedings – doesn't always occur. Bites are in areas exposed while sleeping-arms, shoulders, neck ; legs. Hives can occur suddenly. ...Read more

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