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Doctor insights on: What Special Issues Face Older Adults Who Have Dialysis

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What special issues face older adults who have dialysis?

What special issues face older adults who have dialysis?

Multiple issues: Older adults on dialysis tend to be sicker and have more associated health problems. This may adversely affect how well they do on dialysis. In addition, placing a good fistula for access may be more challenging as their veins may be small and scarred or "used up" from previous ivs or medical procedures. ...Read more

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Dr. Quresh Khairullah
520 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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What tools can help older adults who have difficulty getting dressed?

What tools can help older adults who have difficulty getting dressed?

Occupational therapy: A consultation with an occupational therapist or home nursing agency can help review how the adult is doing with activities of daily living -- including getting dressed. They are good at working out the specific steps that need to be taken, and where the process is getting stuck. They can recommend tools or help tailored to the individual adult's strengths and needs. ...Read more

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Do old patients like those old doctors more who talks to them more, when they get a feeling that he is respecting their age, any psychology behind this ?

Do old patients like those old doctors more who talks to them more, when they get a feeling that he is respecting their age, any psychology behind this ?

See below: Speaking from my experience: i work primarily with geriatric clientele and i'm much younger than my average client. It's not about the age, it's about ability to relate, empathize, respect, and being able to help on the person's level. While having similarities definitely helps with establishing rapport, ultimately it's my ability to relate, empathize, and be a clinician a that helps the client. ...Read more

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Are children diagnosed before age 3 years with hypotonia also more prone to heart problems?

Are children diagnosed before age 3 years with hypotonia also more prone to heart problems?

Not a direct relatio: There is no direct relationship in children with hypotonia and children with hypotonia are not more prone to heart disease but there are conditions like down syndrome and others where we see hypotonia and congenital heart disease, and some children with congenital heart disease may be hypotonic as well. ...Read more

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Are those afflicted with ADHD classified as a 'vulnerable adult'? This is in regard to the 22 year-old grandson of a close family friend who has adhd.Two years ago, two adult men in their late 40's had asked him to move in with them. They immediately bega

Are those afflicted with ADHD classified as a 'vulnerable adult'? This is in regard to the 22 year-old grandson of a close family friend who has adhd.Two years ago, two adult men in their late 40's had asked him to move in with them. They immediately bega

Unfamiliar term: Not sure of the context of "vulnerable adult" as a specific label. Certainly, adhd that lasts into adulthood is associaated with a wide range of increased risk for bad outcomes, and certain individuals with adhd retain a social immaturity that might make it easier for others to prey upon them. However, that is far from universal and more related to immaturity than adhd per se. ...Read more

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My mother age is 65 years. She has some respiratory problems. Who should we see?

My mother age is 65 years. She has some respiratory problems. Who should we see?

Choices of doc: Depending on the type of respiratory problem, different types of physician can be helpful. If cause is unknown, an internal medicine doctor can provide initial diagnostics and therapies for many conditions. A pulmonologist is a subspecialist in respiratory conditions who would also be able to assist in the diagnosis and treatment of respiratory problems. ...Read more

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Are pcp's only trained to treat really old serious sick people or can they treat young people who are functioning suboptimally due to health reasons?

Interests vary: Since older folks comprise a very high percentage of the "sick" adult population, docs get a lot more exposure to them in their training than they do to younger, healthier folks. Some pcp's seem to gravitate more towards the issues of young adults than others. ...Read more

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What are some common learning disabilities in children who have cardiac problems?

What are some common learning disabilities in children who have cardiac problems?

Varies : Some congenital heart problems r associated with learning problems. Some genetic disorders are associated with both too. Secondary learning problems can occur in babies delivered before 38 weeks (for example if the cardiac prob caused labor) or subjected to major health problems in the first month of life. If the heart problem causes decreased blood oxygen, then the developing brain can suffer. ...Read more

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Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?

Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?

CHF: Congestive heart failure patients usually have structural abnormalities of the heart muscle and can have rhythm abnormalities so yes. Dental care both in the office and at home is important. A the dentist some office procedures and drugs could be problematic. Poor dental hygiene at home could result in infections which could cause valve problems. So dental care is important. ...Read more

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I need statistics on aspergers syndrome. How many people have it (children, young adults, adults). ?

I need statistics on aspergers syndrome. How many people have it (children, young adults, adults). ?

Not Well Established: The prevalence of asperger syndrome (as) is not well established. Experts estimate that as many as 1 in 88 children age 8 will have an autism spectrum disorder. No studies have yet been conducted to determine the incidence of asperger syndrome in adult populations, but studies of children with the disorder suggest that their problems with socialization and communication continue into adulthood. ...Read more

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Special diet for people who had kidney dysfunction?

Special diet for people who had kidney dysfunction?

Yes: Dietary modifications are a main way of coping with reduced kidney function and can allow for adequate health delaying the need for dialysis. Protein, phosphate and sodium restrictions are common with potassium restriction added at later stages. ...Read more

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Who is going to help provide good health insurance for children of older parents who are seniors when the kids are 26?

Who is going to help provide good health insurance for children of older parents who are seniors when the kids are 26?

Good question: The hopeful political end to this, and it is all political, is universal coverage. Until that point, hope these children by age 26 have a good job with health coverage. Society takes care of them for more severe problems if they have no coverage but this of course shifts the cost to everyone who planned ahead. Watch for this to be a big issue in the 2012 campaign. ...Read more

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Do people who had meningitis as a child usually end up suffering from learning disabilities as an adult?

Do people who had meningitis as a child usually end up suffering from learning disabilities as an adult?

Depends: It depends on the type of meningitis, the age during the illness, ANS the severity of the illness. Uncomplicated viral meningitis should leave no long term symptoms. ...Read more

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Older daughter likes drs/dentists who are nice with pretty offices younger one wants smart ones experienced with elders. Which is right for me at 90?

Older daughter likes drs/dentists who are nice with pretty offices younger one wants smart ones experienced with elders. Which is right for me at 90?

Age40-65: Drs dental or medical are human beings. No body is perfect all the time. Beauty is not necessarily associated with wisdom or viceversa. There are professionals that are more experienced in certain diseases or more experienced in certain procedures even inside of each specialist. My bias is that medical professionals age 40- 65 are at the top of their carrees. ...Read more

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Some people i work out with are 20 years older yet don't seem old. Most are retired faculty who go each am to fitness class. Which factors count most?

Some people i work out with are 20 years older yet don't seem old. Most are retired faculty who go each am to fitness class. Which factors count most?

The current state of health: Living a lifestyle of correct eating taking care of yourself by seeing your doctor regularly as well as exercising rarely over lifetime can help you appear healthier than others regardless of patients at her initiatives in her 70s it can actually outperformed many patients after anciently because they've been living a good lifestyle for many years this is what we encourage proper eating regular exercise. ...Read more

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What will be the likely effect on children who have undiagnosed learning disabilities and get no special ed?

What will be the likely effect on children who have undiagnosed learning disabilities and get no special ed?

School problems: Children with undiagnosed ld typically flounder in regular classes, sometimes receiving such labels as "lazy" or "unmotivated." self-esteem can plummet, and investment in school often fades with time. Special education may not be needed, but recognition of the problem and helping the child to find ways around it is essential. ...Read more

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I'm wondering why are military children more likely to be born with autism?

I'm wondering why are military children more likely to be born with autism?

Uncertain: On average 1 in 110 kids will be diagnosed with autism. Military families have an average of 1 in 88 kids diagnosed with autism. This statistic comes from a website seeking resources to assist military families. It is called 'act today.' i can not find a citation for this statistic. I doubt that there is a definitive answer. Families with children with autism require special resources. ...Read more

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