Doctor insights on:
Why Do Er Doctors Not Like Mentally Ill
We never stop: Most er shifts are 6-12 hours, but some remote areas can be 24-48. Many work 1400-2000 hrs/yr, so the math does allow for time off (less so if at a teaching institution, since we may be doing research, writing papers, working with students/residents). Usually no "call, " so on is on and off is off. ...Read more
It very much: Depends on where the bullet entered and what area it traversed. The calibre helps also. The treatment could be as simple as a dressing, tetanus shot, maybe an antibiotic and analgesic all the way to pulling out all the stops in an effort to save a life, complete with surgeons, operating room, etc. No generic answer to that question. ...Read more
Different labs: They can order different lab work where they can see you have an infection in your body. Also the history is very important in guiding the doctor towards the correct diagnosis. ...Read more
GI: I am an ED doc so have experience in this question. Yes, it is possible to diagnose certain infections such infectious diarrhea. However, we are limited in certain cases such as Ulcerative Colitis or IBS. These are usually diagnosed by GI as a colonoscopy is often necessary. Hope this helps. ...Read more
I was diagnose with myasthenia gravis by ER doctors...Im a merchant mariner should I quit my career and could I ever come back to the sea?
Myasthenia gravis: Before you start thinking about quitting your career & giving up a life at sea, check out http://www. Mayoclinic. Com/health/myasthenia-gravis/ds00375. Then go see a neurologist for testing & confirmation. While there's no cure, there are options to make symptoms less problematic. But that's crossing the bridge before you arrive. Go see a neurologist first, two if you need, to confirm your diagnosis. ...Read more
ER & trauma centers: They work hand in hand.Get a more detailed answer ›
My 7 month old fell and hit head, ER doctors said she's ok-minor trauma. Should I worry for long term effects?
Head trauma: Babies are constantly falling and bumping their heads without an long ter effects. ...Read more
Migraine for 2 weeks. Nothing helping. Toradol maxerane Imitrex (sumatriptan). ER doctors won't help anymore?
Very sorry to hear: I'm a headache specialist in the U.S. and would be happy to lend a hand. Feel free to contact me for private consultation means at: www. Healthtap. Com/drsaghafi You've got a complicated problem which may not be solvable with simple medication changes. Plus history of concussion. That makes this more unique that what most ER's are equipped to handle. Let me know if you'd like me to help. ...Read more
Hi, I am 19 years old and I have been experiencing chest pain when I wake up, tiredness and fatigue, and weakness. Er doctors have been unable to help?
See details: As you found out, the er is not the place to go to evaluate those type of problems. See a doctor and have the issue evaluated. Is it possible you are depressed? ...Read more
I am interested in studying medicine, but I am confused with the difference, job duties, and salaries of ER doctors and trauma surgeons?
Everyone goes to 4 years of medical school. After that everyone goes through a residency. The salaries are different with trauma surgeons making a higher salary. ...Read more
How can I make ER doctors understand I can't sleep im restless agitated going threw withdrwal from opiates strong opiates. How can I get ambian.
Opioid withdrawal: Honesty is always the best policy when speaking to your physician. AND you should be speaking to your physician not an ER doc if you can help it. Your doc can help you best, but most ED's will prescribe some combo of meds for opioid withdrawal. Good news - withdrawal does not last for too long. ...Read more
I have large bilateral cysts om my ovaries 2 years after partial hysterectomy with lots of pain. Why are the ER doctors sending me to a gyneocologist?
I;ve been suffering with ovarian cysts 7yrs, no proper diagnosis but gyn and ER doctors say I may have pcos. Also having access hair growth.
Yes: You probably do have pcos, see an endocrinologist for evaluation. ...Read more
I recently had blood in my urine. The ER doctors thought I had passed a kidney stine. Right flank pain. Frequentcy of urination. Queasy stomach?
I am a very healthy 16th year old and I had what the er doctors think was a seizure my CT was normal my urine test was normal and my blood test was normal what's your outlook on my situation should I go see a neurologist what could of caused this I had to
Absolutely: I would certainly see a neurologist.Get a more detailed answer ›
I have strep throat at least three times a year plus many sore throats. The ER doctors say I should have my tonsils removed, is it safe as an adult?
See own doc: Decisions on whether you need surgical intervention for a chronic problem should not be coming fro an er doc. You need to discuss this with a primary care doctor or with an ENT doctor for your particular case of recurrent throat infections. While the surgery is generally safe, there can always be complications from bleeding, infection, anesthesia. That's why you need to talk to your personal doc! ...Read more
I am a very healthy 16th year old and I had what the er doctors think was a seizure my CT was normal my urine test was normal and my blood test was normal and my mom thinks it could be a side effect of my tuberculosis test I had a week ago my tongue is re
I'm a perfectly healthy 16 year old girl and yesterday in school I had what the er doctors think was a seizure my CT test blood test and urine test were all normal myou tongue is very swollen and bloody and bruised my mom think my tuberculosis test could
? epilepsy: I seriously doubt that a tuberculosis skin test caused your described Grand Mal seizure, and would highly recommend visit to a neurologist, as risk of a second seizure, regardless of cause, is about 60% over next year. Get this treated, as such spells prevent driving, activities at heights, use of power equipment, etc. Medications these days are highly effective and safe. ...Read more
If emergency: Only if it is an emergency. If it is just a medication refill, minor complaint, question about a chronic problem, or something that can seriously wait til the next business morning, do not go to the er. That is a waste and uses resources and personnel that are needed for true emergencies. But if a true emergency, then go to urgent care. If you can't, then er is fine. ...Read more
Sorry, I wouldn't: Be able to begin to tell you if you have a mental illness with this one piece of info. Are you being murdered in dreams? Is someone else being murdered in dreams? Do you wake from dream feeling upset, scared, excited or happy? Have you gone through significant previous trauma? You can always have this assessed by a psychiatrist or psychologist. Take care. ...Read more
What mental doctors excepting. New patients from. Health tap. In chicago. Ill? That way I can ask threw here as well
Accepting: If you are looking for doctors accepting medicare or medicaid, it is getting harder to find them. I think psychologists are far more accessible to medicare only. Medicaid does not reimburse psychologists in il. ...Read more
Opioids: The simple answer is YES - but this really depends on the mental capacity of the person and what the findings are on exam. Also important is the availability of a responsible adult to assist. ...Read more
Yes: If you are feeling that there are mental health issues, you should either talk to your primary care physician or a psychologist. Your mental health and physical well being are closely tied together, and the consultation with doctors can help you determine the causes and more importantly the ways to deal with your mental health issues in a positive and healthy manner. ...Read more
Why is it that Anorexia is so hard to accept, people react very differently to other mental illnesses, and doctors don't like to treat.?
Denial Factor: It is hard to accept as the person who suffers from Anorexia is often in denial. Many Doctors find it hard to treat Anorexia as they do not have enough experience to treat it. It is better treated by a Psychiatrist as it involves behaviour therapy. Goal is to have healthy eating habits and healthy weight. Severe cases need to be hospitalisedto correct biochemical abnormalities& may require specia ...Read more
I'm going to see if lithium is for me. My fam doc is not a shrink. Will he no how much ill need & I won't die from it in the 1st month like people say?
Lithium: I see that you've been on Depakote also. If you have a complex problem like bipolar disorder, you're best served by a psychiatrist guiding your treatment. Once stabilized, some bipolar patients are followed by their primary care physicians. Lithium levels need to be monitored carefully, which I assume your family doctor realizes if s/he has agreed to work with you on this. ...Read more
What do you suggest if I would like to see my doctor about getting diagnosed with a mental/personality disorder?
Not a problem.: If you have insurance, go to the insurance website and search for docs in your geographic. Check benefits and call the doc's office. Psychologists and psychiatrists are your best choices because its their specialty, especially psychologists because they can administer personality and other tests that tend to go a little deeper. Find a licensed professional, regardless. ...Read more
I went to the Doctor on Tuesday, 02 January due to what seems like gastro which started on Friday, 29 December. Is it ok that I am still ill?
Not unusual: Nausea, vomiting and diarrhea are the main symptoms of a viral intestinal tract infection or mild food poisoning. Treatment consists of rest, intake of adequate room temperature fluids, light bland diet with no roughage, taking Tylenol as needed and kaopectate for diarrhea control. Symptoms gradually improve and resolve after several days to a week. If not improving, see your physician for evaluati ...Read more
The therapist: Will take a history of your problems, ask about your family and your upbringing. They will then make recommendations for treatment. ...Read more
How do doctors diagnose mental health disorders if you can't see them like you can see an injury?
Mental health: Disorders have certain signs and symptoms. By talking to the patient, reviewing records, and gathering information from people who know the patient these can be confirmed or disconfirmed. In addition there are psychological tests that help with diagnosis just as laboratory tests help with physical illness diagnosis. ...Read more
Yes: There are several types of "mental health doctors": psychiatrists, PhD/PsyD psychologists, EdD psychologists, Doctors of Social Work, Doctors of Nursing Practice with psychiatric focus, Doctors of Behavioral Health to list a few. ...Read more
No: Shyness is not a psychiatric diagnosis, though some disorders can present as or lead to shyness, especially anxiety disorders. An informal term of "pathological shyness" refers to someone so shy in so many situations and to such an extent that it impairs function; often, such people have a fairly severe anxiety disorder or other condition that, if treated, would make the shyness less severe. ...Read more
Yes: Mental, physical, and spritual problems all affect each other. Your primary doc may not be able to fix or treat your mental disorder, but he should know about it. ...Read more
Are You Coping Well?: Due to the recent economic recession, unemployment rates have risen and many have been unemployed for extended periods. If you are experiencing symptoms of depression or anxiety such that the symptoms interfere with your day to day activities, or interfere with your interpersonal relationships, you should contact your primary physician for an evaluation. Good luck and don't be discouraged. ...Read more
Opioid analgesics are a group of both naturally occurring and synthetic compounds that have morphine-like activity. Opioids analgesics are the most efficacious agents available for relief of pain, but not for mental disorders.
Rec.: see your pcp for more information. ...Read more
Terminally ill: Physicians help to keep them comfortable while allowing them to die with dignity. ...Read more
Psychiatrist: Same as above.Get a more detailed answer ›
Yes: If that person had significant pain that required opioids, a physician can certainly prescribe them. Most physicians would require that the patient be in psychiatric care and be getting proper treatment for the mental health issues, and that the condition be stable, and might be more cautious in terms of their prescribing - how many pills how often etc. ...Read more
Help the doctor!: Many patients have difficulties talking and explaining their emotional problems. Good doctors know how to ask specific questions which guide the patient how to explain what's going on with them. To help the doctor to help themselves, patients need to make an effort to be open and answer all questions to the best of their ability. In this way, you help the doctor to find out what's going on. ...Read more
How do you know if your mentally stable enough to be around other people? (without seeing a doctor)
It is a learning pro: This is something you learn as you grow older and become more confident of yourself. You need to develop a healthy self esteem which will give you the confidence to interact with others and share your life and opinions. For you to acquire this confidence you need to work hard and be good in your daily work, feel good about your accomplishments. Then you will find out that you are no different tha. ...Read more
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