Doctor insights on:
Why Might My Doctor Have Asked Me To Sign A Pain Contract
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Medicine management: Pain contract or opioid agreement or contract is essentially committing to an understanding by the patient that he or she will abide by the rules set forth by the treating physician regarding use of controlled substances. It requires the patient to take medicine as prescribed, not to self-medicate, submit to urine screening, etc. It's not an uncommon practice in chronic pain management setting. ...Read moreSee 1 more doctor answer
Varies: People using any drug experience changes in personality, secretiveness, re-arrange their life to avoid being seen when they are "high, " or just having used. If they inject the drug, they develop skin tracks, and often wear long sleeves in warm weather, avoid disrobing. Many people snort or smoke heroin, and this may be harder to detect. In withdrawal, they are anxious, sweaty with dilated pupils. ...Read more
Multiple: Leukemia can present with multiple signs and symptoms including but not limited to: bone pain, refusal to bear weight, gum bleeding, bleeding from other sites, pallor, lack of appetite, fever, night sweats, unexplained weight loss, easy bruising, fatigue, etc. If a concern for leukemia exists, consultation with the primary care physician or a hematologist is recommended. ...Read more
See an expert!: Most children with asperger's present a group of specific signs: having repetitive and unusual behaviors; having ritualistic behaviors and pre-occupations (obsessions) with certain topics; difficulties "reading" social cues and difficulties empathizing (sensitivity to other's feelings); in general, difficulties relating to others. Please, seek a specialist to diagnose this condition properly! ...Read more
Ebola: Before telling you early sxs - be aware that unless you have had contact with someone who was just in West Africa (primarily Liberia, Guinea and Sierra Leone) & who is actively sick - then you aren't at risk. There were 20 cases in Nigeria, 1 in Senegal & 1 in the US. Early sx's: high fever, chills, sore throat, weakness, fatigue, malaise, headache, lack of appetite, & low back pain. ...Read more
Multiple reasons: Doctors have all kinds of reasons. Personally, i enjoy connecting with others here -- both patients and other physicians ; psychologists, etc. When a question is asked, I have a chance to research it before answering -- which helps me learn. Plus i learn from my colleagues' answers. Healthtap helps make medicine more accessible. And i like sharing the cookies i "bake" via answers ; tips. :-). ...Read moreSee 2 more doctor answers
Herpetic lesion.: The only sign that the doctor will see is an active lesion. ...Read more
Splenic rupture: If you had time to log on and write this question you probably don't have a splenic rupture. This condition requires immediate attention. The most common cause is due to blunt abdominal trauma (though there are less common nontraumatic causes). Generally when the spleen ruptures you will have left upper quadrant abdominal pain. The loss of blood can be significant and can cause shock. ...Read more
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