Patients With Chronic Answers and News

Patients With Chronic Questions and Answers

Autoantibodies in Patients with Chronic Obstructive Pulmonary Disease -- Feghali-Bostwick et al. 177 (2): 156 -- American Journal of Respiratory and Critical Care Medicine

Open Question: recurring sharp chest pain (left side)?

for over a year i have had chronic pain in one side of my chest. It is most severe under physical strain but can surface any time i have a thought of stressful situations. The pain is mostly at the front but sometimes internal, sometimes extending all along the lower side of my ribcage of the left side also internally, and sometimes into my back and spine always through the left side. I suffered a major anxiety attack due to the dabilitating pain that overcame me while i was at work and during the attack experienced numbness of the face and hands as well as a sharp and panicked heartrate that was excruciating. I have seen doctors many times about this pain along with a shortness of breath which at times came to feel as though i could not breathe at all and i was unable to sleep for disturbingly lengthy periods of time. I am told every time by doctors that it is psychological and a three times daily dose of half milligrams of klonopin fixed the problem but i was told i shouldnt take klonopin daily and was given an antidepressant which exaserbbated the feelings. At my request i was given buspar which has worked wwonders for my general daily anxiety but the sharp jabbing and stabbing pain continues to appear frequently throughout every day. I wont have an appointment with a psychiatrist for a month and a half but it may not be until then that anxiety can be ruled out as the sole cause. I am worried i may have to quit my job abruptly if it worsens particularly during harsh winter months in which ill still have to walk to work five days a week. What suggestions do you have for me to ask the doctors once i have seen the psychiatrist and am able to convince them my pain is real? My only option is a cheaper clinic that sees hundreds of patients every week so i may need to give them a little more to work with than the expensive doctors with premium insurance more

Open Question: Are there resources for recovered chronic illness patients' emotional support?

Are there any resources for the emotional support of those who have recovered from chronic illnesses? I have found articles and support groups for cancer survivors, and much of what they discuss (the unresolved anger, depression, loneliness, fear, and sense of loss) are very applicable to other kinds of debilitating illnesses, but I don't know that a group of cancer survivors would have the same kind of camaraderie with someone who had a different sort of illness, but went through the same sort of things (being bed ridden, going for treatment, taking medications, etc. etc.). Any thoughts or suggestions? Thanks! more

Open Question: This is my college application essay, how is it so far?

I would like to share with you something about my current medical situation. Ordinarily I would not do so, as I am an intensely private person, but I now accept that my physical limitations have quite possibly impacted my high school performance in a negative manner, and I feel that it is only fair that you have this information. Therefore, I am reluctantly going to allow access to information that I would never, otherwise, speak of. For the past several years, I have been afflicted by a physical situation that has sometimes interfered with my ability to focus, both in the classroom and out. I do not wish to be too specific about the symptoms of my disease, except to say that they are digestive in nature and sometimes require me to spend long periods of time in the Ladies’ Room. Despite my terrible discomfort, I refused to accept that there might be something wrong with me, and would not seek treatment. I know now that I should have been less determined to suffer in silence and more willing to accept help. Finally, my parents insisted on bringing the matter to the attention of a physician. I was tested, over a period of several weeks, for colon cancer, Crohn’s Disease, intestinal obstructions, diverticulitis, ulcerative colitis, gastroesophageal reflux disease, Barrett’s esophagus, Heliocobacter pylori (commonly known as ulcer), celiac sprue (commonly known as wheat allergy), lactose intolerance, gallstones, bile duct stones, sclerosing cholangitis (the narrowing of the bile ducts), “Sphincter of Oddi” dysfunction and pancreatitis. You can imagine how relieved I was to learn that I had none of these terrible diseases. Finally, I received the diagnosis of Irritable Bowel Syndrome (IBS). IBS is sometimes known as spastic colon, nervous colon, nervous stomach, mucous colitis and spastic colitis, and is distinguished by abnormal bowel habits, such as diarrhea (loose stools), constipation or sometimes, as in my own case, both. It is well known to experts in this field that periods of stress can intensify the severity of IBS. I have certainly found my busy schedule of six honors/AP classes, Varsity field hockey, swimming and track teams, performing lead roles in three consecutive Spring Musicals, volunteering at the local animal shelter, tutoring at-risk children, and working three evenings a week plus all day Saturday at The Gap to be, at times, stressful, but of course it is impossible to say what has caused me to be afflicted with this very horrible syndrome. Irritable bowel syndrome (IBS or spastic colon) is a diagnosis of exclusion. It is a functional bowel disorder characterized by chronic abdominal pain, discomfort, bloating, and alteration of bowel habits in the absence of any detectable organic cause.[1] In some cases, the symptoms are relieved by bowel movements.[2] Diarrhea or constipation may predominate, or they may alternate (classified as IBS-D, IBS-C or IBS-A, respectively). IBS may begin after an infection (post-infectious, IBS-PI), a stressful life event, or onset of maturity without any other medical indicators. Although there is no cure for IBS, there are treatments that attempt to relieve symptoms, including dietary adjustments, medication and psychological interventions. Patient education and a good doctor-patient relationship are also important.[2] Several conditions may present as IBS including celiac disease, Fructose malabsorption,[3] mild infections, parasitic infections like giardiasis,[4] several inflammatory bowel diseases, functional chronic constipation, and chronic functional abdominal pain. In IBS, routine clinical tests yield no abnormalities, though the bowels may be more sensitive to certain stimuli, such as balloon insufflation testing. The exact cause of IBS is unknown. The most common theory is that IBS is a disorder of the interaction between the brain and the gastrointestinal tract, although there may also be abnormalities in the gut flora or the immune system.[5][6] IBS does not lead to more serious conditions in most patients.[7][8][9][10][11] But it is a source of chronic pain, fatigue, and other symptoms, and it increases a patient's medical costs,[12][13] and contributes to work absenteeism.[14][15] Researchers have reported that the high prevalence of IBS,[16][17][18] in conjunction with increased costs produces a disease with a high societal cost.[19] It is also regarded as a chronic illness and can dramatically affect the quality of a sufferer's life. In fact, doctors do not know what causes IBS, or why people who share my disease feel the need to have a bowel movement soon after eating, causing diarrhea, or why the prolonged spasm of the large intestine causes stool to stay in one area for too long and get dried out, resulting in small hard stools (constipation). As of today, palliative treatments are only in the experimental stage, and the hard truth is that there is no cure for IBS. more

Resolved Question: Why do people discriminate cannabis so much?

It's really obnoxious how everyone does it too. 1. Nobody has ever died from cannabis related products 2. It is actually used by doctors to help cancer patients, people with chronic pains, glaucoma, and other stuff. And all the proof to show that its something good, and its not going to kill you like the government and schools say, is all in the movie The Union: The Business Behind Getting High.and BTW i am a conservative and personally its not just them that hate it(even though i LOVE IT) its everyone in the government..lol these people make me laugh on here. they are just so naive and wont get the fact that cannabis is safe. And ive heard that when people are actually high and driving they drive MORE carefully because of paranoia. Im sure i can bash anyones "facts" on this herbTransitional Species II, it also states he was sleep deprived. He could have killed them either way. they just blame it on the marijuana like always. Its a scapegoat, and everyone knows it...Cannabliss: finally someone who actually knows what Im saying... I know the true facts, not the stuff that the government brainwashed us with. Ive seen documentaries about it and know whats its really about more

Resolved Question: why is edema in the legs often seen in patients with chronic hypertension?

Resolved Question: THIS IS MY COLLEGE APPLICATION ESSAY, IS IT READY TO BE SENT TO COLLEGES?

I would like to share with you something about my current medical situation. Ordinarily I would not do so, as I am an intensely private person, but I now accept that my physical limitations have quite possibly impacted my high school performance in a negative manner, and I feel that it is only fair that you have this information. Therefore, I am reluctantly going to allow access to information that I would never, otherwise, speak of. For the past several years, I have been afflicted by a physical situation that has sometimes interfered with my ability to focus, both in the classroom and out. I do not wish to be too specific about the symptoms of my disease, except to say that they are digestive in nature and sometimes require me to spend long periods of time in the Mens Room. Despite my terrible discomfort, I refused to accept that there might be something wrong with me, and would not seek treatment. I know now that I should have been less determined to suffer in silence and more willing to accept help. Finally, my parents insisted on bringing the matter to the attention of a physician. I was tested, over a period of several weeks, for colon cancer, Crohn’s Disease, intestinal obstructions, diverticulitis, ulcerative colitis, gastroesophageal reflux disease, Barrett’s esophagus, Heliocobacter pylori (commonly known as ulcer), celiac sprue (commonly known as wheat allergy), lactose intolerance, gallstones, bile duct stones, sclerosing cholangitis (the narrowing of the bile ducts), “Sphincter of Oddi” dysfunction and pancreatitis. You can imagine how relieved I was to learn that I had none of these terrible diseases. Finally, I received the diagnosis of Irritable Bowel Syndrome (IBS). IBS is sometimes known as spastic colon, nervous colon, nervous stomach, mucous colitis and spastic colitis, and is distinguished by abnormal bowel habits, such as diarrhea (loose stools), constipation or sometimes, as in my own case, both. It is well known to experts in this field that periods of stress can intensify the severity of IBS. I have certainly found my busy schedule of six honors/AP classes, Varsity field hockey, swimming and track teams, performing lead roles in three consecutive Spring Musicals, volunteering at the local animal shelter, tutoring at-risk children, and working three evenings a week plus all day Saturday at The Gap to be, at times, stressful, but of course it is impossible to say what has caused me to be afflicted with this very horrible syndrome. Irritable bowel syndrome (IBS or spastic colon) is a diagnosis of exclusion. It is a functional bowel disorder characterized by chronic abdominal pain, discomfort, bloating, and alteration of bowel habits in the absence of any detectable organic cause.[1] In some cases, the symptoms are relieved by bowel movements.[2] Diarrhea or constipation may predominate, or they may alternate (classified as IBS-D, IBS-C or IBS-A, respectively). IBS may begin after an infection (post-infectious, IBS-PI), a stressful life event, or onset of maturity without any other medical indicators. Although there is no cure for IBS, there are treatments that attempt to relieve symptoms, including dietary adjustments, medication and psychological interventions. Patient education and a good doctor-patient relationship are also important. Several conditions may present as IBS including celiac disease, Fructose malabsorption,[3] mild infections, parasitic infections like giardiasis, several inflammatory bowel diseases, functional chronic constipation, and chronic functional abdominal pain. In IBS, routine clinical tests yield no abnormalities, though the bowels may be more sensitive to certain stimuli, such as balloon insufflation testing. The exact cause of IBS is unknown. The most common theory is that IBS is a disorder of the interaction between the brain and the gastrointestinal tract, although there may also be abnormalities in the gut flora or the immune system. IBS does not lead to more serious conditions in most patients. But it is a source of chronic pain, fatigue, and other symptoms, and it increases a patient's medical costs, and contributes to work absenteeism. Researchers have reported that the high prevalence of IBS, in conjunction with increased costs produces a disease with a high societal cost. It is also regarded as a chronic illness and can dramatically affect the quality of a sufferer's life. In fact, doctors do not know what causes IBS, or why people who share my disease feel the need to have a bowel movement soon after eating, causing diarrhea, or why the prolonged spasm of the large intestine causes stool to stay in one area for too long and get dried out, resulting in small hard stools (constipation). As of today, palliative treatments are only in the experimental stage, and the hard truth is that there is no cure for IBS. It has been very difficult for me to accept this diagnosis at my young age more

Voting Question: Gastric Discomfort Questions?

A 35-year-old man consults a physician because of several years of chronic gastric discomfort that is partially relieved by the ingestion of food and antacids. The patient is treated with antacids and dietary modification, but his symptoms fail to significantly improve over the next several months. Esophagogastroduodenoscopy is then performed, which demonstrates the presence of multiple ulcers in the stomach and duodenum. These ulcers average 1.5 cm diameter and have a "punched out" appearance with sharply defined borders without raised edges. Question 1 of 6 This patient's ulcers are most likely which of the following types? / A. Aphthous ulcers / B. Curling ulcers / C. Gastric cancers / D. Hunner ulcers / E. Peptic ulcers Question 2 of 6 The patient's basal gastric acid secretory rate is measured, and is found to be abnormally high (80% of the amount of acid secreted after maximum stimulating dose of histamine). Which of the following cell types is responsible for this hypersecretion of acid in the stomach? / A. Chief cells / B. Lymphocytes / C. Mucous cells / D. Neuroendocrine cells / E. Parietal cells Question 3 of 6 Abnormally high serum levels of which of the following would most likely account for the patient's multiple ulcers? / A. Cholecystokinin / B. Gastrin / C. GIucagon / D. Motilin / E. Secretin Question 4 of 6 Which of the following is the most likely diagnosis? / A. Adams-Stokes syndrome / B. Beckwith-Wiedemann syndrome / C. Crigler-Najjar syndrome / D. Mallory-Weiss syndrome / E. Zollinger-EIIison syndrome Question 5 of 6 Individuals with this patient's condition also have an increased incidence of which of the following? / A. Marfanoid habitus / B. Medullary carcinoma of the thyroid / C. Mucosal neuromas / D. Parathyroid adenoma / E. Pheochromocytoma Question 6 of 6 Which of the following would be the most appropriate pharmacotherapy? / A. Erythropoietin / B. Famotidine / C. FIuorouracil / D. Omeprazole / E. Sucralfate more

Resolved Question: what is the rationale why meds like ppi and chloramphenicol are given to a patient with cholecystitis? 10 pts?

the patient's diagnosis is chronic calculous cholecystitis post cholecystectomy..i want to know why the ppi meds like esomeprazole (nexium) and chloramphenicol which is an antimicrobial is given, intraveneously..what are the reasons/rationale for this? thanks for your answers!! more

Voting Question: what is icd9 code for: acute and chronic renal failure in a patient with hypertension?

I have a few codes i need actually asap more

Resolved Question: Why is marijuana such a hard topic to agree upon?

I'm not trying to be funny or anything of that sort, I'm really serious. The government is in such a crunch for money so what do they do? Seek out marijuana users and throw them in jail when in reality, throwing them in jail or prison costs a lot more. They could legalize it and make money off it. Ok really, cigarettes and alcohol are legal AND they are known to kill people everyday. Marijuana is illegal and how many people has it killed.......................... none, thank you. So why is marijuana illegal? Yes it does have some bad, it does small damage to your throat and mouth but thats because of the burning plant matter, duh. But you don't necessarily have to burn it, so that's out. I've heard that it blocks receptors or something like that... what does alcohol do to you? Ok so I can't think of anything bad, let's get to the good: 1. So all in all, it's harmless. 2. Cancer patients (all cancer), people with glaucoma, Alzheimer's disease, HIV/AIDS, Multiple sclerosis-- it helps ease their pain and stimulates their appetite. 3, It was studied to not develop lung cancer or chronic obstructive pulmonary disease (COPD). 4. Did I mention that it's IMPOSSIBLE to overdose on it? So my question is: What is your viewpoint on marijuana? Why are people so against it if the government can make bank off it? It would cut down on crime if legalized.. if anything they should outlaw cigarettes! I don't know, shoot me an answer!**Dear Macy, the people you hear about doing stupid things, those are kids that abuse it. There's recreational use, there's medical use, and then there's just straight up acting stupid with it. Please explain yourself more because ALCOHOL does WAY worse. People DIE from alcohol.** more

Resolved Question: Do I possibly have leukemia or some other blood disease? ADVICE FROM EXPERIENCED/ or DOCS?

my symptoms are, and noted beggining about a year ago, disapearing and reapearing regulary but not serious, but recently symptoms have returned elevated and much more serious then past experiences, symptoms include... bleeding gums, paleness, red dots on skin that are itchy, patchy red palms,, white fingernails under nail, yellowing at tip of fingures, fatigue, joint pain. wrestlessness, trouble waking up. (sleep long hours) sometimes bed at 8pm and up at 4-6pm the next day. and swallen lymph nodes in my lower neck and under my jaw.... (SINCE THIS NIGHT I HAVE DEVELOPED BUMPS UNDER MY LEFT ARMPIT AND CHEST PAIN) I also am beggining to feel ill, feels like the flu, but rather strange as my headache will go and come back in a different area... Here is my doctors summary from saturday night. when i attended the emergancy dept... (Jaime Waters presented to Box Hill hospital Emergancy Department on 07 Aug 2010 at 15:40 ED Diagnosis: Bleeding disorder for investagation History of presenting Complaint: 20 y.o male presented with 2 month histroy of bleeding gum and joint pain with no significant background histroy. Patient first noticed gum bleeding at least 3 or more months ago after brushing, since then bleeding has become more consistant, bleeding lasting now upto 10 minuts after brushing. also noticed incease of joint pain mainly on MCP joint and knee joints over this period of time. Bleeding has worsened over the past 5 days and become consistant in the past 2 days. patient now also complains of lethargy and weakness in this time frame. smoker since 14 heavy drinker; usually 2-4 bottles a week. Last alcohol yesterday 1/2 bottle bourben. No family history of bleeding disorder, auto immune disease or leukemia. Resting tremor noted, no heptic flap, no obvious brusing/petechae No sign of chronic liver disease No conjuctiva pallor, no scleral jaundice chest clear abdo soft tender, no oragomegaly Oral examination - no active gum bleeding, no obvious gingervitis, tonsil not enlarged. tender submental lymph node bilaterally R>L Palpable R cervical lymph nodes Thyroid not enlarged stiffness of mcp joint both hands no tenderness on palpation and movement Managment: FBE/U+E/Coags/LFT/CRP may need medical refferal for bleeding disorder Results/outcome: Neutrophilia and increase WCC Normal LFT and Coagulation profile hb166 Refferals and followup: Need LMO follow up for investagation of autoimmune disease and thrombolic screening, patient wil need new LMO for follow up and observation of progression.) in this letter not all my symptoms are noted. but i hav put as much as i can think of before i added this letter, also the doctor told me im developing a little bit of anemia but was nothing to be concerned about at this time and that i needed to be observed over the next few weeks for a diagnosis of whats happening. and refferd me to a GP. can anyone offer me advice? since seeing the doctor my under left armpit has become sore and stiff, my left hip bone upper left beg bone has began to ache with worsening bleeding of gums. and consistant taste of blood in mouth. im very confused and worried about whats goin on... advice? more

Resolved Question: What do I have to do to get someone to take my migraine seriously?

I have been having migraines everyday (or near enough) for the past 12-14 months. For the last 2-3 months they have continually got worse and I am no longer able to work (I am a nurse and don't feel safe caring for extremely dependant patients while I feel this bad). I have been visiting my GP regularly since the onset of the migraines and have seen two different neurologists during this time. The first neurologist gave my GP a long letter of meds to try and told me one of them would definitely work and that I should stop taking painkillers, and sent me on my way. Needless to say none of them did the trick, my GP not knowing what to do referred me to a different neurologist who agreed to send me for a CT scan and gave me different meds as a preventative but told me I should no longer take triptans (which didn't work but at least taking them made me feel I was being pro active). So now after trying all the usual meds: Painkillers, triptans, amitriptyline and beta blockers I am on anti epileptic medication. And so far no good but I haven't been on them long so will stay positive. I don't feel that any of the health care professionals I have seen appreciate how much this is affecting my life, the most taxing thing I can face doing is a quick trip round the supermarket which always leaves me exhausted and I cant do anything except pop something in the microwave for tea before collapsing back into bed in a dark room. Ive even been told by an occupational health adviser that "if your scan comes back clear you may have to face the fact that its all in your mind" even though I had already told her my neuro consultant had diagnosed me with chronic migraine. Worse than negative comments like that is not being able to see my friends and family as I would normally. Even when they pop round for a cup of tea and a chat they don't realise that once they have left I am so worn out I have to go back to bed. Im 24 years old for goodness sake and I haven't got a life. I have never felt so lonely, I count my blessings everyday but I feel that I am the only person to understand how I feel and how much pain a migraine causes and how debilitating they are. Can anyone offer me any advice or share their experiences? more

Resolved Question: Should I continue to eat 4 servings of meat a day?

I have dysthymia, a type of chronic depression. It's often called minor depression or neurotic depression. Anyways, I've been struggling for many years and I noticed that when I eat a lot of meat in a day, like 4 servings, I feel better. Prior to this, I ate 1-1.5 servings of meat daily. Sometimes more or less. I notice that my mood is MUCH better right after I eat a lot of meat. Really happy. Giddy on the inside. I've done some research. Meat has tyrosine in it and that converts into dopamine, norepinephrine, and epinephine. I feel stupid though. NO ONE ever recommends depressed people to eat meat. In fact, people recommend vegetarian diets. Studies have shown that tyrosine supplements have little to NO effect on mood in normal, healthy participants. Studies have also shown that tyrosine supplements do NOT have an antidepressant effect on patients with major depression. So I'm confused. Why is meat helping me feel better when all the research says it shouldn't. Also, I think everyone will persecute me if I eat so much meat. I know a few friends who would prefer me to eat less meat or be vegetarian. And another thing. I think so much meat could be dangerous? more

Resolved Question: Should I continue to eat around 4 servings of meat daily?

Resolved Question: Pls,Help me out, I kissed Hepatitis B EX-patient?

My girl friend was away from me 4 d past 9 months treating a virus called hepatitis B Chronic.( I never knew before) She came to my house yesterday night and with the happiness that we have seen each other for a very long time, we hugged and kiss each other. After all these, she told me that she has being away from me for this virus and now, the doctor says she has being treated completely now. but what i am baffling of is that, wont i contact this virus from her as i kissed her? thought, she told me she has being treated well and completely freed from it, but is that possible? I am seriously scared more

Resolved Question: What's the reason why there is progressive weight loss, hepatosplenomegaly, anemia in patients with CML?

What's the reason why there is progressive weight loss, hepatosplenomegaly, anemia, easy fatigability, bruises, bones and joint pains in patients with CML? Chronic Myelongenous Leukemia. more

Resolved Question: what do you think of these hospital stats?

I grew up in a city with a catholic hospital , it says its non profit , lol , they have a sign outside and in all of their ads , it says mercy , it should say , no money , no mercy , it used to be a caring place , but now like many other hospitals its just one big money machine . and Iam not against conventional medicine , its just so money motivated , yes we have some of the best trama centers in the would but at preventative care and chronic disease we are way down in the list of other industrialized nations . There are 1.7 million cases of hospital infections every year, and 99,000 deaths that are related to these infections. Medical Identity Theft To date, 1.5 million Americans have had their personal information stolen so that someone else can use your health care to cover their costs. At the moment, hospitals are struggling to deal with this problem. Bills May Be Negotiable Most Americans have been the victim of hospital bill shock at one point or another, but it's important to remember that sometimes these bills are negotiable. Some hospitals have been known to drop the price by a third or more. Hospitals Scan Your Credit Reports Some hospitals have taken up the controversial practice of looking at patient credit scores, credit card limits and even 401(k) information. The issue has raised privacy concerns among consumer advocacy groups. more

Resolved Question: How can I tell if a patient has a compensated acidosis?

If a patient has respiratory disease and presents with an a normal blood pH, how can I tell if there are two superimposed disorders: a metabolic alkalosis and a chronic respiratory alkalosis at the same time? more

Resolved Question: With the new laws in Arizona, am I a qualified patient for medical marijuana?

I am 15 years old and have been told I have chronic pain in my lower back and lower neck. I have tried prescribed chronic pain pills and other medication but all has had no effect. So, WITH PARENTS CONSENT AND SIGNATURE, am I qualified for a medical marijuana card? Please no opinions. Please nothing about any other medication. Tried it. Thanks. more

Resolved Question: Ok people I have chronic bad breath and I wanna get rid of it. How?

Yea I brush my teeth twice a day. I pic my teeth all the time when no ones around. Bad habit but still good for dental hygiene. I use Listerine twice a day. I brush my tongue hard 1-3 times a day and ever time I do it I make sure I did a good job of cleaning it off. (In case someone says the tooth brush dosn't worth. It isn't very good but if your patient and brush the tongue several times in a row with soup and water it eventually gets clean.) Regardless of what I do I can't get rid of my bad breath. It seems to generate in my mouth within 15 minutes as well as plaque buildup on my tounge. I'm starting to thing its genetics. My teeth are a big above average when it some to resistance to tooth decay. I mean I have gotten cavities but its rare and in the past I wasn't very good with my teeth like I would brush one a day or even not at all if I plan on not going out but even then when I go to the dentist the x-ray comes back either clear or with maybe one cavity after 6-10 years. I'm starting to think their is a connection between having my super teeth and bad breath. Maybe the bacteria in my mouth that smell so bad is the same thing thats protecting my teeth from harmful bacteria. So I have super teeth at the price of bad breath. I have no idea but i'm ranting and I just wanna know for to fix my damn breath. BTW I don't smoke, don't drink coffee, I drink a lot of milk and I know milk makes a lot of plaque very fast so I always brush after I drank my fill. I am at wits end. more

Voting Question: Can we sue the Doctor for neglecting a patient? (details inside, kind of long story)?

Okay I'll try to give specific important details while keeping it simple. My girlfriend fractured her foot earlier this year, specifically around January I believe. She went to the doctor to find out what was wrong and it turns out it was a fracture in her foot, that's how we found out obviously and they gave her a cast and told her to let it heal. So they told her to make an appointment once the healing was done so they could give her treatment for her ankle because it was still hurting her. So they made an appointment with the doctor and her referal was mad for her to be seen in February but she actually didn't see them until the last few days of April. The reason being was that the referral was NOT authorized because the doctor they sent it to never got there because their fax machine was supposedly down. No problem right? So we decided to wait until they got it fixed and turns out they were sending the referral to the wrong number that's why it never worked.. . Finally we got tired of it, made an appointment with the doctor herself and and he got upset with the people working the paperwork and fired the main person in charge (supposedly). So we finally got in touch with a Podiatrist who was supposed to be taking care of her foot but he told her that they waited too long and not too much could have be done about her foot. That there might be chronic problems or pain or something like that. The Podiatrist himself said that we could press charges for neglecting us. So he gave her medicine and told her to contact him if it didn't help. A month later it was still painful for her so she got in touch with the original Doctor who directed her to the Podiatrist and set up an appointment for today. (this was 2 weeks ago) Turns out she couldn't see the Doctor because they forgot to Authorize the paperwork and now she has to wait another 2 weeks because of their mistake. Can we press charges? Why or Why Not? more

Voting Question: Where can I see a doctor for pain without records?

I have been seeing a doctor for years now for my chronic back pain and spinal stenosis. However, he recently has been shut down by the DEA for perscribing to some patients that he shouldnt I think. Not so sure but I just learned of it all and now cannot get any of my records because the DEA have taken all the charts. In the meantime, I am in desperate need to of another pain management/ Internal medicine doctor that will see me as a new patient with no records up front. I do have my pill bottles and MAY be able to find a copy off my MRI..but other than that Im desperate...Please help! Thank you! Im in Fredericksburg, VA more

Resolved Question: What do I feed? My dog has allergies AND chronic mange!?

Help! My maltese (Hailey) suffers from demodectic mange and we deal with it in cycles as it comes around... It is really expensive to keep treating, but we love her so it's necessary. -BUT- Our vet said she may also have allergies. When she first started itching badly, we had just moved to a new town and we brought her to a new vet. He immediately said it was allergies and started her on steroid based medication. Well, her itching got worse and worse, and so finally I drove her back to our old vet 1 1/2 hours away, and he found the mange (and a secondary infection). He treated her and she cleared right up. It started again about 6 months later, we took her to a new vet, he said it was allergies, gave her a steroid injection and... it got worse and worse. I took her back to my old vet and he found mange again, this time it was severe enough (bc of the steroid injection) that he treated her with interferon (used on cancer patients) to help try to boost her immune system. Both vets in our town initially did a skin scrape and found no mange. I am beginning to think that she is allergic to something- and with her predisposition to mange, what happens is that she gets steroids to treat her allergies, and that clears the allergies, but opens the way for the mange to take over. I have tried all different kinds of food for her (Iams, Science Diet, Orijen, Rachael Ray, Nutro) and she is currently on a raw food diet *lamb and rice. It's supposed to be absolutely allergen free, but it seems to be too rich for her and she burps ALL THE TIME now when you pick her up, and has vomited once or twice since we started, with occasional diarrhea. This food is made especially for dogs with allergies, and it's not helping!!! Can you please give me some kind of formula to prepare her meals for her? When I was at my old vet in Orlando, I saw a maltese there that looked like a puppy and the owner told me she was 14!!! They also fed their dog food they cooked for her, but when I tried to ask what they did, they were called into the room and I never saw them again to ask. What do I do?!?! She's starting to itch again, and I desperately want to break this cycle and keep her comfortable and happy. Thanks so much!Thank you all this is excellent information! No, my dog has not actually been tested for allergens. I asked the vet to do it and he said "it is expensive and it rarely is effective at finding all the things your dog could be allergic to... like finding a needle in a haystack." He said to wait and see if she clears up before he thinks it would be necessary. I'm really unhappy with the vets in this new town, I keep having to drive an hour and a half to get reliable information. I will try these new foods, and request an allergy test. more

Resolved Question: After a Heart Bypass what pain medications are typical when you're sent home?

I'm a chronic pain patient (I was RUN OVER 32 years ago, not hit, RUN OVER) and legally take hydrocodone, klonopin, and carisoprodol regularly... so my receptors aren't virgin.... and I really HATE being in pain... so what's typically prescribed for first round upon discharge... I want to know so I can lobby from a more educated standpoint. I know for certain heart conditions morphine is typically given since it relaxes the veins... and I'd be cool with that.... but I don't want to get handed a script for tylenol 4 while being discharged and not notice it's woefully inadequate until it's filledthe cut and paste was (not) informative. getting T3s on discharge after getting my chest cracked open, my heart re-plumped, (after being stopped and later restarted)my chest wired back together, then stitched up is exactly what I want to avoid.. I'm glad I'm seeing my internal medicine guy BEFORE surgery so I can get refills on my vicodins and roxicodones. more

Resolved Question: Do you know anything about granulocytes?

http://img42.imageshack.us/img42/4583/diffh.png See image above ^^^^^^^^ This isn't a deathly important test, and I'm certain my doctor will call me if there's something really wrong here, but all these flags have me curious as to just what these results mean. For background, I've got a chronic inflammatory disease and I'm taking 60mg/day prednisone, if that affects this test. I'm just the kind of patient that likes to understand every test that's run on me, and wikipedia is really cryptic when it comes to medical articles. So what exactly is this test testing for and what are the results saying? (was ordered for baseline level along with cbc and lfts before starting azathioprine) more

Voting Question: I need some help here. I'm not sure how to write a patient report. Can somebody please help me?

Write a medical report describing the history, symptoms, and physical examination findings of a patient with pancreatitis. Make sure to include the following terms in your report. Acute Chronic Gallstones Furosemide Azathioprine CT Scan Stethoscope Amylase Lipase Prognosis Endoscopy Pseudocyst Cystic Fibrosis Hypercalcemia Hyperlipidemia Hypertriglyceridemia ERCP Insulin Diagnosis Pancreas divisum more

Resolved Question: should I sue Kings Dominion? LONG story but interesting and complex...?

LONG story so warning you... and complicated. I've got medical documents. Well I'll try to make a complicated and long story as short as I can. My joints pop out. Even my feet, thus I'm flat footed. I have severe knee pain, which is chronic. I haven't had a job in 3+ years and eventually had to tell them. I mean 2 hours then I had to leave... they didn't accept ER notes. This is Kings Dominion BTW! So takes me a few weeks to get in contact with anyone. To find out... now... I'm on a good dose of pain meds. I though it was low since it didn't help. So I'm in PAIN! I have back pains too, not just knee.... well since I have joint issues and it's not just knee... So they're like "Well why didn't you tell us before?" Um... they lost my medical form when I went to orientation. I had to fill out another one. And I listed all the thing I could think of then. Now it is complex but Ehlers Danlos Syndrome is the cause. So turns out I need a back to my chair and the manager claims to have said stool. I don't remember this. I remember him saying he'll excuse the absences... oh yea they also lost all but one of my ER notes. I gave one copy to food and beverage and another to first aid. Three notes in total. Anyway, I'm caught leaning on the counter because of my back. I get told total of 4 times, and written up. Here's the thing. When they told me to sit up straight, I told them I had back pains. The higher ups... even the owner of King's Dominion saw me... but all they could say was "Really? Whats wrong?" When I started to explain they just walked away. Like they didn't care. Didn't even look at my medical record... since they wrote me up for it!! So I get sent home early many hour later. I understood and was ok with it. I was going see HR about it. Now this bitch, yea bitch, tried to argue with me when I tried to explain I had a bad back. Now I have had no insurance so no check ups and I thought it was fixed pretty much. Simple explanation. She said shit like "Well my back hurts too" and was really being rude. REALLY RUDE! So on my way out my co workers asked what happened. I explained and they were shocked that it was for LEANING due to a medical reason. And I was like yea... Donna THE BITCH! It takes a lot to get me pissed off. So they said I didn't have a claim when I went to HR the next day. And Jacob, the manager of food and beverage said that he didn't have a chair with a back to it. He would have to buy it. He even said "I'M TIRED OF DOCTOR'S NOTES!" When he was asking for them... now he previously stated that he was planning on excusing my absences then in that HR meeting... he happened to be at... He stated he could only find one of my drs notes and he couldn't excuse my absences until he had more. And he also stated that he's done almost as much as he is willing to do for me... does this sound right? I mean I have medical reasons. I even have a drs note. I had to pay 160 to see that dr and they were like "Well is this a new dr? If so, we can't accept this note!" and I explained to them that I'm under a medical coverage under the VCU hospital. Everything there is free but it takes 4 weeks to 6 months or more to see dr. Unless I go to the ER, which they don't accept their notes... So sounds like I'm going to be terminated due to medical absences and they've been giving me the ring around. AND RUDE! I mean I blew up at one of them, not in their face... I was polite to them while they weren't. I've been patient and it sounds like I'm going to get on disability soon anyhow. But I'm pissed at how they treated me! Any thoughts? Any tips? I mean I'm tolerant to pain, if most people had what I have they would be crawling. I've found out recently that 6 pills of lortab is a lot... it gets rid of more like 75% of my pain. 6 pills... which lasts 3 hours! 7.5-500 hydrocodone/apap is the generic. I took two that Saturday and I'm still hurting 3 weeks later... I told them this and they pretty much asked me to hurt myself to work for them. And they really did demand it. I'm on medical leave ATM. Or so I was told... They gave me until Monday, it's Sunday. Monday as of right after the 4th to get the MRI results of my knee, so Monday the 5th I think it was. I called twice and had to leave a message. No clue if they got it... and went up there... but guess what? They, Human Resources, was off that day... It was a Thursday when I was able to make it up there, about a 40-50 min drive. AT LEAST! SO I'm going back to talk to them Monday... the 12th. I couldn't go the 9th due to a hearing for disability. Which, as I kind of hinted earlier, went well. I've got severe leg and back pain plus ADHD. If I have enough Adderall XR, I can keep my cool. But I'm tempted to let it go and just let them know how I feel. With as litt more

Resolved Question: In Medical Terminology?

I am having trouble putting together a medical report for a patient with pancreatitis. I need to include the following terms in my report: Acute Chronic Gallstones Furosemide Azathioprine CT Scan Stethoscope Amylase Lipase Prognosis Endoscopy Pseudocyst Cystic Fibrosis Hypercalcemia Hyperlipidemia Hypertriglyceridemia ERCP Insulin Diagnosis Pancreas divisum I am just looking for assistance. Please do not send me silly answers more

Resolved Question: For Girls: Is it true...............?

that the natural smell of a male body is far more sexually potent than the deodorant he uses to mask it? DID YOU know that the odour of your man's body is probably what makes you want to touch him? You may scoff at the idea, especially since there is such a plethora of products to disguise this- deodorants, body washes and creams. But the reality is that the natural, unscented smell of a male body and sweat is far more sexually potent than the Axe spray he applies to mask it! According to a study by the UK-based Social Issues Research Centre, females often get attracted to the scent of male sweat. Our bodies release certain chemical substances, called pheromones that are sensed through the nose and trigger sexual urges in prospective partners. These are secreted by sweat glands largely present in underarms, nipples, genitals, and outer ears." Body odour often influences a partner's sexual behaviour and women are more receptive to it," says Dr ( Col) V K Wadia, consultant, psychosexual medicine. " During a sexual intercourse, specific odours are secreted by men and it's a woman's perception how she gets influenced by them," he adds. Not only is body odour significant in sexual behaviour, it plays a decisive role in mate choice as well. "Men and women tend to prefer the odour of individuals who are genetically dissimilar to them," says Dr Anoop Misra, director, department of diabetes and metabolic diseases, Fortis Hospital. This reduces the chances of inbreeding and renders offspring more resistant to diseases and infections. However, odour preferences can vary according to hormonal changes. "Studies say that women often prefer the odour of men with good parenting skills in the 'fertile period' or the postmenstrual phase," says Dr Misra. ON THE other hand, men find women more attractive during ovulation. This is mainly due to the specific odour of women in that period. It has also been found that women who are emotionally bonded with their partners perceive the odour of other men less pleasant. So, what makes our odour so specific? Usually when we perspire, sweat reacts with bacteria present on our skin. This releases some chemicals, hence causing body odour. But it's not just an outcome of sweat. "All of us have a signature odour. This uniqueness is marked by genetics, diet, age, gender, hormones, and environmental factors," says Dr Sushila Kataria, senior consultant, internal medicine, Medanta - The Medicity. This explains why babies smell different from adults, and how odour changes with the onset of puberty. This also explains why some of us have specific unpleasant odours. Bad breath or strong sweat can be a sign of underlying physical problems. "Patients with diabetic ketoacidosis can have a fruity odour in their breath and skin," says Dr Misra. Diabetic ketoacidosis is a condition of excessively high blood sugar level that leads to formation of chemical substances called ketone bodies. Their presence causes the typical smell. The best way to prevent is to keep one's blood sugar levels in control. "In case of chronic kidney problem, or dysfunctional kidneys, the patient's body odour may resemble that of ammonia. This is because such patients retain more wastes or urea in the blood, that spreads to skin and evaporates with sweat," says Prof ( Dr) S C Tiwari, director, nephrology, Fortis Group of Hospitals. Moreover, a musty odour in hair, breath or skin could be a sign of a genetic disorder called phenylketonuria (PKU). Left untreated in early childhood, it could lead to mental retardation or brain damage later. "Similarly, bad breath could be a symptom of non-healing ulcers in the throat, lungs or respiratory tract," points out Manoj K Goel, director, pulmonology, Delhi Heart and Lung Institute. Bad breath could also be sign of bacterial pneumonia and chronic bronchitis. "Cough accompanied by foul smell may be a symptom of lung abscess. Such infections pose immense risks as these could result in cancer if left unattended," he cautions. more

Resolved Question: White Blood Cell Count in Acute VS. Chronic Infections!?

A person with a high differential count of ____ WBCs is suspected to have an acute infection. A person with a high differential count of ____ WBCs is suspected to have a chronic infection. Would the white blood cell count be higher in a chronic of acute infected patient? more

Resolved Question: I need advice on how to talk to my doctor about pain.?

I was prescribed Vicodin 5/500 to start to manage pain due to a disk herniation to L5 and S1. The herniation of S1 mixed with my job duties made my tailbone beneath S1 go at a slant. Much like the / symbol. Anyhow, after seeing a chiropractor for quite some time with no relief, that is when I decided to go to a General Practice doctor, who gave me the Vicodin. She gave me 3 months worth of refills and told me to see her back in 3 months to adjust medicine levels if we needed. And she suggested an MRI. This doctor, from the get go told me that she wasnt comfortable prescribing opiates and "wasnt going to create a vicodin fiend." She prescribed me the pain pills and told me not to ask her for refills. So I went and got an MRI, which I payed for out of pocket. After proof from the MRI results, she lightened up some. But still insisted that surgery and/or a change of jobs (come on, really?? Easier said then done) was likely the only thing to help so I needed to find a pain specialist and a job with insurance to cover the costly treatment. Or to simply find another doctor that is more comfortable prescribing pain medicine. Her reason was not wanting me to become dependent on pills at 24 years old. Well, so what am I to do? Live my life like a broken 70 year old man @ only 24? So my question here is.. How can I ask a NEW doctor for stronger pills then my current 5mg Vicodin? I feel very nervous to ask, due to how I was treated with my first experience in getting treatment for my pain. And I am reading that it is very common for GP's to manage patients chronic pain, is it true? Because it seems like my personal experiences are making it seem like GP's dont want to touch chronic pain cases. Any advice would be sooo appreciated. P.S. I have had a back injury for years now, and tried many things.Jack99, thanks for your input. But I don't plan on being a zombie for my whole life. I am not trying to get prescribed oxy or morphine or anything. Simply something strong enough to prevent the pain. Just because there are a handful of people who abuse them (like everything else), that shouldnt automatically dismiss people who really benefit from them.Also, thanks Gypsy. Maybe I wasnt clear enough. My doctor agrees that I need surgery or managment with pain. I make 10.50/hr and do not have any insurance. So of COURSE I want relief and OF COURSE i can not afford back surgery . The reason I am trying to find a new doctor, is because my previous one told me that she isnt comfortable prescribing pain meds to ANYBODY.. and she personally told me to find a new dr or pain specialist. Why does everybody asume the worst when someone asks for pain relief. And I have tried MANY other things Gypsy. NSAIDS, Topicals, shots. So I assure you, this isn't a drug seeking case. more

Resolved Question: Peak expiratory flow (PEF) is a measure of a patients ability to expel air from the lungs. Patients with..?

asthma or other respiratory conditions often have restricted PEF. The mean PEF for children free of asthma is 306. An investigator wants to test whether children with chronic bronchitis have restricted PEF. A sample of 40 children with chronic bronchitis are studied and their mean PEF is 279 with a standard deviation of 71. Is there statistical evidence of a lower mean PEF in children with chronic bronchitis? Run the appropriate test a= 0.05. more

Resolved Question: how long will a chronic hepatitis B patient can live......?

A friend was diagonised of chronic hepatitis B since 1992 when she was 11 years and still living with it up till date, so is it possible to live until old age without more complications. more

Resolved Question: Constant lower back pain for a year?

Hi. I've researched my question already, but can't quite find the right discussion so I'm asking. Okay, a year ago I was having a lot of lower back pain, was tired all the time, and all of these other weird symptoms so went to my previous doctor and complained and complained. He told me to watch my gatorade intake and to take more trazadone...a sleeping/anti-depressant. I had it with him so I went to a new doctor. He ran some tests and said my ANA is positive and I have a high sed rate and my thyroid is malfunctioning. Okay. So I'm on meds for that now. But...nothing is changing except now my hair is falling out and my fingernails are turning blue in extreme cold and my back kills. I went to see my doctor and told him all of my new symptoms. He said blue fingernails are normal when it's cold....although I never had that problem. He told me I have fibromyalgia but didn't even bother to take any x-rays of my back. I told him my lower back hurts a lot...like maybe my kidneys or something. He asked me what I wanted to do about it. And I said, well I have been patient for a year with you and I've been taking advil but have been throwing up bile every morning. He proceeds to tell me that is from the advil. I'm like....omg. Anyway, so my sister has chronic arthritis and her doctor gives her something called Tramadol. She said it's non-narcotic so don't worry about mentioning it to my doctor. So when he asked what we should do, I told him what my sister takes and that she functions at 100% now. He hemmed and hawed and said well it's addictive (which I didn't know b/c I had never heard of it) but that he would prescribe me a little. I'm like...okay whatever dude. So I go to the pharmacy and there is a prescription there not for Tramadol but for a muscle relaxer. This irked me b/c he must think I am an idiot. I did my stretches and gave the relaxer a chance but it didn't do anything. I've been so patient and today, my back hurts so much that I want to cry. I can only wonder if he's not prescribing pertinent meds because I have crappy insurance? He's supposed to be upping my Thyroid med too but wants to wait for test results. I was like how stupid is that? He already knows it's malfunctioning...just up it! Anyway, I made sure he copied the lab results to me so when they are done I will get them in the mail so if I decide to, I can try yet a new doctor. I have extremely bad luck with doctors I think because I am on state insurance/medicaid and they do not pay hardly anything. I'm only on that right now while I'm in college. I have 10 more months til I graduate and hopefully will land a job where I never need state insurance again and can have access to a better quality of doctor. Any suggestions what I can do in the mean time for my back pain? I mean what doctor tells you he will prescribe one thing, and prescribes another? I've never even gotten any prescription pain killer from a doctor in my life. Oh wait, I did have pain killer cough syrup once but whatever. lol.Thanks for the info, Justme! :D more

Voting Question: what is the code for recalcitrant chronic lumbar pain?

what is the billing codes for a patient with recalcitrant chronic lumbar pain is admitted for insertion of a new rechargeable single array neurostimulator pulse generator with spinal leads. What is the appropriate ICD 9 Cm - Procedure code? more

Resolved Question: need help deciding a suitable career?

OK, so here's how it goes. My passion is definitely in the medical field. I love medicine, I love being able to diagnose and treat patients and honestly, I get grades that allow me to pursue a career in medicine. And when I say this I'm talking about becoming a doctor. One problem.... last year, i was diagnosed with a chronic incurable disease. The docs gave me steroids which only made it worse. I finally stopped using them and scoured the net for alternative ways to treat myself. I eventually came across what I needed to do to treat myself and it certainly didnt have anything to do with steroids. It was basically healing through proper nutrition and lifestyle. I basically treated myself and I'm doing so so so much better now. Also, I learnt so much about alternative ways to cure all sorts of diseases. This experience made me realise that orthodox medicine doesnt really have all the answers. In fact, it's often looking in the wrong direction and doing things that often harm patients more than help them. I now strongly disagree with several of the methods used in treating patients using orthodox medicine today. You would probably suggest being a nutritionist but no, that's not what I want. I strongly feel nutritionists don't see the whole picture either and there is far more to this than simple food consumption. It's a whole new and complicated science. I therefore feel it would be kinda risky to just jump into that. At the end of the day, I want to be earning pretty well don't I? I then considered doing biomedical sciences as it would enable me to do research and therefore allow me to suggest and contribute other forms of treatment for a particular patient. But then I realised that at then end of the day, I still want to be someone who is dealing with patients and their diseases. I want to cure patients. I want to be a doctor. Just not one who practises orthodox medicine or at least one who can incorporate a lot of other forms of treatment. please please help. more

Resolved Question: Has surgery on herniated discs helped anyone with chronic pain?

I'm 17 years old and have been suffering from chronic back pain, nerve damage and pain, and decreased mobility and flexibility because of three herniated discs. I've been through epidural injections, chiropractic and many, many weeks of physical therapy that have only lead to weeks, and then months where I have been confined to bed rest. What I really want to know is if back surgery has helped anyone with chronic pain or nerve damage caused by herniated discs? Or if not, has there been any other option that has helped with the pain? I'm currently medicated and under the care of a physical therapist, occupational therapist, physiatrist, pediatric spinal surgeon, and a bone specialist. I'm really just curious as to other patients outcome from herniated disc surgery, or what other options (that I haven't already mentioned) have helped. Please and thanks! more

Resolved Question: I believe I have wax deep in my ears which is causing me to cough, suggestions?

A week ago I had an ear problem where I couldn't hear out of the left ear. Now a week later, it went away but I'm left with a tickle in my throat/cough. I've researched online and thought it out and came to the conclusion that wax is deep in my ears and touching the nerve that causes me to cough. Will an ENT be able to spot this and clean it out thoroughly? Thanks! By the way if you are wondering what I read, go here: http://www.coningworks.com/about.htm Q: Can a cough be caused by earwax? A: “It may sound strange, but it’s true- earwax can be the cause of chronic coughing that persists for months or even years,” said Dr. Fernando Martinez, assistant professor of internal medicine at the University of Michigan. “We’ve found that impacted earwax can push against a coughing nerve in the ear canal, which stimulates the coughing reflex. Many Americans are needlessly coughing because of impacted earwax. They may cough as often as 25 or more times a minute. They mistakenly believe the cough is being caused by an allergy, cold or postnasal drip- the most common causes of chronic cough- and they often just let it go on and on. Anyone who suffers from a chronic cough- one that lasts for more than three weeks - should seek medical care. It’s a simple matter for a doctor to check visually if a patient has excessive earwax, then clean out the wax using a tiny scoop plus medicines to dissolve the wax and wash it away. Patients are often amazed to find that their chronic cough ends instantly after their ears are cleaned!” - Article by Edmond Choueke more

Resolved Question: Why is it necessary to limit O2 flow rate with people with COPD?

I understand that when providing O2 to a patient with chronic obstructive pulmonary disease (COPD), it is necessary to use a low flow rate (I often see 2L). In fact, high rates are contraindicated. No one seems to be able to provide a clear answer as to why this is the case. It even seems counter-intuitive (can't get enough O2=give them more O2, right? :P ) Does anyone here know why there is such a strict limit? more

Resolved Question: My Mum Is Too Paranoid?

I am 26 years old and live with my mum. I had to move back with my mum last November because I was unable to pay the rent at my place, but my agency didn't have much shifts. I lived out for five years. The problem with my mum is that she is overbearing, she doesn't want to know. My mum always thinks she is right. I have three older brothers, they are allowed to do whatever they like. My mum wouldn't allow me to go out after 9pm, because she is scared that I would get murdered or raped. I am not allowed to go on holiday with my friends or boyfriend, she is scared that my friends would plant drugs in my bag, or isolate me. My mum is scared of my friends, she reckons they are a bad influence on me. Whenever I go out to cinema or shopping with a friend, she would be like 'If your friend tells you to go somewhere else, don't go or she would say 'Don't go anywhere else' My mum watches too much homicide related programmes, she always goes on about how it is a dangerous world, and how a lot of men are dangerous. I have spoken to my mum a lot of times about her overbearing nature, she refuses to change and says 'I am only doing it because I love you and don't want anything bad to happen to you (like getting murdered, raped or ending up in jail). I never done anything bad in the past and I always pick the right friends. I always show that I am grown up to my mother. I have recently joined another agency, I want to save up money for a new place to get away from my mum. The problem is my mum wants me to attend a university closer to home ( I would go next year), so I can save some money to buy a flat in about 3-4 years time. I would be able to buy a flat because I am in £5,000 debt. Only four universities in UK do the course I want to do, they are pretty far from home. So I have to make the sacrifice to move away. My mum use to be a mental health nurse and said she seen lots of patients getting destroyed by friends. Thats another reason why she is overprotective. During the five years of living on my own, I rebelled badly and got myself into bad situations. I have learnt from them. My mum does suffer from chronic hip pain, and finds it hard to do some things. So I have to help her. more

Resolved Question: What should I do? I'm scared? PLEASE HELP!?

http://answers.yahoo.com/question/index;_ylt=AqnvKfaY_N0bP6SlSDy_CBsazKIX;_ylv=3?qid=20100525072245AAEvJmD This was my previous post.. Can I just ask, how do I get rid of my fears? I couldnt eat nor sleep these few days, been feeling bad.. I have a fear of needles, that's why I cant get checked for any possible illness. I have a fear that the needles contain HIV, HEP or some blood prone/related illness and that whenever i get a shot, I'll be injected with these viruses. Please help me get over it, how do I do it? I tired talking to my parents and friends but they just got irritated at me.. Please help by giving rational advice? THanks much. Its like i'm not afraid of the pain, but more of the inserting the needle. My mind just whirls when the needle is inserted. I think that I'm gg to get all sorts of blood borne dieaeses. I cant stop it. How? do doctors or nurses usually open the seal in front of their patients? I mean, what are the chances that the person has hep a,b or c or HIV and could transmit it to me through a blood glucose prick test? Will the hep be chronic or acute? more

Resolved Question: Does CLL affect the time you have to live?

My dad has B-cell chronic lymphocytic leukemia (CLL) and was diagnosed with it in 2006, he's now turning 51 in November and he keeps thinking that he doesn't have long to live because of the CLL. Some internet websites say that most CLL patients usually pass away 10-15 years after diagnosed, is this true? more

Resolved Question: THIS IS MY COLLEGE ESSAY, IS IT READY TO BE SENT TO COLLEGES?

I would like to share with you something about my current medical situation. Ordinarily I would not do so, as I am an intensely private person, but I now accept that my physical limitations have quite possibly impacted my high school performance in a negative manner, and I feel that it is only fair that you have this information. Therefore, I am reluctantly going to allow access to information that I would never, otherwise, speak of. For the past several years, I have been afflicted by a physical situation that has sometimes interfered with my ability to focus, both in the classroom and out. I do not wish to be too specific about the symptoms of my disease, except to say that they are digestive in nature and sometimes require me to spend long periods of time in the Ladies’ Room. Despite my terrible discomfort, I refused to accept that there might be something wrong with me, and would not seek treatment. I know now that I should have been less determined to suffer in silence and more willing to accept help. Finally, my parents insisted on bringing the matter to the attention of a physician. I was tested, over a period of several weeks, for colon cancer, Crohn’s Disease, intestinal obstructions, diverticulitis, ulcerative colitis, gastroesophageal reflux disease, Barrett’s esophagus, Heliocobacter pylori (commonly known as ulcer), celiac sprue (commonly known as wheat allergy), lactose intolerance, gallstones, bile duct stones, sclerosing cholangitis (the narrowing of the bile ducts), “Sphincter of Oddi” dysfunction and pancreatitis. You can imagine how relieved I was to learn that I had none of these terrible diseases. Finally, I received the diagnosis of Irritable Bowel Syndrome (IBS). IBS is sometimes known as spastic colon, nervous colon, nervous stomach, mucous colitis and spastic colitis, and is distinguished by abnormal bowel habits, such as diarrhea (loose stools), constipation or sometimes, as in my own case, both. It is well known to experts in this field that periods of stress can intensify the severity of IBS. I have certainly found my busy schedule of six honors/AP classes, Varsity field hockey, swimming and track teams, performing lead roles in three consecutive Spring Musicals, volunteering at the local animal shelter, tutoring at-risk children, and working three evenings a week plus all day Saturday at The Gap to be, at times, stressful, but of course it is impossible to say what has caused me to be afflicted with this very horrible syndrome. Irritable bowel syndrome (IBS or spastic colon) is a diagnosis of exclusion. It is a functional bowel disorder characterized by chronic abdominal pain, discomfort, bloating, and alteration of bowel habits in the absence of any detectable organic cause. In some cases, the symptoms are relieved by bowel movements. Diarrhea or constipation may predominate, or they may alternate (classified as IBS-D, IBS-C or IBS-A, respectively). IBS may begin after an infection (post-infectious, IBS-PI), a stressful life event, or onset of maturity without any other medical indicators. Although there is no cure for IBS, there are treatments that attempt to relieve symptoms, including dietary adjustments, medication and psychological interventions. Patient education and a good doctor-patient relationship are also important. Several conditions may present as IBS including celiac disease, Fructose malabsorption,[3] mild infections, parasitic infections like giardiasis, several inflammatory bowel diseases, functional chronic constipation, and chronic functional abdominal pain. In IBS, routine clinical tests yield no abnormalities, though the bowels may be more sensitive to certain stimuli, such as balloon insufflation testing. The exact cause of IBS is unknown. The most common theory is that IBS is a disorder of the interaction between the brain and the gastrointestinal tract, although there may also be abnormalities in the gut flora or the immune system. IBS does not lead to more serious conditions in most patients. But it is a source of chronic pain, fatigue, and other symptoms, and it increases a patient's medical costs, and contributes to work absenteeism. Researchers have reported that the high prevalence of IBS, in conjunction with increased costs produces a disease with a high societal cost. It is also regarded as a chronic illness and can dramatically affect the quality of a sufferer's life. In fact, doctors do not know what causes IBS, or why people who share my disease feel the need to have a bowel movement soon after eating, causing diarrhea, or why the prolonged spasm of the large intestine causes stool to stay in one area for too long and get dried out, resulting in small hard stools (constipation). As of today, palliative treatments are only in the experimental stage, and the hard truth is that there is no cure for IBS. It has been very difficult for me to accept this diagnosis at my young age. I do not know what the future will h more

Resolved Question: Where can I find more information on Neissera Gonorrhoeae for my Microbiology paper?

I have only 4 hours to finish it and I'm stressed. We have this outline to follow and I'm mostly concerned that I cannot find EXACT statistics...colony morphology..or size...I've dug and dug too :-/ Title: Bacterium and the disease that it causes OUTLINE I.Bacterium – description of the pathogen (24 points) a.Genus epithet (Always italisized; the genus is always with capital letter; when used for a first time in the text, spell out the name; subsequently, the genus is abbreviated) b.Characteristics of the bacterium that are useful in classifying and identifying it: i.Size (4 points) ii.Cell morphology (4 points) iii.Staining reactions (4 points) iv.Motility (4 points) v.Colony morphology (4 points) vi.Atmospheric and nutritional requirements (aerobic versus anaerobic) (4 points) II.Route of Infection (16 points) a.Primary reservoir (if carried in animals, insects, birds) b.Infectious cycle (if applicable) c.Transmission (e.g. person to person; from cow milk to the digestive tract) III.Pathogenesis - The diseased caused by infection with this bacterium. (24 points) a.Acute or chronic disease? (4 points) b.Symptoms (4 points) c.Complications (4 points) d.Recovery time (4 points) e.Outcome (4 points) f.Does it develop a protective immunity to re-infection? (4 points) IV.Detection (12 points) a.Where in the body is the pathogen usually detected? What samples are used for testing? b.What is the usual clinical method for detection? V.Treatment (12 points) a.What are the current treatment options? b.How efficient is the current treatment/recovery rate? c.Are there any other treatment options that are currently been evaluated in studies? VI.Epidemiology (12 points) a.How often do people become infected with this bacterium? b.Is it an emerging disease? c.Any recent outbreaks? VII.Bibliography (Research paper without bibliography will be graded 0%) Example of how to cite reference in the text and in the bibliography: Indicate the number of the reference that you are using as a source of information at the end of passage. There is no need to write the sentence in quotations, if the reference source is cited! Be selective and critical when using references Do not copy the text; instead, re-itinerate with understanding the material For example: Listeria monocytogenes is a pathogen that can cause serious invasive illness in humans. The most susceptible patients are immunocompromised, pregnant women, and adults > 65 years old (1). L. monocytogenes caused listeriosis is usually associated with a consumption of refrigerated ready-to-eat foods that are contaminated with high levels of the bacterium. L. monocytogenes can survive and multiply at low temperatures, which allows it to reach levels high enough to cause human disease, particularly if contaminated foods stored for prolonged times under refrigeration (2). In the Bibliography: List author(s) first: if one or two authors, write both names; if more than 2 a the name of the first one et al Title of the article Name of the journal (abbreviated) Year and Issue For example: 1.Chan YC and Wiedmann M. Physiology and genetics of Listeria monocytogenes survival and growth at cold temperatures. Crit Rev Food Sci Nutr. 2009 Mar;49(3):237-53. 2.Flannagan RS et al. Antimicrobial mechanisms of phagocytes and bacterial evasion strategies. Nat Rev Microbiol. 2009 May;7(5):355-66. more

Resolved Question: Can you figure out this weird behavior?

Sorry, not religious, but maybe the religion folks have some insight! I'm a nurse in a hospital and I admitted a patient a few days ago. She has a chronic condition so she's in and out of the hospital all the time. She's elderly and lives with her single adult son who takes care of her. When he brought her in he seemed so attentive, he had all her medications organized, he had kept a journal of symptoms, all kinds of stuff. She was there for 3 days and he spent most of that time with his mom at the hospital. He really seemed loving and all that. Then on the third day, the doctor comes in and discharges her. I have her paperwork all ready, she's dressed and packed and he tells me he has to run and do a quick errand and then he'll be back in an hour to take her home. He's gone 18 hours. The woman seemed just as baffled as we were and we were ready to call the police to see if he had gotten into a car accident. Then he comes back in, tries not to make eye contact, and mutters something about he lost track of time. So then the next shift comes in and the next nurse is a float who worked on the unit that this woman usually goes to and says that this guy does this every single time without fail. They are baffled. They asked the woman where he goes and she said something about "maybe he lost track of time" or something. She's lucid, but just kind of flighty. Where does this guy go for almost an entire day? If he just wanted to get away from his mom, why wouldn't he take all the time she was in the hospital? Why does he wait until she's discharged? I'm at a loss. Does anyone have a guess? more

Resolved Question: Hello, can anyone help me think of an interesting essay title?

I am writing a Nursing essay, that has to be based on a patient with a chronic condition. I am focusing on a patient with Epilepsy who came into hospital following an epileptic fit. I have to discuss the care that I gave her and how her Epilepsy effects her life eg. Physically, mentally, with life transitions, socially etc. Any ideas would be very helpful- thanks. more

Resolved Question: Patient presenting with shortness of breath palputations and chronic fatigue?

no known medical issues apart from over active bladder for which patient takes Amitriptyline.21 year old healthy female. more

Resolved Question: Does it sound like the doctor is going to give us some bad news?

My grandmother went into the emergency room the other day with a blood pressure of 96/53 & her heart rate was at 170 & they admitted her into the hospital. Her doctor came into the room yesterday & said that they found some nodules on her thyroid & they found a place on her lung back in February that has grown 6mm since then (he said that isn't a lot, but it's showing it's behavior). They did a PET scan & they said that it didn't show that it was a malignancy, but you can't rely 100% on that. She has emphysema & chronic A-Fib & they don't want to put her through any procedure where it could collapse her lung or put any added pressure on her lungs, which is understandable. So her primary care doctor & her pulmonologist are going back & forth about how they should get a biopsy of these nodules. The doctor also said that if she did have cancer, her body would not be able to handle any treatment that she may have to go through. He also said that even if she doesn't have cancer, the chances of her surviving 5 years are slim to none. Anyway, my Mom & I were in the hospital to visit her today & we noticed that they're not really treating her with anything. She's still taking the medicine she was taking at home, nothing else except for a thyroid medication. We also noticed that they were giving her Xanax every 4 hours on the dot & on top of the Xanax, they were giving her Tylenol with Codine. Also, she's considered a cardiac patient & they're allowing her to eat whatever she wants. They doctor said whatever she wants to eat, bring it to her. Usually cardiac patients aren't supposed to have caffine, salt, fried foods, stuff like that & they're allowing her to eat anything. So I guess my question is, does it sound like they're trying to confirm cancer & don't want to tell us too soon? My Mom & I have both talked to the doctors and we feel like they know something that we don't know yet & it's frustrating.My uncle has had power of attorney since last year, so I don't think she could even sign the DNR. I think it would have to be him. I'm not 100% sure about that though. But I do know that he would have to be informed about it. She's not in her right mind state at all. They would never ask someone who can't think 100% for themselves to sign a DNR. more

Resolved Question: Question about VA Pain Management?

I have recently received a medical discharge from the military for chronic pain in the groin area. It was due to a hernia surgery that went wrong while in the Army. While in the service I was placed in a pain management program and was extended for 6 months of treatment after my discharge. Now my time has run out and I have to go to the VA, my first appointment was this past Monday. After explaining to the Dr. what I've been going through and that my medication I've taken for the past 2 years (oxycontin and percocet10). He says the VA has neither one of these drugs and I would have to be switched to morphine. Fine, whatever as long as it works right? Well they tell me I should receive my meds in 48 hours. After 72 I call the VA pharmacy to be told that it was never put in the system and I need to go talk to the doctor to get this resolved. If he forgot to put this in after telling me to stop taking the remainder of my last perscription can I do anything? SUE, PATIENT ADVOCATES, ETC...... Also is there a way for me to get the VA to pay for me to go back to my old doctor, this is my first experience with the VA and I'm not very happy at all. I know they suck but it's all I have considering I can't work. What should I or can I do?Your idea of paying for it would be fine if I had substantial income. I'm jobless because of this condition. My pain specialist tried several nerve blocks, ganglion impare procedures, and suggested a spinal cord stimulator which this same doctor told me to forget about. more

Resolved Question: What exactly is the point of BUPA?

A brief glance through their premier policy left me fairly unimpressed. The things NOT covered by them are: •Ageing, menopause and puberty •AIDS / HIV‡ •Allergies or allergic disorders •Birth control, conception, sexual problems and sex changes‡ •Chronic conditions‡ •Complications from excluded or restricted conditions / treatment •Convalescence, rehabilitation and general nursing care‡ •Cosmetic, reconstructive or weight loss treatment‡ •Deafness •Dental / oral treatment (such as fillings, gum disease, jaw shrinkage etc) •Dialysis‡ •Drugs and dressings for out-patient or take-home use‡ •Experimental drugs and treatment‡ •Treatment to correct eyesight (eg long or short sight)‡ •HRT and bone densitometry‡ •Learning difficulties, behavioural and developmental problems •Overseas treatment and repatriation •Physical aids and devices‡ •Pre-existing or special conditions •Pregnancy and childbirth‡ •Screening and preventive treatment •Sleep problems and disorders •Speech disorders‡ •Temporary relief of symptoms‡ •Unrecognised providers or facilities ... so what are they good for if not to assist you with previous conditions, current conditions, or possible future conditions? They better make one hell of a cup of tea for £84 a month. more

Patients With Chronic News

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The European Society of Cardiology has released results from the STAR-heart study at the ESC Congress 2010 meeting taking place this week in Stockholm. The study found that bone marrow stem cell therapy improves ...

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'Magic Mushroom' Hallucinogen Might Help Cancer Patients - AZCentral.com

would like to extend this protocol to a larger group of patients using higher doses and perhaps adding a second treatment. He'd also like to do studies in chronic alcoholics and in people with Asperger's syndrome. "

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REALIZE enrolled three groups of patients with genotype 1 hepatitis C who ... and tolerability of telaprevir-based regimens in people infected with genotype 1 chronic hepatitis C who did not achieve a viral cure ...

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according to results of the African-American Study of Kidney Disease and Hypertension (AASK), the largest and longest study of chronic kidney disease (CKD) in African-Americans. However, the blood pressure goal did ...

Ingen Technologies Signs Sales Contract With Healthstar Associates - msnbc.com

patients with Chronic Obstructive Pulmonary Disease (COPD), and 600 million patients worldwide, Ingen Technologies is now the largest manufacturer of in-line gravity-independent oxygen flow meters. Safe Harbor for ...

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Patients With Chronic Questions and Answers

Autoantibodies in Patients with Chronic Obstructive Pulmonary Disease -- Feghali-Bostwick et al. 177 (2): 156 -- American Journal of Respiratory and Critical Care Medicine

Autoantibodies in Patients with Chronic Obstructive Pulmonary Disease -- Feghali-Bostwick et al. 177 (2): 156 -- American Journal of Respiratory and Critical Care Medicine

Patients With Chronic Questions and Answers

Open Question: recurring sharp chest pain (left side)?

Open Question: Are there resources for recovered chronic illness patients' emotional support?

Open Question: This is my college application essay, how is it so far?

Resolved Question: Why do people discriminate cannabis so much?

Resolved Question: why is edema in the legs often seen in patients with chronic hypertension?

Resolved Question: THIS IS MY COLLEGE APPLICATION ESSAY, IS IT READY TO BE SENT TO COLLEGES?

Voting Question: Gastric Discomfort Questions?

Resolved Question: what is the rationale why meds like ppi and chloramphenicol are given to a patient with cholecystitis? 10 pts?

Voting Question: what is icd9 code for: acute and chronic renal failure in a patient with hypertension?

Resolved Question: Why is marijuana such a hard topic to agree upon?

Resolved Question: Do I possibly have leukemia or some other blood disease? ADVICE FROM EXPERIENCED/ or DOCS?

Resolved Question: What do I have to do to get someone to take my migraine seriously?

Resolved Question: Should I continue to eat 4 servings of meat a day?

Resolved Question: Should I continue to eat around 4 servings of meat daily?

Resolved Question: Pls,Help me out, I kissed Hepatitis B EX-patient?

Resolved Question: What's the reason why there is progressive weight loss, hepatosplenomegaly, anemia in patients with CML?

Resolved Question: what do you think of these hospital stats?

Resolved Question: How can I tell if a patient has a compensated acidosis?

Resolved Question: With the new laws in Arizona, am I a qualified patient for medical marijuana?

Resolved Question: Ok people I have chronic bad breath and I wanna get rid of it. How?

Voting Question: Can we sue the Doctor for neglecting a patient? (details inside, kind of long story)?

Voting Question: Where can I see a doctor for pain without records?

Resolved Question: What do I feed? My dog has allergies AND chronic mange!?

Resolved Question: After a Heart Bypass what pain medications are typical when you're sent home?

Resolved Question: Do you know anything about granulocytes?

Voting Question: I need some help here. I'm not sure how to write a patient report. Can somebody please help me?

Resolved Question: should I sue Kings Dominion? LONG story but interesting and complex...?

Resolved Question: In Medical Terminology?

Resolved Question: For Girls: Is it true...............?

Resolved Question: White Blood Cell Count in Acute VS. Chronic Infections!?

Resolved Question: I need advice on how to talk to my doctor about pain.?

Resolved Question: Peak expiratory flow (PEF) is a measure of a patients ability to expel air from the lungs. Patients with..?

Resolved Question: how long will a chronic hepatitis B patient can live......?

Resolved Question: Constant lower back pain for a year?

Voting Question: what is the code for recalcitrant chronic lumbar pain?

Resolved Question: need help deciding a suitable career?

Resolved Question: Has surgery on herniated discs helped anyone with chronic pain?

Resolved Question: I believe I have wax deep in my ears which is causing me to cough, suggestions?

Resolved Question: Why is it necessary to limit O2 flow rate with people with COPD?

Resolved Question: My Mum Is Too Paranoid?

Resolved Question: What should I do? I'm scared? PLEASE HELP!?

Resolved Question: Does CLL affect the time you have to live?

Resolved Question: THIS IS MY COLLEGE ESSAY, IS IT READY TO BE SENT TO COLLEGES?

Resolved Question: Where can I find more information on Neissera Gonorrhoeae for my Microbiology paper?

Resolved Question: Can you figure out this weird behavior?

Resolved Question: Hello, can anyone help me think of an interesting essay title?

Resolved Question: Patient presenting with shortness of breath palputations and chronic fatigue?

Resolved Question: Does it sound like the doctor is going to give us some bad news?

Resolved Question: Question about VA Pain Management?

Resolved Question: What exactly is the point of BUPA?

Patients With Chronic News

Bone Marrow Stem Cells Benefit Patients With Chronic Heart Failure - eMaxHealth.com

Scientists find mouse-related virus in patients with chronic fatigue - San Jose Mercury News

Angioplasty Not for All Heart Patients... But Do They Know? - ABC News

Rationalisation of Insulin Pens Follows National Patient Safety Guidance - TradingMarkets.com

Vertex Nails Third Big Trial With Hepatitis C Drug - Motley Fool

'Magic Mushroom' Hallucinogen Might Help Cancer Patients - AZCentral.com

Lower Blood Pressure May Help Sicker Kidney Patients - AZCentral.com

65% of People Whose Prior Treatment for Hepatitis C Was Unsuccessful Achieved SVR ... - Yahoo Finance

Lower Blood Pressure Goal Benefits African-Americans with Chronic Kidney Disease ... - Kansas City infoZine

Ingen Technologies Signs Sales Contract With Healthstar Associates - msnbc.com

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