d*******n
发帖数: 216 | 1 Thanks again for all your answers.
I am not sure whether my mom had intracranial or subarachnoid bleed. I
looked up these two terms in wikipedia but don't understand the difference.
What I knew was on the onset, she started to lose balance (she was walking
at that time) and walked zig-zag. And just after she utterred "what's wrong
with me today?" her body started to fall. Fortunately my family caught her
so she didn't fall onto the ground. ANd then we sent her to the hospital.
She vomitted seve |
|
g*****j
发帖数: 1211 | 2 This is called dysmenorrhea.
If the pain occurs during onset of menses, the most likely cause is primary
dysmenorrhea, which usually will respond to nonsteroid anti-inflammatory
drugs (NSAIDs) such as motrin. You can give it a try next month. Remember
that it has to be NSAIDs, and tylenol does not work.
If the pain is really intolerable or motrin makes no difference at all, you
need to see a physician, preferably an OB/Gyn doctor. If you search
dysmenorrhea online, you will find many potenti |
|
n******s
发帖数: 210 | 3 the typical symptoms for progesterone is inter-period spotting,
and blood test for it is accurate, but time is important, go to see a doc
days before the onset of period, and blood test can be done immediately.
there is another simpler way to test it, that can be done at home, check the
temp around 14th day, if it goes up around 1 degree, that means, ovulation
is normal, and your corpora luteum works well and progesterone is roughly OK
. |
|
n******s
发帖数: 210 | 4 colchicine was the DOC of gout, but now only used for the control of acute
onset. Check it. |
|
n******s
发帖数: 210 | 5 OK, I need the following information,
age, gender,
onset, duration, location, radiation, severity, exacerbating or relievating
factors and quality of pain.
Frequency, aura, association.
any cold or flu history recently.
any change in your vision.
any seizure.
any cramp during period.
Is it very close associated with period?
Runny nose, throat pain, ear pain.
Does it wake you up during sleep?
Does the sunshine bother you?
Does it occur at a special time in a day, like in the morning?
Any stress r |
|
g*****j
发帖数: 1211 | 6 It is a complicated question. In general, if it is new onset atrial
fibrillation, you want to treat the patient and convert it back to normal
rhythm. If it is a chronic atrial fibrillation, patient will at least need
blood thinner to prevent clots that can potential cause stroke.
Atrial fibrillation is a complicated medical problem, and its management can
vary from case to case. There are several different classes of medical
treatment, and several invasive treatment as well. It is really be |
|
c********e
发帖数: 496 | 7 high temp of hot water may stimulate mast cell to release histamine,
try to wash to mild warm water.
The original reason may allergy, maybe not. record the food intake and onset
of symptoms, that's good, keep doing that.
you may humidify the room, no harm at least. |
|
c********e
发帖数: 496 | 8 maybe, cervical spur can cause similar symptom, but if the onset is right
after surgery, most likely this is the cause. |
|
|
L*1
发帖数: 11537 | 10 Most likely some kind of heart problem. Without Holter, you can try to
measure your pulse yourself or someone close to you before and during the
onset of your symptoms. You may notice rapid pulses, or very weak pulses. |
|
g*****j
发帖数: 1211 | 11 Not all acute onset lower back pain is caused by 腰椎间盘突出. In fact most
are not. True 腰椎间盘突出 (herniated disc) is quite uncommon.
Most acute lower back pain recover by itself. There is no evidence that any
medicine or device and speed things up. One thing that is counter
intuitive against the belief of many Chinese is that bed-rest is unnecessary
and may even prolong recovery.
There is an exception to the above. If there is any neurological sign, for
instance, numbness in lower body, weaknes... 阅读全帖 |
|
c********e
发帖数: 496 | 12 several points that may help.
1. Head CT is sensitive to detect intracranial hemorrhagic stroke, but show
nothing for ischemia for the first 24-48 hours, so if the symptoms continue,
do MRI for sure. Without symptomatic evidence, MRI is optional.
2. For lunar stroke or TIA, prevention is all you can do.
3. Given the ischemic stroke occurs, thrombolytic may help, but therapeutic
window is only the first 3 hours from onset. |
|
g*****j
发帖数: 1211 | 13 Stroke is not a gradual onset condition. It happens suddenly.
腿感觉很重 is a vague description. If he is concerned, he should definitely
have it checked out. There are tests doctor can run to see ways of stroke
risk reduction for your father. |
|
M***D
发帖数: 249 | 14 Sorry this computer will not allow me to type in Chinese. Just some thoughts
for your reference:
1. Sounds like ADHD with tics. About half of children with tics also have
ADHD. Tics occur in about 20% of school-age children. They most commonly
occur between the ages of 7 to 10. This girl's onset time fits ADHD with
tics.
2. All medications will cause some side effects. If the girl was started on
an anti-depressant then had falls shortly, the falls might be caused by some
side effects from anti-d... 阅读全帖 |
|
l*h
发帖数: 4124 | 15 Overall, I agree it is a reasonable approach.
"1) The sub-centimeter focus is too small to cause the symptoms (she has
some
腿麻, 胳膊麻 etc lately. Her numbness is sometimes on the left or right leg
, arm, toes, fingers, and even face, but never on all these places at the
same time). He thought her numbness was caused by other factors, but not by
the brain focus."
I agree.
"2) If the focus is some kind of tumor, her symptoms will stay and will not
go away. Now my wife's numbness is better than 2 wee... 阅读全帖 |
|
l*h
发帖数: 4124 | 16 mycosis fungoides is not as rare as previously thought. the incidence was
thought to be 3-4 per million, but in recently years there have been a lot
more patients.
if the rashes appear relative fast in large patches and multiple areas, it
should be suspected as the skin presentation of Sezary syndrome. Sezary
syndrome is a related cutaneous T-cell lymphoma with worse prognosis.
early bone marrow puncture or biopsy is NOT recommended (as a matter of fact
, strongly discouraged).
early tests shoul... 阅读全帖 |
|
d******q
发帖数: 239 | 17 OK, I've certainly seen the different opinions on the BBS and I appreciate
all the input from different parties. I presented the case here is to get
myself informed; sometimes it's difficult to make a decision coz I'm not a
medical professional. That being said, I understand that the major source
for my family to make treatment decisions is still the suggestions from her
doctors.
Indeed, her onset was quite aggressive, except face, patches and plaques
were present in all other parts, but no lesi... 阅读全帖 |
|
l*h
发帖数: 4124 | 18 "Indeed, her onset was quite aggressive, except face, patches and plaques
were present in all other parts, but no lesions."
what did you mean by "lesions" here? you may have misused it so I don't
really understand this sentence.
first, bone marrow aspiration is not routine in lymphoma (the common types,
not the rare type such as CTCL here) care. it is used in staging, not often
used in early stage, but mainly in mid to late stage patients or if there is
some abnormality in peripheral blood to su... 阅读全帖 |
|
a**********2
发帖数: 3726 | 19 If it is Glioblastoma, then this is the worst brain tumor. It tends to
develop very fast and spread to the opposite side very early. Treatment is
surgery plus adjuvant therapy (radiation therapy and chemo). Early surgery
is very very important. You need to find a very good hospital who has
extensive experience on this kind of tumor. (I saw a patient with GBM who
did two surgeries 10 years ago at the beginning and then several years ago
after it recurred. Now she is under palliative care because... 阅读全帖 |
|
l*h
发帖数: 4124 | 20 did I miss something? if you say 脑胶质母瘤, this means surgery has already
been done. it is diagnosed by pathology. conclusion section of MRI report
should read something like "consistent with HGG in xxx area, GBM likely." or
sometimes "consistent with GBM." depending on how good the radiologist is,
the accuracy can be as high as 95%, it can also be much lower.
in most brain areas, when HGG is suspected, the only biopsy type is open
biopsy, that is, you open up the field, take a few pieces of sample... 阅读全帖 |
|
a**********2
发帖数: 3726 | 21 Are you sure your grandma has asthma? Or it is COPD? Because it is unusual
to have new onset of asthma in an elderly. I would assume she has COPD
unless she has had asthma since young. |
|
l*h
发帖数: 4124 | 22 he will need EMG (including repetitive nerve stimulation and conduction
velocity). EMG will tell pretty well what group of diseases he has.
Definitive diagnosis can usually be achieved by muscle biopsy. Nerve biopsy
is unnecessary with this kind of presentation.
standard EMG uses fine needle electrodes. in small children, this requires
right level of sedation plus quite some experience.
if this is not possible, there is surface EMG which is non-invasive but
gathers less information.
if he has ea... 阅读全帖 |
|
s*******n
发帖数: 10426 | 23 Increasingly, puberty in both the developed and developing world is
beginning as young as age eight, seven or even earlier. In the U.S. two out
of every 10 white girls, three out of every 10 Hispanic girls and four out
of every 10 African American girls are showing breast development by age
eight. Onset of puberty is falling for boys too — with doctors not even
considering it a clinical problem unless the physical changes begin before
age 9. It’s girls, however, who are being hit the hardest.
Re... 阅读全帖 |
|
o*********3
发帖数: 256 | 24 It would be better to have a care plan for the treatment. Regarding asthma,
we call "one for short relief, one for maintenance". In other words, one
for the onset while the other is for long term treatment. For the short one
, beta-2 receptor agonist such as albuterol is recommended. However, it
should be cautious for a patient with hypertension as beta-2 receptor also
on heart. For long term treatment, inhaled corticosteroids are the first
line meds. |
|
j*d
发帖数: 488 | 25 My mom (around 70) is using the ResMed Airsense 10 autoset for Her for 4
months and stopped for 6 months as not able to adjust. Now she is trying
again. Her complaints is when she lost conscious, then with mouth and nose
breath, the air in the mask seems too strong and woke her up (She has sleep
disorder and sleep onset insomnia) and hard to fall sleep again. Also nose
get congestion. So i did ask her to use nasal wash and the OTC steriod
Fluticasone twice a day. Please advice if anything can he... 阅读全帖 |
|
T****r
发帖数: 4006 | 26 Kennedy disease is an inherited motor neuron disease that affects males. It
is one of a group of disorders called spinal muscular atrophy (SMA). Onset
of the disease is usually between the ages of 20 and 40, although it has
been diagnosed in men from their teens to their 70s. Early symptoms include
tremor of the outstretched hands, muscle cramps with exertion, and
fasciculations (fleeting muscle twitches visible under the skin). Eventually
, individuals develop limb weakness which usually begins |
|
d*********s
发帖数: 109 | 27 我们很像，我的肚子也是不大，但是很尖，从后面看也看不出。长的份量和宝宝的份量
没有很大的关系。旁人的评价不用很担心 － deflect - 说我很大很小的都有:) 今天
（36周plus1天) 是长了45磅，但是每个baby 都在5.5~6lbs之间，呵呵！
到临产的时候在照一次吧，哪怕是schedule了C-section, 说不定 baby A 就 head
down 了呢？还有，最好是等到onset of labor， 来个labor C-section, 比scheduled
C-section好，这样 babies 能有机会提高一下呼吸能力。可以schedule得晚一些？
祝一切顺利！ |
|
f*******a
发帖数: 671 | 28 是医院提供的，收费75刀。马上就要到报名的截止日期了，还在犹豫要不要去。老公不
在我身边，实验又很忙，实在懒得去。有没有人知道这个课程有用吗？我想了解一下有
多少人上过呀？
内容包括：
onset of labor
stages of labor
breathing exercises
the coach's role
pain management
birth options
adjustment to the new baby |
|
g***d
发帖数: 51 | 29 有，我就是差不多34周发现的，这叫late-onset GDM。35周见的营养师正式开始控制饮
食加每天扎手指5次测血糖，不太严重所以没用药。39周scheduled C（因为头胎就是C
的，但头胎没有妊娠糖尿病），宝宝重7磅4,血糖正常。月子里不再控制饮食，产后6周
去做了2小时血糖测试，完全恢复正常。
Bless
ob |
|
N******u
发帖数: 11939 | 30 给你从reunion置顶copy过来的：
问：父母没有保险，生了病怎么办？
可以考虑附近的 walk in clinic, 也常称作urgent care。和医院的急诊类似，不需预
约，一般开的很晚甚至24小时，但费用和急诊相比合理的多。
问：父母来怎么买保险？
这个不好三言两语说清楚，也没有公认的值得推荐的。本版精华区里更详细介绍。总结
一下就是:
1.你不能把父母作为dependents加到你的保险里，只有配偶和孩子可以。只能买
visitor保险
2.visitor保险不包括pre-existing condition,个别的包括acute onset of a pre-
existing condition.
3.visitor保险大都需要你自己先支付，然后再向保险公司claim. |
|
c*******u
发帖数: 12899 | 31 ☆─────────────────────────────────────☆
mimimi8 (花生米) 于 (Thu Sep 30 15:41:34 2010, 美东) 提到:
父母签证签过了，他们可能会过来5个月吧。我打算给他们买在美的保险。有姐妹知道
怎么买么，我在RI.谢谢大家乐。
☆─────────────────────────────────────☆
gosox (Alex) 于 (Thu Sep 30 16:16:12 2010, 美东) 提到:
co-ask
☆─────────────────────────────────────☆
pepper1982 (pepper1982) 于 (Thu Sep 30 16:17:22 2010, 美东) 提到:
coask
☆─────────────────────────────────────☆
yinxl805 (aaa) 于 (Thu Sep 30 16:20:39 2010, 美东) 提到:
I guess if you buy, still no good ins... 阅读全帖 |
|
l****b
发帖数: 161 | 32 喝水不一定能解决问题
我发现尿路感染的时候，急性onset, 自己马上就知道是怎么回事了．喝水，喝
cranberry juice, 连喝几天，症状大为好转．基本感觉不出什么异样了．
去看OB, 一查尿样，培养出来还是有细菌．那只好吃药了． |
|
o***o
发帖数: 1254 | 33 妈妈6月底要来照顾我，让她去检查一下身体以防万一。结果检查出心率有点不齐。估
计是家里有点事，加上是最近准备过来照顾我给操心的。在版上看到有一个网站（这里
也顺便推荐一下）可以比较各种保险并提供QUOTE：www.americanvisitorinsurance.
com/insurance/visitor-medical-insurance.asp
现在正在选择到底是买什么保险。其中有一个很重要的问题，90%的保险都不COVER Pre
-existing Condition（Non-US citizen: Not Covered; Look back period for pre-
existing conditions is 3 years prior to start of plan）并且要看前3年的记录。
看到的唯一一个可以COVER的是叫做ATALS AMERICA， 还只是针对70岁以下。（If
under age 70, you are covered for Acute Onset of Pre-existing Condition.
Coverage availab... 阅读全帖 |
|
o***o
发帖数: 1254 | 34 其实我妈心脏一直很健康，去年夏天身体年检都没有问题。看了一下，其实这个唯一一
个可以COVER的是叫做ATALS AMERICA（If
under age 70, you are covered for Acute Onset of Pre-existing Condition.
Coverage available up to $15,000 Max for Eligible Medical Expenses and up to
$25,000 for Emergency Medical Evacuation.）比其他的只贵200多块。想想要买还是
就买一个cover的比较踏实。
有没有人用过这个保险呢？和其他大保险公司一样操作么？规范么？谢谢 |
|
|
p*****n
发帖数: 131 | 36 不太懂，要不问问保险公司怎么解释。
不过，我看到的很多旅行保险都是pre-existing的病症不cover，你这种貌似比较好一些
险？ |
|
|
J**T
发帖数: 610 | 38 最好问一下保险公司，policy说的是acute onset of pre-existing condition |
|
e*********1
发帖数: 311 | 39 我有糖尿病，也是一直顾率到遗传的问题，但是想想这总比遗传癌症什么好。现在怀老
二快１５周了，天天要扎手指，测尿酮，打三针胰导素。下面是二型糖尿病的遗传比例:
Type 2 Diabetes: Your Child's Risk
Type 2 diabetes runs in families. In part, this tendency is due to children
learning bad habits eating a poor diet, not exercising--from their parents.
But there is also a genetic basis.
In general, if you have type 2 diabetes, the risk of your child getting
diabetes is 1 in 7 if you were diagnosed before age 50 and 1 in 13 if you
were diagnosed after age 50.
Some scientists believe ... 阅读全帖 |
|
k**n
发帖数: 6198 | 40 说cover per-existing conditions of acute onset of certain diseases, and lab
test like x ray and MRI etc.Co-insurance is 100% of pre-certified and paid
to the provider directly?
能不能给说一下怎么样? |
|
h*********e
发帖数: 170 | 41 My daughter had similar onset of the cough with wheezing several times. The
doctor suspected Asthama. He did prescribed the medcine with a machine (I
completely forgot what that is) to creat the mist. She needs a mask to
inhale the mist. That works well for her. When I researched the asmatha in
the internet back that time about 6 years ago, it said it is common for kids
in my area (north east). Part of the reason is due to long winter and kids
stay at home without fresh air for too long. Kid's l... 阅读全帖 |
|
s*******c
发帖数: 5161 | 42 ☆─────────────────────────────────────☆
az (哥哥小弟和弟弟大哥) 于 (Sat Nov 17 00:14:50 2012, 美东) 提到:
家里公司的事情忙得透不过气来，要结网一阵子，如果有问题，可以发到我的信箱来。
。。祝大家孩子都健健康康，顺顺利利的
散尽家财了，祝福弟弟健康，不要再生病，咳嗽哮喘了，希望月月健康，进步快快
问些关于哮喘的问题，如果哪位有经验，请赐教：弟弟连续大概40天内三次wheezing，
跑了两次ER，若干次诊所了。。。最近这次发病很快，之前一天是感冒症状，打喷嚏流
鼻涕，晚间很轻微的咳嗽，第二天咳嗽加重，但是也只是咳嗽，吃完晚饭开始呼吸声加
重，很快呼吸就出了问题，明显有些吃力，弟弟8点多睡了，wheezing很明显了，而且
呼吸很快，达到56次每分钟，略微有体温，咨询了护士之后，说由于呼吸频率高，体温
的原因，让立刻去ER。。。本来还犹豫，担心ER要等，被护士一说慌了，赶紧奔医院了
。。。这里说一下，小宝还是慎重些，ER没那么可怕，可能我们比较小，情况比较紧急
吧，两次ER都是几乎没等的，很快就进去做常... 阅读全帖 |
|
w******y
发帖数: 4871 | 43 very rare disease, duo发在亚裔小孩。
it's hard to tell it is the chicken pox vaccine caused it right now. even it
is that vaccine caused, then it is a very good case report to let we know
more about this disease. I do not think family and lawyer can win the case
because no definite association between chicken pox vaccine and the onset of
this disease so far.
Bless! |
|
l*********e
发帖数: 5385 | 44 ☆─────────────────────────────────────☆
qingliang (wolaile) 于 (Sat Feb 2 12:22:15 2013, 美东) 提到:
帮别人发贴，他们全家陷入绝望中，求求好心人帮忙（万分火急！）
我女儿本来是个非常聪明健康活泼的宝宝。自从1月23日因一剂水豆预防针而染上川崎
病，一切都改变了，我们现在全家都陷入了极度悲愤之中。
虽然她现在已经出院，女儿并没有康复，此病引起的一系列后遗症将伴随她的一生。
出院后女儿整天昏昏沉沉，反应迟钝，各种行为，严重反常，不爱说话，每天哭闹烦躁。
食欲非常差，甚至连平日爱吃的糖果甜点，也不能让她感兴趣。
我老公2010年来美国读书，刚毕业从犹他搬到北卡罗来纳州，工作也还没有完全稳定，
本来工作方面就要花大量的时间。而且我们英语沟通不好，在此时碰上女儿的医疗事故
，都像无头苍蝇，不知道该如何是好，请求好心人帮帮忙。
1月23日（周三下午），我在女儿daycare接女儿去医院打流感疫苗。医生说她还有一针
应该在一岁的时候应该注射的疫苗没打，我疑惑地说女儿以前的儿医说过她四岁以前的
疫苗都... 阅读全帖 |
|
w******y
发帖数: 4871 | 45 治疗上一般都会用到inhaled albuterol , inhaled steroid。
Respiratory syncytial virus and asthma: speed-dating or long-term
relationship?
Authors
Piedimonte G.
Journal
Curr Opin Pediatr. 2013 Jun;25(3):344-9. doi: 10.1097/MOP.0b013e328360bd2e.
Affiliation
The Cleveland Clinic Pediatric Institute and Children's Hospital, Cleveland,
Ohio, USA.
Abstract
PURPOSE OF REVIEW: Respiratory syncytial virus (RSV) is the most common
respiratory pathogen in infants and young children worldwide. Furthermore,
epidemiologi... 阅读全帖 |
|
p******t
发帖数: 3764 | 46 多嘴说一下，这个病遗传是50% chance，老大也去做个基因检测吧。美国这边检测出来
，会让亲属都去做基因测试，因为有人虽然携带，但是症状不一定会很早出现，很多都
是到了二三十岁才开始慢慢肌肉不听使唤的。目前能想到唯一治疗办法就是基因工程，
但不知道啥时候会有人体实验
early onset比较可怕，因为小孩肌肉还在发育中。。。bless宝宝 |
|
z*****2
发帖数: 6 | 47 最好去医院诊断是否得了阑尾炎，因为其他病也可引起腹痛。我是在国内做了阑尾切除
手术，手术前医生建议先用抗菌素治疗。经一段治疗效果不好。为以防炎症引起阑尾穿
孔而造成急腹症，就做了手术。阑尾手术，只要没穿孔，在国内属于常规手术。正常情
况下2-3天即可出院。美国的医疗手术情况不甚了解。医书这样写：
signs and symptoms of appendicitis include fever,increased white blood cells
, and generalized pain in the upper abdomen. Within hours of onset the pain
usually becomes localized to the right lower quadrant at McBurney's point,
midway between the umbilicus and the right iliac (既肚脐与右侧髂骨之间，髂骨
就是那块当你用手插侧裤兜时感觉到的那块最突起的骨头）.This is one of the
classic symp |
|
w*********y
发帖数: 7895 | 48 自闭症的形成原因很复杂，不是遗传这么简单的。我记得我看过一篇文章，
影响自闭症的ONSET有10几个因素。。。。。 |
|
b**u
发帖数: 854 | 49 楼主请看下面这段从Diagnostic and Statistical Manual of Mental Disorders (DSM
-IV）摘抄的部分章节。里面有讲到说，少数自闭症儿童一岁或者两岁前发育正常。我
想这大概就是你们家孩子的情况了。
我是自闭症教育专业的，但是没有直接和这么小的孩子打过交道，不是很确定学前阶段
的具体特殊服务都有哪些。总的来说，自闭症的三大症状：语言障碍、社交障碍和机械
化动作，是学龄期阶段主要干预的对象。这其中，克服语言障碍和社交障碍是主要的教
育目标。因为语言障碍会导致小孩子和他人交流上的障碍，进而导致社交退化。同时，
社交障碍也会减少小孩子和他人进行语言交流的机会，是语言能力更加恶化。至于僵硬
的行为，一般来说，特教老师都会很理解，不会刻意去干涉。
我觉得对自闭症的孩子进行干预的主要的原则就是，在他可以接受的范围内，有步骤有
计划地进行语言和社交行为的干预。不要强迫他去学习什么，一切都可以慢慢来。如果
让他觉得反感，反倒容易导致一些攻击性或者自伤性的行为。那样的行为一旦产生，就
很难改正。
有一种针对自闭症孩子的社交训练方法，叫Social Sto... 阅读全帖 |
|
j*****1
发帖数: 1107 | 50 Cannot type Chinese right now.
The first episode happened on a Sat afternoon, the second on Sunday
afternoon. The third and fourth happened on Sunday night and Monday night,
respectively. Within a 52 hours period, the headache happened 4 times, each
time the pain was intolerable.
So on Monday night, I rushed her to the emergency room. The drive was 20 min
. By the time we were there, the edge of her pain was almost gone (about 50
min from onset) The doctor examined her eyes and chest, asked her ... 阅读全帖 |
|
