g*****j
发帖数: 1211 | 1 Thrombus forms as we age, and is the underlying cause for heart attack and
many strokes.
The treatment for thrombus is to control its risk factors, including high
cholesterol, high blood pressure, diabetes, smoking etc. There are many
medications that can be tailored based on the individual patient, and you
really need to see a primary care physician to get a physical exam and some
basic labs, and he will be able to prescribe you the right medicine, and
provide follow up. It will irresponsibl |
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g*****j
发帖数: 1211 | 2 Wet prep is to diagnose vaginosis, most typically caused by bacteriosis
(an imbalance of normal bacteria), candida (a type of fungus), trichomonas
(a parasite). Cervicitis is usually caused by sexually transmitted
diseases such as syphilis, gonorrhea, chlamydia etc. All of these
conditions require treatment of antibiotics, which a Chinese medicine
doctor can not prescribe. |
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g*****j
发帖数: 1211 | 3 You have the right to request updated immunization record from the dog owner
. Or the dog should be taken for observation.
You should be check at a clinic. Rabies is rare. Immunization against
rabies is usually not necessary. However, proper wound care is important,
as animal bite is probably the dirtiest wound you can have. The more
concerning issue is the bacteria in the dog's teeth. Most doctors will
clean the wound, and prescribe antibiotics. |
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g*****j
发帖数: 1211 | 4 The medicine that your pediatrian prescribed is likely albuterol, a
bronchodilater via a nebulizer. It is the most effective and safe
medication for children at this age, as they usually do not use inhaler well
, which is more convenient and equally effective.
In terms of oral treatment, the usual cough syrup that were used at lot in
China simply suppresses the cough reflex, but does not address the
underlying problem. Steroid will be indicated in severe bronchospasm/asthma
, but apparently y |
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g*****j
发帖数: 1211 | 5 If you don't have insurance coverage, you can ask your doctor to prescribe
cheaper drugs. Levaquin is unfortunately expensive. If the clinical
suspicion is truly bacteria pharyngitis as you said, there will be cheaper
alternative for Levaquin. |
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c***y
发帖数: 7 | 6 找到答案了，自问自答一下。万一有人有一样的问题。隐形眼镜处方费确实有其道理的。
Here is a typical contact lens prescription:
Eye PWR BC DIA Brand
OD (Right) -2.25 8.8 14.0 Acuvue
OS (Left) -3.00 8.8 14.0 Acuvue
Here are the definitions of the symbols used:
PWR/SPH Power or Sphere (Strength of Correction)
BC Base Curve (Curvature of the Lens)
DIA Diameter (Diameter of the Lens)
Brand Refers to the contact lens prescribed.
OD Right Eye Prescription
OS Left Eye P... 阅读全帖 |
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g*****j
发帖数: 1211 | 7 Many people take gluosamine for joint diseases, but I don't think there is
evidence that it is helpful for osteoporosis (骨质疏松)
The most important step is to get a bone density scan (aka DEXA scan). It
gives you the score of your bone density. This score predicts the risk of
future fracture, most commonly hip and vertebral fracture.
The treatment is dependent on the score. Vitamin D / Calcium supplement (
you can buy at CVS), weight bearing exercise and some sensible sun exposure
are the best ... 阅读全帖 |
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g*****j
发帖数: 1211 | 8 Wow... You should not mess with anti-epileptic drugs.
This is a class of very dangerous drug, and should only be used under
supervision by a neurologist. Most primary care doctors will not feel
comfortable prescribing these medicine. Different type of seizure uses
different drugs. Many seizure specialists will not use generic drugs in
treating seizure disorder, because a precise dose is critical to achieve
good seizure control and minimal side effects. This is not a field one can
learn hims... 阅读全帖 |
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g*****j
发帖数: 1211 | 9 The best way to measure blood pressure is to get a stethoscope and a cuff
and do it yourself manually. In terms of electronic ones, OMRON is probably
the best brand you can get for consumer grade.
In general there are five classes of blood pressure medicine: diuretics, ACE
inhibitor (ACEI), Calcium channel blocker, beta-blocker, and angiotensin
receptor blocker (ARB). There is no best medicine, but only most suitable
medicine based on his particular health history and condition. This is why
y... 阅读全帖 |
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t*******n
发帖数: 4445 | 10 Theoreticall yes, practically no.
Unless you already know (1) what the doctor will prescribe & the cost (2)
the policy costs less than the benefit it pays and (3) the problem does not
fall into any pre-existing condition or exclusion period as defined by the
policy. |
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t*******n
发帖数: 4445 | 11 if max dose of otc pain killer doesn't work, er or your regular doctor may
be able to prescribe something stronger
meanwhile schedule a dental consultation asap, before postponing it to china. |
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c********e
发帖数: 496 | 12 mild allergic reaction, the doc prescribed systematic methylprednisolone,
can not believe it. |
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f****o
发帖数: 2770 | 13 sharing prescription medication with others is technically illegal
find a free clinic or urgent care or minute clinic or family MD to prescribe
the same thing |
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t*******n
发帖数: 4445 | 14 Yes, allergy should be considered.
If reflux is still suepected, LZ can ask the ped to prescribe zantac and/or
prilosec & see if there is any improvement. Final diagnosis of reflux
requires a ph probe to be inserted & kept for 24 hrs, so don't do that
unless
necessary. |
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f****o
发帖数: 2770 | 15 该是可以确
诊了，小孩昨晚又发作了几次，并且小孩能够意识到，到发作时候就自己醒了）
NO, I do NOT have license/credential to diagnose, I am not a physician,
I'm a pharmacist. I can only answer drug-related questions. And, even if
I am a Physician, it is difficult to diagnose someone on the internet
without seeing the actual patient.
和
Alternative Drugs，它们都是适用于partical seizure吗？还是partial seizure下面有
很多子类型，每个子类型分别对应一种first-line drugs 和alternative Drugs。不好意
思，没有看明白，麻烦你有空时解释一下。
I copy and pasted these from other reference: pharmacotherapy poc... 阅读全帖 |
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f****o
发帖数: 2770 | 16 tell ur doctor to switch to something else
or prescribe each ingredient separately
tetracycline
metronidazole
bismuth |
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g*****j
发帖数: 1211 | 17 Food intake is not the only source of cholesterol. Cholesterol is
synthesized in the liver from other metabolic products such as sugar (
glucose, starch) and protein. Statin is the most widely prescribed agent
that lowers cholesterol. It works by inhibiting the key enzyme that
synthesizes cholesterol in the liver.
So although healthy diet is critical, one sometimes need a little help. |
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g*****j
发帖数: 1211 | 18 There are three types of people. Psychiatrist, psychologist and social
worker.
Psychiatrist is a medical doctor with an MD. Psychiatrist prescribes
psychiatric medications, and usually does not do much counseling. There
are exceptions, but very rare nowadays and will be very expensive.
Psychologist is a specialist with a Ph.D. or Master that is trained to do
psychological testing and counseling. A typical example is cognitive
behavioral therapy.
Social worker is the lowest in psychiatric car... 阅读全帖 |
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c********e
发帖数: 496 | 19 The threshold for a suspicion of child abuse is required to be low in
hospital, and it is their duty to report to the children protection
organization. And the custody is the routine procedure for cases of this
kind. The PEDs will prescribe other test, like skeletal survey, and retina
check to try to find other evidence of child abuse, if no other evidences
are found, most likely they will return your baby back to you, while they
will follow up.
For the fracture, without browsing the imaging, I ... 阅读全帖 |
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c********e
发帖数: 496 | 20 The meds that's related to the metabolism of serotonin are not compatible
with cheese, cottage cheese is better in that list. The drugs are primarily
prescribed for depression (SSRI) or parkinson's disease (MAOI). For the
commercial name, you may google them out.
the other concern is dyslipidemia, but not strictly contraindicated. |
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w*****6
发帖数: 31 | 21 我最近几个月一直有消化不良的症状，经常放臭屁，最近一个礼拜又出现反胃酸和胃痛
的症状，去医院验血，查出幽门螺旋杆菌感染。 医生开了如下治疗方案：
amoxicillin which you take 2 capsules twice a day for 10 days and she has
ordered biaxin which you take one capsule twice a day for 10 days. Continue
with the omeprazole as prescribed and for 6 weeks after you have finished
taking the antibiotics.
我的身体对抗生素反应不太好，我也知道中国人由于饮食习惯有这种感染的人较多，很
多情况不治疗也可以。我想问我可不可以按照慢性胃炎来调养而不吃抗生素呢？ 谢谢
了。 |
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c********e
发帖数: 496 | 22 you need to take antibiotics to kill the germ, H.pylori is known to cause
gastric cancer.
take the meds that your doc prescribed, and 6 weeks from now, you need to
check your H.pylori again to confirm it is eradicated, remember not antibody
in the blood, do stool antigen or breath test.
if the antibiotics do not work for you, try bismuth or metronidazole. good
luck.
traditional medicine may help, but germs won't be gone by itself. |
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t*******n
发帖数: 4445 | 23 Try Selsun Blue on your own, or any other generic shampoo that contains 1%
selenium disulfide.
If not working, doctors (I'd say try family doctor first) can check & maybe
prescribe something stronger. |
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w*********s
发帖数: 2136 | 24 Why Almost Everything You Hear About Medicine Is Wrong
http://www.newsweek.com/2011/01/23/why-almost-everything-you-he
If you follow the news about health research, you risk whiplash. First
garlic lowers bad cholesterol, then—after more study—it doesn’t. Hormone
replacement reduces the risk of heart disease in postmenopausal women, until
a huge study finds that it doesn’t (and that it raises the risk of breast
cancer to boot). Eating a big breakfast cuts your total daily calories, or
not—as a st... 阅读全帖 |
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c**i
发帖数: 6973 | 25 John de Jong, Dog owner wants to leave no stone unturned. Boston Herald, Mar
http://bostonherald.com/entertainment
/lifestyle/view.bg?articleid=1323037
My comment:
(a) the surname de Jong is Dutch meaning ‘the young’, for the younger of
two bearers of the same name--usually a son. The English and German
counterparts are Young and Jung, respectively.
(b) The vet stated, "Signs of urinary stones can include straining, bleeding
, etc."
That really hit me. When I was about 10 years old in City of Ka... 阅读全帖 |
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W***M
发帖数: 50 | 26 You can't buy it without a prescription of an oncologist. No oncologist will
prescribe the medicine to you unless the patient is seen by him/her. |
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j*k
发帖数: 11 | 27 My son is 8 years old, and had four seizures so far. The first one was
around one year old, second one when he was five, and the third was last
October, and he had the last one a week ago. Each time, he was coming down
with something like strep throat, before the seizure he had no fever, and
right after the seizure he had a fever. I think the seizure happens right
when illness cause his temperature to rise. The seizures were grand mal
seizure which lasted around one minute. The middle two t... 阅读全帖 |
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g*****j
发帖数: 1211 | 28 想请问大家的问题包括以下：
1.这种情况预后会很差么？在网上搜了一下淋巴转移还是很影响预后的，但是不知道具
体到父亲这种情况，就是术后几年以后出现转移，发现得早，这样子的预后具体会有多
乐观还是悲观。
- I am not familiar enough with esophageal cancer. But overall,
metastasis to the lymph node is always bad news. In terms of prognosis,
whether or not metastasis is present matters more than the size of
metastatic tumor.
2.本来想让父母今年到美国来玩的。机票也都买好了，父亲现在还是很想来的。我们也
支持，到这边玩玩心情好一些，也许病情会有转机。（他们以前来过几次，每次也都还
玩得挺开心的）。但是不知道这二个月以后的复查要怎么样。医生说要做个CT看一下。
可是旅游保险好像都不保pre-existing conditions，所以想问问各位知不知道没有保
险做CT大约... 阅读全帖 |
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a*****a
发帖数: 19262 | 29 thank you so much.
I am trying Claritin-D now, and it seems it works better than Allegra which
is recommended by the doctor.
Should I ask the doctor for prescribed medicine.
Are you taking any medicine? |
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J*********y
发帖数: 31 | 30 I have similar problem and the doctor prescribe omeprazole. I did not take
them all.
You might try some pro biotic drink, usually located with Yogurt in Walmart.
Or you can try some millet soup. Millet (小黄米)can be found in Asian market
. That is high in fiber, good for digestion problem.
Walking is good for digestion and stomach, but not immediately after meals. |
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g*****j
发帖数: 1211 | 31 Although metformin is widely used, certain conditions, such as insufficient
kidney function, should not take this medicine. Her doctor is right to
order blood test before prescribing the medicine. High blood sugar itself
is not an emergency, and it is OK to wait for a couple of days. |
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g*****j
发帖数: 1211 | 32 You should still finish the course as prescribed to prevent relapse. |
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z****n
发帖数: 1514 | 33 better go to hospital now. It's very itchy and can get worse and spread to
many places on the body.
Doctor might prescribe oral medication for your LG. Need to use it for 2
weeks.
Bless your LG. |
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T******n
发帖数: 77 | 34
This is a dumb argument. If LZ's description is accurate, the action of
this doctor in China at least partly contributed to the poor outcome of the
patient. He said that the patient did not need surgery while in fact she
did. Try argue that I was not a doctor but a friend when I gave the advice
in any court of law, be it in China or in US, you will give the jury a easy
time and be a laughing stock of the masses. If he is a well trained and
responsible doctor, he will not be giving treatment a... 阅读全帖 |
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j****i
发帖数: 496 | 35 I tried many different OTC products for acne - none of them worked well.
Incidentally, my doctor prescribed some antibiotics for an unrelated illness
, and I've not had any more acne problems since I finished the antibiotics. |
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t*******n
发帖数: 4445 | 36
If he didn't claim to be a medical doctor, and did not prescribe any
medicine (besides the dietary supplement you mentioned), then medical
regulations do not apply. You can consider the small claims court if he
doesn't refund you though. |
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y*****g
发帖数: 193 | 37 Primary Care Physician(PCP) should be fine. It is much cheaper to see a PCP
than a urologist. Dysuria or UTI caused by prostate enlargement is very
common for male seniors. They might prescribe "Flomax" to help with
urination related to benign prostate enlargement. They might do DRE(direct
rectum examination) or order PSA lab work to rule out some prostate
malignancy. |
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a*****a
发帖数: 19262 | 38 if OTC medicines doesn't work for you, you should get prescribed ones.
I have same problems with you, it's really a headache to have allergies.
I don't know what will happen this year. Maybe I should eat the medicines
one-month ahead of time. |
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s********y
发帖数: 26 | 39 一个月前右脸颊上长了些包，有点像蚊子咬的，痒。10天以后，左脸上也长了。痒的时
候比较红肿，不痒的时候就平一点颜色也浅一点。 自己涂了点OTC的1%
hydrocortisone，吃了一天的benadryl，没用。然后第一次去看医生，给了
Triamcinolone药膏，涂了一个星期没什么用。再去复查，医生说像钱币状湿疹，我回
家google了一下觉得我的不像是，至少看起来很不一样。医生给prescribe了Claritin
，让我吃一个月看看。我现在已经吃了两个星期了，还是没有好转。
我去年也是这个季节得了一次荨麻疹，包很多，都长在四肢上，很痒，比这次痒多了，
而且长包的地方会经常改变，有时在这里有时在那里。（这次就一直在两边脸颊的同一
个地方。）上次我吃benadryl很有效，吃了三五天就全好了。
已经一个月了，又痒又长在脸上，很讨厌！请板上的大牛看看，这次这个也是荨麻疹吗
？如果是的话，为什么吃claritin和benadryl好像都不太有用？应该怎么治疗？（在美
国看医生基本上都是浪费时间。。。）拜谢！！ |
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t*******n
发帖数: 4445 | 40
能有用。不知道如何才能搞到？
* Does the patient's doctor recommend it and is willing to supervise its use
? If not, forget the whole thing.
* If yes, it has been imported into china as 阿法替尼. Buying cancer drugs
in the US without a doctor's prescription is illegal, and no doctor will
prescribe it without seeing the patient. |
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on
发帖数: 199 | 41 I had low Vit D 3 years ago, and then took the prescribed high dose Vid D
for two months..
half year later, an ultrasound showed I had kidney stone...
I had no proof that taking vid D and kidney stones are related, but I
stopped taking Vid D since then, and tried to get sun exposures (risk there
is skin cancer though). I also took periodic ultrasound to check the kidney
stone. Fortunately it stayed the same size as the first time it was found. |
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a*****0
发帖数: 3319 | 42 In America, the doctors would not prescribe insulin until medicines fail,
because insurance would not let the patient go directly to insulin since it'
s much more expensive than medicine.
国. |
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a**********2
发帖数: 3726 | 43 OTC? No need. Just comply with the prescribed medications he has. |
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a**********2
发帖数: 3726 | 44 Np. Personally I won't recommend chemo for this stage if my friends or
family member had it. But since she already started, hopefully she will make
it.
Even got diagnosed two months earlier when she had those symptoms, I highly
doubt that would change her staging and prognosis. It's just sad and hope
medicine can progress faster.
Pain control (Chinese doctors are reluctant to give morphine kind pain meds,
if so, ask the doctor to prescribe for her), at this stage, pain control is
the most import... 阅读全帖 |
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l*h
发帖数: 4124 | 45 was the triamcinolone specifically prescribed for your scalp? if not, stop
using it before seeing a dermatologist. you cannot do a proper diagnosis
from such low res pictures. |
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f****o
发帖数: 2770 | 46 your mom porbably can get the same medication in China.
Tell her to find a physician in China and explain the situation and
prescribe it for her. |
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f****o
发帖数: 2770 | 47 you did not provide enough information
how old is the patient? gender? weight? height?
家里老人多年高血---how high? how many years? what drug is he/she on? 心脏病-
-what kind? how many years?
去年夏一次比较严重的发病之后--what does that mean? what is 比较严重的发病?
heart attack?
医院诊断是冠心病、心肌梗塞诱发心力衰竭--what stage?、左降支血管闭合、肺部有
积水.今年冬又连续两次发病.--what happened?
请问美国这边有没有什么更有效的治疗方法和药物?能使得病情缓解和控制,
what drugs has MD in China prescribed for the patient?
有没有保健类药物?--NO at this stage |
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f****o
发帖数: 2770 | 48 you did not provide enough information
how old is the patient? gender? weight? height?
家里老人多年高血---how high? how many years? what drug is he/she on? 心脏病-
-what kind? how many years?
去年夏一次比较严重的发病之后--what does that mean? what is 比较严重的发病?
heart attack?
医院诊断是冠心病、心肌梗塞诱发心力衰竭--what stage?、左降支血管闭合、肺部有
积水.今年冬又连续两次发病.--what happened?
请问美国这边有没有什么更有效的治疗方法和药物?能使得病情缓解和控制,
what drugs has MD in China prescribed for the patient?
有没有保健类药物?--NO at this stage |
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l*h
发帖数: 4124 | 49 I don't question the diagnosis of HCC, but the pathology report is of very
low quality, and I don't understand the treatment strategy either.
1. there is no description of microscopic findings, there is no way to tell
if the histological grading is correct or wrong. it seems almost all
pathologists in China have the magic power to give an unequivocal diagnosis
on everything.
2. stomach stromal tumor is rare, spleen stromal tumor is extremely rare. i
simply cannot believe all three tumors occur a... 阅读全帖 |
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j****d
发帖数: 123 | 50 so, mind me asking: Dr LMH, what DO you prescribe for your HCC patients with
distant metastasis? |
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