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National Standards to Rank Physicians Planned

How would you describe your pain while recovering from a cesarean section?

Was the pain mostly on the incision? Was it inside your abdomen?
How often did you have to call the nurse for pain medication?

The pain when I initially woke up from the anesthetic was the most excruciating pain I've ever felt. However, I had a general, not a spinal anesthetic - I think that when you have a spinal, they make it last long enough to prevent that immediate post-op pain.

For a couple of days I had quite severe pain, at and around the incision site. I was on morphine for a few days, but hated it because it spaced me out and gave me vivid nightmares. By the day I went home, the fifth day after surgery, I refused the nurse's offer of Tylenol. I was really surprised at how quickly I felt better.

I am afraid of doctors?

My mom wants to take me to a doctor for what I think might be a yeast infection. The only problem is I'm afraid of doctors. Really afraid, my mom says it's an irrational and stupid fear, but that doesn't help.
I don't like the tools they use and they in general doctors always seem to scare me.
Also I tried the otc medication and I can't do it, I tried. And I just can't. I read online somewhere that the yeast infection could go away after my period, do you know if that's true? Also, I'm a virgin, but I don't know if that has anything to do with it. I'm just giving you as much info as i can…
So… any tips on how to not be afraid of doctors? I don't want to cry… again. But i know i need to go to one. "(

The best thing you can do is to relax! I know it sounds impossible, but the more relaxed you are, the easier it will go. While the doctor is doing the exam, if you feel the slightest bit of pain or discomfort, tell her/him. You can also ask the doctor to warm up the instruments before she/he starts, and ask them to use the smallest size they have. During the exam, it helps to talk to take your mind off of what's going on. You'll see that it's not all that bad. And just think how much relief you're going to get when she/he gives you a prescription. Tell them that you would prefer the prescription in a pill form. You have this right as a patient. Good luck Sweetie!

Anxiety or Panic Attacks…what immediate action can be taken? What about during plane travel?

I've recently been getting panic/anxiety attacks. I haven't been diagnosed by a doctor or therapist yet, as it's only been a couple weeks that I've realized what they are.

They first started when I was smoking marijuana. I realized I was getting these weird symptoms when smoking, so I stopped, about a month or so ago. (I have no inclination to smoke again.)

However, now I'm realizing I've been getting minor ones here and there, with seemingly no trigger. Last night was the worst I've had without smoking. It started when I was at a restaurant with my fiance and some friends, and it lasted at least an hour, with about five to ten minutes of the worst symptoms, and the time after just feeling shaky and feeling like my heart was fluttery, and I was left with a general feeling of being disconnected from the rest of the world.

I'm looking for suggestions, tips, hints, etc. for dealing with these attacks. What to do when you feel the onset, while they're happening, coming down completely after, etc. A link to sites with help for this would be highly appreciated.

Also, a major fear I now have is that I'm in Boston visiting family for the holidays, and travelling back to Seattle tomorrow evening, with a 3-hour layover. I had some little minor attacks on the way over, but now that I've had this big one, I'm afraid of a repeat should we hit turbulance or have a rough takeoff ot landing or the like. I am travelling with my fiance, so if there's anything I could coach him in for helping me, he'd be there and willing to help.

For some background info, I have asthma and allergies, take OTC allergy pills, singulair, advair, albuterol, and was just diagnosed with Addison's Disease and take prednisone (and one other pill, whose name I cannot recall as I type this).

Again, ANY real help would be extremely appreciated!!
For those of you who dislike reading full questions, let me emphasize: I STOPPED smoking marijuana about a month ago!
Thanks!!
Hi, sorry to hear your having some trouble at the moment. Please take heart that there are many people in the same boat as you and with the right thoughts and effort, you will be victorious!

I have been researching Anxiety Disorders and Panic Attacks on and off for around 6 years now. The best practical advice that I could offer in a this brief snippet is to adopt an attitude of complete acceptance when you feel a panic attack coming on. Recognise the physical symptoms for what they really are, just physical symptoms. No harm will ever come to you. The more you adopt an attitude of "This is just a physical manifestation of panic, it's not harmful but just my body incorrectly responding to an irrational thought/fear". Once you take the fear out of the symptoms, the fears like "I'm going crazy/I'm not safe etc" will start to diminish as fear breeds fear. By starting to view these panic attacks with less anticipation and importance, you begin to disable the fear it so often brings.

Do not overly worry about if the plane will hit turbulance or have a rought landing. On the road to recovery, you need to learn not how to deal with the situation (bad takeoff etc) but you need to learn to deal with yourself. Regardless of where you are, when you panic you pass through the same emotions whether you are on the plane or in your living room. Healing lies in being able to accept these emotions and feelings 100% knowing that no harm will come to you because they are just emotions and you are in control of yourself.

I would recommend you udertake some relaxation techniques before you leave for the airport and before you board your plane. These are very simple to do and can be done anywhere. Practise deep breathing. Make sure when you inhale, your stomach goes out and not your chest. Breath in for 1 second and out for 2 seconds. Do this for 10 mins while focusing on something relaxing i.e. listening to your iPod or looking at a scenic photo.

The best thing your fiance can do for you is to stay calm and focused, to talk to you in a calm manner when you begin to feel anxious. Ask him to remind you that you are in no harm and that your just experiencing some false messages from your body.

You've made a positive and great step in stopping the marijuana. Although your increase in anxiety may have been caused by you stopping marijuana, the long term benefits outway this. Exercise will help alot in managing this short term anxiety and will also allow you to refocus.

If your symptoms continue, I would recommend going to your local health care professional who will be able to explore other potential causes for your panic attacks. These can be biological i.e. thryroid problems etc or emotional i.e past trauma etc.

I hope this has been of some help for you. If you would like to know more or have any other questions concerning this topic, please feel free to contact me.

How much pain should you expect from a stress fracture in your femur?

I am 12 and have had a stress fracture for about 4 months, I am on crutches and I'm starting physical therapy on Tuesday. I am in EXTREME pain during the night, and moderate pain during the day. How long will this go on? Help, please and thank you.

about 1 month to 3 months more but it could go on longer
feel better
for the holidays
best whises

Fun Medicene…Is Not HomeWork…Im a doctor and trying to see how smart the economy is?

1: The most recent manual published by the American Psychiatric Association which covers all mental disorders for both adults and children is the
DSMD-IV
DSM-IV TR
DMMD-V
DMS-V

2: Which of the following body systems is considered one of the nine key IC systems?
lymphatic system
skeletal system
hematology
none of the above

3: In general, a radial keratonomy is a procedure performed by an
orthoptist
ophthalmologist
optician
optometrist

4: Which of the following is not considered one of the three main disciplines of Pharmacy?
Pharmaceutics
Pharmacology
Pharmacy practice
none of the above

5: Which of the following neurological disorders is caused by an infection?
botulism
epilepsy
multiple sclerosis
Tourette’s syndrome

6: Which of the following basic sciences in medicine is the microscopic study of individual cells?
cytology
histology
pathology
physiology

7: Medications are generally divided into two groups - OTC and
PPO
FOP
MDP
POM

8: According to United States Census Bureau figures described in the modules, approximately what percentage of Americans does NOT have health insurance?
5%
15%
30%
45%

9: The procedure of artificially initiating labor is called
Caesarean section
ectopic pregnancy
pre-eclampsia
induction

10: Which step of the USMLE assesses clinical skills through simulated patient interactions, in which the examinee interacts with standardized patients portrayed by actors?
Step 1
Step 2-CK
Step 2-CS
Step 3

11: Which of the following disorders is considered a psychotic disorder?
delusional disorder
bipolar disorder
adjustment disorder
kleptomania

12: The critical time frame commonly known as the "golden hour" involves
the time that CPR is still effective
the time after an accident or the onset of acute illness
the time the brain can survive without oxygen
the time a person can be triaged as DELAYED

13: The type of genetic testing used to detect gene mutations associated with disorders that appear after birth, often later in life is called
prenatal testing
diagnostic testing
carrier testing
predictive testing

14: Which of the following is one of the 8 essential components of primary health care as outlined by The Declaration of Alma Ata?
education concerning prevailing health problems and the methods of preventing and controlling them
maternal and child health care, including family planning
prevention and control of locally endemic diseases
all of the above

15: Cortical death is also known as
coma
persistent vegetative state
brain death
none of the above

16: An antiembolic stocking is a device that
applies heat to soothe muscle aches
provides support to aid in ambulation
serves as protection from developing bedsores
applies pressure to prevent blood clots

17: Which of the following professions requires the most training/education?
EMT-B
EMT-I
EMT-N
EMT-P

18: In chiropractic, the term "subluxated" essentially means
broken
weakened
malformed
misaligned

19: One of the more common operations that gynecologists perform, the removal of the uterus is called a/an
hysterectomy
oophorectomy
tubul ligation
colposuspension

20: Which of the following is a section administered as part of the MCAT?
Biological inquiry
Writing analysis
Physical sciences
Verbal sample

21: Which of the following professions, in general, cannot prescribe medication in the U.S.?
nurse practitioner
physician’s assistant
psychiatrist
psychologist

22: During CPR, which of the following events may happen?
separation of cartilage
broken ribs
the patient vomiting
all of the above

23: According to the information in the modules, the most common form of eye surgery is
cataract removal
extra-ocular muscle surgery
glaucoma surgery
refractive surgery

24: The medical doctor most likely to prescribe selective serotonin reuptake inhibitors (SSRIs) is a/an
dentist
ophthalmologist
psychiatrist
urologist

25: Which field of psychology studies behavioral processes by experimenting on human beings and animals?
clinical
counseling
occupational
none of the above

Ha, I took this exam in school.

I'm sure the "economy" doesn't know half of this.
Takes a lot of studying.

And I can't believe you would trust people on here to answer these questions for you.

Also, its spelled medicine.

Medicene Questions??

The most recent manual published by the American Psychiatric Association which covers all mental disorders for both adults and children is the
DSMD-IV
DSM-IV TR
DMMD-V
DMS-V

2: Which of the following body systems is considered one of the nine key IC systems?
lymphatic system
skeletal system
hematology
none of the above

3: In general, a radial keratonomy is a procedure performed by an
orthoptist
ophthalmologist
optician
optometrist

4: Which of the following is not considered one of the three main disciplines of Pharmacy?
Pharmaceutics
Pharmacology
Pharmacy practice
none of the above

5: Which of the following neurological disorders is caused by an infection?
botulism
epilepsy
multiple sclerosis
Tourette’s syndrome

6: Which of the following basic sciences in medicine is the microscopic study of individual cells?
cytology
histology
pathology
physiology

7: Medications are generally divided into two groups - OTC and
PPO
FOP
MDP
POM

8: According to United States Census Bureau figures described in the modules, approximately what percentage of Americans does NOT have health insurance?
5%
15%
30%
45%

9: The procedure of artificially initiating labor is called
Caesarean section
ectopic pregnancy
pre-eclampsia
induction

10: Which step of the USMLE assesses clinical skills through simulated patient interactions, in which the examinee interacts with standardized patients portrayed by actors?
Step 1
Step 2-CK
Step 2-CS
Step 3

11: Which of the following disorders is considered a psychotic disorder?
delusional disorder
bipolar disorder
adjustment disorder
kleptomania

12: The critical time frame commonly known as the "golden hour" involves
the time that CPR is still effective
the time after an accident or the onset of acute illness
the time the brain can survive without oxygen
the time a person can be triaged as DELAYED

13: The type of genetic testing used to detect gene mutations associated with disorders that appear after birth, often later in life is called
prenatal testing
diagnostic testing
carrier testing
predictive testing

14: Which of the following is one of the 8 essential components of primary health care as outlined by The Declaration of Alma Ata?
education concerning prevailing health problems and the methods of preventing and controlling them
maternal and child health care, including family planning
prevention and control of locally endemic diseases
all of the above

15: Cortical death is also known as
coma
persistent vegetative state
brain death
none of the above

16: An antiembolic stocking is a device that
applies heat to soothe muscle aches
provides support to aid in ambulation
serves as protection from developing bedsores
applies pressure to prevent blood clots

17: Which of the following professions requires the most training/education?
EMT-B
EMT-I
EMT-N
EMT-P

18: In chiropractic, the term "subluxated" essentially means
broken
weakened
malformed
misaligned

19: One of the more common operations that gynecologists perform, the removal of the uterus is called a/an
hysterectomy
oophorectomy
tubul ligation
colposuspension

20: Which of the following is a section administered as part of the MCAT?
Biological inquiry
Writing analysis
Physical sciences
Verbal sample

21: Which of the following professions, in general, cannot prescribe medication in the U.S.?
nurse practitioner
physician’s assistant
psychiatrist
psychologist

22: During CPR, which of the following events may happen?
separation of cartilage
broken ribs
the patient vomiting
all of the above

23: According to the information in the modules, the most common form of eye surgery is
cataract removal
extra-ocular muscle surgery
glaucoma surgery
refractive surgery

24: The medical doctor most likely to prescribe selective serotonin reuptake inhibitors (SSRIs) is a/an
dentist
ophthalmologist
psychiatrist
urologist

25: Which field of psychology studies behavioral processes by experimenting on human beings and animals?
clinical
counseling
occupational
none of the above

If you are going to get a liscense to heal people, you need to do your own homework and KNOW YOUR SH*T!!!

Skeeving by on something as important as this is repugnant, go be a cabbie or something if you don't have the strength to do your own homework.

Getting a license without knowing the course work is FRAUD (not to mention very dangerous and possibly deadly for your patients).

Is sleep apnea a condition your born with or can u develop it?

I used to sleep through the night without waking up most of the time. Now I wake up maybe 3 or 4 times a night. I never get restful sleep. I also experience a lot of sleep paralysis. Could this be linked to sleep apnea?

What Is Sleep Apnea? Are you feeling sleepy all the time? Do you snore? Is your doctor having a difficult time treating your high blood pressure? If you answered 'yes' to any of these questions, then you might have Sleep Apnea (also called Obstructive Sleep Apnea or OSA).

Sleep Apnea is a condition involving pauses or decreases in breathing during sleep. It is usually due to airway collapse. This collapse occurs in the nose and/or the throat - anywhere from where air enters the nostrils to the back of the tongue. Imagine a straw collapsing when trying to suck on a thick milkshake. Frequently, this airway collapsibility problem is inherited and starts in childhood. In the daytime, it is not a problem because there is good muscle-tone in the airway and the brain monitors breathing. But at night, the throat muscles become relaxed and the brain is not as attentive to the airway. So on inhalation, the airway walls can either completely collapse or significantly narrow. This is a problem because 1) the body must struggle to breathe and 2) the brain has to 'wake up' to reopen the airway.

These frequent awakenings lead to fragmentation of nighttime sleep. You may not remember them because they are so short. In fact, patients with sleep apnea can wake-up more than 30 times an hour and think that they slept uninterrupted through the night. Since sleep must be continuous and consolidated in order to be restorative, a number of cognitive problems can occur with sleep fragmentation: daytime sleepiness, memory problems, concentration difficulties, emotional instability, irritability, slowed reaction time, and most importantly, an increased risk of motor vehicle accidents.

There are also cardiovascular consequences of this constant 'struggling to breathe.' This puts a strain on the heart and blood vessels, leading to increased risk of high blood pressure, heart disease and stroke.

Finally, there are social implications to Sleep Apnea. The snoring associated with sleep apnea can disrupt the sleep of others. In fact, one study showed that when a person treats his/her sleep apnea, the sleep partner gets the equivalent of one hour more sleep per night.

Sleep apnea is a progressive disease and often gets worse with age. Weight gain, alcohol, and other sedating/relaxing substances exacerbate it.

Who Gets Sleep Apnea?

A common misconception is that only overweight men that snore loudly have sleep apnea, but the facts are:

1) Sleep apnea can occur without snoring
2) Thin people can have sleep apnea
3) Women can have sleep apnea
4) Children can have sleep apnea

In other words, anyone can have it. Even skinny women. Even children.

I Think I Might Have Sleep Apnea, How Do I Find Out If I Have It?

Make an appointment with your primary care physician, or if your insurance allows it, go straight to a sleep specialist. If your physician thinks you might have sleep apnea, then he/she can refer you for a sleep study or comprehensive sleep evaluation.

How Is Sleep Apnea Treated?

There are four main categories of treatment for sleep apnea: Continuous Positive Airway Pressure (CPAP), Surgery, Oral Appliances, and Behavioral Modification.

The most effective way to treat sleep apnea is with CPAP. CPAP is a mask worn over the nose attached by a hose to an air compressor. The air compressor gently and quietly blows room-air into the nose, which 'stents' the airway open, preventing airway collapse. This is the most effective way to treat sleep apnea, and all patients diagnosed with sleep apnea should at least try it before considering other options.

Surgery can be an effective way to treat sleep apnea. A number of different procedures can be performed. These range from nasal septum repair to jaw reconstruction. Talk to your doctor about whether surgery is the right option for you.

An oral appliance is a device made by a dentist or an orthodontist designed to pull your lower jaw forward. By pulling your lower jaw forward, the tongue is pulled away from the back of the throat. If your airway obstruction is occurring behind the tongue, then this can be an effective way to treat your sleep apnea. The treatment of sleep apnea with oral appliance should be a coordinated effort between the sleep physician, the dentist/orthodontist, and the patient.

Behavioral modifications can help in the treatment of sleep apnea, but are usually the least effective. These include such techniques as weight loss, sleeping on your side, and avoiding alcohol before bedtime.

None of these treatment options is ideal, but they all can be useful in treating sleep apnea and resulting in more restful sleep. With risks like heart attack and stroke, you should do everything you can to get your sleep apnea under control. If you think you have sleep apnea, contact your doctor or go to a sleep center. It could be the best decision you ever made.
By: Scott Fromherz
Ar

How should one prepare for an Allergy test?

I have an allergy test lined up in the next week. Any pointers that i need to keep in mind before i go meet my doc?

You may need to stop taking some medicines, such as some tricyclic antidepressants and antihistamines such as cetirizine (Zyrtec), fexofenadine (Allegra), and loratadine (Claritin) before you have an allergy skin test. Discuss these and any other meds that you may be currently taking with your doctor. If you have an allergic reaction from any of the skin tests, you may have some itching, tenderness, and swelling where the allergen solutions were placed on the skin. After the testing is done, cool cloths or a nonprescription steroid cream can be used to relieve the itching and swelling. If you are having a skin patch test and you have severe itching or pain under any of the patches, remove the patches and call your health professional. You usually shouldn't expect any issues other than what I've noted above. I hope you're not allergic to too many things.

How can I stop the stinging/burning of my allergy shots?

I have been getting two allergy shots a week for several weeks. They sting and burn. Is this normal? People I have talked with said that allergy shots are not supposed to be painful? Help, please.

Allergy shots will often sting or itch for a while afterward, especially when the dosage starts to increase. Sometimes you will develop a large bump, like a giant mosquito bite. As long as it goes away within 24 hours, and you are not having trouble breathing or swallowing, you are probably fine. Most clinics have a number you can call with questions if you are concerned.

See if the nurse can use some topical spray and/or apply an ice pack right after you get the shot to help. Also, taking an anti-histamine like Zyrtec a short time before you get your shot helps reduce the reaction too. (Before taking any medication, please check with the doctor or nurse.)

How do I relieve tooth pain without seeing a dentist?

My tooth is chipped, so I know that's why it hurts, but it only hurts if I use it to chew. I really don't want to have to see a dentist, so what can I do to get rid of the pain? The pain isn't that bad, but every now and then I need to take Motrin to soothe it.

See if these home-remedies work for you.
http://myblogonbeauty.blogspot.com/2006/11/home-remedies-for-tooth-aches.html

How much pain is involved when a toddler gets a molar extracted?

My four year old daughter is getting a molar pulled because it has an abcess. Will she be in pain after the procedure, and how long? Will there be a lot of bleeding, and will she be able to ear?

It depends on the condition of the tooth and the surrounding tissues. Extraction sites tend to heal very quickly because there is such an excellent blood supply to the head. She probably won't need any more pain meds than over-the-counter stuff if that. Assuming there are no other complications, she should heal well! Make sure they give you post-extraction instructions in case you have questions after she's home.

However, it's REALLY important that a space maintainer is placed there. She won't be getting a permanent molar for another 2 years if it's a first molar or 8 years if it's a second! If that space isn't kept open, there won't be room for the new tooth and that causes a lot of problems (may even require extensive surgery or orthodontics.)

How do you get rid of back pain when the pain meds and anti inflammatories are not working?

My fiancée was diagnosed with Spinal Stenosis and the pain meds and anti inflammatory are not helping at all. He literally cries in his sleep from the pain.

see your docter

Can a child suddenly develop an allergy to our cat whom we have had for a year?

My 4 year old daughter has been sneezing and has had red,itchy, swollen eyes for the past couple of days. I am wondering if she is allergic to our family cat. We have had Tango for a year now and she never had a problem up until a few days ago. We have an appt at the pediatrician on Monday. I have been giving her Benadryl which does seem to help. Is it possible she is suddenly developing an allergy to the cat? Thanks for your input.

It is entirely possible for your daughter to have developed this allergy. Is the cat allowed on the furniture where your daughter plays? If so, the dander from your cat may be what’s making your little girl have those symptoms. Benadryl is a great thing to have when you or your child has an allergic reaction. Hope the doctor can discern for certain what’s really going on. Hope your daughter feels better soon!

What prescription pain killer were you given to take home after your c section?

Or, were you given a pain killer to take home after a vaginal delivery?

Was it enough?

I was given Percocet and Ibuprofen to take home after my C-section. They only gave me 45 Percocet which was not nearly enough. My doctor had no problem giving me a new prescription for another 60 (not sure why I wasn’t given this many to start with) since I ran out in about 5 or 6 days and when I had my 2 week check-up, she asked if I needed more which I declined.