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Dentist Simi Valley comments on BREAST CANCER SCREENING-GIVE IT MORE THOUGHT

Dentist Simi Valley — Tue, 21 Jul 2009 03:21:10 +0000

This is a a very interesting and informative post. It's true that people should be smart in terms of what kind of services your health care provider gives.

Dr. Lou comments on A READER ASKS ABOUT NODULES FOUND ON A ROUTINE CHEST X-RAY

Dr. Lou — Wed, 28 Jan 2009 12:49:25 +0000

Thank you for your comment.

In my postoing I referred to one link that helps explain what is mean't by nodules.

Hope this helps.

Here is one link to learn more about chest x-rays: http://en.wikipedia.org/wiki/Chest_X-ray. This is a Wikipedia source and so cannot be taken as completely reliable, but, does serve as a start.

From this link, the following:

Nodule:a nodule is a discrete opacity in the lung which may be caused by:

If the nodules are multiple, the possibilities are:

infection: tuberculosis, fungal infection, septic emboli
neoplasm: e.g., metastases, lymphoma, hamartoma
sarcoidosis
alveolitis
auto-immune disease: e.g., Wegener's granulomatosis, rheumatoid arthritis
inhalation (e.g., pneumoconiosis)

Dr. Lou

x-ray fluorescence comments on A READER ASKS ABOUT NODULES FOUND ON A ROUTINE CHEST X-RAY

x-ray fluorescence — Wed, 28 Jan 2009 08:57:30 +0000

I didn't know this so far.What is nodules in chest?
first time I am hearing this word.

Dr. Lou comments on ARE YOU, OR SOMEONE YOU KNOW, ON THE 'BLOOD THINNER' COUMADIN or the generic form 'warfarin'?-IF SO, YOU NEED TO READ THIS:

Dr. Lou — Fri, 09 Jan 2009 21:10:43 +0000

So sorry to hear about you awful coumadin experience. You are certainly not alone which is why I chose to post on that subject.

I hope the Coumadin Log helps.

Dr. Lou comments on ARE YOU, OR SOMEONE YOU KNOW, ON THE 'BLOOD THINNER' COUMADIN or the generic form 'warfarin'?-IF SO, YOU NEED TO READ THIS:

Dr. Lou — Fri, 09 Jan 2009 21:08:29 +0000

Your article on anticoagulant therapy is right on. I had a personal experience ,after changing brands of coumadin,of a bleed in my right hip that dropped my hemoglobin by 4 grams, my INR was elevated in spite of the fact that I was taking the same amount of coumadin daily and having my INR checked as directed.
Of course I was hospitalized and had to undergo numerous tests for a variety of possible causes, whcih was not only uncomfortable but expensive.
I can't emphasize enough that very frequent testing of the Inr IS of paramuount importance in maintianing a therapeutic INR level.

N.Fox

January 9, 2009 | N.Fox (lorinor@hotmail.com)

N.Fox comments on HEALTHCARE POTHOLES-WHO IS READING YOUR XRAY?- YOU BETTER KNOW!

N.Fox — Fri, 09 Jan 2009 14:07:23 +0000

N.Fox

N Fox comments on WHAT'S YOUR WORST HEALTHCARE NIGHTMARE?

N Fox — Sat, 13 Dec 2008 13:27:26 +0000

Subject: Patient Advocacy
Message: I really haven't given it to much thought however I think I would include some of the following services.
1. Assstance with dealing with insurance carriers.
2. Helping patients to select appropriate specialities for their conditins. This often is dictated by the insurance plan they are on.Physician Credentials could be screened in advance for any potential problems.
3. When a patient is upset by an encounter it would be helpful to have a third party to discuss the problem with.
4. Assisting in drafting communication to respond to errors in medical records.
5. Discussing in advance with patients any legal undertaking against a medical entity or physician to determine its merits.

That's just a few things I beleive would be helpful to patients.
I know there are many more and when and if I come up with some real good one's I'll foreward them .

Thanks

N.Fox

Dr. Lou comments on WHEN A SPOUSE OR PARENT JOINS THE PATIENT IN THE EXAM ROOM

Dr. Lou — Mon, 08 Dec 2008 20:48:23 +0000

Thank you for your comments.

You are doing yourselves a great service by being there for each other.

Your care will be better as well, as the physician is likely to be a little more attentive.

If a doctor resents a third party in the room, nothing good will result, and perhaps a more willing doctor should be sought.

I also want to say how fortunate you both are to care for each other so. Great to hear.

N. Fox comments on WHEN A SPOUSE OR PARENT JOINS THE PATIENT IN THE EXAM ROOM

N. Fox — Mon, 08 Dec 2008 18:27:16 +0000

I have read your article and am pleased that like yourself there are more physicians advocating having a 3rd person in the exam room.For many of the reasons you stated My wife and I accompany each other to all of our exams and find we come away with more information and a more satisfactory encounter because we both have an opportunity to provide input during the exam and not have to ask the spouse later, Did yoiu ask about this or that?
We both take notes for one another and ask pertinent questions raised during the physician patient dialouge.
For us it provides the ultimate in information retention.
N.Fox

Dr. Lou comments on SHINGLES VACCINATION-GIVE IT A SHOT!

Dr. Lou — Tue, 26 Aug 2008 12:33:26 +0000

Elsie,

You heard correctly. The shingles vaccine, also called 'Zoster vaccine' is given subcutaneously, that is under the skin, just over the deltoid muscle which is the muscle that covers the top part of the arm just below the shoulder joint.

The vaccine, which contains live virus, must be kept frozen, and reconstituted, or prepared for use within thirty-minutes of injection. The live-virus dies if left at room temperature any longer than that.

A single dose is all that is normally required, that is 'booster shots' are not generally needed.

Hope this helps.

Dr. Lou