recognize the cause of hypoxemia and Dyspnea, identify pulmonary hypertension in patient at risk, to diagnosis of obstructive and restrictive disease, and to monitor the development of interstitial lung disease. There are no adverse effects or contraindication for this test. The DLCO is an…
A review of the records reveals the member to be an adult female with a birth date of 06/06/1956. The member has a diagnosis of rheumatoid arthritis. The member’s treating provider, Laura Summers, MD recommended the member continue her treatment of Remicade infusions 7 mg/kg every 6 weeks. The carrier has denied coverage of Remicade infusions 7 mg/kg every 6 weeks as not medically necessary. There is a letter from the carrier to the member dated 02/01/2016, which states in part: “I must…
legislation) to strengthen the immunisation requirements to receive childcare assistance and FTB Part A Supplement. Vaccine objection will no longer be an exemption category. Families with children that do not have a medical exemption (medical contraindication or natural immunity certified by an immunisation provider) will not receive childcare assistance or FTB Part A Supplement. (Guides.dss.gov.au, 2015) To incentivise families…
Yes, they can! Fortunately, for our canine friends they can eat bananas without having the problem of poison and toxicity. Bananas can be a great treat for your dogs, but make sure to do not include the peel of course. Upon knowing that dogs can eat bananas, it is also important for you to know that bananas cannot and will never replace what your dog really needs like a high quality meat-based dog-formulated diet. Hence, it is better to limite bananas for snacks only. What are the nutrients that…
with activity may be due to repeated mechanical stress, an inflammatory process or degenerative process (Jull, 1986). • Night pain is common for patient with adhesive capsulitis (Iannoti, 2013) Special question None of note. No precaution or contraindications. History of present condition (HPC) Gradual onset of pain at P1 3 month ago after playing badminton. Pain become severe and P2 present with P1 3 weeks ago. Patient unable to fully lift up his right shoulder. Patient went to see doctor and…
Defined by the American Academy of Physician Assistants (AAPA), “Direct-to-consumer advertising (DTCA) is the promotion directly to potential patients of prescription drugs through newspaper, magazine, television, and internet marketing” (1). This type of direct communication allows drug manufacturers to take advantage of its consumer’s lack of medical background and knowledge by promoting products directly to consumers in ways that could manipulate them. During drug manufacturer advertisements,…
Emerging Developments in Clinical Decision Support Systems The idea of applying computer to the clinical decision making process is not new. In 1970’s G. Octo Barnett first reported on efforts with decision support in an early medical record system, Computer-stored ambulatory record (COSTAR). The idea was also one of the key elements of the Institute of Medicine’s 1997 charge to the industry to adopt computer-based patient records. In 2004 the Federal Government promoted the importance of…
giving to their patients. Administering medication requires the understanding of basic pharmacology and how the medication is to enter the body, such as orally or intravenously. It also requires the knowledge of the possible side effects and the contraindications of the medication, as well as the safe dosage range, precautions to take before administering, the suitable administration techniques and its toxicity risks. Training provided in relation to medication safety for…
There have been a few systematic reviews of the effect of early administration of PN on growth outcomes. Moyses et al showed that early PN reduced the time to regain birthweight by (a mean) 2.2 days [95% confidence interval (CI) 1.1 to 3.2 days] in RCTs and 3.2 days (95% CI 2.0 to 4.4 days) in observational studies. The maximum percentage weight loss with early PN was lower by (a mean) 3.1% (95% CI 1.7% to 4.5%) for RCTs and by 3.5% (95% CI 2.6% to 4.3%) for observational studies. Early PN also…
Mr. Barry Moody, a 48-year-old man, sits at the breakroom at work, his head in his hands. The voices in his head constantly plague him. He looks up to see where they are coming from. Beads of sweat cover his brow. He has definitely not been feeling like himself lately-it’s time to see the doctor. This particular condition that Mr. Moody suffers from are the symptoms of schizophrenia. Schizophrenia is a disease of the mind that is characterized by sudden mood shifts, a disconnect from…