My Dad has been passed from Methodist Hospital to a nursing home and back to a Long term acute care hospital?
in the original medical center. That freaking bed sore on his foot has been fairly ignored as if its not treatable and the infectious disease control people came by and put him on antibiotics for testing a positive culture for acinetobacter baumannii. The Dr. told me to please share whatever I learn about it with him because he would love to know more about what it is. ??? Whats going ON here?
It's another antibiotic resistant bacteria. Seems to have been brought in from Iraq soldiers.
Some lay information is linked below. (+ info
what are the best treatments for acute respiratory distress syndrome?
Son is in SICU being treated for this disease.
Sorry to hear about your son. ARDS has a generally good prognosis in the young though it depends on the cause. The treatment is mainly supportive with invasive mechanical ventilation (respirator). Contrary to the previous answer from the respiratory therapist, there is no one best mode for ARDS ventilation. The key principles are:
1 Low tidal volume ventilation (5-7 ml/kg of ideal body weight)
2 Permission of elevated levels of CO2
3 Weaning (lowering) inspired oxygen levels as soon as possible with goal of arterial oxygen level at or above 55 mm Hg
4 MUST TREAT THE UNDERLYING CAUSE OF ARDS
I do agree with the rotoprone bed in patients who are otherwise having oxygenation issues laying supine (on their back). Otherwise the bed makes nursing care more difficult.
In patients who it is difficult to provide adequate oxygen even despite giving 100% oxygen with the ventilator, alternative modes of ventilation such as high frequency oscillatory ventilation (superior to APRV in my opinion) can be used.
My general approach is to provide just enough oxygen to maintain adequate levels, provide adequate nutrition to meet needs but not excessive and be vigilant for complications such as pressure ulcers, opportunistic infections and finally, get the patient off the ventilator at the very earliest possible opportunity. If a pulmonologist/critical care specialist is not involved, I highly recommend it (my personal bias)
I hope everything works out well and hope that helps (+ info
Is there a condition that causes an acute sensitivity to pain?
For example, if you get a paper cut, it doesn't feel like a normal paper cut, but is blindingly painful.
Or if you hit your hand, it also is blindingly painful.
Is this due to some deficiency in nutrients, and if so, which? OR is it due to some health condition or disease?
Any help appreciated.
in response to healthiswealth: firstly, pain is not entirely psychological. If you were hit in the head with a baseball, if you believed enough that it didn't hurt does NOT mean it will not hurt. Pain is actually physiological.
secondly, being sensitive to pain does not mean that one is high strung. There are certain people who simply perceive more from their senses than others. It is like how some people can walk on hot coals but others cannot. So, are you also claiming that... if a regular person walks on hot coal and experiences extreme pain while a person with thicker skin on their feet do not, then the person who experiences pain is high strung? Some people are just more sensitive than others. I'm asking for a MEDICAL reason for why this might occur, not some wanker's remarks.
Thank you to anyone who approached this question seriously though.
in response to Watcher: thank you for your insights. I'll check into the conditions you mentioned.
We've also consulted a physician, and he stated it was a deficiency in Vitamin D, but it's getting progressively worse and seems like it's more of a condition than a deficiency in nutrients.
Thank you though.
there are more nerve endings closer to the dermal surface, a superficial slash or a slice to the epidermis will be more painful than a stab or puncture wound.
Insure that your electrolytes (sodium, potassium, an chloride) are in balance, electrolyte deficiencies can cause painful cramping.
Acute hypersensitivity could be a sign of a more serious neurological condition - which should be checked by your physician. (some possible conditions ie. lyme, ehrlichia, neurological std, lupus, etc.) (+ info
acute stoop caused by Parkinson's disease - how to improve?
how can someone who is bent over - nearly double - straighten up? the PD causes the abdominal muscles to be so strong and the back muscles to be weak so one is pulled over. Botox injections into the abdominal muscles did not seem to do much, neither has the physiotherapy exercises. l have not seen any other PD sufferer with this condition. Any serious suggestions welcome - no jokes please - we enjoy a laugh, but pain making sense of humour a bit thin.......
My father had Parkinson's disease and was almost doubled over. So I know what you're talking about.
what helped my father was taking high doses of niacin and Spirilina. These supplements work on the brain center and it really helped him until the end of his life. It seems like you have done everything possible to try to correct this problem.
I recommend you try alternative treatments such as acupuncture or Chiropractic treatment . Many people receive excellent results from these therapies. (+ info
can anybody enlist the hazards for engineers working in glass factories what kind of acute and chronic disease
The main hazards in this industry are exposure to high temperatures leading to heat stress, cataracts, burns and lacerations; injuries from broken glass and flying glass particles; hearing impairment from noise; eye injuries and eye strain from poor lighting; and exposure to silica dust, lead and toxic fumes such as carbon monoxide and sulphur dioxide.
Hope this helps,
matador 89 (+ info
Is Acute chronic hepitis transfered to sexual partner?
My so called boyfriend has this disease and I want to know if I can get it? Please can someone tell me what to do. Since I am 53 yrs old and have a lot immune and other health problems.Am I infected and what do I do about this?
"hepatitis" simply means "inflammation of the liver". There are many different causes of hepatitis. The type most common kind you hear of are the viral types (A, B, and C) although many things (like a sickness or a weekend of heavy drinking) can cause hepatitis/liver inflammation.
Since you are referring to viral hepatitis, there are two primary types, acute and chronic.
Acute hepatitis = you become infected and within a few days you become sick, much the same as the flu. Your liver becomes inflamed and you get many of the symptoms associated with liver disease (jaundice, itching skin, fluid retention, etc). It can be fatal, just like the flu, but in most cases if the person is otherwise healthy they will "clear" the virus, recover completely, and the body will develop immunity to that type of hepatitis so you won't ever become sick with it again.
Chronic hepatitis = most of the time the person doesn't even know they've become infected and they don't have symptoms for years, sometimes decades. However, over the years damage is slowly being done to the liver and the virus is never "cleared" from the body. This is the #1 cause for liver transplants (2nd is alcohol)
So, "acute chronic" hepatitis doesn't make sense. I will assume your boyfriend has hepatitis C which is the most common chronic type in the United States and Western Europe.
If that is the case, then you can only become infected with blood-to-blood transfer. "Normal" sex would rarely transmit the virus but it *is* possible - especially if it is rough sex, anal sex, sex with an open sore or during an outbreak such as herpes, sex on your period, or pretty much any sex that may include blood-to-blood contact.
It is also *possible* (though unlikely) that you can become infected from sharing razors (cuts), toothbrushes (bloody gums), etc.
In short - you should treat it similar to HIV and avoid unprotected high-risk sexual behavior, sharing toiletries, and so forth. Hugging, kissing, etc are perfectly safe. Chances are fairly low that you have become infected, although it certainly merits getting a test. In the large majority of cases, people do not know they are infected until they are in end-stage liver disease, and at that point its usually too late and you're dead within 6-months. Get a test and avoid that happening to you! It is treatable, as long as you know you have it.
You only use about 10% of your liver, so you can pretty much destroy the other 90% before you start getting sick. Again, the earlier you catch it - the better.
Good luck :) (+ info
Acute Gallbladder Disease - Exhausted all the time, swollen lymph nodes in neck, joint pain, weight loss?
I spent a week in the hospital diagnosed with acute cholysistitis (sic), pancreatitis. My WBC was high and I had a fever of 104. Very sick. They said they could not remove my gallbladder as I was too sick (inflamation in liver as well) I have to wait 3 months! In the meatime I am exhausted, have lost 34lbs in 5 weeks, cannot eat anything other than vegetables, fruit and rice, potatoe. NO fat or meat or dairy. My LFT are high and the surgeon said they could not do a laparascopy and would do an open surgery (full cut) which is riskier - infection so I needed to be healthier. But why do I feel sooo sick if only my gallbladder is the issue? I also feel dizzy and unsteady at times but the fatigue is out of this world. Anyone out there gone through this or can offer some insight - I am to "manage the pain" fever, nausea and fatigue until surgery. How come other people get it removed right away?? confused..thanks
WELL RIGHT OFF WITH A FEVER ITS AN INDICATION YOU HAVE AN INFECTION SOMEWHERE IN YOUR BODY.NO DOCTOR IN HIS RIGHT MIND WILL OPERATE ON A PATIENT WITH ACTIVE INFECTION,ONLY IN A LIFE OR DEATH SITUATION.[WHICH YOURS IS CLEARLY NOT.]
AS FOR WEIGHT LOSS AND FATIGUE ITS ALL PART OF YOUR BODY'S' WAY OF TELLING YOU SOMETHING IS WRONG AND ITS TRYING TO HEAL ITSELF[THAT'S WHY DIABETICS AND LUPUS PATIENTS ARE ALWAYS TIRED].
NAUSEA IS PROBABLY FROM THE PAIN MEDS AND ANTIBIOTIC.
PLEASE GET LOTS OF REST[YOUR BODY NEEDS THIS MOST] AND TRY TO STAY OFF YOUR FEET.THE MORE DOWN TIME YOU GIVE YOUR BODY TO HEAL THE FASTER YOU'LL BE BETTER TO HAVE YOUR SURGERY TO BE ABLE TO GET BACK TO A NORMAL LIFE YOUR USE TO.
I HOPE THIS HELPS.
GOOD LUCK...... (+ info
why acute cholecystitis disease appear during pregnancy?
A lot of times it is caused by an increase in estrogen levels. When you have a increase in estrogen it can decrease gallbladder movement. Also with pregnancy the risk for cholesterol gallstones increases because the bile contains more cholesterol during pregnancy, so the gallbladder cannot contract as it normally would. That is the most common reason. Hope this helps! (+ info
my husband has acute pancreatits and cant keep food down everyday, anyone with same disease with suggestions?
Acute pancreatitis is caused most often by either ALCOHOLISM and/or by GALLSTONES. He must absolutely stop all alcohol drinking, not even one drink. He must be tested for gall stones and if he has any he needs to have his gallbladder removed, and any remaining stones taken out of the bile duct system.
Treatment of acute pancreatitis is to hospitalize him, stop all food or water by mouth, to rest the gut, and thus rest, the pancreas; have NG tube (naso-gastric tube) to suction, which removes stomach secretions, to further rest his pancreas; and keep him hydrated with IV fluids. If he has any fever, he may need IV antibiotics, as he can get an abscess in the pancreas. It is a very serious disease.
These are the most common causes---like 99% either alcohol or gallstone related. I have heard of hyperparathyroidism, a cause of hypercalcemia and also a genetic form of hyperlipidemia as rare causes of pancreatitis, but I have never seen these as causes. He needs careful in hospital management of his blood electrolytes and fluid balance, as they will get out of whack. I mean his blood sodium, chloride, potassium, etc. They can give him IV morphine or demerol for his pain.
He should be in hospital. If I had to wing it at home, well, he would have to be on clear liquids only, like 7UP, plain gelatin, and boullion. He is a sick dude. Get him in the hospital. (+ info
Acute Abdominal Pain? Are my symptoms relating to a certain type of disease and should i be worried?
Ok, I know i've already asked a question about me having appendicitis but here are the dets.
1. My whole stomach started to hurt, like, the whole stomach.
2. It started to hurt under my rib.
3. My lower left side and my lower right side started to hurt together.
4. While that was going on, my belly button started to hurt, under it and above it.
5. Then, the whole right side of my stomach started to hurt.
6.Now, where i think my appendix is located at it hurts so badly.
Now, i know you are thinking, What is the question but, do i have appendicitis, Are my symptoms relating to a certain type of disease and should i be worried?
Well, I've had appendicitis and it's very painful. The pain can radiate to other parts of your abdominal cavity (left and right side) and it may come and go. I can also tell you you must see a doctor. You'll need antibiotics and/or surgery. It would be a nasty situation if they burst then the infection would spread all over your body and you could get septic. So why take a chance? Go the the darn doctor. If you haven't gone by now, you must not hurt as badly as you're saying. Go to the doc anyway. Something isn't right. Godloveya. (+ info
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