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Because these data are based on observational studies only, the results are suggestive but inconclusive. | non-urgent |
hai doc ,we are trying for a baby around 6 months,but i am not pregnant.my menstruation is not in time. on october i did nt get my period (oct 23 is my date),i think i am pregnent, but test is negative,doctor gave medicine(restrogen) to get my period..then i get my period on dec 16,( onlysmall bleeding on this time not like period ).i am very confused becoz why i am not pregnent..we have daily sex.. | urgent |
Sir I have a kidney stone of 5.2mm unobstructive and it was detected on 2010 but i never thought that i will have a kidney stone and also i nevr had any pain till today and as the doctor advised me to take potrate MB6 for 3months so i have started taking this medicines from the last 3 days but i am having GAS after i start taking this medicines. So is it because of POTRATE MB6 i am havin gas? And how long it will take for the stone to passed out? | non-urgent |
My husband has fallen asleep twice today for a short period of time and when waking up does not remember anything that has happened in the last 24 hours. He does then remember after being awake a few minutes. He has been under a lot of stress. What could be causing this? I am very worried. He feels fine. No pain | non-urgent |
Can you provide me with an overview of sarcomatoid carcinoma of the lung? | non-urgent |
Hi, Im 36 year old male. I have been trying to have a non masturbating relationship, but Im failing. When we dont have sex for a long time weeks I get discomfort and like semen drips. It almost like a short micro orgasm and I cant stand the feeling and the only way to get rid of the sensation is sex/ masturbation? | non-urgent |
This guide provides practical information on how the U.S. government can use a long-standing U.S. federal statute, 28 U.S.C. § 1498, to authorize use of any patented technology by or for the government and the American public. The guide aims to clarify ambiguity and misperceptions surrounding the U.S. government’s “government patent use” power under § 1498. It explains, in accessible language, the substantive powers that § 1498 provides to U.S. government officials, and it explains what effective and successful use of § 1498 looks like in practice. The guide takes a comprehensive approach, outlining what U.S. government officials should expect from contractors, patent holders, and courts before, during, and after “using” a patent pursuant to § 1498.Together, the sections below highlight § 1498’s broad scope and its highly flexible application to any and all patented technology, regardless of whether the technology was developed with public or private money. Section 1498 permits the U.S. government to use—and thereby expand public access to—any technology covered by a U.S. patent. Any time a patent stands in the way of government procurement—e.g., when a particular patent holder asks an unreasonable price, or is unable to manufacture enough of a patented product to meet the government’s supply needs—§ 1498 can be used to procure the product from competitors, or to allow the government to manufacture the product itself. As a result, § 1498 has broad utility. In years past, the statute has been used in many different technological contexts—including, for example, pharmaceuticals, military equipment, and financial technology—and it could be applied in any number of technological contexts in the future. SECTION 1 of this guide highlights some problematic features of the patent system, which § 1498—a core part of the U.S. patent system for over a century—is well suited to correct. While acknowledging the important role that patents play as economic incentives for innovation, Section 1 focuses on the enormous costs, both human and economic, that can result from healthcare corporations’ strategic, profit-maximizing use of patents. For example, patents have sustained the high prices of life-saving drugs for hepatitis C infection and HIV/AIDS, prolonging these costly and deadly epidemics. Further, the U.S. has faced preventable shortages of treatments, tests, and other supplies throughout the COVID-19 pandemic. Shortages of one COVID-19 treatment in particular, remdesivir, grew so severe in the summer of 2020 that patients and doctors were forced to ration the drug;these were exacerbated by patents that blocked competition and expanded supply. Section 1498 can address such problems, as the remainder of the guide explains. SECTION 2 provides a legal and historical overview of § 1498. It introduces the text of § 1498 and clarifies its meaning: the U.S. government has the authority to use or manufacture any patented invention, without the consent of the patent holder, in return for “reasonable and entire compensation” to the patent holder. Section 2 then summarizes how this authority functions in practice, describing when and how government patent use occurs and by providing brief historical examples of patent use under § 1498. It highlights the versatility of § 1498, including the law’s value as leverage in a negotiation (where the mere prospect of government patent use, without actual exercise of the power, may bring patent holders to the negotiating table). SECTION 3 describes in detail how § 1498 operates in practice. Section 3 begins by describing a first type of government patent use under § 1498: direct, independent government patent use, in which the U.S. government itself makes, sells, and/or distributes a patented invention. Section 3 then describes a second type of government patent use: third-party use on behalf of the government, which is included within the statute as patent use “for” the U.S. government. Section 3 al o explains the flexible “government use test” that courts have created to establish whether a third party’s use of a patent is properly “for” the U.S. government and therefore covered by § 1498, and it provides a roadmap for U.S. government officials to meet the government use test. SECTION 4 details litigation that may arise upon government patent use under § 1498. Section 4 focuses primarily on the “reasonable and entire compensation” paid to a patent holder when the U.S. government uses their patent: what constitutes “reasonable and entire compensation,” and how is this value determined? Reasonable and entire compensation is determined by a federal court, the Court of Federal Claims, which has historically taken a conservative and even-handed approach that typically provides the patent holder with a “reasonable royalty” based on the market value of the patented invention. Section 4 provides specific examples and trends deduced from these data, which provide guidance to government policymakers on what to expect when using, pursuant to § 1498, a particular patent in a particular instance. Finally, Section 4 reiterates the value of § 1498 as leverage in negotiation and explains how § 1498’s compensation structure creates much of this leverage. SECTION 5 discusses government patent use under § 1498 in the specific context of prescription drugs. Special considerations apply to pharmaceuticals because they are heavily regulated by the Federal Drug Administration (FDA), and non-patent regulatory barriers to competition can affect the reach of government patent use. Section 5 explains, broadly, two distinct sets of facts that may apply to a given pharmaceutical. Under the first set of facts, patents are the only barriers to competition for a particular drug. Government patent use under § 1498 is likely to solve these “patent problems”—to accelerate competition and expand access—quickly and straightforwardly. Under the second set of facts, additional non-patent statutory exclusivities prevent generic competitors from entering the market. Government patent use under § 1498 cannot solve the latter sort of “non-patent problems.” However, the government may be able to coordinate with generic manufacturers to work around such non-patent exclusivities. | urgent |
First, the design of the study being cross-sectional in nature and conducted among non-diagnosed participants, limits the implications of the present research, it does however suggest that emotion dysregulation and dispositional mindfulness and social support may play a part to aggravate symptoms of social anxiety. | non-urgent |
I m having trouble with my eyes..it started with what looked to be exema on my eyelids...and its been a few weeks now. In the past 4 or so days I have been suffering from spontaneous bouts where my eyes burn water sting and run. I wondered if it could possibly be an allergy to my eye makeup but I haven t changed anything in that regard...I bought antihistamines today but it didn t seem to work. Any suggestions? | non-urgent |
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | urgent |
hi 2 month back doctor find my fife had cyst having thick mass in that on ovary so she had to go for operationhysteactomy and oopheractomy was done and sample but unfortunately her cyst was burst during operation doctor told us that the sac was so delicate and was stuck on the intestine and colon also so when they touch it to remove it burst in abdomen the teem of doctor work hard to wash the whole mess of puss and after that they stitch it back and gave her high dosage of antibiotic like rociphen etc the specimen of utris and overies were sent for biopsy .she recover wel from wound greatly .but in the biopsy it was found cancerous cells carcinoma so we go for cancer hospital .there docter give it 1c grade for cancer and suggest chemotherapy . now we she was treated with the cource and after 12 days she lost her beautiful and long hair it was very painful for me and her .but now she is having some fever daily and esr level 90 i want to ask is it normal or esr should be normal and also plz give me some sugestions for improving her health what kind of diet i should give her for her weakness remember she had a bulky belly but i love her very much | urgent |
hi i seen three snakes today at by fathers farm they were within acouple of feet of me i dont think i was bitten but i have been feeling unweel this afternoon i suffer from anxiety so how do i know wheather it was a snake bit or anxiety saw the snakes about 7 hours ago will i be alright? | non-urgent |
Hi, may I answer your health queries right now ? Please type your query here...My 4 year old son had croup about two weeks ago and still has some coughing and congestion. Last night he woke up complaining his ear was hurting him and he was restless. I remember him blowing his nose hard earlier last night and I guess he hurt the same ear cause he said ouch and touched his ear right after blowing his nose, so I m wondering if maybe it s possible for the pain to be from him blowing his nose too hard or if it s really from an ear infection. | non-urgent |
Hello my value friends, any one that could see this massage I need your help. I have one son his name is Habib Hadi and each month I have been doing blood transfusion to him and he need blood transfusion each month, when I have tasted his blood doctor told me he Habib need Nero Bone transfusion for his treatment. In fact, I have been living in Afghanistan and in my country we do not have treatment for this kind of sickness. I need some buddy s help in this matter if you could help me. | urgent |
I woke up with a strong sensation of tingling in my right arm and fingertips.. It has subsided somewhat over the past 2 hours in my arm but it is still lingering in the tips of my fingers.. I drove myself to the library and noticed also that I have extreme blurred vision I can tell it the most when I m trying to read road signs. | non-urgent |
my 80 year old mother are having mini black out, she don t exactly pass out but incoherient for about 15 to 20 min. she pulling an unbuttoming at her clothes not aware of what s going on then about 20 min. later she snap back to her normal self. what causes the mini black out | urgent |
The COVID-19 pandemic has profoundly disrupted household food purchasing and preparation, including elements identified as important drivers of household food waste. The two main aims of this study were (1) to examine changes in food waste behaviors since the start of the COVID-19 pandemic in the U.S. and Italy; and (2) to investigate potential predictors of food waste behavior, including avoidance of supermarkets, increased home cooking, and increased role of health concerns in food choices. A sample of n = 478 (79% female) individuals from the U.S., mean (SD) age = 30.51 (10.85), and n = 476 individuals from Italy, (78% female), mean (SD) age = 33.84 (12.86), completed an online survey between April 8th and April 28th 2020. Just under half of respondents (49%) reported decreased food waste since the start of the pandemic. Rates were significantly higher among the U.S. sample (61.5%, n = 294) compared to the Italian sample (38%, n = 180). Controlling for the time since restrictions were introduced, age, gender, and perceived financial security, logistic regression revealed greater reduction in food waste since the beginning of the pandemic for U.S. individuals relative to participants from Italy (OR = 0.47, p < .001). In addition, increased importance of health concerns when making food choices (OR = 1.34, p < .005) as well as more frequent cooking (OR = 1.35, p < .001), and greater avoidance of supermarkets (OR = 1.15, p = .049) were associated with greater probability of less food waste. Scarcity and greater reliance on cooking may encourage individuals to reflect on food waste practices. Further research should explore how these factors may be targeted to reduce food waste beyond the pandemic. | non-urgent |
Hello doctor, I have backache for the last three years. I am a pilot by profession. I am suffering from pain in both upper and lower back. On prolonging standing, I feel pain in the lower back and also under my feet, and while sitting without back support, I feel pain in the upper back. I feel pain in the upper back even if I lower my neck , My MRI reports are, 1. Disc desiccatory changes are noted at CV2-CV3 and CV3-CV4 levels. 2. Circumferential disc bulges are noted at CV3-CV4, CV4-CV5 and CV5-CV6 levels causing compression of the thecal sac, narrowing of bilateral lateral recesses and compression of bilateral exiting nerve roots. 3. Circumferential disc bulges are noted at LV4-LV5 and LV5-SV1 levels causing indentation of thecal sac without significant nerve root compression. Can you please suggest me some solution and what sort of disease I have. | non-urgent |
hello,doctor. i m from gujarat, my problem is that my upper teeths are ahed so its looks like ugly, i want to make them level to below teeth. i think i have to put braces on teeth but i want put braces inside the teeth. can u help me. give me the contact number of best dentist. thanks | non-urgent |
Hi I have found a lump on my foreskin at first I thought it was just a spot because I squeezed it and it did pop however it has not gone down and now appears to be a small lump which can move around if I squeeze it. it isnt painful and doesnt feel uncomfortable do you know what this is ? | non-urgent |
had a root canal done after xrays were taken. there was a sore bump near the next tooth back. besides on the other side of the mouth on the bottom there was a tooth that was sore when I put pressure on it.. xrays were taken and the problem was there was a puss pocket at the top of the root. The dds redid a root canal. That evening at home I put some pressure on the gum near the root canal area and green puss came out. still a few days later the tooth on the mottom on other side of mouth is tender..could there still be infection I certainly felt he should have done so. Is there a concern about this situation. I do want to have a mouth that doesn't hurt. in the mouth? the DDS did not give me an RX for an antibotic | non-urgent |
During scan for stomach probs, apparently i have been diagnosed with a polyp on gallbladder, and am awaiting hospital appt for further tests. In meantime, when the stomach tightens, somehow it seems to cut off air supply and makes me lightheaded as if im in trance! | non-urgent |
When to seek urgent medical care when I have Headache ? | urgent |
Only 48% of the patients admitted with ACS had normo-glycaemia based on OGTT. | non-urgent |
My lymph nodes under my arm and behind my knees hurt so badly and sometimes my growing. I am tired all the time and now my bp was 167/107, 158/101 and 150/96 the past three days. All tests thus far CT, EKG, are neg. Im tired of feeling so awful. This has been going on for 3 months on and off. But this is the worst. | urgent |
My child is 6 Years Old. He has a cross fusion ectopic. Both of kidneys are on right side.He has a issue of swelling when he caught by cold or cough.Doctors are recommended omnacortail 20 mg twice a day. is it safe to give them? Any side effects are there..? Kindly reply. | urgent |
Conjunctivitis or pink eye (Prevention): Good hygiene can help prevent the spread of conjunctivitis. Things you can do include: - Change pillowcases often. - DO NOT share eye makeup and replace it regularly. - DO NOT share towels or handkerchiefs. - Handle and clean contact lenses properly. - Keep hands away from the eye. - Wash your hands often. | non-urgent |
Hi doctor, I took 60 mg of Vicodin over two days down for pain. I have a drug test coming up. How long will it take to clear in my system? I am 25 years old, 5'9" height and 165 lbs weight having a pretty fast metabolism. | non-urgent |
I have been diagnosed during surgery with chronic lower back pain, documented by the anesthesiologist, & the attending surgeon, .. .. When I came out of the general anesthesia, is when I was told, .. .. .. I had hurt my back in the service, getting caught in a scrum playing rugby (of all things), and being half on top of one guy when another fell across my chest in a shearing action, & at the time it happened, it sounded,( internally like someone breaking a string on a guitar, with a pling sound, & kinda like getting snapped with a rubberband, .. .. .. But it was not that painful @ that time, so the next day I had guard mount, & bent over to lace up my boots, it went out again only this time it hurt like hell, & took me almost 10 minutes to get straightened up, & off of the bed, and another 10 minutes to get downstairs for guard mount, I was put on light duty for about a 3 month plus period, during which time it would give me a fit whenever the weather would change, ... & I have tweaked it several times over the years, working as a truckdriver, machinist, & a painter, never had insurance so I had to wait a few days for it to quit hurting enough to get my butt back to work, & once got fired for not showing up because I had told him I would be there rain or shine, but couldn t make it, .... At any rate, I was working, & blew it out again, only this time the pain was more intense like it originally was, ... I thought that a few beers would loosen it up, so I had a few after work, but was still really sore & hurting, I made it through another day @ work, but by the next morning, I was in so much pain that it literally hurt to breathe, & the foreman squawked about why I didn t have his temp take me in the day before, as he played hooky, .. .. .. At any rate he took me to the company Dr,/nurse practitioner, & she sent me to the workers comp office at the hospital, there they set me up for x-rays,& a MRI. Shortening the story I had blown out the L-4/L-5& the L-5/S-1 discs, the MRI showed that one disc was completely gone, & the other was almost all gone, ... At this point in time the pain was excruciating, I was a level 9/10 most of the time for about 2& 1/2months, then it would ease a little, then get worse again, the Dr trying any/every type of PT to see what felt better worse, ...& made me undergo a procedure where a dye dwas pumped into each disc affected, & when he hit the one, I screamed bloody murder, & almost passed out, gasping for air, & seeing stars dancing around my head, ... That pain level was about a12 on the 1/10 scale, ... I had the robo-cop/ironman/6million$ man fusion surgery, with the 2rods, 62&3/4 screws, & 3little clamps holding my lower back together, ... I have filed for compensation with the VA, they now have this documented, & my representative told me that I need to get a 2nd opinion from a private practitioner to tell them that this is/was related to the original injury, ... Any guidance on this train of thought, would be appreciated, ... | urgent |
My nan has been in hospital with gallstones this week - she had an ERCP yesterday and is slowly getting her appetite back. She is still jaundice especially in the eyes. I have seen her kidney function test results her creatinine is raised above 200 and her EGFR is low, they have stopped a lot of her medications that are contra-indicated with reduced kidney function. She also has low sodium . Is the redrannged kidney fucntion normal? | non-urgent |
Prior studies have demonstrated disruption to outpatient mental health services after the onset of the COVID-19 pandemic. Inpatient mental health services have received less attention. The current study utilized an existing cohort of 33 Veterans Health Affairs (VHA) acute inpatient mental health units to examine disruptions to inpatient services. It further explored the association between patient demographic, clinical, and services variables on relapse rates. Inpatient admissions and therapeutic services (group and individual therapy and peer support) were lower amongst the COVID-19 sample than prior to the onset of COVID-19 while lengths of stay were longer. Relapse rates did not differ between cohorts. Patients with prior emergent services use as well as substance abuse or personality disorder diagnoses were at higher risk for relapse. Receiving group therapy while admitted was associated with lower risk of relapse. Inpatient mental health services saw substantial disruptions across the cohort. Inpatient mental health services, including group therapy, may be an important tool to prevent subsequent relapse. | non-urgent |
I would like to ask wether it is safe to skip a period by starting immediately a new pack of birth control pills without the 7-day break. Will I not get my period? and will I get it on the fourth day of the second break after the new pack finishes as I usually do? I am on Cilest birth control pills for 2 years now and my period has been always consistent and I have never missed a pill. | non-urgent |
hii my friend is having multiple kidney stones largest of 1cm.... doctor has prescribed him medicines...onlly these medicines will help or we have to go for operation...also please some home remedies...is warm water will help him in dissolving those stones earlier...thanku | non-urgent |
Age 19years, hight 6ft, weight 62kg. medical=using salbo inhellar. Question= which quality of food should i eat to get control on asthma? | non-urgent |
Hello doctor,I have never consulted a psychiatrist before, but according to what I have observed about myself, maybe I am suffering from maladaptive daydreaming, loneliness, lack of concentration as well as maybe depression. This is the peak time for me to make my career. I only have two years left to do something in my life and get my dream job. But as per my condition, I do not think that I will be ever able to do so. I cannot concentrate on my studies at all. Even a sixth or seventh class student studies more than me. Earlier my condition was still controllable but now it is getting more and worse, and on top of it, I am a drama addict. So basically, I spend almost my entire day either daydreaming or watching dramas. | non-urgent |
After having a colonoscopy, and having a hemroid banded, ive developed an anul rash, very itchy, red and weeps. I was prescribed fucidin HC and it almost went away, I had finished and using the medication, but now its gotten worse again. Could I have gotten an infection from the procedure? | non-urgent |
Sir, i was living with my friend who was suffering from TB. and before few days i was suffering from cough and i had taken medicines but it has not any effect. later on i check whether i am suffering from TB. and doctor told me that i am suffering from TB. now i am taking medicines like AKurit-4,lovosil-B, MIT'S Linctus Codeinae Co. i want to know that whether i will be cured by taking this medicines(6 month)? and another question is that "am i affected by my friend"? | non-urgent |
Hi my partner has, about 6 weeks ago had cancer of the asophagus removed, the operation was a complete sucess, he has had two water infections though since then, and has had two weeks of antibiotics , which dosnt seem to have cleared it, it is still abit painful when he urinates, his urine a brown colour,and he has trapped wind in his stomach ,which makes a loud bubbling noise, whicChatDoctores and goes. He is sometimes sick, when he over eats i would say, as he gets a little giddy with food, as he went a few month hardly being able to eat. He is putting weight on now, slowly but surely, last night though he was sick black vomit , which is worrying also, what could this be, and do you think he may need to go back in hospital , put on a drip of antibiotics to clear up the infection? Thanks. | urgent |
Hair loss (Treatment): Effective treatments for some types of hair loss are available. But some hair loss is permanent. With some conditions, such as patchy alopecia, hair may regrow without treatment within a year. Treatments for hair loss include medications, surgery, laser therapy, and wigs or hairpieces. Your doctor may suggest a combination of these approaches in order to get the best results. The goals of treatment are to promote hair growth, slow hair loss or hide hair loss. Medication If your hair loss is caused by an underlying disease, treatment for that disease will be necessary. This may include drugs to reduce inflammation and suppress your immune system, such as prednisone. If a certain medication is causing the hair loss, your doctor may advise you to stop using it for at least three months. Medications are available to treat pattern baldness. Two medications approved by the Food and Drug Administration (FDA) to treat hair loss are: - Minoxidil (Rogaine). Minoxidil is an over-the-counter liquid or foam that you rub into your scalp twice a day to grow hair and to prevent further hair loss. It may be used by men and women. With this treatment, some people experience hair regrowth, a slower rate of hair loss or both. The effect peaks at 16 weeks and you need to keep applying the medication to retain benefits. Possible side effects include scalp irritation, unwanted hair growth on the adjacent skin of the face and hands, and rapid heart rate (tachycardia). - Finasteride (Propecia). This prescription drug is available only to men. It's taken daily in pill form. Many men taking finasteride experience a slowing of hair loss, and some may show some new hair growth. You need to keep taking it to retain benefits. Rare side effects of finasteride include diminished sex drive and sexual function and an increased risk of prostate cancer. Women who are or may be pregnant need to avoid touching crushed or broken tablets. Surgery In the most common type of permanent hair loss, only the top of the head is affected. Hair transplant or restoration surgery can make the most of the hair you have left. During this procedure, your surgeon removes tiny plugs of skin, each containing a few hairs, from the back or sides of your scalp. He or she then implants the plugs into the bald sections of your scalp. You may be asked to take a hair loss medication before and after surgery to improve results. Surgical procedures to treat baldness are expensive and can be painful. Possible risks include infection and scarring. Wigs and hairpieces You may want to try a wig or a hairpiece as an alternative to medical treatment or if you don't respond to treatment. It can be used to cover either permanent or temporary hair loss. Quality, natural-looking wigs and hairpieces are available. If your hair loss is due to a medical condition, the cost of a wig may be covered by insurance. You'll need a prescription for the wig from your doctor. | non-urgent |
xerina cream is for darkness on uder arms and legs only or we can use as a cream for daily routine moisturizer . what is the use of skin polishing and skin peeling and howlong it will take. what are the charges and is there anyside effet or something. if we do skin peeling it looks better our face or not. pls advice me. | non-urgent |
I have been extremely sore around my upper torso almost exactly where the bottom of my bra fouches..i have been sick for the last couple of days with vomiting and diarrhea..low grade fever...i have been laying down the majority of the time...didn t know if it was from that or maybe pneumonia or neither | non-urgent |
Hi, I just had a session of sclerotherapy this morning, and I have felt nauseous and a litte dizzy all day with a headache. This is my second session and the first time I was also dizzy for a little while after. Is this normal? Is this a sign of an allergic reaction? | non-urgent |
hi, my name is pauline, my mother is in hospital currently having radiation treatment for a brain stem tumour. This weekend she was allowed day leave and we took her to her home for a visit. This freedom has bought back her need for a drink & she has started to harrass myself & 2 sisters for just a small drink. She has been in hospital for 2 weeks with no urge to drink, is it possible she is just withdrawing now? If so how do we deal with it? | non-urgent |
I quit taking ziac (lowest dose), blood pressure pill, one week ago. I tapered down by taking it every other day for one week. Stopped last Thursday. I was on pill for 9 months. I stopped due to having fatigue, low pulse 38-50 when resting, 32-48 when sleeping, overall felt bad. Currently having vertigo, clamy hands, swelling more in legs, blood pressure 100/60-125/86 range, pulse 53-78 resting, sleeping 53-65. Is there a need for concern? How do I treat vertigo, swelling in legs? How long will this vertigo last? | urgent |
What is the specific type of pneumonia that is characterized by neutrophils in the air sacs, and what is the nature of the exudate that is associated with this type of pneumonia? | non-urgent |
Background: Management of patients with acute deterioration from novel coronavirus disease of 2019 (COVID-19) has posed a particular challenge for rapid response systems (RRSs) due to increased hospital strain and direct risk of infection to RRS team members. Objective: We sought to characterize RRS structure and protocols adaptions during the COVID-19 pandemic. Design Setting and Participants: Internet-based cross-sectional survey of RRS leaders, physicians, and researchers across the United States. Results: Clinicians from 46 hospitals were surveyed, 40 completed a baseline survey (87%), and 19 also completed a follow-up qualitative survey. Most reported an increase in emergency team resources during the COVID-19 pandemic. The number of sites performing simulation training sessions decreased from 88% before COVID-19 to 53% during the pandemic. Conclusions: Most RRSs reported pandemic-related adjustments, most commonly through increasing resources and implementation of protocol changes. There was a reduction in the number of sites that performed simulation training. | urgent |
Hello doctor, I am 34 years old (weight 78 kg), married, and my height is 5 feet 11 inch. I feel lack of libido during sex. During sex, I do not feel excited enough and do not get erection needed for sex. I use my hand and erotic thoughts to get the erection first and complete the task somehow as we are planning for a child now. However, after four to five days of daily sex, even this process fails and my desire is lost. I take Revital-H daily. I do not take or have taken any other medicine for this problem. Kindly advice. | non-urgent |
I was having pain in my right and found a cyst on spleen if I lay on my side I get a full bloated feeling when I stand, also having lots of heartburn ,feeling full easily, bad fatigue are all these normal and what should be done | non-urgent |
I slipped and fell on the ice a couple of weeks ago, and hit my upper back on a curb? It's still sore, but was gradually getting better. I started stretching more yesterday, and am trying to have better posture, but my back is stiffening up a little and I'm feeling a slight burning inside. What should I do? | non-urgent |
Iam 32 year old male that has a gulfball size lump on my inter side of my right knee. I had it looked at with orthopedic doctor that took x rays. I believe I may have Done it doing leg presses and now the lump is back again. Any solution on what it could be. | non-urgent |
Hi im a 20 yr old female. I went to the er this week with chest pain , shortness of breath headache they rain an ekg, chest xray, cardiac enzymes, and a d dimer and everything came back normal. The only risk factor i have for blood vlots is that i took the birth control pill for 4 years. Should i still be worried about a clot? Im not on the pill anymore. | urgent |
hi i have had fever, back pain feeling of tiredness, just came to know that i have typhoid through my blood report , now the problem comes here, my doctor prescribed me mahacef plus , calpol, and becosules Z, but when i called home today my uncle said to take cifran 500 if mahacef does do well in a few days... now i am confused | non-urgent |
report is: Normal CT attenuation characteristics of the gray and white matter of both cerebral hemispheres. No focal or enhancing lesions are detected Normal dimensions and configurations of the supra and infra tentorial ventricular system Neither intra nor extra axial collections. No brain edema. No mid line shift. Normal appearance of posterior fossa structures. Normal CT features and appearance of the bony cranial vault Opinion: Negative CT study of the brain and posterior fossa structures.. | non-urgent |
i tend to get medium to large sized spots on my groin area where I have hair - i am female. the medium spots tend to dry up and turn into large blackheads while the larger ones are often pussy and red. This has been occuring for several years now. What could it be? | non-urgent |
I have terrible stomach and intestinal pains for past 2 months with muscle fatigue flu like symptoms when i pass stool they are abnormally smelly and float easy and are greasy sometimes just diareah and also have tons of mucus strans...what could this be? It keeps me up at night every night... ive been from doctor to doctor trying to figure this out and they act like im crazy but these symptoms are very real...i have a colonoscopy scheduled for the 18th of march but just wanted a second opinion...this is ruining my life | non-urgent |
hi doctor, i am having seizure issue . I had the attack in 2011 april since then I am taking levi pill 500mg twice daily. I got married in 2005 and have 5 year old son and in 2013 i want to get pregnant is it safe to continue this medicine . will it have impact on the fetus .kindly advise | non-urgent |
I believe that I strained the flexor carpi ulnaris tendon at the insertion of the pisaform bone and also in the region of the ulnar styloid. It's been painful for 4 months and there is a bump on the wrist just distal to the ulnar styloid, There is also a bump that is palpable on the ulnar styloid. How should I treat this? I have no insurance | non-urgent |
hi, i have a hole near my wisdom tooth at the bottom left side of my mouth, i only noticed it after some food went inside i managed to remove some but they smelt really bad and i think the smell is from the hole and not the food that was inside. should i go see a doctor or is this normal ? :SI have had my right side wisdom tooth ( upper and bottom ) removed due to them not coming up as they are shaped weird. my left side the one where i have the hole now is the same but i havent got them removed yet. please help! | urgent |
My father had a stroke 4 months back. He is hypertensive is on medication now which includes antihypertensive drugs, atorvastatin, glycerol and asprin. He has recently developed lumps below the nipples in chest. They are painless ,Is it a side effect of any medicne or the result of walk and excersise he is doing during the rehabilitation. | urgent |
been on leaquin for almost 5 weeks for sinus infection 14 days ago went to dentist for lower left back molar and had cavity filled and crown put on tooth in front no pain after or anything went back to doctor complaining of tonsils stones and earache ear was infected and tonsils still have stone sunday my gum started to swell and now after pushing on it i have white thick pus coming from in between tooth and gum started salt water listerine and water picking area til i can get to dentist but my dentist is out of town til monday only thing i was also complaining to doctor of pus coming into mouth .she also put me on predinsone but i am on one 10mg now for 2 more days | urgent |
Hello doctor,As part of the season change, I have developed a little rash in my throat. I have to often clear my throat congestion. Nothing else. Please prescribe a medicine for the cure and also some preventive medicine for the next one week so that I will not catch a cold or fever as I have an event back home in a few days. I have no fever as of now. | non-urgent |
my sister in law had what looks like hardening of her calf muscles and the skin decolorizes to turn brown to dark brown. She experienced numbness and also tingling sensations when scratched on her skin. Her late father had diabetes and had his legs amputated due to the same look alike condition. Is there any advice on this problem.? | non-urgent |
What cardiac condition is Ebstein's Anomaly associated with, and what is the potential consequence of this association? | non-urgent |
Hi doctor, I am 30 years old. My weight is 140 lbs and height is 6'3". I am doing a computer-based job. My diet is poor for the past 2-1/2 years. As I often work at night my sleep too gets disturbed. I am single and never had sexual contact with anyone. There is no history of skin disease, smoking and alcohol. My current issue is, I have a wart-like growth on the penis. It is located on the shaft, middle of penis, slightly towards the right side. I have this for over 20 years. It has never been carried over or has affected any other area of my body. There are no such growths anywhere in my body. I first observed it when I was 8 or 9 years old. It was neither painful nor caused discomfort. It is a flat, long hard mass appears as if inserted into pinched skin. Three years back, I had a very slight negligible discomfort after a long period of erection. When I was pinching, it came out of the sleeve of skin. It was growing in and detached from the body. It actually did not grow down into the penis, rather perpendicular. Six days ago, I had a long period of erection. Afterwards, the sensation of very slight pinching, localized pain focused on a few millimeters deep where the growth is. It is still there, but not bothering me much. But, this time it is slightly higher on the sensation scale and it is not going away. I have noticed some increase in the width. I am trying to keep it clean by frequent washing. There has never been any bleeding, redness on or around the affected area. It does not cause any problems in full erection. In fact, I feel less discomfort in full erection. Is this a wart? Is this dangerous? Would it be contagious to my sex partner? I am scared of surgery and I really prefer something non-invasive. Please suggest any topical cream or oral medication? What would be the expected time frame of recovery? Is prevention possible? It is quite close to the dorsal vein. Would it have any effect on the neurovascular bundles? Please see all the attached images. I am paranoid and scared because I think this will make my life very hard. | non-urgent |
I have a hard lump on the right collarbone near the throat area and I have just been to the hospital and the doctor there told me I have costochondritis and that so dose not seem right to me, I have swelling and pain but only in my right collarbone,could you please tell me your thoughts on this | urgent |
hello i m shilpa. i am not able to conceive from last three years. my all reports are normal. even Dr. are also surprised that why i m not able to conceive.today is my 14th day. doctor has given me HUCOG 5000 injection at noon. and suggest that not to intercourse taoday. try on 15th day. is this true that we should not try today. i think everyone said that 14th day is best day to intercourse. i had intercousre last night.tell me what should i do now. i m worried.my cycle form last three months is of 26 days.s | non-urgent |
hello sir, i am 26yrs old married guy and below particulars are my semen analysis repot. pls.. check the details and interrupt me whwther there is any prb. i am sexually normal but i need baby.details:volume:1.5ml,reaction:alkaline,viscosity:viscid,opaque,liquefaction time:45mins,sperm count:10million/ml,motility active:10,sluggish:30,not motile:60,morphology normal:70,abnormal:30,pus cells: 10-12/hpf,epithelial cells:occ/hpf,rbc:occ/hpf. impression: oligospermia with impaired motility evidence of inflammatory cells i think. i am waiting for a quick reply.thanks for u'r support | non-urgent |
my partner has terminal stomach cancer they did a stomach bypass as the tumour could not be remove it is at the exit of his stomach and the small intestine it has attached itself to his bowel and pancreas he was given 6 cycles of chemotherapy which stopped on the 3rd june they could not give him anymore treatment.he goes back to see the consultant on 10 august.he has not improve any since chemo stopped his eating and drinking is very poor he ges very tired easily and he is now only 7stone 6lbs in weight he was 8stone 2lbs when his chemo stopped does this mean that the chemo has started to spread again so worried about him | urgent |
I have slight pressure in the chest, similar to a mild pulled muscle, just under the xiphoid process of the sternum. Started this morning. Pressure is noticeable, not unbearable, and comes and goes. First thought it could be a pulled muscle as I did physical therapy exercises for by lower back last evening. I am on Losartan-hydrochlorothiazide 100/25 for high blood pressure. Concerned could be my heart? I am a 58 year old male. YYYY@YYYY Thank you. | urgent |
hi doctor I m 25 years old. I got married 8 months before. We were trying for a baby for the last 5 months but result was negative. Today on a test on my wife s inner on the speminal fluid it was found that my sperms were dead. Is it a serious problem. How about the treatments available in India for getting live sperms. the count in the result was 20-25 m | urgent |
HAZY DENSITIES ARE SEEN IN B0TH UPPER L0BES. HEARTH IS N0T ENLARGED. HEMI DIAPHRAGMS AND SULCI ARE INTACT. B0NY TH0RAX IS UNREMAR KABLE. IMPRESSI0n - PTB. UPPER L0BES UNDETERMINED. Kindly explain this result? And what is the right medicine? Thank you. | urgent |
I have an 87 yr old dad. He went into emergency with a diagnosis of heart disease. He recently had a tube ran through his thigh area to see if there was any additinal issues. There has been a leaky valve detected.could he have been miss diagnosed with heart disease and the on.y issue a leaky valve. I guess my question is; can a leaky valve have the same symptoms as heart disease and maybe he doesn’t have heart disease? | urgent |
Hello doctor, I am seriously facing acne pimples problem. Sometimes they occur on my face when I masturbate. If I use Mometasone, it gives a good result. Is it okay to continue this? | non-urgent |
last week my throat became sore and my glands in throat became tender. I had no other cold symptoms. Then two days ago I started with what felt like blisters on the soft palette of my mouth. My glands have now returned to normal and my throat, though it still feels scratcy, feels a lot better but my tongue feels as though it has been scalded. It has tiny red bumps on it and eating is very panful. What could it be? | non-urgent |
I am a 41 year old female. I ve just had an abdominal ultrasound due to symptoms of an attack (twice). Attack in both cases caused extreme, crippling pain beginning in center of chest moving around right side to back and then into all areas of abdomen, nausea, diarrhea, and extreme sweats. Attack lasted 2-3 hours in both cases. The doctor ordered an abdominal ultrasound with the suspicion of gall stones. The ultrasound came back stating: The liver is hyperechoic measuring 14.3cm. There is a 1.0x0.9x0.9 cm cyst in the left lobe. The gallbladder demonstrates no evidence of sludge or stones and a wall thickness of 3.5mm. The common bile duct measures 3.2 mm. There is no evidence of intrahepatic ductal dilatation. Lab test results came back normal. What could this mean? Unfortunately, I had to get my ultrasound results myself as my doctor is not communicating. I would like to know the severity of the problem, is the cyst able to rupture and would the cause of the attack be from the cyst bleeding? | urgent |
Hello....Im relative of the patient,He is 42 yrs old,suffering form GBS,He is now kept under ventilator,seems critical ...Taking step for medicine is difficult..though he is a middle class...Govt doctors r Giving medicine...can anyone suggest how long it takes to cure...?regards priya | urgent |
Dear doctor,Recently, I was diagnosed with diabetes and my blood sugar fasting was 231 and random was 271 mg/dL. I consulted a doctor and he prescribed me Qosmet 500 mg/ 50mg twice a day and Amaryl 1 mg once in the morning. After a week, my sugar was under control and blood sugar fasting was 93 mg/dL and random was 111 mg/dL and 139 mg/dL. Three days I was fine but after that, I am feeling vertigo (dizziness). Kindly tell me why this is happening to me. Is it any side effect of the tablet I am taking or any other issue? | non-urgent |
Hi my 15 year old daugher has been sick for over 7 weeks with abdominal pain. We have had various xray, CT Scan, Upper/Lower GI, Blood and Fecil tests. We are currently seeing a GI specialist at Childrens Hospital. The only thing I know is that all tests game back normal but she is still showing high levels on her Lactoferrin screen and she has an atrophic pancreas which the Dr believes to go along with skeletal dysplasia.At on set 7 weeks ago she had sever lower abdominal pain and vomiting. The pain level was a 7 nearly all day mostly better in the evening for the first 4 weeks. Now the pain is like clock work... wakes her early in the am 5am or so and tends to be around a level 3 pain and lasts until early afternoon. Any ideas? | urgent |
My brother is a doctor he is suffered from Ig Nephropathy and underwent kidney transplant seven years back.Now the level of creatinine and urea is increasing.The nephrologist suggessted to give methyl prednisolone I.V.But after adminstration of first dose the level of creatinine and urea increased immediately.can u give sugestion. we dont want further transplant.if u have any traetment for this pl suggest. | urgent |
I was on my feet for three days. And now I have lower back pain where I cant stand, sit, or lay down with out it hurting. I was laying down and turn wrong and I had a sharp pain up my whole back. I couldnt move for a little bit. Now I cant really do anything. What could have caused this, and how I can I fix this pain. | non-urgent |
Hello doctor, I have a little oily skin, 1st I had pimples after they bust that will turn into a black mark, and it will take a very long time to go. Please kindly suggest me to get rid of it. | non-urgent |
my systolic is 112 diastolic is 69 and pulse rate is 100 and I am 8 1/2 months pregnant. My feet are so swollen its hard to stand and walk.. hey have a purplish blue color to them and when u press on the skin i goes white all the way up to my knees on both feet. Plus I have the pregnancy induced carpal tunnel in both my hands. So I am barely getting sleep. Been getting dizzy spells lately and headaches. I have been doing everything not eating salty stuff I just dont know should I go to the hospital? | urgent |
Hi Doctor,I am suffering from Urticaria since last Dec. Food allergic test conducted in your clinic on 24th Feb and in Marry Queen's hospital on 30th March shows no allergic to any food except a doubtful reaction on white egg and mutton. How ever I was under full control of these items. Still the itching and hives appears always and even lead to angio edema some times with swelling of lips and difficulty in brething. I changed my BP/Cholestrol tabs which were using for the last few years. Can you please advise whether I need to undergo one more food allergy test or any other remedies.Your advice is most appreciated.ThanksSalim Shah, Trivandrum46Y, 170cm, 80Kg | non-urgent |
In patients with recurrent GB treated with SIACI BV, the change in ADC value after treatment is predictive of overall survival. | non-urgent |
What information is currently available pertaining to cerebral venous sinus thrombosis? | non-urgent |
Ultrasound said I was 5 weeks 4 days on Sept 10. I had sex on Aug 4,6, and 17. I am very confused on which possible conception date it would be. Because I heard you take two weeks away from the ultra sound date? My last period was Jul 26 which means I should be further along right? | non-urgent |
Hello Doctor My husband has been to see a consultant today regarding his chest pain which he has had for six months, on CT scan it showing what appears to look like someone has flicked white paint all over his lungs, she did mention what she thought it may be and we did not catch the name, it began with S and she said it attached to the lymph notes in the bottom of the lungs, he has to have breathing tests and has had bloods and may have to have a biopsy tissue from his lungs, otherwise he appears well although his eyesight sometimes is not quite in focus and he gets quite hot a night time, he has always watched his weight and is/was a keen walker climber, sometimes he gets out of breath on walking up a slope but not on flat. Thank you | urgent |
Q:A 44-year-old woman with type 2 diabetes mellitus comes to the physician with a 3-day history of fever, right calf pain, and swelling. Her temperature is 38.7°C (101.7°F). Physical examination shows a 5 x 6-cm erythematous, warm, raised skin lesion with well-defined margins over the right upper posterior calf. The organism isolated from the lesion forms large mucoid colonies on blood agar. Further evaluation shows that the organism has a thick hyaluronic acid capsule. The causal organism of this patient's condition is most likely to have which of the following additional characteristics??
{'A': 'Solubility in bile', 'B': 'Susceptibility to bacitracin', 'C': 'Negative pyrrolidonyl arylamidase test', 'D': 'Positive coagulase test', 'E': 'Resistance to optochin\n"'}, | non-urgent |
I have extremely itchy rashes around bikini area,thighs and pubic area. Had been to my GYN, he did tests for east infection, it came out clear. Blood tests for diabetes and thyroid also came clear. He said it might be a cause from detergent, but i have nat changed any brands in the detergent or toileteries. This is the second time I m getting this. First time was last month which ended with painful boils. Please help. | non-urgent |
Sure, my sister has large sores on one side of her but, she has had major hip surgery and is not recovering very well, the doctor gave her a medication for shingles, they are a lot larger and are raised around the edges and spreading, makes her feel bad and itches very bad? Any suggestions? | urgent |
Hi my boyfriend just started feeling a tingly feeling at the end of his penis and we haven t had sex in about two weeks or less and he just started feeling it today on the inside of the tip of his penis and we don t know if he has a diseas or anything. We really need answers and I m scared for him if it is serious | non-urgent |
How can secondary prevention be employed in the management of osteoporosis? | non-urgent |
I recently discovered a lump on my left leg near my hip. Shortly after I started noticing bruising. Each day I wake up and the bruise gets worse and the lump hurts when my pants touch it or when I walk and move. I have not fallen or injured myself in any way so I don t know what is going on. What could it be? | urgent |
Hey , ive been having like little blisters around like penis head, not pimples , not sure what it is , im worried and scared because it been their for about 4 years now. Please help me, i was a virgin and didnt sleep with no one when they first appeard in my penis head , what can it be? | urgent |
Hi, may I answer your health queries right now ? Please type your query here... My husband was diagnosed with polycythemia over 20 yrs ago. He has had regular phlebotomies for 20 yrs. He is now experiencing more fatigue, an increased incidence of kidney stones, and an unexpleained wieght loss. Are these signs that his polycythenia is approaching a spent phase | non-urgent |
Hi i am not getting my periods properly Doc had ask me to take Modus 10g whenever my period is irregular.Is there any side effect of Modus 10g tablet | non-urgent |
I recently developed this habit of my that thing in the middle of my throat into like an S movement. Idk how it started or how long but I have stopped. But sometimes I do do it on accident. Ever since then I ve had pains in my throat and recently parts of my food don t go down and I can feel it kind of just sitting there or trying to come back up. I can feel and hear a clicking when I swallow. Most of my pain has recently been on my left side and I even have a chest pain kind of by my heart. I m 14. I m just getting kind of concerned because the symptoms have gotten worse. I sometimes get pains between my shoulder blades and the back of my neck. I m not sure if that s related though. | non-urgent |
helo....i got my TSH value 8.8 with normal t3 t4.im not symptomatic as such......so do i really need to take hormone therapy??can i go for homeopathic treatment??also in the coming future i am planning for a baby.and one important information.i recently shifted from bangalore to delhi after which i was very much stressed out...so lifestyle change could be a cause??i am very confused.please help.i dont want any side effects | non-urgent |
The middle of my back really hurts and its on the right hand side, its been on and off for two years now, I did go to physio but it got too expensive. I think it may have something to do with posture , it hurts more if i twist side to side and it sometimes twinges... im worried as I dont know what this is or if it is going to last forever | non-urgent |
my husband has been having a number of symptoms for several months and although under the care of a doctor, testing and results of testing are coming very slowly and we still have no diagnosis so I was wondering if you might give me some advice. He is 45 and a smoker, weight is 350, height 5 11. He has high blood pressure that is being treated with medication. He has sleep apnea, which he has a cpap machine for. In addition, he has shortness of breathe somewhat controlled with inhalers. Recently he has developed lower leg, ankle and foot swelling and has been given water pills for that. He has an awful cough and can not lay flat at night. He tires very easly and needs to rest during his daily higene routine. He has in the last few months become unable to work due to tiring so easily. He had a lung function test this past week but was told his follow up appointment will not be until mid december. I am very worried about him and need to know if I should seek the advice of another doctor or just stay patient and wait on the doctors we currently have. I guess what I need to know is if he is in real danger. | urgent |