Ask the Doctor thread

[Art Mann]

. . . Another elderly gentleman calls me 8 times a day because he forgets he's already called and I've told him I'm booked up. . . .

Sorry about that.

I tend to keep my phone in my back pocket, so I must have been accidentally ass-dialing.

Gonna put the cell in my front pocket right now. Please call my penis when you're available.

 

[User-E]

Sorry about that.

I tend to keep my phone in my back pocket, so I must have been accidentally ass-dialing.

Gonna put the cell in my front pocket right now. Please call my penis when you're available.

Put it on vibrate and I'll send you a bunch of text messages. :wink2:

 

[Art Mann]

Always glad to vibrate with a pretty woman.:-Cool/"

 

[oldguyzer]

Hi Doc.

As a health professional, can you give me some diplomatic advice about how to handle patients that you prefer not to see? How do you tell them?

Hmmmmmm

I've had potential clients contact me who are clearly suffering from the early stages of dementia or other conditions related to advanced age. I don't want to hurt their feelings by refusing to accept them as clients, but can't risk having them wandering around the neighbourhood shouting my name as they try to find me either.

The other day, I had an elderly gentleman come over who'd recently had 2 strokes. The man literally could not walk and talk at the same time, yet his doctor approved him to drive. I was worried that he wouldn't make it to the parking lot safely, let alone get home safely.

Another elderly gentleman calls me 8 times a day because he forgets he's already called and I've told him I'm booked up.

:search2:

OK, Ok, I get the hint. I'll stop calling.

The easiest way to decline someone of course it to claim you're already booked, busy, on vacation, or retiring. I've tried the latter a few times. Or, be direct, and tell them you can't be with them for personal reasons. My ex-wives tried that one too.

Seriously, even though it's hard to know how some of these people manage to drive or other activities (including sex), the government has guidelines that dictate driving regulations, and so on. I find it hard to believe a near-blind 80 year od who is totally deaf and can't control his shaking is a good driver, but according to MTO he is, and there's bugger all I can do about it.

 

[oldguyzer]

Sorry about that.

I tend to keep my phone in my back pocket, so I must have been accidentally ass-dialing.

Gonna put the cell in my front pocket right now. Please call my penis when you're available.

Phew! I thought it was me she was talking about. Or maybe both of us? :don'twantto-see:/

 

[papasmerf]

My cell phone has a rotary dial so it can not be me.

 

[User-E]

My cell phone has a rotary dial so it can not be me.

It would take all day to call me 8 times with that phone. :rofl!:

 

[Angie]

Your client with a stroke probably did not get permission to drive. I have had many stroke clients and I had to go to them as they legally by law can not drive for 6 months and need to be assessed after that. If you can not go to your clients as a professional, you must advised them politely that you can not see them, that goes for those who get pacers heart pacers in as well. AS for dementia, are they aware of this, with dementia forgetfulness gets worse as time goes by, unlike Alzhiemers (hope I spelled that right) where you go back ward in time slowly or rapidly until you are bed ridden, if I had a choice I would take Dementia over the other. Elderly very much need intimacy as much as anyone else just touch, but if they are ill I strongly suggest you chat with them or make your way to see them. None of my elderly came to me I use to drive to hope and downtown just to be sure they are safe. If they are unwell I figure something out to notify someone who is close or family related.

Sorry Doc you can have your thread back just trying to help as I have knowledge of this through employment and play. I am presently caring for 2 dementia clients and a Alzhiemers client, work related, and studied lots in school for elderly and disabled years ago.. Play is a whole different thing.

Hi Doc.

As a health professional, can you give me some diplomatic advice about how to handle patients that you prefer not to see? How do you tell them?

Hmmmmmm

I've had potential clients contact me who are clearly suffering from the early stages of dementia or other conditions related to advanced age. I don't want to hurt their feelings by refusing to accept them as clients, but can't risk having them wandering around the neighbourhood shouting my name as they try to find me either.

The other day, I had an elderly gentleman come over who'd recently had 2 strokes. The man literally could not walk and talk at the same time, yet his doctor approved him to drive. I was worried that he wouldn't make it to the parking lot safely, let alone get home safely.

Another elderly gentleman calls me 8 times a day because he forgets he's already called and I've told him I'm booked up.

:search2:

 

[User-E]

It is so handy to have a doctor in the house. Now if we only had a shrink on board ...

Another questions for you Doc.

I have decided to quit one of my lifelong addictions - watching TV. I started at a very young age, watching Sunshine School, The Friendly Giant, and Mr. Dressup, and have been addicted ever since. I don't think I've gone for more than a few days at a time without watching TV my whole entire life.

So, I'm gonna give my TV away and quit cold turkey this week.

Are there any withdrawl symptoms I should anticipate, and suggestions for dealing with them if I do? :dontknow:

 

[oldguyzer]

Are there any withdrawl symptoms I should anticipate, and suggestions for dealing with them if I do? :dontknow:

Symptoms: grumpiness, moodiness, snarling at people, a strange desire to strangle the living shit out of everyone you see.

Dealing with it: HBO. Hey, it's not TV :biggrin2:

 

[User-E]

Symptoms: grumpiness, moodiness, snarling at people, a strange desire to strangle the living shit out of everyone you see.

Dealing with it: HBO. Hey, it's not TV :biggrin2:

Good thing I live alone then. :intello:

I just learned how to live stream my favourite news channel online so I think I'll be ok.

Didn't that Cardinal guy have a thread going, where people could turn for advice about life's important issues? That might work as a shrink thread. Hmmmmmm

 

[oldguyzer]

Didn't that Cardinal guy have a thread going, where people could turn for advice about life's important issues? That might work as a shrink thread. Hmmmmmm

Could well be. From what I hear, the Cardinal has some considerable influence in high places.

But then, I haven't seen him hanging around lately! Curious...there's the Monty Python Live concerts going on in England right now...hmmm...

 

[User-E]

 

[oldguyzer]

 

[User-E]

:wink2:

 

[Blank_Dave]

Ever hear of Vimovo being prescribed for migraines?

Saw my Dr this morning, and told him it was too early in the morning to tell him how I was feeling. Sunday, I had a nagging headache all day, which woke me up during the night. I couldn't get to sleep for over an hour, and had to take two Sinutab. Then I had a few hours of 'weird' sleep, waking, falling asleep, weird dreams. And finally about four hours of normal sleep.

Monday, the headache was more of annoyance, but I was rather tired.

Tues, I had spells of light headedness.

So he checked my ears and nose, and didn't feel there was any sinus issues. When he asked where the pain was, I said it was above the left eye. So he wondered if it was a migraine triggered by a change in barometric pressure.

He'd like me to take that Vimovo for ten days. But when I looked it up, I saw nothing relating it to migraine treatment.

 

[oldguyzer]

The main component in Vivomo is sodium naproxen (same as Aleve), which is a pretty efficient pain reliever for many people. You can safely try it and see if it works, following label directions. Personally, I buy OTC generic Sodium Naproxen to save money over Aleve, and they are identical. Wallmart, Shoppers, etc all sell generics.

As for migraines, some people react well to Sodium Naproxen, some don't. I get migraines and find the most effective for me is ibuprofen, but everyone reacts differently. Try Aleve and Advil (or their generics) to see what works for you. If neither do, then there's some stronger pain reducers that may work better, but I hate their side effects.

Let me know how it goes...

 

[Blank_Dave]

To be honest, I'm kind of dubious about this, as this is the first time the notion of migraines has been floated at me.

Usually I chalk my headaches up to dehydration (I often work outdoors in the summer, and sweat), sinuses (lots of atmospheric based allergies), and tension (which normally start in my neck and then progresses to the head).

Plus this was the first time I've been woken by one.

So I'm kinda eyeing Vimovo rather suspiciously.

 

[oldguyzer]

There is a potential of an allergy being in play, which would account for some of the symptoms. You can verify this by taking something like loratidine (Claritin), which won't have any effect other than to clear the sinuses and stop any histamines in the blood.

For the tension in neck and shoulders, get a decent massage (no joke!) a couple of times a week to start then taper down, consider muscle relaxants, or use a warming rub.

And of course for the dehydration drink lots of water, preferably something like Gatorade if you can for the electrolytes.

Eliminate all the simple stuff first, then start to consider other factors that me be more insidious. Give the allergy meds and massages a two or three week try before assuming they don't work.

 

[Blank_Dave]

Well to me, when I might get a headache, of note, a month, I don't really see why I need to be prescribed a med to deal with it.

My allergies are usually kept pretty in check with my nasonex, advair discus, and Hydrosense mist. The latter is awesome.