Ask The Visiting Nurse ONLINE Archive
Disclaimer: All information published by "Ask The Visiting Nurse ONLINE" is for educational purposes only and should not be construed as a substitute for advice by your physician. You are advised to consult your physician regarding the applicability of any opinions or recommendations appearing here.
My son was diagnosed with ADHD. He is eight years old. He weights about 58 lbs. He will be going into the 3rd grade. We've tried Ritalin. Last September we started at 5mg and then 10 mg 1 time per day. For 2-3 months this was enough. Then for some reason, it wasn't. We increased it another 5 mg. Still there was difficulty at school with the excessive talking and some impulsivity. In January, we tried Concerta at low levels first. Now we're at 54mg a day. That's almost 6 times the amount as September's dosage. The teacher still complains about the talking, impulsivity and inconsistencies on a day to day basis. We visit the Neurologist quarterly and monitor it closely. I can't help this gut feeling that 54mg is too much for a little boy. I was very upset when the Neurologist suggested we even go higher (72mg.!). The pharmacist did indicate that there are no recommended doses for any age or weight. I thought that he said that 54 mg was the max. There doesn't seem to be any place where I can get information on this. Can you give me your information.
I recommend that you contact the following organization:
Attention Deficit Disorders
Children and Adults with CHADD
P.O. Box 351
Bronxville, NY 10708
(914) 278-3020
My boyfriend and I have been together for several months. Occasionally he gets cold sores on his mouth. He says that he has had this condition since childhood. Although he says that it is only contagious when he has sores that weep mucus, I have not made direct contact until they are completely healed. Several months ago he had a cold sore that was barely visible and did not weep at all, and in that case we did make direct mouth to mouth contact. Last week he had a large, painful cold sore that scabbed over. Although I did not have direct contact with the sore, we were intimate. There was one point at which his sore touched the skin above my mouth which I washed with soap immediately. I have had no symptoms and he has told me that he has not infected girlfriends in the past even when they did have contact while he had a sore. I am wondering how likely it is that I could become infected with herpes through indirect contact - ie., remnants of the virus on his hands and clothing.
There are two types of Herpes Simplex virus. HSV-1 and HSV-2. HSV-1 causes sores of the lips, mouth and eyes. The HSV-2 causes lesions of the genital area. Healing of HSV-1 sores usually takes 8-12 days after the onset. The infection can be spread from open sores or sores that are not completely healed. You should always wash your hands and face after intimate contact.
What is Celulitis? What are the treatment options?
This is a skin infection caused by bacteria which requires antibiotic treatment. Depending on which bacteria is the cause, there would be a specific antibiotic prescribed.
I have had swelling in my right leg for several years now. I have been to two different doctors and they both say it's just fluid. The past several months, the swelling seems to be worse and I have been having pain behind my knee and in my calf. It also feels like there are chills running through my leg. Some days when I leave work it feels really tight. When I get up the next morning, the swelling has only gone down just a little. Sometimes I wonder if I'll ever get to see my ankle bones on the right foot ever again. I am a 36 year old female and I have been off of birth control pills for two years now. This problem started about three years before that.
The swelling of your leg sounds like edema. I am sure that your physician has medically evaluated you for peripheral vascular disease, renal disease, diabetes, etc. I would seek a second opinion, possibly with a physician who specializes in peripheral vascular diseases. Ask your physician or local hospital for a listing of physicians who specialize in this area.
I have a child that is physically unable to focus his attention. It's kind of like he is wound up too tight. Anyway, I was curious if there is any natural alternatives to Ridilin-type treatments.
Please consult with his physician since using other than what was prescribed can be a problem. These alternatives have not been scientifically studied as to their benefits, and may also have serious consequences. You may want to contact Children and Adults with CHADD at (914) 278-3020 for more information.
Since females receive a digital rectal exam while in the lithotomy position, why is it that males are not examined this way? The current Bates version has added this position as acceptable for males. My current female GP uses it but none of my other doctors have. Why?
Males and females are anatomically different. The experience of doctors determine what the method of exam should be. Rectal exams of the prostate have always been done that way for males. Your female GP may find the lithotomy position acceptable.
Disclaimer: All information published by "Ask The Visiting Nurse ONLINE" is for educational purposes only and should not be construed as a substitute for advice by your physician. You are advised to consult your physician regarding the applicability of any opinions or recommendations appearing here.
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