Treatment FAQ

what is the point where the effect no longer is representative of the treatment

by Marielle Morissette Published 3 years ago Updated 2 years ago
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Is it ever OK to decline treatment?

Treatment Reduces the Amount of HIV in the Blood. The amount of HIV in the blood is called viral load. Taking your HIV medicine as prescribed will help keep your viral load low and your CD4 cell count high. HIV medicine can make the viral load very low (called viral suppression ). Viral suppression is defined as having less than 200 copies of ...

When is it reasonable to say “no” to drug treatment?

Jul 19, 2019 · Even if your treatment is no longer hindering or stopping your cancer, it may help to manage side effects and keep you comfortable. Treatment aimed at symptom relief is called palliative care. 5.

Can We follow patients that voluntarily opt out of cancer treatment?

It is therefore not possible to be confident of a correlation between susceptibility and treatment outcome from clinical studies, as no patients will have been infected with “resistant” strains. Under these circumstances, in vitro data, animal PD data, and human PK data (with Monte Carlo simulation) are used to define breakpoints.

Are patients willing to accept the risks of drug therapy?

Sarata’s symptoms affected her to the point where she could no longer work at her job as a medical sales representative. ... pricing, side effects, treatment target (e.g., HER2+), known ...

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What is an advance directive in medical terms?

A legal document that states a person's wishes about receiving medical care if that person is no longer able to make medical decisions because of a serious illness or injury.

What Chamber represents the entire state?

Members of the U.S. House of Representatives each represent a portion of their state known as a Congressional District, which averages 700,000 people. Senators however, represent the entire state.

What is a patient required to do in order for a request to restrict the use or disclosure of their PHI to their health plan to be granted?

A covered entity is required to agree to an individual's request to restrict the disclosure of their PHI to a health plan when both of the following conditions are met: (1) the disclosure is for payment or health care operations and is not otherwise required by law; and (2) the PHI pertains solely to a health care item ...Dec 10, 2021

How do you write an advance directive?

Complete An Advance Health Care Directive Form. Have it notarized or signed by two witnesses who are not your power of attorney. Give a copy to your doctor, power of attorney and family. If necessary, complete a Provider Orders for Life Sustaining Treatment (POLST) Form.

What is the role of a representative?

What is a Representative? Also referred to as a congressman or congresswoman, each representative is elected to a two-year term serving the people of a specific congressional district. Among other duties, representatives introduce bills and resolutions, offer amendments and serve on committees.

Why do you think senators have longer terms than representatives?

Senators represent the whole of their state, a much larger number of people than members of the House of Representatives. A 6 year term gives them more time work for the people they represent.

Can PHI be verbal?

- PHI can be transmitted or maintained in any form or medium, including hardcopy, verbal exchanges, and electronic exchanges, such as e-mail. As long as patient information is not contained on NSU forms or records, it is not PHI and therefore not governed by the privacy rule and policies.

Can a radiologist dictate a report and send it?

With SR, the radiologist can dictate the case, edit it (if necessary), and accept it all at once, which makes the final report available almost immediately (Figure 2). Therefore, the clinician can review this report sooner than would have been possible in the traditional reporting method.

What does HIPAA do for patients?

The HIPAA Privacy Rule for the first time creates national standards to protect individuals' medical records and other personal health information. It gives patients more control over their health information. It sets boundaries on the use and release of health records.

What are 4 things that should be included in an advance directive?

Additionally, when you are ready to fill out your advance directive, your health care team might be able to help.
  • The living will. ...
  • Durable power of attorney for health care/Medical power of attorney. ...
  • POLST (Physician Orders for Life-Sustaining Treatment) ...
  • Do not resuscitate (DNR) orders. ...
  • Organ and tissue donation.
May 13, 2019

What is the purpose of the advance directive?

Always remember: an advance directive is only used if you are in danger of dying and need certain emergency or special measures to keep you alive, but you are not able to make those decisions on your own. An advance directive allows you to make your wishes about medical treatment known.

What is the difference between advance directive and POLST?

An advance directive is a direction from the patient, not a medical order. In contrast, a POLST form consists of a set of medical orders that applies to a limited population of patients and addresses a limited number of critical medical decisions.

What is HIV treatment?

HIV treatment involves taking medicine that reduces the amount of HIV in your body. HIV medicine is called antiretroviral therapy (ART). There is n...

When should I start treatment?

Start Treatment As Soon As Possible After Diagnosis HIV medicine is recommended for all people with HIV, regardless of how long they’ve had the vir...

What if I delay treatment?

HIV will continue to harm your immune system. This will put you at higher risk for developing AIDS. Learn more about AIDS and opportunistic infecti...

What are the benefits of taking my HIV medicine every day as prescribed?

Treatment Reduces the Amount of HIV in the Blood The amount of HIV in the blood is called viral load. Taking your HIV medicine as prescribed will h...

Does HIV medicine cause side effects?

HIV medicine can cause side effects in some people. However, not everyone experiences side effects. The most common side effects are Nausea and vom...

Will HIV treatment interfere with my hormone therapy?

There are no known drug interactions between HIV medicine and hormone therapy. Talk to your health care provider if you are worried about taking HI...

What if my treatment is not working?

Your health care provider may change your prescription. A change is not unusual because the same treatment does not affect everyone in the same way.

Sticking to my treatment plan is hard. How can I deal with the challenges?

Tell your health care provider right away if you’re having trouble sticking to your plan. Together you can identify the reasons you’re skipping med...

Is CAM a substitute for medicine?

Surveys suggest the vast majority of consumers with medical conditions use CAM in addition to, rather than as a substitute for medicine – that is, it is truly “complementary”. But there is a smaller population that uses CAM as a true “alternative” to medicine.

How many people use alternative medicine?

In the population that did not use conventional care, one-quarter (24.8%) used some form of alternative medicine. And 12% (approximately 4.6 million Americans) were estimated to be using alternative medicine, and not conventional medicine, to treat one or more health issues.

Is breast cancer curable?

Breast cancer is well studied, frequently diagnosed, and if detected early, potentially curable. Conventional treatment for early (localized) breast cancer is surgical resection of the tumor, followed by radiation and chemotherapy to reduce the risk of disease recurrence, by killing any residual cancer cells that remain.

How long does breast cancer last?

(An old study of untreated breast cancer suggest the 5 year survival rates are 18% at 5 years and 3.6% at 10 years.)

How many women refused breast cancer surgery?

It compared patients who refused breast cancer with those that those that accepted surgery. Only 1.3% of women (70) refused surgery. Of that group, 37 had no treatment, 25 had hormone-therapy only, and 8 had other types of treatments.

Who is Scott Gavura?

Scott Gavura, BScPhm, MBA, RPh is committed to improving the way medications are used, and examining the profession of pharmacy through the lens of science-based medicine. He has a professional interest is improving the cost-effective use of drugs at the population level. Scott holds a Bachelor of Science in Pharmacy degree, and a Master of Business Administration degree from the University of Toronto, and has completed a Accredited Canadian Hospital Pharmacy Residency Program. His professional background includes pharmacy work in both community and hospital settings. He is a registered pharmacist in Ontario, Canada. Scott has no conflicts of interest to disclose. Disclaimer: All views expressed by Scott are his personal views alone, and do not represent the opinions of any current or former employers, or any organizations that he may be affiliated with. All information is provided for discussion purposes only, and should not be used as a replacement for consultation with a licensed and accredited health professional.

How to treat multiple myeloma?

The goal of multiple myeloma treatment is to kill off the abnormal cells so the healthy blood cells have more room to grow in the bone marrow. Multiple myeloma treatment can involve: 1 radiation 2 surgery 3 chemotherapy 4 targeted#N#therapy 5 stem#N#cell transplant

What are the symptoms of multiple myeloma?

Uncontrolled multiple myeloma can also lead to symptoms like: 1 increased#N#risk of infections from lowered white blood cell counts 2 shortness#N#of breath from anemia 3 serious#N#bruising or bleeding from low platelets 4 extreme#N#thirst, constipation, and frequent urination from high levels of calcium in the#N#blood 5 weakness#N#and numbness from nerve damage caused by collapsed bones in the spine

What is the goal of multiple myeloma treatment?

The goal of multiple myeloma treatment is to kill off the abnormal cells so the healthy blood cells have more room to grow in the bone marrow. Multiple myeloma treatment can involve:

What is the first treatment for multiple myeloma?

Multiple myeloma treatment can involve: The first treatment you’ll get is called induction therapy . It’s meant to kill as many cancer cells as possible.

Can multiple myeloma cause pain?

Fractures can be extremely painful. Uncontrolled multiple myeloma can also lead to symptoms like: By slowing the cancer, you’ll reduce your risk of having symptoms. Even if your treatment is no longer hindering or stopping your cancer, it may help to manage side effects and keep you comfortable.

What is the first treatment for cancer?

The first treatment you’ll get is called induction therapy . It’s meant to kill as many cancer cells as possible. Later, you’ll get maintenance therapy to stop the cancer from growing again. All of these treatments can have side effects. Chemotherapy can cause hair loss, nausea, and vomiting.

Can chemotherapy cause hair loss?

Chemotherapy can cause hair loss, nausea, and vomiting. Radiation can lead to red, blistered skin. Targeted therapy can lower the number of white blood cells in the body, causing an increased risk of infections. If you have side effects from your treatment or you don’t think it’s working, don’t just stop taking it.

What is HE in medical terms?

Hepatic encephalopathy (HE), a condition that causes temporary worsening of brain function in advanced liver disease, is on the rise in young women. This occurs when the liver can no longer clear toxins from the blood, resulting in those toxins affecting the brain. Medication as well as lifestyle modifications, such as diet and exercise, ...

Who is Cathy Cassata?

Cathy Cassata is a freelance writer who specializes in stories about health, mental health, and human behavior. She has a knack for writing with emotion and connecting with readers in an insightful and engaging way. Read more of her work here.

What is a psychologist report?

A psychologist reports a single case of a disorder, detailing the person's feelings and responses. This research strategy is. A. Very strong and widely used in abnormal psychology. B. Rarely used in abnormal psychology because few people are willing to examine their own lives closely.

Do bras cause cancer?

D. They are very difficult to do. Researchers have observed that women who wear bras for more than 16 hours a day are more likely to develop breast cancer than those who spend less time in a bra. In other words, there is a correlation between wearing a bra and breast cancer.

Can wearing a bra cause breast cancer?

D. They are very difficult to do. They cannot determine cause and effect. Researchers have observed that women who wear bras for more than 16 hours a day are more likely to develop breast cancer than those who spend less time in a bra. In other words, there is a correlation between wearing a bra and breast cancer.

How long do women wear bras?

They are very difficult to do. They cannot determine cause and effect. Researchers have observed that women who wear bras for more than 16 hours a day are more likely to develop breast cancer than those who spend less time in a bra. In other words, there is a correlation between wearing a bra and breast cancer.

How many people are affected by alcoholism in 2019?

Alcoholism is a chronic disease that progresses through early, middle and late stages. In 2019, it affected 14.5 million Americans aged 12 and older, or 5.3% of the population.

What is early stage alcoholism?

Early-stage alcoholism is the beginning of the person’s chronic use and pathway to abusing alcohol. The disease begins to feed itself. The person’s experience is positive, and they don’t perceive their use to be harmful. Alcohol provides a positive experience for the user. To others, the person may not look like they have a problem with alcohol. ...

What are the signs of alcoholism?

Those signs include slurring words, loss of balance and poor physical coordination. When casual drinkers move into early-stage alcoholism, their tolerance begins to rise.

How does alcoholism differ from middle stage?

The primary way a person with early-stage alcoholism differs from someone in middle-stage alcoholism is that alcohol is no longer leveraged for a quick high. In the middle stage, drinking may become a staple of daily life.

How does alcoholism affect the body?

As alcoholism progresses, the cells in the body become more and more resistant to the short-term effects of alcohol. As a person continues drinking excessively, the cells will continue to adapt. Eventually, the presence of alcohol becomes the norm for the body, and the long-term damage continues.

Is alcoholism a mental health disorder?

Co-occurring mental health disorders: People with alcoholism are more likely to also have other mental health disorders, like depression or anxiety. More than half of all heavy drinkers report drinking impacting their mental health (53%). Treating addiction and any co-occurring mental health issues simultaneously, called dual diagnosis, is often necessary to support long-term recovery.

How does alcohol affect the bloodstream?

In early-stage alcoholism, the person maintains and may increase their alcohol use. When alcohol enters the bloodstream, one of the central impacts is slowing the rate of communication between nerve cells. This produces the noticeable effects of intoxication.

Is artificial hydration a medical treatment?

But first, let us dispel the myth that artificial nutrition and hydration is not really a medical treatment at all but rather basic care, like giving a meal to someone. Like many medical interventions, all forms of artificial nutrition and hydration: Require the patient to undergo uncomfortable, and at times painful,

What are the side effects of a syringe?

Have known side effects and potential complications, including serious infections, fluid overload, nausea/vomiting and diarrhea, electrolyte and mineral imbalances, and even death; Have indications (use of the treatment for patients with similar conditions has been usually more beneficial than harmful); Have contraindications (use of the treatment ...

What is artificial hydration?

Artificial nutrition and/or hydration is a treatment intervention that delivers fluids and/or nutrition by means other than a person taking something in his/her mouth and swallowing it. There are several different types of artificial nutrition and hydration, broadly divided into two major categories: Enteral : Nutrition and/or fluids are delivered ...

What happens when you insert a catheter?

Pneumothorax (collapse of the lung) can occur at the time of inserting the catheter. Thrombosis (clots in the vein) can occur, causing local swelling. Sometimes these clots can travel to other parts of the body such as the brain or lung and can be life-threatening.

Can blood clots travel to other parts of the body?

Sometimes these clots can travel to other parts of the body such as the brain or lung and can be life-threatening. Cardiac arrhythmias (irregularities of the heart beat) as well as electrolyte disturbances such as low sodium, low potassium or low blood sugar can occur. These are all potentially life-threatening.

What are the risks of gastrostomy?

There is also a risk of infection of the abdominal wall and peritonitis (life threatening infection of the abdominal cavity). Gastrointestinal bleeding, blockage of the bowel or perforation of the bowel may occur.

What causes swelling in the legs and arms?

Thrombophlebitis (clotting in the vein) can occur and cause swelling and discomfort. Fluid overload is possible, causing swelling of the legs, arms and body.

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Who Uses Cam Instead of Medicine?

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Surveys suggest the vast majority of consumers with medical conditions use CAM in addition to, rather than as a substitute for medicine – that is, it is truly “complementary”. But there is a smaller population that uses CAM as a true “alternative” to medicine. A study by Nahin et al in 2010 looked at data from the 2…
See more on sciencebasedmedicine.org

Effectiveness Evaluations

  • The data show that avoiding or delaying conventional cancer care is associated with negative outcomes, and CAM used does not seem to modify this risk. But have any specific CAM interventions shown any benefit? Probably the most comprehensive single review is asystematic review by Gerber et al, published in Breast Cancer Research and Treatment in 2006, which looke…
See more on sciencebasedmedicine.org

Conclusion: Alternative Medicine Isn’T Real Medicine

  • Despite widespread claims, there is no evidence to support the use of any CAM treatment as a replacement for conventional cancer care. As the studies in breast cancer show, delaying treatment or substituting CAM for conventional cancer care dramatically worsens outcomes.The results of these studies will hopefully provide patients and health provide...
See more on sciencebasedmedicine.org

References

  • 1. Verkooijen HM, Fioretta GM, Rapiti E, Bonnefoi H, Vlastos G, Kurtz J, Schaefer P, Sappino AP, Schubert H, & Bouchardy C (2005). Patients’ refusal of surgery strongly impairs breast cancer survival. Annals of surgery, 242 (2), 276-80 PMID: 16041219 2. Chang EY, Glissmeyer M, Tonnes S, Hudson T, & Johnson N (2006). Outcomes of breast cancer in patients who use alternative thera…
See more on sciencebasedmedicine.org

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