#House call doctor

[shininglightus]

Can a hospice patient go to the doctor

Hospice care is a specialized form of care provided to individuals who are terminally ill and have a life expectancy of six months or less. The primary goal of hospice care is to manage the patient's symptoms and provide comfort and support during the end-of-life process. As such, hospice care is typically provided in the patient's home or a hospice facility. However, it is not uncommon for hospice patients to require medical attention outside of their usual care setting, such as a visit to the doctor's office.

So, can a hospice patient go to the doctor? The answer is yes, but with some important considerations. First and foremost, it is essential to ensure that any medical treatment or intervention is in line with the patient's hospice care plan and goals. This means that any visit to the doctor should be coordinated with the hospice care team, who can provide guidance on what type of care is appropriate and necessary for the patient's condition.

Additionally, it is important to keep in mind that hospice care is intended to provide comfort and support during the end-of-life process. Therefore, any medical interventions should be focused on managing the patient's symptoms and improving their quality of life, rather than attempting to cure their underlying condition. This may mean that certain types of medical treatments or procedures may not be appropriate for hospice patients.

In some cases, hospice care providers may have their own team of medical professionals who can provide care for the patient, such as a hospice physician or nurse practitioner. These providers can offer medical attention in the patient's home or hospice facility, reducing the need for visits to the doctor's office.

In summary, hospice patients can go to the doctor, but any medical intervention should be coordinated with the hospice care team and focused on managing the patient's symptoms and improving their quality of life. Ultimately, the goal of hospice care is to provide comfort and support during the end-of-life process, and any medical interventions should be in line with that goal.

[safehands01]

The Rise of Dengue Fever in Dubai: Causes, Risks, and Prevention Strategies

Introduction:

The United Arab Emirates (UAE) is experiencing intense rain, which has raised fears about the number of dengue virus cases increasing. In areas with warm temperatures and plenty of rainfall, dengue fever, a virus spread by mosquitoes poses a serious risk to human health. Within this blog, we explore the causes of dengue fever, the risks associated with the disease, and effective tips to prevent its transmission.

What Causes Dengue?

The dengue virus, which causes dengue fever, is mostly spread to people by the bites of infected Aedes mosquitoes, especially Aedes aegypti and Aedes albopictus.These mosquitoes are frequently seen in tropical and subtropical areas.They are especially abundant in metropolitan areas where they reproduce in flower pots, containers, and waste tires, among other stagnant water sources.

Within the Flaviviridae family, the dengue virus is classified into four different types: DEN-1, DEN-2, DEN-3, and DEN-4. Lifelong immunity to that particular strain is provided by infection with one type, but it offers no defence against infection with other variants. Serious consequences, including some that might be fatal, can arise from recurrent infections with distinct types of dengue, including dengue hemorrhagic fever and dengue shock syndrome.

Risks Associated with Dengue Fever:

A variety of symptoms are associated with dengue fever, such as a high temperature, severe headache, pain in the joints and muscles, nausea, vomiting, and an unusual skin rash. While the majority of dengue fever infections only cause moderate sickness, more severe instances can result in fatalities, severe bleeding, and organ failure, especially in vulnerable individuals including elderly people, newborns, and young children.

High mosquito populations increase the risk of catching dengue fever, especially during the rainy season when there are plenty of mosquito breeding grounds. The spread of dengue fever has been facilitated by urbanisation, population increase, and climate change, raising concerns for public health around the world.

Effective Tips to Prevent Dengue:

Preventing dengue fever primarily involves reducing mosquito breeding sites and minimising mosquito bites. Here are some effective strategies to protect yourself and your community from dengue:

Avoid water that remains: Regularly empty and clean water containers, flower pots, and other potential mosquito breeding sites around your home. Cover water storage containers to prevent mosquitoes from accessing them.

Use Mosquito Repellents: Apply DEET, picaridin, or oil of lemon eucalyptus on exposed skin and clothes. To keep mosquitoes out of your house, install mosquito netting or screens on windows and doors.

Wear Protective Clothing: When spending time outside, wear long-sleeved shirts, long trousers, socks, and shoes, particularly at dawn and twilight, when mosquitoes are most active.

Support Vector Control Efforts: Participate in community-based vector control programmes aiming at lowering mosquito populations by killing, fogging, and environmental management.

Seek Medical Attention: If you have dengue fever symptoms including fever, headache, body pains, or a rash, see your doctor. Early detection and timely treatment can assist to avoid problems and improve results.

Conclusion:

Heavy rains raises the danger of dengue fever in the UAE and other impacted areas, hence it is critical to promote knowledge about the disease's causes and effective preventative techniques. Individuals may lower their risk of dengue fever and contribute to the collaborative efforts to battle this avoidable disease by implementing mosquito control measures, using personal protective equipment, and seeking prompt medical care.               Let us work together to safeguard our communities against dengue fever and create a better, safer future for everybody.

Remember, Safe Hands Home Healthcare is here for you 24/7, providing support and care whenever you need it. Together, let's prioritise health and well-being, providing a brighter tomorrow for everyone.

[eldacom]

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[urgentmedhousecalls]

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[janetang1]

5+ Reasons to Consider Telemedicine Consultation for Better Healthcare 

Telemedicine consultations, which provide a quick and easy substitute for in-person appointments, have revolutionized the healthcare sector in recent years. As a result of technological developments and an increasing focus on remote healthcare services, more individuals are turning to telemedicine for their medical requirements. Here are seven strong arguments for switching to telemedicine consultation if you’re still not sure if it’s the appropriate move for you:

Convenience: The unmatched convenience of telemedicine consultation is among its most important benefits. You may see medical specialists in the convenience of your own home rather than making appointments weeks in advance and sitting in long lines. With doctor tele consultation, you may consult a doctor whenever it’s convenient for you, whether you have a small illness or need continuing medical guidance.

Accessibility: For those who live in distant or underdeveloped locations, telemedicine consultation enhances access to healthcare services by removing geographical constraints. No matter where you live—in a busy metropolis or a rural village—you may get medical advice without having to go far. Those with mobility impairments or other transportation constraints will find this accessibility to be very helpful.

Cost-Effectiveness: When you account for childcare arrangements, time away from work, and transportation expenses, traditional medical appointments can get pricey. By lowering these related costs, telemedicine consultation can help you save money. Furthermore, telemedicine services are increasingly frequently covered by insurance policies, making it a cost-effective choice for people looking for high-quality medical treatment without going over budget.

Prompt Medical treatment: Telemedicine consultations can save lives in emergency cases requiring immediate medical treatment. By connecting with a healthcare expert in real-time, you may obtain prompt advice and treatment suggestions instead of having to wait days or weeks to visit a doctor. This promptness can have a big impact on how acute diseases are managed and complications are avoided.

Continuity of treatment: Regardless of your location or schedule, telemedicine consultations facilitate smooth continuity of treatment by keeping you in contact with your healthcare practitioner. You can simply contact your doctor for follow-up visits, prescription refills, or medical advice whether you’re on the go, whether it’s for business or pleasure. Better health outcomes are promoted in the long run by this continuity, which guarantees that your healthcare demands are regularly satisfied.

Privacy and Safety: As far as privacy is concerned, house call doctor and telemedicine consultation are a must. Privacy concerns take place when discussing private health issues. Patients and healthcare practitioners may communicate securely and in confidence via telemedicine consultations.

Preventative Care: Telemedicine consultations are essential for more than simply treating immediate medical problems; they are also vital for managing well-being and preventing illness. People may take charge of their health and wellness with the help of telemedicine, which offers a range of services including preventative screenings, dietary counseling, and mental health assistance. Telemedicine promotes an individualized strategy for health and prompts early action by allowing consistent contact with healthcare providers.

With the widespread adoption of digital transformation across sectors, telemedicine consultation has the potential to disrupt the way healthcare is provided and received completely. Telemedicine presents a convincing substitute for conventional in-person consultations because of its numerous advantages, such as accessibility, cost-effectiveness, convenience, and continuity of care. This is an adaptable and trustworthy way to get the medical advice you need, whether you’re dealing with a small illness or trying to manage a chronic disease.

Take a look at D&C Medical Services if you are interested in telemedicine consultation and want to get healthcare service from a female doctor. To meet your specific requirements, our team of skilled medical experts is committed to providing you with a first-rate telemedicine consultation. To start improving your health and wellness, contact us today to set up your virtual session.

[periwinklepanic]

There is nothing more gratifying than having a friend watch a tv show you recommended. Of all of life’s simple pleasures, it’s my favorite. I’m also good at it ?? It’s very easy for me to convince someone to watch a tv show I like ?? And yeah, I know it makes sense that people I’m friends with would like the same things as me but, it isn’t just close friends either. I talked up WandaVision to a coworker I just met last week and she started it the next day.

I just love talking about tv and analyzing shows with people. I could talk about tv anytime with anyone. I have no idea why but, people listen ! I have one (1) superpower.

[tardis-technician]

The key to enjoying Clara Oswald is to understand there is something so incredibly wrong with her. Like her and twelve are the inverse of ten and donna where they’d do anything for each other but it makes them both infinitely worse instead of better.

[carebooks]

HOTD - 02x04/02x05 — DW - 09x08

[shgark]

the characters may be fictional but my pain is REAL

[cashthecomposer]

Be sure to tag with the series you're rating, and reblog for sample size!!!

[romancemedia]

New Anime Coming in 2024

[houseswife]

House MD makes for a way more interesting Sherlock adaptation than any other because it truly explores the depths of the character’s potential as a rude, selfish sociopath by making him American

[spro-o]

gnawing at the bars of my enclosure when the subject is this man,,,

my comms are open!!

[bumblingbabooshka]

I hate when Chakotay is watered down to be Janeway's yes man because their disagreements are actually very interesting. [A lot of rambling analysis of this debate in particular below]

Chakotay in Parallax is very interesting in that he has to navigate a lot of different dynamics. Balance a lot of plates while being watched keenly by everyone around him. Immediately preceding this scene we see him ask B'Elanna for her opinion on the bridge - both as a chance to show her knowledge in his bid to make her chief engineer (because she wouldn't get a chance to otherwise as Janeway has clearly indicated that at this point she views B'Elanna as a troublemaker who won't be considered for the position) and because he just thinks she's a better engineer than Carey and wants the best possible chance of them succeeding. Janeway sees this as unacceptable. Carey is the chief engineer and so he should be called and Chakotay NOT asking for his opinion is an insult to Carey, Janeway, and might make the crew doubt Chakotay (and by extension the Maquis') loyalty to the Starfleet crew.

At this point it seems that to Janeway integration ["They're not your people"] means the path of least resistance, specifically tailored towards the Starfleet crew. She wants Chakotay by her side to keep the Maquis crew calm but also seems unwilling to consider them for important positions aboard the ship. Though she says that the Maquis are not Chakotay's people, not his crew, she certainly doesn't seem to consider them hers [Compare this to later instances where she stresses 'our' crew, here she simply says they aren't Chakotay's: Whose crew are they? Are they crew at all?]. This less leaves the impression of "We need to be a cohesive team" and more "You're not in charge here." She essentially accuses Chakotay of playing favorites. In her mind Chakotay's actions are not conducive to integrating the crews which would (again, in her mind) mean the Maquis being docile and accepting, obedient and content - not making trouble for the Starfleet crew. Chakotay counters Janeway's accusation with one of his own: That he IS trying to integrate them into the crew but her not allowing the Maquis any opportunity to prove themselves or succeed, not showing any trust in any of them (except, implicitly at this point, him) is making things difficult. At this point the Maquis crew are ready to mutiny on his word at any time. He knows this for a fact. Aside from that looming threat (the threat being that tensions are high and if nothing changes and they remain high there might be a mutiny even without his word) - Chakotay knows these people and trusts them. Though Starfleet and Janeway think of the Maquis as a violent bunch of criminal terrorists, Chakotay and a good number of the Maquis joined because they believed in the cause they were fighting for. These are people Chakotay knows WILL fight fiercely for what they believe in and conversely, AGAINST what they perceive as injustice. Even if they're not in the majority - they're used to picking fights which seem impossible to win. At this point Janeway admits that she ISN'T making it easy for Chakotay to integrate the Maquis - specifically talking about practical concerns; how she doesn't feel she can let Maquis crew have roles of importance on the ship because they lack the ability to hold them. "They don't have the discipline, they don't have the training," - asserting that they just aren't prepared for any such roles and it doesn't have to do with them being Maquis specifically. Ostensibly, she's treating them as she might treat anyone unqualified for the job.

Chakotay maintains that some of them, like B'Elanna, have the ability to be trained - challenging her point by saying that IF they're trained there's no reason for any Maquis member NOT to be given a more prominent role on the ship. He isn't suggesting they just unqualified people important jobs. If the problem is that they aren't trained, let's train them. These people have the ability to succeed if you give them the tools they need and a fair chance, he insists. Janeway then switches gears and her argument becomes not "The Maquis are untrained so they can't be given those jobs" but "The Maquis crew are unworthy of those jobs when compared to Starfleet personnel" saying that it'll cause insult and upset among the Starfleet crew if any member of the Maquis were to be promoted above them. Again, her idea of integration is based more on Maquis subservience to the Starfleet crew than it is the two crews working together. (Not that I believe she looks at it that way, it's just where her 'path of least resistance' leads) - though she accuses Chakotay of being too focused on "his" crew, she is admitting here that she believes her real crew are the Starfleet officers aboard, not the Maquis. She also admits here that the system she wishes to maintain (and is asking Chakotay to enforce) is one where there will ostensibly never be any chance of a Maquis crew member being promoted because no Maquis crew member will ever be more qualified, more worthy, than a member of Starfleet. We can see how it'd be difficult for Chakotay to convince his crew to remain calm under these circumstances. There's also Tuvok's behavior toward him at the beginning of the episode where the Vulcan nearly goes over Chakotay's head and when he doesn't do so (as Chakotay reminds him that HE'S the superior officer, the First Officer in fact,) Tuvok acts as if him backing down (partially) and conceding (partially) to Chakotay's authority is a favor to Chakotay.

Tuvok in this conversation is downright insubordinate to Chakotay. Despite Chakotay being the first officer, he doesn't take what he says seriously, argues that his own opinion on what should be done should be followed rather than Chakotay's, lectures the first officer about his conduct, and then almost seems to threaten him with a report. In Starfleet's rigidly hierarchical rules, acting like this to a superior officer (ESPECIALLY the first officer) wouldn't be tolerated and Tuvok knows this perfectly well. He isn't a rebellious character and clearly in other episodes adheres to these Starfleet hierarchies and codes of conduct very strictly. He values them highly. But Chakotay, a Maquis, shouldn't be First Officer. Why should he be given respect for a title he didn't earn? [Affirming Janeway's argument about how Starfleet officers won't be eager to follow a Maquis senior officer] Even though Chakotay tells Tuvok off for it ["I don't have to explain myself to you"] he doesn't threaten to put Tuvok on report or explicitly mention his insubordination. It's unclear if this is Chakotay's personality or if he just doesn't feel he CAN do that. Tuvok is one of the three most senior officers aboard and very close to Janeway. Chakotay has to think of the optics of any situation at all times - we see seconds after this conversation that rumors have already started swirling around B'Elanna being relegated to quarters that've fanned the flames of mutiny. Though we know Tuvok has personal reasons for behaving the way he does toward Chakotay (which he later admits), I really don't think it'd be out of the ordinary for this to be how most Starfleet personnel would treat the Maquis if they weren't outright hostile: Like they're only pretend crewmen. To a lesser extent we even see this with Janeway: In the following staff meeting, she clearly doesn't consider B'Elanna a viable option when Chakotay brings her up and almost ignores the suggestion entirely.

It also, again, leaves Chakotay in an impossible position. If he doesn't protect and fight for the Maquis crew, they won't ever be considered a true part of the crew and dissatisfaction will likely spread among them. Dissatisfaction which the Starfleet crew will then use to further label the Maquis as insubordinate, uncontrollable, unfit. Not to mention that if he doesn't advocate for them, he might lose their trust. However, if he DOES try to help the Maquis crew advance the Starfleet crew will view this as 'favoritism' and will further distrust him, won't respect the people he puts forth as worthy. Janeway seems to be intent on not advocating for any of the Maquis crew and also seems unwilling to ask that the Starfleet crew grant leniency. She implies that the Maquis crew need to learn to get in line and keep quiet and it seems almost like [we must remember the optics] she has Chakotay as the only Maquis in a position of power to facilitate that. Chakotay recognizes and pushes against that, saying that he won't just be her token Maquis - there only so she can point to him and say "See? We don't discriminate against the Maquis here." effectively a tool used to shut down any arguments of unfair treatment and a tool to quell the Maquis if any talk of mutiny DOES arise. In this model, Janeway can just tell Chakotay to calm them down and they'll listen because they trust him. She also doesn't have to really listen to anything he says: A token First Officer has no authority; his words don't hold weight. [Chakotay isn't Maquis anymore, they aren't his crew anymore - ok. What is he then? What are they? Nothing, without respect.] This plan seems untenable, as much as Janeway frames it as sensible: "I can't make it easy, Commander. Surely you can understand that," and alternatives as impossible "How am I supposed to ask them to accept a Maquis as their superior officer just because circumstances have forced us together?" - in the long run, how would this be sustainable? In any power structure, you cannot expect a group of people you're unwilling to grant trust or agency to obediently follow you forever. This proposed form of 'integration' in which the Maquis are kept on the bottom rung and told intermittently to stay there quietly by the only one of them granted permission to stand at the top would never be sustainable - especially with a group like the Maquis who again, were founded on the belief that its members should fight against inequity and are already on the verge of mutiny.

I specifically find the statement "How am I supposed to ask them to accept a Maquis as their superior officer just because circumstances have forced us together?" to be interesting because personally I'd say that being forced together for the rest of almost everyone's natural life is a pretty good reason to ask people to adapt and Janeway does understand this but only applies it to the Maquis - the Maquis are the ones who have to adapt, not Starfleet. The only thing the Starfleet crew have to do is tolerate their presence on board.

At this point Janeway again claims that if Chakotay can show her a 'qualified' Maquis candidate she'll consider them. I believe this is true but we already know that Janeway's standards for qualification will likely not fit the vast majority of the Maquis and Chakotay ignores the claim in favor of putting forth B'Elanna again, firmly. Janeway predictably dismisses her as unqualified and Chakotay disagrees, arguing that he knows her. He's worked with her. He KNOWS that B'Elanna can excel at the job even if she doesn't meet Starfleet/Janeway's qualifications. He doesn't value those qualifications over what he's observed about her - just as he didn't value Carey's title over what he knew about the gap between his and B'Elanna's abilities. Then, Chakotay switches gears. He admits that Janeway's right - he does view the Maquis as his crew but that's because Janeway (almost self admittingly) doesn't and if he doesn't, who will they have? [What kind of captain, kind of man, would he be?] "You're going to have to give them more authority if you want their loyalty." "Theirs or yours, Commander?" Janeway frames Chakotay's words pointing out the flaws in this plan which I outlined earlier, as almost a threat (if she doesn't have Chakotay's loyalty it'll most definitely mean mutiny). Chakotay asserts that it wasn't a threat, he's only trying to help by telling her how the Maquis crew will react to what she's telling him. "I'm sorry you can't see that" - not an apology for what he said but that she isn't willing to budge, not willing to listen to him and acknowledge that she might be as biased towards her crew as he is towards his. Chakotay is trying his best to acclimate his crew but if Janeway isn't willing to do the same, to talk to her people as he's talking to his, then this will not end well and that isn't a threat. It's just the reality of the situation. He then asks permission to leave, showing he is willing to observe Starfleet protocol (just as when he asked permission to speak freely), and Janeway lets him go, exhaling at the intensity of their debate when alone in her ready room.

[janetang1]

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