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Recent Occupational Therapy questions

Recent trauma injury in ankle resulting in an avulsion

Recent trauma injury in ankle resulting in an avulsion fracture in the bifurcate ligament and full tear of ATFL. I was put in a Moon Boot for 7 weeks and fully healed those injuries, however;Still experiencing pain on the side of the big toe around the First Metatarsal. There is a lot of swelling and loss of mobility. X- rays show no fracture and MRI shows no signs of damage. Every doctor I see just tells me to rest but I have been resting for the last 2 months and feel absolutely no sign of improvement.

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

23,294 satisfied customers
I am having tendon problems in my right wrist, below the

I am having tendon problems in my right wrist, below the thumb. There is a noticeable temperature change around the injury and the rest of my wrist. Should I be concerned?JA: Have you seen a doctor about this yet? What medications are you taking?Customer: Yes, I am in Occupational therapy for it. I am not currently taking medication for that specific problem.JA: What medications do you take daily? Are you allergic to any medications?Customer: Just Morphine but I am not on that. I take diabetic meds and acid blockers and Cymbalta for a neck injuryJA: Anything else in your medical history you think the doctor should know?Customer: This was caused during a car accident in April of 2015. I had tendon surgery to repair a tendon on the radial side of my wrist and then this problem started shortly after in August of 2015.

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Dr. Bob

Staff Physician

Doctoral Degree

8,134 satisfied customers
While working providing occupational therapy services, I was

While working providing occupational therapy services, I was preforming a functional transfer the went south, I severely injured my left shoulder tearing my sub-scapulars tendon with subluxation of the biceps tendon, and a tear in my supraspinatus tendon, I also felt major pain between my shoulder blades . Here's my primary concern: within days I started losing sleep not just a little, but every time I tried to sleep the pain would become unbearable, it required icing 3-4 time every night. Within 30 days I could no longer fulfill my duties, by this time I was experiencing constant pain, mental stress, sleep deprived, confusion and depression, Question: I gave my statement of what happened... but recently I have remembered that after a long day at work some weeks before maybe longer, I had some stiffness and moderate pain in that shoulder but after a few days the pain subsided most of it is still in a fog, I'm still dealing with the all the issues. Is it possible that due to magnitude of tremendous mental stress and constant pain that at the time of giving my statement I didn't remember it..?? Can the combination of these very heavy factors, cause one to forget or create confusion of the sequencing of events...

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

52,296 satisfied customers
I had neck surgery Jan February March 2016. I am 7 mths in

I had neck surgery Jan February March 2016. I am 7 mths in and still in god awful pain. I have 2 cuts thru the front and a plate with screws in my the back of my neck. The first two surgery so couldn't swallow or talk. 18 hrs altogether of anitesia. I lost 18 PDFs. I take no medicine. I'm in agony. I have an appt tomorrow with the surgeon. Can you please tell me what to ask for . I'm not nearly three quarters of the women I was in December. Please help.

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Dr. Bob

Staff Physician

Doctoral Degree

8,134 satisfied customers
My wife, 41, just returned from the hospital after going

My wife, 41, just returned from the hospital after going through a cerebral angiogram for embolization of a fistula. During her stay, they gave her Keppra, and she now has to take two 500mg doses a day for the next year. She never had what was considered a seizure during this, nor had any form of epilipsy in the past, so I have a few questions:One - by having gone through this, is she more at risk for strokes, seizures, etc. by virtue of the procedure and subsequent prescription of anti-seizure medication? Why prescribe an anti-seizure med if she technically did not have a seizureAlso, she does like to drink, and the Keppra clearly states no alcohol. Given her lack of history of seizures, or any neurological issues before, can she still enjoy some drinks during her time on the meds?

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Dr. Rick, MD

Ophthalmologist & Retina Specialist

Doctoral Degree

17,570 satisfied customers
My husband, age 94, had radiation on his jaw, it damaged

My husband, age 94, had radiation on his jaw, it damaged some saliva glands, so he gets a lot of saliva in his mouth. Often it just drools out without him feeling it. Can we do something?

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

52,296 satisfied customers
I had a knife go through my hand at an angle and

Hello.I had a knife go through my hand at an angle and had sutures in emergency room 13 days ago.I just removed the stitches and the gap worries me. Is this normal?There is no serious or continuous pain.Here are the pictures of suture and after stitches are taken out.http://imgur.com/a/o8xFRThank you so much in advance

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

52,296 satisfied customers
I have a 50yo husband diagnosed with sod1 mutation motor neuron

I have a 50yo husband diagnosed with sod1 mutation motor neuron disease, also called amyotrophic lateral sclerosis (ALS) SOD1 mutation. Have spent a few years researching...Too stabilise the SOD1 from a misfold it looks like we are after something that is a good heat shock protein 40 and 70 inducers.A summary of motor neuron disease SOD1 mutation in one sentence: Increased extracellular glutamate → increased calcium influx in the neuron → triggers release of energy from mitochondria in the neuron → mitochondria get out of balance and produce excess free radicals → free radicals impair the mitochondria further → intracellular calcium raises and finally the neuron dies → the dying neuron increases extracellular glutamate → the cascade continues ...Therapeutic targets may be the induction of heat shock proteins as enhanced heat shock protein expression not only affects protein aggregation directly, but can also lead to more effective clearance of protein aggregates via the unfolded protein response.Heat shock protein 40 is a Co-factor of Hsp70 and it's the HSP70 that is a protein involved in folding and unfolding, and provides thermotolerance to cell on exposure to heat stress. HSP70 also prevents protein folding during post-translational import into the mitochondria/chloroplast.Therefore we are after something that is a good heat shock protein 40 and70 inducers.what supplements could increase HSP 70 and HSP40?Thanks guys,Mia :-)

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434 satisfied customers
I had a spinal tap done on 4/13/15, because I had an

Hello I had a spinal tap done on 4/13/15, because I had an MRI that showed 9 lesions on my brain. I have blurred vision double vision, central vestibular damage, headaches, muscle weakness, loss of hearing just to mention a few. In received a result today for an iGg CSF called Oliog bands CSF see ARUP special report. I was wondering if u could tell me what that meant. Thank you

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Dr. Phil, MD

Internal Medicine Physician

Doctoral Degree

44,350 satisfied customers
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