Primary care

What is Primary care?

Primary care is the health care given by a health care provider. Typically this provider acts as the principal point of consultation for patients within a health care system and coordinates other specialists that the patient may need.

Questions and answers on "Primary care"

my nail beds have yellowed and the food I eat has a metallic taste. I have MS and take Copaxone daily. Should I go to my doctor? the neurologist or primary care?

doctor1 MD

Brief Answer:
Primary care physician, for medical attention to liver

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Copaxone therapy has shown to affect patients with multiple...

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I am 67 years old and have had skin cancers on my face, one of which required a Mohs procedure over ten years ago. Although I am more careful now to wear a hat and sunscreen and limit outdoor time during the sunniest hours (I live in often XXXXXXX Northern California), I continue to develop a variety of moles (some of which itch and/or peel off at times) and other skin irregularities. My father had a melanoma which was successfully treated when in his 70s. I have read in various places that I should be seen by a dermatologist annually because of my history and I have asked for referrals from two different primary care physicians but they have turned me down and settled for cursory exams by themselves. Why are they so reluctant? Should I be satisfied with this? Is there some way to present my situation so that they would be more likely to refer me to a skin specialist for a more thorough check-up?

doctor1 MD

Brief Answer:
About referrals:

Detailed Answer:
Hello XXXXXXX

Negotiating the medical system can be frustrating. Depending on the type of insurance plan you have, they may refuse a primary care doctor's referral for things that they consider a primary care doctor can do.

I think your request to...

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Hi... I am a 62 year old male in good condition. 6' 2", 210lbs and physically active.
I have developed erectile dysfunction over the past 10 years or so. I t has gotten progressively worse over that time. I still get erections, especially early AM, but other times they do not "rise" entirely to the occasion -or- they don't last.

The question I have is, can I get an online prescription for meds to see if they actually work?

doctor1 MD

Brief Answer:
Consideration

Detailed Answer:
hello and thank you for sending a question.

erectile dysfunction is not uncommon among males in your age category. There are a number of medications which are available which can treat us very effectively and safely if supervised by your primary care...

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should i start the lithium by 300mg twice a day immediate release sustained relaease or extended release?does it come in sustained release

blood lithium levels should be checked in 4 to 5 days ,
could i phone u when i see a physician that isnt a psychiatrist & after u speak to the physician ,he could write me a prescription,my psychiatrist is out of city ,he isnt coming until april 4 ,if i see a family physician he is more likely to listen to what i suggest if u speak to him since you are a psychiatrist.

doctor1 MD

Brief Answer:
Private Consultation

Detailed Answer:
Hello, and thanks very much for using my direct private service.

I typically start with lithium carbonate immediate release 300mg at 9AM and at 9PM. It does come in an extended release formulation, but that formulation does not give accurate...

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I'm considering asking a physician about vyvanse for binge eating disorder. I don't have a PCP at the moment. But I wonder if I make an appointment with a primary physician to ask about the drug...would they refer me to a specialist?

doctor1 MD

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks very much for your question.

It would be wise and recommended to speak first to a primary care physician about starting this medication. Often, primary care doctors will prescribe this themselves. However, for a more intensive and...

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My daughter is now 11. She was severely pegion toed at birth. Now 5% on the right and about 14% on left. Just finished PT for the 3rd time. No help. Hurts to straighten left foot. No hip problems. What do we do next? Primary care doctor said podiatry but now changed her mind to orthopedic doctor. What's your opinion? We have appointment with podiatry tomorrow not sure I should keep the appt now though.

doctor1 MD

Brief Answer:
I'd recommend orthopedic surgeon who specializes in pediatric orthopedics.

Detailed Answer:
Hello Ms. Crowe,

Both podiatrists and orthopedic surgeons can treat intoeing. That may be why your primary care doc suggested first one and then the other.

Podiatrists can do surgery, and are...

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I have Parkinson's. Until about two weeks ago, caribiidopa!-levidopa helped with walking. My neurologist PA prescribed Rytary ER 48.75-195, 3 pills at 7am, 2 at 2pm and 2 at 9pm. NO effect. I now have to drag myself up and down ramps behind a walker. My neurologist won't see me until July 3.

doctor1 MD

Brief Answer:
Ask your primary care physician to write the previous medications for you

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query. It is apparent that the change in medication is not working out well for you. In such a case it would be...

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I have taken Apo-Cittalopram 20mg for 6 days now, is it ok to take Lorazepam .5mg daily as well.

doctor1 MD

Brief Answer:
Considerations

Detailed Answer:
hello and thank you for sending the question.

Just to be clear this service does not replace direct medical instructions and treatment recommendations which are provided by her primary care physician.

Lorazepam can likely be taking safely with...

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My husband has a red swollen area right on his elbow, it is warm to the touch and sore and painful when he extends his arm. He did not injure it. Just sort of one day it started hurting like 5 days ago.

doctor1 MD

Brief Answer:
Inflammation, exclude an infection. See primary care doctor for evaluation

Detailed Answer:
Hi and thanks for the query,

The presentation is classical for an inflammation. The fact that there is no notion of trauma makes it imperative for us to exclude the possibility of an...

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Hello i'm showings signs of a chlamydia infection. But i tested negative. For my urinalysis it wasn't the first stream. I wait 1 and a half hours before doing the urine sample. Is it possible to get a false reading. Or if i have chlamydia will it show up regardless?

doctor1 MD

Brief Answer:
Considerations

Detailed Answer:
hello and thank you for sending the question.

It is possible to have a false-negative reading. If you're having symptoms including frequency of urination, discomfort with urination or discharge then it would be reasonable for you to repeat the test....

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Recent questions on  Primary care

doctor1 MD

Ive never done this before but why not give it a shot. i have no insurance so i cant go to my primary care . i woke up this with shooting pain in my stomach , all over. it hurt to stand up, move around, laying down. on top of that my bowel moveents havent stop since 8 this morning. ive been reading up on my symotoms and alot of people are saying food poisioning. please help! :(

doctor1 MD

Dear Dr. Ditah, THANK YOU for asking me how I am doing, as I do have several follow questions for you Here goes: 1. I have believed for some time now that I have some form of inflammation or infection in the area of my eye cage and forehead. This...

doctor1 MD

I have been taking atorvastatin 40 mg for 4 months - through carotid endarterectomy surgery - with horrible subjective side effects which, objectively, include very low hematocrit of 32.9% and other low red blood cell counts. Primary Care...

doctor1 MD

I've had a cold from runny nose since Thanksgiving in the U.S. to now a cough the past four days. I lost my voice and its been about three days. It's a dry cough and kept me up all night yesterday. I think I am getting better if I rest my voice. I...

doctor1 MD

I have a 3 inch bruise on the back of my left knee but it does not hurt. I do have a swore pain on the same leg towards the outside of my knee going halfway up my outer thigh. Any idea what this could be? I am going to make an appointment with my primary care Dr. in the morning, but I m a little worried right now. Thanks, Melissa

doctor1 MD

My coworker complained today that her left arm was really sore and was having trouble pickup up her iced tea, tonight she called and said her arm was still extremely sore and that her left leg was swelling . I ve suggested she go to ER, but she s not sure she should. Should I continue to encourage her to seek medical help rather than wait to see her primary care physician tomorrow???

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