 for dementia is unnecessary. Providers should be aware of the possibility of dementia when treating individual patients.
Prescription drugs to treat blood pressure and prevent heart disease or stroke are not necessary unless blood pressure is consistently above 140-159/90-99 in people with additional risk factors.
Imaging is not required for a women suspected of polycystic ovaries until a blood test has been taken to look for hormone patterns.
Routine cholesterol monitoring is not necessary if a patient takes the recommended dose of statins, unless other risk factors exist.
Women with unexplained, recurrent miscarriages should not use drugs such as aspirin, heparin or progesterone to maintain a pregnancy.
Pregnant women should not use aspirin to reduce the development of blood clots.
Ultrasound scans to see if a baby is bigger than normal are unnecessary unless the mother has diabetes.
A small ovarian cyst in a pre-menopausal woman does not require follow up, nor blood testing for levels of the protein CA-125.
Babies’ hearts do not require electronic monitoring during labor unless the mother is at a higher risk of complications than normal.
Children with positional plagiocephaly should not be prescribed helmet therapy.Other treatment options should be discussed.
Lactulose should not be used for children with chronic constipation. First, diet and lifestyle changes should be tried, and Polyethylene Glycol (Miralax) should be used if those changes do not help.
Rectal and intravenous diazepam should not be used in treatment of pediatric and youth seizures. Instead, buccal midazolam or lorazepam should be used.
Children with mild or moderate acute bronchiolitis do not need bronchodilators.
Prostate-specific antigen-based screening does not extend life expectancy unless a patient has a family history or predisposition to prostate cancer.
Calcium testing is not necessary multiple times within three months except in acute conditions of kidney stones, bone disease or nerve-related disorders are present, or during major surgery or for critically ill patients. In those cases, testing is not necessary multiple times within 48 hours.
Transfusing platelets for patients with chemotherapy-induced thrombocytopenia is not necessary if the platelet count is greater than 10 x 109/L. Patients with clinical significant bleeding or who will be undergoing a procedure with a high risk of bleeding are exempt from this.
No more than one unit at a time should be used for patients who need red cell transfusions, unless the patient is actively bleeding.
O Rh D negative red cells should only be transfused to O Rh D negative patients, unless a female of childbearing potential has a medical emergency and her blood group is unknown.
Valproate should not be prescribed to pregnant women or those planning a pregnancy for mental disorders. The drug should only be used in these cases if other treatments have been resisted or in high risk clinical situations.
CT or MRI scans are not necessary when psychosis is diagnosed unless specific indications of signs or symptoms suggest neurological problems.
Chemotherapy should be minimized in advanced cancer treatment if it is unlikely to be beneficial and may cause harm.
Imaging is not necessary for minor head injuries.
Uncomplicated back pain does not require imaging, unless associated with ‘red flags’ or radicolupathy.
Routine scanning after cancer treatment is only necessary when beneficial to the patient.
Patients at high risk of death or severely impaired functional recovery should not go on life support. Comfort should be prioritized.
Routine tests and investigations are unnecessary and should only be use to answer specific questions.
Blood transfusions are not necessary when hemoglobin is above 70 g/L, unless the patient is unstable or actively bleeding.
Deep sedation is unnecessary for patients who are mechanically ventilated.
Abnormal vaginal discharge caused by thrush or bacterial vaginosis, when occuring in a woman at low risk for a sexually transmitted infection, does not require a vaginal swab.
A woman with recurrent thrush should not be given additional courses of treatment. Instead, a skin examination should be conducted to determine if she has allergies, lack of estrogen or another condition.
Women over the age of 45 with typical symptoms of menopause do not require bloods tests to check hormone levels.
Women who have a copper intrauterine device or hormonal intrauterine system do not need professional advice unless they cannot feel the threads hanging from the device.
I love this. You said that you’re not qualified but the NHS affects you and ultimately your life and in that sense we are all qualified to talk about potential threats in our healthcare service because we are the patients that experience it and the people that the NHS serves in a way. I think that we are made to feel irrelevant or silly to discourage us to stand up to injustice. Anyway, I really liked this post.
I am not a doctor, but as a patient I say how much are they going to save by using tap water instead. Ask the people of Flint, Michigan what water they want to use. Since the quality of tap water changes at any given time and location, I think they could of left this one off the list.
Many of the things on the list will not be stopped because they help pay for the expensive diagnostic equipment. Also, with the threat of a lawsuit many hospitals and doctors will not take the chance that they missed something because tests were not done.Slither.io Online - Play html5 games,.io games and more online multiplayer games at GamesOnly.com!
Try to become the longest snake in the world in Slither.io. Play Slither.io online on your PC. Eat everything that is smaller than you and continue to grow and grow.Does anyone know if I can use a programmable thermostat with my Breckwell P23? I have a honeywell RTH230B that says it's millivolt compatible but doesn't specifically say the range for the breckwell. Are these thermostats simply contact closure or is the millivolt designation something else? I hijacked a previous thread but it mentioned the skytech, which I'm NOT using. What scared me about that post was that it said the skytech was not compatible with the breckwell stoves simply due to different millivolt ranges. Not sure why that's an issue but would love to know. Thanks in advance for any infoimport React from "react";
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And the Top Producer award goes to 80% of our firm!
It’s true! Titles are just titles. And I think there are a lot of real estate agents who think in just the opposite way. I was recently looking at the Chronicle real estate section and noticed a bunch of quarter-page ads by real estate firms advertising their "top producers."
Well, I laughed even harder when my friend told me that there’s no definition at all! Each firm defines what a top producer is for themselves. A top producer could be somebody who’s listed four homes at your own firm, or it could be somebody who’s sold four homes at another firm. It could simply be the number of years that they’ve been in business! Some firms give 70-80% of their agents the top producer title! These words are just totally meaningless. Just goes to remind you that titles don’t mean anything—it’s the work that counts.The morning after the Governors' Awards, the French Consul hosted a brunch for the iconic 89-year-old director, where she charmed everyone.
Agnès Varda at La Résidence de France in Beverly Hills.
The morning after receiving her honorary Oscar at the Governors’ Ball, visions of dancing with Angelina Jolie still danced in Agnès Varda’s head. “Can you believe they were surrounding me, protecting me?” she said, holding court on the brick Beverly Hills patio at the French Consul’s residence in Beverly