The Top 100 Doctors has been carefully selected to represent those physicians who exceed all expectations.

Choosing the Top Doctors is a difficult task. With over 1,000,000 practicing doctors and physicians in the United States, competition to the best recognized as a Top 100 Doctor and/or the best hospital is a constant struggle. The moment a new medical procedure or medicine is approved by the FDA (Food and Drug Administration), or the medical boards approve a new procedure, the Doctors at the top of list could easily find themselves at the bottom. Because the list has the potential to change so frequently, we urge you to continually check this site for updates on the physician rankings and the hospital rankings. We try to be fair and complete in our analysis, however no system is perfect. Always check independent resources.

In deciding who the better physician is, it would seem logical on its face to decide that a Doctor is better than his piers based purely on mortality rate. However, there are several apparent flaws in this line if thinking. To begin with, one physician may take more difficult cases than another, or perhaps one specializes in procedures on healthier patients while the other has focused his practice on more desperate cases; which are, by their very nature, substantially more difficult and far more risky.

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Avoiding vision problems caused by type 2 Diabetes

The importance of avoiding vision problems caused by type 2 Diabetes cannot be underestimated. Diabetes can be considered the basic cause of blindness issues encountered in adults of the United States. Probably the most encountered type of diabetes is type 2 diabetes. In the United States, this condition is considered and proved to be responsible for about seven percent of the total legal blindness; through this, it is indeed considered to be a leading cause of some new cases of blindness that is to be encountered in adults who range from twenty-two years old to seventy years old.

Even though the problems that concern the visual perception are a pretty difficult concern for people having type 2 diabetes, the majority of the people who have this condition only have to deal with pretty minor eye sight issues. Probably the only solution to prevent that visual senses develop a certain condition derived from type 2 diabetes is to prevent them at an early stage.

These eye problems represent some complications for a long term when it comes to people with type 2 diabetes. The high level of glucose and the high level of blood pressure could cause quite common problems concerning vision; these are glaucoma, diabetic retinopathy, and cataract – this is indeed probably the most commonly encountered issue found in people with type 2 diabetes.

Glaucoma is a very common eye condition in people who have type 2 diabetes. This type of condition can be developed by anyone; moreover, if there has been a person in your family diagnosed with glaucoma, there is even a higher possibility that you will get this condition if you have type 2 diabetes. Even if you do not have this condition, you might as well get glaucoma. It is true, however, that diabetics have higher “chances” of getting this eye issue.

The condition called diabetic retinopathy is probably the main thing that causes blindness in adults. If you did not know this, the retina has some tin blood vessels which are very easily damaged by the high level of sugar in the blood or b the high blood pressure. This condition might pertain to certain retinal vessels of blood which swell and leak some type of fluid; or, they might have some abnormal new vessels of blood which grow on the space of the retina.

There is quite a serious complication that Diabetic retinopathy might help to arise and this is detached retina. The condition that has been mentioned does not imply that you should wait for the problem to be solved. You should go and ask for urgent medical attention.

The third type of eye issues is represented by cataracts. These are said to be the most common and they appear in the primary stages of diabetes. It also appears in people who smoke or work in “smoky” environments or spend a lot of time in places which are full of smoke.

The problems that the eye can develop are very common in people who get to be diagnosed with type 2 diabetes. Most of these problems have no chance of being prevented, but only partially or totally cured. This is why people who take care of monitoring their condition risk less in getting eyes issues as well then than people who do not take care of controlling their illness. A person who suffers from diabetes and who monitors his or her level of glucose is not said to be prevented from developing diabetic retinopathy. You should prevent total blindness by taking care of our health and having retinal exams earlier.

Here are some pieces of advice for people who have type 2 diabetes:

* Try to keep the level of sugar in your blood under control.

* Try to keep the level of pressure of your blood under control.

* Try to quit smoking or not to take this habit.

* Try to monitor yourself and your eye-sight so that you will be able to report any changes concerning your vision; blurred vision gets into this category as well.

* Try to schedule eye exams at least once in a year or at least how often your doctor will recommend you to do this.

* In the case in which you are about to give birth, arrange your vision to be examined while still in the first three months of pregnancy.

In any case, whether you suspect having this condition or being a “prospective client” of diabetes, or not, you should schedule a yearly exam so that you would be able to check any signs of glaucoma, Diabetic retinopathy or cataracts. You do not have to wait for your vision to have problems until you go and see an eye doctor.

How Can I Help a Heart Attack Victim?

When someone suffers a heart attack, rapid medical care can mean the difference between survival and death. Preferably, this care should be given by medical professionals, but if you are in the presence of a heart attack victim, you can take a few steps to further his chances of survival while he waits for help to arrive.

Most importantly, you should contact your local emergency care provider, and follow its instructions thoroughly. The Top Doctors say that this may include making the heart attack victim as comfortable as possible, helping him take aspirin, using an automated external defibrillator (AED), and administering cardiopulmonary resuscitation (CPR) if necessary.

According to the Top Physicians, the single most important step you can take in helping a heart attack victim is contacting your local emergency care provider. Unless you have no alternative, do not attempt to transport the victim to a hospital yourself, as emergency transport vehicles are outfitted with equipment allowing medical personnel to begin treatment on the way to the hospital. Instead, remain with the victim, follow the emergency care provider’s instructions thoroughly, and try to stay calm.

You will likely be instructed to make the heart attack victim as comfortable as possible. The Top Doctors report that if the victim is conscious, you might try easing him into a chair or helping him sit against a wall with his knees bent. Should the victim be unconscious, you should gently turn him onto his back so that you can monitor his breathing and administer CPR if necessary.

If the heart attack victim is conscious, you may also be asked to help him take an aspirin tablet to reduce clotting of the blood. As you should avoid leaving the victim if possible, ask a nearby person to bring an aspirin to you. For best results, ensure that the victim chews the tablet before swallowing it. Prior to administering aspirin, it is important to make sure that the victim is not allergic to it.

Many public places keep an AED in an accessible location. The Top Physicians explain that this device delivers an electrical shock which can restore the heart’s normal rhythm. If the heart attack victim is unconscious and you have access to an AED, you may be instructed to use it. While operating an unfamiliar piece of medical equipment may seem intimidating, AEDs are generally designed to be user-friendly. Their displays normally deliver simple step-by-step instructions.

Finally, The Top Doctors advise that if the heart attack victim has stopped breathing, you may be directed to administer CPR. This involves checking to make sure the victim’s airway is clear, compressing his chest with your hands 30 times, and then placing your mouth over his and delivering two breaths. If you have no CPR training, you may be advised to give chest compressions only. Continue CPR or compressions according to the emergency care provider’s instructions until the medical team arrives

Medical Management of Bed Sores

Medical Management of Bed Sores
Bed sores, often referred to as pressure sores or ulcers, are commonly found in people who have to be in one position for an extended amount of time. The Top Doctors report that the pressure caused by the constant contact of the skin with surfaces usually occurs on bony areas of the body, such as hips, buttocks, shoulders, tailbone, heels and even the back of the head. People who are confined to the bed or chair are at a high risk of developing bed sores unless they constantly have their positions changed. Bedsores are easily developed, but difficult to treat once they occur.

Bed sores are identified initially by a reddening of the skin that comes in contact with the bed or chair surface. According to the Top Doctors, the reddened skin will not blanch, or turn whitish, when touched. Darker skin may not experience a change of color but will appear ashen. The area developing bed sores can be painful and have a different temperature than surrounding skin.

The reddened skin will then develop ulcers as the skin wears away. The Top Physicians explain that these ulcers look similar to the shape of a basin and are red or pink in color. Some of the sores may exhibit fluid filled blisters. As the condition progresses the basin-like sores will develop into sores that resemble craters and may have dead, yellowish skin surrounding the sore. However, the Best Physicians warn that if not properly treated the sores can actually expose bone or muscles, and at this point the skin below the surface becomes severely damaged. Infection can set into the sores and cause more problems, so medical attention should be sought.

Bed sores can result in complicated medical conditions if not treated promptly. These conditions include sepsis which is when infection spreads through the bloodstream that can result in death. Bone and joint infections can also result from untreated bedsores and actually cause damage to the joints that can reduce joint function and mobility. Even cancer can result from bedsores that are not healing properly.

The Top Doctors report that treatment for bed sores takes a coordinated effort of care providers. A doctor should diagnose the condition and develop a comprehensive treatment plan including a wound-care physician that focuses on managing and alleviating the bed sores. Nurses and physical therapists can provide education and enhance the mobility of the patient, and social workers can help the family find the necessary resources to assist with the care of the patient. Dieticians can address nutritional issues and support and recommend a diet that can help reduce the development of bed sores.

Accoding to the Best Physicians, the best preventive for bed sores is to constantly reposition the patient so that any one part of their body is not in constant contact with bed or chair surfaces. If the person is lying or sitting in the correct position the likelihood of bed sores developing is reduced. A patient sitting in a wheel chair should be repositioned every fifteen minutes, and a patient lying in a bed should be repositioned every two hours. Special pads and support items can be used to alleviate hard pressure points.

Surgical debridement to remove dead tissue may be indicated in patients. This debridement will remove any dead skin or tissue as well as any infections that may be present. This treatment can also include whirlpool baths and specialized dressings that help keep the wounded area clean and disinfected.

Bed sores in the early stages should be kept clean with soap and water, and in later stages the bed sores should be cleaned with a saline solution. The pain from bed sores can be managed with anti-inflammatory drugs.

Additinally, The Top Doctors report that recent studies on treatments of bed soars show that a home remedy seems to be able to cure bed sors faster and better than common medications. Specifically, the Top Dotors study show that patients who applied pure granulated suger or pure honey directly to the wound, then sealed the wound over with bandages, had a fast and higher rate of recovery than some patients using medications. How sweet can that be. As more studies come up on the topic, we will update this section to include the sugar treatments for bed sores.

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