Frequently Asked Questions

Classifying Human Diseases

FUNDAMENTAL CLASSIFICATION OF HUMAN DISEASES:

1. Genetic/Inheritable/Congenital: Related to chromosomal abnormality by the transferring of genes from parents to child; or abnormality related to embryonic/fetal development and/ or surrounding birth.

2. Degenerative and/or Metabolic Disease: Related to the aging process or wear and tear

3. Inflammatory, Infectious: Related to pathogens such as Bacteria, Fungi, Viruses, Parasites, etc

4. Inflammatory, Non-infectious: Related to autoimmunity,allergens, environmental pollutants, etc.

5. Neoplastic, Benign or Cancerous: Related to abnormal growth or division of cells.

6. Trauma: Related to chemical and/or physical destruction of cells or tissue

7. Psychiatric: Related to the alteration in mental status and/or perception

Organic Disease Classification could be summarized as Follows:

GENETIC VERSUS ACQUIRED

ACQUIRED DISEASES CAN BE GENERALLY CATERGORIZED AS: CONGENITAL/DEVELOPMENTAL VERSUS REACTIVE VERSUS NEOPLASTIC

REACTIVE DISEASES INCLUDE: INFECTIOUS VERSUS NON-INFECTIOUS (Allergens, Autoimmune, and Degenerative-related to the aging process)

     NEOPLASTIC DISEASES INCLUDE: BENIGN OR CANCEROUS (MALIGNANT) TUMOR-GROWTH 

DIAGNOSTIC CRITERIA FOR SPECIFIC ETIOLOGY OF DISEASE

(Usually established by World Health Organization-WHO, or other International Authority)

This is typically based on:

a) Clinical Presentation and Physical Examination/Evidence

b) Laboratory tests

c) Imaging studies

d) Clinical Studies

e) Research/Investigation by Scientific Methods, Peer-reviewed

TREATMENT AND MANAGEMENT OF SPECIFIC DISEASE

Typically under the auspice of National Standards and Guidelines, as established by Panels of Experts within Selective Fields of Specialty

National Guideliness For Medical Therapy and Management

PREVENTATIVE CARE AND MAINTENANCE CARE

Typically under the auspice of National Standards and Guidelines, as established by Panels of Experts within Selective Fields of Specialty

At the end of our medical evaluation at MDC-Atlanta, we want our patients to understand how we derive at an accurate diagnosis, as well as make recommendation for treatment and/or management; and we welcome the patients to ask the following questions:

1) Which category is my disease classified?

2) What is the specific diagnosis of my disease and/or illness, and what diagnostic criteria were used, as well as which national or world standards were used to derive at the specific diagnosis?

3) What references are available for the patient to access with regards to getting more clarifications regarding specific diagnosis, treatment, management and prognosis?

Thanks for visiting Medical Diagnostic Choices, MDC-Atlanta, as we are committed to empowering our patients to being INFORMED FOR BETTER QUALITY AND SAFE MEDICAL CARE!


An Online Medical Survey, MDC-Atlanta

We, at MDC-Atlanta, believe that online, digital-based medicine is safe, effective, and saves patients time and money while providing convenience for patient.

Primary duty of online medical practice is to first provide a triage-consultation for patients to receive timely medical advice from a licensed physician.  While the goal is not to treat every patient’s  illness or disease via online communication without properly providing appropriate medical history and physical examination by way of face to face visit in our office or at the patient’s home, proper questioning could lead to patient getting appropriate medical advice  from a licensed physician. Online medical survey or consultation saves the patient money, time and route patient in the proper direction for either safe telemedicine/telepathology care/consultation  and/or appropriate face to face medical care and/or management.

Here is an online medical consultation/survey that you may complete  prior to contacting our office at MDC-Atlanta:

1. Are you currently under the care of a physician? Yes–Please contact your health care provider or have that provider contact Dr. Gates;

NO, then proceed to question #2

2. When was your last visit to a health care provider? Recently or within the past month, year or two years, i.e. days, weeks, months, etc–Please contact that provider or have that health care provider directly contact Dr. Gates

I have not seen a health care provider, and I am over 21 years old, then proceed to question #3.

3. Do you have any medical diagnosis, or are you currently or have you previously been treated for an acute, short-term or chronic, long-term medical condition(s), i.e. heart disease, lung disease, liver disease, kidney disease, diabetes, high blood pressure, stroke, aneurysm, HIV, cancer, connective tissue disease, chronic pain syndrome,etc: YES, Please contact the health care provider who diagnosed and/or treated you for your previous diagnosis(es) and/or illness(es) or have that health care provider directly contact Dr. Gates

NO, then proceed to question #4

4. What are your current symptoms? Do you feel like those symptoms have gotten worse over hours or days, and you are anxious about these symptoms regarding life emergency, and that you have never experienced these symptoms before? Yes, if possible, please go to an emergency room immediately or call 911.

No, then proceed to question #5

5. Have you experienced any other symptoms, i.e. recent cough, fever, night sweats, chest pain, shortness of breath, headaches, fainting, dizziness,  weakness, abnormal bleeding, chills, diarrhea, constipation, nausea, vomiting, itching skin, red, irritated or painful, abnormally colored skin lesions, discharge, painful/abnormally colored urination, bone or joint pain, etc, prior to becoming ill with current condition? Yes, Please explain?

No, then proceed to question #6

6. Would you like to schedule a telemedicine consultation with Dr. Gates or schedule a face to face visit with Dr. Gates for diagnostic evaluation, medical care and/or management? NO.  Please contact another health care provider to receive appropriate care.

YES, ( please call Dr. Gates to arrange for a direct telemedicine consultation or  face to face directed physical examination, medical treatment and/or management in our medical office or at the patient’s home)

Answering the above questions truthfully, could lead to shortened office or home visit, fast rapport, rapid, accurate diagnosis, treatment, and management by Dr. Gates, as well as heightened quality and safe medical care.

THIS IS MEDICINE NOW (CONVENIENT AND FAST MODERN DAY MEDICINE AT ITS BEST, 2013)!

Thank you for visiting Medical Diagnostic Choices-MDC-Atlanta
Jackson L. Gates, MD


What is Telepathology & Telemedicine?

To answer the above question: It is Digital-based Medicine which affordsTransparent and Accountable Medical Care at a Distance.

Telemedicine/ telepathology can be viewed as “medicine on the go,” or simply “mobile medicine”.

Our modern society is developing into the infamous “digital life.” We shop, socialize, entertain, and even learn about new and exciting ways of doing our routine business “online.” In a sense, it is a way of loosely networking and finding the best solution for your life essentials. And, as we all know, when we get insights from others with far superior experience, skill, knowledge, and even talent, we gain significantly in many aspects.  Patients in particularly can become beneficiaries of unsurpassed high- quality and evidence-based medicine, when using the internet to shop around, compare quality and cost of medical services that will fit within the patient’s busy schedule, and not just convenient to a 9-5 office based medical practice schedule.

A number of telemedicine and telepathology online consultation practices are beginning to be the norm rather than the exception. Experts around the world are now able to interview the patient online, discuss and review clinical information, laboratory test result, as well as review pathology slide images as well as radiological images shared by others in real-time with images that have high-resolution(clearly visible and easily recognizable images).  Moreover, this makes it possible for patients to be better informed about their objective clinical diagnoses through a network-consortium of experts without one having to leave the comfort of one’s home or one’s work location for that matter.  But by simply signing on to a practice such as ours with an office located in Atlanta at http://www.medicaldiagnosticchoices.com, you can gain the world of second opinion, and guidance on how to stay healthy and prevent certain diseases. We will treat you like family because we care about your health.

By our dedicated professional, Dr. Jackson  L. Gates, MD,  doing a scientific and critical review of the current medical literature on your behalf, and by inviting other experts to the discussion, the ultimate outcome could lead to unrecognized ways of working up your particular disease or treating and managing an illness otherwise thought not to be treatable, at comparable savings to you.  And that should matter. For instance, the goal is to present your medical information in a forum similar to a “tumor board discussion” and/or “clinico-pathological correlation-CPC conference” as done in a hospital setting, except, we bring it directly to the patient via an online discussion.  Wow, that is quality medicine at its best, when you (the patient) become the subject matter, and various opinions about your health and treatment strategy are presented.  Don’t worry.  Your healthcare data and information will be safe and protected because it is required by law (HIPAA RULES:  http://www.hhs.gov/ocr/privacy/index.html).

If you care to get started in controlling and managing your healthcare, then visit me to learn more at http://www.medicaldiagnosticchoices.com to begin learning how you can be in the driver’s seat of your healthcare, controlling cost, and preventing disease before the disease process is too advanced  and cost prohibitive.


MDC Provides Post-Mortem Services-up to $3500

When you need to put your mind at rest to be assured that your loved one did not die in vain or because of a mistake made by the health-care professional, a private postmortem evaluation may be able to bring a sense of closure for the surviving family member(s) of the deceased.

We make certain that your deceased loved one is treated with the utmost respect, and our postmortem evaluation is done with standards of professional medical care and conduct.  A private postmortem evaluation can independently confirm or determine the cause of death, and identify the nature and extent of any other diseases present. It may also help you better understand your relative’s illness and cause of death. Our private postmortem results can also help with the treatment of other patients with similar illnesses.

NOTE:

The most important FIRST STEP is for the NEXT of KIN to  immediately obtain medical records of the deceased loved one from hospitals and all health-care providers involved in the patient’s medical care during life at least three (3) months prior to the love one’s death.  The process of obtaining medical records is similar as with during life for transition of medical care,CLICK HERE TO VIEW.

The next step is for the Next of Kin  to directly contact Dr. Gates with a request to have a post-mortem examination performed on your loved one, prior to the body being released from the hospital or other medical/nursing home facility where the deceased love one expired, CLICK HERE TO CONTACT DR. GATES.

AN AUTOPSY MAY NOT BE NECESSARY TO DERIVE AT AN ACCURATE CAUSE OF DEATH AFTER DR. GATES HAS REVIEWED THE COMPLETE MEDICAL RECORDS OF THE DECEASED LOVE ONE. For those next of kin family members to the deceased who can’t afford to pay for an autopsy, we will provide select, limited autopsy evaluation through our nonprofit organization, “The Institute of Pathology and Laboratory Medical Science, INC.” (You may review this announcement in the Lab service provided)

FOR SUSPECT INFECTIOUS DISEASE AS CAUSE OF DEATH, WE SUGGEST EMBALMING THE BODY PRIOR TO POST-MORTEM EXAMINATION.  THE TISSUE STRUCTURE IS MAINTAINED AFTER EMBALMING THE BODY, AND IT IS SAFE FOR EXAMINATION. BECAUSE OF PUBLIC SAFETY CONSTRAINTS, A POSTMORTEM EXAMINATION WILL NOT BE PERFORMED ON SUSPECTED CAUSES OF DEATH DUE TO CREUTZFELDT-JACOB-DISEASE (CKD, PRION DISEASE) OR ANY OTHER HIGHLY CONTAGIOUS AND DEADLY DISEASE.

ALL TOXICOLOGICAL STUDIES SHOULD BE DONE PRIOR TO EMBALMING THE BODY.

Toxicology Evaluation
In this evaluation, we only perform an external evaluation of the deceased body for identification purpose.  DUE TO CHAIN OF CUSTODY, WE DO NOT PERFORM TOXICOLOGY TESTING. Toxicology is usually performed by the medical examiner’s office for complete toxicology drug testing.
Limited Evaluation
In this evaluation, we only examine the internal organs in the chest and abdomen for trunk only.  Or, for brain only, we only examine the brain and proximal spinal chord.
Complete Evaluation
In this evaluation, we provide a complete external and internal examination.  Selected laboratory testing is also done according to antecedent medical records for the deceased individual, as well as based on the autopsy findings.