s*********e
发帖数: 77 | 1 it's a variant of rheumatoid arthritis. About half of the patients respond to
high-dose aspirin (eg, 1 g three times daily) or other NSAIDs (ibuprophen
etc), and half require prednisone, sometimes in doses greater than 60 mg/day.
About one-third of patients have recurrent episodes.
some of the IDs in this board may be able to give you the name of some
acupunturist/chinese medicine doctor who would claim to be able to cure this
disease though. but please be aware that 2/3 people will not have r |
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f******I
发帖数: 769 | 2
tend to have recurrence |
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f******I
发帖数: 769 | 3
at this stage, there is really not much you could do for the damages already
done(within 3 hrs you can get iv tpa, within 6 hrs you can get intra-
arterial tpa),
so you kind of in the secondary prevention phase, she is at high risk for
recurrent stroke, her doctors need to find the cause of the stroke and treat
risk factors,
if it's thrombotic, you treat hypertension, diabetes, hyperlipidemia, modify
life style, aspirin or aggrenox or plavix,
if it's embolic, need to locate the source of emboli |
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f******I
发帖数: 769 | 4
kind of sad, sounds like she needs a g-tube for enteral feeding for
nutritional support, she is at risk from all the complications from
immobilization such as dvt, aspiration, decubitus ulcer, don't know if the
doctors have figured out the cause of the stroke, her underlying conditions
need to be treated to prevent recurrent stroke,
remember did a nursing home rotation long time ago and this old lady was
bedridden from stroke and aphasic on tube feeding, when i entered her room
she was agitated |
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f******I
发帖数: 769 | 5
an
ERCP
you could try ursodiol, but it takes months o dissolve the stone, it doesn't
always work, there is a pretty high recurrence rate, plus it dosn't work
well for calcified stones,
if you don't take it out, you run the risk of biliary cirrhosis or
cholangitis, |
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f******I
发帖数: 769 | 6
thyroid cancers tend to be slow growing, some genetic factors with oncogenes
, neck irradiations, low iodine intake are linked to it,
sounds like she has local recurrence, she should have surgery again, she
could have I-131 total body scan to try to locate all the tissues and then
have surgery and then re-scan to make sure it's all removed, |
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f******I
发帖数: 769 | 7
bronchiectasis is treated as part of COPD,
surgery is only reserved for local disease and recurrent infections
unresponsive to antibiotics, and reccurent massive bleeding, if your
relative is not a good surgical candidate, another option is bronchial
artery embolization, which might help for bleeding problem,
long term wise, mainly supportive, avoid smoking/second hand smoking, good
nutrition, bronchial hygiene(you can try nebulzed mucolytics, chest
physiotherapy and postural drainage), bronchi |
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f******I
发帖数: 769 | 8
for purely academic discussion, for pleural effusions the initial diagnosis
is to differentiate between transudate vs. exudate,
in his case with recurrent effusions if builds up so quickly, would probably
need video assited thoracic surgery to obtain more tissues for diagnosis,
for psuedomonas infection probably needs to make sure it's not ESBL strains,
but normally i'd double cover with anti-pseudomonal penicillin and
quinolone,
for a 89 y/o on vent for 10 days and not weaning he is probably n |
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f******I
发帖数: 769 | 9
not sure if you have a swellon lymph node and if you do, if it's hard or
soft, also not sure if you have any systemic symptoms such as fever, weight
loss, night sweat,
when people have trouble with lymph node, it's either infectious/
inflammatory or malignant, would start with your primary care physician and
do a detailed check up since it appears to be a recurrent problem,
by the way, not sure if you shave your armpit or not, sometimes could get a
local infection from shaving, good luck |
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w*l
发帖数: 43 | 10 Thanks for your reply.
Doctor said that his tonsil is too big so that it often stops breathing.
However, if his tonsil is removed, will it bring the recurrent infection for
his lung or any other parts?
for |
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b******8
发帖数: 24 | 11 Dental or oral procedure certainly will cause bacteremia in all the cases.
But many of them are transient cleared by the body immuno ability.
the mouth and teethe colonized a lot of bacterias including lot of
anaerobes. your father has multiple times/recurrent gum abscess, the flora
of anaerobic may change to more virulent group. Follow every dental
procedure, he likely has mixed flora bacteremia. Certainly he has pharygitis
. Other possibility other than the other friend listed in this forum
i |
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f******I
发帖数: 769 | 12
last about 6 to 12 weeks and recurrence is rare, may related to herpes type
7, |
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f******I
发帖数: 769 | 13
infection is not the same as malignancy, have seen cases where patient
presented with recurrent pleural effusion and only after the third
thoracentesis the malignant cells were found on cytology studies of the
pleural fluid, |
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f******I
发帖数: 769 | 14
unfortunately there is no magic cure for the stroke deficit, the damage is
already done, she is at high risk for recurrent stroke, seems like she needs
to have her blood pressure under control first, |
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f******I
发帖数: 769 | 15
好。
just wait for the biopsy result, assume that he'd need a transurethral
resection, surgical result and path report would tell you how invasive the
tumor is and if there is any lym node involvement, if it's up to T1 lesion,
should have very good result from surgical resection, just need close
survilliance to prevent recurrence, |
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f******I
发帖数: 769 | 16
seems quite severe, does he have history of TB or previous recurrent lung
infections? assume he doesn't have cystic fibrosis or marfan, has a brother
with lung cancer is a bad thing, what kind of lung cancer did he have then?
if 胸腔镜 means video assited thoracic surgery, would be interesting to know
what tissue biopsy showed?
don't know where he had the surgery done, if i understand it correctly, they
used a piece of "cloth" as sclerosing agent?
would like to have more detailed information, |
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f******I
发帖数: 769 | 17
there is a saying in patient with pancreatic cancer, that don't buy green
banana,
unless your dad has history of chronic alcohol use/recurrent pancreatitc or
autoimmune disease, most likely this mass is malignant, especially with his
weight loss and atypical onset of newly diagnosed diabetes,
you might want to ask his doctor what does the purpose of biopsy will serve,
as a benign tissue from the biopsy will not exclude neighboring tissues
with malignant cells, depends on the location of the mas |
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j****i
发帖数: 496 | 18 really sorry to hear that. reminds me of my father who passed a month ago
also from cancer and lung infection. if you PM me, i can share with you my
experience if that may help you go through the tough time.
the number one priority right now is trying to get him off ventilator. the
docs may say something different to you, but from patient's point of view,
breathing through a machine is a very dreaded and traumatic experience. his
recurrent infection is also most likely related to the ventila |
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f******I
发帖数: 769 | 19
duke staging system is kind of old staging system comparing to TMN staging
system, but duke b means it's localized without lymph node involvement,
which is always a good news,
if i read it correctly, it says that CEA is negative, it would be a
important tumor marker to follow along his treatment and while in eremission
as well, as the elevation of this tumor marker CEA would indicate the
recurrence of the cancer,
the only thing i have question is since he has duke stage b, that means by
TMN sta |
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m****a
发帖数: 98 | 20 子欲养而亲不待是人生最大的悲哀！一切在父母的健康面前都是过眼云烟。
you are a nice guy, really nice.
for cancer reaching lymph nodes, the prognosis is beyond our control. some
ppl can survive 20 or 30 yrs without recurrence, some ppl are not so lucky.
what you can do is routine exam. ultrasound of organs, x ray of chest, liver
function test, renal function test, bone scan, ct of brain (if headache).
try not to use estrogen containing stuff, don't eat too much fat, red meat.
Also check her chest wound regularly, some cancer reocc |
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f******I
发帖数: 769 | 21
in general, PR/ER negative means the tumor is less likely to respond to
hormone therapy(such as tamoxifen), whether this has any prognostic means is
under debate, for early stage breast cancer PR/ER negativity suggests of
less risk for recurrence, but over time the advantage decreases,
meanwhile, p53 and Her overexpression often means poor prognosis and more
likely hood to metastasize to liver and brain, that often has shorter
survival comparing to PR/ER positive tumors that like to go to soft |
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m****a
发帖数: 98 | 22 cea is a marker for colon cancer recurrence after operation. not absolute
accurate, but it is a good marker. now your mother should have a though exam
to see any metastasis. generally speaking, colon cancer has good prognosis
as compared to other GI cancers. |
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g***r
发帖数: 285 | 23
病。
she has high risk for recurrence, it is right that the damage of stroke i
salready done, she should have gone to the hospital sooner then she might
have been tPA candidate, but the way chinese hospital works, i seriously
doubt that,
seems at least now she is talking and recovered some; some patients never
recover, some recover fully, but most will have some sort of residual
effects from the stroke,
she might already have had work up done in china, differen places have
different protocols re |
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g***r
发帖数: 285 | 24
if this is your first pregnancy, most of patients with gestational diabetes
return to normal after delivery, but you will be at risk for recurrent
gestational diabetes in your subsequent pregnancies, and in your later life
you are at risk for glucose intolerance and developing into overt diabetes, |
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g***r
发帖数: 285 | 25
i agree that 21 days course of antibiotic is needed, furthermore, i think it
should be intravenous rocephin(ceftriaxone) instead of oral doxycycline,
this is my rationale, for primary infection, doxy is good enough, plus it
also covers other tick borne diseases,
while in theory the patient may have recurrent primary lyme disease due to
another tick bite, but with headache, you really cannot exclude lyme
meningitis, so you HAVE to offer a spinal tap, and if i were the patient, i
would decline th |
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L*****o
发帖数: 499 | 26 看前两个图，感觉像耳膜穿孔,或者是耳硬化（otosclerosis）。特别是左耳。这两种
情况的pure tone图通常都是在2000赫兹那里重合的。
引用我的教材的几句话：
1. 耳膜穿孔：
In general, if a perforation causes a hearing loss, it will be a mild,
conductive hearing loss （正好是你的情况）。
Regardless of type, most perforation heal spontaneously. Those that do not
are usually too large or are sustained by recurrent infection （你说你有中耳
炎史，所以可能与这个有关）. In such cases, surgery may be necessary.
2. 耳硬化：
Otosclerosis is a disorder of bone growth that affects the stapes and the
bony labyrinth |
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g***r
发帖数: 285 | 27
did he have recurrent middle ear infections in the past(otitis media)?
was he ever been treated with antibiotics, or decongestant?
was he bottle fed when he was a baby?
sometimes chronic otitis media effusion occurs with eustachian tube
abnormality that it became occluded without obvious signs of middle ear
infection,
seems like he already has significant hearing loss, he might already have
significant structural damages to the tympanic membrane as well, in that
case, surgery should be consider |
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c********e
发帖数: 496 | 28 one possibility is obstructive pneumonia, but the sign of it is recurrent
inflammation of same lobe and same section.
but it has nothing to do with interstitial pneumonia, that's totally two
different diseases.
For the mass in the lung, first thing to do is to check and compare with
previous film, either CXR or CT. any calcification, duration of the disease,
History of smoking, family history. |
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m****d
发帖数: 9307 | 29 谢谢楼上两位的安慰啊，压力还是太大了，我最近发现脸上有很多红斑，不知道怎么办
好，可能是细菌感染了，唉
医生说要拍片子，recurrent facial erytherma scalling，唉。。。。 |
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g*****j
发帖数: 1211 | 30 The bottom line is that rash after viral infection is common, rash after
Tylenol or Ibuprofen is extremely rare (assuming your kid did not take other
medicine). Either way, if you leave it alone, it should recover by itself.
However, you should be careful about some red flags: rash extending to palm
or sole, change in the pattern of rash, skin shedding off, recurrent fever (
either low or high), and possibility of dehydration. |
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t*******n
发帖数: 4445 | 31 Yes. The surgeon can do their best to look for metastasis. But that does
not guarantee against recurrence.
The reason is the tumor constantly sheds cells into the body's circulation (
If I remember correctly, up to 100,000 cells for a 1cm x 1cm tumor). Most
of them are killed by the body's immune system, but a single one spared can
lead to metastasis. |
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g*****j
发帖数: 1211 | 32 I am glad that you are suspicious about the Ads in China. In modern
medicine, the contribution by Chinese doctors is really limited. The
so-called 保胆取石 is no exception.
They are talking about ERCP (Endoscopic Retrograde
Cholangiopancreatography). It is not a Chinese invention, and it is not
the standard treatment for gallstone diseases here in US. You may
google it to find more information.
In deciding the best treatment, you have to weigh the risk of ERCP and
recurrence of gallstone again |
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c********e
发帖数: 496 | 33 recurrent knee swelling,
without other information, it is really hard to tell.
while for young male,
lupus, RA are not likely.
CT rules out tumor or spur.
CBC rules out inflammation.
since the joint fluid has been aspirated, it should be sent for test, like
cell count, cell type, bacteria culture, any crystals (got gout or
pseudogout). |
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c********e
发帖数: 496 | 34 recurrent knee swelling,
without other information, it is really hard to tell.
while for young male,
lupus, RA are not likely.
CT rules out tumor or spur.
CBC rules out inflammation.
since the joint fluid has been aspirated, it should be sent for test, like
cell count, cell type, bacteria culture, any crystals (got gout or
pseudogout). |
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c********e
发帖数: 496 | 35 the facial nerve runs through parotid gland, parotidectomy is hard to be
performed without involving facial nerve.
many tumors of parotid gland are benign, but even benign, the recurrence
rate is high, be prepared. |
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m***i
发帖数: 51 | 36 Thanks for all replies!
I complained about the referal system because I know exactly what happened
to my eye. It is a severe problem called Uveitis. This occured to me many
years ago and I was treated in the Ophthalmatology department. The doctor
told me then it could be recurrent but ths has been long time. The
prescription was simply some Atropine and Cortisone eye drops. But I need to
visit specialists to get the prescription, which means T need to be referred
. I called my hospital again and |
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g********u
发帖数: 8891 | 37 The only hope is clinic trial. after recurrance, regular treatment is
useless.
Most of good hopsitals provide clinic trials. |
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g*****j
发帖数: 1211 | 38 Drinking lots of fluid and pain medicine. However, if your kidney stone is
recurrent, you should go ahead and find out its underlying cause. |
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g*****j
发帖数: 1211 | 39 I think you should still go through your school's health clinic to avoid
extra cost. An X-ray will determine whether there is any bone fracture.
It sounds more like ligament and tendon injury, which may not need absolute
immobilization. However, a Ace-Band or other supporting device may help to
prevent recurrent over-extension injury while the joint is still weak. 卧床
架高脚, Ice pack may help, but don't expect any magic cure, and the healing
of ligament and tendon takes time. |
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g*****j
发帖数: 1211 | 40 Not that your doctor cannot diagnose asthma, but rather asthma is not
supposed to be diagnosed in such young baby. As you correctly
mentioned, dry cough, allergy, wheezing can be interconnected. It is
possible that your baby will continue to have symptoms as she grows up,
and then she will be diagnosed officially with asthma later.
Bronchospasm is a symptom and to be diagnosed with asthma requires
history of recurrence.
Asthma can present with cough, wheezing or both. Symptoms do not tell
yo |
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g*****j
发帖数: 1211 | 41 It is very small surgery. However, recurrence if very high. |
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g*****j
发帖数: 1211 | 42 Uncomplicated UTI is very common in female. Nothing to worry about. You
should be able to exercise as usual.
Two things may require more attention.
1) if you start to develop fever, chill, back pain, it suggests infection is
spreading and your antibiotics may not be appropriate.
2) if you have recurrent UTI, you need more work up to rule out anatomic
problems. |
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g*****j
发帖数: 1211 | 43 Yes, your mom will need cholecystectomy (removal of gallbladder).
似乎胆囊摘除手术可能带来些许后遗症
Most common side effect is malabsorption of fat, ie diarrhea after a very
fatty meal. The side effect is minor compared to the recurrent abdominal
pain and possibility of more severe problems. Chronic gallstone can lead to
gallbladder cancer as well.
包括直肠癌的可能性增加等等
This is suggested in some studies. However, the increase in risk is not big
. And colon cancer can be prevented to a large extent, if patient perfo |
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g*****j
发帖数: 1211 | 44 No, C difficile can be cured if you use antibiotics long enough. The dilemma
is that antibiotics treatment is not without its risk and side effects,
especially in children. Doctor will not know which kid will unfortunately
have repeated relapse. Therefore, doctor will start with more conservative
antibiotics regimen, hoping your child will be cured after one course of
treatment. If recurrence does happen again and again, longer term treatment
will be indicated.
Not everyone will have symptom |
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m********h
发帖数: 86 | 45 18F-FDG PET is the best way to tell the bone metastasis. It is highly
sensitive, less false positive. It does affected by inflammary tissue, but
it will give a global view of the disease for whole-body. It is a standard
follow up for monitoring breast cancer recurrence. Strongly recommended. |
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w**********9
发帖数: 242 | 46 Good question.
I believe your question can only be answered by comparing clical evidence
from both treatments. The recurrent rates, the complication rate can be
calculated as relative risk or odds ratio for two ways of treatment. |
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w**********9
发帖数: 242 | 47 STABLE OR UNSTABLE ANGINA are medical terms doctors use to describe the
nature of chest pain.
stable angina: chest pain usually occuring with exercise or labor.
Underlying pathology: coronary atherosclerosis.
unstable angina: recurrent episodes of progressingly increasing chest pain
on minimal effort or at rest that is no longer reliefed by nitroglycerin.
Underlying pathology: coronary thrombosis with or without atherosclerosis. |
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d***n
发帖数: 12 | 48 这儿有一篇治疗肝癌的文章，因版权问题，不能贴全文．需要看全文的，请给我信箱留
言．
Anticancer Res 30(12):5145-5151 (2010)
Arabinoxylan Rice Bran (MGN-3) Enhances the Effects of Interventional
Therapies for the Treatment of Hepatocellular Carcinoma: A Three-year
Randomized Clinical Trial.
Background and Aims: This study examined the efficacy of arabinoxylan rice
bran (MGN-3) in conjunction with an interventional therapy (IT) for the
treatment of hepatocellular carcinoma patients. PATIENTS AND METHODS: A
total of sixty-eight patients wit... 阅读全帖 |
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y*****g
发帖数: 193 | 49 Don't scare people. Vein thrombus does not cause gangerene or lead to
amputation, arterial thrombus does sometime. However, DVT might migrate and
dislodge to a pulmonary artery which could be life threatening.
Patient might need IVC filter placed to prevent the clot up to the heart
while waiting the body disolve the clot by its own. And follow the clot with
time. If the clot disappears, IVC filter could be removed and blood thinner
therapy could be stopped. Patient might need coumadin therapy fo... 阅读全帖 |
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D*******y
发帖数: 189 | 50 Assuming that the original diagnosis is correct, your aunt has a recurrent
mixed tumor of parotid gland. This tumor is notorious for its invasive
growth, and she will most likely need more surgery. You may see gland tissue
, mucus and cartilage in the tumor (hence "mixed") and they grow in nodules.
Though the tumor does not destroy nerves, it may compress or stretch the
facial nerve. It is almost impossible to preserve the facial nerve when the
mixed tumor recurs and needs secondary surgery. It ... 阅读全帖 |
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