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Doctor insights on: Chemo Scarf Pattern

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What mite b best procedure 4 woman w SEVERELY thinning hair,not genetic,all bloodwrk fine,BAD reaction 2 rogaine (minoxidil).Agoraphobic now!Hair transplant? Or?

What mite b best procedure 4 woman w SEVERELY thinning hair,not genetic,all bloodwrk fine,BAD reaction 2 rogaine (minoxidil).Agoraphobic now!Hair transplant? Or?

Get checked: A complete history and physical with lab work to rule out hormonal, nutritional , autoimmune causes for hair thinning would be appropriate ! After that it will be easier for your doctor to proceed with recommendations ...Read more

Dr. Devon Webster
972 doctors shared insights

Chemotherapy (Definition)

The term chemotherapy typically is used to describe using chemicals to treat ...Read more


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Kras ?Adenocarcinoma? Mutation? New trial drugs with Ins. & Tissue Eval.  What is the doctor really saying to 70 year  NSCLC pat.9 month ..meets w/new cell grow

Kras ?Adenocarcinoma? Mutation? New trial drugs with Ins. & Tissue Eval.  What is the doctor really saying to 70 year  NSCLC pat.9 month ..meets w/new cell grow

Describing the Tumor: So it sounds like the oncologist has really just given you a lot of descriptors to help describe the tumor. The idea is that if we know this information we can select therapies that are more likely to work. For example, whether a patient has a k-ras mutation helps predict whether a tumor may be resistant to a certain drug. ...Read more

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What can this cea pattern mean on chemotherapy for colon cancer mets 65 before chemo, 80 after round 1, 55 after round 2?

What can this cea pattern mean on chemotherapy for colon cancer mets
65 before chemo, 80 after round 1, 55 after round 2?

It's improving!: All it really means is the CEA is going in the right direction ... falling after chemotherapy. You can not reliably speculate on what the number changes might say about the magnitude of improvement. There is too much individual variability and unpredictability for that. I would be pleased that these changes have occurred. Best wishes as you continue your treatment:) ...Read more

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B breast ca, bilaterally multifocally recurrent, s/p salvage mastectomy, with no distant mets except back lesion which resolved on neoadj chemo. ?Rt?

B breast ca, bilaterally multifocally recurrent, s/p salvage mastectomy, with no distant mets except back lesion which resolved on neoadj chemo. ?Rt?

My view...protons...: In a similar case, i chose to use proton therapy. Why it is useful is that it can treat the axilla and chest wall, as well as the internal mammary nodes while sparing lung and heart. That spine/back lesion is a concern, but I have seen (it has been published) that bone met only patients if controlled can have very, very long survivals, so in my mind it is worth the work/travel. ...Read more

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Psych? Colon cancer 1/09 stage III surg. & chemo. Tiny liver met 2/12 stage iva liver resection. Horrible anxiety & h a. Pet scan in 2 wks. prescription .5mg clonezapam 2x's day. Fear ca's return. How to cope?

Psych? Colon cancer 1/09 stage III surg. & chemo. Tiny liver met 2/12 stage iva liver resection. Horrible anxiety & h a. Pet scan in 2 wks. prescription .5mg clonezapam 2x's day. Fear ca's return. How to cope?

Colon cancer: Confronting ones own mortality and living with a cancer that can and often recurs causes tremendous anxiety and depression. You are not alone. Unfortunately, many wonderful, talented, and smart people are confronting the same fate. Look into support groups and treatment with a psychiatrist to help you cope with this detour in life. ...Read more

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Vietvet pt on 3rd chemo tx for n-hl (agent orange).Also advanced hip bone damage. Replacement planned aft yr. Fears it may cause n-hl relapse. Can it?

Vietvet pt on 3rd chemo tx for n-hl (agent orange).Also advanced hip bone damage. Replacement planned aft yr. Fears it may cause n-hl relapse. Can it?

Unlikely: If your nhl is under control for a couple of years, it is unlikely to relapse. Surgery like you are palnning does not cause relapse of cancer. So i would not worry about having your hip replaced. ...Read more

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Prognosis? Kras mutated adendouscarcinoma stage 4 nsclc , mets to brains and pelvic.. Chemo stopped last month. Tissue sample and c trial suggested

Prognosis? Kras mutated adendouscarcinoma stage 4 nsclc , mets to brains and pelvic.. Chemo stopped last month. Tissue sample and c trial suggested

Unique for each: 5 year suvival for stage IV nsclc depends on particular study series. Overall is about 0-1% 5 yr survival. Occationally some patients respond and go on remission. Remission means that the cancer is not gone necessarily, but at least can not be seen to grow on cat scans. Cat scans and pets can not see cells or tumors that do not form a mass.Individial prognosis unique. ...Read more

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58 yr old f in hospitl w/ confusion. Non-compliant cpap (apnea), o2 at times down to 60% while awake. Staff report she's clear when she first wakes?

58 yr old f in hospitl w/ confusion. Non-compliant cpap (apnea), o2 at times down to 60% while awake. Staff report she's clear when she first wakes?

Full evaluation: It's very important when such a young patient has con fusion to understand why. She needs an extensive medical and neurological evaluation. ...Read more

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38 yr female. Dm1, sarcoidosis (remission), excessive sweating (upper body is worst). Soak thru a shirt 5 minutes after shower. Very frustrating. Suggs?

38 yr female. Dm1, sarcoidosis (remission), excessive sweating (upper body is worst). Soak thru a shirt 5 minutes after shower. Very frustrating. Suggs?

See below: The excessive sweating is either a sign that your sarcoidosis is active again, or you be going through menopause, or you could have been exposed to tb, or have an lymphoproliferative disorder. You will need to see your doctor to best determine what is going on. ...Read more

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Can laser therapy help female-pattern alopecia? (crown, sides, and overall thinning) anything besides rogaine (minoxidil)? (child-bearing years)

Can laser therapy help female-pattern alopecia? (crown, sides, and overall thinning) anything besides rogaine (minoxidil)? (child-bearing years)

Female hairloss: See a dermatologist for a clear diagnosis as many conditions can mimic female pattern hair loss. You may need additional tests. Unfortunately oral meds are out for women. Topically the most cost effective is rogaine (minoxidil). Latisse might work as well but is cost prohibitive. New topicals are coming. Led lights and laser are not proven to be effective. ...Read more

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32 yo, breast cancer stage 1b, double mastectomy, micrometastasis in one lymph node. TCH treatment, followed by radiation. Prognosis thoughts????

32 yo, breast cancer stage 1b, double mastectomy, micrometastasis in one lymph node.  TCH treatment, followed by radiation. Prognosis thoughts????

Prognosis is good!: I would need more information to be definitive but with a small primary tumor (stage 1) and only micrometastasis in one node, your prognosis should be relatively good. Since you received TCH, it is obvious that you had her2 positive breast cancer so your prognosis is less favorable than had her2 not been positive. However, 5 year survival in excess of 85% is shown in recent studies with TCH. ...Read more

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80 yr old w/ cancer btween kidney/colon with lung metastasis, giving her nexavar (sorafenib) & pain patches overall health has decreased is radiation good option?

80 yr old w/ cancer btween kidney/colon with lung metastasis, giving her nexavar (sorafenib) & pain patches overall health has decreased is radiation good option?

Complicated question: I don't think i or anyone can answer this for you as welll as the oncologist can or the team who is treating your loved one. Nexavar (sorafenib) is for a few advanced stage cancers. At age 80 with metastatic disease and overall decline in her health, sounds like whatever is being done including radiation would be palliative (to ease her suffering). Talk openly with providers about goals. God bless you. ...Read more

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38 yo very strong FH breast ca, BRCA neg, Stage 2 IDC, 18 mo. s/p bilat radical mastectomy. No chemo. What is best f/u imaging/testing? Chemo?

38 yo very strong FH breast ca, BRCA neg, Stage 2 IDC, 18 mo. s/p bilat radical mastectomy. No chemo. What is best f/u imaging/testing?  Chemo?

Breast ca f/u: No follow-up imaging is indicated. History and physical is all that is required. imaging and blood test would be indicated if you were concerned for metastatic disease or a local recurrence. The additional of chemotherapy depends of pathologic stage including lymph node status, tumor biology and possibly the result of Oncotype testing. ...Read more