Doctor insights on:
Fmt Via Endoscope
58yo F diagnosed Barrats Mucosa/Oesophagus via gastroscopy in 2010 How often should gastroscopy be repeated? Assuming NHS will just do minimum req'd
Barrett's esophagus: Check out http://www.mayoclinic.org/diseases-conditions/barretts-esophagus/basics/treatment/con-20027054 as a starting point. Frequency of endoscopy depends upon what's found at most recent check up. If no changes found, then perhaps 1-3yrs but if even low grade changes found, then repeat in 6mo-1yr. Assuming you're in UK b/c you asked about NHS, check out https://www.nice.org.uk/guidance/cg106 ...Read more
Can endoscopic carpal tunnel release be safely and effectively done in cts with bifid median nerve (or must open method be done with bifid) ?
My Bf had colonoscopy done & diagnosed with apthoid ulcer measuring 1 mm in terminal ileum.biopsies were obtained,reports says cannot identify problem?
Many: Treatment probably includes diagnosis as well as therapy. Structures can be 'illuminated', tissue can be obtained (biopsies for pathologist to examine), bleeding can be halted, stones removed, areas of narrowing opened. How's that for starters? It can also be done as a complement to other studies to complete the evaluation process. If you've been offered one, you must discuss the rationale... ...Read moreSee 1 more doctor answer
Usually a hospital: A video fluoroscopic swallowing study (VFSS) is test done for evaluation of swallowing disorders. A VFSS is usually done on the order of a physician in a hospital. The test requires the presence of a speech pathologist and radiologist to conduct and interpret the study. If your doctor has ordered the test, he or she should give the location of the test. ...Read more
40yo endo, pcos, ulcerative c. childbirth via c-section, 2 surgeries to remove endo from rectus muscle. Many meds over 15y. Hysterectomy pro and con?
Complicated Surgery: Your history of surgeries makes me worry that another surgery for you might be difficult if you have a physical exam that shows a uterus that's fairly stuck in the pelvis. If you haven't tried medical methods of care for endometriosis, I would do that first. Consider continuous pills, Depo, Lupron, (leuprolide) etc. ...Read more
If I subscribe to HealthTap, can a doctor via Healthtap order blood tests for me? No analysis of the labs required. Covered by insurance?
Yes: Yes, we can order lab tests directly to Quest Diagnostics through Healthtap if you order a consult. ...Read more
Can ENT see small tear in the esophagus with flexible endoscope? Can endocsope rotate 360 degree? I'd like ONLY ENT to respond.
Usually not.: If there is concern for a small tear in the esophagus, the usual doctor to address that is a gastroenterologist. Sometimes that is visible with a flexible endoscope. Sometimes it requires other types of radiologic studies in addition or instead of that. A tear in the esophagus can be an emergency. Do not delay getting it evaluated. Good luck. ...Read more
Transnasal endoscopy vs upper endoscopy to diagnose stomach ulcer? Which is more accurate? I perfer to be awake, can I request transnasal instead?
Depends: If your doctor just wants to see if there is an ulcer there, then the transnasal is great. However often they will want to biopsy it. They cannot do this through the transnasal approach. So have a conversation with your gastroenterologist to see what the likelihood is that he/she will want biopsies. ...Read more
Diagnosed with a "tortuous colon" via oral barium CT scan & colonoscopy; have very distended abbdomen, pain, etc. What to do?
High fiber diet: The elongated colon may need help from a high fiber diet. Avoiding foods and medications that cause constipation is also important. Ask your doctor if there are other issues that may need to be addressed, as the tortuous colon may not be the explanation for your current complaints. ...Read moreSee 1 more doctor answer
Online: But the best thing to do is to call the representative of the company so that you can be sure exactly what it is you will be getting with the retrograde kit and whether it will satisfy your needs. This is a procedure that requires training and experience to be successful. ...Read more
Have physicians or nurses using the cerner electronic medical record had cases where an intended medication order modification didn't record properly?
There: Is always an element of human error when input of data. ...Read more
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 moreSee 2 more doctor answers
Should an n95 mask block nebulized medication particles? [specifically tobramycin neb via lc star- yes, pulmonology question]
Confused: Are you asking is you can use the dynatron if you have a scs? You can use it, but i would turn the scs off while using the dynatron. The dynatron is used to treat sympathetic pain (like the scs). I would question why you needed it however, as it seems to me to be a duplication of therapy. ...Read more
Yes.with few stones.: When the surgeon plans for it, it means gb is relatively easily removable and stones are not too much loading the gb so that the gb can be pulled through the laporoscopic port ( small openings, in the skin at sites near gb area) easily. Sometimes they start as laporoscopic, but after viewing the gb area and if they suspect the gb may more diseased than expected it is converted to open lap.Surgey. ...Read more