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Doctor insights on: Hungry Bone Syndrome Following Parathyroidectomy

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Signs of calcium lost after thyroid surgery?

Signs of calcium lost after thyroid surgery?

Low calcium: Typical symptoms might include a numb or tingly feeling around the mouth or in the hands and feet, or muscle cramps. In severe cases carpal spasm can develop - see the picture here: http://www.Nejm.Org/doi/full/10.1056/nejmicm074227. ...Read more

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Bone (Definition)

Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more


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What is the probability of bone growth 10 mnth post L3-S1 fusion after removal of growth stimulator&complete non-union at L3L4 with 2 loose screws L3?

What is the probability of bone growth 10 mnth post L3-S1 fusion after removal of growth stimulator&complete non-union at L3L4 with 2 loose screws L3?

Ans: First you must why is there no bone growth in a 30 yo? Are you a heavy smoker ? You need a bone density test. You need to eat better and do some passive exercise. There is calcium you can and should take. Better get going or you will have more problems as you age ...Read more

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Experiencing joint, bone and muscle pain 7 months after thyroid cancer DX. Fvptc, multifocal with capsular invasion and classic ptc. Worrisome?

Experiencing joint, bone and muscle pain 7 months after thyroid cancer DX. Fvptc, multifocal with capsular  invasion and classic ptc. Worrisome?

Follow up: Your doctor probably is keeping you hyperthyroid which could cause the symptoms above. This is not worrisome as long as a good endocrinologist is following you regularly. Hopefully you have had the appropriate post op care: I-131?, undetectable thyroglobulin...your endo will be the best to answer your questions appropriately. ...Read more

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Does a "bone graft" and/or a "bone block" (for later implant) increase jawbone height due to reabsorption following extraction years earlier?

Does a "bone graft" and/or a "bone block" (for later implant) increase jawbone height due to reabsorption following extraction years earlier?

Yes in most cases: A bone block is a type of bone graft. There is a discussion whether a bone block or a particulated bone graft is better. I have seen great results with both. A successful bone graft is depends on many factors. Smoking, diabetes & poor oral hygiene can contribute to a failure. The skill of the surgeon is also important. ...Read more

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3rd metatarsal stress fracture- nonunion after 21 weeks. Bone graft and ORIF. Success likely for this surgery? Complications?

3rd metatarsal stress fracture- nonunion after 21 weeks. Bone graft and ORIF. Success likely for this surgery? Complications?

Successful treatment: A non-union fracture needs to be fully understood for the best surgical outcome. It is helpful to know if this is a vascular or non vascular non-union as it can change the surgical approach. Overall the surgery is very successfull unless you are a smoker. ...Read more

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Laparos. surgery due MALS (median arcuate lig. s.). 6 weeks after surgery, pains very severe after meals. New celiac bypass is question. Solution?

Tell surgeon: First: make sure your surgeon knows about this. Pay attention to what foods bother you most. Try blending a smoothie of coconut milk, frozen blueberries, and organic leafy greens, and see if you tolerate that better. ...Read more

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Is feeling fatigued common after total hip replacement surgery on one hip?

Is feeling fatigued common after total hip replacement surgery on one hip?

Yes: It takes a lot of energy to heal after surgery. The feeling should subside after one to two months. ...Read more

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Dr. Alvin Lin Dr. Lin
6 doctors agreed:
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68 yr-old man, new-onset loss of left toes dorsiflexion, 51 years after Harvey Cushing's Osteoplastic Craniotomy for temporal lobe epilepsy.....?

Dr. Alvin Lin Dr. Lin
6 doctors agreed:
68 yr-old man, new-onset loss of left toes dorsiflexion, 51 years after Harvey Cushing's Osteoplastic Craniotomy for temporal lobe epilepsy.....?

See ur NeuroSurgeon: New-onset loss of L foot dorsiflexion after craniotomy may be a complication of surgery, perhaps related to positioning. EMG/NCV (muscle & nerve testing) can localize site of nerve injury. Physical therapist can offer exercises to improve function as well as recommend ankle-foot orthotic to minimize risk of falling/tripping due to foot drop. Bottom line, chat w/your NeuroSurgeon then see FamilyDoc ...Read more

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Stage IV patient , lungs cancer after kidney tumor.2months after diagnosis, weight gain & good appetite, always hungry.No symptoms as doc said.Confused?

Stage IV patient , lungs cancer after kidney tumor.2months after diagnosis, weight gain & good appetite, always hungry.No symptoms as doc said.Confused?

Unclear: If the diagnosis of stage 4 long cancer is correct, this may be the calm before the storm. If the diagnosis is not correct, that could be the reason there are no other symptoms. The issue is really more complex than be sorted put on this forum. Need lots more info. Hope this helps! ...Read more

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35 yo man with Rt foot pain. Concerned his accessory navicular bone, Type 2 is FX'ed after trauma. X-ray neg. Utility of 3 Phase Bone Scan?

Similar treatment.: In the initial stages of the trauma, it would be better to attend to the things that matter first. Start with the RICE protocol. Rest, Ice, Compression and Elevation. Forget the bone scan and start the immobilization of the foot first. Depending on the severity, either non-weight bearing or crutch assist. I prefer a pneumatic cam walker. If improvement after a few weeks, all's fine. If not MR it. ...Read more

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What can be done for recurrent larylngeal nerve injury (thyroid fna). Slow progression ( 2 yrs), mildly raspy, voice fatigue, some pain with speech. ?

What can be done for recurrent larylngeal nerve injury (thyroid fna).  Slow progression ( 2 yrs), mildly raspy, voice fatigue, some pain with speech. ?

Laryngologist: When the rln is injured, the vocal cord is paralyzed. Be seen by a laryngologist if you havent already. Some injections (dermal fillers) can be done to improve the voice by moving the vocal cord over a few mm. There is s more permanent solution with a procedure called thyroplasty which uses a silastic implant to push the paralyzed cord into a position that improves the voice. ...Read more

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What is the recovery time for subchondral insufficiency fracture left femoral head with extensive bone marrow edema?

What is the recovery time for subchondral insufficiency fracture left femoral head with extensive bone marrow edema?

Depends: classically we say fractures heal in 6-8 weeks but insufficiency fractures mean the bone was weak or not healthy in the first place and may take longer ...Read more

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Facial nerves were cut during jaw surgery 3 months ago. Nerves reconstruction surgery yesterday. Chances of recovery high or low?

Facial nerves were cut during jaw surgery 3 months ago. Nerves reconstruction surgery yesterday. Chances of recovery high or low?

Depends: depends upon what you mean by "recovery" and which nerves you are talking about. Sensory nerves are different at times during reconstruction in a delayed fashion. If you are talking about "the facial nerve" or facial nerve branches, immediate reconstruction is usually the timely thing to take on. I'm sure your surgeon detailed all of this with you preoperatively. goodluck healing--long process ...Read more

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Dr. Austina Cho
182 doctors shared insights

Increased Appetite (Definition)

Increased appetite is a clinical finding in which a person feels more hungry than ...Read more


Dr. Brendan Stack Jr.
60 doctors shared insights

Parathyroidectomy (Definition)

Parathyroidectomy is the surgical removal of one ...Read more