Doctor insights on:
Hi Jana Tomsky,
I have a dark spot on my lip and I'm not to sure what it is. It started off as a tingle and now it's been growing. Please advise.
Post picture: can you post a picture of it? That would be most helpful. Dr R ...Read more
Hi, ultrasound on 26.9.2013, 6w5d, 8.4mm. Ultrasound on 30.9.2013, 7w1d. I had sex on 20.8 and 28.8. Which date is more likely a conception date? Jana
Close call: That's a really close call. I caution all patients that 'working backwards' is never 100% exact. In a perfect 28 day cycle (which you may not have) with a d14 ovulation (?) conception would likely have been august 25. This one's too close to call based on the dates and the ultrasound, sorry. ...Read more
Hi, ultrasound on 31.10.2013 12w0d. Cycle 33days. Lmp 5.8. I had sex on 20.8 and 28.8. Which date is more likely a conception date? Jana
Hi, ultrasound on 26.9.2013, 6w5d, 8.4mm. Cycle 33days. Lmp 5.8. I had sex on 20.8 and 28.8. Which date is more likely a conception date? Jana
Too close to call: If it matters which is the conception date, a woman must always separate her possible conception dates by at least 2 weeks... Which means planning ahead every time. With a 33 day cycle, or with a 6 week 5 day ultrasound estimate of gestational age, "the day" is estimated to be august 24. So, this is too close to call. Life is not exact. ...Read more
Watch what you eat: A flat "tummy" really stems from optimizing your weight. For most people this means watch what you eat, but even more so, watch "how much you eat". Caloric reduction is the mainstay for consistent weight loss. You need to figure out what your daily caloric intake should be to allow for reasonable weight control .. this number will be based on your age, gender, height, weight and activity levels ...Read more
Probably no: Japanese hokkaido weight loss pills are another in a long line of weight loss supplements, containing various plant extracts. It is probably safe, but there is no scientific evidence that it works for weight loss. You would be better off sticking to regular exercise and balanced healthy diet. ...Read more
Actually some very: Smart folks smoke mj, but they act very dumb while under the influence. They think they are profound and brilliant, but they really are just stoned. Many not so smart people smoke, and they do not get any brighter afterward. It can be psychoaddictive and can tempt you to smoke and do nothing else. That is indeed not productive, if not dumb. ...Read more
Yes, but...: Although it is possible for you to have additional surgery at this point, it would be extremely unusual for a patient to require an additional tummy tuck procedure. You will be best off seeking consultation with board certified plastic surgeons to discuss your concerns and goals. Only after direct examination and this full communication will precise/meaningful recommendations be possible. ...Read more
Acid reflux: Acid reflux or gerd is a common cause of abdominal pain. Try a course of over-the-counter antacids. If that's not enough, try a proton pump inhibitor like Omeprazole or Pantoprazole or lansoprazole. Also, avoid eating just prior to laying down. You may consider placing a brick under head of bed to minimize acid reflux. If all above fails, go see your family doc, sooner if coffee grind vomit. ...Read more
Ans: Your question is what? Jaw pain? Blunt trauma multiple times will do its damage. Avoid anymore trauma and try to eat foods that don't aggravate the traumatized jaw ...Read more
Anything is possible: Your baby will come when s/he is ready to. You can select it with a c-section (as long as baby doesn't decide first!). See your OB regularly and ask ?S often. Good luck! ...Read more
What happens if i can't find a suitable health insurance plan by jan 1 2014? Do I have to pay a fine?
We all work together: Insurance means everybody chips in so that there is a pool of money to pay for each person's illnesses. It works when everyone comes together and pays into the fund, and when only a few people are ill at any one time. There is a fee (to encourage everybody to participate, because we all get sick at one time or another) for not having insurance in 2014. Maximum fee for 2014 is 1% of one's income. ...Read more
What is the best way to cut down a big tommy? And what are the best eating and exercise habits to keep fit? Thanks
Lifestyle change: Don't use gimmick diets, change your life. Regular exercise 3-4 times per week where you exercise doing aerobic activity for 30-60 minutes. Always choose to be more active, example: take the stairs rather than the elevator. Change your diet with portion control, 3 small meals with smaller snacks between each meal. Cut down on fat and carbohydrates. ...Read more
Hello, where can I go to check what my mineral levels are? I eat a plant based diet and would just like to know if my levels are heathy. Jani
I got my prd jan 3-7. He came in me on the 9th. I took pb 2h later. I bled a week later. Then on the 24&26 he came in me. Took PB on the 26. Am I prgn?
Iam three day late for my monthly i don't know what I should do because late month it was on the tenth and the month before that it was on the 23 of jan
Hello, : Hello, if you have been sexually active and you miss your period, recommend that you take a pregnancy test. ...Read more
Today was last dose of efxr 12.5 mg been on citalop for 2 months (jan 10 mg) and (feb 20 mg). I want off this too. If i go to 10mg tomor bad w/d? A dr please give me a plan! psyc won't see me tip next wk!
Class IV resorption: Bone resorption in the upper and lower jaws is a progressive process, and with time the functions of mastication and speech can be markedly compromised, especially as the result of reduction of supporting bone and tissues. Severely resorbed jaw requires the reconstruction with free bone grafts. ...Read more
Lifestyle: The average Japanese diet contains about 25% less calories than that eaten by Americans. Portions are often much smaller wi samplings of a variety of foods. There is ample use of fish, soy, vegetables, seaweed, fruit, noodles / rice & green tea. Japanese often take more time over a meal. They tend to walk or cycle as opposed to driving everywhere. ...Read more