Doctor insights on:
Jejunostomy Tube Replacement
Analyse risk/benefit: Could be a benefit, it depends on the whole clinical picture. Jejunostomy tubes typically are for feeding when the patient needs nutrition. With diabetes, Insulin will be needed. So the same risk comes with any feeding; how much Insulin to cover? Your dietician and doc will be able to help you with this. You may need a long acting Insulin if you are feeding overnight. Be well. ...Read more
Is it possible for someone with gastroparesis to live with a jejunostomy tube and have a decent quality of life/active life?
It is: It may be more difficult than others, due to the careful need to monitor your nutritional status and manage the jejunostomy tube. But gastroparesis requiring tube feeds in itself shouldn't preclude you from having good quality of life. Have faith and be a mindful active participant in your healthcare. Best of luck. ...Read more
Billroth II recon; tube jejunostomy (witzel) d1 lymphadenectomy and celiac nodes, can you tell me more?
Stomach lesion: Billroth II reconstruction is utilized for stomach malignancies where antrum and pylorus are removed and to reconnect the proximal stomach to the intestine, a loop of proximal jejunum is attached end of transected stomach to side of jejunum. Jejunostomy is a tube inserted into distal jejunum for feeding purposes, with lymphadenectomy to remove possible metastatic lymph nodes. ...Read more
Is a g-tube or jejunostomy be viable in a 15-year old with cerebral palsy who cannot get enough calories?
Options: Either option will achieve the goal of increasing calories. Talk with your surgeon or doc, about the risk/benefit profile of each procedure. There are tubes that can be placed endoscopically, and have two ports for added safety and convienience. ...Read more
Healthy tissue: You should see pinkish or redish tissue protruding from the abdominal wall skin. This is healthy tissue. It should be functioning with gas and stool in the ostomy appliance or bag. ...Read more
Yesterday I had an ovary and fallopian tube removed should I worry about hormone replacement? Can I take a shower? I am 37 yrs
HRT unlikely needed: No need for hormone replacement (hrt) if one has at least one ovary and is not menopausal. Presence or absence of fallopian tubes are not a factor for determining hormone replacement. As for post-op instructions including showering, best to ask advice of surgeon who performed surgery. ...Read more
There are usually: Two drains placed around the heart and if either chest cavity is opened, from either side of the pericardial cavity, those chest spaces would be drained as well. It is not uncommon and depends on scarring and possible history of COPD or other reasons the lungs may be enlarged and pushing closer to the heart. Or possibly, fluid needed to be drained from both chest cavities from heart failure. ...Read more
Is it necessary to have an endoscopic peg tube replacement surgery in the ER then to have it done at the doctor's office?
We only "change" the tubes if a problem such as a tear with leak or blockage that we can't dislodge occur. It's rare to change tubes just because someone decides to do it.
It may be that the ER decided to put in a Foley catheter which is designed for the bladder and they decided to replace that with a real PEG tube designed for that purpose. ...Read more
My doctor suggested a gj tube to replace my nj tube what are some pros cons of gj tube instead a nj tube?
NJ vs GJ tubes: There are a number of key differences between a naso-jejunal tube versus a gastro-jejunal tube: 1) point of insertion--nj goes thru your nose while gj is placed thru your skin ; presumably is more comfortable; 2) reliability--nj ; gj tubes notoriously both flop back into the stomach, but the frequency is a little higher with the ng device; 3) nj tubes can cause esophageal trauma; gj tubes don't. ...Read more
My 3 year old is on her 2nd set of pe tubes (t&a removed). Left tube is in the ear canal & is infectioned. Is it recommended/safe to replace this tube?
For an elderly with dementia, to further avoid aspiration pneumonia should we replace the peg tube for a pej one. Is that an option? Consequences? Thx
Yes it is an option: If she is having aspiration while receiving feedings via a peg tube, conversion to j- tube should diminish aspiration from gastric reflux(assuming there is no obstruction distally in the GI tract). If the aspiration is from swallowing, conversion will not help. If her dementia is profound, it may be helpful to discuss both medical and life goals with her physician or ethics board. ...Read more
Testosterone: Can be administered many ways, which include injections, transdermally (patches ; gels), and buccal. Your levels should rise the same day as the administration of the medication. If it an appropriate dose, your levels should return to normal the day of administration. ...Read more
No: It's complicated based upon symptoms, recently menopausal or not, family history, modality of delivery, etc. Your gyn md can explain in more detail. ...Read more
My mom has degenerating disks can she get disk replacement? She literally can't do anything g without being out for 3 days
Well- that depends: There are such things as "injectable artificial vertebral disks" but you'll need an orthopod to answer more details about them since I have no experience with them but what I can comment on is that mom will probably not be considered a candidate for such a procedure unless she's been through the standard approaches of therapy, medication control, etc. Wanna talk more? www.healthtap.com/drsaghafi ...Read more
I drink on average 3- 16oz redbull enegy drinks a day, sometimes more, what could happen if I don't stop and what is a better, healthier replacement?
Aging heart: The taurine is stringer than the caffeine, this is causing your heart to beat faster and harder than it needs to. This will age your heart quicker. Add to that a chronic dehydrated state on these diuretics and you are facing an older body than it should be in your future. Stop the insanity. ...Read more
Help!taking ativan 1mg. I started 0.5 mg Xanax (alprazolam) as replacement 4 ativan. Don't like how I feel on xanax (alprazolam). How long b4 Xanax (alprazolam) is out and can resume ativan?
Please: Ask your doctor directly, let her/him know what is going on with your medications, provide her/him with all info regarding all the medications u r taking. S/he will help you the best. This forum is not intended to replace face to face consultation. Be safe, follow your doctor prescription and refrain to self medicate urself. Thank u! ...Read more
My ortho dr recommends i have TKA. How long does the replacement parts last now? Wasn't it 10-15 years before? My dr says it lasts till 30 years now.
TKA: I would listen to my orthopedic surgeon or get a second opinion from an orthopedic surgeon that dips in a different group. ...Read more
What can happen if I want to tray if haw can leave without T replacement aftar 7 years and when doc put me on it I wasn't have lower than bottom line?
Testosterone: You would then drop back down to your lower testosterone level or possibly lower than the original Symptoms of low testosterone may occur with the drop — fatigue, irritability, memory and loss of muscle mass. Labido issues usually do not occur until lower levels in the 200's. The heart, bone and brain protection occur at higher levels. The method of delivery also may make a difference in symp ...Read more
If mitral valve being repaired with ring. What are the chanses that it dosen, t need another replacement for a lifetime. Repair take olace in 2009.
My shrink quit. Should I go off my psych meds (gradually, of course)? I take 2 mg of a benzo and a low dose of a ssri. I have not found a suitable replacement shrink, and wondering if I shouldn't just go off the meds, gradually — I won't be able to get
Psychiatric meds: Your need for treatment is a separate issue from your psychiatrist's leaving. Most primary care physicians would be willing to cover your prescriptions while you seek a new psychiatrist (or "shrink, " if you prefer that name). You could also work with a psychologist/other therapist in cognitive behavioral therapy -- so that when you really do taper the medications, you really are stable and ready. ...Read more
Yes: If you have had thyroid gland removed you will need thyroid replacement supplementation as you no longer have a gland that can produce thyroid hormone. Fortunately that is not a difficult thing as it would just be a matter of taking a pill daily for the rest of your life. Think of it as a vitamin supplement to provide what your body needs to function normally. ...Read more
Discuss with your MD: There are a number of related compounds to clonopin. The best person to assist you with a replacement medication will be your doctor who prescribed the medication. ...Read more
That depends: While there is still significant disagreement in the scientific community, the negative estrogen press over the past few years was really about a specific patient population and a specific estrogen-progesteron medication. It does not apply to all estrogens, and all patient populations. Make sure your physician is studying the medical journals and not usa today for their medical information. ...Read more
Generator change: Typically, an outpatient procedure involving a small incision to access the old device, unplugging the leads and placing a new pacemaker generator into the pocket once the leads are attached and closing the incision. Less involved typically than the original placement. ...Read more