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Doctor insights on: Julian Chan

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Hi, how do I access a reply from Dr Julian Crane to a question I posed yesterday. Thank you?

Your profile: You should be able to access it from your profile, else check the profile of the doctor who answered. Otherwise best contact a Dioscovery representative who may be better able to assist you. ...Read more

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39 years old and my husband and I use condoms last night he forgot and I noticed after a minute he pulled out. I took second choice this am r my chan?

39 years old and my husband and I use condoms last night he forgot and I noticed after a minute he pulled out. I took second choice this am r my chan?

Low risk: Emergency contraception when used correctly and used within 72 hours of unprotected intercourse decreases pregnancy risk by about 75%. Consider seeing a doctor to discuss more effective long term birth control methods or if you are finished having children consider essure. ...Read more

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I was discharged on Saturday 3rd June by Dr Seok Chan Noh. He included a script for 2.5 mg Oxybutynin to be taken as required. What is this for?

I was discharged on Saturday 3rd June by Dr Seok Chan Noh. He included a script for 2.5 mg Oxybutynin to be taken as required. What is this for?

Oxybutynin: It is a bladder anti-spasmodic and is used to treat symptoms of overactive bladder such as incontinence. It is an anticholinergic medication used to relieve urinary and bladder difficulties, including frequent urination and inability to control urination ...Read more

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It is ok to do hysterosalpingogram agean after 4month and is there any chans to be pregnant naturaly even if my fallop toup is closed. Whithout ivf?

It is ok to do hysterosalpingogram agean after 4month and is there any chans to be pregnant naturaly even if my fallop toup is closed. Whithout ivf?

Probably not: The hsg is pretty accurate as long as the docs who did it don't think there was tubal spasm, which would make tube look blocked at the edge of the uterus. If both tubes are really blocked chance of natural pregnancy is low, and if you did get pregnant there is a high chance of ectopic pregnancy. You probably need ivf. ...Read more

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Can change my lifestyle chan ge my sleep disorder?

Can change my lifestyle chan ge my sleep disorder?

Depends on what…: …your sleep disorder is. People with shift-related disorders can, with time & reversion to day-time shift, improve their sleep. Sleep apnea may improve with weight loss. Restless leg syndrome & periodic leg movement disorder do not seem to be related to lifestyle. Establishing a sleep regimen can help ameliorate some other sleep disorders. A sleep specialist can guide you. ...Read more

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My period came today my last period was feb 14 if iam not pregnate but tryn will I have a better chan e next month?

My period came today my last period was feb 14 if iam not pregnate but tryn will I have a better chan e next month?

Your fertile time: Is two weeks before the next period is due to come. Your periods were 6 weeks apart. If that is normal for you you might next ovulate in about 4 weeks. However if your periods are not regular then it is more difficult to predict when you will ovulate. ...Read more

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Yesterday in toilet bloody mucus found. Today I test my ESR value it is. 03 mm/hr....is there any chans of ulcerative colitis?

Yesterday in toilet bloody mucus found. Today I test my ESR value it is. 03 mm/hr....is there any chans of ulcerative colitis?

UC?: There are a few possibilities here. Ulcerative colitis could certainly be one. Inflammatory bowel disease could be another. Or infectious colitis. Regardless, if this persists, you would really need more testing including colonoscopy to determine cause and course of treatment. ...Read more

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I have anxiety I fear strokes n now that hubby has Bell's palsy I fear that n now I think left side face feels funny n kinda not right what's the chan

I have anxiety I fear strokes n now that hubby has Bell's palsy I fear that n now I think left side face feels funny n kinda not right what's the chan

Not contagious.: Your fears are irrational. That's a problem and should be treated. Get professional help and set yourself free. You worry about what might be wrong. Well, we have identified a real problem. Now, act on it and feel better. ...Read more

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Treatment suggestions for very symptomatic Inappropriate Sinus Tach? No success at 25-50mg: diltiazem (calcium chan. Blocker), atenolol + propranolol.

Treatment suggestions for very symptomatic Inappropriate Sinus Tach? No success at 25-50mg: diltiazem (calcium chan. Blocker), atenolol + propranolol.

Try Nadolol: An older, generic (cheap) treatment option that is often very successful in IAST is Nadolol, a non-selective, longer acting B-blocker that allows you to take it once daily. Since nadolol is an older generic, many physicians are not familiar with its use. Atenolol and propranolol are shorter acting B-blockers and rarely work for IAST. Diltiazem and other calcium channel blockers almost never work. ...Read more

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From past 5 months I started getting pimples all over my face I never hwd pimple in my life. I asked my doctor about it so he said its harmonal chan?

From past 5 months I started getting pimples all over my face I never hwd pimple in my life. I asked my doctor about it so he said its harmonal chan?

Acne: Acne on an adult woman is hormonal. Your dermatologist needs to know the name of any birth control pill or iud as these may be the cause. Spironolactone is the treatment of choice. Are your menses normal? Treatment is very limited if you are pregnant or planning to be pregnant soon. Tretinoin cream is also indicated. ...Read more

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Hi doc, I am ankit from mumbai. I play cricket. I can't throw from last few years, but can bowl for hours. Have taken ultra sound, laser, ift. Minimal chan?

Hi doc, I am ankit from mumbai. I play cricket. I can't throw from last few years, but can bowl for hours. Have taken ultra sound, laser, ift. Minimal chan?

Get examined: Not being able to throw overhand could indicate a problem w/ your rot. Cuff tendons or other shoulder conditions common in your age group... See a qualified doctor (orthopedist)who can provide a diagnosis and treatment options. ...Read more

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I have been drinking a lot lately and take prescriptions for allergies and rosacea. I am 42 and just found out I'm 4 weeks pregnant. What are the chan?

I have been drinking a lot lately and take prescriptions for allergies and rosacea. I am 42 and just found out I'm 4 weeks pregnant. What are the chan?

Talk to doctor: A lot of women have alcohol before they know they are pregnant and nearly all of those pregnancies do fine. Most important is that you've recognized it and have stopped. As far as your medications are concerned, make an appt with doctor to discuss your meds and possible effects on baby, as well as alternatives you can take in pregnancy to relieve your symptoms. Goodl luck! ...Read more

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What can I expect after getting oral appliance therapy for apnea? I'm schedule to go in and talk to my dentist about an oral appliance for sleep apnea, but i'd like a little heads up about what to expect afterwards before I go. Will an oral appliance chan

What can I expect after getting oral appliance therapy for apnea? I'm schedule to go in and talk to my dentist about an oral appliance for sleep apnea, but i'd like a little heads up about what to expect afterwards before I go. Will an oral appliance chan

Depends: There are a number of things that can happen as far as side effect like mild pain, teeth not fitting together in the morning, and possible tooth movement.
Follow up care is key to improving the success rate.
Not all patients find success. Seeing a dentist with significant experience and education treating this life threatening condition can help with side effects and improve success. ...Read more

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My father recently had open heart surgery of blockage of four arteries, it took last about 5 1/2 hrs. He is 69 year with 36 years of diabetic history, also had past history of stroke and attack. But after surgery nearly 40 hrs later we have noticed chan

My father recently had open heart surgery of blockage of four arteries, it took last about 5 1/2 hrs. He is 69 year with 36 years of diabetic history, also had past history of stroke and attack. But after surgery nearly 40 hrs later we have noticed chan

Ur post got cut shor: From your topic tags, I suspect that you've noticed a change in your dad's memory after his surgery. Given his history of stroke complicated by heart disease, it's very common to report memory loss after open heart surgery since small clots can fly off into brain. Or he might be suffering from delirium due to anesthesia, medications, infection, blood clot to lung, uncontrolled pain, etc. ...Read more

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Can you tell me about it's like to try jillian micheals 14 day cleanse and burn?

Can you tell me about it's like to try jillian micheals 14 day cleanse and burn?

At your own risk: None of these concoctions will do you any lasting good. Some can land you in the intensive care unit. If you are interested in fitness, a trainer and exercise friends are what you really want. If you are interested in natural healing, find an evidence based holistic doctor. Please don't try a drastic purge. ...Read more

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I have PCOS so trying to loss my weight. Daily working out for 2 hours Cardio, Strength it is Jillian Michaels workout's but no result?? What can I do?

I have PCOS so trying to loss my weight. Daily working out for 2 hours Cardio, Strength it is Jillian Michaels workout's but no result?? What can I do?

See a Dietician: A dietician can review your dietary habits and provide targeted advise to help you lose weight. It is helpful to keep a diet diary for two weeks prior to visiting the dietician to get the most useful advise. Be honest about everything you eat or drink. This will help the dietician design the right plan to help you lose the weight. ...Read more

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Hi my is juan, I am a 24 years old and I have been getting bold spots below my ear and also on my chin. I want to know if its normal?

Hi my is juan, I am a 24 years old and I have been getting bold spots below my ear and also on my chin. I want to know if its normal?

Alopecia: Juan. It seems to not be normal. There are some forms of hair loss that area autoimmune - meaning your body is attacking the hair follicle. A fungal infection can also cause spotty hair loss but usually itches and is associated with flaking and redness. Sometimes this hair loss is confined to the beard of scalp areas (alopecia areata) and can be treated with injectable or topical steroids. ...Read more

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My wife Julie has extreme shaking from head to toe. Walking down stairs is impossible. It went away for 3 days but now it's back. Can we know why pls?

My wife Julie has extreme shaking from head to toe. Walking down stairs is impossible. It went away for 3 days but now it's back. Can we know why pls?

This is a simple?: Although I suspect the answer will not be simple. Take her to the hospital now. She needs to be evaluated by a neurologist. Your earlier question which I also answered about numbness tingling and loss of strength in the arm in the context of what you describe is worrisome for MS or a stroke. You live in a region with increased risk of MS. She has a neurological problem, this needs prompt attention ...Read more

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My name's Julie. I'm having almost all symptoms of hyperthyroidism but my thyroid is normal. What can mimic it? I'm 36 so I don't think it's menopause.

My name's Julie. I'm having almost all symptoms of hyperthyroidism but my thyroid is normal. What can mimic it? I'm 36 so I don't think it's menopause.

Graves' disease: This is an illness caused by antibodies to the pituitary that cause increased thyroid hormone production since the antibodies mimic thyroid-stimulating hormone, or TSH, and cause a hyperthyroid state. The diagnostic feature is a low level of native TSH with high T3 (liothyronine) and free T4 levels ...Read more

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Can a ENT dr know for sure just by looking at it that a lymph node in the juluar area after removal that it is not cancer or should they wait for path?

Can a ENT dr know for sure just by looking at it that a lymph node in the juluar area after removal that it is not cancer or should they wait for path?

Always Wait 4 Path: Microscopic cancer cannot be seen or felt; it requires microscopic evaluation by a pathologist. Therefore, while a normal-appearing lymph node is a good start, it is by no means definitive until pathologic evaluation is completed. ...Read more