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Doctor insights on: Multiple Sclerosis Prognosis 2010

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Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...Read more

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Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more


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Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Yes..serious stroke: Your info suggests brain vascular problems that are causing ischemia (reduced blood flow to brain tissue) which until now has been mild or transient but unless you quit smoking , among other preventive measures, you risk more serious ischemic brain injury or stroke ...Read more

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Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution) ECG show af. When we start anticoagulant?

Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution)  ECG show af. When we start anticoagulant?

Good question: There is multitude of factors affecting anticoagulant therapy, patient's current physicians will analyze these factors and they should make the decision. Good luck. ...Read more

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What can be done for a 6.1 cm liver metastases ? Plus other 3 spots under 1 cm

What can be done for a 6.1 cm liver metastases ? Plus other 3 spots under 1 cm

Resect if possible: Liver metastases are an unfortunate consequence of some cancers. Sometimes they are can be removed with surgery if the patient can tolerate it. Many times surgery is not possible, so patients need to take chemotherapy. Chemotherapy would be chosen depending on the original cancer. Combinations of surgical removal and chemotherapy have led to long prognosis in colorectal cancer, for example. ...Read more

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Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient

Last yr CT scan n yesterday abd ultrasound shows diffuse hepatocellular disease in liver. Prognosis, treatment, further testing? Crohns patient

Crohn's complication: Many Crohn's complications. Granulomatous hepatitis (non infectious) And Amyloidosis of liver two rare but known problems. Please see your gastroenterology specialist soon. This could be due to some drug as well, such as sulfasalazine. Check Alkaline Phosphatase levels. ...Read more

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Whats this mean? No dr to see, ordered b/c painful breathe. Multiple bilat noncalc pulm nod 3-4mm. Favors granulomatous process (disease wrote above)

Whats this mean? No dr to see, ordered b/c painful breathe. Multiple bilat noncalc pulm nod 3-4mm. Favors granulomatous process (disease wrote above)

Inconclusive.: Small pulmonary nodules can be lots of things. Old granulomatous disease from a prior infection is most common. If you could provide the radiologist with old studies that would be extremely helpful. If not then follow up imaging is important. ...Read more

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6 x 8 mm stable spiculated apical plueral based nodular scarring & pulmonary nodules 4 x 6 mm. Follow up CT scan in 6 mos. Ok? Quit smoking 20 yrs ago

6 x 8 mm stable spiculated apical plueral based nodular scarring & pulmonary nodules 4 x 6 mm. Follow up CT scan in 6 mos. Ok? Quit smoking 20 yrs ago

Lung nodules: Based on the size and the risk factors, i think a follow up approach with serial ct chest for a total period of 2 years would be recommended and is evidence-based. The second ct chest would be in 3-6 months. ...Read more

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Ana 1:80 homogeneous, sed rate 51, chronic post nasal drip, inflamed sinuses, osteo arthritis, fatigue, brain fog. What are some possible explanations?

Ana 1:80 homogeneous, sed rate 51, chronic post nasal drip, inflamed sinuses, osteo arthritis, fatigue, brain fog.  What are some possible explanations?

Labs not helpful: These are generally unrelated problems. Chronic sinusitis and post nasal drip are likely one and the same. Arthritis may be just that. The ANA and ESR are nonspecific and may be "normal" although elevated. The list of things that can cause fatigue and brain fog is rather extensive and is probably best answered in person with your doc. ...Read more

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What risk assessments tests to do with smoldering multiple myloma pls tel me is it smoldering myloma when m spike is below 1 but 14 percent plasma cel?

What risk assessments tests to do with smoldering multiple myloma pls tel me is it smoldering myloma when m spike is below 1 but 14 percent plasma cel?

Regular follow-up: Smoldering myeloma is a pre-malignant condition with about 10% people developing myeloma/year. You correctly defined your condition as smoldering myeloma. There is need to do repeated blood tests every 6-12 months. Please follow you doctor's advice. ...Read more

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Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Can stage 1a endometrial cancer (removed) spread to mediastinal, bilateral hilar and virchow's node w/o infiltrating another organ?

Yes but: It could possibly spread to local lymph node but the chances are very low. The lymph nodes that are in thoracic cavity are even less likely to contain metastatic tumor from a stage 1a endometrial cancer, especially if it's a garden variety low grade lesion. In fact, long term survival is very good, like 95%. The other 5% may represent very high grade tumors. ...Read more

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Been diagnosed with peripheral neuropathy blood test showed high immunoglobulin m w/polyclonal gammopathy. Kappa/lambda increase. Possible meaning?

Been diagnosed with peripheral neuropathy   blood test showed high immunoglobulin m w/polyclonal gammopathy. Kappa/lambda increase. Possible meaning?

PlasmaCellDIsorder: May have plasma cell disorder/multiple myeloma. Plasma cells are a type of white blood cells that produces immunoglobulin(antibodies). Multiple myeloma is a cancerous or excessive proliferation of these plasma cells which may lead to excessive high levels of calcium/bone pain/renal failure/anemia (low blood counts). Need to see hematologist (blood doctor specialist). ...Read more

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Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more

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Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Is lumbar medial branch radiofrequency ablation safe in patients with multiple sclerosis?

Yes: There is absolutely NO clinical evidence that any type of surgery, anesthesia, or standard clinical injections can affect the trajectory of MS, and radio frequency ablation should be relatively safe. ...Read more

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What condition has a better pronosis: Parkinson's disease or schizophrenia with negative symptoms?

What condition has a better pronosis: Parkinson's disease or schizophrenia with negative symptoms?

Parkinson's disease: Both are serious medical conditions. Yet, there are many alternative therapies available for both disorders. I suggest a neurologist evaluation for parkinson's disease and psychiatric evaluation for schizophrenia. Be well. ...Read more

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Dr. Eric Weisman
3 doctors shared insights

Sclerosis (Definition)

We neurologists employ the term to describe localized damage involving the central nervous system, and sclerosis means scarring. If in many areas, might be multiple sclerosis. If affecting the motor nerve cell, ...Read more


Dr. Bennett Machanic
1,448 doctors shared insights

Multiple Sclerosis (Definition)

A progressive disease that interferes with the functioning of the central nervous system and brain. Symptoms include numbness, impairment of speech and of muscular coordination, blurred ...Read more