Doctor insights on:
Oral Cholecystogram Ocg
Lack of studies: There is no oral form of insulin. There are oral agents that have been studied and found to be safe in pregnancy (metformin, glyburide), however, they do not have FDA approval because no company has submitted studies for approval. Many ob/gyn and endocrinologists use these medications in gestational diabetes (instead of insulin injections) ...Read more
GI said BHRT can lower HIDA ejf. It's 20%. Advised to stop BHRT & repeat HIDA. GI unsure amt of time it would take GB to recover, guessed 4-6-8 wks ?
Seems reasonable.: hormones are stored in fat. It takes a while to get them out of your body. ...Read more
Can bioidentical progesterone, Biest, testosterone, Ativan, Prozac, allergy nasal sprays slow tracer from entering gallbladder during HIDA?
Life is not perfect: Life is never perfect nor 100%. Things just happen, sometimes. Each woman's body has to respond to the artificial hormones in the pills, and maybe once in a rare while she still manages to ovulate. The percentages are about a population of women, NOT about one woman. Medical statistics have to be interpreted this way, because nobody knows what the percentage effectiveness is for a specific woman. ...Read moreSee 1 more doctor answer
Gallbladder ejection fraction rate of 14.8, then 33.3, then 33.3 then 68.7 during the same test? Referred to surgeon. Can gallbladder be removed?
Diabetes. Pen allergy. Cycle of clindamycin post oral surgery. "Probably infected in spots." Prescribed another Clin cycle combo w/ metronidazole. OK?
Ever heard of oral sedation using midazolam syrup to reduce anxiety in addition to oral transmucosal fentanyl citrate for pain prior to surgery?
Ultrasound showed sludge in gallbladder. Hida scan was 78% ejaction with positive cck. RUQ pain for 5 years. Do you think surgery is required?
When treating PID, is intravenous infusion(cefoxitin/cefotetan) + oral pill therapy more effective than injection(ceftriaxon) + oral pills therapy?
Ur hida scan abnormal, wit a low ejection fraction and reproduction of symptoms with the cck injection. I prefer an answer from someone n nuclear rx.
Is it generally just protocol for a general surgeon to do CT w/Wout oral and IV contrast for dx acalculous cholestitis? HIDA labs and US nml- . Scare
Yes It Is: Cat scan is considered a test of choice as you mentioned for diagnosing Acalculous Cholecystitis if Hida Scan and ultrasound are negative and the surgeon wants to confirm the Diagnosis as suspected.It gives the advantage of evaluating the entire chest and abdomen. To diagnose AAC with CAT SCAN neds 2major criteria or1major&2minor criteria A good Radiologist will often make the correct Diagnosis ...Read more
4 weeks pregnant, low progesterone, light bleeding, & cramping, prescribed progesterone, which way is most effective vaginally or orally?
Vaginal: My understanding from studies as well as talking to colleagues, the best way to take this medication is vaginally. The problem, of course, is the messiness. ...Read more
Is hyperkinetic gallbladder a recognized diagnosis? Hida scan result 97% w/ ruq pain and nausea for 2.5 months. U/s, egd, colonoscopy, and labs neg.
Not by most: Most physicians in nuclear medicine and gastroenterology believe that increased ejection fraction of gall bladder is probably normal (above 35%). A well known nuclear physician reported small group of patients with hyperkinetic gall bladder getting relief with removal of gb. More studies needed to convince most surgeons. ...Read moreSee 2 more doctor answers