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Doctor insights on: Patient Has A Huge Pannus

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Is amputation recommended for a diabetic male patient 67yo with bad cellulitis in left foot who has suffered stroke (left part of body)? It's my dad.

Is amputation recommended for a diabetic male patient 67yo with bad cellulitis in left foot who has suffered stroke (left part of body)? It's my dad.

NOT YET, BUT.....: Are you sure it's cellulitis, and not the redness of vascular disease? Cellulitis alone is caused by Strep or Staph, and can be treated with antibiotics. But you have to make sure it's not something more. See your doctor. ...Read more

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Pannus (Definition)

A pannus is an apron of fat ...Read more


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My mother is in great health but is 95 and has a very arthritic knee. Is she a candidate for makoplasty surgery? Craig

My mother is in great health but is 95 and has  a very arthritic knee.  Is she a candidate for makoplasty surgery?

Craig

Yes: Hi craig, if she is healthy, but suffers from arthritis in one compartment, she is a candidate for a makoplasty partial knee replacement. If her x-ray shows one side of her knee worn down and the other side is not and she hurts on the worn side, i would consider fixing her if it hurts and is limiting her function. In my town, we have many 80 and 90 year olds that are active and get replacements. ...Read more

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Does a person of the age of 50 with a colostomy bag for over 13 years qualify for a reversal surgery. Her large intestines were removed because palips?

Does a person of the age of 50 with a colostomy bag for over 13 years qualify for a reversal surgery. Her large intestines were removed because palips?

Depends: Most of the time when a temporary colostomy is done anorectal area will be intact, if that is the case could be reversed, some times due to disease process anorectal part of colon is removed then can not be reversed . Consult your surgeon after evaluation will tell you if it could be reversed or not, . ...Read more

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Is it worth putting a 65 year old lupus patient through the trauma of a lung transplant?

Is it worth putting a 65 year old lupus patient through the trauma of a lung transplant?

Depends: It depends entirely on the patient considering their state of health, control of lupus, medications and the team proposing the surgery Age need not be a factor in itself ...Read more

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How long is a pouch operation for reversing a stoma bag? And is there a risk in that kind of a operation removing rectum and making a pouch

How long is a pouch operation for reversing a stoma bag? And is there a risk in that kind of a operation removing rectum and making a pouch

Pouch: the lengthy of the operation depends on whether you have a diverting ileostomy with a pouch connected already, usually to your Anus already versus, having to create a pouch, keeping your stoma and there when things are healed going for final reversal. The risks are the usual leak rate, but the higher risk is having issues with your pouch long term, ask a colorectal surgeon. ...Read more

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I have a friend that has a mass under his liver?

I have a friend that has a mass under his liver?

Liver mass: there are many things that can cause a mass under the liver. Your friend needs evaluation, complete with radiology tests such as an ultrasound and/or a CT scan to help evaluate it. Good luck. ...Read more

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What is the survival chances of a 71 yo person who has a blood clot in his heart and has a serious back problem?He lose his appetite too.

What is the survival chances of a 71 yo person who has a blood clot in his heart and has a serious back problem?He lose his appetite too.

Only your Dr can say: Too many unknowns to answer this question. What kind of clot? Where? How 'healthy' is the heart? Are there other medical problems. The doctor who knows your history and physical exam the best, has the best way to have an estimate for this answer. And remember this is only an estimate. ...Read more

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Is there a high risk of a well circumcised, macro loublated mesenteric cyst being cancer. It has a thin wall and has no internal enhancements?

Is there a high risk of a well circumcised, macro loublated mesenteric cyst being cancer. It has a thin wall and has no internal enhancements?

Might just watch: Most of these are very benign and if your radiologist thinks it would be okay to follow it, relax. Cancers are uncommon here and usually have much more in the way of internal structure. "circumscribed" is your tumor, a man may or may not be circumcised. This is pretty good -- http://emedicine.Medscape.Com/article/938463-overview. ...Read more

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What is the prognosis for a 75 yr old who had a massive stroke and now has MRSA infection in his finger bone? COPD,alcoholism, atrial fibrillation

What is the prognosis for a 75 yr old who had a massive stroke and now has MRSA infection in his finger bone? COPD,alcoholism, atrial fibrillation

Too many variables: There are so many variable regarding prognosis after stroke, and the presence of associated diseases creates even more variables. There are tables regarding degrees of consciousness and outcome, but these are not definitive even if they are historically relevant. Suggest you speak to the treating physician(s) involved in care and have most of the historical information. ...Read more

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My daughter has a severe case of pancreatitis attributed to multiple colon surgeries. She is fed using a tp. Is there a cure? Surgeries healing.

My daughter has a severe case  of pancreatitis  attributed to multiple colon  surgeries.  She is fed using a tp.  Is there a cure? Surgeries healing.

Depends. : Requires well equipped facility with experienced doctors and good healing abilities of the patient, which depends on the severity of the disease, age, genetics and prior environmental factors (alcohol). ...Read more

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My dad who is a healthy 57 year old, recently had surgery for a type A aortic dissection which was successful. What is his life expectancy now?

My dad who is a healthy 57 year old, recently had surgery for a type A aortic dissection which was successful. What is his life expectancy now?

Life expectancy: There are no great numbers on this, as there are many other factors that will affect the life expectancy of a person, with or without having had sugery for Type A aorta dissection. Usually the life expectancy is not decreased due to the surgery, and he should live a healthy, normal life. Best advice of course is to keep his blood pressure and cholesterol under control, watch his weight/no smoking! ...Read more

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A big reddish bruise on my chin... The only known medical issue that I have is asthma... My grandma has a history of blood clots... ?

A big reddish bruise on my chin... The only known medical issue that I have is asthma... My grandma has a history of blood clots... ?

Bruising: Your grandmas,history of clots,may be a different cause,from age,dehydration,trauma,surgery etc.you are young,think back 24 hours,were you out drinking?did you accident ly,hurt yourself,if there is no reason,you come up with,seek medical attention ,to rule out bleeding disorders. ...Read more

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Can a surgeon do scope on someone who has a hernia that is the size of a grapefruit? They are diabetic, has COPD and on oxygen 24/7

Can a surgeon do scope on someone who has a hernia that is the size of a grapefruit? They are diabetic, has COPD and on oxygen 24/7

A : A skilled surgeon can scope anyone, however, this does not mean that it is the right thing to do. Laparoscopic hernia surgeons are very selective in the use of laparoscopic techniques for hernia repair. A large hernia in a patient with multiple medical problems precludes the use of laparoscopic techniques most of the time. A proper, "open" repair can be acomplished in these patients with large inguinal hernias under local anesthesia providing a safer procedure for the patient. Get an opinion from an experienced hernia surgeon. ...Read more

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Is there a term for someone who has a pointy ear?

Is there a term for someone who has a pointy ear?

Elfin ear shape: The pointy outer ear known as the elfin ear is usually not associated with serious hearing or developmental/genetic associations. It is an example of an external malformation of the ear. ...Read more

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Is the mini tummy tuck worth it for a skinny person?

Is the mini tummy tuck worth it for a skinny person?

Mini-tuck: Mini-results: A mini-tummy tuck is occasionally a helpful procedure, but most patients would benefit much more from a full tummy tuck. A mini tuck only tightens skin and muscle below the belly button, not above, and cannot tighten even the lower abdomen as much as a full tummy tuck. It's useful for thin patients who may have some lower abdomen muscle bulging with good skin, or with a slight lower tummy "pooch" or skin overhang. A board certified plastic surgeon can best advise you after performing an examination. ...Read more

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What are the chances if a person has lung caner the size of the cancer is 9.5/3.2, has a hard time breathing, has a hard time eating, has to setup to sleep, sleep's a lot and in a lot of pain

What are the chances if a person has lung caner the size of the cancer is 9.5/3.2, has a hard time breathing, has a hard time eating, has to setup to sleep, sleep's a lot and in a lot of pain

Fair: If indeed this is a cancer on biopsy, it fits into a relatively advanced stage just from its size alone. The patient is symptomatic - poor appetite, shortness of breath, ect. The patient needs to see an oncologist -- either radiation or medical, and would most likely need a combination of chemotherapy and radiation. Do it now! ...Read more

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My 27 year old son has a hernia, a really bad one... He has no insurance , is this life threating.. He lives in a small town in KY and its hard to get?

My 27 year old son has a hernia, a really bad one... He has no insurance , is this life threating.. He lives in a small town in KY and its hard to get?

Hernia: Groin hernias care common in men. Has he had the hernia examined? What is it that makes you say the hernia is bad? Painful? Large? It is rare to have an emergency from a hernia such as strangulated hernia, but rare things can happen especially if hernia is large. Find a clinic or doctor where he can have an examination. If bad pain go to an er where he can be evaluated. ...Read more

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My mom is in ccu. She is 63. She has copd. She has a very bad case of pneumonia. She also has a compromised immune system and needs dialysis. Recover

My mom is in ccu. She is 63. She has copd. She has a very bad case of pneumonia. She also has a compromised immune system  and needs dialysis. Recover

Cannot predict: Without seeing your mom and knowing the cause of her pneumonia, the type of immune deficiency from which she suffers, etc. It is not possible to predict how likely she is to recover, but sincerely hope she does well. ...Read more

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This aged, disabled person, a consequence of a catastrophic cerebral event, or “stroke“, has been relegated to a wheelchair …in a nursing facility. Having objected to placement in that facility it has falsely alleged this disabled person is “..Incapacit

This aged, disabled person, a consequence of a catastrophic cerebral event, or “stroke“,  has been relegated to a wheelchair …in a nursing facility.  Having objected to placement in that facility it has falsely alleged this disabled person is “..Incapacit

This : This appears to be primarily a legal matter and i suggest to contact an attorney who is knowledgeable in this area. Since the issue of capacity of that individual has been raised, it may be helpful to obtain an opinion of a geriatric psychiatrist as to the nature of that individual's disability. Oftentimes a stroke could significantly affect the person's speech and hence the ability to communicate while leaving the ability to think, reason and make informed decisions intact. Distinguishing between these possibilities could be important in planning future care for this individual. ...Read more

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Is it safer for a woman to bear a child with a traditional ileostomy versus a continent ileostomy being that the pouch is internal with a continent ileostomy ?

Is it safer for a woman to bear a child with a traditional ileostomy versus a continent ileostomy being that the pouch is internal with a continent ileostomy ?

Some set backs: Most of the time will be small bowel problems partial or complete obstruction, trditional ileostomy will have least problems. In ci like j pouch as is existing precariouly, with poor blood supply, poor function, pouchitis, pelvic sepsis, etc gravid utereus will give problems to pouch and its function. ...Read more

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