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Postoperative Diagnosis For Thyroidectomy
Surgical cure: Appendicitis is a surgical disease. Appendix removal or appendectomy is a surgical procedure where the risk benefit analysis is clearly in favor of surgery. The procedure is safe effective and widely available. Non-operative therapy, meaning antibiotics alone risks complications like perforation and abcess. Get evaluated, get treated. ...Read more
Ankle scope: Depending on how involved the procedure is but usually you are immobilized in a splint for two weeks non weight bearing with crutches followed 4 weeks in a walking boot. During which you start light physical therapy. Once you r cleared your surgeon will increase the physical therapy. Typical recovery is 6-8 weeks before u can go back to activity. ...Read moreSee 2 more doctor answers
Close followup: Both the surgeon, medical oncologist and radiation oncologist must be involved in your followup care. Depending on the stage, you may involve all 3 of these specialists who will mainly follow you by physical exams, ct scans and occasionally pet/ct scans. ...Read moreSee 1 more doctor answer
Hi how much time is appropriate for physical therapy for trismus after radical neck surgery for buccal cancer ?
Depends: Each surgeon has their own protocol for diet after surgery. And it often depends on which procedure you have done. Generally speaking, however, you will likely be on liquids for a short period of time, and then advance from there to soft diet, to regular food. Just less of it. ...Read moreSee 1 more doctor answer
High cure rate: The prognosis for dcis after lumpectomy and adjuvant radiation therapy is great. The average cure rate is more than 95% (of course small tumor size, low grade, clear margins tend to ahve better outcome than high grade or positive margins). At your age (46 yo) and with high grade dcis, you should discuss with your oncologist about the use of tamoxifen to further decreease the chance of recurrence. ...Read more
Total thyroidectomy for papillary cancer. Two nodules 0.5cm and 0.7cm. Surgical biopsy stage pt1an0. Possible metastasis? Need rai?
No short answer: Ptc treatment depends on age, gender, uni or multifocal, affected nodes, and other factors. If only one site, no nodes, <2cm, between 18-45 yrs old, female then surgery alone with ultrasound and blood testing followup sufficient. Multifocal, male, >2cm, <18, >45, extension outside thyroid, positive nodes, tall cell variant then postop radioactive iodine. Consult with endocrine who manages ptc. ...Read moreSee 1 more doctor answer
After what kind of surgeries would patient controlled analgesia be used for post-operative recovery versus traditional physician-controlled pain mgmt?
Most inpatient : surgeries can use PCA, it's more personal preference and patient must be able to understand and push button ...Read more
See below: Depends on how long ago your surgery & radiation was. Also type: stress incontinence w/ normal voiding in b/w or total incontinence. Treatments include pelvic floor exercises, supportive care (avoid coffee, alcohol, spices), medications to increase bladder capacity & decrease frequency, neuromuscular electric stimulation, artificial sphincter, sling surgery. Best to discuss w/ urologist. ...Read more
I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?
Yes, ...: Some one third after radical prostatectomy(rp) may have "rising psa" over time, which suggests three potential conditions: local recurrence; microscopic spread to nearby tissues, notably regional lns; spread to far sites, such as spine, pelvis, ribs, and lungs. Remember: the report of no metastasis from bone scan and ct before rp does not guarantee no spread in 100% because these tests can not .. ...Read more
Is chronic sinusitis treatment with prednisone (total 275mg in 20d)and antibiotics beneficial for diabetic with thyroid problems?Or priority tosurgery
Diagnosis: 20 days of Prednisone is too long for the treatment of sinusitis. The usual dose is 60 mg. Daily for 5 days. The Prednisone can have an effect on your blood sugar. If the cat scan reveals chronic sinusitis and you have been on multiple antibiotics and you are symptomatic, that is, yellow green nasal discharge, pain and pressure in the face for more than 90 days. Surgery is appropriate. ...Read more
See your doctor: Have regular follow up with your family doctor and oncologist. Blood tests and yearly colonoscopy may be recommended. Sometimes ct scan is used if indicated. Please follow your doctor's recommendations, who will help direct you to the best tests for your specific condition. ...Read moreSee 1 more doctor answer
Why a partial?: A partial or hemi-arthroplasty is a good option for a proximal humerus fracture or for a young person with avascular/osteo necrosis of the humeral head. For arthritis of the glenohumeral joint (shoulder), a total shoulder arthroplasty is the best option. Pain relief after a hemi-arthroplasty lasts about 5 years. Both hemi & total arthroplasties require 6 weeks of restricted motion and therapy. ...Read moreSee 1 more doctor answer
What is the best hormone treatment for mild endometriosis after surgery (2nd cyst/surgery. Surgeon recognized endo. ) and first time treatments?
Birth Control Pills: The best actual "treatment" for endometriosis is laparoscopic excision (cutting out) of all endometriosis - remembering that endometriosis can have many different looks other than the "classic dark spots". If it is all excised then there is no need for further treatment. If however there is endometriosis still present, the easy first line treatment is birth control pills. ...Read moreSee 1 more doctor answer
Regional Anesthesia: I like to use regional anesthesia techniques. Spinal anesthesia with dura morph will give you good pain control up to 18 to 24 hrs. Epidural anes will give you up to 3 days of pain control but have to balance with early ambulation. Both techniques will decrease the risk of DVT or clot complications postoperatively. ...Read moreSee 2 more doctor answers
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