Doctor insights on:
Not exactly: Pthc stands for percutaneous transhepatic cholangiography. Translated: a radiologist puts a needle thru the skin into the liver, finds a bile duct (must be dilated), and can inject dye to take a picture of the biliary tree. They can also pass a catheter into this tract and, in extreme situations, use dissolving agents or a basket to remove a bile duct stone (better route via the mouth by ercp). ...Read more
Is it possibe that ef improves from 42% to 52% within 4 days for a 58 yr female patient suffered from ami, ptca, ventilation and temporary pacing?
I am 53 year old male with CABG & ptca history at the age of 41&47respectivly. My present wt is 80 kgs. My height is 5'9". Pl. Suggest on my diet plan?
Goal for Diet plan : Is related to total calorie intake and quality of food. Fewer calories from carbohydrates and more on fruits and vegetables, fish and gluten-free, organics may help. Stay away from cholesterol-rich food. Err on the side of less rather than more quantity. Food rich in anti-oxidants will be a plus. But, more than diet should be an exercise plan daily and has to be consistent. Antiplatelet agents. ...Read more
PCP, what would you do? Your pt.has a gyn problem. You offer to examine & treat it but she insists on a referral to a gyn covered by her HMO.
First do no harm.: The patient is in charge of their decisions at all times assuming they are not a minor and that they are competent for medical decision-making. It is not your obligation to talk the patient out of specialty referral. Many patients make poor decisions about their health and as a doctor we can only serve as a guide. If they choose to reject your offer to evaluate and treat, that is their right. ...Read more
Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read more
92920: Coronary angioplasty, 1 vessel, no stentGet a more detailed answer ›
After a percutaneous coronary intervention (ptca), hard and painful hiccups started. What could be the cause, and which doctor could help?
Positive pANCA test & filter with a high rates of beta 1 & 2, protein, creatinine, & uric acid, coupled with annormal rates of WBC & bacteria means?
Blood tests: There are a few diseases that leap out from blood tests. Most of the time, however, blood tests don't tell the doctor much on their own. These results fall into the second group. None of these are very specific tests. You will want to have your doctor review his/her thoughts on your tests for you. Good health to you. ...Read more
What are the risk factors of a 58 years female patient who survived from massive heart attack (ami) followed by angioplasty (ptca) and cardiac arrest?
AMI: Those questions need to be asked of the patient's physicians. In general what you describe suggests serious damage was likely done during the heart attack, but that can't be known from here. The state of the coronary bed and the myocardial function likewise. Best to discuss with the physician(s) who know this patient best rather than generalize. ...Read more
Got ptca two stent. Now pain in left arm. Ekg ok. Cardio says not heart related. Advised pain killers. No relief. What could be it and what to do?
If cardiologist : Evaluated you a cleared that pain as a heart related then stay calm. Is the pain at any joint? Shoulder, elbow? Any swelling or redness? Motion restriction? What worse or improve it? Any tingling or numbness? Tylenol (acetaminophen) a good start. Nsaids like Ibuprofen can affect your heart. Need to see your primary care doctor to start a good assessment and possible referal. Write back if you desire. ...Read more
Am heart patient got ptca with two stent. Experiencing occassional heartburn. Told my cardio he advised to see a dr for stomach. Hope not heart again?
2 diseases: Getting blockage in your heart doesn't make you immune to getting heartburn. You can have both. Angina usually has an exertional component — worse with activity, improved by rest. Heart burn usually changes with meals — getting better or worse, even with just drinking water. Antacids usually help. A stress test can help distinguish these and you may benefit from one. ...Read more
Mother 58 years. Heart attack (ami) followed by ptca and cardiac arrest. Discharged 5 days earlier. Ef = 52%. Will she take full bed rest? Any risk?
I had my gallbladder removed a few moths ago could that be the reason, the doctor is not sure what to do my asca igg is very high panca is normal calprotecting is normal, immunoglobulin A is high do I need a colonoscopy as i have diarrhea and abdominal f
I'm sorry: Your doctor doesn't know what to do. You've given little information, but if you have a negative calprotectin, it's likely that you don't have inflammation in your intestines. ASCA IgG is very non-specific, and serum IgA was probably checked to make sure your celiac panel was valid. With a full history and more labs, it would be easier to figure you out. Cholecystectomy may cause diarrhea. ...Read more