Doctor insights on:
What is the current consensus on cervical nucleoplasty after failed conservative cares including racz catheter and epidurals? How effective could it b
Level 1c- good: Large group studies have shown favorable results if patient selection is strict. Disc displacement cannot be > 6mm, must be contained, no prior surgery, >75% disc height, no spinal stenosis or instability. 12 month follow-up shows sustained benefit. Risks include infection (discitis), neural injury, and device failure. ...Read more
Is RACZ catheter an option when numerous times of epidural steroid injection fails to relieve the pain? Then how many injections before considering RACZ?
For Scarring: Racz catheter is used on a procedure called epidural lysis of adhesions which is codespeak for scar tissue, assuming you've had back surgery. Generally it is used to deliver an anesthetic/enzyme mixture to break up that scar tissue but is also used for mechanical compression to breakup the tissue as well. Generally your pain/spine doctor should discuss when this is a good option for you. ...Read more
Nucleoplasty done in c5-6 due to cervical hnp 6 weeks ago. Numbness and arm pain continue my doctor wants do a racz catheter. Sounds good? So scared.
Epidural Neurolysis: The above is the medical term for the racz procedure named after the doctor. It is used to release scar tissue from around nerves in the epidural space of the spine. It is a natural event following surgery. Under a flouroscope a local anesthetic, corticosteroid are put in and a concentrated salt solution is used to soften the scar tissue. Do not be scared, it should give relief. ...Read more
Both elevated: Not at a critical level, but both your blood pressure (systolic hypertension) and your heart rate (mild tachycardia) are elevated. Over time, these can cause serious health issues including, but not just limited to future heart disease and stroke, etc. You should see a dr. For a good examination and treatment. There are many medications that can help both issues. Best wishes. ...Read more
Simultaneously?: There's no rule that says you can only have one disease at a time. Recognizing that our bodies are composed of millions of chemical/electrical reactions occurring at all times, it is likely that at any given time, there will be some type of problem or abnormality occurring. 5 diseases in a lifetime is no problem. 5 at the same time would be unusual but could happen is a very sick pt. ...Read more
Depends: Anger control problems and irritability are usually symptoms of an underlying psychiatric illness, like ptsd, adhd or bipolar disorder. While there are no medications specifically approved to treat anger alone, a comprehensive psychiatric evaluation will likely help you identify the reasons for your rage episodes and provide you with a comprehensive treatment plan that may include medication. ...Read more
Not neccesarily: Though chances of food borne disease increase with undercooked food. If meat source is safe it may be okay. Cooking in extreme heat or overcooking destroys some thermolabile nutrients hence not good either. Anedoctal evidence support medium steak. ...Read more
High: Compared to many other procedures abdominoplasties have a high rate of patient satisfaction. This does not mean that there are no risks or complications. However individuals with realistic expectations who understand the limits and are good candidates and accepting of the scar are commonly very pleased with the results when performed by a qualified surgeon. ...Read more
Eval: Anger is a normal human emotion. However, if you have frequent bouts of rage, that is not normal. If this was the case, would recommend that you seek a psychiatric evaluation. This will allow the provider to work you up for possible underlying medical conditions as well as psychiatric conditions that are associated with anger & impulsivity problems. ...Read more
But it sounds like you are "concerned" about being late???
If so there are ways of eliminating that concern for example family planning!
'Just a "thought"
Hope this helps!
Dr Z ...Read more
Every life is sacred: When it's you or a loved one with that rare disease, the importance becomes more obvious. The goal is always to bring about total cure, management, or prevention. Eradication is even possible. ...Read more
Curing azoospermia depends on the cause.
generally speaking In case of azoospermia where there is virtually no sperms, the sperms could be retrieved directly form the testis then a new technique where a single sperm can be used under the microscope and introduced to fertilise the ovum, then the fertilised ovum can be implanted, this have a success rate of about 20% per cycle. Other medications ...Read more
60-130: Normal resting heart rate can be a wide range. In children they typically can have resting heart rates in the 100's and is normal especially in infants. In adults it is usually 60-90, lower for those who exercise very regularly. Above 100 in an adult can be normal with exercise but if it is above 120 at rest it could be a sign of an abnormal rhythm that can be checked by you doctor. ...Read more
See below: Know your triggers, what sets you off, do deep breathing, relaxation. Be aware of mind-body connection --your body knows when you get angry. Keep a diary -- what happened, what thoughts were in your head, how you handled your rage. Best of all, if you feel, it's hard to control your rage-- seek help -- talk to a counselor or a therapist to help you figure out ways of dealing with rage. ...Read more
Yes: What's the alternative?Get a more detailed answer ›
Uncommon: Myalgic encephalomyelitis is an injury to the central nervous system often initiated by infectious diseases (virus, etc.), or by chemicals over stimulating the immune system. It is a multi-system disease, affecting the neurological and immune, musculoskeletal, endocrine (hormonal) and cardiovascular systems. ...Read more