Doctor insights on:
What Determines Who Gets Shingles
It depends: Some people with severe lupus require strong immunosuppressive drugs and this can cause the HIV to become worse. Other lupus patients with mild disease who only need mild medicines, like plaquenil, (hydroxychloroquine) do not have any impact on their hiv. It is strongly recommended if you have lupus and are concerned about HIV that you get tested and, if positive, see a rheumatologist and infectious disease specialist. ...Read more
Abnormal narrowing: Stenosis is abnormal narrowing. But, "stenosis" tells us nothing about what is narrowing. After all, spinal stenosis is very different from coronary artery stenosis which is different from carotid stenosis which in turn is different from penile artery stenosis. However, last 3 arterial stenoses tend to lead to vascular events eg heart attack, stroke & erectile dysfunction while former causes pain. ...Read more
Depends: If the strabismus is in childhood, then usually the vision in one eye is supressed and everything looks normal to this child. Measurement will show the reduced vision in one eye which prevents doubling. If the strabismus is acquired in an adult, then the world is doubled and treatment is mandatory for proper functioning. Discuss this will your ophthalmologist. ...Read more
If someone has de compensating cirrhosis, what is the average lifespan if the person does not get a liver transplant?
Depends: If ascites and edema, elevated bilirubin and especially upper gastrointestinal bleeding occur, the average lifespan is less than a year. However, alcoholic cirrhosis can be treated with steroids in some cases, and this may prolong life. There are other things to reduce bleeding, and decrease edema etc., treat other symptoms (itching) that may improve lifespan and quality of life some. Stop alcohol. ...Read more
Ageing quickly: The progeria syndrome is marked by early onset of ageing & noted in the written literature as far back as 1886. The life expectancy quoted in a study of 13 patients ranged from 7-27y with average of 14.2 y.Coronary artery disease and other features of ageing are the main morbidity.For a recent review of information go to: www.Ncbi.Nlm.Nih.Gov/pmc/articles/pmc2940940/?Tool=pmcentrez. ...Read more
Natural Life: There is no reason to believe that anyone in America today on good HIV treatment will have anything but their normal length of natural life. The latest longevity study puts the length of life on treatment at 54 years. If you do not have a good HIV expert here is a way to find one where you live: http://www.aahivm.org. ...Read more
Please tell me, could you with a weak immune system get shingles from someone who has chickenpox?
Is someone who had shingles , are they more at risk to get it again ?
Is it safer for someone who had shingles to get the vaccine ?
What is the prognosis of a weak retina other than myopia? If family history is a criteria, how about the first person who got it? Epigenetics?
Depends on cause : The problem with answering this question, is knowing what the cause of the week retina is. Many causes may never affect your vision at all. Some of them, can effect your vision tremendously. Some causes may never affect your vision in anyway. If you know the name of the diagnosis, this question will be much easier to answer. ...Read more
Can someone who has never had chickenpox get the virus from someone who has molluscum? Also where is the best place to get checked for molluscum?
2 different viruses: not causitivie agents. Consult your pCP or dermatologist for further evaluation. ...Read more
My aunt , 50, is diagnosed with herpes . She has boils all over her body. What is the best treatment for her?
Home blood pressure: Home readings are much more realistic than readings in the office. There are a number of good home cuffs - omron makes a good automatic cuff for around $50. Check pressures am, afternoon and pm for a few weeks. Share this with your physicians. They will be very happy to have that data, and can decide on further treatment. ...Read more
Can you tell me what occurs in stage 2 and stage 3 of lymphoma to a person who refuses treatment?
Depends on type: Essentially three types of lymphomas. High grade, intermediate grade and low grade. If high grade needs treatment emergently and if not treated, will progress rapidly and the patient will develop severe problems. Intermediate grade needs treatment on an urgent basis. Low grade may never need treatment. High grade and intermediate grade curable. Low grade not curable. Hope this helps. ...Read more