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Doctor insights on: What Is The Best Treatment For Difficulty Making A Decision

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I was diagnosed by doctors in China of having allergic purpura (capillary toxicosis) , using OTC medicine called Trasfer Factor Oral Solution and Vita?

I was diagnosed by doctors in China of having allergic purpura (capillary toxicosis) , using OTC medicine called Trasfer Factor Oral Solution and Vita?

Hypersensitivity vasculitis?: Hypersensitivity vasculitis (which can be called allergic purpura) can occur after ingestion of certain medications/drugs. It can present with the rash like in the photos, also with fever, joint pain, belly pain, and swollen lymph nodes. The treatment is to stop the medication and the symptoms should resolve within a week. If it does not resolve with discontinuation of the medication, please go see your doctor again. ...Read more

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40 year-old white woman with narcolepsy and cataplexy since childhood, plus migraines, still searching for an effective treatment.....?

40 year-old white woman with narcolepsy and cataplexy since childhood, plus migraines, still searching for an effective treatment.....?

Please repost: Please repost your question with an explanation of what you mean by "effective" treatment. What is "ineffective" about the current treatment regimen? Bearing in mind that both conditions are hereditary (though the genetics are complex) and the only REALLY effective treatment is to make a better choice of parents. ...Read more

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A 28 year-old man wishes to know if a tendon transfer is the only option for a wrist drop after a humerus fracture.....?

A 28 year-old man wishes to know if a tendon transfer is the only option for a wrist drop after a humerus fracture.....?

It depends: Sounds like you might have a radial nerve injury after a humerus fracture which unfortunately can be relatively common. Is it a post op nerve palsy? or was no surgery done to fix the humerus. How long has it been? If its been >6 weeks, an EMG can be helpful to see if there is any re-inervation. Make sure you are doing at least passive range of motion to avoid stiffness. We can set up a consult. ...Read more

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3 month old coughing and mucus sounding congestion in throat. No fever. What is best treatment or should I call pediatrician?

3 month old coughing and mucus sounding congestion in throat. No fever. What is best treatment or should I call pediatrician?

Mgt/workup: Babies breathe through their noses, and gently removing the mucus with a suction bulb and nasal saline will help to alleviate the symptoms. If he continues to cough or is any distress please see the ED. They will advise regarding a possible cause including RSV and pertussis. ...Read more

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If my doctor offers me prostate screening, what should I think about before making a decision?

If my doctor offers me prostate screening, what should I think about before making a decision?

Prostat screening: First of all, 23 year olds dont need screening yet because prostate cancer doesnt occur in that age group. When you are closer to 50 years old, screening becomes a real issue. Most urologists firmly believe in dre/psa screening. The real controversy is what to do after a diagnosis of prostate cancer is made. If no one is screened, no one will be diagnosed at a treatable stage. ...Read more

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Why isn't diflucan (fluconazole) over-the-counter ? Why are some medication OTC and some precription only ? What goes into fda making a decision to go OTC ?

Why isn't diflucan (fluconazole) over-the-counter ? Why are some medication OTC and some precription only ? What goes into fda making a decision to go OTC ?

Side effects: The main reason medications are prescription vs over the counter concerns the side effects of the medication. If a medication has many side effects, it is the doctors responsibility to be sure it is safe for the patient to use. Otc drugs generally have less side effects or complications. ...Read more

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How does an oncolgist know if chemo and/or radiation is really benefitting the patient? How long can the process take in making a decision?

How does an oncolgist know if chemo and/or radiation is really benefitting the patient? How long can the process take in making a decision?

It depends on stage: There are several different scenarios when chemotherapy and or radiotherapy are used for the treatment of breast Cancer.When the breast tumor is still intact/visible, it is easy to see the benefit of treatment because the tumor will shrink in size if the treatment is working well. This takes about 6-8 weeks to determine. When the gross tumor has been removed, then chemo/Radio use is preventive onl ...Read more

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CIN1 positive of HPV16. Doctor recommended laser treatment for removal. Is this the right decision?Isn't it mild and will disappear without treatment?

CIN1 positive of HPV16. Doctor recommended laser treatment for removal. Is this the right decision?Isn't it mild and will disappear without treatment?

NO LASER FOR CIN 1: Don't let your doctor do a procedure on your cervix for CIN 1. It is a localized, self limiting infection that only needs to be followed carefully with pap smears or HPV at least every 6 months. Again, a laser is not indicated. ...Read more

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I saw a psychologist and was diagnosed w/adhd. He suggested Adderall (dextroamphetamine and racemic amphetamine) but asked me to research before making a decision. Can it be used in a safe way?

I saw a psychologist and was diagnosed w/adhd. He suggested Adderall (dextroamphetamine and racemic amphetamine) but asked me to research before making a decision. Can it be used in a safe way?

Certainly. See your: Primary physician for a physical exam with baseline blood pressure, weight & height. Give your doctor any history of heart problems in your family & yourself & share your psychological evaluation. Your doctor may refer you to an adult psychiatrist for medication management. See chadd.Org for tips on medications, therapy & environmental manipulations for optimal multimodal treatment of adhd. ...Read more

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