bitterxsweet Posted October 27, 2009 Share Posted October 27, 2009 i'm just curious.. how do doctors really feel about flu shots?because i saw this http://www.youtube.com/watch?v=uR5p_bD3uLc...ature=topvideosand well... let's just say i'm not too keen about getting my next shot anymore.. is it something that you feel is necessary? Quote Link to comment
bitterxsweet Posted October 27, 2009 Share Posted October 27, 2009 ^^^and i know it doesn't exactly say the flu shot triggered her dystonia.. i'm still curious though.. Quote Link to comment
Viola Posted October 29, 2009 Share Posted October 29, 2009 just a quick question, the 'plan b' or 'morning after pill'.. is it available here in the philippines? is it over the counter or is it prescribed? if it is prescribed.. what type of doctor should one go to to have it prescribed? a gynecologist or would a general practitioner be able to prescribe it as well? Quote Link to comment
otitismedia Posted October 30, 2009 Share Posted October 30, 2009 just a quick question, the 'plan b' or 'morning after pill'.. is it available here in the philippines? is it over the counter or is it prescribed? if it is prescribed.. what type of doctor should one go to to have it prescribed? a gynecologist or would a general practitioner be able to prescribe it as well? AFAIK, morning after pill is not available in the Philippines. Quote Link to comment
JohnMayall Posted November 3, 2009 Share Posted November 3, 2009 I am a 59 year old male with a PSA of 5.6 and my urologist is keen to do a biopsy. How necessaary is this? and how much should it cost. Quote Link to comment
peterparker Posted November 3, 2009 Share Posted November 3, 2009 I am a 59 year old male with a PSA of 5.6 and my urologist is keen to do a biopsy. How necessaary is this? and how much should it cost. your PSA level is a bit elevated, and by itself it`s not usually an indication to do a biopsy.. but if you have symptoms that are related to your prostate, like dysuria or difficulty in urinating, pain, discharge, etc., then a biopsy is warranted.. it`s up to your urologist if he wants to proceed, but think it`s better to be safe than sorry.. :mtc: Quote Link to comment
angel_by_day Posted November 3, 2009 Share Posted November 3, 2009 I am a 59 year old male with a PSA of 5.6 and my urologist is keen to do a biopsy. How necessaary is this? and how much should it cost. your PSA is elevated, yes.but the sensitivity and specificity of all PSA-based screening methods are limited. There is no single test that can determine the absolute need for a biopsy. Predictors of prostate cancer, however, on biopsy, include a PSA of > 4 ng/ml, free-to-total PSA ratio, and PSA velocity. Of all these, the rapid increase in PSA is the most predictive of malignancy, and of aggressive disease. You have to have a thorough discussion with your urologist, as mentioned. Quote Link to comment
JohnMayall Posted November 4, 2009 Share Posted November 4, 2009 your PSA level is a bit elevated, and by itself it`s not usually an indication to do a biopsy.. but if you have symptoms that are related to your prostate, like dysuria or difficulty in urinating, pain, discharge, etc., then a biopsy is warranted.. it`s up to your urologist if he wants to proceed, but think it`s better to be safe than sorry.. :mtc: Thanks for the advice. I would prefer to keep taking my torazosin 5mg daily as a maintainence rather than take the biopsy which will probably be followed by a prostatectomy. I am fearful of the expense of such a course of action and the radical nature of the surgery. Quote Link to comment
JohnMayall Posted November 4, 2009 Share Posted November 4, 2009 your PSA is elevated, yes.but the sensitivity and specificity of all PSA-based screening methods are limited. There is no single test that can determine the absolute need for a biopsy. Predictors of prostate cancer, however, on biopsy, include a PSA of > 4 ng/ml, free-to-total PSA ratio, and PSA velocity. Of all these, the rapid increase in PSA is the most predictive of malignancy, and of aggressive disease. You have to have a thorough discussion with your urologist, as mentioned. Thanks for the advice. If you read my reply to Peter Parker you will see where I'm at with this problem. Quote Link to comment
peterparker Posted November 4, 2009 Share Posted November 4, 2009 Thanks for the advice. I would prefer to keep taking my torazosin 5mg daily as a maintainence rather than take the biopsy which will probably be followed by a prostatectomy. I am fearful of the expense of such a course of action and the radical nature of the surgery. most men as they age will experience some degree of enlargement of the prostate gland.. some cases can be managed medically, others will have to be treated surgically.. i would advise you to observe and watch out for symptoms related to an enlarging prostate, like difficulty in urination, pain, etc.. this could mean that your medicine is not working for you.. if this happens, surgery would be the best option.. :mtc: Quote Link to comment
angel_by_day Posted November 4, 2009 Share Posted November 4, 2009 (edited) if its BPH or simple hyperplasia, medical treatment with alpha-reductase inhibitors will work. Otherwise, it wont. a biopsy will determine if its benign or otherwise. Im sorry if i have to be blunt, and i do understand your worries and hesitation. keep on following up na lang with your urologist. Edited November 4, 2009 by angel_by_day Quote Link to comment
angel_by_day Posted November 4, 2009 Share Posted November 4, 2009 a biopsy, btw, doesnt always have to be followed by prostatectomy. Quote Link to comment
nonex Posted November 4, 2009 Share Posted November 4, 2009 mga doc. pano ba paputiin ang penis ?? pati na din vagina para for women. Sorry po kasi nag search na ako dito wala ako nakita na tread for whitening the private part. thank you.... Quote Link to comment
dekimasen Posted November 5, 2009 Share Posted November 5, 2009 hindi nakakahawa ang f.i.a. pero wala kang magagawa kundi hugasan lang ito ng maige. ang siste, kahit hugasan mo ito, may lalabas ding nana na may kasamang dugo yan mamaya-maya. bali wala ang antibiotiko sa sobrang dami ng nana na meron dito. ang tanging sagot, gaya ng nabanggit ng ibang kasama ko dito, ay surgery. kailangan lagyan yan ng drain para tulyan mawala ang nana bago magsara ang fistula (daanan/butas). for the mean time, try wearing adult diapers. gusto ko pong magvisit sa doctor ano po ang specialization ng doctor na pupuntahan ko ? i visited a surgeon. then i underwent protosigmoidoscopy. sabi ng dr. may mga tumubo raw sa loob ng rectum ko na parang maliliit at mapupula na tagihawat. kumuha sya ng specimen for biopsy. im still waiting for the result. wala raw syang nakitang ibang problem sa rectal area ko. so ngayon patuloy pa rin ang discharges ko. what should i do now? Quote Link to comment
CrEaTiVe Posted November 5, 2009 Share Posted November 5, 2009 Hey docs! I was wondering why it seems that the "Medical Misadventures" topic has become dormant lately. You guys got bored or just times are quite stagnant now? Just my single cent. Peace! Quote Link to comment
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