medical Free Medical Advice

[miggyE]

people, let's not panic about something like H1N1. you will get sick, sure, BUT the chances of you dying is MUCH LESS than regular flu!!!!

please also bear in mind that its dengue season once again. Dengue has killed more people in our country over the summer than ALL the deaths attributed to H1N1 since it started. there are other killers out there that you need to worry about

[peterparker]

the real danger with this novel virus is that if and when it mutates into a more virulent form, therefore a more dangerous strain.. then we can expect more cases and casualties/mortalities..

 

 

 

:mtc:

[toink1621]

guys i need your help, lalo na sa mga med profesionals natin..

 

eto case nung patient ko,

 

patient med dx: gravida 2 para 2 repeat cs with chronic hypertension and gestational diabetes

 

medications: metoclopamide 60 mg IV PRN; metoprolol 100 mg BID; hydralazine 5 mg IV PRN; Cefazolin 2g after clamping; ranitidine 5 mg IV q8h

 

questions: bakit binigyan ng metoprolol kung may gestational diabetes? bakit binigyan ng ranitidine?-dahil ba to prevent mendelson's syndrome?at saka bat may metoclopromide kung d naman nagsusuka ung patient? or dahil some common effects ng other drugs nia eh nausea and vomiting?

[miggyE]

guys i need your help, lalo na sa mga med profesionals natin..

 

eto case nung patient ko,

 

patient med dx: gravida 2 para 2 repeat cs with chronic hypertension and gestational diabetes

 

medications: metoclopamide 60 mg IV PRN; metoprolol 100 mg BID; hydralazine 5 mg IV PRN; Cefazolin 2g after clamping; ranitidine 5 mg IV q8h

 

questions: bakit binigyan ng metoprolol kung may gestational diabetes? bakit binigyan ng ranitidine?-dahil ba to prevent mendelson's syndrome?at saka bat may metoclopromide kung d naman nagsusuka ung patient? or dahil some common effects ng other drugs nia eh nausea and vomiting?

 

 

sorry toink, not my specialty. i guess you could pm any of the group who's an OB-Gyne. i could say though that the metoprolol is for the hypertension. ranitidine could have been given due to the fact that the patient may not have eaten for more than 12 hours when the procedure was done. i know i usually give that when the patient hadn't eaten for several hours when i see them in the ER.

[miggyE]

guys i need your help, lalo na sa mga med profesionals natin..

 

eto case nung patient ko,

 

patient med dx: gravida 2 para 2 repeat cs with chronic hypertension and gestational diabetes

 

medications: metoclopamide 60 mg IV PRN; metoprolol 100 mg BID; hydralazine 5 mg IV PRN; Cefazolin 2g after clamping; ranitidine 5 mg IV q8h

 

questions: bakit binigyan ng metoprolol kung may gestational diabetes? bakit binigyan ng ranitidine?-dahil ba to prevent mendelson's syndrome?at saka bat may metoclopromide kung d naman nagsusuka ung patient? or dahil some common effects ng other drugs nia eh nausea and vomiting?

 

 

sorry toink, not my specialty. i guess you could pm any of the group who's an OB-Gyne. i could say though that the metoprolol is for the hypertension. ranitidine could have been given due to the fact that the patient may not have eaten for more than 12 hours when the procedure was done. i know i usually give that when the patient hadn't eaten for several hours when i see them in the ER.

Edited June 27, 2009 by miggyE

[Kurtsky Keigee]

anyone have experienceregarding ear problems? recently i had a eent doc "suck" my ears because of earwax.

afterwards I found out there was little dripping fluid,extremely itchy and some pain. she gave me ofloxacin. used for 2 weeks,

ok for days pero bumalik ulit yung sakit. when i pull the lobeof my ear masakit, tas super itchy. she told me not to clean the inner ear;

but its impossible coz makati talaga. any help?

[otitismedia]

anyone have experienceregarding ear problems? recently i had a eent doc "suck" my ears because of earwax.

afterwards I found out there was little dripping fluid,extremely itchy and some pain. she gave me ofloxacin. used for 2 weeks,

ok for days pero bumalik ulit yung sakit. when i pull the lobeof my ear masakit, tas super itchy. she told me not to clean the inner ear;

but its impossible coz makati talaga. any help?

 

have your ears examine again, itchy ear is a sign of fungal infection. I usually give my patients anti-fungal drops for at least 2-4 weeks.

[peterparker]

public service messae to all MTC peeps :

 

 

STROKE IDENTIFICATION:

 

During a BBQ, a friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) .she said she had just tripped over a brick because of her new shoes.

 

They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening

 

Ingrid's husband called later telling everyone that his wife had been taken to the hospital - (at 6:00 PM Ingrid passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don't die. they end up in a helpless, hopeless condition instead.

 

It only takes a minute to read this...

 

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke...totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough.

 

RECOGNIZING A STROKE

 

Thank God for the sense to remember the '3' steps, STR . Read and Learn!

 

Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.

 

Now doctors say a bystander can recognize a stroke by asking three simple questions:

 

S *Ask the individual to SMILE.

T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently)

(i.e. It is sunny out today.)

R *Ask him or her to RAISE BOTH ARMS.

 

If he or she has trouble with ANY ONE of these tasks, call emergency number immediately.

 

New Sign of a Stroke -------- Stick out Your Tongue

 

NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick' out his tongue.. If the tongue is 'crooked', if it goes to one side or the other, that is also an indication of a stroke.

 

 

:mtc:

[miggyE]

thank you sir peterparker for posting that. unfortunately, many people still defer seeking consult until its too late, or that the deficits can no longer be reversed

[MaxHardcore]

VERY INFORMATIVE! THANK YOU!

 

public service messae to all MTC peeps :

 

 

STROKE IDENTIFICATION:

 

During a BBQ, a friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) .she said she had just tripped over a brick because of her new shoes.

 

They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening

 

Ingrid's husband called later telling everyone that his wife had been taken to the hospital - (at 6:00 PM Ingrid passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don't die. they end up in a helpless, hopeless condition instead.

 

It only takes a minute to read this...

 

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke...totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough.

 

RECOGNIZING A STROKE

 

Thank God for the sense to remember the '3' steps, STR . Read and Learn!

 

Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.

 

Now doctors say a bystander can recognize a stroke by asking three simple questions:

 

S *Ask the individual to SMILE.

T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently)

(i.e. It is sunny out today.)

R *Ask him or her to RAISE BOTH ARMS.

 

If he or she has trouble with ANY ONE of these tasks, call emergency number immediately.

 

New Sign of a Stroke -------- Stick out Your Tongue

 

NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick' out his tongue.. If the tongue is 'crooked', if it goes to one side or the other, that is also an indication of a stroke.

 

 

:mtc:

[otitismedia]

public service messae to all MTC peeps :

 

 

STROKE IDENTIFICATION:

 

During a BBQ, a friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) .she said she had just tripped over a brick because of her new shoes.

 

They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening

 

Ingrid's husband called later telling everyone that his wife had been taken to the hospital - (at 6:00 PM Ingrid passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don't die. they end up in a helpless, hopeless condition instead.

 

It only takes a minute to read this...

 

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke...totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough.

 

RECOGNIZING A STROKE

 

Thank God for the sense to remember the '3' steps, STR . Read and Learn!

 

Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke.

 

Now doctors say a bystander can recognize a stroke by asking three simple questions:

 

S *Ask the individual to SMILE.

T *Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently)

(i.e. It is sunny out today.)

R *Ask him or her to RAISE BOTH ARMS.

 

If he or she has trouble with ANY ONE of these tasks, call emergency number immediately.

 

New Sign of a Stroke -------- Stick out Your Tongue

 

NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick' out his tongue.. If the tongue is 'crooked', if it goes to one side or the other, that is also an indication of a stroke.

 

 

:mtc:

 

very nice Doc PeterParker !!!!! :thumbsupsmiley:

[powerpuffgirls]

Thanks, peterparker for that info. Wish my mom were here if i have known "it" much earlier...

[powerpuffgirls]

GUYs help.... i always find myself having sore throat, pag kain ako ice cream or inom ako sobra lamig, or even eating sweet foods. I even have phlegm the day after kain ng mga ganun.. is this sign of having allergies from those stuffs?... what should i do? pls help...

[peterparker]

GUYs help.... i always find myself having sore throat, pag kain ako ice cream or inom ako sobra lamig, or even eating sweet foods. I even have phlegm the day after kain ng mga ganun.. is this sign of having allergies from those stuffs?... what should i do? pls help...

 

 

yep, it could be that you have an allergic reaction to cold foodstuff, or you could have a problem with your tonsils..

 

i would suggest that you have a consultation with an ENT specialist who can evaluate your tonsils and oropharyngeal area..

 

 

 

:mtc:

[peterparker]

another public service message for all MTC peeps :

 

 

 

This is a useful piece of information that you may have received before. This is true and it works. You can 'google' Dr Lai Chiu-Nan to find out more about her and the feedbacks of this treatment.

 

 

REMOVING GALLSTONES NATURALLY

by Dr Lai Chiu-Nan

 

It has worked for many. If it works for you please pass on the good news. Chiu Nan is not charging for it, so we should make it free for everyone. Your reward is when someone, through your word of mouth, benefits from the regime. Gallstones may not be everyone's concern. But they should be because we all have them. Moreover, gallstones may lead to cancer. "Cancer is never the first illness," Chiu Nan points out. "Usually, there are a lot of other problems leading to cancer.

 

In my research in China , I came across some materials which say that people with cancer usually have stones. We all have gallstones. It's a matter of big or small, many or few.

 

One of the symptoms of gallstones is a feeling of bloatedness after a heavy meal. You feel like you can't digest the food. If it gets more serious, you feel pain in the liver area." So if you think you have gallstones, Chiu Nan offers the following method to remove them naturally.

 

The treatment is also good for those with a weak liver, because the liver and gallbladder are closely linked.

 

Regimen:

1. For the first five days, take four glasses of apple juice every day. Or eat four or five apples, whichever you prefer. Apple juice softens the gallstones. During the five days, eat normally.

2. On the sixth day, take no dinner.

3. At 6 PM, take a teaspoon of Epsom salt (magnesium sulphate) with a glass of warm water.

4. At 8 PM, repeat the same. Magnesium sulphate opens the gallbladder ducts.

5. At 10 PM, take half cup olive oil (or sesame oil) with half cup fresh lemon juice. Mix it well and drink it. The oil lubricates the stones to ease their passage.

PS. 1cup=250ml, ½ cup lemon juice=3 lemons (aprox.)

 

The next morning, you will find green stones in your stools. "Usually they float," Chiu Nan notes. "You might want to count them. I have had people who passes 40, 50 or up to 100 stones. Very many."

 

"Even if you don't have any symptoms of gallstones, you still might have some. It's always good to give your gall bladder a clean-up now and then.

 

 

 

:mtc:

[otitismedia]

GUYs help.... i always find myself having sore throat, pag kain ako ice cream or inom ako sobra lamig, or even eating sweet foods. I even have phlegm the day after kain ng mga ganun.. is this sign of having allergies from those stuffs?... what should i do? pls help...

 

i agree with doc peter parker, definitely allergic rxn to cold foods. better consult an ENT-HNS specialist for proper management.

[peterparker]

a word of caution for all MTC peeps :

 

 

Too Much Sugar Causes Wrinkles

By Leslie Baumann, M.D. The Skin Guru - Yahoo! Health Expert for Skin Conditions

 

I love sweet treats as much as the next person so it pains me to say this, but eating too much sugar causes wrinkles. Sugar triggers a natural process called glycation, which is the same chemical reaction that turns meat brown when you cook it. The sugars bind with tissues to form harmful molecules, called advanced glycation end products (ironically known as AGEs), which damage elastin and collagen -- two substances your skin needs to stay supple and elastic. AGEs also damage the kidneys, brain and other essential organs.

 

A 2007 study in the British Journal of Dermatology found that sugar's effects on the skin begin to show at about age 35 and become more pronounced as you get older. And it's not just the obvious culprits, like soda and candy, that cause damage; other foods with a high glycemic index, like white bread, pasta and potatoes also cause the formation of AGEs, because they are quickly converted to sugar in the bloodstream. To make matters worse, AGEs also make the skin more susceptible to sun damage, which in turn accelerates the glycation process.

 

It's hard to resist the lure of chips, cookies and french fries, but cutting down on sugary and starchy foods is the first step toward repairing AGE damage and preventing further glycation from occurring.

 

 

:mtc:

[Kurtsky Keigee]

have your ears examine again, itchy ear is a sign of fungal infection. I usually give my patients anti-fungal drops for at least 2-4 weeks.

 

will do. but i already had ear ddrops for 2 weeks, nawala konte kati at sakit tas bumalik.

now when i pullmy ear lobes it hurts

[mwah]

guys i need your help, lalo na sa mga med profesionals natin..

 

eto case nung patient ko,

 

patient med dx: gravida 2 para 2 repeat cs with chronic hypertension and gestational diabetes

 

medications: metoclopamide 60 mg IV PRN; metoprolol 100 mg BID; hydralazine 5 mg IV PRN; Cefazolin 2g after clamping; ranitidine 5 mg IV q8h

 

questions: bakit binigyan ng metoprolol kung may gestational diabetes? bakit binigyan ng ranitidine?-dahil ba to prevent mendelson's syndrome?at saka bat may metoclopromide kung d naman nagsusuka ung patient? or dahil some common effects ng other drugs nia eh nausea and vomiting?

 

It's not my specialty either but anyway...

 

1. Beta blockers are not absolutely contraindicated in patients with diabetes. We generally avoid giving it to our patients because it masks or hides the symptoms of hypoglycemia. Since your patient is admitted and her blood sugar is being closely monitored, then I don't think it would be a problem.

 

2. Was your patient under general anesthesia? If she was, then its prudent to give your H2 antagonists to prevent reflux and aspiration. Kung hindi, she was probably given ranitidine to prevent stress gastritis.

 

3. The metoclopromide was probably ordered in anticipation of postoperative nausea and vomiting. The medications that she's currently taking (metoprolol, hydralazine and cefazolin) don't usually cause such side effects.

 

Hope this helps.

[otitismedia]

will do. but i already had ear ddrops for 2 weeks, nawala konte kati at sakit tas bumalik.

now when i pullmy ear lobes it hurts

 

that's otitis externa , probably a mixture of bacterial and fungal infection based on your history. do you feel any fullness in the affected ear ? any discharge ? decrease hearing ? if yes, then have it examined right away. you'll need an anti-fungal and antibacterial ear drops for your case.

[Kurtsky Keigee]

that's otitis externa , probably a mixture of bacterial and fungal infection based on your history. do you feel any fullness in the affected ear ? any discharge ? decrease hearing ? if yes, then have it examined right away. you'll need an anti-fungal and antibacterial ear drops for your case.

 

actually before di had decreased hearing and discharge on my left ear. cured with ofloxacin. then after a week bumalik.

recently biglang nawala sa right ear naman biglang may unting discharge and masakit siya

[otitismedia]

actually before di had decreased hearing and discharge on my left ear. cured with ofloxacin. then after a week bumalik.

recently biglang nawala sa right ear naman biglang may unting discharge and masakit siya

 

ok, left ear then right ear. better see your favorite ENT for evaluation and management.

[Yoh Asakura]

Doc,

 

I have problem since last 2 week every time i masturbate there is a blood also coming out together with my sperm whenever i cum. what do you think the problem?

i see no blood pigment in my urine visual. and it doesn't hurt. I'm i running out of sperm?

[peterparker]

Doc,

 

I have problem since last 2 week every time i masturbate there is a blood also coming out together with my sperm whenever i cum. what do you think the problem?

i see no blood pigment in my urine visual. and it doesn't hurt. I'm i running out of sperm?

 

 

you have a condition that is called hematospermia, which means the presence of blood in the semen (ejaculate).

 

Blood in semen can be caused by many conditions affecting the male genitourinary system. Areas affected include the bladder, urethra, the testicles, the tubes that distribute semen from the testicles (known as the seminal vesicles), the epididymis (a segment of the spermatic ducts that serves to store, mature and transport sperm), and the prostate gland.

 

Patients with hematospermia should be evaluated by a urologist to identify or rule out medical causes.

 

 

 

:mtc:

[peterparker]

Another Public Service Message For All MTC Peeps:

 

 

 

Do not turn on A/C immediately as soon as you enter the car!

 

 

 

 

Please open the windows after you enter your car and do not turn ON the

air-conditioning immediately. According to a research done, the car dashboard,

sofa, air freshener emits Benzene, a Cancer causing toxin (carcinogen- take note

of the heated plastic smell in your car). In addition to causing cancer, it poisons

your bones, causes anemia, and reduces white blood cells. Prolonged exposure

will cause Leukemia, increasing the risk of cancer may also cause miscarriage.

 

 

 

 

Acceptable Benzene level indoors is 50 mg per sq. ft. A car parked indoors with

the windows closed will contain 400-800 mg of Benzene. If parked outdoors

under the sun at a temperature above 60 degrees F, the Benzene level goes up

to 2000-4000 mg, 40 times the acceptable level... & the people inside the car will

inevitably inhale an excess amount of the toxins.

 

 

 

 

It is recommended that you open the windows and door to give time for

the interior to air out before you enter. Benzene is a toxin that affects your

kidney and liver, and is very difficult for your body to expel this toxic stuff.

 

 

 

 

:mtc: