General Medical issues thread

[suze2000]

@prozac cases like yours - with a good medical reason - are exactly the reason why the rest of us have a responsibility to be vaccinated as soon as it's offered to us, regardless of which vaccine it is. We need that herd immunity to protect those who genuinely can't be vaccinated.

 

[rogerkambah]

Had 5 sessions of radiotherapy last week.
No ill effects that I have noticed.
Three months to wait before the next CT scan that will show..................
2nd Pfizer shot today. Once again barely felt it, and no aches or pains yet. See what tomorrow brings.

 

[tgh]

One of swmbo's (multifarious) friends is progressing through chemo after a mastectomy.
A strong minded , older, fit, lone ,female.. she started out to just nail it..but reality is taking its toll.
We ( along with a cast of dozens) are helping where we can but it's a lone trek…..

 

[rogerkambah]

One of swmbo's (multifarious) friends is progressing through chemo after a mastectomy.
A strong minded , older, fit, lone ,female.. she started out to just nail it..but reality is taking its toll.
We ( along with a cast of dozens) are helping where we can but it's a lone trek…..

Yeah, chemo is a horrible regime. Some of the side effects vary from day to day, so much so that I found it I could never really plan ahead. If it works, as my first course did, although it took more than a year, then you feel you are getting somewhere, even if you have been dragged down sometimes to very low points. However, my last 6 months seemed to barely hold the tumour, I had no quality of life and the side effects were killing me.
Your wife's friend will need support, even if she is very independent and believes she can manage by herself.

 

[prozac]

Maybe the AZ risk is not as bad as reported. Results of an Oxford Uni study (COVID-19 and cerebral venous thrombosis: a retrospective cohort study of 513,284 confirmed COVID-19 cases) indicate: 4 in 1 million people experience cerebral venous thrombosis after getting the Pfizer or Moderna vaccine, versus 5 in 1 million people for the AstraZeneca vaccine. The risk of getting CVT is much higher for those who get COVID-19 -- 39 in a million patients.
According to John Hopkins Medicine ( John Hopkins - CVST) "CVST (cerebral venous sinus thrombosis) is a rare form of stroke. It affects about 5 people in 1 million each year. The risk for this kind of stroke in newborns is greatest during the first month. Overall, about 3 out of 300,000 children and teens up to age 18 will have a stroke. "
Not much different to the risk from vaccination of either the Pfizer or AZ variety. I'll ask my conservative GP, maybe not a problem for me after all.

 

[Katie]

Well, over the weekend we got the results of the Teen's ADOS testing. Level 2 ASD and a more fine tuned diagnosis of their ADHD as inattentive type (didn't get that detail from the first paed we saw, though I have a two page report with a bunch of numbers).
Not a complete surprise, but I am surprised at level 2, I'd thought maybe level 1.

OT, Speech therapy, and intensive psychology recommended, along with seeking NDIS funding and a carer's payment. We'll see if the latter two are possible. I'm also going to investigate some genomics and gene stuff, after a friend's experiences with that and her ASD kids.

At this stage, trying to figure out how to explain it to family. Each of my parents, and current step-mother coped OK with the info and didn't suggest anything crazy. DLN at school is supportive, but keen to get the finalised report. Not sure if the ILs understand what it is, but we'll probably discuss that tonight. Not sure Mr Katie understands what we're in for - he likened it to his dyslexia diagnosis as a kid, and his Mum got him therapy and they got it sorted/cured. This is a different ball game entirely. :/

(And for those who know the real me or social media me, like the ADHD, this is staying off my social media, unless I decided to start proselytising on social media Too many people know too little and have unhelpful suggestions, and I'm not open to that right now)

 

[prozac]

Well, over the weekend ...

(And for those who know the real me or social media me, like the ADHD, this is staying off my social media, unless I decided to start proselytising on social media Too many people know too little and have unhelpful suggestions, and I'm not open to that right now)

Given how open we all are in this group I figured we all kept this stuff within the group only.
What happens in GMI stays in GMI ...

 

[love_the_life]

Well, over the weekend we got the results of the Teen's ADOS testing. Level 2 ASD and a more fine tuned diagnosis of their ADHD as inattentive type (didn't get that detail from the first paed we saw, though I have a two page report with a bunch of numbers).
Not a complete surprise, but I am surprised at level 2, I'd thought maybe level 1.

OT, Speech therapy, and intensive psychology recommended, along with seeking NDIS funding and a carer's payment. We'll see if the latter two are possible. I'm also going to investigate some genomics and gene stuff, after a friend's experiences with that and her ASD kids.

At this stage, trying to figure out how to explain it to family. Each of my parents, and current step-mother coped OK with the info and didn't suggest anything crazy. DLN at school is supportive, but keen to get the finalised report. Not sure if the ILs understand what it is, but we'll probably discuss that tonight. Not sure Mr Katie understands what we're in for - he likened it to his dyslexia diagnosis as a kid, and his Mum got him therapy and they got it sorted/cured. This is a different ball game entirely. :/

(And for those who know the real me or social media me, like the ADHD, this is staying off my social media, unless I decided to start proselytising on social media Too many people know too little and have unhelpful suggestions, and I'm not open to that right now)

Good to have a diagnosis even though not quite as you thought. It will take time to work out how to make sure everyone (ILs esp by the sound of it) is across it. Hopefully they recognise your teen is the same person as always. Once you have time I would suggest investigating NDIS as a package may offer some financial support if needed esp in the future.

 

[cove]

One of our family friends has a prostate that has cancer. He has some decisions to make before he heads off to his usual 3 month caravan jaunt. He is 71 and his PSA jumped and that alerted his GP.

 

[Flying mermaid]

Well, over the weekend we got the results of the Teen's ADOS testing. Level 2 ASD and a more fine tuned diagnosis of their ADHD as inattentive type (didn't get that detail from the first paed we saw, though I have a two page report with a bunch of numbers).
Not a complete surprise, but I am surprised at level 2, I'd thought maybe level 1.

OT, Speech therapy, and intensive psychology recommended, along with seeking NDIS funding and a carer's payment. We'll see if the latter two are possible. I'm also going to investigate some genomics and gene stuff, after a friend's experiences with that and her ASD kids.

At this stage, trying to figure out how to explain it to family. Each of my parents, and current step-mother coped OK with the info and didn't suggest anything crazy. DLN at school is supportive, but keen to get the finalised report. Not sure if the ILs understand what it is, but we'll probably discuss that tonight. Not sure Mr Katie understands what we're in for - he likened it to his dyslexia diagnosis as a kid, and his Mum got him therapy and they got it sorted/cured. This is a different ball game entirely. :/

(And for those who know the real me or social media me, like the ADHD, this is staying off my social media, unless I decided to start proselytising on social media Too many people know too little and have unhelpful suggestions, and I'm not open to that right now)

I had a fair bit of contact with level 2 ASD kids at a point in my life and (as with everything to do with kids), having a loving supportive family made such a difference to them. Challenges ahead and remember to also look after yourself where you can.

 

[RooFlyer]

Had cataract surgery R eye this morning (replacement of lens) - a consequence of my operations to repair torn retina last November. From what I understand, the lens of your eye is fed its oxygen via the bathing fluids, not by blood. So when they put the bubble in after the retinal surgery, that deprived the lens of oxygen, so it got a bit 'leathery' and hence the 'cataract' - not the 'opaque' type of vision deterioration I usually think of when someone mentions cataract. @Tassieoptom may confirm or otherwise.

Too easy. Sedation a bit lighter than the previous surgery - definitely aware of stuff going on, and surgeon telling me that he was about to insert the new lens and I'd feel a bit of pressure, but no pain or discomfort or worry. All over well within 30 mins of being wheeled in.

No patch or anything, and eye just a little red. Vision blurry and vary glare-y initially as they dilate the pupil a lot. Now, about 3 hours later, the vision in R eye almost back in focus (still dilated) and glare almost gone.

 

[drron]

So I will see you Sunday and you will be able to see me.Wonderful.

 

[SuePa]

Had cataract surgery R eye this morning (replacement of lens) - a consequence of my operations to repair torn retina last November. From what I understand, the lens of your eye is fed its oxygen via the bathing fluids, not by blood. So when they put the bubble in after the retinal surgery, that deprived the lens of oxygen, so it got a bit 'leathery' and hence the 'cataract' - not the 'opaque' type of vision deterioration I usually think of when someone mentions cataract. @Tassieoptom may confirm or otherwise.

Too easy. Sedation a bit lighter than the previous surgery - definitely aware of stuff going on, and surgeon telling me that he was about to insert the new lens and I'd feel a bit of pressure, but no pain or discomfort or worry. All over well within 30 mins of being wheeled in.

No patch or anything, and eye just a little red. Vision blurry and vary glare-y initially as they dilate the pupil a lot. Now, about 3 hours later, the vision in R eye almost back in focus (still dilated) and glare almost gone.

Isn't it amazing what they can do?!
I had laser correction for myopia, many years ago and to me it was miraculous.

 

[Bundy Bear]

My doctor is retiring so i need another one to keep check of my iron level condition, pity DrRon isn’t 15 years younger or he would be good replacement.
Need to get a liver scan in the next few months.

 

[suze2000]

@Bundy Bear my doctor retired last year, which was a disaster for me.

However, I asked my friends for a recommendation and my new GP is super awesome.

 

[mrs.dr.ron]

My doctor is retiring so i need another one to keep check of my iron level condition, pity DrRon isn’t 15 years younger or he would be good replacement.

But he is a specialist ... not a GP !!

 

[k_sheep]

But he is a specialist ... not a GP !!

Ooooooof I can hear the teeth of 30,000 specialist GPs grinding!

 

[Tassieoptom]

Had cataract surgery R eye this morning (replacement of lens) - a consequence of my operations to repair torn retina last November. From what I understand, the lens of your eye is fed its oxygen via the bathing fluids, not by blood. So when they put the bubble in after the retinal surgery, that deprived the lens of oxygen, so it got a bit 'leathery' and hence the 'cataract' - not the 'opaque' type of vision deterioration I usually think of when someone mentions cataract. @Tassieoptom may confirm or otherwise.

Too easy. Sedation a bit lighter than the previous surgery - definitely aware of stuff going on, and surgeon telling me that he was about to insert the new lens and I'd feel a bit of pressure, but no pain or discomfort or worry. All over well within 30 mins of being wheeled in.

No patch or anything, and eye just a little red. Vision blurry and vary glare-y initially as they dilate the pupil a lot. Now, about 3 hours later, the vision in R eye almost back in focus (still dilated) and glare almost gone.

The type of cataract after vitrectomy is typically a nuclear cataract, but with rapid progression. Only late stage nuclear cataracts prevent with milky vision tbh. The stress and trauma on the lens leads to oxidative stress, not a starvation issue. This is the proposed pathway. Here is a pretty easy discussion about the same. You will need a new pair of glasses after the post op period (4-6weeks) or at least a check on the same. I have had only one patient in 30 years with exactly same vision post cataract as before. Cataract Formation after Pars Plana Vitrectomy

 

[RooFlyer]

You will need a new pair of glasses after the post op period (4-6weeks) or at least a check on the same. I have had only one patient in 30 years with exactly same vision post cataract as before.

In my case, the implanted lens gave me long vision, which is what the contact lens in that eye formerly did. My left eye has a contact lens giving short/reading vision. So, so far, my former reading glasses still operate perfectly

I have a second follow-up appointment with the surgeon at operation +4weeks, so will see how its going then.

 

[Tassieoptom]

In my case, the implanted lens gave me long vision, which is what the contact lens in that eye formerly did. My left eye has a contact lens giving short/reading vision. So, so far, my former reading glasses still operate perfectly

I have a second follow-up appointment with the surgeon at operation +4weeks, so will see how its going then.

Good plan from the surgeon for sure! Great to hear. If you get any dry eye irritation during the post op phase, ( common) try Systane Hydration unit dose drops 3-4 times a day, they are post op approved and get great feedback on their ability to improve symptoms.