y*****g
发帖数: 193 | 1 I understand you are concerned about side effects of Keppra. Acutally, all
antiepilectic drugs have side effects, and keppra as the newest one has less
side effects compared with old meds. Keppra is also thought to be very
broad spectrum and safe.
One of my coworker daughter was put on Keppra for post-occiptial region
seizures. She had been on Keppra for 2 years, a very active volleyball
player through these years. She was just taken off the medication recently.
So far, so good.
I just had an ep... 阅读全帖 |
|
g*2
发帖数: 658 | 2 还是要根据你的运动情况，看你是哪个level的，感觉你不应该是III和IV,否则不会去
滑雪了：
Treatment options must be tailored to a patient's preoperative level of
activity. The following activity levels are based on the International Knee
Documentation Committee:
*
level I includes jumping, pivoting, and hard cutting.
*
level II is heavy manual work or side-to-side sports.
*
level III encompasses light manual work and noncutting sports (eg,
running, cycling).
*
level IV is sedentary activity witho... 阅读全帖 |
|
y*****g
发帖数: 193 | 3 Early stage of cervical cancer is operable. Radiation can be optional
regardless of stages.
Think this way, if a cancer is operable, it provides the chance to cure. If
people told you the cancer is not operable, only medical management, it
doesn't sound good.
You need see a Gyn-oncologist which is specialized in the area.
I don't know 别人说塞入药 ok or not. If it's cancer cels there, I don't
think 塞入药 will do anything.
2 year recurrance free survival is pretty good, combined with radiation can
reach ... 阅读全帖 |
|
z***s
发帖数: 14 | 4 楼主的情况并不像是穿髓.
1. 露神经的case,大部分时候是病理性的露髓(pulp exposure before complete
removal of decay), 很少会发生机械性穿髓(mechanical removal of healthy dentin
which lead to exposure of healthy pulp). 穿髓的痛大多是冷热激惹痛,及晚期强
烈的自发性的阵痛.
2. 医生的处理方案会完全不同.大面积的病理性的露髓和机械性穿髓, 一般不会马上用
牙色材料完成补牙,而是给有安抚作用的暂时性充填材料观察1-2周没有牙髓症状后,才
换成永久性的补牙材料.
3.发生露髓后,不管是多大,病理性的还是医源性的,医生一定要告知病人事实,及有可能
发生的各种并发症.
美国牙医在去净decay这方面的training, 比国内要严.在牙医执照考试中,如果没有完
全去干净decay就补牙,自动fail. 只用国内的刮匙去腐法,估计大半要fail掉. Of
course, in real world dental practice, every dentist ha... 阅读全帖 |
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t*******n
发帖数: 4445 | 5
If the diagnosis is correct, then (1) surgery (amputation or not) is still
the standard curative option, and (2) recurrence rate is still high.
Consider getting a second opinion, then compare to treatment plans from
current doctors. For more info see
http://ramoslink.info/TreatcancerUSA.html |
|
t*******n
发帖数: 4445 | 6 In post-treatment cancer patients, elevated tumor markers MAY SUGGEST
recurrence of the tumor. |
|
l*h
发帖数: 4124 | 7 请问你说的tki中文是什么？
TKIs are tyrosine kinase inhibitors. Imatinib is one of them.
药是格格列位吗？
yes.
请问如果复发还可以再切除吗？
these patients have close followup after the initial surgery. recurrence
would be caught when it's still small and amenable to removal.
癌变和转移的机率大吗？
GISTs are 癌 by behavior. metastasis is mainly short range ones.
谢谢 |
|
i******4
发帖数: 72 | 8 I am really sorry for you niece.
My cousin has the same type of tumor (颅咽管瘤 Craniopharyngiomas are
dysontogenic tumors with benign histology and malignant behavior). The
symptoms presented when she was 24 years old. The bad thing about the "
benign" tumor is the high rate of recurrence.
She had the operation by the best surgeon at Tiantan Hosptial in Beijing,
but it came back 4.5 years later. Now her situation is worse than the first
time.
My aunt worries about her a looot. She asked me to sear... 阅读全帖 |
|
|
i******4
发帖数: 72 | 9 I am really sorry for you niece.
My cousin has the same type of tumor (颅咽管瘤 Craniopharyngiomas are
dysontogenic tumors with benign histology and malignant behavior). The
symptoms presented when she was 24 years old. The bad thing about the "
benign" tumor is the high rate of recurrence.
She had the operation by the best surgeon at Tiantan Hosptial in Beijing,
but it came back 4.5 years later. Now her situation is worse than the first
time.
My aunt worries about her a looot. She asked me to sear... 阅读全帖 |
|
l*h
发帖数: 4124 | 10 most cases nonsurgical (enema et.). surgery used for:
suspected necrosis, multiple recurrence, failure to be reduced nonsurgically
etc. |
|
l*h
发帖数: 4124 | 11 what type of doctor did you go to, general pediatrician?
this is likely epidermoid cyst. some, especially small ones, if you prick
open with a needle, will never recur. but bigger ones usually require
removal of the cyst wall to prevent recurrence.
well, it's a very easy thing for dermatologists. |
|
|
l*h
发帖数: 4124 | 13 if 索坦 sunitinib?
GIST is notorious for recurrence, even for those with benign histopathology.
when resistance is suspected, it doesn't always mean it's still the same
mechanism driving tumor growth. sunitinib would be more than possible also
ineffective.
智？ |
|
f****o
发帖数: 2770 | 14 If very high dose chemotherapy is necessary to treat a recurrence of
childhood lymphoma, our experts can use a strategy known as peripheral stem
cell transplantation, in which young, healthy blood cells, known as stem
cells, are used to replenish blood cells damaged by chemotherapy. When we
know that a child has a very high risk for relapse — based on the type of
lymphoma, its location, and other characteristics — we collect stem cells
from a child's circulating blood after he or she achieves a ... 阅读全帖 |
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j****i
发帖数: 496 | 15 What kind of surgery did she have? How many lymph nodes were biopsied? If no
total mesorectal excision or less than 12 LN biopsy, strongly suggest chemo
/radiation therapy. Rectal cancer recurrence rate is usually higher than
colon cancer. |
|
d********7
发帖数: 3 | 16 呵呵，大家回帖很有趣！
复发阿夫它溃疡recurrent aphthous ulcer，您自己搜搜也能知道个一般知识。一般认
为它是一种自身免疫相关的疾病，现今没有根治办法，治疗也多是姑息或者对症治疗。
7-14天多数不治也可自愈。治的话也是止痛为主。
诱因大家提到不少，机体免疫力低时可诱发。去除诱因可减少复发。分三型。 |
|
M****0
发帖数: 877 | 17 Asthma is very common and doctors should know how to treat it with routine
measures.
If severe, need to be treated with steroid then tapered down. Inhaled
steroid should be used later to reduce recurrence, with albuterol or
sometimes add with ipratropium.
Also need to check some blood tests to see if your relative qualify for
leukotriene antagonist, another type of drug to prevent from recurring. |
|
f****o
发帖数: 2770 | 18 她是那种ovarian cancer?Invasive epithelial?Germ cell tumors ?Fallopian tube
carcinoma
没听说
她已经复发了。。。疫苗是阻断复发，要复发前用。。。
她已经复发了，预防什么呢？
The average duration of survival after recurrence of ovarian cancer is about
12 to 18 months. 平均下来您阿姨也就1-2年时间了。
ovarian cancer复发是很常见的，和海南岛没有关系
你让阿姨接受事实，不要说什么“您一定会痊愈”之类的话，这些都是unrealistic
expectation.
要set一个reasonable goal
比如prolong life, improve life qualities through palliative care/symptom
management
用生命最后的日子做完想做的事情不留遗憾 |
|
s*******c
发帖数: 42 | 19 帮国内的朋友问问。朋友家人胃癌复发，不知到怎么办。请各位专家帮着出出主意。有
pet-ct片子可以私信联系。
具体情况。
患者男性，60岁。
上腹隐痛不适半年（2013年），于2013-10-11查胃镜发现食管下端胃底占位，胃镜病理
为中分化腺癌（ moderately differentiated adenocarcinoma）。
治疗方案为新辅助放化疗 （neoadjuvant chemoradiotherapy）+手术治疗（operation
）。
2013-10下旬开始给予患者局部放射治疗（radiotherapy），42天，同时口服希罗达（
卡培他滨 Capecitabine）化疗，后改替吉奥（S-1 japan）口服治疗，然后休息6周。
2014-1-17行胃癌根治术（ radical operation for carcinoma of stomach）（全胃切
除术+食管空肠吻合+Brown吻合）。术后恢复尚可。术后病理检查示：胃低分化腺癌（
poorly differentiated adenocarcinoma），部分呈黏液细胞癌（Mucinous cell
car... 阅读全帖 |
|
s*******c
发帖数: 42 | 20 帮国内的朋友问问。朋友家人胃癌复发，不知到怎么办。请各位专家帮着出出主意。有
pet-ct片子可以私信联系。
具体情况。
患者男性，60岁。
上腹隐痛不适半年（2013年），于2013-10-11查胃镜发现食管下端胃底占位，胃镜病理
为中分化腺癌（ moderately differentiated adenocarcinoma）。
治疗方案为新辅助放化疗 （neoadjuvant chemoradiotherapy）+手术治疗（operation
）。
2013-10下旬开始给予患者局部放射治疗（radiotherapy），42天，同时口服希罗达（
卡培他滨 Capecitabine）化疗，后改替吉奥（S-1 japan）口服治疗，然后休息6周。
2014-1-17行胃癌根治术（ radical operation for carcinoma of stomach）（全胃切
除术+食管空肠吻合+Brown吻合）。术后恢复尚可。术后病理检查示：胃低分化腺癌（
poorly differentiated adenocarcinoma），部分呈黏液细胞癌（Mucinous cell
car... 阅读全帖 |
|
j****i
发帖数: 496 | 21 1. Depends on stage, yes, for recurrent and advanced rectal cancer, certain
US medical centers have technologies, expertise, or trials that may improve
survival. For anything stage 1 or stage 2, I don't think treating in China
vs in US makes a lot of difference.
2. Just the rectal cancer inpatient surgery alone (no radiation therapy no
chemo) medical bill from top Bay Area hospital is $135K. If you decide to
stay here and treat, you might want to send him to a cheaper cancer center.
Your insur... 阅读全帖 |
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N*********c
发帖数: 330 | 22 For mild attacks can take Motrin or Aleve, for severe case need colchicine (
assume kidney are good) or prednisone.
If with frequent recurrence can take allopurinol daily to prevent this. |
|
N*********c
发帖数: 330 | 23 Some residual swelling of the affected limb can take very long time to
resolve. Its not uncommon. If worried about recurrence the patient may
consider to see a hematologist to rule out hyper-coagulate disease.
A provoked (such as after surgery, long travel, trauma, pregnancy, or on
birth control pill) and uncomplicated deep vein thrombosis is a commom and
treatable disease. Check this site, hope it helps he/she to understand this
condition better.
http://www.mayoclinic.org/diseases-conditions/de... 阅读全帖 |
|
s*******c
发帖数: 42 | 24 帮国内的朋友问问。朋友家人胃癌复发，不知到怎么办。请各位专家帮着出出主意。有
pet-ct片子可以私信联系。
具体情况。
患者男性，60岁。
上腹隐痛不适半年（2013年），于2013-10-11查胃镜发现食管下端胃底占位，胃镜病理
为中分化腺癌（ moderately differentiated adenocarcinoma）。
治疗方案为新辅助放化疗 （neoadjuvant chemoradiotherapy）+手术治疗（operation
）。
2013-10下旬开始给予患者局部放射治疗（radiotherapy），42天，同时口服希罗达（
卡培他滨 Capecitabine）化疗，后改替吉奥（S-1 japan）口服治疗，然后休息6周。
2014-1-17行胃癌根治术（ radical operation for carcinoma of stomach）（全胃切
除术+食管空肠吻合+Brown吻合）。术后恢复尚可。术后病理检查示：胃低分化腺癌（
poorly differentiated adenocarcinoma），部分呈黏液细胞癌（Mucinous cell
car... 阅读全帖 |
|
C*******o
发帖数: 73 | 25 本人在加州。
我父亲持B2签证过来，我替我父亲买了Atlas的旅游保险，250美元的deductible,50000
美元的max limit,每个月我需要付160刀给保险公司。
保险合同说这个保险cover Acute Onset of Pre-existing Condition.
然后我找到合同中 Acute Onset of Pre-existing Condition的定义：
Acute Onset of Pre-existing Condition:
The term “Acute Onset of a Pre-Existing Condition(s)” shall mean a sudden
and
unexpected outbreak or recurrence of a Pre-existing Condition(s) which
occurs spontaneously and without advance warning
either in the form of Physician recommendations or symptoms, is of s... 阅读全帖 |
|
|
l*h
发帖数: 4124 | 27 1. without seeing the actual MR images, there is a small chance it's another
disease other than colloid cyst, just a very small chance.
2. collie cyst itself is benign, but the skull is rigid and there is only
that much space inside, so even a biologically benign growth can cause big
problems. the good news is that once such benign growth is removed, the
chance of recurrence is very low.
3. the recommended treatment for colloid cyst is complete resection.
currently the recommended way to do this... 阅读全帖 |
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m*****a
发帖数: 2160 | 28 Sorry I cannot type Chinese characters right now
Gout is caused by high uric acid in your blood, which is mostly caused by
genetic factors. The degree of food contribute to gout is actually very
small and the best treatment for recurrent gout attack is long-term
medications to lower blood uric acid to < 360, just like the treatment for
high blood pressure or diabetes. The medication is generally very safe and
the risk of hiving side effects is even much lower than a car accident. But
they are pr... 阅读全帖 |
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s****i
发帖数: 222 | 29 这个必须开saving吧？那个saving还得维持一个300的balance？
另外dd是只做一次就行了还是要像说的那样recurrent |
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T*****n
发帖数: 519 | 30 在term里写着有reward，可是没有具体说明是什么reward。大家有过类似的情况吗，采
用那个auto pay, AE会额外给什么呀？我的是Blue cash，谢拉 |
|
e****e
发帖数: 941 | 31 1.不能recurrent payment,这大家知道的
2.我怎么连日期也选不了，这个也太。。。 |
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s**********d
发帖数: 36899 | 32 click recurrent at step 3? |
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y**a
发帖数: 9065 | 33 上月刚试水20块付citimortgage principle成功。今天打算设recurr,被告知以后visa
不能用来付mortgage了，刚和客服chat,说是VISA发的新policy,他们只能follow.
还有什么方法可以利用%travel套现 minimal spending requirement ? |
|
b******r
发帖数: 110 | 34 按照末次月经，大概4周。可是这次排卵早了，按照排卵日期算应该是5周多，HCG数值
从周一的10200涨到今天的17000。我见的是reproductive endocrinologist。从上周末开始
spotting到现在每天出一个pantyliner的鲜血，虽然没有腹痛， RE还是觉得我应该做个B超，确定
宫腔妊娠。本来我是想着拖到下周做B超应该有心跳了。RE说最好这周做，让我周末过得放心。B超肯定
是trans-vaginal的，我担心trans-vaginal对子宫环境的刺激和影响。其实我也知道理论上说应
该没有关系，但是上次怀孕，在spotting后做B超，当天出血就越来越多最终流产给我留下了阴
影。而且在我已经是recurrent pregnancy loss的情况下，任何外来的影响我都会担心对宝宝不
利。
宝妈们觉得我应该做这个B超么？我现在不想做B超的理由是：HCG增长情况好，无腹痛，出血现象暂时
未增加，只要在等一周就可以连心跳一起看，否则过一两周还要做B超。。。 |
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k*****n
发帖数: 15 | 35 我在2，6，10周得了三次乳腺炎，也非常难受。医生第三次看到我说，这是recurrent
mastitis，唯一办法是停止喂奶。但好在那次的医生有经验，给我做了两个culture，
就是取些奶化验，看看细菌的类型。结果发现引起我的乳腺炎的细菌对penicillin有抵
抗力，所以前两次用的抗生素都没有完全杀死细菌。那次医生换了一种抗生素，我也再
也没有得乳腺炎，一直全母乳，宝宝快七个月了。所以建议mm和医生沟通一下，做个细
菌培养，也许能够根治。 |
|
g***t
发帖数: 201 | 36 我没有保险，看医生太贵了，所以我也不想做什么细菌化验了，想退奶了，不行我就靠
热敷和吃点消炎药了。
recurrent |
|
l***o
发帖数: 578 | 37 If your OB used liquid based Pap smear and you are younger than 30 year-old
without history of abnormal Pap smear, you only need Pap smear every 2-3
years. Pregnancy or not doesn't matter.
Pap smear has no negative effect on recurrent abortion. |
|
j******j
发帖数: 55 | 38 我和你情况相似，也是两次早孕胎停，不是空囊，但是胚芽没有心跳，两次都是在6周
多停止发育。第一次在12周自然流，第二次在8周做了D&C (也就一个月半之前），手术
后组织拿去做了染色体检查，发现染色体异常。
两天前看了reproductive endocrinologist, 要求我们两个都做一系列检查。老公要做
semen analysis和染色体等血检。我要做的更多，
recurrent loss的检查一项不拉,共有13项（和你列出都有很多一样的），外加
Prolacin, TSH, Varicella IgG， Hemoglobin Electrophoresis.
还要做hormone studies/ultrosound (E2, FSH, LH, and USS), HSG, progestrone
blood test at cycle day 21, and endometrial biopsy at cycle day 26.
我们可以互相交流，希望我们都能迈过这一关，有自己的健康宝宝。 |
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i*******6
发帖数: 234 | 39 Healing the Trauma: Entering Motherhood with Posttraumatic Stress Disorder (
PTSD)
by Jennifer Jamison Griebenow
© 2006 Midwifery Today, Inc. All rights reserved.
[Editor's note: This article first appeared in Midwifery Today Issue 80,
Winter 2006.]
Making the leap to parenthood is a challenging transition even at the best
of times. For some mothers that transition is made even more difficult by
additional challenges in the postpartum period. Most people know about the
baby blues, and the m... 阅读全帖 |
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R*E
发帖数: 135 | 40 医生给我开的药叫： Nitrofurantoin (Generic for Macrobid), 在网上查了下，这个
是治疗尿路感染的，现在有两个版本，中文查出来的名字叫呋喃妥因，说呋喃妥因可透
过胎盘屏障，而胎儿酶系尚未发育完全，故妊娠后期孕妇不宜应用，足月孕妇禁用，以
避免胎儿发生溶血性贫血的可能。
英文版本是说在快生产前的2-4个星期不能用，以下是BABY CENTER的内容：
If you get recurrent urinary tract infections or if the infection gets into
your kidneys, your caregiver may recommend taking nitrofurantoin (trade name
Macrodantin or Macrobid) for the rest of your pregnancy to prevent another
infection. You should stop taking this drug at about 36 weeks (or
immediately ... 阅读全帖 |
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n***a
发帖数: 1373 | 41 Down's syndrome is rarely inherited. (Only in case of recurrent Down's
syndrome in multiple pregnancies, it could be due to mom's chromosome
problem.) It is mainly related to maternal age (the egg is old). Down's baby
has three No.21 chromosomes (normal people have two). It is not amutation
thing. Like Sarah Palin, only her last child has Down's. |
|
y***n
发帖数: 6764 | 42 你没错，要能开源，但也要能节流。
平时买什么东西都要coupon来省钱的是一回事，但象奶粉/尿布这种recurrent的
purchase, 能省点还是有意义，有必要的。 |
|
l******2
发帖数: 2994 | 43 Buy some natural VC(cranberry extracts) for your mom-in law because this is
very good to prevent urine track infection and to treat it with antibiotics.
brands found in drug store can be natural bounty or natural made
you mother in law would probably get the infection again when she is tired,
so prevention of recurrence is the key. |
|
a***o
发帖数: 54 | 44 http://kidjacked.com/legal/spanking_law.asp
Alabama
[The Code of Alabama 1975]
Parent/guardian/person responsible for care and supervision of a minor/
teacher or other person responsible for care and supervision of a minor for
a special purpose may use reasonable and appropriate physical force when and
to the extent he reasonably believes it necessary and appropriate to
maintain discipline or promote welfare of the child.
§ 13A-3-24. [Criminal Code]
[See also: Endangering welfare of child. Secti... 阅读全帖 |
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h*********e
发帖数: 170 | 45 strongly suggest talking PD. I regretted a lot for my daughter's cause. I
tried many over-counter medicine and always thought the problem will go away
. But my daughter coughed on and off for quite a long time (like stopped 1
or 2 months and came back again). I guess her lung never got completely
recovered. The Ped eventually prescribed the medicine due to the possibility
of asthma. Her cought stopped after 3 day's use and has only one recurrence
since then to now. |
|
D****9
发帖数: 10889 | 46 美国不给抗生素真的很误事.
咳嗽的厉害就有并发症了
away
possibility
recurrence |
|
b******y
发帖数: 1684 | 47 同感，同后悔。
一般PD采取保守策略，她知道你咳嗽不会出大事，可是就不理解小孩和全家suffer.
OTC啊，加湿器啊什么都试了，狗P! 还是专科医生管用。
away
possibility
recurrence |
|
r***e
发帖数: 653 | 48 说的很对，该找医生解决的，必须得找医生。真不明白，美国比国内看病方便那么多，
为什么还非要不懂装懂地找偏方。就算是中医，也要讲究个望闻问切。单单听了点症状
就给你下药的能算啥好大夫？这个医生说没问题，但药又没作用，就该换个医生去看看
。小孩夲来抵抗力就弱，发病和变化又都很快，最好趁早找大夫把问题解决了，省得越
演越烈，再留点后遗症什么的。
away
possibility
recurrence |
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c**********c
发帖数: 1378 | 49 治疗一般是青霉素或者阿莫西林。一般用几天应该够了。不过复发不是好症状，可能说
明之前没好透然后有delayed antibody-mediated disease就是上面提到过的rheumatic
fever and post-strep glomerulonephritis (这个不一定会发生，但是一般
recurrence要小心)。我觉得应该听取医嘱，继续上抗生素，肌肉注射有时效果会比口
服好些，可以采用。 |
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d******0
发帖数: 1598 | 50 endometriosis is a very complicated condition. Although retrograde
mensturation theory is favored to address the origin of endometriosis,
however, it is very limited to explain the existence of endometriotic
lesions in lung or even brain. Actually many factors might be involved (i.e.
endometrial stem cells in circulation and immune defects). In a word,
endometriosis is different from endometriosis. The lesion on top of ovary,
which is called endometrioma, might be different from endometriotic le... 阅读全帖 |
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