Calling all LYN Healthcare Professionals, and people who are sick...
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 Sep 2 2011, 10:57 PM
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#1
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5,367 posts Joined: Aug 2009   
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Name: <I prefer other forumer to call me as stated on my nickname.>
Designation:House Officer Area of interest: Medical Dept, Emergency Dept. This post has been edited by Mr.Docter: Dec 6 2015, 09:11 PM |
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Sep 5 2011, 10:54 AM
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#2
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QUOTE(zstan @ Sep 4 2011, 08:45 PM) Name: zstan Hi zstan,Designation: Pharmacy student Area of interest: Clinical pharmacy Hope to learn from everybody here   You are in which year currently?  This post has been edited by Mr.Docter: Sep 5 2011, 11:22 AM |
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Sep 5 2011, 11:23 AM
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#3
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QUOTE(karenkow @ Sep 4 2011, 04:06 PM) Hi, I need some advice on my thyroid prob, had been taking camazol for a year. N my doctor said it's better if i go for a thyroid gland removal surgery since I can't rely in this medi for long term. Should I? I an so afraid of d side effects from d surgery, such as lost vocal voice, can't get pregnant in future n etc etx, n I oso donno which hospital to go in kl which is more reliable, any advice? Fyi, I'm lacking tsh hormone.... Hi karenkow,Low TSH means that it is due to negative feedback from your overproductive thyroid gland to produce T3 and T4, which is in other word - Primary hyperthyroidism. There are several causes of primary hyperthyroidism (you can just wiki it by yourself actually for an extra reading) and most of it involve either surgery or specific destruction of hyperactive thyroid tissues using isotope (contraindication - during or planning for pregnancy in shortest time) . The side effects as you already stated above are the potential complication, which is not uncommon especially hoarseness of voice due to the damage of the laryngeal nerve and its recurrent. But total lost of vocal nowadays is uncommon because improved technology and skills. You may undergo linguistic physiotherapy about a months if you face those problem post-operatively. Regarding pregnancy, you just need to consult your doctor for an increment of dosage by time. There would be a tight schedule compared to the normal dosage that you take after the operation, relatively. Adherence to medication and its specific dosage as suggested by your doctor play an important role in the situation. Lastly beware of thyroid storm. This is not under your (patient) role but more to the surgeon instead. Pre-operative preparation is vital for thyroidectomy. SPOILER : Picture of removed thyroid gland due to malignant tumor. » Click to show Spoiler - click again to hide... « This post has been edited by Mr.Docter: Sep 5 2011, 11:26 AM |
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Sep 5 2011, 12:05 PM
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#4
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QUOTE(karenkow @ Sep 5 2011, 11:50 AM) Yeah they told me abt radio therapy as well, but bcz of my gland had swollen, so d doc said better go for surgery, but due to d doc I consult now is d normal clinic doctor, nt a specialist in thyroid or surgery, so really need more professional opinion on this. Ofcoz im going to look for.a specialist on thyroid b4 really decided on operation.... Thanks for ur info it's really helpful :-) >swollen gland = better perform surgery since it will fix the hyper-functional state and cosmetic aspect as well.Added on September 5, 2011, 11:54 am Hi, thanks for d info, really helpful b4 I make any decision. Seem like I gt no othrr choice than go for a surgery :-( Bt I still have to take pill to replace my hormone after surgery right? What's really bothering me is which hospital to go, it might be a small operation for doctor but it could be d biggest to me in my life, so really afraid to make a wrong decision in choosing hospital... Any suggestions on which hospital or doc which is really good on thyroid problem? Yes, its vital for you to adherence to your medication as an hormonal replacement. But looking at your history in rough, you'd already familiar with the pills (carbimazole). Being hypothyroid state is dangerous as you skip your medication. Hmm I am personally do not familiar with hospital in Malaysia as I am an overseas student. Kindly consult your doctor for their specialist recommendation. |
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Sep 5 2011, 07:27 PM
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#5
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QUOTE(karenkow @ Sep 5 2011, 06:54 PM) Thanks thanks, so meaning to say it's nt necessary for d same doc to observe me to do d operation for me as well? It sound better, but actually its not necessary.The referral later from your current GP to the doctor that will perform the surgery will be sufficient QUOTE(karenkow @ Sep 5 2011, 06:54 PM) I mean d thyroid specialist might nt d one do d operation for me? I don't think we have thyroid specialist, in specific. I don't think you should worry this part. Make sure you go to the respected hospital since management over there is relatively better. This post has been edited by Mr.Docter: Sep 5 2011, 07:29 PM |
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Sep 5 2011, 11:41 PM
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#6
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QUOTE(aeternalis @ Sep 5 2011, 10:07 PM) I think the 'thyroid specialist' you are seeing is probably an endocrinologist (doctor expert on hormone related disease). The person performing the surgery is either an ENT surgeon or a general surgeon. So the person who you are seeing most likely won't be present for your surgery. Ahhh endocrinologist! that's the keyword that I been searching for somewhere in my brain. It is more precise compared to ENT when we talk about thyroid gland |
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Sep 6 2011, 07:57 AM
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#7
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QUOTE(zstan @ Sep 5 2011, 11:55 PM) Hi, Oh, but you have a knowledge like a final year student! first year 2nd sem only.  Nice knowing you. |
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Sep 7 2011, 12:07 AM
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#8
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» Click to show Spoiler - click again to hide... « Dear klifex and everyone that posting in this thread, hope you guys can read, re-read and understand the Rules and Regulation in this Health & Fitness sub-forum as well as the first post in this thread before commenting  |
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Sep 10 2011, 09:24 PM
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#9
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QUOTE(henryhing @ Sep 9 2011, 05:49 PM) Hey chief, There can't be possibly any wronger than this wrong interpretation.Ur trying to give consultation here or ur trying to pick up chicks?? If u like zstan just PM her la. No need mushy mushy here. Haha.. |
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Sep 10 2011, 09:28 PM
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#10
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Anyway, starting from Dr Ben; do you have any general information or whatsoever that will practically came handy for medical student once we be posted to your respective department (Anaesthesiology)?
Lets keep the sharing rolling This post has been edited by Mr.Docter: Sep 10 2011, 09:28 PM |
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Sep 12 2011, 09:29 PM
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#11
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QUOTE(aeternalis @ Sep 12 2011, 10:04 AM) Wah, i didn't post for a day you guys kutuk us anaes people nicely... hahaha. Hmmm, answering to Mr. Docter, for a medical student going for anaes posting, the bread and butter of our discipline is physiology. Especially Respiratory Physiology and Cardiovascular Physiology. It's good to learn the common drugs used in emergency and familiarize yourself with the protocols in managing common emergencies like cardiac arrest, etc... also brush up on your CPR skills. Anaes is fun! Thank you very much for the input. I never went to OT in any of Malaysian hospital, yet. Most of my surgical cases I took was from Egypt, where the those anesthetist never leave their post. They keep on waiting and monitoring the vital sign and everything that I don't fully understand yet. Never saw them playing with iPad or leaving the OT at all.Haha, for the rest of you guys... We only go for 'tea breaks' usually for cases under Spinal Anaesthesia when the patient is still awake and spontaneously breathing. This also we will always leave either an anaes house officer or another MO colleague. We take staggered breaks la! We don't usually leave patient unattended wan wei... dunno about your facility, maybe they too terror already, so slumber. As for playing with Ipad... someone sponsor me an Ipad first la! The next thing is you can't expect our eyes to be glued to the monitor for a 6 hour laparotomy right? Look at the monitor until go crazy... Thats why we rely on our ears as well... We listen to the tone of the SpO2 beeping to tell us whether 100 or dropping to 99, 90 etc... Then when the automated BP give us the beep, then we will look up to note the BP lor... Alarms are our friends in anaes. I usually will take a medical book and read lor during these times. Never can learn too much one. Hope you guys have a better understanding and acceptance of us poor group of misunderstood doctors who are force to sit in the cold ICU and OT all day long... After some sharing from zstan, DrBarbarian and others, now I understand what does zstan mean by hope the newly one or the current to be more professional. |
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Dec 3 2011, 04:50 PM
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#12
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QUOTE(zstan @ Dec 3 2011, 12:14 AM) I think you should find out what's the cause of the knee pain before proceeding with any supplements.. Indeed. It is fundamental to know the underlying cause before discussing its treatment or management.What did the doctor mentioned on her previous visit to hosp? |
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Mar 31 2012, 04:03 PM
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#13
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QUOTE(Zenith Lim @ Mar 31 2012, 03:31 PM) I once have fibrodema(not sure about the spelling) lump in my breast Hi Zenith Lim,and it has been removed. But after 6 months, I went for the ultrasound, I was told that I have another 2 in it. What the doc told me is that the lump is small so an operation is not needed. In short, I have been going for ultrasound every 6 months, it has already been the 2nd year I have those lumps in me. (they are not growing fyi) So does this means that I have vr high % of having breast cancer. Honestly I am kind a worried . Is there any remedy or things I could try ? I believe after 6 months of excision operation to remove the fibroadenoma, the another 2 is also at the same side? What you did done for the past 2 years is good, which is undergo routine check twice a year. Not growing and asymptomatic (no pain) is a very good indication, and don't worry too much of the chance in getting cancer. It will be less likely based on your current condition |
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Mar 31 2012, 04:15 PM
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#14
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QUOTE(Zenith Lim @ Mar 31 2012, 04:06 PM) thanks for ur reply yes , is on the same side. Btw, just want to ask if there's any reason why I have fibroadenoma? Like most of the tumor, the exact reason why its happening is still unknown. Anyway, I hope this will lessen your worry and somehow improve your quality of life |
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May 13 2012, 05:07 PM
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#15
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QUOTE(Skylinestar @ May 13 2012, 04:19 PM) Not a diabetic patient. Hello,Any comment? QUOTE his health result: high glucose, high cholesterol, high lymphocyte, low calcium. Are this is the only abnormalities and the rest is normal, or, he didn't perform any other investigation (Liver function test, Renal function test, etc etc), or, you don't have info about that? How old is the patient? Any known disease that run down on family lines? |
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Dec 6 2015, 09:14 PM
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#16
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QUOTE(periwater @ Sep 12 2013, 11:59 AM) Hi Can recommend me a specialist in orthopedic surgery (specializing sports injury)? My husband has a shoulder dislocation previously (I think 15 years ago), and recently he has two other episodes whereby his shoulder partially dislocated while sleeping and put on his shirt. We have consulted a specialist in Prince Court Medical Centre and had a MRI done as well. According to the specialist, my husband has a minor tear in the tissues surrounding the shoulder joint. The first option is to strengthen the muscle via physiotherapy. It takes 3-4 months to achieve desirable results, however there will always be a good chance for the shoulder dislocated again. The second option is a pin hole surgery using 3 screws to tighten the loose tissues, costs RM20k. Upon surgery, 97% of his patient enjoys full flexibility and no risks of shoulder dislocation again. The specialist did mention that my husband need not to undergo the surgery as his tear is minor. Since my husband is actively into weigh training, at the back of his mind will keep fearing a possibility of another shoulder dislocation if he opts for Option 1. Therefore he will prefer to do a pin hole surgery to fix this issues for once and for all. Meanwhile, I'd like to have more views whether a surgery is really the best option to manage shoulder dislocation? Some friends keep saying that once your shoulder dislocated, it will keep happening again and again, therefore they suggested to fix via surgery. Appreciate if anyone can recommend me a reputable orthopedics surgeon for second opinion, outside Prince Court Medical Centre. FYI, the costs is not an issue and we just want to hear different perspective and advice. Thanks! QUOTE(Kanuki @ Jan 18 2014, 10:09 PM) Hi... I can refer you to Orthopedic specialist for those issues and do arrange for surgical intervention under private scheme in government hosp as Full-Paying-Patient (FPP) if you are still interested.I've just been in the accident during the sport on 14-01-2014 around 9PM which result of my right knee ACL complete rupture. I've got MRI done today and the radiology report say that 1) ACL rupture 2) Partial tear of distal MCL 3) Bone contusions mainly in the lateral aspect of the knee 4) Soft tissue oedema on the lateral and posterolateral aspects of the knee joint 5) Large joint effusion Sunway Medical Centre qoute me for the cost of operation around RM16k. Is there any recommended hospital which can repair all of those stuff which gonna have a good result and cheaper price? Kindly PM me for arrangement as the discussion will involved personal information. |
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