PW Health Clinic

[Glioblastoma]

Answers:
1. No itching problem but some time i feel bit itching there..
2. No
3. No
4. No

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Then it is looking more like lichen planus but you cannot rule out allergic dermatitis or folliculitis or molluscum contagiosum either. But for confirmation go to one of the dermatologist I mentioned. One thing is for sure it's not chickenpox.

Hope I was of help.

[adil.0001]

Then it is looking more like lichen planus but you cannot rule out allergic dermatitis or folliculitis or molluscum contagiosum either. But for confirmation go to one of the dermatologist I mentioned. One thing is for sure it's not chickenpox.

Hope I was of help.

Ahan!! Any medicine or treatment for this?

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[Glioblastoma]

Ahan!! Any medicine or treatment for this?

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Topical steroid or immunosuppressant creams are used which come by the name of betnovate, betasalic if they do not help move to isotrex gel if this also fails we move to creams by name of crolimus, eczemus, imunol. For oral use fexet or rigix tablets can be used in combination with the above ointments.

But please do not and I say again do not use these medications without proper diagnosis from a professional dermatologist, dermatology is a vast field requires a lot of experience and I never treat dermatology patients myself refer them straight away to dermatologist. So again please go to a good dermatologist.

[adil.0001]

Topical steroid or immunosuppressant creams are used which come by the name of betnovate, betasalic if they do not help move to isotrex gel if this also fails we move to creams by name of crolimus, eczemus, imunol. For oral use fexet or rigix tablets can be used in combination with the above ointments.

But please do not and I say again do not use these medications without proper diagnosis from a professional dermatologist, dermatology is a vast field requires a lot of experience and I never treat dermatology patients myself refer them straight away to dermatologist. So again please go to a good dermatologist.

Okay sir thankx alot!!

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[adil.0001]

Topical steroid or immunosuppressant creams are used which come by the name of betnovate, betasalic if they do not help move to isotrex gel if this also fails we move to creams by name of crolimus, eczemus, imunol. For oral use fexet or rigix tablets can be used in combination with the above ointments.

But please do not and I say again do not use these medications without proper diagnosis from a professional dermatologist, dermatology is a vast field requires a lot of experience and I never treat dermatology patients myself refer them straight away to dermatologist. So again please go to a good dermatologist.

Will soon contact with any good dermatologist!

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[umair2203]

What is the scope of gastroentologist in Pakistan , if one wants to persue FCPS in gastroentology

[xubair.ashraf]

my aunty residing in Karachi needs an oxygen concentrator at home. it is quite expensive - around rs. 75~80,000. i have heard that it might be available through some funded hospital/ association for patient use at home. i shall appreciate if any pw member help me out in this regard. JAZAKALLAH

Here in mayo hospital lahore we arrange these concentrators through different charity organisations as the government does not provide these. You can contact the chest department of your nearest hospital and find out how they arrange these concentrators for their patients.

[Glioblastoma]

What is the scope of gastroentologist in Pakistan , if one wants to persue FCPS in gastroentology

Excellent scope if one is able to pass FCPS. The passing rate is low not only for gastroenterology but for that matter any internal medicine or its subspecialities. One trick in passing such an exam is do your residency from a highly reputed institutions, to name a few like shaukat khanum or aga khan. But getting into such institutions even for residency is another competitive process.

[asjdsm]

thanks for the detailed reply .. i will do mri .. doctor initially wanted to do it but later said to do exercises for 3 weeks (these are acl strengthening and quads ) .. but these exercises cause some pain..... my concern is that in such situations .. normally rest is advised by old people .. while i am advised for exercise for this .. pain increases with exercise and stays there for few hours..
i will do mri .. and will post its reults..
generlly after how long can i see some benefits from such things.

Well there are two conditions from what I can understand, either when you were diagnosed in the first instance with grade 3 tear it was wrong meaning it was not grade 3 or second instance can be, doctor thought that it is a grade 3 tear but as you are not involved in sports or much activity and the knee is also quite stable so the doctor might have taken the conservative approach. It can recover with conservative approach, as it does in old people who cannot undergo surgery but the strength of the ACL is not to the extent as those who have undergone surgery.

In your current situation as it was not surgically corrected so there is a chance that the tear might have taken place again, so best thing is to continue the exercises do not stop them or it will aggravate the condition. Because when you are exercising it strengthens the muscles which help in stabilizing the joint hence reducing the pain and extent of damage. If I were you I would get another fresh MRI even if doctor has not told so. X rays are near useless in such tears.

The other thing is, it is not at all a devastating surgery, if you do it arthroscopically a camera is inserted through a small hole and graft is placed. So do not fear so much even if you have to go for surgery, but make sure you go to a very good orthopedic surgeon if you require surgery. Dr. Aamer Nabi Nur seems to be better of the three of what I can find on shifa international website.

[msalimsabir]

Here in mayo hospital lahore we arrange these concentrators through different charity organisations as the government does not provide these. You can contact the chest department of your nearest hospital and find out how they arrange these concentrators for their patients.

thanks for the advice.

[msalimsabir]

Try contacting government hospitals, like go to civil hospital, jinnah hospital or abbasi hospital. Or may be khidmat-e-khalq foundation, edhi or chippa might help. Other than this there are no options. You can get all their phone no. from the net google them.

For cheap treatments of any condition you can go to indus hospital korangi or DOW university ojha campus near suparco.

thanks for the advice.

[Glioblastoma]

thanks for the detailed reply .. i will do mri .. doctor initially wanted to do it but later said to do exercises for 3 weeks (these are acl strengthening and quads ) .. but these exercises cause some pain..... my concern is that in such situations .. normally rest is advised by old people .. while i am advised for exercise for this .. pain increases with exercise and stays there for few hours..
i will do mri .. and will post its reults..
generlly after how long can i see some benefits from such things.

Continue exercises even if they cause some pain because if you discontinue them the muscles keeping the knee stable will lax and will create problem in the long run. Do share the MRI result. Conservative therapy with exercise will show some benefit after a month or two at least.

[nasirjavaid]

Sometimes during sleep in stage 1 when not in deep sleep, I suddenly feel choked and awake due to the feeling of not breathing. Feel like exhausted by running so take many deep breaths. Also feel dry tongue and dry throat so then drink lots of water and go to sleep again.... Sometimes feel is it the saliva or the tongue that blocked the air passage?

This not happen regularly but 2-4 times a month and sometimes 1-2 times a month. Wife and kids tell me that I snort loud since last couple of years.

Is it obstructive sleep apnea? Feeling these symptoms in me Sleep Apnea: Symptoms, Causes, Cures, and Treatment Options

My score was 8 (50/50 chance). I am 38years, 75kg, 5'9", borderline cholesterol, kidney stones of 4-6mm that keep forming and dissolving and sand like particles in kidneys :).

This seems close to my situation: https://www.zocdoc.com/answers/5804/why-do-i-choke-on-my-saliva-while-i-am-sleeping

What could be wrong? Thanks.

(You can have the idea of my sleep from the time of this post ......I have to wake up 7am other than weekends)

[Glioblastoma]

Sometimes during sleep in stage 1 when not in deep sleep, I suddenly feel choked and awake due to the feeling of not breathing. Feel like exhausted by running so take many deep breaths. Also feel dry tongue and dry throat so then drink lots of water and go to sleep again.... Sometimes feel is it the saliva or the tongue that blocked the air passage?

This not happen regularly but 2-4 times a month and sometimes 1-2 times a month. Wife and kids tell me that I snort loud since last couple of years.

Is it obstructive sleep apnea? Feeling these symptoms in me Sleep Apnea: Symptoms, Causes, Cures, and Treatment Options

My score was 8 (50/50 chance). I am 38years, 75kg, 5'9", borderline cholesterol, kidney stones of 4-6mm that keep forming and dissolving and sand like particles in kidneys :).

This seems close to my situation: https://www.zocdoc.com/answers/5804/why-do-i-choke-on-my-saliva-while-i-am-sleeping

What could be wrong? Thanks.

(You can have the idea of my sleep from the time of this post ......I have to wake up 7am other than weekends)

Symptoms you are describing are of obstructive sleep apnea(OSA) and chances are very high you might have this. So what can be done as I previously told you decrease your weight not by much only 5-10kgs will be great. For this best thing is continuous 45min. to 1hr. walk daily. Kidney stones have nothing to do with OSA.

Now the next thing is to modify sleep habit you have to sleep on your side either right or left never on your back. This is best done by sewing something in your bunyan or your sleeping shirt. As the article refers to it as tennis ball trick. Do the throat exercises shown, this is very important as it prevents the collapse of your upper throat muscles during sleep.

But believe me these things I described or told in the article if done continuously will definitely treat the problem. Only small amount of patients require CPAP or surgery specially old people. You are young and this can be done. But your problem to me seems like more related to weak throat muscles than the fat surrounding the neck.

[umair2203]

Excellent scope if one is able to pass FCPS. The passing rate is low not only for gastroenterology but for that matter any internal medicine or its subspecialities. One trick in passing such an exam is do your residency from a highly reputed institutions, to name a few like shaukat khanum or aga khan. But getting into such institutions even for residency is another competitive process.

How about mayo hospital .?

[Glioblastoma]

How about mayo hospital .?

Like all government hospitals including PIMS or anyone you can name, problem is training is just not that good, you are so busy with the high inflow of patients in all government hospitals that there is little time to study, because system is so poor and collapsed that specially the nursing and support staff runs away from their duties and neither they are competent enough to fulfill their duties. That is why you have to manage for their shortcomings hence less sleep times, longer duty hours and hence increases stress and all factors contribute to decrease in study time and concentration and then what remains of you is mostly destroyed by the attitude of the administration.

But have seen people passing FCPS even in government setups but most of them did not care for the patients that much. So a person with some kind of conscience will be in trouble.

So that is why shaukat khanum or aga khan and other private renowned hospitals have better setup so you are somewhat relaxed and hence can study better. But do take advice of your seniors in your region that which institution is the best to do FCPS.

Don't mind but can I ask are you asking it for yourself or for someone else.

[nasirjavaid]

Symptoms you are describing are of obstructive sleep apnea(OSA) and chances are very high you might have this. So what can be done as I previously told you decrease your weight not by much only 5-10kgs will be great. For this best thing is continuous 45min. to 1hr. walk daily. Kidney stones have nothing to do with OSA.

Now the next thing is to modify sleep habit you have to sleep on your side either right or left never on your back. This is best done by sewing something in your bunyan or your sleeping shirt. As the article refers to it as tennis ball trick. Do the throat exercises shown, this is very important as it prevents the collapse of your upper throat muscles during sleep.

But believe me these things I described or told in the article if done continuously will definitely treat the problem. Only small amount of patients require CPAP or surgery specially old people. You are young and this can be done. But your problem to me seems like more related to weak throat muscles than the fat surrounding the neck.

Thanks for confirming what I was thinking, I will start the exercises soon and try to sleep on sides, though its hard cause i love sleeping straight

[xubair.ashraf]

How about mayo hospital .?

Currently the gastro dept in mayo hospital is not good. Better try LGH or Sheikh Zayed. They have good departments.

[axe.effect]

Age: 63
Gender: Female

Medical history
Cholesterol and high Blood Pressure (not severe), taking medicines for both and all is under control. All tests results are within specied range.

Problem 1
The left shoulder started to pain six months ago and now its getting stiff.

It has almost no backward and upward movement. If it's moved in these two directions, stiffness and severe pain is felt.

This occurs more especially, while resting or lying on bed. I read earlier here about correct postures, which is being implemented.

Painkillers and Ibuspray (pain killer sprays) provide temporary instant relief.

Problem 2.
Pain in this gastrocnemius heads area.
http://www.freefitnessguru.com/Anatomy/images/legs%20back.jpg

Respectable Doctors, @anj3m @invincible_doc @epigenius @glioblastoma

Please shed some light on it.

[axe.effect]

@fazalwahab11375

Please update the doctors list in first post with user @glioblastoma.