General Medical issues thread

[DejaBrew]

Sending many positive vibes your way @mrsterryn for both you and your husband.

 

[Quickstatus]

It would appear that 14 days of Trimethoprim has cleared up wife's UTI.

on the advice of Urology

Run with that @JohnK.

 

[JohnK]

Run with that @JohnK.

Actually you won't believe me if I told you that I mentioned to Urology that a cystoscope could prove useful and Trimethoprim is the first antibiotic to help wife's UTI so we should have on hand to self medicate if symptoms return. They agreed.

Urology actually wanted CT scan with contrast but since wife had severe panic attack and paralysis last time we used contrast we declined.

We have further challenges as wife now has high Creatinin and low eGFR. Urology mentioned they do not treat this so we need to go back to GP after next blood test in a few weeks.

 

[Quickstatus]

We have further challenges as wife now has high Creatinin and low eGFR

That's no good.
Is this new or old?
Ordinarily something like this will need a kidney ultrasound or a Ct + contrast. The urologist can only deal with the bit below the kidney - the ureters/bladder. They do deal with kidney issues that are operable - like a tumour but that usually does not cause high creatinine. In your wife's case she needs some way to get images of the ureters if CT+ contrast unavailable. But in any case the high creatinine - see GP in the first instance.

Actually you won't believe me if I told you

Great- the thing to note is that treatments always involve a 2way discussion in order to get to a workable consensus. Finding your own way without the backup of some expert opinion is fraught with problems. Hence even Drs should never self diagnose or self treat.

 

[tgh]

I want to commend @Quickstatus for his calm and constructive contributions today.
Judge not lest ye also be judged… touche@Quickstatus...

Which line of though sent me here...

“I swear by Apollo the physician, and Asclepius the surgeon, likewise Hygeia and Panacea, and call all the gods and goddesses to witness, that I will observe and keep this underwritten oath, to the utmost of my power and judgment. I will reverence my master who taught me the art.

Hippocratic Oath - Wikipedia

en.wikipedia.org

 

[mrsterryn]

I want to commend @Quickstatus for his calm and constructive contributions today.
Judge not lest ye also be judged… touche@Quickstatus...

Which line of though sent me here...

“I swear by Apollo the physician, and Asclepius the surgeon, likewise Hygeia and Panacea, and call all the gods and goddesses to witness, that I will observe and keep this underwritten oath, to the utmost of my power and judgment. I will reverence my master who taught me the art.

Hippocratic Oath - Wikipedia

en.wikipedia.org

I also think that people like medical personnel and vets have to put up with a lot from people who delay, do the wrong thing etc and then the medical person takes that on board and assists .
They truly are amazing

 

[Quickstatus]

“I swear by Apollo the physician, and Asclepius the surgeon, likewise Hygeia and Panacea,

Who are these characters. Never swore anything to anyone IIRC. Never been drunk either IIRC so I think I would know

 

[JohnK]

That's no good.
Is this new or old?
Ordinarily something like this will need a kidney ultrasound or a Ct + contrast. The urologist can only deal with the bit below the kidney - the ureters/bladder. They do deal with kidney issues that are operable - like a tumour but that usually does not cause high creatinine. In your wife's case she needs some way to get images of the ureters if CT+ contrast unavailable. But in any case the high creatinine - see GP in the first instance.

This is something new. Kidney ultrasound does not show anything out of the ordinary. I've explained what CT + contrast does to my wife. We need to find a different way to diagnose damage to ureter.

And I never said anything about self diagnosing. But, if right flank hurts, dizziness and/or vomiting, itching and/or burning sensation urinating it's safe to say that someone with chronic recurrent UTI that it's UTI again.

With my case if lower leg is red and warm then more than likely it's celulitis not sunburn right?

And if you get laryngitis, pharyngitis or tonsillitis 3-4 times a year for many years it's safe to say that it's a re-infection.

A few years back I used to get oral thrush a lot from antibiotics. I used to bite and scrape tongue until it started bleeding. Very painful and stressful. I knew the symptoms but if I waited a few days it became too late. So I had fungilin + Nilstat handy all the time.

I'm not being argumentative but we need to understand the signals from our bodies. I leave the diagnosing to the GP but I need to be prepared.

 

[Quickstatus]

but we need to understand the signals from our bodies.

Yes I think that's important but I think the important underlying message is not to just assume it is A because A has occurred many times before and because it must be A, the treatment must be B

I wish it is as simple as that. Something called differential diagnosis comes to mind.