| Discussion in 'All Categories' started by Amjed - Jul 14th, 2014 8:44 am. | |
Amjed
|
My dear thank you so much for your cooperation , I am the Iraqi doctor who call you this morning about my mother condition,I will present her case to you as following; She is 64 years old lady,just 7 days ago she complained from frank painless haematuria , preceded by generalized weakness ,loss of appetite,loss of weight,depression,pale skin, Then she consult a urosurgeon who ask here to do blood ,urine tests and CT scan and the result was; Blood sugar 92 mg/dl Blood urea 32 mg/100 ml S.creatinine 0.6 S.uric acid 6.3 Pcv 34 WBC 8200 ESR 52 CT scan CT scan of the abdomin ( native and dynamic iv contrast study : Nearly 5.5 by 5 by 4.4 cm well defined cortical right renal soft tissue mass is seen with exophytic growth,central area of break down and no calcification. The mass showed significant enhancement within arterial phase after IV contrast injection with rapid wash out more than normal renal tissue in delayed phases. The mass not extend beyond Gerotas fascia with no major vascular or regional organs invasion ,no regional LAP, but Perinephric evident abnormal vessels and fat stranding are seen with normally functioning kidney. Abnormal intra-renal vascularity are seen goes with AV fistula with presence of upper pole 5 mm stone. Left kidney in size and function. Conclusion :? right renal cell carcinoma Then the decision of the urosurgeon is to do Radical Nephrectomy ,since the patient is known case of Myocarial infarction for 5 years ago,also she is has bronchial asthma ,then the urosurgeon ask to be evaluated by cardiologist to assess her fitness for surgery under GA; The report of cardiologist was as following : Hypertensive,IHD,female Moderate LV systole Dystolic EF = 36% RVSP =73mmhg She has high risk for the operation . My questions are; 1-Is the risk will be the same in your hospital ? 2- what type of anasthesia for this specific case your hospital will do?General anasthesia or spinal? 3-what type of surgery ? Anterior approach or laparoscopic operation? 4- what about the estimated cost in your hospital ? My best regards and wishes Yours Dr. Amjed Aljabri Iraq |
|
re: RenL cell carcinoma
by Dr.J S Chowhan -
Jul 15th, 2014
4:00 pm
#1
|
|
|
Dr.J S Chowhan
|
Dear Dr Amjed Aljabri Your mother is definitely high risk patient because of the H/O Myocardial Infarction. She will require pre operative Stress Thallium scan to see the viable heart muscle. Ideally the patients with boiopsy proven malignant disease should undergo open surgery because retrieval in minimal accesss surgery can lead to seedling of the cancer cells. The surgery will be done under general anasthesia. The estimated cost of this operation will be around USD 8000/ (Eight Thousand US dollars.) Thanks With Regards Dr J S Chowhan |
Accessing Expertise Anywhere: Free Online Medical Advice by World Laparoscopy Hospital
In an age where information is at our fingertips, the World Laparoscopy Hospital is taking the concept of accessibility and expertise to a whole new level. This renowned medical institution is offering a valuable service that transcends geographical boundaries - free online medical advice.
The Power of Digital Health
The digital revolution has significantly transformed the way we access healthcare information and connect with medical professionals. World Laparoscopy Hospital has harnessed this power to provide a platform where individuals from around the world can seek medical guidance from top-notch experts without leaving their homes.
The Importance of Medical Advice
Medical advice is a fundamental aspect of healthcare. It serves as a bridge between patients and the knowledge and experience of healthcare professionals. Timely and accurate medical advice can be a lifeline, offering reassurance, guidance, and potentially life-saving information.
World Laparoscopy Hospital: A Beacon of Medical Excellence
World Laparoscopy Hospital is globally recognized for its excellence in Minimal Access Surgery and surgical training. The institution's commitment to innovation, research, and patient care is evident in its mission to extend free online medical advice to those in need.
Key Features of World Laparoscopy Hospital's Online Medical Advice Service:
-
Expertise Across Specialties: The hospital boasts a roster of expert physicians, surgeons, gynecologists, urologists, and pediatric surgeons. This diverse range of specialists ensures that individuals can receive advice on a wide spectrum of medical issues.
-
Accessibility: The online platform breaks down geographical barriers. Patients from any corner of the world can access this service, making it especially beneficial for those in remote or underserved areas.
-
Convenience: Online medical advice is available 24/7, providing the convenience of seeking guidance at any time, day or night. This accessibility is particularly crucial for urgent medical queries.
-
Privacy: World Laparoscopy Hospital maintains strict patient confidentiality, ensuring that sensitive medical information remains secure.
-
Multilingual Support: Recognizing the global nature of its audience, the hospital offers support in multiple languages, enhancing accessibility for non-English speakers.
-
Holistic Guidance: The hospital's expert physicians provide comprehensive advice, addressing not only immediate concerns but also offering insights into long-term health and well-being.
Empowering Patients
The provision of free online medical advice aligns with World Laparoscopy Hospital's mission to empower patients and enhance healthcare outcomes. It allows individuals to take an active role in managing their health and seeking expert guidance when needed.
A Source of Reassurance and Knowledge
In times of uncertainty, illness, or when facing medical questions, World Laparoscopy Hospital's free online medical advice offers a ray of hope. It's a source of reassurance, a font of knowledge, and a testament to the potential of digital health in improving lives.
World Laparoscopy Hospital's commitment to providing free online medical advice represents a significant step towards democratizing healthcare. It brings the expertise of world-class medical professionals to anyone with an internet connection, offering guidance, hope, and the promise of better health. In an era defined by connectivity, this institution stands as a beacon of medical excellence in the digital landscape.
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.
