Following is the report of angiogram. Please give us your opinion. Coronary Angiogram Route : Right radial route Hardvvares : SF Tiger catheter Contrast : Iohexol
CAG report:
LMCA: Normal.
LAD : Type III vessel. Ostio proximal LAD shows 70, lesion. Mid LAD shows normal. Distal LAD shows diffusely diseased. Diagonal branches shows thin vessel with mild disease.
LCX : Dominant vessel. Proximal segment shows mild disease. Mid segment shows 70% long lesion, and after major OM shows 80% lesion. Major Om shows mild disease. PDA shows normal.
RCA : Non-dominant with thin vessel. Mild disease.
Im ression: CAD /Acute IWMI Two vessel disease. PLAN: PTCA to LCX ( Culprit Artery) PTCA to LAD later
Recently my father complained of mild chest pain..Doctors did an angiogram and found out that he has Triple Vessel desease. They have suggested PTCA to LAD & RCA.
We want to take a second opinion on this before going ahead.
Doctor's Answer
Hi,
I have seen the angiography report written by you. As many of the findings on angiography are subjective and can be decided by the interventional cardiologist while doing and watching the action of heart and flow of dye during the procedure itself ,it would be a good idea that you should discuss the result with the cardiologist himself.
As such blockages of less than 70% of artery does not need to be interference,they are better left to be managed medically.Life style changes and correctio ... Read Full Answer
I hv been having problems of dizziness, and spinning sensations since last 4/5 days. Had the same earlier abt 2 yrs back but on a very mild scale and they went away without any medication. This time it has been rather acute. Visited the physician and hv been prescribed Vertin 8 mg 1x3 times a day before bkfst, lunch and dinner. After three days feeling better but the sensations are still there albeit milder. Feel the spinning sensation especially when I look straight up/down and then bring the head back to normal posn.Again when I am changing sides on bed while lying down from left to right rpt left to right I feel the same sensation. Tho' the dizziness and the spinning sensations are less now after taking the dosages of Vertin 8 last three days would u hv any advice as to how long it takes normally for the problems to be totally eliminated? I am particularly concerned as I am, tho' a retired person, a man of fairly active habits and for the various domestic chores often hv to drive quite a bit in heavy city traffic and as a result of this problem am completely grounded which is affecting our day-to-day life styles and needs.
Doctor's Answer
Hi,
Tablet Vertin is used for relief of vertigo due to several reasons, but it is to be known why is this vertigo occurring. For that reason MRI and other tests needs to be done.
The possible causes could be some problem in the brain or ear. If there is chronic disease in the ear, the internal ear is effected and there will be vertigo. The duration of vertigo will depend on the cause. To prevent worsening of symptoms during episodes of vertigo, try the following:
- Keep still, sit or lie dow ... Read Full Answer
Doctor my mother aged 63yrs have DVT. When scanned the report says following; 1- grey scale imaging shows enlarge diameter of Common Femoral Vein (CFV) & Superficial Fomoral Vein (SFV). 2- Color Doppler reveals non-fillilng of external lilac vein on the left side. Partial filling of colour is seen in the left CFV & SFV. The Popliteal vein does not show any colour filling. The Peroneal and Posterior Tibial veins are filling with the colour. Anterior tibial vein could not be identified on colour Doppler. 3- Doppler imaging shows mid respiratory plasticity in CFV. There is very poor Response to distal augmentation in the CFV. 4- Great Saphenous vein is Patent.
IMPRESSION- Deep vein thrombosis in lower limb involving External lliac vein, CFV,SFV & Popliteal vein, and possibly Anterior Tibial Veins. There is partial recanalisation of CFV & SFV. Posterior Tibial and Peroneal veins are patent.
Suggested clinical correlation.
Scan copy added to the medical record in the profole.
that the above is the report of the radiologist now what medicine you prescribe ,how to take and when to review the report? .whether the same will be cure or the patient should be in medicine for life long,what are the immediate risk?
Doctor's Answer
Hi,
The Doppler examination shows a thrombus in the deep veins with partial recanalization. This suggests that the thrombus is of a chronic nature. The Doppler can be repeated after one month of treatment to see residual thrombus.
We do not provide any prescription. For this you have to visit an internal medicine specialist.
Feel free to ask more questions. ... Read Full Answer
Dear Sir, Madam,
I am Gurumurthy  working in a private organisation, I am put up at Chikkabanavara, Heasraghatta road, Bangalore 90
I have 2 son's elder son is studding in 10th standard & the younger son is complected his 6 th standard.
My younger son  is having some Hyperactivity's &  learning disabilities & also a slow learner.
Through some references i come to know in your school your providing a special education to these king of children's
I have enclosed the Doctor report as well as the Psychologist report for your verification.
Requesting you to Please provide education to my son.
I've been recommended to have a wisdom tooth pulled because it has long roots and is near a nerve (and artery?). I'm living in South Korea so it's hard to understand exactly whats up. If this is the case, is this an emergency or could I wait 6 months until I'm back in the USA to clear it up.
Doctor's Answer
Hello there,
First of all let me assure you that whenever any doctor inspects a patient, he or she will usualy recommends a procedure which is in the best interest of the patient on a longer run, this is also known as an ethical approach & practice(This totally depends on the doctors practice, individually).
Secondly as you have mentioned there is no pain in the wisdom tooth, there may not be an immediate nerve involvement for that tooth but there is a certain possibility ... Read Full Answer