Question 1

My mom had a cannula in her hand for 5 days and it's been about 2 days since it was taken out. She's really in a lot of pain where it was, and now that areas swollen and turned a blue-pink color. She says it feels like there's a throbbing or pulsating pain, almost like there's pus underneath, but we cant see anything. Any idea what might be going on?

Accepted Answer

Uterine fibroids can be managed without surgery, but a complete cure is often challenging. Medications can help alleviate symptoms, shrink fibroids, and improve quality of life.

*Medication Options*

1. *Hormonal therapies*: Gonadotropin-releasing hormone (GnRH) agonists, birth control pills, or progesterone can help reduce fibroid size and symptoms.
2. *Ulipristal acetate*: A medication that can shrink fibroids and reduce bleeding.
3. *Tranexamic acid*: A medication that can help reduce heavy bleeding.
4. *Non-steroidal anti-inflammatory drugs (NSAIDs)*: Pain relievers like ibuprofen or naproxen can help manage pain and cramping.

*Other Non-Surgical Options*

1. *Uterine artery embolization (UAE)*: A minimally invasive procedure that blocks blood flow to the fibroids, causing them to shrink.
2. *Magnetic resonance-guided focused ultrasound surgery (MRgFUS)*: A non-invasive procedure that uses ultrasound waves to heat and shrink fibroids.
3. *High-intensity focused ultrasound (HIFU)*: A non-invasive procedure that uses ultrasound waves to heat and shrink fibroids.

*Considerations*

1. *Fibroid size and location*: Larger fibroids or those located near the uterine cavity may be more challenging to treat without surgery.
2. *Symptom severity*: If symptoms are severe, surgery might be necessary.
3. *Age and fertility*: If you're trying to conceive, some treatments might not be suitable.

*Next Steps*

1. *Consult your gynecologist*: Discuss your treatment options and determine the best course of action for your specific situation.
2. *Monitor fibroid growth*: Regularly track the size and growth of your fibroids to adjust treatment plans as needed.

While medications and non-surgical options can help manage uterine fibroids, it's essential to work closely with your healthcare provider to determine the most effective treatment plan for your individual situation.

Question 2

I'm really worried about something that happened during a recent blood draw. At the private lab, I noticed the seal on the vacutainer needle was already torn before my blood was drawn, and now, a month later, I'm experiencing some unsettling symptoms like severe fatigue, headaches, dizziness, and red spots on my legs. My sore throat has continued, and there's a swollen lymph node near my elbow even after three months. I did an HIV test, the 4th-generation kind, and it came back negative after 8 weeks and 7 days. But I'm still concerned, especially since there was about a 7-minute gap between me and the previous patient. Can HIV be a concern here? Is it possible for vacutainer needles to be reused? I just want to understand if there's something more I should be looking out for.

Accepted Answer

Throat Pain After Vomiting

_Causes_

1. Stomach acid irritation
2. Inflammation of the throat lining

_Remedy_

1. _Stay hydrated_: Drink plenty of water to help soothe the throat.
2. _Gargle with salt water_: Mix 14 teaspoon of salt with 8 ounces of warm water to reduce inflammation.
3. _Throat lozenges_: Suck on lozenges or cough drops to help soothe the throat.
4. _Avoid irritants_: Stay away from spicy or acidic foods and drinks.
5. _Rest your voice_: Avoid talking or shouting to give your throat time to heal.

_When to Seek Medical Attention_

1. _Severe pain_: If pain persists or worsens.
2. _Difficulty swallowing_: If you experience trouble swallowing food or water.
3. _Fever_: If you have a fever over 101.5F (38.6C).
4. _Blood in vomit or saliva_: If you notice blood in your vomit or saliva.

Question 3

I've had some tests done for HIV after 3 months, and the results were non-reactive for both the 4th generation HIV test and the HIV RNA qualitative and quantitative tests. Does this mean I'm in the clear, or should I get them checked again? I've been experiencing some symptoms like swollen lymph nodes and a white tongue. Could these just be from stress, or should I be concerned?

Accepted Answer

Repeat it after 6 months and visit Physician for appropriate management

Yes ,continue same treatment as advised by the pulmonologist. If symptoms re-appear pulmonologist opinion is advised.

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