Medical FAQs @ "No Hospital Specialist Memo, No Talk?!"
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can any MO give some advice?
it's regarding scoliosis..spine curve of cobb angle between 20 to 30 degrees? is this considered mild still? and what will the MO do ? temp downpes? -
so can i assume that it's ok to not declare my asthma condition since i have out-grown it?
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better just say so lah i guess, else like me half way come back. not a nice experience manOriginally posted by charleslee:so can i assume that it's ok to not declare my asthma condition since i have out-grown it? -
oh yeah, to the MOs here, just some inquirey i have..
how do you actually control URTI eh? cause every single morning i wakes up my nose like running tap like that, been like this for years, very piss of with it...
sudafet, piriton, loratadine, all i try liao, only effect i am seeing is increasingly drowsy in the day time and falling asleep faster at night.
any suggestion what i should do? any other new drugs on the market that actually combat URTI better? -
u may be sinus or rhinitis.Originally posted by snk86:oh yeah, to the MOs here, just some inquirey i have..
how do you actually control URTI eh? cause every single morning i wakes up my nose like running tap like that, been like this for years, very piss of with it...
sudafet, piriton, loratadine, all i try liao, only effect i am seeing is increasingly drowsy in the day time and falling asleep faster at night.
any suggestion what i should do? any other new drugs on the market that actually combat URTI better?
http://en.wikipedia.org/wiki/Rhinitis -
Usually, it is a problem the occurs after some kind of insult - like the cranial type of DI, after brain injury... I would say that it is very much rarer than diabetes mellitus (which is what you hear about in the news most of the time). But the water deprivation test is the first step to determining the cause of the DI. Treatment will need to start pretty soon, judging by the amount you're drinking!Originally posted by noahnoah:o damm it really chia lat
is tis a rare problem? -
hello snk86,Originally posted by snk86:oh yeah, to the MOs here, just some inquirey i have..
how do you actually control URTI eh? cause every single morning i wakes up my nose like running tap like that, been like this for years, very piss of with it...
sudafet, piriton, loratadine, all i try liao, only effect i am seeing is increasingly drowsy in the day time and falling asleep faster at night.
any suggestion what i should do? any other new drugs on the market that actually combat URTI better?
agreed with eac, it sound much more like rhinitis.
I usually prescribe my patients something more definitive than those you mentioned, which are only good for controlling symptoms (if at all) temporarily.
My best answer to your question is to:
1. identify possible allergens (allergy-causing sources) in your environment - e.g. dust, pollen from flowers; and avoid them
2. those medications you mentioned above
3. more targeted treatment - you'll need to see a doctor for this, but the most effective treatment are steroidal nasal sprays. I prescribe these to my respiratory patients and they find the most relief with this.
* some people are worried about steroid use, but my answer is that nasal steroids have much less side-effects than oral steroids, and the effect is mainly local - at the nose. Better than going around looking like Rudolf the red-nosed reindeer every single morning! -
Hello azoboi,Originally posted by azoboi:can any MO give some advice?
it's regarding scoliosis..spine curve of cobb angle between 20 to 30 degrees? is this considered mild still? and what will the MO do ? temp downpes?
it would help me very much if you could tell me your age, and whether your doctor mentioned how many curves you have (single/double)? These will affect long term outcome.
However, this notwithstanding, 20-30 degrees is considered significant already, actually at the point where surgery may be considered. But I don't want to scare you... -
Hi charleslee,Originally posted by charleslee:so can i assume that it's ok to not declare my asthma condition since i have out-grown it?
and following up on snk86:
I do recommend you declare the condition - even if it was childhood asthma. At least *touch wood* - if during training, you get an attack, the MOs will be better prepared to handle the situation. Having said that, most people who had "asthma" in childhood actually don't get it again.
IF you're very garang, and want to be a commando or something, at least tell your buddy - so he'll tell the medic etc if need be. -
happy Labour Day to you too!Originally posted by 32man:Dear green_saccades
You are right to say that a blood test may not reveal anything about gout. My uric acid is normal. However, the blood test shows that my red blood cell is low. I wonder what i can do next. On one hand, if I have gout, i should avoid meat, liver etc. On the other hand, if I have Anemia, i should eat more meat and food rich in iron. Very expected outcome.
Now my question has changed from Gout to is Anemia downgradable? My recent sign was that after my ippt test run, i vomit 2 times and find myself too tired to stand or walk, feeling that i am going to faint anytime. I never have such feeling before. So i ended up in the medical center and rest for some time. After which, i feel well again after an hour to drive home. Luckily i pass the test.
Happy Labour Day, which also my 33 birthday!
some help here-how low was your haemoglobin ?
and you can take iron Supplements (i.e. tablets) without eating meat - but must agree life will be quite miserable. By the way, the recent Symptoms you experienced after your 2.4 run may not be directly due to anemia - almost everyone is quite fatigued after the run.
PTI, commandos, SOF etc exempted, of course.
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Hello azoboi,
it would help me very much if you could tell me your age, and whether your doctor mentioned how many curves you have (single/double)? These will affect long term outcome.
However, this notwithstanding, 20-30 degrees is considered significant already, actually at the point where surgery may be considered. But I don't want to scare you...
erm i'm 19 this year.. i was referred to MMi by the unit MO. the MMI said he could not accurately measure but he know it was roughly more than 20.. i only have a single curve in the thoracolumbar region. and because i also have a SGH orthopaedic appointment, the unit mo entasked me to calll the SGH specs to advise him of the Cobb's angle and treatment..
so can you roughly guess what the unit MO thinking? is he considering me for downgrade pes temporary ? in the meantime unit MO excuse me long-term heavy load for 2 mths
anyway surgery is neccsary?i heard the specs at MMi said my condition is still MILD! he said more than 40 den can downpes..how true ? i feel it is damn unfair.. not that i am biased towards all mo or what, but i strongly think that it makes no sense to downgrade me and put me to serious treatment after it worsens.. why cant moderate scoliosis be considered siginificant n put me away from combat first.. i suggest practical actions be done before it worsens.. how can it be still mild! haissss.. -
ha ha... can't really read his mind but I agree with you...Originally posted by azoboi:erm i'm 19 this year.. i was referred to MMi by the unit MO. the MMI said he could not accurately measure but he know it was roughly more than 20.. i only have a single curve in the thoracolumbar region. and because i also have a SGH orthopaedic appointment, the unit mo entasked me to calll the SGH specs to advise him of the Cobb's angle and treatment..
so can you roughly guess what the unit MO thinking? is he considering me for downgrade pes temporary ? in the meantime unit MO excuse me long-term heavy load
anyway surgery is neccsary?i heard the specs at MMi said my condition is still MILD! he said more than 40 den can downpes..how true is it?
if the angle is >40 then that's moderate to severe. If you're closer to 20, then less likely to need surgery (=mild), but we really need the actual angle.
You're 19- which means your spine has more or less stopped growing. So there shouldn't be too much worsening of the condition. Do follow up with the sgh Ortho and get him to write a memo to your unit mo. -
sry i dont catch wat u said earlier in the post , "u agree with me" ? what u agree wif?
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hi azoboi,Originally posted by azoboi:sry i dont catch wat u said earlier in the post , "u agree with me" ? what u agree wif?
is there any possibility of temporary downpes? the system is too rigid..sry but i dont meant to criticse i juz feel damn unfair ..not that i am biased towards all MO or what, but i strongly think that it makes no sense to downgrade me and put me to serious treatment after it worsens.. .. why cant moderate scoliosis be considered siginificant n put me away from combat first..
i don't want surgery..it so dangerous esp where the spine is concerned..can i opt for braces ?
sorry I was very blur just now - just had a continuous 36-hour shift.
I agree with you that the MO is considering downgrading you temporarily until the specialist review for a permanent downgrade.
You're right that it makes no medical sense to wait for the condition to worsen then send you for treatment. Generally, at your age, your spine will be stable (in the sense that the curve will not get worse anymore). But because of the unnatural loading stresses on your backbone, you can develop severe pain, numbness/weakness etc if you're undergoing training.
I'm sorry I cannot do more but reassure you over this forum - if you want to speed it up and if you can afford it, consider going to a private specialist (you can opt for private consultation in SGH also). He can also write your camp MO the memo, at least to confirm the temp downgrade until the rest of the investigations are complete.
The option of surgery is absolutely YOUR choice, and nobody else's. SAF CANNOT force you to go for surgery to correct the spinal curve. Hence, the onus is on them to ensure that you don't come to harm.
Sorry I cannot help you very much more except to reassure you over this forum...
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can imagine i eat one meal i need to drink 6 cups of water!!!Originally posted by green_saccades:Usually, it is a problem the occurs after some kind of insult - like the cranial type of DI, after brain injury... I would say that it is very much rarer than diabetes mellitus (which is what you hear about in the news most of the time). But the water deprivation test is the first step to determining the cause of the DI. Treatment will need to start pretty soon, judging by the amount you're drinking!
and i also heard the medicine is very exp for controlling
DI!!!!!!!
last time i told the MO . he tell me
maybe you kena diabtics
crazy sia -
but i dun wanna be a PES B... so this means i nid not declare la?Originally posted by green_saccades:Hi charleslee,
and following up on snk86:
I do recommend you declare the condition - even if it was childhood asthma. At least *touch wood* - if during training, you get an attack, the MOs will be better prepared to handle the situation. Having said that, most people who had "asthma" in childhood actually don't get it again.
IF you're very garang, and want to be a commando or something, at least tell your buddy - so he'll tell the medic etc if need be. -
Which means you want to be PES A?Originally posted by charleslee:but i dun wanna be a PES B... so this means i nid not declare la? -
Dear green_saccades
here is my result, as you have asked me...
Uric Acid 6.7mg/dl
Haemoglobin 12.4g/dl
Any comments? My feet is much better now, i am trying out if i don't take the pain killer, will there still be any pain when i walk.
best regards to you
Thanks -
Your Hb=12.4 is borderline low-normal, but some other tests will allow us to check if there is a serious underlying problem - for example, iron-deficiency anaemia can be caused by poor iron intake, chronic blood loss; vitamin B12/folate deficiency can also cause anaemia; alcohol, certain medications etc...Originally posted by 32man:Dear green_saccades
here is my result, as you have asked me...
Uric Acid 6.7mg/dl
Haemoglobin 12.4g/dl
Any comments? My feet is much better now, i am trying out if i don't take the pain killer, will there still be any pain when i walk.
best regards to you
Thanks
Gout usually comes once a while ("flares"), so the painkillers are only useful if there is ongoing pain/inflammation. Unless your gout is persistent, I think you can safely withhold meds once the pain stops. -
well.... ya coz' i dun want my asthma to affect my life any more... n A allows me to be deployed to more possible vocations. i just do not want to be seen as a weakling just becoz' of a medical conditon tt has not acted up for a damn long timeOriginally posted by green_saccades:Which means you want to be PES A? -
hello Dr Green Saccades
i'm abit worried or perhaps falsely worried. why izit that when i squat too long without load, and as i slowly stand up and recover, both of my knees hurts especially.. if with load, it hurts more together with some weakness.. need to wait for a while for pain + weakness to go off.. is it normal?
running i have no difficulty , not much knee pains,, its only during normal squating with and w/e load to the knees.
kindly advise me..thanks for your time -
damn, our sgforums MO is gone.
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l like your enthusiasm!Originally posted by charleslee:well.... ya coz' i dun want my asthma to affect my life any more... n A allows me to be deployed to more possible vocations. i just do not want to be seen as a weakling just becoz' of a medical conditon tt has not acted up for a damn long time
If in doubt, you can go for an MCT (challenge test) to see if you still have asthma. But if it hasn't bothered you in a long time then I think you'll be okay.
But remember - NS training will be quite Xiong so be prepared!
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Ummm... it probably is quite normal. Without examining, difficult to be sure -Originally posted by azoboi:hello Dr Green Saccades
i'm abit worried or perhaps falsely worried. why izit that when i squat too long without load, and as i slowly stand up and recover, both of my knees hurts especially.. if with load, it hurts more together with some weakness.. need to wait for a while for pain + weakness to go off.. is it normal?
running i have no difficulty , not much knee pains,, its only during normal squating with and w/e load to the knees.
kindly advise me..thanks for your time
but if you can run with no problems, then don't worry too much
The pattern is not consistent with scoliosis-related Stress. -
ar ha, so u r the new MO...Originally posted by green_saccades:Ummm... it probably is quite normal. Without examining, difficult to be sure -
but if you can run with no problems, then don't worry too much
The pattern is not consistent with scoliosis-related Stress.