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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22570
Experience:  Over 20 yrs of Family Practice
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What is the prognosis of a carcinoid tumor and gastrinoma

Customer Question

What is the prognosis of a carcinoid tumor and gastrinoma
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Do you really want to keep talking about this one topic?
Customer: replied 1 year ago.
Tell me
Expert:  Dr. Chip replied 1 year ago.
Depends entirely on size and stage. For small ones detected early the prognosis is excellent as in over 98% cure, if you will.
Customer: replied 1 year ago.
How certain are you its a gastrinoma
Expert:  Dr. Chip replied 1 year ago.
I really don't know why you want to go over this time and time again--it only helps to stoke your anxiety. And unless I could tell you 100% one way or the other, you'd continue to worry about it. I'd say I'm about 70% certain you have a gastrinoma
Customer: replied 1 year ago.
Thats a high percentage. I keepgoing over this cuz im terrrified about it
Expert:  Dr. Chip replied 1 year ago.
Yes but what you don't seem to understand is it won't help your terror to keep talking about it.
Customer: replied 1 year ago.
It kinda does. Do you think its necessary to wait to repeat the gastrin and te chromogranin a test
Expert:  Dr. Chip replied 1 year ago.
Yes to both but I think you're dead wrong about the talking about it. We can't really get any further right now with what if's
Customer: replied 1 year ago.
Yes you think its nrcessarry towait to repeat it
Expert:  Dr. Chip replied 1 year ago.
I just said that--yes
Customer: replied 1 year ago.
Why
Expert:  Dr. Chip replied 1 year ago.
Simple--to see if the gastrin levels have dropped and to tell if there's more evidence that you have a gastrinoma
Customer: replied 1 year ago.
But why wait 3 months. Why not judt 1
Expert:  Dr. Chip replied 1 year ago.
It's a reasonable time frame to look for a significant change.
Customer: replied 1 year ago.
Not for simeone with anxiry
Expert:  Dr. Chip replied 1 year ago.
Too soon and the tests would be useless. Wouldn't tell you anything
Customer: replied 1 year ago.
I dont wanna worry abiut it until oct
Expert:  Dr. Chip replied 1 year ago.
Where are you going with this besides spinning your wheels?
Customer: replied 1 year ago.
No where i guess. How to i get control of my emotions?
Expert:  Dr. Chip replied 1 year ago.
Again, it's not the emotions that's the problem, it's what you do with them
Customer: replied 1 year ago.
I cry with no warning
Expert:  Dr. Chip replied 1 year ago.
Nothing wrong with that
Customer: replied 1 year ago.
Really? I dont think normal people do that
Expert:  Dr. Chip replied 1 year ago.
Still nothing that should keep you from doing the necessary things throughout the day
Customer: replied 1 year ago.
Do you think i was this depressed last summet
Expert:  Dr. Chip replied 1 year ago.
I think you've been depressed for even longer than that
Customer: replied 1 year ago.
What could rhis be
http://s1280.photobucket.com/user/Kate_Miller2007/media/image_zpsf7f6b5ea.jpg.html
Expert:  Dr. Chip replied 1 year ago.
Sore?
Customer: replied 1 year ago.
Yep
Expert:  Dr. Chip replied 1 year ago.
Looks like cellulitis--usually a strep infection
Customer: replied 1 year ago.
So can i give it a couple days to getbetter
Expert:  Dr. Chip replied 1 year ago.
Yes unless it starts spreading and you get a fever
Customer: replied 1 year ago.
Why dont you give up ob me
Expert:  Dr. Chip replied 1 year ago.
Why would I?
Customer: replied 1 year ago.
Because im frustrating. And i think at times i come off as ungrateful. And because i am really needy
Expert:  Dr. Chip replied 1 year ago.
True at times to all three but I don't consider giving up on someone just for those aspects
Customer: replied 1 year ago.
You do know im
Not ungrateful, right
Expert:  Dr. Chip replied 1 year ago.
Yes, I know that
Customer: replied 1 year ago.
I honestly dont know
What i would do if icouldnt talk to you anymore
Expert:  Dr. Chip replied 1 year ago.
Well I'm just one person and you really need to get more like me into your life
Customer: replied 1 year ago.
No
I just need you. Noone else
Expert:  Dr. Chip replied 1 year ago.
Well, not that I plan to, but what happens if I drop dead tomorrow?
Customer: replied 1 year ago.
Then i will
Be lost without you
Expert:  Dr. Chip replied 1 year ago.
Have you ever discussed with anyone like your therapist the fact that you don't seem to have at least one good friend?
Customer: replied 1 year ago.
Nope
Expert:  Dr. Chip replied 1 year ago.
And the subject was never brought up by any therapist?
Customer: replied 1 year ago.
None of them
Expert:  Dr. Chip replied 1 year ago.
Interesting. It would have been one of the first things I would have asked you about in the first session
Customer: replied 1 year ago.
If i got kicked off this site i wouldnt know what to do
Expert:  Dr. Chip replied 1 year ago.
So long as we play by the rules and don't go where you know we aren't supposed to it won't be a problem
Customer: replied 1 year ago.
But what if ido
Expert:  Dr. Chip replied 1 year ago.
You have total control over that
Customer: replied 1 year ago.
If i was suicidal would i tell you pr go to the er
Expert:  Dr. Chip replied 1 year ago.
Just go to the ER--don't talk about it here
Customer: replied 1 year ago.
You wouldnt want to know
Expert:  Dr. Chip replied 1 year ago.
It's not that--it's just that we can't have that kind of information on the page--totally against the rules
Customer: replied 1 year ago.
Well im not so its ok. Why cant we email
Expert:  Dr. Chip replied 1 year ago.
That's also against the rules
Customer: replied 1 year ago.
What does a 72 hourhold consist off
Expert:  Dr. Chip replied 1 year ago.
Usually in a locked ward with an evaluation by a psychiatrist to see if you can be released or whether you need to stay for longer than the 72 hours
Customer: replied 1 year ago.
If i opened up to them and told them
Everything would they keep me
Expert:  Dr. Chip replied 1 year ago.
That would depend--if they thought you were a danger to yourself they'd keep you until they were sure you weren't
Customer: replied 1 year ago.
Sometimes i take 10 ativan and 5-8 amitryptaline
Expert:  Dr. Chip replied 1 year ago.
Well, don't go into details but the amitriptylene in that amount can also damage your liver
Customer: replied 1 year ago.
Really? I know my brothers ishy friend took a whole bottle of it and they didnt think hed make it but he did
Expert:  Dr. Chip replied 1 year ago.
Let's switch subjects
Customer: replied 1 year ago.
Last
Thing have you had friends that killed
Themself
Expert:  Dr. Chip replied 1 year ago.
Not totally on purpose but I have had ones that overdosed and died
Customer: replied 1 year ago.
What?
Expert:  Dr. Chip replied 1 year ago.
What what?
Customer: replied 1 year ago.
How
Do
They not
Do
It on prispise
Expert:  Dr. Chip replied 1 year ago.
Just happens with drug addicts--they take too much that one time without realizing that's what they've done
Customer: replied 1 year ago.
Thats kinda scary
Expert:  Dr. Chip replied 1 year ago.
Well, addicts in general have no real fear of dying.
Customer: replied 1 year ago.
So um not an afffct
Then sknce im not afraid of dying
Expert:  Dr. Chip replied 1 year ago.
Didn't quite catch that
Customer: replied 1 year ago.
So im npt an addict
Since im afraid pf dying. How would i know if i took to much. Is there a magic number
Expert:  Dr. Chip replied 1 year ago.
You're going where we can't go. Switch the subject or I'll have to opt out
Customer: replied 1 year ago.
Maybe if i reword it differently. How does a pt when they need the er cs sleep
Expert:  Dr. Chip replied 1 year ago.
Didn't understand that one
Customer: replied 1 year ago.
How does a pt know after
Micing meds and alcohol whether they should
Go to the er or just go to sleep
Expert:  Dr. Chip replied 1 year ago.
They can't know. But I hope you're done with the alcohol
Customer: replied 1 year ago.
Do you want an honest answer
Expert:  Dr. Chip replied 1 year ago.
Don't go there--if you do I'll opt out and this time it will be for good
Customer: replied 1 year ago.
You would hurt me like that?
Expert:  Dr. Chip replied 1 year ago.
I just can't allow you to break the rules any more. If I did I'd be off this site and I couldn't help others like you. So I say to you--you would hurt ME like that?
Customer: replied 1 year ago.
No i wouldnt. Why cant we talk
Off this site
Expert:  Dr. Chip replied 1 year ago.
It's against the rules for us to trade email addresses
Customer: replied 1 year ago.
I know. But im going to run outta money soon
Expert:  Dr. Chip replied 1 year ago.
Then save your questions for when you really need me
Customer: replied 1 year ago.
Im sad
Expert:  Dr. Chip replied 1 year ago.
I can't really do anything about that
Customer: replied 1 year ago.
Do you think i can do a cysto without sedation
Expert:  Dr. Chip replied 1 year ago.
Most people can but in your case I think it would be difficult
Customer: replied 1 year ago.
Is thatmy fault
Expert:  Dr. Chip replied 1 year ago.
No
Customer: replied 1 year ago.
Why would it be difficult? Do you think it would be worth trying without sedation
Expert:  Dr. Chip replied 1 year ago.
If you could be still and let them do the procedure then no sedation would be needed so yes, it would be worth the try
Customer: replied 1 year ago.
If i cant will
You say im a failure. If i have a panic attack while they are doing it Nd i move will it hurt me
Expert:  Dr. Chip replied 1 year ago.
When did I ever say you were a failure? Potentially it could hurt you if you came off the table
Customer: replied 1 year ago.
How long does it take? Will they yse a rigid or flexible scope
Expert:  Dr. Chip replied 1 year ago.
Flexible and maybe fifteen minutes or less
Customer: replied 1 year ago.
Do you have any ideas how to keep the images out of my head while theybare doing it
Expert:  Dr. Chip replied 1 year ago.
Take an Ipod and listen to loud energetic music
Customer: replied 1 year ago.
I need to stop
Worruing about yhis dont i? Would you
Think less of me
If i didnt try
It without sedation
Expert:  Dr. Chip replied 1 year ago.
No, not at all
Customer: replied 1 year ago.
My
Big thing is
My immense fear of habing a panic
Attack whennthe put the scope in. My
Dad use
To domthings like that to me
When i was younger
Expert:  Dr. Chip replied 1 year ago.
Then have your psychiatrist tell the urologist you need sedation
Customer: replied 1 year ago.
But dont you think i
Dhould try it without
Expert:  Dr. Chip replied 1 year ago.
Well, the problem is that panic attacks can be self-triggered like a self fulfilling prophecy so I think it'd be best to get the sedation
Customer: replied 1 year ago.
So id be causing muyself
To fail
At this
Expert:  Dr. Chip replied 1 year ago.
Why the word fail so much and again, what did you mean when you said I had said you were a failure?
Customer: replied 1 year ago.
No
It was would you think i was a failure not that you said im a failure
Expert:  Dr. Chip replied 1 year ago.
I wouldn't look it as a failure. My way of looking at things is we're responsible for the effort and not the outcome. So, I guess, if we're talking about failure it would be a failure if someone didn't try something
Customer: replied 1 year ago.
If you were my dr what would you advise me to do
Expert:  Dr. Chip replied 1 year ago.
I'd go with the sedation, knowing what I know about you
Customer: replied 1 year ago.
It makes md feel like loser that i cant go through a simple procedure without sedation. How do i tell the urologist this. Do a lot of people do it with swdation and dont lie
Expert:  Dr. Chip replied 1 year ago.
Most people do go through it without sedation but not all of them. Just tell the urologist that you suffer from panic attacks and worry you might have one while on the table. I wouldn't look at it like you were a loser, any more than I'd consider someone who has novocaine for a toot being filled, even though I don't let the dentist use any local with my fillings
Customer: replied 1 year ago.
Why dont you let the dentist use local
Expert:  Dr. Chip replied 1 year ago.
The pain isn't that bad and I'd prefer not to go through have the day slobbering out of the side of my mouth and biting my tongue. My first dentist--my mother's older dentist--didn't use novocaine
Customer: replied 1 year ago.
Can i tell you something and you cant get mad at me
Expert:  Dr. Chip replied 1 year ago.
OK but be careful with whatever it is
Customer: replied 1 year ago.
My mom told me if i got drunk swx would be funner. But she was wrong And marty hurt me. And im such a whore
Expert:  Dr. Chip replied 1 year ago.
What is her problem anyway? Hurt you how?
Customer: replied 1 year ago.
I just want someone to love me. He put this thibg where it doesnt belong and now im bleeding some
Customer: replied 1 year ago.
Can you answer me now
Expert:  Dr. Chip replied 1 year ago.
Sorry--had to go to the store. So how do you think this means love?
Customer: replied 1 year ago.
It doesnt.
Expert:  Dr. Chip replied 1 year ago.
I agree.
Customer: replied 1 year ago.
When will it stop hurting
Expert:  Dr. Chip replied 1 year ago.
I don't know because I don't know how much damage was done
Customer: replied 1 year ago.
Im such a whore
Expert:  Dr. Chip replied 1 year ago.
No--you're just hurting and lonely and don't have anywhere to turn but to Marty and it's really unfortunate he's such a--in my humble opinion--worthless ass
Customer: replied 1 year ago.
I didnt want himto hurt me i promise. He fidnt even carw that he made me cry
Expert:  Dr. Chip replied 1 year ago.
So how long are you going to let this ass abuse you when you get absolutely nothing but pain from him?
Customer: replied 1 year ago.
I nly said yes cux mt mom said id be anle to enjoy it if i was drunk. I fidnt want him to. Will it feel better tomorrow
Expert:  Dr. Chip replied 1 year ago.
Hopefully it will but you need to stop taking your mother's advice. I really don't know what her problem is but she definitely doesn't have your best interests at heart
Customer: replied 1 year ago.
Why does it hurt whyd there blood
Expert:  Dr. Chip replied 1 year ago.
Something got torn--maybe your vaginal wall or a bruised cervix but I don't have anything more to say about it. If there's still a problem tomorrow you need to have it checked out
Customer: replied 1 year ago.
Thats not where he put it
Expert:  Dr. Chip replied 1 year ago.
Then it could be an anal tear or a rectal mucosal tear--in that case you definitely need it looked at tomorrow
Customer: replied 1 year ago.
No. Cant i just see if it gets better. I dont want anyone to touch me
Expert:  Dr. Chip replied 1 year ago.
Well you can of course but unless it's better in a day or two it needs looking at
Customer: replied 1 year ago.
Im sorry im sorry im sorry
Expert:  Dr. Chip replied 1 year ago.
I understand but seriously you need to keep away from Marty
Customer: replied 1 year ago.
Im sorry i shouldnt have let it happen. Do you think itll feel better tomorrow
Expert:  Dr. Chip replied 1 year ago.
I hope you do--it may only be a small cut and a bruise and nothing more.
Customer: replied 1 year ago.
Its sore and bleeding
Expert:  Dr. Chip replied 1 year ago.
What do you want me to say? Either you get it checked out or you don't
Customer: replied 1 year ago.
Dont be angry at me. Im crying, i shouldnt have let it happen. I blwed thid much

http://s1280.photobucket.com/user/Kate_Miller2007/media/image_zpsc514b16c.jpg.html
Expert:  Dr. Chip replied 1 year ago.
I'm not angry but you keep asking questions I've already answered. That's not a lot of blood so just put some pressure down there for the time being
Customer: replied 1 year ago.
What would you do if you were me
Expert:  Dr. Chip replied 1 year ago.
I'd have it checked out now.
Customer: replied 1 year ago.
Why? I want his yuckiness out of me
Expert:  Dr. Chip replied 1 year ago.
Don't play stupid here. I'd get checked out to make sure it wasn't A major anal tear or, worse, a perforated rectum
Customer: replied 1 year ago.
Dont be mean please. What will they do. Howdo i het his ishyness out of me
Expert:  Dr. Chip replied 1 year ago.
I'm not being mean but you know it could be a serious injury. Stop with the what will they do and don't try anything like a suppository or an enema for now. I have to be off so let me know how you are in the morning and don't post anything here more tonight
Customer: replied 1 year ago.
If i have preperation h can î try that
Expert:  Dr. Chip replied 1 year ago.
No--that might only make it bleed more
Customer: replied 1 year ago.
I need to get his semen out
Expert:  Dr. Chip replied 1 year ago.
Stop please--respect my wishes when I ask you not to post again. An enema could to more damage so it's up to you if you use one
Customer: replied 1 year ago.
T still hurts
Expert:  Dr. Chip replied 1 year ago.
If you won't get it checked out there's nothing more to say than wait it out
Customer: replied 1 year ago.
I feel dirty
Expert:  Dr. Chip replied 1 year ago.
You've felt that way before.
Customer: replied 1 year ago.
I shoulda stopped him
Expert:  Dr. Chip replied 1 year ago.
You were drinking--right?
Customer: replied 1 year ago.
Yes
Expert:  Dr. Chip replied 1 year ago.
Well, of course, that let's you off the hook
Customer: replied 1 year ago.
No it doesnt. I let hm violate me that same way my dad did. He told me i was pathetic as i was crying because it hurt
Expert:  Dr. Chip replied 1 year ago.
OK but there really isn't anything for us to discuss here. You need to finally decide to get Marty completely out of your life and move on.
Customer: replied 1 year ago.
How do i get his yuckiness out
Expert:  Dr. Chip replied 1 year ago.
I already told you you can't use an enema so you'll have to let your next bowel movement do that
Customer: replied 1 year ago.
Just fyi dr love said i could use an enema. If i go to the dr will they do a dre?
Expert:  Dr. Chip replied 1 year ago.
I'd do both a DRE and use a proctoscope to look at the rectal mucosa. There's no real need for an enema and while it might not do any harm, I can't agree that it's OK to use one
Customer: replied 1 year ago.
It wouldnt have happened if i werent semi-drunk last night. So i did kinda cause this to happen. Would you be ok with me waiting until wednesday to get checked out. I dont want to have a BM i think its going to hurt.


Thank you for being here for me
Expert:  Dr. Chip replied 1 year ago.
Wednesday is fine. I'm here for you but seriously this thing with Marty has gone on way too long
Customer: replied 1 year ago.
Im sorry
Expert:  Dr. Chip replied 1 year ago.
Don't apologize--just do something about it.
Customer: replied 1 year ago.
Iwont let him come over no more
Expert:  Dr. Chip replied 1 year ago.
Good
Customer: replied 1 year ago.
Am i pathetic
Expert:  Dr. Chip replied 1 year ago.
No
Customer: replied 1 year ago.
Is anal sex suppose to hurt
Expert:  Dr. Chip replied 1 year ago.
It can without lubrication and some gentle stretching of the sphincter before penetration
Customer: replied 1 year ago.
Last thing a out that. Do you promise the pain will go away?
Expert:  Dr. Chip replied 1 year ago.
In time yes
Customer: replied 1 year ago.
Can i take phenergan and sleep all day so i dont have to think about last night?


My throat still hurts and it feels like i cant swallow
Expert:  Dr. Chip replied 1 year ago.
OK on the phenergan.
Customer: replied 1 year ago.
12.5 or 25 mg ? And its ok to take it just so i can sleep

Is it possible i have yeast in my esophagus again and thats why it keeps hurting
Expert:  Dr. Chip replied 1 year ago.
25 and if it will help you sleep that's OK I don't think it's yeast
Customer: replied 1 year ago.
Then what is it. And will the phenergan make se sleepy
Expert:  Dr. Chip replied 1 year ago.
It could make you sleepy. I still think it's from the booze and the vomiting but only a scope would tell for sure
Customer: replied 1 year ago.
Do you think i need scoped
Expert:  Dr. Chip replied 1 year ago.
Not right now. Listen--the page is getting very long so we need to close soon. Anything else specific to talk about?
Customer: replied 1 year ago.
Nothing spefici. Even if there blood in my vomit
Expert:  Dr. Chip replied 1 year ago.
I've told you that that could indicate a bleeding vessel so it's basically up to your GI if and when to scope.
Customer: replied 1 year ago.
I used a phenergan suppository and it burns really bad
Expert:  Dr. Chip replied 1 year ago.
Not surprising--guess I though it would be a pill. Give it time, try to get some sleep, and please let's close the page
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22570
Experience: Over 20 yrs of Family Practice
Dr. Chip and 4 other Health Specialists are ready to help you
Customer: replied 1 year ago.
Will u look at mg new question
Customer: replied 1 year ago.
?
Expert:  Dr. Chip replied 1 year ago.
Meet you there

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