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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 32679
Experience:  Over 20 yrs of Family Practice
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What is the prognosis of a carcinoid tumor and gastrinoma

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What is the prognosis of a carcinoid tumor and gastrinoma
Do you really want to keep talking about this one topic?
Customer: replied 4 years ago.
Tell me
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 4 years ago.
How certain are you its a gastrinoma
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 4 years ago.
Thats a high percentage. I keepgoing over this cuz im terrrified about it
but what you don't seem to understand is it won't help your terror to keep talking about it.
Customer: replied 4 years ago.
It kinda does. Do you think its necessary to wait to repeat the gastrin and te chromogranin a test
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 4 years ago.
you think its nrcessarry towait to repeat it
I just said that--yes
Customer: replied 4 years ago.
Why
Simple--to see if the gastrin levels have dropped and to tell if there's more evidence that you have a gastrinoma
Customer: replied 4 years ago.
But why wait 3 months. Why not judt 1
It's a reasonable time frame to look for a significant change.
Customer: replied 4 years ago.
Not for simeone with anxiry
Too soon and the tests would be useless. Wouldn't tell you anything
Customer: replied 4 years ago.
I dont wanna worry abiut it until oct
Where are you going with this besides spinning your wheels?
Customer: replied 4 years ago.
No where i guess. How to i get control of my emotions?
Again, it's not the emotions that's the problem, it's what you do with them
Customer: replied 4 years ago.
I cry with no warning
Nothing wrong with that
Customer: replied 4 years ago.
Really? I dont think normal people do that
Still nothing that should keep you from doing the necessary things throughout the day
Customer: replied 4 years ago.
Do you think i was this depressed last summet
I think you've been depressed for even longer than that
Customer: replied 4 years ago.
What could rhis be
http://s1280.photobucket.com/user/Kate_Miller2007/media/image_zpsf7f6b5ea.jpg.html
Sore?
Customer: replied 4 years ago.
Yep
Looks like cellulitis--usually a strep infection
Customer: replied 4 years ago.
can i give it a couple days to getbetter
unless it starts spreading and you get a fever
Customer: replied 4 years ago.
Why dont you give up ob me
Why would I?
Customer: replied 4 years ago.
Because im frustrating. And i think at times i come off as ungrateful. And because i am really needy
True at times to all three but I don't consider giving up on someone just for those aspects
Customer: replied 4 years ago.
You do know im
Not ungrateful, right
I know that
Customer: replied 4 years ago.
I honestly dont know
What i would do if icouldnt talk to you anymore
Well I'm just one person and you really need to get more like me into your life
Customer: replied 4 years ago.
No
I just need you. Noone else
Well, not that I plan to, but what happens if I drop dead tomorrow?
Customer: replied 4 years ago.
Then i will
Be lost without you
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 4 years ago.
Nope
the subject was never brought up by any therapist?
Customer: replied 4 years ago.
None of them
Interesting. It would have been one of the first things I would have asked you about in the first session
Customer: replied 4 years ago.
If i got kicked off this site i wouldnt know what to do
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 4 years ago.
But what if ido
You have total control over that
Customer: replied 4 years ago.
If i was suicidal would i tell you pr go to the er
Just go to the ER--don't talk about it here
Customer: replied 4 years ago.
You wouldnt want to know
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 4 years ago.
Well im not so its ok. Why cant we email
That's also against the rules
Customer: replied 4 years ago.
What does a 72 hourhold consist off
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 4 years ago.
If i opened up to them and told them
Everything would they keep me
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 4 years ago.
Sometimes i take 10 ativan and 5-8 amitryptaline
Well, don't go into details but the amitriptylene in that amount can also damage your liver
Customer: replied 4 years ago.
Really? I know my brothers ishy friend took a whole bottle of it and they didnt think hed make it but he did
Let's switch subjects
Customer: replied 4 years ago.
Last
Thing have you had friends that killed
Themself
Not totally on purpose but I have had ones that overdosed and died
Customer: replied 4 years ago.
What?
What what?
Customer: replied 4 years ago.
How
Do
They not
Do
It on prispise
Just happens with drug addicts--they take too much that one time without realizing that's what they've done
Customer: replied 4 years ago.
Thats kinda scary
Well, addicts in general have no real fear of dying.
Customer: replied 4 years ago.
um not an afffct
Then sknce im not afraid of dying
Didn't quite catch that
Customer: replied 4 years ago.
im npt an addict
Since im afraid pf dying. How would i know if i took to much. Is there a magic number
You're going where we can't go. Switch the subject or I'll have to opt out
Customer: replied 4 years ago.
Maybe if i reword it differently. How does a pt when they need the er cs sleep
Didn't understand that one
Customer: replied 4 years ago.
How does a pt know after
Micing meds and alcohol whether they should
Go to the er or just go to sleep
They can't know. But I hope you're done with the alcohol
Customer: replied 4 years ago.
Do you want an honest answer
Don't go there--if you do I'll opt out and this time it will be for good
Customer: replied 4 years ago.
You would hurt me like that?
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 4 years ago.
No i wouldnt. Why cant we talk
Off this site
It's against the rules for us to trade email addresses
Customer: replied 4 years ago.
I know. But im going to run outta money soon
Then save your questions for when you really need me
Customer: replied 4 years ago.
Im sad
I can't really do anything about that
Customer: replied 4 years ago.
Do you think i can do a cysto without sedation
Most people can but in your case I think it would be difficult
Customer: replied 4 years ago.
Is thatmy fault
No
Customer: replied 4 years ago.
Why would it be difficult? Do you think it would be worth trying without sedation
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 4 years 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
When did I ever say you were a failure? Potentially it could hurt you if you came off the table
Customer: replied 4 years ago.
How long does it take? Will they yse a rigid or flexible scope
Flexible and maybe fifteen minutes or less
Customer: replied 4 years ago.
Do you have any ideas how to keep the images out of my head while theybare doing it
Take an Ipod and listen to loud energetic music
Customer: replied 4 years ago.
I need to stop
Worruing about yhis dont i? Would you
Think less of me
If i didnt try
It without sedation
No, not at all
Customer: replied 4 years 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
Then have your psychiatrist tell the urologist you need sedation
Customer: replied 4 years ago.
But dont you think i
Dhould try it without
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 4 years ago.
id be causing muyself
To fail
At this
Why the word fail so much and again, what did you mean when you said I had said you were a failure?
Customer: replied 4 years ago.
No
It was would you think i was a failure not that you said im a failure
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 4 years ago.
If you were my dr what would you advise me to do
I'd go with the sedation, knowing what I know about you
Customer: replied 4 years 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
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 4 years ago.
Why dont you let the dentist use local
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 4 years ago.
Can i tell you something and you cant get mad at me
OK but be careful with whatever it is
Customer: replied 4 years 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
What is her problem anyway? Hurt you how?
Customer: replied 4 years ago.
I just want someone to love me. He put this thibg where it doesnt belong and now im bleeding some
Customer: replied 4 years ago.
Can you answer me now
Sorry--had to go to the store. So how do you think this means love?
Customer: replied 4 years ago.
It doesnt.
I agree.
Customer: replied 4 years ago.
When will it stop hurting
I don't know because I don't know how much damage was done
Customer: replied 4 years ago.
Im such a whore
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 4 years ago.
I didnt want himto hurt me i promise. He fidnt even carw that he made me cry
how long are you going to let this ass abuse you when you get absolutely nothing but pain from him?
Customer: replied 4 years 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
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 4 years ago.
Why does it hurt whyd there blood
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 4 years ago.
Thats not where he put it
Then it could be an anal tear or a rectal mucosal tear--in that case you definitely need it looked at tomorrow
Customer: replied 4 years ago.
No. Cant i just see if it gets better. I dont want anyone to touch me
Well you can of course but unless it's better in a day or two it needs looking at
Customer: replied 4 years ago.
Im sorry im sorry im sorry
I understand but seriously you need to keep away from Marty
Customer: replied 4 years ago.
Im sorry i shouldnt have let it happen. Do you think itll feel better tomorrow
I hope you do--it may only be a small cut and a bruise and nothing more.
Customer: replied 4 years ago.
Its sore and bleeding
What do you want me to say? Either you get it checked out or you don't
Customer: replied 4 years 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
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 4 years ago.
What would you do if you were me
I'd have it checked out now.
Customer: replied 4 years ago.
Why? I want his yuckiness out of me
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 4 years ago.
Dont be mean please. What will they do. Howdo i het his ishyness out of me
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 4 years ago.
If i have preperation h can î try that
No--that might only make it bleed more
Customer: replied 4 years ago.
I need to get his semen out
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 4 years ago.
T still hurts
If you won't get it checked out there's nothing more to say than wait it out
Customer: replied 4 years ago.
I feel dirty
You've felt that way before.
Customer: replied 4 years ago.
I shoulda stopped him
You were drinking--right?
Customer: replied 4 years ago.
Well, of course, that let's you off the hook
Customer: replied 4 years 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
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 4 years ago.
How do i get his yuckiness out
I already told you you can't use an enema so you'll have to let your next bowel movement do that
Customer: replied 4 years ago.
Just fyi dr love said i could use an enema. If i go to the dr will they do a dre?
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 4 years 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
Wednesday is fine. I'm here for you but seriously this thing with Marty has gone on way too long
Customer: replied 4 years ago.
Im sorry
Don't apologize--just do something about it.
Customer: replied 4 years ago.
Iwont let him come over no more
Good
Customer: replied 4 years ago.
Am i pathetic
No
Customer: replied 4 years ago.
Is anal sex suppose to hurt
It can without lubrication and some gentle stretching of the sphincter before penetration
Customer: replied 4 years ago.
Last thing a out that. Do you promise the pain will go away?
In time yes
Customer: replied 4 years 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
OK on the phenergan.
Customer: replied 4 years 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
25 and if it will help you sleep that's OK I don't think it's yeast
Customer: replied 4 years ago.
Then what is it. And will the phenergan make se sleepy
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 4 years ago.
Do you think i need scoped
Not right now. Listen--the page is getting very long so we need to close soon. Anything else specific to talk about?
Customer: replied 4 years ago.
Nothing spefici. Even if there blood in my vomit
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 4 years ago.
I used a phenergan suppository and it burns really bad
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 and 4 other Health Specialists are ready to help you
Customer: replied 4 years ago.
Will u look at mg new question
Customer: replied 4 years ago.
Meet you there