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Dr. Chip
Dr. Chip, General Practice
Category: Urology
Satisfied Customers: 32776
Experience:  Years of experience with general surgery and urgent care
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I am looking for a consultation with a urlogist, Actually

Customer Question

Hi I am looking for a consultation with a urlogist
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Actually this is for my father We went to a general practitioner she said can't say anything without looking at the reports
JA: Anything else in your medical history you think the doctor should know?
Customer: he had kidney stones for a while 1 year ago he had a KUB which showed the stones were shrunk to 0.2 MM
JA: Is the condition chronic, or acute?
Customer: he didn't have anything till recently from 2 weeks the pain around back and lower front has increased sure
Submitted: 11 months ago.
Category: Urology
Expert:  Dr. Chip replied 11 months ago.

Hello and welcome. I'm Dr Chip

Has he had another x-ray or a ct scan to look at this?

Which side is the pain on and is it the same side as the previous stones?

Customer: replied 11 months ago.
Both sides on back. lower abdomen front. When he urinates, it eases the pain but does not go away completely.
Customer: replied 11 months ago.
He is visiting and don't have insurance so did not have any tests/ultrasounds/xrays/ct scans done yet.
Customer: replied 11 months ago.
He did KUB and blood DR test an year ago which I already communicated to you.
Customer: replied 11 months ago.
Just taking painkillers right now for pain.
Expert:  Dr. Chip replied 11 months ago.

Thanks.

So did he see a doctor this time, and, if so, did he have a urinalysis done?

Customer: replied 11 months ago.
We saw an internal physician but didn't do any tests. She recommended doing ultrasound and blood work but as I told you he don't have any insurance so haven't done anything yet. Can you recommend any place where we can have free/cheap tests done in massachusetts?
Expert:  Dr. Chip replied 11 months ago.

Where exactly are you located?

Customer: replied 11 months ago.
Watertown, MA, 02472
Expert:  Dr. Chip replied 11 months ago.

http://www.freeclinics.com/det/ma_Joseph_M_Smith_Community_Healt

That clinic has a sliding scale fee for service so it should be affordable for him.

I would like to say, though, that this sounds like a prostate gland infection and not a kidney stone problem, so all he would need is a digital prostate exam and a urinalysis to confirm that, and then a two week course of antibiotics like Cipro or Septra which can be gotten generically for a relatively low price.

Please let me know if you need any more information

Customer: replied 11 months ago.
hmm thanks. So do you think they can do these tests?
Expert:  Dr. Chip replied 11 months ago.

Yes they can--just an exam and a dipstick of his urine is all it takes

Customer: replied 11 months ago.
Also will you be able to put in a prescription if we got to the point for starting the medications?
Customer: replied 11 months ago.
Sounds good. So after the test can we contact you again for followup in the same price?
Customer: replied 11 months ago.
do we need to do any ultrasound to rule out kidney stones or you think that is not required at this point?
Expert:  Dr. Chip replied 11 months ago.

No--that would be illegal since he isn't my patient. All we do here is answer medical questions.

This page will stay open and you can come back to it even if you rate my service to you which I would ask you to do now.

I'll be more than happy to follow up with you for no further cost.

I personally wouldn't do the ultrasound since I don't think this is a kidney stone problem

Customer: replied 11 months ago.
OK. So how can he get the medication then?
Expert:  Dr. Chip replied 11 months ago.

That clinic can give him a prescription and he can fill it at any pharmacy there.

Like I said, for generic Cipro or Septra it shouldn't cost very much

Customer: replied 11 months ago.
Great! Thanks for your help. Appreciate that.
Expert:  Dr. Chip replied 11 months ago.

My pleasure and I'll be here if and when you need me again