Steroid producing tumor

For postcraniotomy surgery, all general patient care concerns apply. General neurologic status and ICP remain the assessment priorities. Positioning of the patient after surgery depends on the procedure: after supratentorial craniotomy, the head of the bed should be elevated 30° and the patient positioned on the side to promote venous drainage, reduce cerebral edema, allow drainage of secretions and prevent aspiration. After infratentorial craniotomy, the patient should be kept flat for 48 hr but log-rolled side to side every 2 hr to minimize complications from immobility. Because brain tumors and their treatment frequently result in residual disabling neurologic deficits, a rehabilitation program should be started early. Physical and occupational therapists help the patient maintain independence and quality of life and provide aids for self-care and mobility. If the patient is aphasic or develops dysphagia, a speech pathologist must be consulted. Depression is common, and psychological consultation for behavioral or drug therapies may be helpful.

Ninety-five percent of all carcinoids are found in the appendix, rectum, or small intestine. 9 The remainder arise outside of the intestinal tract (., in the ovary or testis). In general, the larger the primary tumor, the greater the likelihood of metastasis, which provides prognostic implications. 9 Carcinoids of the appendix and rectum rarely manifest with the carcinoid syndrome. Forty percent to 50% of patients with carcinoids of the small intestine or proximal colon have manifestations of the carcinoid syndrome. 10 Tumors that secrete their hormonal product into the portal venous system do not cause flushing, because the released amines are inactivated by the liver. In contrast, liver metastases may escape hepatic inactivation and deliver their product directly into the systemic circulation, hence causing flushing. 9 Pulmonary or ovarian carcinoids release pharmacologic products directly into the venous circulation, bypassing the portal system, and can therefore cause symptoms without metastasizing to the liver. 1,10

Hi Tony,
Quite new to all of this. Scared, and frustrated mostly.
I saw that you have met with Dr. Fraker at UPenn. My husband is meeting with him next week.
Gallbladder attack with zero prior symptoms. 4 days in the hospital, ridiculous amount of scans and labs and such. Although the gallbladder remained “unidentifiable” a surgeon suggested it’s removal as my husband was with fever and unable to eat without vomiting violently.
Laparoscopic surgery. Gallbladder torn during event. Thickened omentum biopsied. Both samples sent to pathology. Adenocarcinoma with Signet Ring Cell and Mucousis features of both, as well as a gangrene gallbladder. Found out via a phone call 2 hours after surgeon released my husband free and clear to resume all pre operative activities. Ouch. His gallbladder was literally a dead organ…and they didn’t pick up on this?!

Dr Mercola has articles stressing the damage soy can do unless it is fermented which is only a few soy products. Soy milk and edamame are not on the list of safe soy as they are not fermented. Both are damaging to gut lining and, according to his research articles, hormone disruptive. Since he is careful to have extensive research and studies supporting his study, this is very conflicting. I often work with women that have major hormone issues. It’s troublesome to see two highly respected doctors -Dr Mercola and Dr Greger at opposite ends of the spectrum on soy -unless I am missing a component in this info vs Dr Mercolas?

Steroid producing tumor

steroid producing tumor

Dr Mercola has articles stressing the damage soy can do unless it is fermented which is only a few soy products. Soy milk and edamame are not on the list of safe soy as they are not fermented. Both are damaging to gut lining and, according to his research articles, hormone disruptive. Since he is careful to have extensive research and studies supporting his study, this is very conflicting. I often work with women that have major hormone issues. It’s troublesome to see two highly respected doctors -Dr Mercola and Dr Greger at opposite ends of the spectrum on soy -unless I am missing a component in this info vs Dr Mercolas?

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