PICC Line Insertion

Health Q&A
68 year old Male

Detected BONE MARROW (Multiple Mylomia), in 2016.(Near spinal cord) Blood Test indicated 25% Plasma Cell, in 2016. So far done this Tests 16 times, till last month. Now it is 1 %. Should I take that now I have been cured almost of Multiple Myloma. No medicine since last 6 months. ( Before that took THALIX-100 : 1 Tablet /day.) Thanks

Conventional prostatic adenocarcinoma

What should be the next treatment? How can we treat this Conventional prostatic adenocarcinoma with neuroendocrine differentiation and an extensive small cell type? He has aged alot , psa is 1.1, Intense FDG uptake noted in peripheral zone of right lobe of enlarged prostate (measures 5.0x4.3 cm); SUVmax 10.9 FDG avid bilateral external iliac, left obturator nodes; ~ 3.1x2.5 cm, SUVmax 9.5 FDG avid few bilateral hilar, subcarinal, paratracheal, prevascular nodes (largest measures 1.8x0.9 cm; SUVmax 8.5), few of them demonstrating hyperattenuation of NCCT thorax: favours the granulomatous etiology. No other significant adenopathy noted FDG avid extensive lytic and marrow lesions (few with associated soft tissue; Intraspinal extension at the level of few dorsal-lumbar vertebrae and sacrum) are noted involving axial and proximal appendicular skeleton; SUVmax 9.5. Variable FDG avid varying sized hypodense lesions in both lobes of liver; largest measures ~ 2.5x3.0 cm (segment V), SUVmax 14.5

Reg colorectal cancer

I have been having mild abdomen pain for about two months. Showed it to two different doctors, got an abdominal ultrasound done and they said everything's normal and gave medicine for gastric trouble. However I'm really worried since I'm also getting occassional constipation and slightly flat stools at times though I did not notice any blood. Should I just go to a proctologist and get it checked out?

Blood cancer (Leukemia)

A teenager girl, having pain in the left side of my chest near heart for the past 4 months , got heart tests like Echo , ECG done , but the pain is still there with me , Sometimes blood , mucus comes in stool ( once a fortnight not very often) , weight fluctuates even after eating same foods, extreme tiredness, fatigue , and till now two times my ankles have swollen, nose bleed a little only once today.. Cardiac reports don't indicate any flaw , but I feel like my symptoms are with leukemia, by the way , I have my appointment with a grd doctor ( gastroenterologist) because parents are suggesting instead of any serious disease all this is included in grd disease, want to know what I can do.. please reply doctors..

Metastatic Tnbc

My mother was diagnosed upfront as metastatic breast cancer on Nov 2023. At that time it was ER PR positive Her2 negative so first treatment was taxol chemo 6 cycle and then tumor reduction and given palbociclib tablet with letrozole for an year and half hr then further scan showed increased. So again biopsy done and it showed tnbc and also ngs panel done and it says pic3 mutation and now completed 6 cycles of carbo and docetaxol chemo and waiting fof pet scan now but doctor sayinf next treatment will be Alpelisib and Fulvesterant injection. But this alpelisib is too costly here in india and also not sure whether insurance is gonna cover it. Any advise? Attached ngs report

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Doctors
Dr. William  Hicks - Internal Medicine
Dr. William Hicks Internal Medicine (Medical School, Fellowship in Neurology - Vascular, Residency in Neurology, Internship, Transitional Year, Medical degree, DO, Internship) 52 years experience Ohio State Brain and Spine Hospital
Weinland Park, COLUMBUS
Dr. JAMES G SIVARD - General Surgeon
Dr. JAMES G SIVARD General Surgeon (Medical School, Internship, Residency) 47 years experience OhioHealth Doctors Hospital
Forest Park West, COLUMBUS
Dr. Timothy  Moore - Internal Medicine
Dr. Timothy Moore Internal Medicine (Residency, Medical School, B.S., Internship-Internal Medicine, Residency in Internal Medicine, Clinical Fellowship in Hematology and Medical Oncology) 45 years experience Select Specialty Hospital - Columbus
Short North, COLUMBUS
Dr. Jeffrey  Zangmeister - Internal Medicine
Dr. Jeffrey Zangmeister Internal Medicine (Fellowship, Residency, Medical School, Internship, Residency in Internal Medicine, Clinical Fellowship in Hematology and Medical Oncology, Medical Education, Fellowship 2, Residency - ID, Class of 1981) 45 years experience Zangmeister Cancer Center
Columbus 43222, COLUMBUS
Dr. Michael A. Caligiuri - Internal Medicine
Dr. Michael A. Caligiuri Internal Medicine (Medical School, Residency, Summa Cum Laude, Phi Beta Kappa, Master’s Degree in Physiology, Medical degree, DO, B.A., M.A., M.D., Undergraduate Degree in Humanities and Health Science) 43 years experience The James Cancer Center
Columbus 43210, COLUMBUS