Dr. Candido Otero, M.D.

Shoulder pain can improve with time and conservative methods of treatment. However, the etiology of the pain in a joint are multiples and greater consideration on how it happened should not be left out. Now, the question is when and how it happened? What type of pain (Sharp or dull pain)? what aggravates the pain? If the pain is stronger when there is movement or is same. After answering those questions, I probably will get to the conclusion that maybe I need to see an orthopedic physician to do further tests and analysis (X-rays, nerve impeachment tests and other reliable test necessary). And most important, keep moving the shoulder. Please, see the heal care provider for those tests until you find the etiology. There are a few e.g., linear feature, arthritis, minimal tendinitis etc,). Thank you.

Those are possibly salivary stones. Please, see an otorhenolaringologist, ENT(Era Throat and Nose) specialist. They can help you. Thank you.

Listen, it could be something as simple as a lipoma or could be something more serious. Please, go to Healthcare provider to check that further. Thank you.

You will receive IV sedation and after the procedure you will be taken to a recovery area. Plan to have someone to drive you back home. You can continue your daily activities as soon as you feel adequate. However, it is recommended not submerging the skin area of biopsy in water (no swimming or wetting the area), and not strenuous exercises for at least a week. Please, check with your healthcare provider. Thank you.

If you immediately with soap and warm water, and is healing fine, you did what it suppose to be done. Almost never require rabies prophylaxis . thank you.

No, the procedure is called Fine Needle Aspiration Biopsy (FNA). It is a needle inserted in you bump area and whatever tissue is obtained from the procedure is stained and analyzed for the final diagnosis. No anesthesia is needed for the procedure. Thank you.

You will receive a local anesthetic at the biopsy site. Sometimes, general anesthesia depending on the type of lesion.

Usually takes three to four months to clear any drug from the blood system.

High CK levels can rise after heart attack, skeletal muscle injury and strenuous exercise. They can also go up after drinking too much alcohol. Chronic elevated levels can cause chronically fatigue muscle.. Levels greater than 5,000 U/L or greater, are associated with increased risk of Acute Kidney injury. Thank you.

Immediately. this is an office procedure that is done by your Urologist. Thank you.

The levels of creatinine that indicates problem are greater than 1.2 for women and greater than 1.4 for men. Creatinine 2.0 or more for children and greater than 5.0 or more for adults indicates severe kidney damage. Thank you.

General anesthesia is administered to make it easier for the patient to stay still during the procedure. Thank you.

Most likely not. There is Hepatitis A, B, C. If you have been diagnosed with Hep. B or C you are not eligible to donate blood. Thank you.

Some people with COVID-19 develop abnormal blood clots, including in the smallest blood vessels. The abnormal blood clots are very infrequent that it could happen. Every single injection can cause blood clot formation. But it is minimal. Every person should use their judgment on how to proceed with this issue. If your Dr. fudged the question as I am with this comment is because every person reacts differently. I have had four COVID vaccine and not the had happened. But this is only my experience. Thank you.

Perineurial invasion means that the prostatic adenocarcinoma extended beyond the prostate. This can put you at risk of metastatic prostate cancer, however, not necessary. Talk to your urologist, the one who did the prostatectomy and follow their recommendation. Most of the time they give radiation therapy. Then again I recommend for you to talk to you dr. Thank you.

Based on what I see, the lesions need to be cultured to see what is the final diagnosis. There are multiple etiologies that I can think and the best way to look at them is by doing a culture of the lesion. It could be viral, fungal or bacterial etiology. Thank you.

Lymphocytes: 6.1% Range 10.0 – 60. Granulocytes 100 Leukocytes 30.3%, range is 37.0-80.0. What it means is that there is a mild infection and that’s why those values are minimally elevated. Now, if the child gets a high fever, and becomes irritable, please take the child to the emergency room after calling your pediatrician. Toddlers usually get mild infections while building their immune system. Keep in contact with your pediatrician.
WBC = white blood cells: (LEUKOCYTES) Most of the time indicates that you are fighting infection or inflammation. Normal range is 4,500 to 11,000 WBCs per microliter (4.5 to 11.0 x 109/L).
There are three major classifications of WBCs. The main purpose of WBCs is to recognize intruders.
• Monocytes – They have a longer lifespan than other WBCs. They help to break down bacteria.
• Lymphocytes – They create antibodies to fight against bacteria, viruses, and other invaders to the body.
• Granulocytes – They kill and digest bacteria, fungi, and many other things. Neutrophils, Eosinophils, and Basophils are a subset of granulocytes. Basophils are mainly responsible for allergens. Eosinophils are responsible for parasitic infections. Thank you.

A needle or transbronchial lung biopsy is performed under light sedation and local anesthesia. Any procedure has their risk; however, the risk of lung biopsy is relatively low. You will be awake during the procedure. For open lung biopsy you will get general anesthesia. Thank you.

They will put you to sleep by giving you sedation. You will be put under deep sedation to general anesthesia. Immediately after the procedure they will take you to the recovery room until you are completely awake. Make sure you have someone will drive you back home. Thank you.

Do not drink alcohol for at least 24 - 48 hours. Thank you.