Top10MD Blog

WHAT A FEELING (ALL THE WAY DOWN TO YOUR TOES)!

 17 hours ago    Leave a comments (0)



Here’s a weird question – Do your toes or feet feel as if they were static television? The tingling sensation in one’s toes and feet is possibly one of the most difficult feelings to describe. There are many different ways to characterize the tingling. Regardless, everyone seems to recognize and relate to the feeling because it is more common than you think.

This sensation is known as paresthesia; it can be mild, severe, or even chronic.

Although it may appear as if your body is malfunctioning for a few minutes, the reality is that the tingling sensation is caused by various factors. For example, often times, tingling feet are caused by pressure on the nerves. Crossing your legs or sitting on your foot for a prolonged period of time can trigger paresthesia. Fortunately, this feeling disappears once the pressure is relieved. In addition, hormone imbalance, poor blood circulation, autoimmune diseases, vitamin deficiencies and migraines play a role in inducing tingling feet.  Unfortunately, tinging feet can sometimes be a symptom of more serious issues like diabetes and peripheral neuropathy (nerve damage).

Who Suffers From Tingling Feet?

About 20 million Americans have some form of peripheral neuropathy. If you know the feeling is solely temporary for you, then there is no reason to be alarmed. However, if the tingling sensation continuously occurs in your feet, you should consult a medical professional to see if there is an underlying condition or systemic disease that is causing the tingling.

Symptoms & Treatment

Some other symptoms that can accompany the tingling are pain, itching, dizziness, numbness, weakness, unconsciousness, rash, and loss of bladder or bowel control. If you experience any of these symptoms along with the tingling, consult a podiatrist as soon as possible. Treatments for tingling feet vary depending on the underlying cause. For example, if a lack of sufficient vitamin consumption is the issue, a vitamin supplement will be recommended. If it has to with diabetes, you will need to better control your blood-sugar levels.

Next time your feet start feeling like pins and needles are poking at them, analyze your situation and recognize whether or not it’s a serious problem and if you need to seek help. If not, momentarily enjoy losing your foot to the tingling sensation.

Podiatrist Dr. Dan Bhakta is a highly respected member of the podiatry community. Dr. Bhakta is the Founder and Director of Accent Podiatry Associates with two convenient locations in Arlington and Mansfield. He specializes in pediatric foot care, reconstructive surgery, sports injuries, limb salvage, and wound care; as well as peripheral nerve disease. Dr. Dan Bhakta has been named Top10MD 2016 | 2017. Only 1 in 3 doctors succeed with this recognition in the United States. To schedule a consultation with Dr. Bhakta or call 817.557.1006 today.


FACTS YOU MUST KNOW ABOUT GLUTEN ALLERGIES

 3 months ago    Leave a comments (0)



Is this gluten free?”

We’ve all heard this before. Whether you are the person behind the counter, or in line waiting to order, none of us are strangers to this question. However, what many people may not realize is that while this may seem like a question brought on by the recent gluten-free craze, gluten allergies do exist, and those who suffer from them really need to avoid gluten. To clear up a few misconceptions, here are a few facts you should know about gluten allergies.

What Is Celiac Disease?

It is possible for those with gluten allergies to develop celiac disease, which is a gastrointestinal disorder that affects the small intestine. This is caused by your body’s heightened sensitivity to gluten and can lead to GI issues such as diarrhea, which may indicate an allergy. A simple blood test from a medical professional can quickly diagnose celiac disease.  

There is a simple treatment for celiac, and it will require some effort: avoid gluten! By cutting gluten out of your diet, the allergen is no longer present in your body, and most GI issues will resolve themselves. Approximately 3 million Americans, or 1% of the population, suffer from celiac disease and must adhere to a very strict diet. With that many people dealing with the possibility of celiac disease as a result of any meal, “Is this gluten free?” may be a good question to hear!

Do Genetics Play A Role?

Don’t be so quick to blame mom and dad, but yes, genetics are involved in gluten allergies and can be inherited. If someone in your family tree had celiac disease or a gluten allergy, there is a chance that genetic predisposition can be passed down the family line.

Just like any other hereditary disorder, there is no 100% guarantee that it’ll be transmitted, as genes are inherited from both parents. That being said, the easiest way to determine if you may have inherited a gluten allergy is to ask family members if they have had issues in the past, and also visit a doctor. A gluten-free diet is a very manageable and common practice that millions of people live with daily.

Gluten Free Is Not Always Healthy…

This is a common misconception among those with and without gluten allergies. When shopping at organic stores such as Whole Foods and Trader Joe’s, it is easy to grab any product labeled “gluten-free” to serve at your next dinner party. Unfortunately, the absence of gluten does not guarantee a healthy snack.

Many of these foods are processed, which is unhealthy in its own right, but they can also be cross-contaminated with gluten. The easiest way to avoid gluten completely is to avoid processed foods. Do this, and your body will thank you!     

Gluten-free diets are much more than a passing fad. Many people are negatively affected by gluten and must avoid it at all costs. It must also be noted that gluten is not harmful to those who have no allergy. The best way to determine whether or not gluten is an issue for you to schedule a consultation with your board certified gastroenterologist today.

Dr. Jeffrey Linder is a Dallas Gastroenterologist practicing at Digestive Health Associates of Texas. He is Board Certified by the American Board of Gastroenterology and the American Board of Internal Medicine. Dr. Linder has two convenient locations in Dallas and Richardson offering state of the art techniques in gastrointestinal problems. Named Top10MD in 2016 – an honor only 1-in-3 doctors succeeds within the United States. To schedule a consultation with Dr. Jeffrey Linder, click on his profile or call his office at 214.941.6891


SCIENTISTS PREDICT LYME DISEASE TO SURGE THIS YEAR

 3 months ago    Leave a comments (0)



With kids heading off to camp this summer and families headed to the mountains or camping outdoors ticks can be a problem if not a life-long problem if infected with Lyme Disease or other tick related diseases. “It’s a good idea to take preventive measures against ticks year-round, be extra vigilant during the months of April-September when ticks are most active,” says Dr. Jeffery West Ticks transmit over ten diseases to humans and pets. Some of these diseases can be debilitating for the rest of you or your child’s life; it’s important to seek immediate care. Early recognition and treatment decrease the risk of serious complications later on.

Approximately 300,000 people in the United States are diagnosed with Lyme disease yearly; while only 30,000 of these are estimated to be reported to the CDC by state health departments. Ninety-six percent of Lyme disease cases come from 13 states.

HOW TO PREVENT LYME DISEASE

  • Avoid direct contact with ticks
  • Avoid wooded and brushy areas with high grass and leaf litter
  • Walk in the center of trails

REPEL TICKS TO PREVENT LYME DISEASE

  • Use repellent that contains 20 percent or more DEET, picaridin, or IR3535 on exposed skin for protection that lasts several hours.
  • Always follow product instructions. Parents should apply this product to their children, avoiding hands, eyes, and mouth.
  • Use products that contain permethrin on clothing. Treat clothing and gear, such as boots, pants, socks and tents with products containing 0.5% permethrin. It remains protective through several washings. Pre-treated clothing is available and may be protective longer.

FIND TICKS FROM YOUR BODY

  • Bathe or shower as soon as possible after coming indoors to wash off and more easily find ticks that are crawling on you.
  • Conduct a full-body tick check using a hand-held or full-length mirror to view all parts of your body upon return from tick-infested areas. Parents should check their children for ticks under the arms, in and around the ears, inside the belly button, behind the knees, between the legs, around the waist, and especially in their hair.
  • Examine gear and pets. Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and day packs.
  • Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on dry clothing after you come indoors.
  • If the clothes are damp, additional time may be needed.
  • If the clothes require washing first, use hot water. Cold and medium temperature water will not kill ticks effectively. If the clothes cannot be washed in hot water, tumble dry on low heat for 90 minutes or high heat for 60 minutes. The clothes should be warm and completely dry.

HOW TO REMOVE A TICK

  • Remove the tick as quickly as possible, do not wait for it to detach.
  • Use a fine-tipped tweezers. Grasp the tick as close to the skin as possible, and pull straight up with steady pressure. Then thoroughly clean the bite (and your hands) with rubbing alcohol and soap and water.
  • Kill the tick without touching it and throw it away. If you develop a rash or fever following exposure, see a doctor immediately.

SYMPTOMS OF LYME DISEASE & TICK ILLNESSES

  • Fever/chills: With all tickborne diseases, patients can experience fever at varying degrees and time of onset.
  • Aches and pains: Tickborne disease symptoms include a headache, fatigue, and muscle aches. With Lyme disease, you may also experience joint pain. The severity and time of onset of these symptoms can depend on the disease and the patient’s personal tolerance level.
  • Rash: Lyme disease, southern tick-associated rash illness (STARI), Rocky Mountain spotted fever (RMSF), ehrlichiosis, and tularemia can result in distinctive rashes:
    • In Lyme disease, the rash may appear within 3-30 days, typically before the onset of fever. The Lyme disease rash is the first sign of infection and is usually a circular rash called erythema migrans or EM. This rash occurs in approximately 70-80% of infected persons and begins at the site of a tick bite. It may be warm but is not usually painful. Some patients develop additional EM lesions in other areas of the body several days later.
    • The rash of (STARI) is nearly identical to that of Lyme disease, with a red, expanding “bull’s eye” lesion that develops around the site of a lone star tick bite. Unlike Lyme disease, STARI has not been linked to any arthritic or neurologic symptoms.
    • The rash seen with Rocky Mountain spotted fever (RMSF) varies greatly from person to person in appearance, location, and time of onset. About 10% of individuals with RMSF never develop a rash. Most often, the rash begins 2-5 days after the onset of fever as small, flat, pink, non-itchy spots (macules) on the wrists, forearms, and ankles and spreads to the trunk. It sometimes involves the palms and soles. The red to purple, spotted (petechial) rash of RMSF is usually not seen until the sixth day or later after onset of symptoms and occurs in 35-60% of patients with the infection.
  • In the most common form of tularemia, a skin ulcer appears at the site where the organism entered the body. The ulcer is accompanied by swelling of regional lymph glands, usually in the armpit or groin.
  • 30% of patients and up to 60% of children, ehrlichiosis can cause a rash. The appearance of the rash ranges from macular to maculopapular to petechial and may appear after the onset of fever.

Tickborne diseases can result in mild symptoms treatable at home to severe infections requiring hospitalization. Although easily treated with antibiotics, these diseases can be difficult for physicians to diagnose. However, early recognition and treatment of the infection decrease the risk of serious complications. Seek medical advice immediately if you have been bitten by a tick and experience any of the symptoms described here.

PATHOGENS TICKS CARRY THAT CAN CAUSE DISEASES

  • Anaplasmosis is transmitted to humans by tick bites primarily from the blacklegged tick.
  • Babesiosis is caused by microscopic parasites that infect red blood cells. Most human cases of babesiosis are caused by Babesia microtiBabesia microti is transmitted by the blacklegged tick.
  • Borrelia mayonii infection has recently been described as a cause of illness in the upper Midwestern United States. It has been found in blacklegged ticks. Borrelia mayonii is a new species and is the only species besides B. burgdorferi known to cause Lyme disease in North America.
  • Borrelia miyamotoi infection has recently been described as a cause of illness in the U.S. It is transmitted by the blacklegged tick and has a range like that of Lyme disease.
  • Colorado tick fever is caused by a virus transmitted by the Rocky Mountain wood tick. It occurs in the Rocky Mountain states at elevations of 4,000 to 10,500 feet.
  • Ehrlichiosis is transmitted to humans by the lone star tick, found primarily in the south central and eastern U.S.
  • Heartland virus infection has been identified in eight patients in Missouri and Tennessee as of March 2014. Studies suggest that Lone Star ticks may transmit the virus. It is unknown if the virus may be found in other areas of the U.S.
  • Lyme disease is transmitted by the blacklegged tick in the northeastern U.S. and upper Midwestern U.S. and the western blacklegged tick along the Pacific coast.
  • Powassan disease is transmitted by the blacklegged tick and the groundhog tick. Cases have been reported primarily from northeastern states and the Great Lakes region.
  • Rickettsia parkeri rickettsiosis is transmitted to humans by the Gulf Coast tick.
  • Rocky Mountain spotted fever (RMSF) is transmitted by the American dog tick, Rocky Mountain wood tick, and the brown dog tick in the U.S. The brown dog tick and other tick species are associated with RMSF in Central and South America.
  • STARI (Southern tick-associated rash illness) is transmitted via bites from the lone star tick, found in the southeastern and eastern U.S.
  • Tickborne relapsing fever (TBRF) is transmitted to humans through the bite of infected soft ticks. TBRF has been reported in 15 states: Arizona, California, Colorado, Idaho, Kansas, Montana, Nevada, New Mexico, Ohio, Oklahoma, Oregon, Texas, Utah, Washington, and Wyoming and is associated with sleeping in rustic cabins and vacation homes.
  • Tularemia is transmitted to humans by the dog tick, the wood tick, and the lone star tick. Tularemia occurs throughout the U.S.
  • 364D rickettsiosis is transmitted to humans by the Pacific Coast tick. This is a new disease that has been found in California.

Dr. Jeffery West is a Rockwall Otolaryngologist specializing in allergies and ENT surgery. Board Certified by the American Board of Otolaryngologists, Dr. West is Medical Director of Lakeside Allergy ENT with offices in Rockwall, Forney, and Wylie Texas. Named Top10MD in 2016 – an honor only 1-in-3 doctors succeeds within the United States. To schedule a consultation with Dr. Jeff West, click on his profile or call his office at 972-398-1131.

SOURCE: https://www.cdc.gov/ticks/avoid/on_people.html

IMAGE: Shutterstock


STRESS IS EVERYWHERE!

 6 months ago    Leave a comments (0)



Managing stress in the 21st century can feel like an overwhelming task. The demands placed on achievement, work-life balance, and shuffling between computers, tablets, and smartphones can easily flood your brain with overstimulation. When you’re unable to process the information adequately, it can lead to health problems with heart disease, stomach ulcers, and stroke.

Don’t let the everyday hustle and bustle get you down – there are simple steps you can take to get your mojo going again. Consider taking a few small steps towards relaxing your mind and body.

  • Don’t sit and simmer – move your body! If you work a desk job, set an alarm that goes off hourly to remind you to take a walk or get some fresh air. Movement can have a tremendous affect on your mental health.
  • Make time to do something you enjoy every day. It’s important you have YOU time.
  • Get enough sleep! Although it varies per individual, the average is eight hours per night to feel rested and rejuvenated the next day.
  • Don’t forget to breathe! A deep inhale and exhale can do wonders for clearing your mind and relaxing your muscles.
  • Find what is triggering your anxiety or stress. Is it work? School? A relationship? The first step to addressing your stress is by finding out where it’s coming from.

If you find these steps just simply are not enough to change, alter, or rid of your stressors, you can always turn to professional help. A board-certified psychiatrist can help.


IT’S NOT A RACE, IT’S A JOURNEY | WEIGHT LOSS

 6 months ago    Leave a comments (0)



As we settle into 2017, this year’s most popular new year resolution is weight loss with life improvement trailing behind in second place. These two resolutions are mutually beneficial. With life improvements, such as better eating habits, physical activity, and an overall general positive attitude, comes the increased opportunity to lose weight. In addition, weight loss can have huge benefits for improving your daily life, such as having more energy, feeling better mentally and physically, and lowering your risk for diabetes and heart-related conditions. Why not try for both? After all, you can have your cake AND eat it too!

According to the Centers for Disease Control, a surprising 1 in 3 Americans are considered obese – that’s somewhere between 26-32% of the US population. For some diet, exercise, and moderation can only take you so far in achieving the body you’ve always dreamed of. If you’re looking for a drastic change in your life this year, there is help out there! Dr. Sheetal Patel is one of Dallas’ premier bariatric surgeons. If your BMI is above where it should be perhaps its time to look at a gastric sleeve or other weight loss procedure. Call today to learn more. Monthly seminars are available.

Dallas Bariatric Surgeon Sheetal Patel, MD is Director and Founder of 360 Bariatrics. Dr. Patel is Fellowship trained and Board Certified by the American Board of Bariatric Surgery. Dr. Patel uses the Da Vinci Robotic System to perform robotic weight loss procedures, foregut surgery (hiatal/para-esophageal hernias) and uses single site robotic technology for the removal of the gallbladder. 360 Bariatrics enables patients to lead healthy, happy and productive lives without experiencing unhealthy weight gain in the future. Dr. Patell has been named 2016 | 2017 Top10MD an honor only 1-in-3 doctors succeeds with this recognition in the United States. Call Dr. Patel’s office today and schedule an appointment at (972) 596-5225.


THE WINTER ITCH | TREATING ECZEMA & DRY SKIN

 6 months ago    Leave a comments (0)



Winter is here! You reach for a cup of hot chocolate and curl up to the fireplace as the temperature continues to drop outside. That warm, cozy sweater you’ve been excited about wearing for the winter season is rubbing your skin raw – triggering an unpleasant itch and irritation. With continued scratching, you find your skin begins to develop a rash. You believe you just have dry skin, but in some cases, you have a condition called eczema. Eczema can be an embarrassing and frustrating issue. Those dry, itchy patches of skin seem only to worsen when cold, windy weather hits, leaving your skin even more inflamed and sensitive. Eczema is a common skin condition affecting over 31 million Americans yearly. Don’t suffer through the chilly winter with blotches or blisters; there are steps you can take to ease the irritation and tenderness.

So, What Is Eczema?

Eczema is a chronic skin condition, defined by itching, red, irritated skin. This skin condition occurs due to loss of moisture in the skin; while genetics can play a role in who develops eczema, it is commonly associated with seasonal allergies and hay fever. It can be exacerbated by contact with environmental irritants or allergens.

Symptoms of Eczema

  • Dry, itchy and scaly skin
  • Red rash on the elbows, knees, or nape of the neck
  • Rough, thickened skin on the neck, face, and around the eyes
  • Associated skin infections

How Do I Treat Eczema & Dry Skin?

For the winter season specifically, there are some tips and tricks you can try at home:

  • Moisturize Often. If you take long, hot showers, you probably know how dry your skin feels afterward. Throw in some cold, dry air on top of that, and you will be itching and peeling in no time. Thoroughly moisturizing on a daily basis can do wonders for your skin. Liberally apply a thick moisturizing cream or ointment to your body twice a day. Petroleum jelly is a cheap but effective option.
  • Avoid Irritants and Allergens. Hopefully, you have a pretty good idea as to what irritates your skin – do your best to avoid triggers. Wash your clothing with a detergent designed for sensitive skin. Choose soaps for sensitive skin. Avoid any perfume or chemicals that may aggravate eczema.
  • Humidifier. You may have noticed how the heater in your home can quickly dry out the air. The heat can do the same to your skin. Keep your environment free of dry air, with the use of a humidifier. However, be cautious not to allow the skin to sweat and overheat which may contribute to itching.
  • Visit your Dermatologist. Often if you have not been able to control eczema at home, your dermatologist may suggest a prescription-strength topical medication eases the inflammation and itching.

Winter is here for another two months– seek the opinion of a board-certified dermatologist today and rid your itch today. Call Dr. Daneeque Woolfolk and schedule an appointment.

Daneeque Woolfolk, MD is a board-certified Dermatologist in Dallas, Texas. Dr. Woolfolk’s practice, Blackburn Woolfolk Dermatology, PLLC provides the highest standard of care in medical, surgical, and cosmetic dermatology, and continually introduces the latest advances in treatment. Dr. Woolfolk has been named 2017 Top10MD an honor only 1-in-3 doctors succeeds within the United States. Contact Dr. Woolfolk today or call (214)630-5256.


IS BREAKFAST IMPORTANT?

 7 months ago    Leave a comments (0)



As a child growing up, we were told that breakfast is the most important meal of the day. But is this true? Often, we find ourselves skipping it. A survey by the NPD Group found that 31-million Americans, about 10 percent of the U.S. population, do not eat breakfast.  Some people skip it due to weight loss, lack of time or it’s simply too early to be hungry. Researchers found that each person reacts differently to missing breakfast. After extensive researching, there is no evidence that missing breakfast leads to weight loss or that eating breakfast leads to gain weight or less energy. Although skipping breakfast might necessarily not be harmful to your health, it can work in your favor in many ways. Breakfast not only gives you fuel but allows you to manage lunch portions and stave off hunger pangs.

“There’s no real standard definition of breakfast,” says Megan McCrory, Ph.D. McCrory tells us that some people consider a banana or yogurt a good breakfast, while others may eat a larger portion of eggs, bacon, and toast. The definition of breakfast varies from person to person. Regardless of what you eat, it will benefit you to have something in your stomach before starting your day as it helps to get your metabolism going.

What If I Grab A Donut?

A healthy breakfast is crucial! Donuts don’t cut it. It’s okay to treat yourself sometimes, but moderation is the key. It is better to stick with foods that are lower in sugar and carbohydrates as these can encourage more snacking throughout the day. High protein foods such as granola, lean meat, eggs, soy, Greek yogurt, and vegetables will give you lasting energy and help you feel fuller longer.

Breakfast & Disease

According to the American Journal of Clinical Nutrition, some diseases are associated with not having breakfast. A healthy breakfast helps to lower your chances of both diabetes and heart disease.

Although there is not any evidence that skipping breakfast is a risk to you, there are plenty of great reasons why you should make breakfast the first meal of your day.


NERVE PAIN VS. NERVE DAMAGE

 7 months ago    Leave a comments (0)



Nerve Pain and Nerve Damage are similar but not the same. The thing about it is, you can have one without the other, but you cannot have the other without the one. Let that sink in. Sounds like a riddle. You can experience nerve damage without nerve pain, but you cannot experience nerve pain without nerve damage. That may seem odd to you, but when you understand the difference between the two, you will understand how nerve pain and nerve damage works. Both are such a bother, but there are ways to get relief.

How Do Nerves Work, Exactly?

Nerves are all over the body. They work through electrical impulses. The nerves control the heartbeat, the lungs, and even muscles. You probably do not associate nerves with these parts of the body, but they are what control them. Without nerves, these body parts would not function properly. Nerve functions through electrical signals. As these signals are triggered, it creates a ripple effect until an action is produced. The brain controls it all. The brain acts like a tree. The nerves are like roots that extend out from the bottom of the tree. Although you cannot see them, they are crucial for the proper functioning of the brain. If there is damage, the brain cannot communicate with the area of the body that experienced the damage.

How Nerves Affect Your Game

If you are an athlete, nerve pain and nerve damage can end your career. It’s hard to have real success in your sport when you’re always in pain. For athletes, nerve pain and nerve damage tend to affect the extremities. Peripheral nerves are mostly affected. Athletes often experience injuries in their arms and legs. No matter what sport you play, it requires the use of your extremities. Over the years, your body undergoes a lot of wear and tear. Sometimes these injuries lead to pinched and damaged nerves. The bones and joints shift, and it can put pressure on the nerves. If that pressure is not resolved, you can end up with permanent nerve damage; causing lifelong weakness and numbness. When nerves become totally severed, you will end up with paralysis. If you are paralyzed, you have damaged your nerve, but you will not have any nerve pain. An accident can cause paralysis, but injury, especially, sports injuries are another reason. Normally paralysis is only in small portions of the body like the fingers or wrist. It is rare to become paralyzed in the arms and legs, but with the right amount of force, it is possible.

Treatment Can Help

No one likes being in pain, especially nerve pain. The pain can be irritating, and sometimes pain meds do not solve the problem. If you play sports, nerve pain is not a good sign. Seeing a sports medicine specialists is the best option at this point. They can analyze where the nerve pain or nerve damage is and provide you with the best treatment. Do not ignore nerve pain. Get the treatment you need before it becomes permanent.

Dallas Sports Medicine Specialist Dr. Sherine Reno is a Board Certified American Board of Physical Medicine & Rehabilitation Specialist focusing on performance sports medicine and injection procedures. Dr. Reno is Medical Director of Performance Sports Medicine, a clinic devoted to the treatment of pediatric to elite level athletes. Dr. Reno has been named 2015-2016 Top10MD an honor only 1-in-3 doctor’s in the United States succeed with this recognition. Contact Dr. Reno today on her profile or call 214.342.0400.


PROSTATE CANCER & THE GLEASON SCORE

 8 months ago    Leave a comments (0)



If you’re scheduled for a prostate biopsy, you will receive a Gleason score, which is a measure of how aggressively your cancer might behave. Pathologist Dr. Donald Gleason discovered this system in the 1960s. He founded the five different types of prostate cancer cells, ranging from least aggressive to most aggressive.

To begin, your doctor examines tissue samples from your prostate biopsy under a microscope. Your cancer tissue pattern will be compared with healthy tissue and assigned a grade on the Gleason scale of any number in the set 1 through 5.

  • Grade 1 – The least aggressive type of cancer cell; it looks the most like normal tissue.  
  • Grade 2, 3, 4 – The most common tumor patterns on the scale; much like Grade 1, these tissues pose little danger of spreading quickly.
  • Grade 5 – The most aggressive type of cancer cell and is recognized when the cancer tissues have spread through your prostate and differ widely from the features of healthy cells.

Many men have more than one prostate cancer cell type.

Every prostate cancer biopsy is assigned two numbers: the first is called the primary grade, it represents the most common type of cancer cell present. The second (or secondary grade) accounts for the second most common type of cancer cell present.  The sum of these two numbers is your Gleason score, a number between 2 and 10. The best score you can get is two (1 + 1). The lower your Gleason score, the less dangerous your cancer and the most reasonable a conservative approach would be.

  • Men with high Gleason scores (8 or greater) have a more dangerous and aggressive type of cancer. Their cancerous cells look very different from normal tissue, described as being “poorly differentiated.” This is still an early-stage prostate cancer since it has not spread, but if you are high-risk, it means your cancer is likely to grow or spread within a few years.
  • A Gleason score of 6 or lower is considered low-risk. This means your prostate cancer is unlikely to grow or spread to other tissues and organs for some years.  It is important that you know both of the numbers in your Gleason score. Discuss both your primary and secondary grade numbers with your doctor.  

To help guide you to understanding your Gleason score and the significance of it and lead you to the best treatment for your condition, make sure you talk to your board certified urologist about things other than your Gleason score.

  • Gleason scores predict the rate your cancer will grow, not your prognosis.
  • Make sure you also understand your cancer stage and your PSA level.

Understanding the whole picture is the key to zeroing in on the best treatment that suits your current condition.


WAX IN, WAX OUT

 8 months ago    Leave a comments (0)



You put your finger in your ear and feel something nasty and sticky. This is known as earwax. Most of us find it completely gross. Sometimes the thought is since you have ear wax, you did not clean your ears. This is not the case and contrary to popular belief, ear wax is a good thing. Ear wax is one of those things in the body that we find gross and see no purpose for but in actuality serves a major purpose.

What Is Earwax?

Ear wax may also be called cerumen. Sometimes you hear the term cerumen impaction at the doctor. This simply means the impaction of earwax inside the ear canal. Ear wax plays a very important role in the ear. It is part of the ear’s defense system. Ear wax protects the ear from foreign bacteria, debris, water, and insects. Ear wax helps in cleaning the ear as well as lubricating the ear. Some people naturally makes more ear wax than others. Having too much ear wax may seem like you will gain more protection, but it can create problems, specifically with hearing.

What Causes Earwax Impaction?

The more ear wax you make, the greater risk you have of getting wax impaction. Wearing hearing aids and earplugs a lot puts you at risk for ear impaction as well. When you think about cleaning your ears, the first thought is to grab alcohol and Q-tips. This is the worst thing you can do. Q-tips are bad because it pushes the wax further down into the ear canal. The wax ends up building to the point where sound becomes muffled. Sometimes it is not until this happens that you realize how important your ears are for balance. This impaction may cause dizziness as well as ringing in the ears. It may require a doctor’s visit to get the wax removed.

If you notice ear wax impaction, you should look for over-the-counter ear drops. The drops help dissolve the wax. When over-the-counter medications do not work, the doctor may have to use water and a syringe to rinse out the impacted wax. Once the wax is removed, you will feel much better. You will gain your balance back, and your hearing will be restored. Ear wax does not typically cause any damage or anything, so you do not have to worry about follow-up treatment.  

Managing Earwax

If you thought ear wax was disgusting at first, maybe understanding the purpose of it will help you like it more. Everyone has ear wax and some people just has more than others. If wax becomes impacted, it can have a direct effect on your hearing and balance. Although ear wax is good for you, you still need to make sure you clean your ears so that it does not build up. If you are suffering from too much ear wax, get the treatment you need. Make sure your ears are open and clear.  

Fort Worth Otolaryngologist Dr. Marc Dean is a Board Certified by the American Board of Otolaryngology and practicing full time in private practice. Dr. Dean specializes Otolaryngology/Head and Neck Surgery and conditions and diseases of the ear, sinus and disorders of the eustachian tube. Dr. Dean completed an Internship, in General Surgery and his Residency at Louisiana State University Health Science Center, where he now serves as Assistant Professor Otolaryngology/HNS. Dr. Dean is current President and CEO of the Otorhinologic Research Institute. Contact Dr. Dean today on his profile or call 817-332-4060. Dr. Marc Dean was named Top10MD 2015 | 2016. Only 1 in 3 doctors succeeds with this recognition in the United States.


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