Questions to doctors
41 questions
Lump in my breast
07 September
I have noted the lump in my breast periodically appeared following breastfeeding my first child (as a result of plugged duct). I did an ultrasound, but it revealed nothing, as if everything was normal. I knead my breast periodically and feel pain at those moments. Now I am pregnant, due date is on 20th. What should I do?? When to examine my breasts, is it possible to perform the examination during pregnancy and lactation?
The "lump" in the breast cannot occur after feeding, even if it was the plugged duct. You should not "knead" the breasts. If there is a problem or even if you t...
Benign disease
07 September
I have a benign lump in one breast size of 12.0*9.9 mm. Puncture or a biopsy will be done next week. I was told by mammologist that surgery is needed. As far as I know, concerning the surgery, axillary lymph nodes are to be removed together with the tumor. I also know that in Europe lymph nodes are testes for specific markers and only affected ones should be removed; if lymph nodes are no affected, they are not to be dissected and the surgery is minimally invasive. So what is your approach? Does it make sense to do it or you have the same methods and the same equipment?
If histological examination of the sample reveals fibroadenoma of basic type or tissue hyperplasia without atypia, or nodular type fibrocystic condition of the ...
Melanoma
07 September
My mom had a mole (suspected for melanoma) removed in November 2015. Histology revealed lentigo melanoma in situ. We checked the slides back in the Netherlands, and the diagnosis was a superficial spreading melanoma of Clark 3 Т1а Beslow 0,8 stage; re-excision with capture of 1 cm of healthy skin is recommended. Is it possible to make re-excision and subsequent histology in your hospital? If so, how soon?
We absolutely agree with the opinion of the European colleagues: re-excision with a wider offset is required; according to the Russian Protocol it is necessary ...
A spot on the back and chest
07 September
I have a spot on the back and chest, what could it be?
A spot on the skin is one of the most common symptoms of various skin diseases. Infectious (viral, bacterial or fungal) as well as noninfectious skin including ...
Batkaeva Nadezhda
Allergist, Dermatovenerologist, Mycologist, Ph.D. of Medical Sciences
Uterine cancer
07 September
My mom was diagnosed with the uterine cancer. She is 68 years of age and has an obesity of 4th grade (the growth of 166 cm, weight 135 kg) and hypertension. Admission to the radiology department was recommended. What should we do? As far as I know the surgery is the only method for cancer of the uterus to be removed. Is it really so that this surgery is only possible for young and relatively healthy persons?
It is not quite so. We can operate on any patient, but the issue is which complications can lead to patient’s death and which of them can just delay the recover...
Nosov Vladimir
Obstetrician-gynecologist, Surgeon, Oncologist, Oncogynecologist, Ph.D. of Medical Sciences
Dermoid cyst and pregnancy
07 September
An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have the 3rd child, another ultrasound was done today. The doctor said that the cyst had increased. I am concerned about it. Don't know where to start. What tests are needed? Thank you.
Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we pe...
Total knee replacement
07 September
My mom suffers from gonarthrosis for the past three years. Despite treatment by injections the pain is still present. MRI revealed a meniscal tear in the posterior horn, the presence of small bony osteophytes on the patella, a small amount of fluid in the joint cavity (signs of exudative synovitis were detected) joint space is asymmetrically narrowed in the medial segment. The pain is ongoing but the knee remains flexible. Tell me, please, whether the surgery is contraindicated for meniscal tear in case of arthrosis? Is it possible to do an arthroscopic surgery on the meniscus in our case or it should be «major» surgery? And what would you advice concerning knee replacement for the...
It is necessary to make an X-ray of the knee in direct projection in standing position. If it turns out that there is no medial cartilage in the medial area, th...
Kardanov Andrey
Surgeon, Traumatologist and orthopedic doctor, Endoprosthetics, Doctor of Medicine, Professor
Pain
07 September
I am 19 years old, professionally engaged in weightlifting. I did an arthroscopy of both knee joint a year ago, now feel pain in them and it prevents me from training at full capacity. I visited a traumatologist, and «osteoarthritis of 1 degree» was diagnosed. Could you advise me some medicines or anything else to relief the pain? Thank you very much for the answer!
First of all you should undergo an MRI and find out what was done at arthroscopy; if it’s really an arthrosis of 1 degree, hyaluronic acid injections are possib...
Question to Dr. Yakobashvili
07 September
Tell me, please, at which age child's hearing should be checked-up if we were informed at the hospital before discharge that one ear does not hear. At the moment the child’s age is 1.5 months. Thank you.
These tests done in the hospital are often false negative. Hearing can be tested now, it is necessary to make an appointment to the audiologist.
Cought
07 September
A child of 11 years old, suffers from cough for more than six months. The cough is dry, sometimes attack-like, mainly begins during the day, and often occurs before sleep. There is no cough at night. CBC is normal, glucose is 4.16, total IgE 111.80, Toxocara, Ascaride are negative, Cytomegalovirus, Mycoplasma are negative, PPD test is negative as well. A chest x-ray is normal. We have already consulted with a therapist, otolaryngologist, pulmonologist, neurologist, gastroenterologist... the cough is still present. What should we do?
First of all, there are no results of whooping cough testing among the results provided above. The disease cannot be ruled out, even if your child was vaccinate...
How to stop dreaming?
09 November
Can you tell me if there are any medications that stop a person dreaming? I have been dreaming constantly for a long time, and the dreams are always vivid and emotionally charged. I wake up tired, not wanting to do anything, and I feel only lethargy and apathy. I live in another city.
We have all the tools for an accurate, comprehensive diagnosis, and medical treatment of such conditions, as well as psychosocial rehabilitation, which is criti...
Rivkina Natalya
Psychiatrist, Ph.D. of Medical Sciences
Baby teeth - treat or not?
09 November
Baby teeth do not need to be treated, because they will drop out in any case - is it true?
If the teeth are not cleaned properly white carious spots will appear underneath the soft plaque. This initial stage of decay is reversible: with proper hygie...
Diagnosed infertility - what to do?
09 November
I’m 27 years old, diagnosed infertility since 5 years ago, tubal factor and only one working ovary. Have gone through 3 tries of in vitro fertilization, one was stimulated, had no response, in all 3 cases I had only one oocyte. AMH 0,91. Do you think I have a chance for a pregnancy with my own oocyte? Sperm quality is good.
Yes, of course, you should fight for your oocytes. There is a variety of minimal stimulations: modified cycles, natural cycles etc. If these methods don’t work,...
Severe cervical dysplasia
09 November
I have a transplanted kidney and I was recently found to have severe cervical dysplasia. The biopsy results are not yet back, but the physician says I must have my uterus and cervix removed. My question is: Can I have the operation in your clinic?
For severe cervical dysplasia, usually cervical conization is sufficient. If you have no plans for reproduction, or you already have children, then theoreticall...
Nosov Vladimir
Obstetrician-gynecologist, Surgeon, Oncologist, Oncogynecologist, Ph.D. of Medical Sciences
Emergency's Working Hours
09 November
What are your hours?
We are open seven days a week, 24 hours a day, 365 days a year.
Nonbacterial Prostatitis
09 November
For over a year now I have suffered with nonbacterial prostatitis. I am 65 years old and my prostate is 50 cubic cm. I have treated this every way possible to no avail. As I understand it, there are only 2 possibilities: 1) Daily painkillers and sleeping pills which leave me in a drug-induced stupor. 2) Radical prostatectomy, although I don't have cancer and my PSA is around 1. I don't live in Russia and it isn't possible to have a radical prostatectomy here. Can I have this operation in your center? Because of the severe inflammation, I can only sit and walk for limited amounts of time. I am near insane from the constant pain and sleeplessness.
As with all civilized urologists in the civilized world, we COMPLETELY remove the prostate ONLY in cases of prostate cancer. At the same time, if you would like...
Both knees
08 November
I would like to get MRT and diagnosis for my knees. Left has old trauma and right is hurting now permanently. An English or German speaking doctor would be an advantage. KR Florian
Dear Florian. Be sure you'll get all the answers for your questions. We have MRI and English-speaking staff including knee surgery specialists. Our assistants w...
Laser surgery for removal of varicose veins
08 November
Does you clinic offer laser surgery for removal (or correction) of varicose veins on the legs? I would like to learn about both the aesthetic and medical side of the issue.
Our clinic performs the most common and advanced methods of varicose veins’ treatment. This includes classic phlebectomy, injection sclerotherapy, and foam scle...
Cancer of the thoracic spine
08 November
I have cancer of the thoracic spine. According to the MRI, I have wedge-shaped vertebrae, and small fractures in some places, with the absence of normal bone. Is it possible to undergo a vertebroplasty if the lumbar region is also affected? Will the lumbar vertebrae be able to support the thoracic vertebrae after this procedure?
It is necessary to analyze the MRI scans in this case. Metastatic vertebral bodies are treated with radiation and chemotherapy according to our principles. Vert...
Hernia-related pain
08 November
Hello, I had hernia-related pain about one month ago. With abrupt leg and foot movements, I experience pain in the cervical segment of the spine, radiating into my arm. MRI test result: degenerative-dystrophic changes of the cervical segment, spondylosis, osteophytosis of C5-C6 segment, posterior hernia of C4-C5 segment with a tendency to sequestration. Could the hernia growth be stopped? What do I do?
If the MRI data shows a disk protrusion (small hernia) which does not cause dural sac compression and you have no clinical manifestations of the disease, you ne...