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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for a mild pneumonia

I had a physical in early January and was given a clean bill of health. On Feb 12 as I was walking through the kitchen I felt light headed and fell against the pellet stove, impacting the ribs at my left kidney area, this injury, and the bad cold I'd had for about a week, prompted me to go to the emergency room where I was diagnosed with mild pneumonia and prescribed a 5 day course of antibiotics. The nurse on seeing my urine sample. commented on its dark color. On seeing my doc 3 days later she informed me that we needed to keep checking the urine for blood. I have had 5 urine tests done since the ER visit. The first 2, done within 2 weeks of the injury to the kidney area showed some red cells, the 3 done since March 1st have come up clean. My doc referred me to a urologist, who after a quick exam, informed me that a CT scan and a cystoscopy would be necessary to rule out bladder cancer. I was given the CT scan. My question is, is the cystoscopy, this invasive surgical procedure really necessary? Can't the fact that the hematuria cleared up within 2 weeks of a trauma that is known to be its cause be reason to feel that it is not a cancer symptom?
I am 52, 180 pounds, and have never had any serious medical problems.
Thank You, Mike Herbert
Wed, 14 Dec 2016
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Pulmonologist 's  Response
Hello

Thank you for asking in HCM

I think for the prostate cancer it is bettter to do a blood test, PSA.For the blood in the urine better the urine test called the eritrocitar morfology in the urine to know the origin of the red cells and than to decide from the urologist wether to perform this prpcedure or not.
Thank you
Dr.Jolanda Nikolla
Pulmonologist
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