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Health Care

Pain Management

The presentation addresses chronic pain and its treatment. Frank Day, a former doctor specializing in chronic pain, discusses various aspects of pain management. He mentions different types of pain, including sympathetic pain, central pain, psychological pain, and malingering. The conversation touches on the effectiveness of different treatments, such as diagnostic blocks and epidural steroid injections. The individuals also discuss the importance of individual variability in pain management and the potential benefits of hypnosis. Highlighted are challenges in diagnosing and treating chronic pain and on the need for open communication between patients and surgeons regarding postoperative pain. Key Takeaways:

  • Understand that the average doctor has a poor background and training regarding how to effectively relieve pain, let alone, unusual pain.
  • If you have chronic pain and the usual treatment is ineffective the working diagnosis for the pain is likely wrong.
  • If the working diagnosis is almost certainly correct the treatment needs to be more aggressive or move on to Plan B.
  • If there is no Plan B, a search should be undertaken to find a doctor with a Plan B (or C, or D, etc.).
  • Be an advocate for yourself.
Pain Management Recording

Prostate Health

The recording addresses prostate cancer and related topics. The conversation includes discussions about symptoms of prostate cancer, risk factors, diagnostic tests, treatment options, and potential side effects. John provides information about the grading system for prostate cancers and the use of genetic testing in diagnosing high-grade prostate cancer. He also discusses different treatment options, including surgery and radiation therapy. The conversation touches on the importance of regular PSA testing and monitoring for changes in PSA levels. The participants in the discussion ask questions and share their own experiences with prostate-related issues. Overall, the media file provides valuable information and insights into prostate cancer and its management.

Q&A:

What are some common symptoms of prostate cancer?

Common symptoms of prostate cancer include a decrease in stream, urgency of urination, and frequent urination at night. These symptoms usually start in the 40s. It is also mentioned that the wives complain about their partners getting up too much at night to urinate. It is important to note that symptoms can vary and may not always be present, especially in the early stages of prostate cancer.

What are some risk factors for prostate cancer?

Some risk factors for prostate cancer include exposure to Agent Orange, age (risk increases with age), and family history of prostate cancer.

What are the treatment options for prostate cancer?

Treatment options for prostate cancer include surgery, radiation therapy, active surveillance, genetic testing, and advanced prostate cancer treatments.

Bio Summary for Dr. John Williamson ’66: After graduating from USNA in 1966 John was a Fulbright scholar to Quito, Ecuador before receiving his Navy wings in 1968. He completed 2 tours to Viet Nam with CAG-21 aboard USS Hancock, then entered medical school at the University of Texas San Antonio in 1972 and was subsequently Board Certified in Urology in 1983.  He was founder and CEO of Capitol Urology in Austin, Tx from which he retired in 2021.

Prostate Health Recording