Dr. Candido Otero, M.D.

The pathologist gives each core a number in the pathology report, and each core will get its own diagnosis. We give what is called a Gleason Score or grade. It is the predominant pattern in your biopsy and a second predominant Gleason grade pattern. Gleason range from 2-10. However, since 2-5 almost never assign scores. Gleason scores range from 6-10. The risk group are as follow; low/very low grade is less than 6. Equals to group 1. Intermediate (favorable or unfavorable) is 7. (3+4) or (4+3) respectively. High/ Very high, grade 4 Gleason 8, and group 5, Gleason 9-10. The diagnosis also includes the clinical stage. Thank you.

Giving nutrients that are reach in iron is important. But most important is the your child to be evaluated by a pediatrician or a pediatric hematologist who can do a detailed history and physical diagnosis . Thank you.

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

Sperm is tested to check quantity and motility. Results are within 24 hours.

The duration of a kidney biopsy is 15 to 30 minutes. The recovery is 24 hours. You can go back to work after 24 hours unless your healthcare provider tells you otherwise. Also, you can return to all your normal activities after two to three days after the procedure. Thank you.

No. There is not cure for herpes. The treatment we currently have doesn't remove the virus from the blood. The virus stay in blood for life. There is no cure for herpes at this moment. Antiviral medicines shortens the outbreaks. Thank you.

False positive result is a term used to indicate a result suggesting a disease present when there is none and a negative false positive is the reverse. It occurs when the screening test give a positive or reactive result and the confirmation test reverses that finding with a negative or undetermined results. False positive test is only up to 5% of total test performed in any laboratory. Now, you are taking Adderall as per your claim. Medications causing false positive drugs in urine test are fluoxetine, selegiline, ranitidine, nefazodone, brompheniramine, Chlorpromazine among others. Addreral can cause a patient or newborn umbilical cord test to be positive for amphetamine but not methamphetamine. Medication that causes false positive urine drug screen are dextromethorpham, dyphenhydramene, doxylanine, ibuprophen, imipramine, ketamine, meperidine veniafaxine, bupropion, methylenedioxpyrolvalerone (MDPV) and tramadol. Now, you are taking medical marijuana plus other medications that can cause false positive. For example, you are taking Fentanyl; it can cause false positive for codeine, an opiate and common pain reliever. To tramadol also as well as diphenhydramine. Hope this can help you. Thank you.

A great natural way to reduce your creatinine level is to by reducing you protein intake. Eating fiber-rich foods. Also fruits with high content ox antioxidants like cranberries, kiwi, applet, and blueberries. Other options could be medications that I prefer for you to talk to your healthcare provider because he/she would know your medical history. Thank you.

The causes of high levels of creatinine are quite a few. However, some of them are kidney infection, impairment of kidney function, strenuous exercise, drug use, certain medication (any medication that is metabolized in. the liver), alcohol, consumption of protein, consumption of meat, last but no least, specific food supplements and vitamins. A great natural way to reduce your creatinine level is to by reducing you protein intake. Eating fiber-rich foods. Also fruits with high content ox antioxidants like cranberries, kiwi, applet, and blueberries. Thank you.

High prostate PSA levels could mean different things. They include infection (prostatitis), enlarge prostate or benign prostate hypertrophy (BPH), rise with age, and even though cancer is one of the differential diagnoses, is not the only diagnosis. Things that reduce prostate PSA levels are plant-based diet, stress management, anti-inflammatory supplements, low fat dairy products, consider quitting cigarette smoking, and exercise. Thank you.

No, because you are going to be under anesthesia during the procedure. Yes, pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Any surgical procedure has their risk. the main thing that happens after a probate biopsy is pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Fever, pain or burning sensation during urination could be an indication of infection. Consult your healthcare provider. Thank you.

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

Okay, let me start with the low hematocrit. The low hematocrit means that you are most likely anemic. The most likely causes are either acute blood los due to trauma and internal bleeding, or chronic blood loss due to an that cause a significant anemia and they can be seen in ulcers, colon cancer. High NCH (high mean corpuscular hemoglobin) is a sign of macrocytic anemia. This condition is a result of not having sufficient vitamin B12 or Folic acid. High MCH is a sign of liver disease. Low red blood cell count indicates that you have anemia. Since you are taking medication and this condition could continue, I recommend for you to go to your healthcare provider or any urgent care facility to review and do the necessary tests and procedure to have a final diagnosis for your condition. Remember, this could be result quit and easy if care is provided sooner than later. Thank you.

Bone marrow biopsy procedure takes approximately 30 minutes. Sometimes is longer the preparation for the procedure than the actual procedure. 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.

It is a same day procedure. 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.

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

You will receive a local anesthetic at the biopsy site. Sometimes, general anesthesia depending on the type of lesion. Liver biopsies results usually takes from 12 to 24 hours even a week, depending on the findings an any additional tests that might be needed to be performed for the final diagnosis. Thank you.

The blood test results are value of your healthcare provider to determine your health condition.
WBC = white blood cells: 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 oof WBCs, are to recognize intruders
• Monocytes – They have the 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
RBC = Red blood cells Count: Measures how many red bloods cell count you have in the body. A red blood cell counts higher than 6.1 million RBCs in male and 5.4 million for females, and 5.5 million for children. High RBCs count can be due to multiple etiologies. They are dehydration, heart disease, Polycythemia vera, Bone marrow diseases that causes other etiologies in many other cells that are produced in the bone marrow. Low RBC indicates B12, Folate and B6 deficiency. Also could mean that you are bleeding internally.
HCT= Hematocrit is the percentage by volume of red blood cells, white blood cells, and platelets suspended in plasma.
MCV = Mean corpuscular volume = measures the average size and volume of red blood cell.
MCHC = Mean corpuscular hemoglobin concentration is a measurement of hemoglobin in a single red blood cell related to the volume of the cell.
RDW = Red Cell Distribution Width = test the different in volume and size of your RBC.

Liver biopsies results usually takes from 12 to 24 hours even a week, depending on the findings an any additional tests that might be needed to be performed for the final diagnosis. 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.