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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1067 Answers  |Ask -

General Physician - Answered on Apr 25, 2023

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
P Question by P on Mar 27, 2023Hindi
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My father is about 80 yrs, undergoing hormonal treatment for prostate cancer, currently no regular medication for except for high BP.Injection Leuprolide Acetate 22.5 mg once is three months prescribed by Urologist, Present PSA level is 0.55. Can you suggest future course of action , and symptoms to start any other therapies.

Ans: Please take him for regular follow up. Balanced nutrition, regular phtsical activity for destressing and adequate sleep are essential along with a positive outlook into life
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1067 Answers  |Ask -

General Physician - Answered on Jun 14, 2024

Asked by Anonymous - May 21, 2024Hindi
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I am 81 yrs, suffering from prostate cancer since last 6/7 months. I had earlier multiple health issues like Type 2 Diabetes (2yrs), Alzheimer's, Parkinsons plus, I have also heart issues with two stents inserted in 2014. I follow a very sedate lifestyle with walking for 45-55 mts + physical exercise 30 mts almost each day. I have been able to contain Alzheimer's and Parkinson's to almost 85-90% level and check Diabetes with food habits and walking to almost 70-75% level. . From 212 FPBS t has come down to 111 and PPBS currently is 78. I am focusing on prostate cancer. I wish to give some data for your reference: PSA- Total- from 4.14 it has come down to 1.89 Testosterone- from 585 it has come down to 0.660 reading of 20/05/24 I am strictly following my Urologists instructions so far. I am under his treatment for last 6/7 months. But he advices me to go in for MRI based Radiation therapy at HYD. I am extremely averse to any type of radiation therapy as the cells apparently are in sleeping mode with hormonal therapies but once I go in for radiation even if 85% cells die the balance surviving cells will attack my system vigorously and age will not be able to withstand their attack. Can I continue with hormonal therapies? Your advice please
Ans: You are absolutely right Radiotherapy has its own set back of affecting the normal cells too decreasing the overall vitality
So I suggest look into Naturopathy in addressing this issue along with lifestyle modification
Please have a positive attitude as Prostate Cancer relatively has better outcome after being treated with the hormonal therapy.

..Read more

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Ravi

Ravi Mittal  |298 Answers  |Ask -

Dating, Relationships Expert - Answered on Sep 16, 2024

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Hii sir ! This is ritika and I love a boy and we are in relationship since 7 years but there are some behavior of him he always have doubt on me that I am dating another boy he always says that start you screenshare in WhatsApp I even do because I don't want to lose him and he saw all of things of my phone yesterday he again asking for that and I do and there was a tab of instagram which was belongs to my roommate it was her I'd open in my chrome browser where she only wants to delete the I'd which she did from my phone these instagram thing happened approx one year ago but when he saw this I told him that was not mine but he continuously said I am cheater I cheated with him again he was like I know you have two mobile phones and you cheated with me. I love him soo much but he cannot try to accept that . Even I don't talk to my male classmate because he didn't want ki main kisi boy se baat karu Is it fair , am I cheater ? I love him unconditionally I support him in all his career or decision but again he was like I cheated with him we are in long distance relationship but I can't cheat him . Literally I am feeling depressed ????
Ans: Dear Ritika,

Please understand that you did nothing wrong. Why would you even question yourself? You know you never cheated. It's his issue that he cannot trust. Yes, in a relationship we all try to comfort our partners but that too should be to a certain extent. And, in that process, if your mental health is being compromised, I don't see how it's a healthy relationship.

I don't want to tell you what to do, but I would reassure you that YOU DID NOTHING WRONG. You don't need to prove yourself anymore. And I can also assure you that no matter what you do, he will still manage to find some flaws and doubt you. It's a typical behavior we see in some partners. You deserve peace, love, and above all, to be trusted.

Best Wishes.

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