Deadly IV Mix-up
A nurse in Brazil has been charged with involuntary manslaughter after she reportedly injected a mixture of coffee and milk into the IV tube of an 80-year-old woman, who died several hours later. The student nurse, who had been on the job for three days, reportedly mixed up the food and blood drips.
The Doctors question how such a mix-up could happen.
“You’re essentially injecting a toxic substance directly into the bloodstream,” ER physician Dr. Travis Stork says.
“The lesson here,” he says, “is if you are in a hospital, no matter where you are in the world, and you notice some bizarre behavior, you notice someone who is completely, brand-spanking new and green, it’s OK to ask, ‘Wait a minute, are you sure that’s correct and do we need to get some backup in here?’”
Comedian Tom Green Gets Serious
After comedian Tom Green was diagnosed with testicular cancer in 2000, he documented his surgery, and the cancer special aired on MTV. Today, his fight with testicular cancer is part of his stand-up comedy routine and he works to raise awareness about the importance of men seeing their doctors. He joins The Doctors to talk about his experience.
Green said he noticed something was wrong when he experienced testicular pain so he went to the doctor, but he says men often ignore symptoms.
“I think what happens a lot with young guys who get this is they are reluctant to go to the doctor; they’re embarrassed about it; they don’t want to pursue what’s going on and then that’s how they end up dying,” he says.
Green’s urologic oncologist, Dr. Sia Daneshmand, explains the most common symptom of testicular cancer is a non-tender mass in the testicle.
“It’s important that anything that’s going on for more than a week or so gets evaluated promptly and completely,” Dr. Daneshmand says.
Green reports that he’s healthy and able to have children. Dr. Daneshmand says that before any surgery, men are asked if they would like to bank their sperm in case their fertility is affected. And plastic surgeon Dr. Andrew Ordon notes that men can choose to get an implant to replace the testicle if it has to be removed.
“If you’re a young guy and you’re watching the show, and you think something is wrong, go to the doctor, it could save your life,” Green says. “It’s very important, and do it. Don’t wait.”
Mike complains of black bumps in his ears that swell up and are painful. Mike and his wife, Melissa, join The Doctors, and dermatologist Dr. Sandra Lee examines his ears.
Dr. Lee says the bumps are blackheads and whiteheads, which are like the acne commonly seen in oily areas such as the nose and forehead. She explains these are pores that get clogged with oil, bacteria and dead skin, and sometimes they can become infected.
“This is a small, closed space, so it really hurts because it pushes against other things,” she says.
Dr. Lee extracts the blackheads from Mike’s ear.
She suggests he take antibiotics to treat the infection and Retin-A to help prevent the formation of new blackheads. She also says you can prevent blackheads by avoiding getting hair products in your ears, using earphones instead of ear buds and not wearing tight helmets.
Brad says when he goes to the bathroom, it dribbles, and it’s so bad that he prefers stalls instead of urinals. He says he’s “not cool having a wet spot” and wants to know how he can prevent it.
“You are not alone, my friend,” Dr. Travis says. “The post-urination dribble. That’s what we’re talking about."
“No matter how long you shake and dance, a little bit always ends up on your pants,” he adds.
Dr. Travis explains that post-void dribble is a common problem that happens when urine is trapped in the urethra and leaks out after urination. He says there’s a difference between a little dribble and urinary incontinence, which could indicate a serious medical problem.
The Doctors say the best way to prevent dribble is being patient.
“Clearly that’s a time when you can’t rush it,” Dr. Ordon says.
OB-GYN Dr. Lisa Masterson adds that Kegel exercises can be beneficial for men as well as women.
Never Let Them See You Sweat
Desiree emails that she sweats excessively from her crotch. “Sometimes it looks like I wet my pants. Any tips?”
Dr. Ordon explains there are more sweat glands in the armpits, groin, hands and feet.
Dr. Lisa suggests wearing 100 percent cotton underwear that breathes and absorbs and is not too tight. She says another option is to wear pads, but they could cause you to be overheated and increase the problem.
Dr. Ordon adds that Botox injections are another option.
“They are not permanent, but they are a quick, easy solution to excessive sweating,” he says.
Farewell to Your FUPA
Heather is trying to get in shape for her daughter’s wedding in April. She’s has been working out and feels like she’s losing weight, but she says she can’t seem to get rid of her fat upper pubic area, often called a FUPA.
Watch Dr. Lee perform liposuction on Heather’s super-pubic area.
“This is a common procedure that we do on both men and women,” Dr. Lee says. “Women don’t want to have a little package there.”
Dr. Lee says Heather will need to wear a compression garment for about a week and will be a little sore for one to two weeks after the surgery.
“The good news? Those fat cells are permanently gone,” Dr. Ordon says. “As long as you stay at a stable weight, you’re not going to have problems with your FUPA."
Signs of Puberty
A mother is concerned because her 9-year-old daughter is developing dark underarm hair. “She’s not fazed by it, but I’m embarrassed for her. Is this normal, and could it be a precursor to puberty?” she asks.
“It’s not a precursor to puberty. It is puberty,” pediatrician Dr. Jim Sears says.
He explains that puberty can start from age 8 to 13 for girls and age 9 to 14 for boys. He says in women, puberty starts with breast buds, then pubic hair and then armpit hair.
“She shouldn’t react by being embarrassed for her because this is the normal process,” Dr. Lisa says. “If the daughter is experiencing some sort of embarrassment because of the hair, it’s absolutely OK to get that hair removed.”
No Pain, No Gain
A San Francisco spa is offering an anti-aging treatment that is a slap in the face.
The slap treatment is chemical-free and promises to lift and firm your face by increasing blood flow to the surface of the skin as it stimulates the nerves.
Tata, the Bangkok native who owns the spa, says the method is rooted in Thai traditions.