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Ask an Expert
Rodman S. Rogers, M.D.
California Pacific Medical Center
What is the difference between erectile dysfunction and impotence?
Impotence is an old-fashioned, non-specific and medically improper term that is no longer used to describe male sexual problems. The current terminology describing difficulty achieving and/or maintaining an ere... continue reading about What is the difference between erectile dysfunction and impotence?
James D. Kelly, M.D.
California Pacific Medical Center
I dislocated my shoulder last year. I kept it in a sling for a few weeks, and then went through physical therapy. It has started to hurt again. I exercise regularly, but try to be careful of not reinjuring it. Anything I can do to prevent this pain?
A shoulder dislocation can create long term problems due to recurrent instability, either in the form of recurrent dislocations or recurrent subluxations. It sounds like your problem is more one of pain, howeve... continue reading about I dislocated my shoulder last year. I kept it in a sling for a few weeks, and then went through physical therapy. It has started to hurt again. I exercise regularly, but try to be careful of not reinjuring it. Anything I can do to prevent this pain?
Gary F. Milechman, M.D.
California Pacific Medical Center
I just e-mailed my doctor about the feeling that my heart is flipping around in my chest. I feel like I have a heart problem. I had a 24-hour Holter monitor and they said it looks fine. But I think something is wrong. Should I see a cardiologist?
The feeling of your heart “flipping around” can be a little scary. However, some irregularities in the heart rhythm is the norm. Extra beats, called premature atrial or ventricular contractions, are... continue reading about I just e-mailed my doctor about the feeling that my heart is flipping around in my chest. I feel like I have a heart problem. I had a 24-hour Holter monitor and they said it looks fine. But I think something is wrong. Should I see a cardiologist?
Karen Horton, M.D.
California Pacific Medical Center
I'm a 40-year-old woman considering modest-sized breast implants. Will they interfere with the ability to detect breast cancer?
Breast augmentation using implants will not interfere with breast cancer detection. Implants of all shapes and sizes have a shell made from silicone, which is an inert solid and is used in many implantable devi... continue reading about I'm a 40-year-old woman considering modest-sized breast implants. Will they interfere with the ability to detect breast cancer?
Larry K. Fan, M.D.
California Pacific Medical Center
I read about a new procedure that heats up layers of facial skin using radiofrequency. It's supposed to help promote collagen on wrinkles and sags. Can you tell me if this really works, is it painful, and what is the cost?
Ten years ago, the only option we had to lift and tighten sagging skin was surgery. Today, there are a number of noninvasive skin treatments that can lift and tighten the skin without surgery. These noninvasive... continue reading about I read about a new procedure that heats up layers of facial skin using radiofrequency. It's supposed to help promote collagen on wrinkles and sags. Can you tell me if this really works, is it painful, and what is the cost?
Toni J. Brayer, M.D.
California Pacific Medical Center
How does menopause affect the joints and muscles in your body?
Many women experience joint and muscle pain and stiffness around the time of menopause that they hadn't experienced before. Because there are estrogen receptors all over the body, including the joints, declinin... continue reading about How does menopause affect the joints and muscles in your body?
Toni J. Brayer, M.D.
California Pacific Medical Center
What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
There is no one answer to treating "menopausal depression". Restoring hormones (HRT) and SSRI antidepressants have both been shown to help with depression in mid-life women. There are other things that have bee... continue reading about What is the more appropriate way to treat menopausal depression, hormone replacement or SSRIs?
Richard H. Hongo, M.D., FACC
California Pacific Medical Center
I’m a woman (52) who’s had heart palpitations for 20 years. Now they happen more often. I get 10-50 per day where I feel my heart skip around. I’ve been to cardiologists, and they find nothing wrong and say it’s just PVCs and PACs. Should I worry?
In general, premature atrial complexes (PACs) and premature ventricular complexes (PVCs) are not harmful. This holds especially true if there is nothing else wrong with the heart. When someone presents with bot... continue reading about I’m a woman (52) who’s had heart palpitations for 20 years. Now they happen more often. I get 10-50 per day where I feel my heart skip around. I’ve been to cardiologists, and they find nothing wrong and say it’s just PVCs and PACs. Should I worry?
Gary F. Milechman, M.D.
California Pacific Medical Center
I recently read a scary statistic that said two-thirds of women who die suddenly of heart disease report no previous symptoms (as compared with half of men.) So if there are no symptoms – how would we know if a heart attack is coming on?
I am not familiar with this particular statistic, but let me answer by explaining the differences between sudden cardiac death and a heart attack - and the warnings we get with each.Heart attacks occur when a c... continue reading about I recently read a scary statistic that said two-thirds of women who die suddenly of heart disease report no previous symptoms (as compared with half of men.) So if there are no symptoms – how would we know if a heart attack is coming on?
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