MEDICAL MONDAYS - Doctor John π₯π¨ββοΈ
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What health concerns does Dr. John address in this episode?
This is a podcast from Rover.
We've got Dr. John in.
Medical Mondays with Dr. John.
G'day, mate. Gee, they roll around with us. Dr. John, great to see you again. You can text in DOC3520. Any concerns, any questions you've got in there? Coming in, Miles.
Certainly, Doc. Should I take anything before getting a snip if I'm nervous about it? Are the chance of errors fairly low?
No.
That laugh scares me.
Well, it depends, you know, whether the doc's got a little cough at the time. Oh, God, I cut the wrong thing. Don't listen to the doc, Matt Texter. Perfectly fine.
How can anxiety affect surgical procedures like getting a snip?
If you're a bit anxious, yeah, talk to your doc. He might give you some little jungle juice to help take away some of the anxiety. It's a very simple operation. Do you do them? No. No. I could. You could try. You ever done one? Normally you do two. It's a bit of a bugger that I only do one egg.
Have you ever been? I mean, you've done a lot of things.
You've done them, yeah. Very straightforward. Just got to isolate the vest, you know. Roll it around between your fingers. You feel that little tube? That's the right one. So it looks like an udon noodle, eh? Yeah, that's right. Exactly. You do keep your eyes on the job at the same time, eh? Well, what about the tube?
Nice. Mine looks like a Singaporean. True, true. Doc, I had my prostate removed a couple months ago, managed to get a half-mast, and I ejaculate fluid when I'm not supposed to. Is this just pee? No, I'm...
It depends how much of the prostate they reamed out. If you've had what's called a transurethral resection of the prostate, old-fashioned TURP, when you ejaculate, the ejaculate normally just fires straight back up into your bladder, so it doesn't come out the end of your woozer, and you pee it out after that. So that's the commonest one. If you've had a radical prostatectomy where they remove the whole prostate, it depends whether they remove the seminal vesicles. So when you ejaculate, pretty much 99% of that fluid comes from two little glands which are on the other side of the prostate called seminal vesicles. It doesn't come out of your testicles at all. It comes out of your seminal vesicles, and they wash through the prostate.
So if they've left one of those intact, perfectly okay to see something come.
Should he go get that checked, though, or do you just roll on? Just keep your eye on it. You'll be fine.
It's the follow-up here.
It's just the follow-up from Doc.
Doc, I'm a 38-year-old male having trouble lasting in bed. Been to the doc about it. Nothing helped. Last resort is to go on anti-depression pills. I don't really want to do that. Anything else?
It's a little side effect of the selective serotonin reuptake inhibitors, your common antidepressant pills. They will delay the orgasmic function. Once a woman came to see me and said, Doc, you stopped hubby's pills, didn't you? Yeah, can you put them back on the bloody things, please? Because it just makes them last longer. So it's a side effect profile of that. And you'll use a really low dose, and it's worth a go if that's what's troubling your love life. Okay.
Doc, I was with a mate on the weekend who has a continual headache. Yeah. And I feel like when we've had those questions before of people coming through, and he says he drinks enough water, is sleeping okay, but just has this continual headache. And we're sort of ironically giving him a headache as to not know what to do with it.
Depends how long and any other symptoms. Headache in itself is a really, really common presentation. Mm-hmm.
What should I know about prostate surgery and its effects?
And it drives us mad because you've got to take it from the worst possible outcome and go down. So headache plus, headache waking you in the middle of the night, headache worse in the morning, headache associated with nausea, vomiting, headache associated with a change in neurology, a crescendo headache, either one that comes on, thunderclap, bang, don't like those ones, or the ones which are getting steadily worse. Once you do that, it's really difficult because the brain's got no sensory organs in it. If I got your brain out and stuck my finger in it, you'd probably act more like Rog.
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Chapters
6 chapters
1
What health concerns does Dr. John address in this episode?
0:00β0:38
2
How can anxiety affect surgical procedures like getting a snip?
0:38β3:30
3
What should I know about prostate surgery and its effects?
3:30β7:07
4
What causes erectile dysfunction and what are the solutions?
7:07β8:37
5
How can I manage ongoing headaches effectively?
8:37β11:24
6
What should I do if I experience pain after a recent injury?
11:24β14:34