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Chapter 1: 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.
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Chapter 2: 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.
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Chapter 3: 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. But there'd be no pain. But there'd be no pain. Just no pain at all. You pick them up and, yes. That's so nice. There's muscle around the sides of someone's brain.
So it's normally from the lining layers or from the muscles and the joints and around that area. So if it's there, get it checked out. We'll do a neurological examination.
If that's all clear, we can rest. Doc3520, here we go, Miles.
I'm a 20-year-old male, Doc. I fell off my dirt bike, landed on my butt quite hard for the last two days when I go to have a... The sensation almost makes me pop my lolly, if you know what I mean. Will this go away or what can I do? You should see the Doc's face trying to decipher.
Yeah, okay.
So struggling to go number twos and it feels like something else is coming out.
Yeah, should be okay. Two days after landing directly on your bumhole, that's quite relatively normal. Still going in five to seven days. Come talk to me.
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Chapter 4: What causes erectile dysfunction and what are the solutions?
Is it actually? Is it?
Yeah, I know. It's one of the commonest things we see is that willies lose interest halfway through the procedure. Does it not happen to you guys?
No, no.
How does Mosey fix that?
How does he keep it going? It's that horse kick thing.
Stop after 30 minutes, it's okay.
Is that when you would, sorry, quick question, is that when you would potentially prescribe the blueys for that sort of situation?
Yeah, that's fine. They will have prolonged erection.
Yeah, that worked. So I have what I think is, he reckons, an internal stye in their eye, a bit of swelling, a bit of like a white spot on the inside of my lower eyelid. Is there anything that will help to heal it?
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Chapter 5: How can I manage ongoing headaches effectively?
Back after Arctic Monkeys. 3520, the text number. Do I want to know? Bloody stoked we could sort out Miles' erection. Get on your dock. Such a win for a Monday. Miles Moss, it's a secret, mate.
It's okay. Medical Mondays with Dr John.
And try and get them rolling in, Miles. Text in DOC3520.
Yeah, and can you just stop calling me soft boy? Mr. Whippy.
He's only half soft. You sent a text in to DOC.
No, no, we don't need to go back over it. We've got limited time. There's people with more important issues than my little soft boy problem. I have a constant pain in my upper left abdomen. I have had blood, stool samples, ultrasounds, and doctors don't know what it is. Any ideas?
Yeah, upper left is sort of no man's land. Nothing happens up there. It's not true. Upper left of your tummy is bugger all. You've got your spleen, and that's about it, and a bit of bowel. So as long as the bowel's full.
Could it be spleen?
Nah. Spencer sits in. Any trouble, that's a road traffic accident 10 days later. What about pain management? I'll work it out. Keep going on it, but otherwise fine.
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Chapter 6: What should I do if I experience pain after a recent injury?
I'm lenient on that.
No one tells the truth, really.
Nobody tells the truth.
Doc, I've got a lump about the size of a small pea on the side of my tongue. It doesn't hurt, but it's been there since Easter. Not getting smaller or bigger. Probably cystic.
Show it to the doc. If that's fine, they can slip a little needle in, suck the fluid out. A little mucus here, a little blocked mucus gland is most likely. If it's a solid lump, we get a little bit more twitchy on that. So, yeah, we might chop that one out.
Dog, I've got one question, just if Mel's finding any others at the moment. But, you know, we have the terrible stats in New Zealand with bowel cancer. Yep. And we know a lot of great Rumble listeners and stuff like that who are facing those different problems and troubles at the moment, right, that journey.
But just for those listening, and we always have new listeners at every different time, and our stats are so bad in New Zealand, what are things we could look for to notice to get onto things early? Because, you know, we don't get the...
screening um into a certain age what do we look for well firstly do the screening yeah no the number one thing is the screening it's a poo test it's real simple it's not invasive yeah and that's looking for the presence of um blood that you can't see called occult blood if that's positive we do a scope nice and simple that's that bit right so do that for a start
The other one is we are seeing an increase in bowel cancers in younger people, and we don't know why that is happening. And there's a lot of work going and trying to ferret that one out. Any change in bowel habit, any blood in your stool. What do you mean by bowel habit? I've been trunicking on doing a shit once a day, every day. Suddenly I'm not going for a week, and then when I do, it's funny.
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