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Question:
Hello There! I'm a US expat living and working in Moscow. Don't know where to turn to, here's my situation: 1)Rash like symptoms on my face. I do have psoriasis, under complete control. But this is not the case. And I don't know what I should use. Besides that, where should I go to treat and analyze? 2)Recently, I have a Hemoroid problem, it comes and goes, but for the past few months, I can't seem to handle it. Though its not at a serious stage, it's quite annoying, and to the point, I want to finally do something about it. 3)Male Inspection, I'm 35 yrs old. How and where can I get a scoop to see all is fine with me? That is, make sure everything else is woring fine... and not prone to anything? Your response would greatly be appreciated, and if necessary, I'd look into your program, but what are the costs? I'm not the million dollar expat maker in Russia.
BM
Answer:
Thank you for your inquiry. Skin lesions / problems are very problematic to try and diagnose absent a physical examination and, in the case of many problems, a "skin scraping" (sounds painful but is not) to try and make the diagnosis microscopically. You'll need to see a dermatologist. For the problem further south, I assume you've tried topical treatments. The more definitive treatment is surgery. In some countries this can even be as day stay surgery if the problem is not too severe, again, someone needs to have a look to see what is necessary and advise you were to have this done, by whom, and how long you'll be off work and normal activity.. Thank you for your inquiry. Skin lesions / problems are very problematic to try and diagnose absent a physical examination and, in the case of many problems, a "skin scraping" (sounds painful but is not) to try and make the diagnosis microscopically. You'll need to see a dermatologist. For the problem further south, I assume you've tried topical treatments. The more definitive treatment is surgery. In some countries this can even be as day stay surgery if the problem is not too severe, again, someone needs to have a look to see what is necessary and advise you were to have this done, by whom, and how long you'll be off work and normal activity.. The screening tests that are necessary for a 35 year old man in good health are relatively minimal (partly because the return on an accuracy of "blind" screening is not very high). If there is a particular concern a particular test / series could be done but a basic history and physical examination with some basic screening tests does not cost more than dinner for two at a good restaurant. We personally do not know any "million dollar maker expats" in Russia... even if we did we'd advise the same, that medical care is worth paying for as a priority not as an afterthought. Best regards
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