Question 1

can a delay in colonic cancer surgery of 2  months upstage the tumor from duke  b to c ? thanks

Accepted Answer

Yes: Colon cancer  appears  in a field secondary to viral transformation.  The mucosal cells first mutate even though appearing normal. They then invade the submucosa and extend into the muscularis (Dukes B).to the serosa.  The next step is nodal involvement  (Dukes C)  secondary to breakdown of e-cadherin to small e-cadherin which causes the cells to spread, in wks.

Question 2

should i follow up on two white spots that showed up on my mri? my doctor was checking for ms. he wants me to go to duke university north carolina.

Accepted Answer

Yes !: You need to follow up with a neurologist. The "white spots" on brain MRI could certainly be white matter lesions of ms but imaging is non-specific. The MRI findings need to be described in detail as there are certain location of these white spots that are characteristic of ms. Mri also needs to be correlated with thorough history & neurologic exam.

Question 3

did a stress test today, results says ischemia is positive during ekg, 1mm st segment depression. 4 duke treadmill score. but no arrhythmias or chest pain and functional capacity is good. what does this mean? im already on statin and metoprolol?

Accepted Answer

: It is vital that you follow up with the Cardiologist or Doctor who ordered the test. Since they know your full history and the reason why this test was ordered, they can best put these results in context for you and determine what you need to do next.

Question 4

what does it mean to have a protein level of 20 in the urine? and 1.033 specific gravity level in urine? i just got my urinalysis results on mychart. i am trying to understand them. my doctors office is closed until monday. thanks?

Accepted Answer

: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, the data your provided is not a cause for concern.   Wish you good health!

Question 5

i'm 38, healthy & had a ct scan w/ contrast for a headache. they said my test was perfect but later i saw the result on mychart that said, "there is mild tortuosity and irregularity consistent with mild cerebral vascular disease" should i be worried?

Accepted Answer

: You stated that you are healthy so I assume you do not have history of hypertension, hyperlipidemia or diabetes mellitus. If that is correct, you have nothing to concern.

Question 6

when am i due?

Accepted Answer

40 weeks: Your due date is calculated 40 weeks after the first day of your last menstrual period.  If you are unsure, it can be estimated by an ultrasound.   The earlier in pregnancy, the more accurate an ultrasound is at predicting your due date.

Question 7

i need to know about aperfect dites?

Accepted Answer

Perfection is: enemy of good. The following diet and exercise routine will promote good health. There no one perfect diet as such an issue needs to be tailored to the individual.
Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco or alcohol in any form.

Question 8

is it possible to be "due for a cold"?

Accepted Answer

No: There is no such thing as being due for any illness.

Question 9

how can i manage change due to ageing?

Accepted Answer

Exercise and diet: Important to have regular exams and visits with your primary doctor to assure absence of new problems, such as heart disease, hypertension, diabetes, etc.   A reasonable diet and regular exercise is important, but also, avoid smoking, excessive alcohol, and recreational drugs.  Attitude is crucial, do not focus on your getting older, or obsess about your age.  Instead search for new activities.

Question 10

what is this sharp pinching pain due to?

Accepted Answer

Not enough info.: You haven't provided adequate information to answer this question. Please re-ask question and supply appropriate details.

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Doctor answers about:

Duke mychart

A member asked:

Can a delay in colonic cancer surgery of 2 months upstage the tumor from duke b to c ? thanks

A member asked:

Should i follow up on two white spots that showed up on my mri? my doctor was checking for ms. he wants me to go to duke university north carolina.

A member asked:

Did a stress test today, results says ischemia is positive during ekg, 1mm st segment depression. 4 duke treadmill score. but no arrhythmias or chest pain and functional capacity is good. what does this mean? im already on statin and metoprolol?

A member asked:

What does it mean to have a protein level of 20 in the urine? and 1.033 specific gravity level in urine? i just got my urinalysis results on mychart. i am trying to understand them. my doctors office is closed until monday. thanks?

A member asked:

I'm 38, healthy & had a ct scan w/ contrast for a headache. they said my test was perfect but later i saw the result on mychart that said, "there is mild tortuosity and irregularity consistent with mild cerebral vascular disease" should i be worried?

A member asked:

When am i due?

A member asked:

I need to know about aperfect dites?

A member asked:

Is it possible to be "due for a cold"?

A member asked:

How can i manage change due to ageing?

A member asked:

What is this sharp pinching pain due to?

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