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Doctor insights on: 5 Minute Apgar Score Less Than 7

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W 30 yo. low HDL (0.85 vs 1.3 max ), high triglycerides (1,74), neutrophile (8 vs 7,5 max), normal LDL 2.15, hba1c 5.2 and fgp 4,6, TSH 2.23.no medica?

W 30 yo. low HDL (0.85 vs 1.3 max ), high triglycerides (1,74), neutrophile (8 vs 7,5 max), normal LDL 2.15, hba1c 5.2 and fgp 4,6, TSH 2.23.no medica?

Lab data: It is very difficult, if not impossible to interpret lab data in the absence of clinical information or relevance. My advice is to discuss this with the doctor who ordered these tests and not try to self-diagnose over the internet. Best wishes. ...Read more

Apgar (Definition)

The apgar score was devised in 1952 by the eponymous dr. Virginia apgar as a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth. Apgar was an anesthesiologist who developed the score in order to ascertain the effects of ...Read more


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Im short-sighted with 500 degrees. Is wearing glasses 100 or 50 degrees lower than my safe?

Im short-sighted with 500 degrees. Is wearing glasses 100 or 50 degrees lower than my safe?

Wearing glasses: That are 0.50 or 1.00 less than the measured prescription will not hurt your eyes. You will just not be able to see as clearly as you could with the full prescription. ...Read more

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Hcg at (approx) 12dpo 94. 72 hours later 188. Is this an ok trend so far? Dr says progesterone is fine, but numbers slow...

Hcg at (approx) 12dpo 94. 72 hours later 188. Is this an ok trend so far? Dr says progesterone is fine, but numbers slow...

Early pregnant: If your Progesterone level is good, then everything should be ok, you are just early. The HCG is rising, which is good , although we typically say we like to see a doubling of the value every 48 hrs, a 25 % rise is acceptable. ...Read more

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How much strength training should be done to minamize catabolism w/ a 500 cal intake deficit? Would 4 days, 4 exercises, 3-4 sets 8-15 reps be enough?

How much strength training should be done to minamize catabolism w/ a 500 cal intake deficit? Would 4 days, 4 exercises, 3-4 sets 8-15 reps be enough?

If heavy training...: ...i usually have rec 3 sets of 15 each, done in a cycle of exercises, targeting different muscle groups, a cycle of 4 then repeat. Day of rest after hard workout. Do cardio. Also get Ur calories from protein, in the form of whey supplement. Ave body needs 50gms/day. Use sup a little during training, majority after. Cals from fat & carbs also. Remember there's protein in veg, meat, dair, eggs, 2. ...Read more

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Had hydrocele surgery June 1. More comfortable than prior to surgery but testicle still a little more 2x than other one. Does not illuminate?

Had hydrocele  surgery June 1. More comfortable than prior to surgery but testicle still a little more 2x than other one. Does not illuminate?

Normal finding: Part of hydrocele always remains after hydrocele surgery. Fluid is drained & hydrocele sac is inverted & sewn together behind testis (Bottle procedure); some surgeons roll up hydrocele sac (Lord procedure). In both cases testicle will remain larger than other side & may slowly diminish in size with time. This explains why your post surgery testis does not trans-illuminate. Don't be concerned. ...Read more

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Are nuvarings good for longer than 4 months if kept in fridge? Ordered 90 day supply, forgot had 3 in fridge. Exp dates on boxes are 3/16 & 7/17.

Are nuvarings good for longer than 4 months if kept in fridge? Ordered 90 day supply, forgot had 3 in fridge. Exp dates on boxes are 3/16 & 7/17.

Conditional, yes: If the Nuvaring are kept in the refrigerator then they tend to remain active in preventing pregnancy for up to one year. However, I would use supplemental barrier contraceptive such as a condom to be certain that there is no failure with the "expired" Nuvaring. ...Read more

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I'm a type 2 diabetic 36 wks pregnant bs levels are high would it be better to take the baby rather than risk still birth?

I'm a type 2 diabetic 36 wks pregnant bs levels are high would it be better to take the baby rather than risk still birth?

PREGNANCY DIABETES: Diabetes of Pregnancy can be managed with your current regimen. Follow up with your OB for reevalauation and Fetal Stress test to make the best decision for your situation. ...Read more

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CBC test, MVC value is normal but MCH & MCHC below 2values than normal range,PCV 2% more than normal.hb&wbc normal.am feeling tied at evening time.

CBC test, MVC value is normal but MCH & MCHC below 2values than normal range,PCV 2% more than normal.hb&wbc normal.am feeling tied at evening time.

Lab values: There is nothing about these values that is either concerning or diagnostic. Lab data cannot be easily interpreted outside of the clinical context in which it is occurring and knowing why it was ordered. Fatigue can be due to many different causes and needs detailed professional evaluation if truly troublesome. ...Read more

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Can implantation occur a little less than 48 hours after sex? Positive pregnancy test less than 48 hrs after intercourse as well.

Can implantation occur a little less than 48 hours after sex? Positive pregnancy test less than 48 hrs after intercourse as well.

Anatomy : Nope. Absolutely not. First: the sperm have to swim through the cervix, through the uterus, out the fallopian tube and find an ovulated egg. This takes more than 48 hours. Second an impregnated egg does not have any connection to the mothers body for over one week after impregnation and even then does not produce enough hormone for the mother's blood to be carrying it. It is impossible to test. ...Read more

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7 yr old male, pulse 116 resting, o2 lvl 79, excessive coughing, difficulty breathing deeply w/o cough. Emergent or dr in the morning? Cause?

7 yr old male, pulse 116 resting, o2 lvl 79, excessive coughing, difficulty breathing deeply w/o cough. Emergent or dr in the morning? Cause?

Call 911: If your O2 monitor is correct this is an emergency and the kid needs to be seen immediately and receive supplemental oxygen.Sort out the reasons later.Call 911 or go immediately to the closest ER. ...Read more

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Tsh 4.0 T3 (liothyronine) 27 T4 7.4 testosterone 58 tpo antibody 359 pregnant 7 weeks having chills no fever no overweight BMI 23 worried if something serious help?

Tsh 4.0 T3 (liothyronine) 27 T4 7.4 testosterone 58 tpo antibody 359 pregnant 7 weeks having chills no fever no overweight BMI 23 worried if something serious help?

Check with Dr.: Your tpo antibody is high, and more than a third of the women who test positive for thyroid peroxidase (tpo) antibodies while pregnant go on to develop abnormal thyroid hormone levels within two years, more followup needs to be done with these women. Your body maybe attacking your thyroid gland. This is not an emergency please do not panic and talk to your doctor. ...Read more

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Peers telling me i'm gonna die because i jog 20 minutes every other day and my heart rate is 180-190 during the session. I'm 18 can I continue excercise?

Peers telling me i'm gonna die because i jog 20 minutes every other day and my heart rate is 180-190 during the session. I'm 18 can I continue excercise?

Running: That's a high but normal heart rate for someone your age who runs (or exercises) hard. I see you have some other medical issues to make sure you check with your doctor before exercising rigorously. Make sure its something you can do regularly and not overwork yourself. ...Read more

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Hi, My liver tests are as follows: Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL Should I be concerned ?

Hi,
My liver tests are as follows:
Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL 
Should I be concerned
?

? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more

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I drink more than 3 drinks per day on average (working on cutting down). I took 1 325mg Acetaminophen pill this morning at 8AM. Any concerns of OD?

I drink more than 3 drinks per day on average (working on cutting down). I took 1 325mg Acetaminophen pill this morning at 8AM. Any concerns of OD?

No: Even small amounts of alcohol daily may affect the liver and while taking acetaminophen of that amount may not cause an overdose, it may be dangerous for you if you have liver problems. I commend you on your effort to cut down,but more help may be needed. Your local AA is a good place to start for excellent support. There are also inpatient and outpatient rehab centers all over the country. ...Read more

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Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more

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My voice becomes very weak/strained if I have a fast, long or difficult run. Usually on runs of more than an hour, or 7 miles. Unusual ?

My voice becomes very weak/strained if I have a fast, long or difficult run. Usually on runs of more than an hour, or 7 miles. Unusual ?

Could be reflux: I have treated adults who develop or worsen their gastroesophageal acid reflux (ger) when exercising, especially running . If you have symptoms of ger after or during running, like heartburn, weird sensation in throat, coughing, or throat clearing, may want to try ger treatment like xantaz, Prevacid (lansoprazole) or prilosec. ...Read more

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Bp at 160/100, usually at 120-130/80-90. Nurse put me on O2 and went down to 140/90 in 10 mins. Cardio workup done in '14, all normal. Am i hyprtnsive?

Bp at 160/100, usually at 120-130/80-90. Nurse put me on O2 and went down to 140/90 in 10 mins. Cardio workup done in '14, all normal. Am i hyprtnsive?

Needs monitoring: Your BP needs close monitoring as we need multiple reading, taken at rest, before we can know your true BP. If the next 2-3 readings show your BP to be at 140/90 or more, then you would be labelled as hypertensive. If the BP is below this level then you should recheck it again every 3-6 months for one year before you will be certain whether your BP requires medical treatment of not. ...Read more

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A 7 year old child has heart disease... Symptoms of as below :-( nail color turns blue high speed heart beats if he walks for a long way or play?

A 7 year old child has heart disease... Symptoms of as below :-( nail color turns blue high speed heart beats if he walks for a long way or play?

More Info Please: I am not certain what your question is, but i share your concern about your child. Cyanotic (i.e. Turning blue") heart disease can be serious and requires very close monitoring with often complex case. Please discuss these issues with the child's pediatric cardiologist as soon as possible. And please write back with more information so we can be of further assistance. ...Read more

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