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Doctor insights on: Antithrombin Iii Act W Reflex

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Does a monoclonal antibody reactive with the o139 antigen of e.Coli would cross react with v.Cholera o139?

Does a monoclonal antibody reactive with the o139 antigen of e.Coli would cross react with v.Cholera o139?

Apparently not.: This does not seem likely because first that the v cholera is usually found in india and bangladesh while ecoli is usually in the U.S., mexico, and south america. Second, the mechanisms are different because the genes for toxicity on the e coli strains are not present in the v cholera. Third, there seems to be no information on any cross reaction of these two o 139 strains. ...Read more

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Why chronically high P (5.0) & low vD (<15) in spite of 1yr aggressive treatment (calcitriol 100,000iu wkly)? Usually ok Ca & PTH. Thanx. F/20s

Why chronically high P (5.0) & low vD (<15) in spite of 1yr aggressive  treatment (calcitriol 100,000iu wkly)? Usually ok Ca & PTH. Thanx. F/20s

Ca & PTH: I don't know who is treating you but the care reported is way out of line. Please have a friend fine a better doctor for you - preferably an Endocrinologist. Please let me know how things progress. ...Read more

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Disorganized activity of 7-8 c/sec alpha theta mix with delta waves nearly symetrical & synchronous over both hemisphere general cerebral dysrhythmia?

Disorganized activity of 7-8 c/sec alpha theta mix with delta waves nearly symetrical & synchronous over both hemisphere
general cerebral dysrhythmia?

Question?: If you are trying to assess the meaning of this EEG finding, it is best to go over it with your ordering physician. The EEG is meaningless without a clinical context, which presumably is why it was ordered. Speak to the ordering physician. ...Read more

Dr. Jesus Yap Dr. Yap
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Predominantly sinus rhythm, with evidence of 2:1AV heart block (type II). 3rd degree block reported, now thought to be 2 beat P wave asystole. worry?

Dr. Jesus Yap Dr. Yap
2 doctors agreed:
Predominantly sinus rhythm, with evidence of 2:1AV heart block (type II). 3rd degree block reported, now thought to be 2 beat P wave asystole. worry?

Yes: Yes . I would . Check with your doctor preferably a cardiologist as to why and what the next step should be. There are many important information missing to give meaningful advice at this end ...Read more

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Positive ANA 1:160. Reflex cascade negative. How important is reflex cascade?

Positive ANA 1:160.  Reflex cascade negative.  How important is reflex cascade?

Test: Rheumatologic conditions are truly made by clinical evaluation, as tests often false positives. Hopefully under care of rheumatologist. They have clinical experience to know what's real and what isn't. It takes good clinical history, tests may or may not help, as tests don't make diagnosis, clinical judgement by physician does. What is problem? Lupus?. Confide in physicians clinical judgement not. ...Read more

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1yr has h 2.8 a/g ratio, h 128 alt(sgpt), h <70 bum/create ratio, l 19 co2, l 1.4 globulin, h 33 ige, l 171 igg, h 11 mono% what does this mean? H=high l=low

1yr has h 2.8 a/g ratio, h 128 alt(sgpt), h <70 bum/create ratio, l 19 co2, l 1.4 globulin, h 33 ige, l 171 igg, h 11 mono% what does this mean? H=high l=low

Clinical context: All lab 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. There are different normal ranges for babies and the h/l marks are likely based on adult values. Please discuss the matter with your pediatrician. ...Read more

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I get savage irrational rage & full-body dysesthesia when eating food high in aspartic, glutamic, & arachidonic acid. Why? Nmda receptor dysfunction?

I get savage irrational rage & full-body dysesthesia when eating food high in aspartic, glutamic, & arachidonic acid.  Why? Nmda receptor dysfunction?

MSG: We don't know. There is disagreement with such reactions but I have seen msg sensitivities and it can close to what you are describing. For more info go to http://inkchromatography.Wordpress.Com/2012/05/01/the-msg-files-part-iv-chinese-restaurant-syndrome-2/. ...Read more

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2013 healthy heart. 2014 PV trace of pulmonic insufficiency impaired relaxation Grade I, 2015 psuedo normalized relaxation Grade II. Your plan for me?

2013 healthy heart. 2014 PV trace of pulmonic insufficiency impaired relaxation Grade I, 2015 psuedo normalized relaxation Grade II. Your plan for me?

The information: provided is not sufficient to allow a full treatment plan and the echocardiographic findings would need to be verified personally however it would not be unreasonable to do nothing if you had no symptoms or restrictions. If you were symptomatic I would consider low dose beta blocker if it were not otherwise contraindicated for you. ...Read more

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What causes dysynchronious right (morphological ) contraction in cc-tga with added lesions (sub-ps, systemic tv regurg +small extras), dual pm also.?

What causes dysynchronious  right (morphological ) contraction in cc-tga with added lesions (sub-ps, systemic tv regurg +small extras), dual pm also.?

Technical question: From the question, it sounds like this is the result of a recent study. It would be best to bring up these questions with your physician who ordered the test. ...Read more

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Ds le cas du carence de Ca ds les cellules ces dernieres seront moins sensibles aux hormones thyroidiens malgre taux normal de t3, (liothyronine)t4.c'est vrai?

Ds le cas du carence de Ca ds les cellules ces dernieres seront moins sensibles aux hormones thyroidiens malgre taux normal de t3, (liothyronine)t4.c'est vrai?

Je ne suit certain: quois que vous me demandez. C'est possible d'avoir Cancer tyrioidiens avec les hormones normales a la meme fois. Ils sont désordres différentes qui existe dans le meme organe. J'espère que ca vous aide. Dr. Anne ...Read more

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At which temperature (bodily and external) the MTHFR enzyme, a result of heterozygous C677T mutation, becomes thermolabile, i.e.inactive? Thank you.

N/A: The mutation which causes dysfunction of the MTHFR enzyme is genetic - it doesn't happen because of a variation in body temperature. The rare disorder that this causes is characterized by a possibility of inappropriate clot formation, which can result in stroke or heart attack. However, a person proven to have this mutation may never actually experience such a thrombotic event. ...Read more

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Was taking a recombinant-derived fviii for hempohilia a and inhibitor appear. Finishing iti and doc says 2 try plasma fviii. Alphanate (factor viii and von willebrand factor) or koate and y?

Follow his advice: Development of recombinant factor v111 inhibitor those occur frequently after prolonged treatment and those make the treatment less effective. Hence your dr will recommend products to bypass the inhibition. ...Read more

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Kappa (4 vs ref 2mg/dl) and sometimes lambda light chain in 24hr urine without mm. What can be suspected? Anemia, worsening ckd, improves with na co3

Kappa (4 vs ref 2mg/dl) and sometimes lambda light chain in 24hr urine without mm.  What can be suspected? Anemia, worsening ckd, improves with na co3

K+L chains in ua: hello, the fact that you are having this checked in your urine means that some person is already onto the fact that you may have MGUS or multiple myeloma. The worsening anemia and kidney deterioration is more indicative of myeloma. BUT you need the whole urine and blood protein electrophoresis to look at before making the diagnosis. You shd request referral to a Heme-Onc specialist to decide.thx ...Read more