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Doctor insights on: Aruna Stannard

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I'm aruna. 23 y old male. My bmi is 14.9, what should I do?

I'm aruna. 23 y old male. My bmi is 14.9, what should I do?

Diet and exercise: The key to losing weight is not a temporary diet but permanent changes. Sugars and simple carbs from grains esp. Cause weight gain. I like Dr. Furhman's diet: http://tinyurl. Com/ktampgg
Dr. Weil has useful info:
http://tinyurl. Com/m8avwzh
- see his "discuss that" link in his article.
Also see https://authoritynutrition. Com/weight-loss/ for many useful articles.
Exercise is also important. ...Read more

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Had removed a Tubervillous pulp w/some areas w/ High dysplasia. Will re do in 6 months to be sure all was removed. Is that standard?

Had removed a Tubervillous pulp w/some areas w/ High dysplasia. Will re do in 6 months to be sure all was removed. Is that standard?

Glad it's out: Sounds like a great idea. If there's a recurrence, it'll be early. You were smart to be checked. Continue this over the years. Best wishes. ...Read more

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Plz can someone give me the name of one or a few great GI drs in the San Francisco area? Maybe at Stanford? Someone had to know something?

Plz can someone give me the name of one or a few great GI drs in the San Francisco area? Maybe at Stanford? Someone had to know something?

Referral needed: Your primary care doctor is the best source of information for local referrals, and if and when they're needed. GI specialists typically won't see new patients unless referred by a primary doctor or if there's a true emergency (and then only after being evaluated in the ER and/or as a hospital inpatient). ...Read more

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Colorectal surgeons (non-stanford) in the menlo park area. Recommendations?

Colorectal surgeons (non-stanford) in the menlo park area. Recommendations?

Referrel directory: Check out referrel directory of board certified colon and rectal surgeons at www. Colonandrectalsurgery. Com ...Read more

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I was told that RDL out of Ca. Is the gold standard lab for ANA profile. What are your thoughts on this?

I was told that RDL out of Ca. Is the gold standard lab for ANA profile. What are your thoughts on this?

That's news to me: And I'm a pathologist, a specialist in lab medicine. The ANA is NEVER more than just one small piece that a physician uses to make a diagnosis. One older woman out of four has a positive ANA despite being perfectly healthy. This is a hard concept to get people to understand, but it's the truth. ...Read more

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A lab reported my ANA test result -ve, cut off rate: 1.117, sample rate: 0.198. They used immulite 2000 rai analyzer. Is it standard, reliable report?

A lab reported my ANA test result -ve, cut off rate: 1.117, sample rate: 0.198. They used immulite 2000 rai analyzer. Is it standard, reliable report?

It's just a lab: As a pathologist, I'm well-acquainted with the pitfalls of all ANA testing. The real decision is whether to treat your joint pain as lupus or one of its ana-positive variants. Many healthy folks have some ANA on board. The value that's returned from the lab is only one piece of the puzzle in working up rheumatologic disease. ...Read more

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What is the gold standard test for sjorgens. Had high ana's in the past and then they were ok, then high, Inflammatory markers usually normal.?

What is the gold standard test for sjorgens. Had high ana's in the past and then they were ok, then high, Inflammatory markers usually normal.?

Sjorgen's tests: Are positive SS-A and SS-B antibodies for primary Sjogren's. Secondary Sjogren's without these markers is common in lupus and RA! ...Read more

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My ANA Hep-2 Titer is >1280 Titer 1 and standard is <80 Titer 1. pattern is Centromere. I have lupus. Just how bad is this result? Common?

Lab tests: Both of these tests may be suggestive of lupus or other autoimmune conditions. However, the lab test are just 1 component of the overall assessment and does not by itself makes the diagnosis of lupus. I recommend seeing a rheumatologist and would be happy to consult if needed. ...Read more

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I had the standard blood tests for autoimmune diseases (no symptoms) all the tests came back normal except ANA of pos 1.4. Should I be concerned?

See below: Close to 30% of patients will have positive ana. If you did not have symptoms of autoimmune disease, it is not clear to me why this was performed. Odds are in your favor that you probably have nothing to worry about with you currently reporting no symptoms. ...Read more

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What is standard work-up for a child reporting frequent abdominal pain around stomach, esp w/running, after constipation & food reactions r ruled out?

What is standard work-up for a child reporting frequent abdominal pain around stomach, esp w/running, after constipation & food reactions r ruled out?

No standard workup.: Work up of this type of pain can only be determined after a detailed history and physical exam and a review of any other tests which have already been done. It is possible that the child may need a trial of medications or dietary changes. It is also possible that procedures may be necessary. I would follow up with his primary care doctor, and consider a referral to a pediatric GI doc if necessary. ...Read more

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QRISK 3 Score 50+male, have Migraine Aura no headache couple of Hemiplegics. CholesterolHDL Ratio 3.8 Systolic systolic BP 125 Standard deviation 9 Height 175, 68kg 10yr Risk 6.3 (4.9 aver)Heart age 57 would Betablockers help lower risk, or no concern?

QRISK 3 Score 50+male, have Migraine Aura no headache couple of Hemiplegics. CholesterolHDL Ratio 3.8 Systolic systolic BP 125 Standard deviation 9 Height 175, 68kg 10yr Risk 6.3 (4.9 aver)Heart age 57 would Betablockers help lower risk, or no concern?

Beta blocker: In my opinion there is no indication for your taking beta blockers according to your profile unless you require them for cardiac rhythm abnormalities or significant hypertension. Preventative measures would include daily low dose aspirin, avoidance of tobacco, taking omega 3 fish oil, regular exercise providing a treadmill stress test is normal, and maintaining a healthy BMI. Ask MD about a statin ...Read more

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How is an endoscopy ultrasound (of the pancreas) any different, if at all, than a standard screening endoscopy of the stomach area? Same machine?

How is an endoscopy ultrasound (of the pancreas) any different, if at all, than a standard screening endoscopy of the stomach area? Same machine?

Different: Endoscopy looks at lining of organs-esophagus, stomach, duodenum, no view of pamcreas. EUS does internal sono sound wave picture of pancreas-
no xrays. Regular sono does not get good look at pancreas ...Read more

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Why aren't oral/rectal tests of gonorrhea not included in standard std test? Don't they have complications like genital gonorrhea?

Why aren't oral/rectal tests of gonorrhea not included in standard std test? Don't they have complications like genital gonorrhea?

You ask/they do: The common screen for gonorrhea is done on a urine specimen. If you have concerns that you may have been exposed to oral or anal gonorrhea it is important for you to speak up. Physicians do not necessarily assume you practice oro-genital or rectal sex. Good practices require good shared communication, which is a 2 way process. ...Read more

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I had a positive Ana twice (1:320) with homogenous and speckled patterns, C3 low (95 when standard is 98). Sore, tired, fevers, heart prob-what is it?

I had a positive Ana twice (1:320) with homogenous and speckled patterns, C3 low (95 when standard is 98). Sore, tired, fevers, heart prob-what is it?

Rheumatologist!: Hi. Hey, do I look like a rheumatologist to you? Ha! Just kidding. But seriously, it's probably something in the lupus family...and it's a BIG family (although outside of my specialty). See a rheumatologist. You've got Sansum right there, and they're really good. Good luck! ...Read more

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Does a Positive ANA Antibodies, IFA test mean I could have an STD? What STDs are Positive ANA test? Is an ANA Antibody test a standard test for STDs?

Antinuclear antibody: Antinuclear antibody testing is useful for someone with signs and symptoms of an autoimmune disease - anemia, arthritis, kidney disease, inflammation of the heart and lungs. It is not a test for STDs.

However, a test for syphilis, the VDRL, was once used as a test for autoimmune disease!

Please call your doctor to explain your ANA. Usually they are of no medical significance. ...Read more

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What is an aqua test?

What is an aqua test?

Regarding breast CA: There is a new technology called aqua technology that is said to more accurately determine estrogen/progesterone receptor status on tumor cells in cases of breast cancer. Technically, this should lead to more accurate treatment decision making. You will need to discuss this in detail with your cancer specialist or gynecologist. ...Read more

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I have pain in back area?

I have pain in back area?

Need context: With such a vague symptom, it is impossible to give a good answer unless we know the context of the pain (when, where exactly, how painful, etc, etc). ...Read more

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Nothing at this time around?

The question is?: You might be responding to another answer. But the sentence we are reading does not have a question,
try again. ...Read more

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What sickness is going around?

What sickness is going around?

Always something: There is almost always some contagious disease going around. Much depends on the season and the region of the country you live in. Some studies have shown that the average adult gets 12-18 viral infections per year, and the average child getting 18-24 per year. Most of these infections occur in or around the winter season. See your doctor if you don't improve or notice worsening. ...Read more

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Can I lose around 8kgs in 10days?

Can I lose around 8kgs in 10days?

Don: Try to do that, unless your a wrestler or boxer. You only will loose water weight. ...Read more

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Is hookah bad for kids around you?

Is hookah bad for kids around you?

Hookah: Yes, inhaled smoke from hookah may cause asthma like symptoms. ...Read more

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What other areas do I need to treat?

Areas of what: It'd be nice to know what areas you refer to! ...Read more

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How come my Question aren't answered?

How come my Question aren't answered?

Unsure: It not a technical issue. Some questions might be vague or difficult to understand. Some questions may actually be statements - so we don't know what is being asked. Some people ask so many questions at once - that we could never respond in 400 characters or less. Some questions are requesting what would amount to diagnosis and treatment which we can't provide in the general health education ...Read more

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How can I try and turn my life around?

How can I try and turn my life around?

2B brave act brave: Nobody is going to reach out to you to make your life better. Nobody owes you happiness or fulfillment. You must take appropriate initiative. If you're old enough to be writing, you can walk away from a difficult past. Stop doing the things that waste your time, join an activity where you are likely to meet someone, learn a new marketable skill, be a diplomat & learn to enjoy your own company. ...Read more

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What can I do for my dying great aunt?

What can I do for my dying great aunt?

Ask her: Let her know that she is loved and is not alone. See if there is anything in particular that would be meaningful to her. For instance, does she long to walk on the beach before she dies. Are there things that are important to her that she would like to have with her if she is bedridden. What comforts her in specific - ask. ...Read more

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