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Doctor insights on: Chiari Typ 1

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Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

It depends: Prognosis for Pancreatic Cancer is typically quite poor. But in some patients(5-10%) the tumor can be completely controlled but 90+ percent do tend to get into trouble in one to two years after Surgery. Are you currently free of any visible Cancer in your abdomen? Tell us the details of your recent test results...do they show any tumors or have these been completely controlled??? ...Read more

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Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?

Yes..serious stroke: Your info suggests brain vascular problems that are causing ischemia (reduced blood flow to brain tissue) which until now has been mild or transient but unless you quit smoking , among other preventive measures, you risk more serious ischemic brain injury or stroke ...Read more

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How is living abroad with type 1 diabetes?

How is living abroad with type 1 diabetes?

OK: It might takes some time to get used to the food and learn how it affect your blood sugar. Otherwise, the treatment is the same wherever you are. ...Read more

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What's the difference between type 1 and 2 diabetes?

What's the difference between type 1 and 2 diabetes?

Very different: Both types of diabetes are characterized by high blood glucose levels. Type i diabetes is caused by a failure of the islet cells in the pancreas to produce insulin. Insulin is a hormone that is required to get glucose into the cells. In type ii diabetes, the pancreas produces Insulin but the cells don't use the Insulin in a normal fashion. This is sometimes called Insulin resistance. ...Read more

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Type 2 diabetic 1 hour after meal?

Type 2 diabetic 1 hour after meal?

Post prandial: There are not standards set for1 hr post prandial blood glucoses. At 2hrs, ideally they approach 140 and under. ...Read more

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Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Triglycerides 453 hi. Glucose 132H.Bun 26H. Hemoglobin 11.7 low. Hematocrit 37.5 L. Mchc 31.2 L. RDW 15.5 H. MICROALB CREAT 240 H. VitD 22 L. Father60 and Diabetic . Rest of Cbc and othere normal. What could this be?

Need good care: You need to be under the care of a competent physician who can keep your diabetes under control and find the cause of your anemia, which i suspect is due to iron deficiency from blood being lose somewhere. We can't solve it here. If you have a specific question, let us know. ...Read more

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What is: "r/o atypical Nevus" in doctor's note?

What is: "r/o atypical Nevus" in doctor's note?

Biopsy: An atypical Nevus is suspicious for malignancy. Therefore a biopsy is often done to establish a histopathological diagnosis and treatment plan. ...Read more

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What risk assessments tests to do with smoldering multiple myloma pls tel me is it smoldering myloma when m spike is below 1 but 14 percent plasma cel?

What risk assessments tests to do with smoldering multiple myloma pls tel me is it smoldering myloma when m spike is below 1 but 14 percent plasma cel?

Regular follow-up: Smoldering myeloma is a pre-malignant condition with about 10% people developing myeloma/year. You correctly defined your condition as smoldering myeloma. There is need to do repeated blood tests every 6-12 months. Please follow you doctor's advice. ...Read more

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Labs had smear in 2015 erythrocytosis. 6-1-17 hgb 16.1 hct 46.9 mcv 100 mch 34.3 wbc 11.3 mono 3.8 gran# 8.5 104 16hr fast glucose prev high hct hgb?

Labs had smear in 2015 erythrocytosis. 6-1-17 hgb 16.1 hct 46.9 mcv 100 mch 34.3 wbc 11.3 mono 3.8 gran# 8.5  104 16hr fast glucose  prev high hct hgb?

More information: Hello, unfortunately more information is needed than just posting a lab result. Do you have a specific question we can try to answer on this forum? Otherwise perhaps a medical consult would be appropriate. ...Read more

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Blood: creatinine 1.80; GFR 41. Follow-up labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Blood: creatinine 1.80; GFR 41. Follow-up  labs 48 hrs later: creatinine 1.50; GFR 53. Imm% - 1.8; imm count - .16. Wbc normal. No symptoms. 46-w-male?

Kidney down briefly?: Both are a bit high for a man in his mid-40s especially if your bodybuilding days are over. Might you have been recovering from a subclinical bout of Ibuprofen nephropathy? It's very common and causes partial renal shutdown. Drink plenty of water if you use nsaids nad consider a follow at your next regular appointment. ...Read more

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I am 23 bilatral mild kne tendernes 1 year.Rib , hip , tendernes on and of.Uric acid 6.4:hct62.5% RA , anti ccp negativ.Wbc 9000 one kidney gone .P.U.V?

I am 23 bilatral mild kne tendernes 1 year.Rib , hip , tendernes on and of.Uric acid 6.4:hct62.5% RA , anti ccp negativ.Wbc 9000 one kidney gone .P.U.V?

Hematologist needed!: If you are a non-smoker, the hct of 62.5% strongly indicates a "myeloproliferative" disorder of which polycythemia vera is a variant and can give bone pain, especially if there is a high viscosity that limits blood flow and tissue oxygen delivery. The uric acid is not significantly elevated and not playing a role in your symptoms, but ongoing monitoring is required with blood disorders. ...Read more

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Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Two disc herniations 1 pinching C8 ddd canal stenosis and severe carpal tunnel syndrome in both hands. Which is causing severe hand numbness 3yrs ?

Likely carpal tunnel: Both have overlap within the hands depending upon the distribution. MRI is necessary of cervical spine and in many cases if distribution is not distinct, further an EMG/Nerve conduction study to delineate. In most cases however, it is more likely the carpal tunnel is the culprit. Consultation/examination by a neurosurgeon would be most appropriate for diagnosis. ...Read more

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Wbc 13.2 RBC 4.73 hemoglobin 10.2 hematocrit 33.8 mvc 72 MCH 21.6 mchc 30.2 RDW 16.2 platelets 816, 000.Thoughts?Should i be worried with the platelets

Wbc 13.2 RBC 4.73 hemoglobin 10.2 hematocrit 33.8 mvc 72 MCH 21.6 mchc 30.2 RDW 16.2 platelets 816, 000.Thoughts?Should i be worried with the platelets

Probably reactive: You are anemic and the numbers are suspicious for iron deficiency. If you are a healthy 34 year-old who menstruates regularly, you could easily be low in iron. The plaelet count is very high, but is likely reacting to the low iron and should come down if it is replaced. The elevated white cells (WBC) is not as easy to understand. Inflamation, infection, other? Could use more info. Good luck. ...Read more

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I'm 34 years old my mri report say, t2 and flair hyperintensities in a deep white matter distribution , what does this mean ?

I'm 34 years old my mri report say, t2 and flair hyperintensities in a deep white matter distribution , what does this mean 

























?

Impossible to say: it depends on your symptoms. Why was the MRI ordered and what issues were suspected by your doctor? ...Read more

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How do 1 gain weight within 1 month?

How do 1 gain weight within 1 month?

See Dr., then eat...: If one is truly underweight (based on height, family background, and body type), a Dr. can evaluate for a hormonal, digestive, or other disorder. If no medical cause is found, then one can add weight by eating more calories of nutritious foods, while also doing weight-training to increase muscle. Proteins: egg white, chicken breast, salmon,... Better fats: olive oil, peanuts, almonds, tofu,... ...Read more