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Doctor insights on: Chromosome 16

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2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

Maternal fetal medicine: specialist is what you need with your high risk pregnancies, if you don't have one available in your area please seek advice in a teaching hospital ...Read more

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Are 6 cell grade B frozen embryos bad quality to transfer on day three in a FET?

Are 6 cell grade B frozen embryos bad quality to transfer on day three in a FET?

Not bad at all: Grade B multi-cell embryos are usually considered very good for embryo transfer. Grading multi-cell embryos is somewhat subjective so you should talk with your RE doctor and/or your embryology staff for more data. Good wishes and good luck! ...Read more

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154 iron 16 weeks pregnant what does that mean ?

154 iron 16 weeks pregnant what does that mean
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Is this on a test?: It depends on context & the units.154 iron could b the amount of iron in a product like a vitamin or other supplement or could b the amount of iron in ur blood if it was on a blood test.The test would generally show ur total iron, ferritin,&iron binding capacity&,if u r anemic,would b used2determine if it is due 2 iron deficiency.U expand ur blood volume by 50% in pregnancy requiring a lot of iron ...Read more

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CML 10/12. Gleevec .5 log at 6 mths. Sprycel (dasatinib) .5 log at 6 mths. Stem cell transplant 4/14. 7/14 Blast crisis - 65% blast BM + Aspergillus F lung Help?

CML 10/12. Gleevec .5 log at 6 mths. Sprycel (dasatinib) .5 log at 6 mths. Stem cell transplant 4/14.  7/14 Blast crisis - 65% blast BM + Aspergillus F lung Help?

Difficult case: it is a complicated case obviously. first and foremost the infection has to be treated. i would suggest you to follow up with ID and oncologist very closely. importantly is to check if there is certain mutation like T315i mutation as this mutation is resistant to gleevec, sprycel, tasigna (nilotinib) - and should be treated with ponatinib or aurora kinase inhibitor etc. discuss with oncologist. God bless ...Read more

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My dad 70 yrs has macrocytic anemia. Hemoglobin 9.5, hematocrit 28. Hematologist gave maltofer pill a day. In a month hemoglobin 10 hematocrit 30?

My dad 70 yrs has macrocytic anemia. Hemoglobin 9.5, hematocrit 28. Hematologist gave maltofer pill a day. In a month hemoglobin 10 hematocrit 30?

What is the question: Please rephrase your question to get a better answer. Please discuss in detail with his hematologist. The fact that hematologist gave the iron- means that your hematologist thinks there is a component of iron deficiency. So, continue iron and f/u with your md. However, it does not fit exactly with macrocytosis. Other work up still needs to be done to see explanation for macrocytosis. ...Read more

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Is this trisomy 22 caused from one of the parents havinga genetic disorder?

Is this trisomy 22 caused from one of the parents havinga genetic disorder?

22 or 21 whatever ?: Trisomy's are causes by an abnormality at conception. The egg & sperm are both expected to bring one chromosome from each of the parents 23 pairs.If an extra comes along in the egg or sperm (usually egg), the joining produces 22 pairs & one triplet or trisomy.Chromosomes carry the genes. Too many genes confuse the cell. Some lump this with gene disorders because gene docs follow the patients ...Read more

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What does this indicate a pco2 arterial of 24, pH 7.49, co2 whole blood 18.8, o2 sat. 98.4 all from a blood gas

What does this indicate a pco2 arterial of 24, pH 7.49, co2 whole blood 18.8, o2 sat. 98.4 all from a blood gas

Lab data: The pc02 is low suggesting that you are blowing off carbon dioxide at an excessive rate, perhaps from hyperventilation. The p02 is normal, and the the total c02 is the sum of hco3? and pco2 by the formula: tco2 = [hco3?] + ?*pco2, where ?=0.226 mm/kpa, hco3? is expressed in millimolar concentration (mm) (mmol/l) and pco2 is expressed in kpa. 18.8 is low. Speak with your doctor. ...Read more

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Sperm test 2/4/13 13m/ml, 70% mot, 12% mor, 7/5/13 11m/ml, 10% mot, 14% mor, 24/7/13 60m/ml, 12% mot 4% progress, 3% mor what causes variation ? Not ill.

Sperm test 2/4/13 13m/ml, 70% mot, 12% mor, 7/5/13 11m/ml, 10% mot, 14% mor, 24/7/13 60m/ml, 12% mot 4% progress, 3% mor what causes variation ? Not ill.

Depends: Male fertility can fluctuate the same as the female. Since you had more then one abnormal semen analysis i would recommend that you consulted with a fertility specialist /urologist to discuss fertility options as well as the underlying causes for the abnormal sperm. At time a simple IUI or life style modifications can help. ...Read more

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I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

I'm 22, female, type 1 diabetic 20 years & graves disease. Had baby 12/2 & sick for month. Angina, irregular heartrate, syncope, short of breath. Help?

PCP visit: I would suggest having your thyroid function tests obtained, and an evaluation for autoimmune disease. The other test that you should have while you are at the PCP, is an EKG. ...Read more

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Is bone marrow transplantation is curative for chronic myeloid leukemia caused by (Philadelphia chromosome) ?

Is bone marrow transplantation is curative for chronic myeloid leukemia caused by (Philadelphia chromosome) ?

Yes: In 70 to 80 percent of cases. The availability of tyrosine kinase inhibitors such as gleevec (imatinib) has moved transplant to 3rd line treatment ...Read more

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Results from pulmonary test. ? Meth 1.3, ca++ 1.15, lac 3.8, o2ct 18.4, pH 7.434, pco2 35.3, po2(c) 60.7, thb 14.7, o2hb 88.9, cohb 1.2, methb 1.3

Results from pulmonary test.  ? Meth 1.3, ca++ 1.15, lac 3.8, o2ct 18.4, pH 7.434, pco2 35.3, po2(c) 60.7, thb 14.7, o2hb 88.9, cohb 1.2, methb 1.3

Abn labs ; headache: Labs appear indicative of metabolic acidosis with high methemoglobin and hypercalcemia. If you're smoking, stop! secondly, drink plenty of fluid, not milk (reduce calcium containing foods), and see your doctor to get further labs including parathyroid hormone. ...Read more

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Tested the morning of 6 day after FET of 2 6 day blast. The embryos were not fully expanded. Got a negative. Thoughts?

Tested the morning of 6 day after FET of 2 6 day blast. The embryos were not fully expanded. Got a negative. Thoughts?

Too early: I suspect your doctor instructed you to come in for a blood pregnancy test at least 10 days after the transfer. It is too early to check. You need to wait until the proper time. ...Read more

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I'm just over 16 weeks pregnant & have been experiencing mostly visual & audio hallucinations. Is this normal? 

I'm just over 16 weeks pregnant & have been experiencing mostly visual & audio hallucinations. Is this normal? 

No - see doctor: Hallucinations can have medical causes as well as psychiatric. Please see your pcp, OB or go to ER for evaluation and guidance. Tell your family and have someone go with you to get help. Be safe and get yourself checked as soon as possible. I hope this helps. Best wishes. ...Read more

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Does Paraneoplastic antibody syndrome blood test through Mayo Clinic is reliable enough?

Does Paraneoplastic antibody syndrome blood test through Mayo Clinic is reliable enough?

Yes: Mayo Clinic Lab is highly reliable, and is one of the best reference labs in the world. ...Read more