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Doctor insights on: First Segregant Series

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Does a tetanus booster i had 10 yrs. Ago count as the first in a series of 3 shots?

Does a tetanus booster i had 10 yrs. Ago count as the first in a series of 3 shots?

Depends: If you never had a tetanus shot previously then it was the first. If you had the primary series in childhood, it is just a booster & due again every 10 years. ...Read more

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I am 21 from last two weeks i have flactuation in my blood pressure. First it is 150/85 than it come in to 120/80. Now it in the series of 130/80 . ?

I am 21 from last two weeks i have flactuation in my blood pressure. First it is 150/85 than it come in to 120/80. Now it in the series of 130/80 . ?

Blood pressure: Blood pressure varies depending upon time of day, activity & even position. It also varies depending upon what you've eaten & how much you've had to drink. It's also affected by nicotine use, etc. Check out http://goo.gl/HA6c4t & http://goo.gl/fAfv9z to learn how to measure your BP. Always rest at least 5-10min prior to checking. Ideally check at same time daily. If elevated, discuss w/FamilyDoc ...Read more

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Itching >48 hours after allergy shots? Shots 2x/week (3 shot-series), and minor itching (~2 out of 10) with reduced dose. 1 month on first vial.

Itching >48 hours after allergy shots? Shots 2x/week (3 shot-series), and minor itching (~2 out of 10) with reduced dose. 1 month on first vial.

Not uncommon: I usually advise my patients to double up on the antihistamine with the next shot. Meanwhile, try taking antihistamine and Ibuprofen for the discomfort. There is a downside in adjusting the dose down since studies have shown that you are actually more likely to have local reactions the next time around. However if there is too much discomfort, adjusting the dose down would be reasonable. ...Read more

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Should I have my full mouth dental series xrays done first at a new office before having a periodontal cleaning done at another new office?

Should I have my full mouth dental series xrays done first at a new office before having a periodontal cleaning done at another new office?

Sure I Would: I am assuming that you require a periodontist for a more intensive srp. Iif the radiographs are digital then they can be easily transferred from one practice. Your general dental office will also utilize these films for diagnosing caries, failed restorations, tooth abscesses, etc. & you may have something that might need attention prior to srp. ...Read more

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Hep b vaccine series, final shot effective after 6+ months of first shot. True?

Hep b vaccine series, final shot effective after 6+ months of first shot. True?

Yes but...: Only in young infants. Forolder chiildren and adolescents, doses may be given in a schedule of 0, 1, and 6months; of 0, 1, and 4 months; or of 0, 2, and 4 months. ...Read more

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I just received the first shot of the hepatitis vaccine series. Can i still safely breastfeed my baby?

I just received the first shot of the hepatitis vaccine series. Can i still safely breastfeed my baby?

Yes: There is no passage of any detrimental material that we know of into the breast milk from any of the material in any of the hepatitis shots, either a or b. ...Read more

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I have inconsistent tests that lean toward multiple myeloma or MGUS. First xray lytic lesion; globulin series serum & urine monoclonal positive to gamma; 24 hr electopherurine neg; beginning anemia; BUN off; other small abnormals. Bone survey neg.

I have inconsistent tests that lean toward multiple myeloma or MGUS. First xray lytic lesion; globulin series serum & urine monoclonal positive to gamma; 24 hr electopherurine neg; beginning anemia; BUN off; other small abnormals. Bone survey neg.

Need second opinion: The criteria for myeloma vs Mgus changed recently but both changes include exact percentages and size of lytic bone lesions. Your data as you summarized are not adequate and since mgus vs multiple myeloma are like dawn and day, you need to be seen and your precise numbers verified. That said, please see hemeonc in centers experienced in myeloma dx,management,and treatment. ...Read more

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