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Doctor insights on: Functional C1 Inhibitor Eia

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Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Male 55 healthy/active prostate cancer, scheduled for rp, psa 6.5 biopsies 6of8 pos 2aggessive, gleason 7. Are there other options to consider other than surg. Ct and bone scan clear. ?

Yes but: Alternatives are external beam radiation and radiation seeds (brachytherapy). At your age, conservative (watching) isn't advised. All of the therapies can cause urinary incontinence and e.D. - with surgery, they get better over time for most. With radiation, they get worse over time. Surgery is the time honored best of a bad situation. Good luck. ...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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What does Minimally reduced final aggregation in response to ADP with disaggregation(final aggregation approximate 30%) means in platelet aggrigation?

What does Minimally reduced final aggregation in response to ADP with disaggregation(final aggregation approximate 30%)
means in platelet aggrigation?

Platelet aggregation: The platelet test measures 2 phases - initial ability of platelets to plug leaks, and the secondary reaction of clumps of platelets to stick together (aggregate). Some drugs (like ASA or NSAIDS /ibuprofen) and other structural (genetic) defects can reduce secondary aggregation, which can increase risk of bleeding. Your result could be caused by taking 1 ASA weeks ago. ...Read more

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12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

Nutrition!: A gastric bypass is a very complex nutrition situation. If your physician has not dealt with it much i would suggest asking for a referral to a nutritionist or a bariatric center. That being said, the dosage of iron is fda approved treatment for iron deficiency, and the vitamin d is a reasonable amount. You have many nutrient levels that should be monitored and carefully watched! ...Read more

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Are the WBC results 15.6, 14.4, 11.4, 13.5, 12.7, 16.7, 14.4 13.3, 12.4, 15.3, 13.9, 14.4 & 17.8 slightly, moderately or highly elevated in general?

Are the WBC results 15.6, 14.4, 11.4, 13.5, 12.7, 16.7, 14.4 13.3, 12.4, 15.3, 13.9, 14.4 & 17.8 slightly, moderately or highly elevated in general?

Blood tests: There are a few diseases that leap out from blood tests. Most of the time, however, blood tests don't tell the doctor much on their own. These results fall into the second group. Good health to you. It is reassuring that the results do not consistently keep rising. ...Read more

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Hi, My liver tests are as follows: Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL Should I be concerned ?

Hi,
My liver tests are as follows:
Bilirubin Direct : 0.3 mg/dL, Bilirubin Indirect : 1.8 mg / dl, Globulin : 5.6 g / dL 
Should I be concerned
?

? Gilbert's disease: It is a familial (autosomal dominant), common (2-5% of people), unconjugated hyperbilirubinemia (blood bilirubin measures 1-5mg/dl), not due to breakdown of blood. It is associated with reduced enzyme levels of udp glycuronyl transferase, that results in jaundice when patients fast or suffer an infection. It does not shorten life or raise insurance rates, but may predispose to tylenol (acetaminophen) toxicity. ...Read more

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Would pqq+q10 help in repairing/biogenesis mitochondrial dysfunction induced by fluoroquinolones?I'd appreciate other suggestions too

Would pqq+q10 help in  repairing/biogenesis mitochondrial dysfunction induced by fluoroquinolones?I'd appreciate other suggestions too

Hopefully; also...: Good question! the discovery that antibiotics (including quinolones) can damage mitochondria is a recent important discovery few docs know about: http://bit.Ly/1hjujxk giving nac ; other antioxidants may prevent this but i don't know of studies on repairing it.Coq10 ; pqq are likely to help.A supplement called nt factor helps mitochondria: http://informahealthcare.Com/doi/abs/10.1300/j092v11n03_03. ...Read more

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I'm 21. Which medication is more proper for ovarian cysts(5-8mm. No free fluid) in both ovaries- homeopathy or allopathy ?

I'm 21. Which medication is more proper for ovarian cysts(5-8mm. No free fluid) in both ovaries- homeopathy or allopathy ?

Medical systems: Homeopathy and allopathy are systems of medicine, not medications in themselves. Allopathy means "other suffering" -- and refers to using treatments that cause effects different from those of the disease being treated. Homeopathy = "similar suffering" -- and uses minute quantities of medicines that would produce in a healthy person, symptoms similar to those of the disease. Please see comment. ...Read more

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Results: Hep C quant. : 2,802,680 HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Results: Hep C quant. : 2,802,680 
HCV log10: 6.448. Reflex to genotype was unable to determine genotype even though there was sufficient HCV RNA?

Hepatitis C virus: Sometimes it's not possible to determine the genotype of this virus, which thus makes the expected response to treatment more uncertain. This is a 'slippery virus' -there are 11 major genotypes (designated 1-11), and many subtypes (a, b, c, etc.) A hepatologist (GI subspecialist) or an ID doctor who works with Hep C patients can help you. You'll need an established relationship for treatment... ...Read more

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7 yr old male, pulse 116 resting, o2 lvl 79, excessive coughing, difficulty breathing deeply w/o cough. Emergent or dr in the morning? Cause?

7 yr old male, pulse 116 resting, o2 lvl 79, excessive coughing, difficulty breathing deeply w/o cough. Emergent or dr in the morning? Cause?

Call 911: If your O2 monitor is correct this is an emergency and the kid needs to be seen immediately and receive supplemental oxygen.Sort out the reasons later.Call 911 or go immediately to the closest ER. ...Read more

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Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Can a patient stage 1 papillary thyroid cancer with BRAF mutation positive live more than 20 years ( she is 51 years old) ? Thank you very much!

Yes: Papillary thyroid cancer is very common and some people do not even know they have it as small tumors may be found on autopsy when they die of something else. Generally tumors are graded by how ugly they look to the pathologist and how far they've spread. Your tumor has also been molecularly characterized. There are new treatment options available. Please discuss with your oncologist. ...Read more

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Chloride 94.9 L, Anion Gap 16.1 H, AST 58 H, Immature Granulocytes ABS 0.01 H,Ketones urine SMALL NEG. A, specific gravity urine <1.005 L. ?

Chloride 94.9 L, Anion Gap 16.1 H, AST 58 H, Immature Granulocytes ABS 0.01 H,Ketones urine SMALL NEG. A, specific gravity urine <1.005 L. ?

Plan: It's not clear what you want to know. To explain your abnormalities we need to know your primary condition. Your doctor who know your clinical symptoms and your previous results should explain it to you. ...Read more

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