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Doctor insights on: Influenza H1n1 Sintomas

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65 yo f. 4 mo. Occ. Violent cough, low grade fever, malaise, and occ. Ant. Ha 4/10 . Lives in desert. Neg cocci, ppd, & pertussis. Ebv+age 15. Thanks.

65 yo f. 4 mo. Occ. Violent cough, low grade fever, malaise, and occ. Ant. Ha 4/10 . Lives in desert. Neg cocci, ppd, & pertussis. Ebv+age 15. Thanks.

Complex issue: Chronic cough has many causes. Ask you doctor if reflux could be the cause, and if so, would it be appropriate to do a 48 hour wireless pH study (Bravo device) off medication to see if the cough coreates to reflux episodes. Hope this helps! ...Read more

Dr. Arthur Balin
2 doctors shared insights

Influenza (Definition)

Influenza is a viral respiratory infection that causes cough, fever, chills, sore throat, muscle aches and headache. While most healthy people suffer few complications from the flu, it can be deadly for pregnant women, babies and children, the elderly and those with weak immune systems. That's why it's so important to get the flu shot to protect yourself ...Read more


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Is RSV contagious from children to adults to children? We will visit grand child 7 months diagnosed with rsv. After a few days we will then visit other grandchildren ages 5, 3, 1 in another household. Will we be contagious? Can we infect the othe

Is RSV contagious from children to adults to children? We will visit grand child 7 months diagnosed with rsv.  After a few days we will then visit other grandchildren ages 5, 3, 1 in another household.  Will we be contagious?  Can we infect the othe

Yes but.....: RSV is the main cause of the human cold during RSV season.It is a germ that generates poor if any immunity if you catch it, and humans are often reinfected every year or two. It can be spread by droplets (in air) or on your hands.If you catch it you can spread it for days and weeks afterward. It is more worrisome to kids below 16 lb than those that are larger.Good hand washing helps reduce spread ...Read more

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Do people really believe MMR vaccines cause autism in children?

Do people really believe MMR vaccines cause autism in children?

False associations : The vaccine haters have tried to link shots to crib death, cerebral palsy & now autism over the past 30 yrs. Each time the science & biology have proven them wrong. The british doc who claimed MMR triggered cases lost his license when his fraudulent research was exposed. Autism is emerging as a gene linked defect & future research may point to its origin, but it has found no link to vaccines. ...Read more

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Sacral herpes - just as contagious ?

Sacral herpes  - just as contagious ?

YES: If the person takes 1 valacyclovir or acyclovir a day she will be less cantagious but not complete protection. This med can also be used at onset of any attack to make it less severe. Herpes virus will be present on the skin sometimes when there are no symptoms. ...Read more

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Hi after a infected spider bite in 6/ 2011 i had lymph # of 3.1 , lymph % of 30' then in 8/2011 it raised to 3.2 and lymph % 37. Rest if CBC normal. Ct last month shied several 1 CM nodes. Scared?

Hi after a infected spider bite in 6/ 2011 i had lymph # of 3.1 , lymph % of 30' then in 8/2011 it raised to 3.2 and lymph % 37. Rest if CBC normal. Ct last month shied several 1 CM nodes. Scared?

NOT TO WORRY,: Your lymphocyte percentage is within normal limit, though lymphocyte % doesn't have to do anything with an infected spider bite 2 1/2 year ago. 1 cm lymph node enlargement is not also an important factor here. As long as the lymph nodes are not enlarging, not to worry. Your doc will know why s/he advised ct, may be for some other reason! ...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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Are there any cases of children getting haemophilus meningitis anymore?

Are there any cases of children getting haemophilus meningitis anymore?

Yes: Hib meningitis is a vaccine-preventable disease. Children who are not fully immunized for hib are still at risk and do continue to catch this life-threatening illness. Make sure your child has had a full series of hib vaccine. ...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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I'm wondering why are people resistant to donate their organs after death?

I'm wondering why are people resistant to donate their organs after death?

Excellent question: In some traditions, the whole idea of being kind to other people for its own sake, rather than a prescribed duty, is novel -- in these countries it's been impossible to set up voluntary organ donation. English lawyers suing pathologists popularized "the right to be buried intact." us "sensitive" ethicists emphasized "give the family a choice" rather than "do the right thing." it's all wrong & dumb. ...Read more

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Can adenovirus 14 pose a cancer threat?

Can adenovirus 14 pose a cancer threat?

No known Ca risk: Human adenovirus type 14 is one of many different types of adenovirus. The hadv-b14p1 strain sometimes causes more severe illness vs other adenoviruses. However, infections with this strain are not common & most illnesses are not serious. Severe illness or death from hadv-b14p1 infections is rare. Typical symptoms are like those of many common infections, including flu. Cancer is not a known risk. ...Read more

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Asthma at 73% peak flow unprodctv cough except formed ovoid balls lt yellow. Drinking tons! 97.5 singulair (montelukast) advair, proair -2 osteopenia, steroids bad?

Asthma at 73% peak flow unprodctv cough except formed ovoid balls lt yellow. Drinking tons! 97.5 singulair (montelukast) advair, proair -2 osteopenia, steroids bad?

Steroids: People with chronic asthma or COPD if they need steroid should not be withheld as it is lifesaving. We do have to protect the bones as we want to avoid most of all spinal fractures. We can give certain things like calcitonin or bisphosphonates if needed. Your doctor and you can make that decision when you discuss your problem. ...Read more

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Why are human endogenous retroviruses (herv's) "activated" in some people, but not in others, when exposed to exogenous viruses? Genetic mutations?

Why are human endogenous retroviruses (herv's) "activated" in some people, but not in others, when exposed to exogenous viruses?  Genetic mutations?

HERV's evolutionary: Endogenous retroviruses have made us evolve. They make up 8% of our dna genome. These aren't of the same class as HIV (lentivirus) or htlv (deltaretrovirus). Few are active & only w/growth & infection. Co-infection w/hiv can turn on herv replication wh/allows our immune system ability recognize & kill HIV viruses w/herv presenting-hiv infected cells leading to new therapies for HIV (vaccines!). ...Read more

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Are multiple MRIs w/out contrast safe? I've had 4 in the past 11 months (ankle, brain mra, brain mri, and another ankle). I'm concerned about exposure

Are multiple MRIs w/out contrast safe? I've had 4 in the past 11 months (ankle, brain mra, brain mri, and another ankle). I'm concerned about exposure

You're fine.: There is no radiation exposure from MRIs. They use magnetic fields instead of radiation for their images. There is no known danger to this. Don't worry about your MRIs. Hope this helps. ...Read more

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16-yo boy itchy all over, small white/pink bumps appearing on skin. Lives in tropical Mex w/ teen athletes. Took antibiotcs 2 wks ago for staph boils?

16-yo boy itchy all over, small white/pink bumps appearing on skin. Lives in tropical Mex w/ teen athletes. Took antibiotcs 2 wks ago for staph boils?

R/O CELLULITIS: Cellulitis is a superficial skin infection that can be caused after an abrasion or rupture of a boil . Keep the area clean and apply topical antibiotics. Seek prompt evaluation for potential need of oral antibiotics/X-ray /labs. F/U with your doctor if symptoms persist or worsen, oral antibiotics may be needed.GET THE AREA CULTURED TO EVALUATE GOR MRSA. ...Read more

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Does pancreatic/biliary duct, stomach, colon cancer or leukemia skip a generation? Please, need some answers?

Does pancreatic/biliary duct, stomach, colon cancer or leukemia skip a generation? Please, need some answers?

Unrelated: These tumors are independent and unrelated to a genetic passing down of a familial situation such as with the BRACA gene in breast cancer. Genetic association occurs in about 5% of cases and 95% of cancers are due to contact with carcinogens or viruses. It has now been shown that intrinsic gene factors can be passed down and skip a generation such as with the partial sequence of the MMTV virus. ...Read more

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Nk cells have enzymes that attack foreign, virus infected, or cancerous cells? Is that how they work?

Nk cells have enzymes that attack foreign, virus infected, or cancerous cells? Is that how they work?

NK cells: Yes, natural killer cells are part of the innate immune system. Unlike other immune cells, they do not have to have prior exposure to an invader in order to attack it. They do release enzymes which essentially poke holes into the cell they are trying to destroy. They release their enzyimes into these holes. The enzymes travel to the center of the cell and cause it to explode, known as apoptosis. ...Read more

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How do people catch bacterial meningitis?

How do people catch bacterial meningitis?

Exposure/susceptable: It's puzzeling but some people can cary meningitis germs in their nose or throat & never get ill.We can get exposed to droplets in a sneeze, cough, kiss or mucous planted on a door handle. Touching our face with unwashed fingers carries germs that gain entrance to our nose/mouth/eye & if susceptabe, the germ begins to invade.We have cut the #'s of kid cases with vaccines & many adults could benifit. ...Read more

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Swine Flu (Definition)

A human respiratory infection caused by an influenza strain ...Read more