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Doctor insights on: Joanne Evans

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What's evans syndrome?

What's evans syndrome?

Anemia: Evans syndrome is a rare type of anemia in which the body makes antibodies that destroys white blood cells, red blood cells and platelets. ...Read more

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Have any dr's here treated a patient with evans syndrome and if so what was treatment protocol?

Have any dr's here treated a patient with evans syndrome and if so what was treatment protocol?

Many hematologists: Evans syndrome is an autoimmune disorder in which the body somehow makes the proteins called antibdies that attack and destroy the red cells as well as plateletes--causing anemia and bleeding problems. Depending on the severity of your condition, steroids and/or IV immunoglobulin is used. If you or someone you know suffering this affliction, consult your doc/hematologist (blood doctor). Good luck. ...Read more

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Within the last 1.5 yrs I severely sprained my ankle that previously had an Evans Repair. It is extremely unstable again. What are my options?

Within the last 1.5 yrs I severely sprained my ankle that previously had an Evans Repair. It is extremely unstable again. What are my options?

Ankle instability: Lots of options for ankle instability. There are more aggressive ankle stabilization surgeries if you choose to redo it. Bracing is always an option of course, physical therapy for strengthening. In my opinion you should seek repair with some Ossetia or bony component/ tendon transfer or ligament reconstruction. With severe instability a fusion is a last resort as well. Good luck. ...Read more

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What are the risks of a surgery involving evans osteotomy to correct a valgus foot? How likely are these risks? Thank you very much.

What are the risks of a surgery involving evans osteotomy to correct a valgus foot? How likely are these risks? Thank you very much.

Relative risks: Associated with any major surgery. If your surgeon has recommended an Evans procedure then you should be a good candidate for correction. The biggest risk is improper healing of the graft placed. Follow all f the post operative instructions and you should do well. ...Read more

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Could chord overstreet (sam evans) on glee during season 2 have a lip/mouth disorder?

Could chord overstreet (sam evans) on glee during season 2 have a lip/mouth disorder?

Doubt: Not that I know of. I think he probably is just endowed with genetically full lips. Some people 'enhance' their lips with various fillers. Look at lisa rinna for example. ...Read more

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I had a surgery on my ankle called evans osteotomy. They used cadaver bone. What or howis it done how long pain & when can I stand on foot?

I had a surgery on my ankle called evans osteotomy. They used cadaver bone. What or howis it done how long pain & when can I stand on foot?

These are: All questions you should of asked your surgeon prior to the surgery.
Now, that it is over, these are all questions you should ask your surgeon now.
No one one this forum, but your surgeon should be telling you when you can stand post op from a surgery that we did not perform.
I wish you a speedy recovery. Don't be afraid to ask your surgeon questions. ...Read more

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How do external events affect my mood?

How do external events affect my mood?

External events/mood: Happy events elevate mood, sad ones lower mood, since people are reactive. ...Read more

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I've lose 65 pounds without even trying?

Have you been ill?: Have you made changes in your lifestyle? If this is un-explained -then please let your doctor know. ...Read more

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Should I try Adorna or don't even bother?

Should I try Adorna or don't even bother?

Own risk: No controlled studies have been done.

Some women report transient swelling, and are happy.

It is certainly only transient, lasting for 8+ hours by reports.

Don't purchase a large supply if you are going to try it!! ...Read more

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Even after excercise my weight remains same?

Even after excercise my weight remains same?

Losing weight: Doesn't quite work like that. Even if your weight were to be lower right after exercise, it is just from sweat loss. In order to track weight loss, weigh yourself at the same time (preferably in the morning) every day. Chart your weight over time, and you will pick up the trend. Don't worry, weight fluctuates day to day. Hope this helps! ...Read more

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Can I continue to grow even after I turn 20?

Can I continue to grow even after I turn 20?

Girth - yes: In girth - yes. Most males stop growing taller by around age 18 and for most girls it is around 16 to 17 years old. However, this varies – especially if the person entered puberty late. ...Read more

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Why am I seeing bugs that are not even there?

Why am I seeing bugs that are not even there?

Warrants evaluation: If you see objects which are not present that warrants medical evaluation. Sometimes this can be related to mental health or medical conditions. ...Read more

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Do people who smoke mary jane really get dumber?

Do people who smoke mary jane really get dumber?

Actually some very: Smart folks smoke mj, but they act very dumb while under the influence. They think they are profound and brilliant, but they really are just stoned. Many not so smart people smoke, and they do not get any brighter afterward. It can be psychoaddictive and can tempt you to smoke and do nothing else. That is indeed not productive, if not dumb. ...Read more

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Why am I getting fat even though I'm exercising?

Why am I getting fat even though I'm exercising?

Is your caloric: Intake higher than calories burned? Is it fat or muscle ^? ...Read more

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Why do I sometimes feel fat even though I'm not?

Why do I sometimes feel fat even though I'm not?

Perception.: Sadly, in america being thin is prized. Thin people are extensively used a role models (see ffilm, advertising etc). As a result, someone can come to perceive only thin people as being "normal". Our perception of healthy becomes warped. My guess is that you scrutinize your body and weight a little too much. How about aiming for healthy rather than thin? Take care. ...Read more

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My husband vomits when he eats...what can it be?

My husband vomits when he eats...what can it be?

See a doctor: You don't say how frequently it occurs or if he has lost weight or has any other gastrointestinal symptoms. He should see his doctor for a thorough evaluation. ...Read more

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My friend eats food in secret. Is it an disorder?

My friend eats food in secret. Is it an disorder?

Could be: If it isn't one yet- it sounds like its on the way to becoming one. I would be concerned about bulimia. They would be the ones to hoard food in private and vomit. It might be time to see a psychologist and find out why she feels the need to behave as she is doing so. Catch it early before it become a serious problem. ...Read more

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Why do some people have odor even when they shower?

Why do some people have odor even when they shower?

Bromhidrosis: Some people have apocrine glands that secrete oils that are more pronounced than others. These oils are broken down by bacteria, causing a pungent odor. ...Read more

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Been anxcious all the time even about little things?

Been anxcious all the time even about little things?

Is this new?: Many things can cause anxiety including an anxiety disorder, of course, but also thyroid problems, too much caffeine, nicotine or any other substances, any new medications, new stress in your life. My question would be whether or not this is brand new anxiety or if you've had it for awhile. Treatments include psychotherapy, medications, relaxation strategies. I"d be happy to talk more with you. ...Read more

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How long does it take to lose 15 or even more pounds?

How long does it take to lose 15 or even more pounds?

Slow and steady: It takes a while to put on weight and the best way to be successful in losing it is to be slow about it as well. With a well controlled diet and exercise plan, you should anticipate 1/2 - 2 lbs per week. More than that can set you up for gaining it back quickly. With this calculation, you should plan to take at least 2 months and often more for the 15 lbs. Have your physician give you a plan. ...Read more

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Did anyone had an allergic reation to eas advantedge?

Did anyone had an allergic reation to eas advantedge?

Possibly: I have been unable to find reports of allergic reactions to eas advantedge. However, the products contains several proteins, including milk and soy (see product details on eas website. These proteins and a few other ingredients are known potential allergens, so the possibility of allergic reactions exists. ...Read more

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Just forget it u people can't even read the question?

Unhaopy: I am sorry did not see a question tagged by you will gladly try. Will need to send again. ...Read more

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Why do I gain weight even when I do exercise each day?

Why do I gain weight even when I do exercise each day?

Many causes: You may be eating too much for the amount of exercise you are doing or are not exercising with enough intensity or enough time to get the benefits. Could also be hormonal, thyroid, medications. See your doctor and get checked out if you have not recently. ...Read more

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Can a man still reproduce even after they had a stoke?

Can a man still reproduce even after they had a stoke?

Yes: Even if your ability to maintain an erection and ejaculate has not yet recovered, a stroke would not have affected sperm production. However, many medical conditions that predispose one to a stroke are also linked to a low sperm count. If you are trying to conceive your doctor can perform a sperm count and offer detailed advice. ...Read more

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Hurts to sit, lay down, and even stand up, what to do?

Hurts to sit, lay down, and even stand up, what to do?

Need more info: Where does it hurt? And need details about the pain. It is best to see a doctor and have it evaluated, diagnosed and the it can be treated. ...Read more

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Do trigger events cause mental health issues to start?

Not necessarily: There are some mental health issues that are biological; however, it is usually in a grey area in terms of nature and nurture. There is usually something that triggers a mental health issue, but there had to be something there to be triggered in the first place. Best wishes. ...Read more

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I want to lose 10 pounds in 2 weeks (event coming up)?

I want to lose 10 pounds in 2 weeks (event coming up)?

Your goal weight: Loss rate is too steep to be healthy. Try setting goal for 1 up to max of 2 lbs per week average. Insure that calories burned > calories consumed. Drink at least 8 - 8 oz glasses of water /day. Aim for 8 hrs of sleep & at least 5 servings of vegetables & 4 of fruit /day. Use whole grain when possible. Avoid soda, alcohol & junk carbs. Get mix of cardio & weight lifting exercises. ...Read more