Doctor insights on:
Ms Evaluation Panel
Tg=(thyroglobulin) had tg panel 16.0 results, a tg antibody <0.9, a tg by lc-ms/ms, s/p (n/a) ! result not dispersed in flowsheet. What does this mean?
While the: Normal range varies from lab to lab, your results are all normal. Why were they drawn in the first place. There are not as important as more conventional thyroid lab such as free T4 and tsh. Check w/your doctor. ...Read more
See neurologist: If you possess worrisome symptoms you should have your doctor's help. Do NOT self diagnose or treat ...Read more
How much time doe it take for rebiff injections to work on patients suffering from ms, not trigerring the attacks?
Should start rapidly: Would suspect full benefit from Rebif within a few weeks after starting, but if your MS has continued to deteriorate, and you are having relapses, and it has been 4-6 months, this is NOT the drug for you. See your neurologist ASAP, as there are 9 choices, and you might do better on an alternative intervention. Also, supplement Vitamin D-3!! ...Read moreSee 1 more doctor answer
Ms. Jackson, a nurse, is sitting in the hospital cafeteria having coffee with ms. Brown, a nurse who works on?
Question?: Was there a question there? Please resubmit if you have a medical question. ...Read more
Not known: We do not know the exact cause of ms, but do know that there are pts who have genetic susceptibilities, and that the disease is more common in northern climates. There is a relationship to prior ebstein barr virus infections, decreased vit d levels, and possible uv-b contact. Untreated ms can result in profound disability and may shorten lifespan. ...Read more
Neurologists! what is your opinion on the maximum daily dosage of vit D3 to prevent MS where cis confirmed? How often is toxicity witnessed?
My opinion: What is the evidence? Clearly, those with higher levels of oh-vit d-3 who have active ms, have fewer relapses, less progression, and fewer MRI lesions. Also, a military study showing lower risk of ms in folks with higher d levels. Typically, my patients will take about 5000-10000 units of d-3 daily, and we aim for blood levels of 50-60 ng/ml. Would also advise starting ms medicine, now. ...Read more
Hard to answer: Tysabri (natalizumab) is a potentially effective treatment for MS but your question would be difficult to answer. Tysabri (natalizumab) is approved for the treatment of aggresive or refractory MS where other equally effective medications have not worked. This is because of a possibly fatal side effect called pml which may cause more damage than the disease. Use requires an experienced doctor and close monitoring. ...Read moreSee 2 more doctor answers
Hip/ butt muscle spasms on left side like charlie horse. Recent MS dx. Possible symptom? Very painful lasted 2 days already. Suggestions?
SOME THOTS: Pain is very common in ms, and can present numerous ways, and even migraine is present in ms pts at a frequency of 2-4 times normals. However, your muscle spasms could represent a separate process in hip, back, pelvis. (unlikely, but if you were given steroids, check for avascular necrosis in hip). Lastly, do not want to second guess your doc, but there are oral meds now (no needles). ...Read moreSee 1 more doctor answer
My boyfriend just moved to Houston, TX from Port Gibson, MS. For the last 3 days he's been feeling bad. He says his head hurts, his body temp is hot,?
More details needed: These are very generic symptoms and can be due to any number of factors including environmental, stress from the move, infection, physical injury, etc. Continue to monitor the symptoms and if they persist or get worse, he should see a physician immediately. http://www.nlm.nih.gov/medlineplus/headache.html ...Read more