Doctor insights on:
How long after a set of triacinolone injections (total 160 mg) will a flu vaccine evoke normal antibody production response?
No effect on Ab: High dose steroids for >2 wks may reduce cell-mediated immunity, but do not lower antibody production (humoral immunity). Effectiveness of the vaccine may be reduced if given at same time as the steroid injections, but is ok if after the injections stop. Usually best to take the vaccine to get whatever benefit is possible. Only exception don't give if severe immunosuppression for any reason. ...Read moreSee 1 more doctor answer
Fresh cycle canceled - ohss. Fet#1 failed (2 5aa blasts), hCG was 6. Fet2 will be from same batch of eggs. What went wrong? Will "it" happen again?
OHSS: Ovarian hyperstimulation happens when your ovaries respond too much to the fsh simulation. Canceling the embryo transfer avoids the potential complications of this problem. Fet can then be done. There are many factors that go into successful outcomes. Factors include egg and sperm quality, embryo quality, uterine health. Also keep in mind that embryo quality assessments have limitations. ...Read more
Lab range for HCG values on report states gestational age 0.2-1 week expected range 50 -500, 1-2 weeks 100-5000, 3-4 weeks 500-10000. Is this fetus age not gestational (ieLMP dated) age given first 2 wks are leading up to ovulation ie no HCG produced?
Fetal or embryo age: Because there is is no fetus until 2 weeks into a pregnancy (yes, it's an odd but standard way of counting dates), there is no bHCG until after 2 weeks gestational age. Also, the bHCG is not detectable until implantation, because the bHCG needs to be able to get from the embryo into the uterine lining, into the mother's circulation, into the mother's blood or urine sample. ...Read more
Which viral infection has a fast incubation period <3 hours and can trigger auto-immune response against the body?
Allergic reaction: In the course of normal activities, if a person has a rapid immune response to something or some activity, that would be an allergic-type of reaction. The person might have eaten, drank, breathed in, or had skin contact with an allergen. Also, some people get reactions due to exercise or big emotional changes. Catching an infection in a natural way, would not cause symptoms in that short a time. ...Read more
Urine culture has mixed growth of 4 bacteria species isolated. Viable count: <10 (small letter 4) /ml probably contaminants.What does this mean to me?
Depends: This is a measure of how many cells have nuclei that are preparing for cell division. Its significance varies from tumor to tumor. The pathologist will let your personal physician know what to make of this finding. ...Read more
Took Clomid (clomiphene) 100mg cd3-7,trigger shot cd 11. 7 mature follicles. IUI cd12 30hrs post trigger & cd 13 49hrs post trigger. What would adding FSH cd9 do?
CC/IUI: Some stimulation protocols combine CC with small doses of hMG/FSH added later. These protocols are a little bit arbitrary, meaning they reflect "recipes" that an individual doctor has found helpful, not a general practice. You'd need to ask your own doctor why he/she wants the FSH on CD9. ...Read more
Rohypnol: Is an intermediate-acting benzodiazepine with general properties similar to those of valium (diazepam). It is used in the short-term treatment of insomnia, as a pre-medication in surgical procedures and for inducing anaesthesia. It's not available in the United States. ...Read moreSee 1 more doctor answer
Bleeding occurs(like menses)10 days post 3 day embryo transplant.But et is still 9.6.Want to know the situation i'm in?
See your obstetricia: The best person to answer your question is the doctor who is treating you. Call and see them. ...Read more
Transferred 2 -5 day FET blasts, hpt positive 4.5 days later. Blood beta 18 @ 6.5 days. Another beta soon. Is 18 beta ok for 6.5 days after ET?
Undergoing period of anti rabies vaccine again exposure then restart the schedule or complete the previous schedule? How many free rabies infection?
Difficult question: depends on type of rexposure, was it bite? is the animal around? so it can be kept under observation for the 10 dayy period, is the animal vaccinated? at any rate the vaccine won't work except after at least 3 - 4 weeks from the last dose, given your case: get the antirabies immunoglobulin, restart the schedule, excercise caution, check this site http://www.who.int/mediacentre/factsheets/fs099/en/ ...Read more
Natural FET cycle - serum LH surge on CD18, lining was 11mm, P4 rise from 0.3 to 3 on CD19, ultrasound shows lining shrinks to 9.5mm on CD21. Why?
Combinatorial: The genes that encode our antigen receptors (immunoglobulin and T cell receptors) are made up of hundreds of gene segments. These "V-D-J" segments recombine in potentially millions of combinations so that each immune cell has one final version that makes a unique receptor. This process is random but if the cell encounters its antigen it will be activated and can turn into a "memory" cell. ...Read more
Please explain why doesn't our body reject the insulin made from genetically modified organisms like bacteria?
Human insulin: Hi. Human insulin made by cloning the human insulin gene into bacteria or yeast is amino acid-for-amino acid identical to normal human insulin. In the fermentation process, the human insulin gene is purified away from ALL bacterial (or yeast) proteins, so all your body sees is a normal human protein. Engineered insulins (glargine, lispro, aspart, glulisine) have such minor amino acid changes. ...Read more