Doctor insights on:
Occupational Therapy On Lymes Disease
Diagnosised with igg4 deficiency & lupus (informally stage 2) on medication incl plasmoquine ,health is deterioating, dr is hestating on chemoth why?
Ask the hesitant why: This can only really be answered by the hesitant provider whom already knows you as a patient. Many factors can be involved, and the doctor is probably looking out in your best interest, including possible adverse reactions to treatment which might not yet be appropriate. Write down your questions for your MD...you sound quite intelligent....and don't fear demanding answers. Zmd ...Read more
Occupational therapy is a type of physical therapy to improve one's engagement of activities of daily living and their occupation. It includes reintroducing daily tasks of living including physical and mental task to help one improve a type of disability. Hand therapy is also a ...Read more
Correct gene defects: Cystic fibrosis is a genetic disorder where a dysfunctional cftr protein causes problems in various organ systems. By restoring the function of this protein in the involved body systems, it is hoped that normal functionality will be restored & the harmful effects of CF disease will improve. There are still several obstacles before it can be successfully implemented in CF patients everywhere. ...Read more
Vietvet pt on 3rd chemo tx for n-hl (agent orange).Also advanced hip bone damage. Replacement planned aft yr. Fears it may cause n-hl relapse. Can it?
Yes It is possible: Injections will give you pain relief early, but PT can be just as helpful but will take time to get relief. There is new research coming out that when you are in a lot of pain, you're body actually stops you from performing exercises so that you may not benefit from PT initially. So we believe that if you at least improve your pain first, you can then proceed with the exercise therapy programs. ...Read moreSee 2 more doctor answers
Have had zoster on both hands for 10 mos.—resists acyclovir & brivudine. Positive zoster test; some neuropathy; no underlying disease found. What is the best next step? Neurologist? Other specialist?
Unusual presentation: Although I have seen zoster present in mysterious ways, this is unusual. The fact that you have a referral neuropathy, makes me think you have a lot more going on than just a zoster. If you're ign tider for herpes is positive, it is possible that the herpes may have caused your peripheral neuropathy. Dennesta case, enteropathy is now its own disease and you will need chronicum therapy. I consult neurologist. ...Read moreSee 1 more doctor answer
No: Lyme is a disease that is spread by the bites of tics to humans. The only way to prevent lyme disease is to use proper insect repellant ( with deet ) to avoid getting bitten by the tics. If you are in wooded areas or areas where lyme is prevalent, make sure when you get home you check yourself and all others in your family for tics embedded in your skin. Remove them as soon as possible. ...Read moreSee 1 more doctor answer
+ana, - lupus tests, yet have 8/11 symptoms of lupus including severe blistering facial rash, antibiotics fail to help, ongoing <1yr, could plaquenil (hydroxychloroquine) help?
Can electric shock therapy cause degenerative brain disease while it's treating somebody's depression?
Immunologist agreed I have malar rash. How is lupus dx'd since we can't rely on antibody or inflammatory tests w my immune deficiency and steroid tx?
Management/workup: The initial workup will include renal function testing and tests for circulating antibodies. Your steroid treatment may affect the tests for inflammation, moreso than autoantibodies which are still detectable even while being treated with steroids. Avoiding and treating infections, including CMV will be part of the management. I hope that this helps. ...Read moreSee 1 more doctor answer
7yrs on prednisone & methotrexate + for "resistant ra"
recent elevated jo1, histone, muscle pain. How to confirm if polymyositis w/o stopping meds?
Mucle testing: Inflammatory myopathy, including polymyositis, is best diagnosed and treated by a trained rheumatologist. Symptoms are proximal muscle weakness. Abnormal lab tests include elevated muscle enzymes (CPK, AST/ALT); positive antibody tests, including Jo-1; abnormal EMG/nerve conduction test; edema seen on an MRI of proximal muscles; muscle biopsy showing destruction and regeneration of muscle cells. ...Read moreSee 2 more doctor answers
What treatments are used for severe cases of auto immune disease? My mom can't walk, has slurred speech, neck pain, etc. Help!
New symptoms??: A person who walked and talked yesterday, and awakens today with slurred speech and the inability to walk, is having a brain problem such as a stroke. The person should ride the ambulance to the emergency room for treatment. She can bring all her medications, and her regular doctor(s) can be notified, after 911 is called. Don't worry if it turns out not to be a stroke; it's best to be safe. ...Read more
By replacing defect: Gene therapy is the use of genes for therapeutic effect. The original studies with gene therapy were for corrective gene therapy. To illustrate, patients with severe combined immunodefeciency were born with a mutation in the ada gene. The original gene therapy trial, engineered a virus that was used to infect bone marrow of children with this disorder. The normal gene corrected the disorder. ...Read more
Multiple medications: It is documented that early, agrressive therapy is indicated in RA and results in much better outcome as opposed to delaying agrressive therapy(as was done in the past). Initial therapy would include plaquenil, (hydroxychloroquine) methotrexate, and biologic agents, i.e., enbrel, humira, etc. This approach is supported by long term clinical trials and radiographic evidence. ...Read moreSee 1 more doctor answer
Any experience with using naltraxone for pt w/ stiff person syndrome w/ no response to rituxan, (rituximab) plasmapheresis, and already on Valium and baclofen?
Not sure about ques: Subacute thyroiditis (often painful) is often caused by a virus, can cause transient hyper or hypothyroidism, but usually is self-limited. It does not produce granulomas. There are rare diseases of the thyroid where a systemic disease (eg sarcoidosis) can infiltrate the gland. Your terminology is unusual. Are you seeing an endocrinologist? ...Read more
What kind of neurological disorders or diseases envovle stimulis sensitive myclonus? Appt w/neuro on 29th
Wait and see: You need to be open, honest, and anticipate a thorough evaluation. Do not try to out guess the neurologist. He will need to go over many details, do lots of testing, and then put all the information together in a thoughtful manner. Trials of treatment may be necessary, and additional consultations may be appropriate. Internet knowledge is limited and a far cry from actual hands on knowledge. ...Read more
- Talk to a doctor live online for free
- Occupational therapy activities for coronary artery disease
- Occupational therapy and charcot marie tooth disease
- Occupational therapy
- Ask a doctor a question free online
- What are the signs of lymes disease?
- Lymes disease signs and symptoms
- Lymes disease damage pancreas
- Acv and lymes disease
- Talk to a infectious disease specialist online