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Doctor insights on: Physician Compensation Report 2012

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Dear Doctor, 43 y/o, male. RBC count was 4.45 million / mm3 in July and Dec. Other CBC tests are normal. Any clinical significance or concern ?

Dear Doctor,

43 y/o, male. RBC count was 4.45 million / mm3 in July and Dec. Other CBC tests are normal. Any clinical significance or concern ?

Normal can vary. : Your number of red cells can fluctuate based on various things including fluid intake. If hemoglobin and cell volumes are still normal there is little worry in these slight deviation from normal. ...Read more

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K elevated suspect hemolysis of sample pres. Pat. No lab review the significant abnormalities the mild lower protein diet & mild monocytosis.Means ?

K elevated suspect hemolysis of sample pres. Pat. No lab review the significant abnormalities the mild lower protein diet & mild monocytosis.Means ?

Incomplete info: The information you provided is not readily understandable. Please note that all lab results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. ...Read more

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What is: "r/o atypical Nevus" in doctor's note?

What is: "r/o atypical Nevus" in doctor's note?

Biopsy: An atypical Nevus is suspicious for malignancy. Therefore a biopsy is often done to establish a histopathological diagnosis and treatment plan. ...Read more

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Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution) ECG show af. When we start anticoagulant?

Pat.With dm and ht present with ischemic cva(> 1/3 MCA distribution)  ECG show af. When we start anticoagulant?

Good question: There is multitude of factors affecting anticoagulant therapy, patient's current physicians will analyze these factors and they should make the decision. Good luck. ...Read more

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I got a blood test done and the results reflect the following: TSH .328, HDL 32, triglycerides 215, alkaline 23, and blood sugar 107. What you think?

I got a blood test done and the results reflect the following: TSH .328, HDL 32, triglycerides 215, alkaline 23, and blood sugar 107. What you think?

More information: Why were the tests done? Was specimen drawn after an overnight fast? If so the triglycerides are high and so is the blood sugar. Hdl is low. None of the findings are diagnostic of a disease, except, that blood sugar suggests a pre-diabetic state. It is best to discuss the results and treatment with the doctor who ordered the tests. ...Read more

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Dr. John Fung Dr. Fung
4 doctors agreed:
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Symptoms ; joint pain & chronic cough.ANA TITER 1:640, C3= 89, RNP +, ASMA =42, Thyroid peroxidase AB= 663, liver enzymes elevated. Help?

Dr. John Fung Dr. Fung
4 doctors agreed:
Symptoms ; joint pain & chronic cough.ANA TITER 1:640, C3= 89, RNP +,  ASMA =42, Thyroid peroxidase AB= 663, liver enzymes elevated.  Help?

Autoimmune disorder: With this profile, you clearly have an autoimmune disorder. The manifestations can be very targeted or diffuse. Autoimmune diseases include lupus, Goodpasture's syndrome, psoriasis and psoriatic arthritis, juvenile arthritis, Sjogren's syndrome, autoimmune hepatitis and primary biliary cirrhosis. See your doctor ASAP, this can be treated before organ damage is irreversible. Good luck. ...Read more

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Whats this mean? No dr to see, ordered b/c painful breathe. Multiple bilat noncalc pulm nod 3-4mm. Favors granulomatous process (disease wrote above)

Whats this mean? No dr to see, ordered b/c painful breathe. Multiple bilat noncalc pulm nod 3-4mm. Favors granulomatous process (disease wrote above)

Inconclusive.: Small pulmonary nodules can be lots of things. Old granulomatous disease from a prior infection is most common. If you could provide the radiologist with old studies that would be extremely helpful. If not then follow up imaging is important. ...Read more

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Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. Nafld or nash?

Continue workup: Now would be a great time to get really into aerobic fitness -- this is likely to reverse nash / nafld. You'll get checked for hepatitis c, wilson's, hemochromatosis, autoimmune hepatitis and a few others. Trust you're not taking meds or that they have been ruled out as causing the problems. ...Read more

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My thyroid function test: T3 (liothyronine) 9.692 ng/ml , T4 9.101 ug/dl , TSH 2.767 uiu/ml. Hb alc. 5.4% , serum CRP test <6 mg/l . Any complications?

My thyroid function test: T3 (liothyronine) 9.692 ng/ml , T4 9.101 ug/dl , TSH 2.767 uiu/ml. Hb alc. 5.4%  , serum CRP test <6 mg/l . Any complications?

More info needed: The physician who ordered theses tests is best to advise you. Diabetes test is normal but thyroid needs to be followed.Because the thyroid is a master gland it affects many parts of your body and the physician must evaluate you globally. ...Read more

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Blood work showed lymph's @ 16.9% with reference range of 20.0 - 50.0. Platelet count was 65 with reference range150-400 thou/u. What could this mean?

Blood work showed lymph's @ 16.9% with reference range of 20.0 - 50.0. Platelet count was 65 with reference range150-400 thou/u. What could this mean?

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, if your absolute lymphocyte count is low then along with the low platelet count it suggests a problem with production in the bone marrow. It would be prudent to consult a hematologist. ...Read more

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Fatigue studies (CFS?): For poor concentration & memory, could a neurologist help? Current specialist advisors: sleep, rheumat., endocrin., immun. MDs

Fatigue studies (CFS?): For poor concentration & memory, could a neurologist help? Current specialist advisors: sleep, rheumat., endocrin., immun. MDs

Team: If your team has all of these physicians on the case, adding a neurologist may be superfluous. One physician should be coordinating your care in order to access the expertise of the others. ...Read more

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