Doctor insights on:
Dr Marti raff, I m the patient of Hepatitas, I have taken interferon since 2 year before but now then hepatitas cells reactivated. Pls give me a advis?
There are new medical protocols: There are new medical protocols and combinations of therapy. You need to discuss this with your physician so that you may find one that works for you. ...Read more
PPD: You have living tubercle bacilli in your body and they will aways be there. Not only is there then no value to the PPD (it will be positive due to similar factors that make the quantiferon positive), but you are at risk of having a very severe reaction to the PPD and losing tissue in the area in which the PPD is placed. Please do not do this. Unnecessary and dangerous. Best wishes. ...Read more
Dr. Martin raff, do I need treatmen for TB again? Is it safe to get pregnant again with qtf positive. Tb was recovered ten yrs ago
Dr. Martin raff， TB 10yrs ago，miscarriage 13th wk last yr. Any relations between them？qtf positive last wk，tsh4.69. What to do for next safe pregnancy?
Get treatment: Hypothyroidism (low thyroid levels, which you have) is associated with miscarriage. That should be treated before you try again. Also, they will probably test you to be sure there is no active tb. If so, you need to be treated before getting pregnant again as the treatment can be harmful to an embryo/fetus. Ask y our doctor for more info. ...Read more
Dr martin raff，i had PPD test last year for immigration request. Not sure PPD or tst？they inject into skin. Place on my hand red. Make TB reactive?
Tuberculosis: No. This is not a sign of reactivation. A positive PPD is determined by the size of the diameter of hardness under the skin at the site of injection in 24 and 48 hrs. The significance of the size will depend upon who you are and your health status and age. The only purpose of the test is to determine whether you have living TB bacteria in your body. They are often inactive. ...Read more
Dr martin raff, future after baby born, could bb to take immunization inject for prevent TB infection? I am no yet pregnant, TB heal 10 yrs ago, qtf +
Follow up: dr. Raff -- you said that canker sores do not cause genital herpes. Are canker sores herpes simplex 1 just like a cold sore?
Canker sores: Aphthous stomatitis is not due to herpes simplex. Dr. Namey and dr. Perkins have provided excellent advice and would read these carefully. The location of the herpetic lesions (oral v. Genital) no longer is specific for types 1;2. Cold sores may be herpetic, but not canker sores. ...Read more
Dr. Martin Raff, pregnant 14w, vomit seems w/pink blood. Sleep w/sweating day & night, Chest X-ray normal apr2014. LungTB treated 10y ago, TB reactive?
Both elevated: Not at a critical level, but both your blood pressure (systolic hypertension) and your heart rate (mild tachycardia) are elevated. Over time, these can cause serious health issues including, but not just limited to future heart disease and stroke, etc. You should see a dr. For a good examination and treatment. There are many medications that can help both issues. Best wishes. ...Read more
Simultaneously?: There's no rule that says you can only have one disease at a time. Recognizing that our bodies are composed of millions of chemical/electrical reactions occurring at all times, it is likely that at any given time, there will be some type of problem or abnormality occurring. 5 diseases in a lifetime is no problem. 5 at the same time would be unusual but could happen is a very sick pt. ...Read more
Depends: Anger control problems and irritability are usually symptoms of an underlying psychiatric illness, like ptsd, adhd or bipolar disorder. While there are no medications specifically approved to treat anger alone, a comprehensive psychiatric evaluation will likely help you identify the reasons for your rage episodes and provide you with a comprehensive treatment plan that may include medication. ...Read more
Not neccesarily: Though chances of food borne disease increase with undercooked food. If meat source is safe it may be okay. Cooking in extreme heat or overcooking destroys some thermolabile nutrients hence not good either. Anedoctal evidence support medium steak. ...Read more
High: Compared to many other procedures abdominoplasties have a high rate of patient satisfaction. This does not mean that there are no risks or complications. However individuals with realistic expectations who understand the limits and are good candidates and accepting of the scar are commonly very pleased with the results when performed by a qualified surgeon. ...Read more
Eval: Anger is a normal human emotion. However, if you have frequent bouts of rage, that is not normal. If this was the case, would recommend that you seek a psychiatric evaluation. This will allow the provider to work you up for possible underlying medical conditions as well as psychiatric conditions that are associated with anger & impulsivity problems. ...Read more
But it sounds like you are "concerned" about being late???
If so there are ways of eliminating that concern for example family planning!
'Just a "thought"
Hope this helps!
Dr Z ...Read more