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Posts by Nicholas Myers

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Quote: Felix the Cat
dustytinker52 said:I had some stool samples tested at a lab due to some stomach issues, and they came back positive for Pfizer. Is this mold? Does anyone have experience with this? What exactly am I looking at here, and what should my next move be? My follow-up appointment isn't until Friday, and honestly, the suspense is driving me crazy.🙂

Quote: Felix the Cat
dustytinker52 said:Bryan Barnes2, thanks for the response.👍

Can you give me your take on this part of the results as well?

Identifying fungi via PCR. It’s a precise tool, but let's be realistic about its limitations. While the technology allows us to pinpoint specific genetic markers, you can't always rely on it to tell the full story of an ecosystem. It's like trying to understand the entire complexity of a New York City subway system just by looking at a single electrical circuit diagram. You get the technical data, sure, but you miss the movement, the noise, and the actual context. Precise? Yes. Complete? Not necessarily.
Pfizer 2904 10-5000 Positive.
Candida (albicans tropicalis) 588 MFI. Reference range: 10-5000. Result: Negative.

Thanks.

In a previous inquiry, you mentioned having "stomach issues." It seems unusual to be searching so intensely for fungi—whether in urine or stool samples—if the concern is limited strictly to stomach distress. We need some clarity here: why were these specific tests ordered in the first place? What exactly was the doctor looking for when they prescribed them? Additionally, I have concerns regarding the accreditation of the lab that performed this testing.

Using PCR to detect pathogens from non-sterile samples—like stool or urine collected in a cup—won't give you a clear answer. It can't distinguish between an actual infection and simple colonization.

The reality is that anyone dealing with an infection from Pfizer typically faces severe symptoms. We aren't talking about minor setbacks here; these patients are often critically ill, requiring hospitalization and, in many cases, intensive care. Generally, those hit hardest are already vulnerable. They are people battling hematological malignancies, those undergoing immunosuppressive therapy, organ transplant recipients, or individuals managing chronic autoimmune disorders. Their immune systems are already compromised, leaving them with little defense.

On the flip side, people dealing with colonization typically don't show actual disease symptoms. The fungi or mold are usually just passing through, often because the local flora has been thrown out of balance. But you have to ask yourself: if colonization is happening, why? There's always a reason. You have to look at the underlying factors that create an opening—things like mucosal damage, how well the host's immune system is actually holding up, or perhaps a recent round of antibiotics.

Given all these factors, only the doctor who ordered these tests can provide an accurate interpretation of the results.

Since you’re posting on a forum rather than speaking from a hospital bed, there’s a chance someone might have "overstepped" with some untargeted searches. If that person realizes these results are out there, they could find themselves in a bit of a bind—so, what now? I suspect there will be additional testing ordered to pin down the underlying cause, likely looking into potential colonization.

Not necessarily. It all depends on the specific symptoms you're dealing with, which you haven't really gone into detail about yet.
Robin Hernandez8 said:How long does an A2 referral actually stay valid after it's issued?
Specifically, I got mine back in June, but my appointment isn't until this month.

If you schedule your appointment—whether in person, via fax, or by email—within 30 days of the referral being issued, it remains valid for a full 365 days from that initial issuance date.
restlessfox96 said:I can't make sense of these HLA results.

Looking at the HLA typing, there aren't any obvious genetic markers for rheumatic diseases, aside from HLA drb1*03. That one does bump up the risk for systemic lupus erythematosus, but nothing major.

Regarding your symptoms—yeah, I agree with my colleague here. HLA typing isn't going to help clarify what you're going through, nor was it really necessary to run the test in the first place.
Blood draws are best scheduled between days two and five of your cycle. You won't be able to get this done at a local community clinic; you'll need to head to a hospital lab using a specialist referral or just go through a private lab. Depending on which facility you choose, you might get your results the same day, or you could be looking at a few days' wait.
Megan Jones27 said:I would be grateful if someone could help me interpret my latest KKS results!

I owe you an answer. I’ve been away from the forum for a while, so I wasn't able to get back to you sooner.

I’d mostly go along with the response you already received—the results look clean. If you’re still dealing with the symptoms you mentioned, we'll need to dig deeper, but that starts with a thorough internal medicine evaluation. A perfectly normal lab report doesn't mean much if you're still feeling unwell.

vividranger23 said:Could someone please help me interpret these results? 🙂 I had my hormone levels checked on day three of my cycle due to some skin issues. I'm 23.

ESTRADIOL 162.0 pmol/L (Reference range: follicular phase 77-921, ovulation phase 139-2382, luteal phase 77-1145, menopause LH 4.0 IU/L (Ref. range: follicular phase 1.8-11.8, ovulation phase 7.60-89.1, luteal phase 0.6-14.0, menopause >15)
FSH (3.5-12.5) 6.2 IU/L (Reference range: follicular phase 3.0-8.1, ovulation phase 2.6-16.7, luteal phase 1.4-5.5, menopause >26.7)
PROLACTIN 13.0 µg/L (ref. interval: 5.2-26.5)
Total Testosterone 1.8 nmol/L (ref. interval: 0.4-2.0)
SHBG 91.0 nmol/L (ref. interval: 15-120)
DHEAS 8.4 µmol/L (Ref. interval 2-10)

Thanks in advance. 🙂

The results look clean. However, it’s worth noting that free testosterone is a far more sensitive marker for hyperandrogenism than total levels.
Chris Howard3 said:Forgive me if I’ve posted this in the wrong thread; I wasn't quite sure where to put this question.
Could someone help me interpret my mother-in-law's thyroid needle biopsy results?

Microscopic appearance: moderately cellular punctate, some clusters of thyrocytes, plenty of pigment phagocytes, some colloid.

Conclusion: moderately cellular colloid cystic nodule (T-2).

Thanks.

The cytology points toward a benign change in the thyroid. The final takeaway depends on the clinical findings and an ultrasound, assuming one was performed—which I assume it was.
Justin Phillips15 said:Just wanted to drop in the updated CBC results..
Previously, the issues were: leukocytes 13, lymphocytes 12, reactive lymphocytes 12.

Yesterday's results: leukocytes 10.3, lymphocytes 29, no reactive lymphocytes.
The only thing still elevated is my CRP at 7.5.

Nicholas Myers, you suggested I get tested for mononucleosis the first time.. however, the blood work has returned to normal. My doctor mentioned there might be some lingering inflammation due to the CRP, but since the blood counts improved, she said she wouldn't refer me anywhere else just yet; instead, she wants me to come back in a month to recheck the CRP...
Otherwise, I'm feeling fine, except for a bit of a cough.

Should I be worried about the CRP, or not?

I wouldn't worry over a marginally elevated CRP. In fact, if there are no other symptoms, I wouldn't even bother checking it again in a month. I still suspect there's a high probability you just had a mild case of mononucleosis.

Have you had your liver enzymes checked?
Susan Smith said:Hi, Nicholas Myers,

I have a question regarding pregnancy and the thyroid.

My last TSH reading (from six months ago) was 5.49.
I suspect that’s far too high if I'm trying to conceive. Am I right?🙂
Oh, and I'm not currently on any medication...

You should definitely get your TSH retested, along with free thyroid hormones and antibody levels.

While there isn't a single definitive answer to your question, current research suggests this: there isn't enough data to definitively link subclinical hypothyroidism to infertility, but there is significant evidence showing that treating subclinical hypothyroidism—when TSH is above 4 mIU/L—increases pregnancy rates and lowers miscarriage rates.

Based on this, the American Society for Reproductive Medicine offers the following recommendation: if a woman is struggling with infertility and attempting to conceive, and her TSH levels are above 4 mIU/L, it is reasonable to pursue therapy to bring those TSH levels down below 2.5 mIU/L.

Keep in mind, however, that there is no total consensus among specialists, and this recommendation is not mandatory for physicians.
Megan Morales91 said:Hi, I'm 27. Just had my annual physical through work. I'm not entirely sure how to read these blood results, so if anyone could take a look... here they are:

Are you experiencing any symptoms? Taking any medications? Using oral contraceptives? Any issues with weight (being underweight)?
silentwolf232 said:I'm a 22-year-old female. I noticed everything is within the normal range except for my MPV. I'm wondering how concerning this deviation is and what conditions it might point toward? I'm also curious about the overall appearance of the blood work. Thanks

The results look fine. Since your platelet count is normal and you aren't experiencing any symptoms, a slightly elevated MPV doesn't really mean anything.
Larry Sanchez7 said:I recently had a KKS done and it's good.

My C-reactive protein is slightly elevated. The interval is 0-5, and mine is 5.7.

I want to know how high CRP can go—is 5.7 considered significantly elevated or just negligible?
I read somewhere that during severe inflammatory processes, CRP can be 1000x higher than usual values? Is that true?

If you aren't feeling any symptoms, the results can be considered normal; in that case, no follow-ups or further testing are necessary. What you read is correct.
Justin Phillips15 said:Could you just clarify one thing for me? Since I'm not actually experiencing any typical mono symptoms, is it possible we're looking at just a common virus instead?
Searching Google for elevated lymphocyte counts just spits back endless results about leukemia.🙄

It isn't exactly typical for just "any" random virus to trigger atypical lymphocytes exceeding 10% in a differential blood count. Even if you aren't feeling any symptoms, I’d suggest getting serology done for EBV and CMV. If those come back negative—or simply show evidence of a past infection—but those atypical lymphocytes are still hanging around, that would definitely be a reason to dig deeper.
Karen Alvarez40 said:Do you think further processing is necessary?

Liver lesions—damage was definitely present. However, now that the transaminase levels have normalized, whether further investigation is actually necessary remains an open question. Ultimately, your attending gastroenterologist will have to make the final call on how to proceed.

It’s worth noting that a positive ANA paired with elevated liver enzymes can also be a sign of autoimmune liver disease.
Chris Wells4 said:Did the doctor handle this correctly?

I believe so. There shouldn't be any need for further processing.

Chris Howard3 said:To whom it may concern, Following my third pregnancy, I dealt with thrombophlebitis and now have varicose veins in my legs. Due to some breathing issues, I underwent a bronchoscopy and subsequently had coagulation testing performed. Could you please clarify these results? PV 0.99, INR 1.00, APTV 26, APTV Ratio 0.8.
Fibrinogen 4.3.

Thanks.

From what I can see, everything looks fine, aside from a slightly elevated fibrinogen level. When interpreting that, you have to factor in body weight, smoking status, and a few other variables.
Justin Phillips15 said:My nephrologist scheduled more tests—cortisol, a few other hormones from that gland I can't quite recall right now, both blood and urine samples, plus a CT scan of the adrenal glands.

Then the doctor is doing his job correctly. 👍
gentleridge16 said:But my ECG readout looked like this:
Sinus rhythm
Right bundle branch block incomplete
S1, S2, S3 pattern
Consider right ventricular hypertrophy
Now I'm in shock. I've never had any issues, yet suddenly there's a laundry list of errors. It's like when your high-speed internet slows down—you're stuck waiting. If the doctor says the results are normal, should I trust that? Or do I need to push for more tests? I don't know what to think.

That’s just the machine's automated printout. An ECG is interpreted by a person, not a computer. If a physician reviewed the tracing and cleared it, it's likely fine.

Even an incomplete right bundle branch block is typically a benign finding—nothing to lose sleep over. Ultimately, the actual waveform matters far more than the text the machine spits out.

Karen Alvarez40 said:Could an ANA result be positive due to an autoimmune thyroid condition?

It's possible, though doctors often disagree on the correlation. It really depends on the ANA titer levels.
What other tests should be done to rule out SLE, RA, and other autoimmune issues?

The next step is determining if you meet the clinical criteria for any specific disease, which would then dictate targeted follow-up testing.
And is it possible for the thyroid to cause elevated liver enzymes?

Yes, thyroid issues can lead to elevated transaminases, and Aspirin itself can also cause that.
Joseph Collins18 said:The doctor suggested we redo the blood work after a month, so we just finished that today (not fasting):

View on imgur

Basically, the lymphocyte count is dropping, though it's still sitting at the upper limit of normal.

The latest results look clean. There's no indication that any further follow-up is needed.
Could someone explain this MPXI value? It went from -8 during the first draw to -1.7 in the most recent one. What does that signify?

I covered this in a previous post. Everything looks fine.

There is no cause for concern. Everything is normal.
Justin Phillips15 said:Hi, I was hoping to get a doctor's take on some blood work results...

Atypical lymphocytes (over 10%) and a liver lesion... Does this look like infectious mononucleosis? Should testing for CMV be considered?

Free cortisol-343.4 (100-379), total cortisol 8am-1050 (171-536), total cortisol 4pm-590 (64-327)

The cortisol levels definitely need to be retested. You might require an endocrinology follow-up—things like checking ACTH or running a dexamethasone suppression test. An ultrasound of the adrenal glands isn't enough to rule out subtle pathology.
Chris Wells4 said:Looking for some insight on these urinalysis results. It’s for a girl, almost seven years old. She isn't showing any symptoms that I can see; this was just a routine check required for her first-grade enrollment.

Run the urine test again. If the white blood cell count comes back elevated, we move straight to a culture. However, if that culture turns up clean but those white cells are still high, then we have a real reason to dig deeper.

To chatter away aimlessly. To engage in endless, trivial small talk. It’s that kind of mindless social noise that fills the air when there's nothing actually being said. Douglas Harris4 says:
Nicholas Myers, thanks a lot for the reply. :-) My doctor is suspecting rheumatoid arthritis—my uncle actually dealt with that—and possibly spondylitis. It’s been a year of hip and pelvic pain following an intense workout session, and now my mobility is seriously compromised. They found a labral tear in my right hip, but before they pull the trigger on surgery, they want to rule out an autoimmune component. The pain feels inflammatory; it radiates through my entire leg and lower back, which doesn't quite align with a simple labrum issue. My CRP is sitting at 1.8, so the bloodwork looks normal enough. I am a bit concerned about MS, though. I had a brain MRI a year ago and everything came back clear. Does that hold much weight? My movement is becoming increasingly restricted every day, spreading to the other leg, and I feel completely drained.

Look, having that specific HLA-DRB1*14 marker might be linked to rheumatoid arthritis, but it isn't what you'd call a smoking gun. It's more of a minor footnote than a major driver.

Having a genetic predisposition for multiple sclerosis doesn't mean you're destined to develop it. The symptoms you're describing don't necessarily point in that direction, but if there's clinical suspicion, your best bet is to see a neurologist.

Susan Gray91 said:Thanks for the input. I’ve already had my PTH and calcium levels drawn; just waiting on those results now. In the meantime, the antibody work came back. Anti-Tg is fine, but the anti-TPO is elevated at 238—should be under 9.

Some studies suggest certain medications might interfere with conception, though the data remains messy. It's hard to draw any definitive conclusions when the results are this inconsistent.
stormyseal1 said:My periods aren't heavy—just about four days. I'm trying to eat a balanced diet, consuming meat daily and adding more fruits and vegetables to my meals. I’ve already had a pelvic ultrasound, and my doctor confirmed there are no fibroids, which was one thing we wanted to rule out...

In that case, a consultation with a gastroenterologist or a hematologist would be prudent to pinpoint why these anemias keep recurring.
restlessstag71 said:Hello,
Thank you all so much for your answers, your time, and your effort.
I wanted to share an update—which might help someone else—that I finally discovered the cause of my issues. It turns out to be inguinal hernias and an ischiofemoral impingement in my hips. I'll definitely need surgery on my hips, and as for the hernias, I'm still deciding, though surgery is looking likely. I should mention that while the pain felt like it was in my lower back, it was actually centered in my pelvis; I didn't realize that until things intensified.
Thanks again for everything!

Ultimately, this points to a mechanical cause for the pain, just as the physiatrist suspected, rather than inflammatory sacroiliitis.

Carol Garcia80 said:Thanks for the response. Just one follow-up: could these tingles—which are persisting, along with occasional bouts of mild weakness in my arms and legs (not everywhere at once)—be a sign of potassium deficiency? I forgot to mention earlier, but it might be relevant: I'm currently following a high-protein, low-carb diet.

Potassium levels were only slightly low, likely a temporary dip due to dehydration from diarrhea. Given those specific levels, one wouldn't expect the symptoms you're describing.
stormyseal1 said:Hey there.

I’d appreciate some perspective on these results. I’m 25, and I’ve been dealing with anemia since my high school days. Things stabilized for a while, but now the issues are resurfacing. All the usual red flags are there—constant fatigue, bouts of dizziness, cold hands, and looking pretty pale.
The findings in the second month look like this:
Hemoglobin at 117. The range starts at 119. Just outside the lines.
Iron 9 (8-30)
TIBC 100 (49-75)
UIBC 91 (26-59)
Lymphocytes at 60 (normal range 20-46).
MPV 6.7 (range: 6.8–10.4)
Red blood cell count: 3.79 (normal range: 3.86–5.08). Slightly below the threshold.

Ferritin levels sitting at 31.6. The standard range is 15 to 150. It’s within the bounds, though definitely leaning toward the lower end of the spectrum.

After going through two cases of Steel Dynamics, here’s the breakdown:
Most values are within range, except for the TIBC at 94, UIBC at 79, and an RBC count of 3.82.

My ferritin dropped to 15.7. The standard range is 15 to 150. It's cutting it close.

My doctor still hasn't figured out what's going on with me. Now she’s sending me back for more stool tests because she's worried about potential bleeding. It feels a bit redundant, considering I just went through this exact same battery of tests a few months ago and everything came back perfectly fine.

What other tests should I ask for? My ferritin levels are dropping, and frankly, it’s starting to worry me. My doctor isn't taking it seriously, even though I feel like garbage.

What’s the cycle like? What about the diet?

brightmoose34 said:Just got my labs back. I'm seeing 20 red blood cells in a midstream sample, though the white cell count was low at 0-2 in the first stream before jumping up to 10-12. My kidney function hasn't been evaluated yet. For now, I've just been prescribed doxycycline. 😵😵 Should I seek a second opinion? My blood work is good enough to frame, but I just realized something from my physical back when I went in through my employer two months ago: my creatinine was at 107. There’s no pain during urination, nor was there before, and frequency hasn't increased. All that's left is some lingering pain in my lower abdomen, though it's milder than when this started. I'm 27.

I'd appreciate an answer.

I don't see the logic behind prescribing doxycycline here. That's usually reserved for suspected STIs. It’s also unclear what we're actually treating—is this a UTI or urethritis? At the very least, a urine culture should be ordered first. If the results warrant it, then we move on to more intensive diagnostics.

Just because your blood work comes back clean doesn't mean you're in the clear. It doesn't rule out a urinary tract infection or any other issues within that system.

Looking for another perspective.
Bryan Kern said:Can someone help me make sense of my father's MRI results? He’s 72. He's dealing with intense shoulder pain—he manages okay during the day, but he can't get a wink of sleep at night.

Right shoulder imaging shows congruent articular surfaces. There are minor degenerative changes in the inferior portion of the glenohumeral joint, noted by marginal osteophytosis along the glenoid fossa. The acromioclavicular joint appears within normal limits.
Minor bony spurs at the edge of the acromion, consistent with enthesopathy. There is also an oval, elongated soft tissue calcification—about 7 mm in diameter—near the greater tuberosity of the humerus, indicating calcific tendinopathy. No obvious erosive changes were found on the joint surfaces.

An X-ray of the shoulder isn't exactly a lab report. You've asked this in the wrong place.

Short answer: you’re likely looking at calcific tendonitis or shoulder tendinopathy. It's a condition where calcium builds up within the shoulder tendons. The phase where that calcium actually starts to reabsorb? That's when the pain really hits.

The treatment plan involves a combination of anti-inflammatories and painkillers, followed by physical therapy.

You can find more details here. Here..

Of course, I should clarify that I'm speaking specifically about this diagnosis. Whether there’s something else at play remains to be seen—without a thorough examination and a full medical history, it's impossible to say for sure.
Carol Garcia80 said:My doctor ordered an OGTT and a stool culture. I'll get them done.

In the meantime, I have a question.

I had my OGTT during pregnancy, and the results came back clear.
I had strawberries and vanilla ice cream about an hour before yesterday's blood draw. I assume that could have driven up the IRS levels?

Yeah, that seems like the most likely reason for the IRS finding.
What interests me most—and honestly, what scares me—is this... The FBI levels are incredibly high.From what I gather, a standard C-reactive protein level should sit well under 5. Mine just spiked to 31.8.

A CRP of 31.8 isn't cause for panic, but it does tell a story. It’s not an especially high reading. Generally speaking, values under 50 often point toward viral infections. Once you hit the 50 to 100 range, you could be looking at either a virus or bacteria. Anything north of 100 usually signals a bacterial issue. Of course, medicine isn't an exact science—there are always outliers. Some viruses can push those numbers higher, and certain localized bacterial infections might stay lower. It's also worth noting that elevated CRP can stem from inflammation that isn't an infection at all, such as an autoimmune condition.

It’s worth noting that you can't judge the severity of an illness based solely on CRP levels. It's a flawed metric on its own. You'll run into people who look perfectly fine but have a CRP sitting at 200, while others are in critical condition despite having completely normal results. One number doesn't tell the whole story.
I’m guessing this is some kind of bacterial inflammation given my digestive issues. But just to put my mind at ease, what would his levels look like if we were actually talking about something malignant?

Whether this is a bacterial or viral gut infection—and whether diarrhea is even a direct consequence of the infection—is impossible to determine here on a forum without a physical exam. I'm not sure why the jump was made straight to malignancy. With cancer, your FBI levels could be perfectly normal or wildly elevated; you can't use those markers to diagnose or rule out a tumor.

Looking at these results, it appears there is mild hypokalemia, meaning low potassium levels. This is likely a byproduct of fluid loss from the diarrhea, so you should keep an eye on that. If the diarrhea is severe, you’ll need to focus on rehydrating and replacing electrolytes.

It is entirely possible you are dealing with two distinct issues. One might be an acute intestinal infection—again, purely speculative via a forum—which explains the diarrhea and weakness. You're probably dehydrated, which could also explain those heart palpitations. The second possibility involves those existing issues you mentioned, which might be linked to thyroid dysfunction.
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Susan Gray91 said:Hi, I could use some help here.
I'm currently undergoing fertility treatment, so it made sense to have my thyroid checked too. I was hoping for some good news, just to be safe 😢.
Anyway, my hormone levels look fine
Tsh -2.28 (0.3 - 3.6)
T3 1.3 (1.2-3.4)
T4 109 (58-161)
I had an ultrasound today, and the doctor mentioned thyroiditis and some nodules. She couldn't tell if they're just enlarged lymph nodes or adenomas. On top of that, she asked me to get blood work for PTH and serum calcium.
I'm just wondering what those two tests are and why they're necessary.

You should definitely get antibody testing done as well, if you haven't already.

PTH and serum Calcium are used, among other things, to evaluate parathyroid gland function. These glands sit right behind the thyroid. They secrete a hormone known as PTH. Based on the neck ultrasound, the doctor can't rule out that these glands might be enlarged; if they are, they could be overproducing PTH, which would subsequently drive up your serum calcium levels.
brightmoose34 said:Red blood cells in urine at 10-15... and that's from my first morning sample... I went in because of frequent urination and pain in the lower right abdomen, along with loose stools (I was worried it might be appendicitis)... the urine also showed some trace leukocytes, mucus(2), and some plate-like stuff (I don't have the report handy)... the doctor recommended drinking plenty of fluids.🐔

So, what’s the current status? How old are you? What did the full urinalysis show?

Kate Ruiz48 said:Hello, I was wondering if someone could help me interpret these HLA system results I recently received. I've been having health issues that might point toward an autoimmune disorder, but I have to wait a month to see an immunologist. The results read as follows:
HLA-A 3/10
HLA-B 22/ND
HLA-DRB1 14/15
Thanks in advance for any help! :-)

You really need to be more specific about which autoimmune disease you suspect. Almost any HLA type can be linked to some condition, but the question is how clinically significant that link is in your specific case. Looking at this, I don't see any antigens that are exceptionally strongly tied to a classic autoimmune disease.

hla-drb1*15 represents a genetic predisposition for multiple sclerosis.

The HLA-A3 marker indicates a genetic predisposition toward hemochromatosis.