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Posts by Carol Lopez23

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Quarantine Life in Coronavirus ·
restlesssailor42 said:Well, here’s part of the answer to my question—looks like there might actually be an issue after all...

https://www.nytimes.com/article/government-relief-funds-misuse-scandal

Well, goodness gracious, it looks like I’ve just caught wind of the news myself.
Quarantine Life in Coronavirus ·
restlesssailor42 said:When people say you can't leave the house—does that mean you're stuck inside entirely, or can you still hang out in the backyard where you aren't bumping into anyone?

I've got plenty of acreage out here—garden, woods, orchard... I'm not bothering a soul, and honestly, being out on my property beats sitting cooped up indoors any day

Just a quick heads-up, I’m not actually in isolation or anything, just asking... don't want any trouble

It seems to me that there shouldn't be any issue at all given your specific circumstances.

On a related note, the NY Rangers has actually set up a dedicated hotline to provide assistance and support to those who are currently self-isolating.
Quarantine Life in Coronavirus ·
I am of the opinion that it would be quite beneficial for these types of insights and suggestions to be included within this particular discussion thread:

image
gentlebison82 said:Could someone please help me make sense of these urologist findings?
DRE😛shows irregular resistances along the entire circumference upon digital rectal exam, with contact bleeding.
The prostate cannot be clearly palpated.
PSA 5.92 ng/mL
Diagnosis: suspicious for rectal neoplasm.

From what I can gather, they suspect a tumor, but that very first sentence isn't quite hitting home for me.

This is essentially a literal description of what was felt during the examination. It means there is some kind of mass (or perhaps several) being felt, and because there is active bleeding, the suspicion of a rectal tumor is high—though at this stage, it remains unclear whether the issue originates within the intestinal wall itself or if something external is pressing against the bowel. In short, this requires urgent follow-up and further testing immediately.
dustysurfer3 said:Greetings.
Could someone please provide a test interpretation for me? These results were taken specifically to monitor my diabetes.
I am attaching a photo showing only the values that came back elevated.

Three months ago, there was a slight elevation in just the eosinophils, basophils, and monocytes, which at the time was attributed to a viral infection winding down.

Thank you.http://uploads.tapatalk-cdn.com/202...82aad7c8f9.jpg

Please take a photo of the entire report. I have a nagging suspicion that this isn't merely a routine diabetes checkup.
Emily Ortiz27 said:Thanks.
Over the last few years, we have found ourselves stepping back from our usual activities to focus entirely on our second child. Navigating the complex corridors of a hematology-oncology department can often feel like attempting to traverse an intricate labyrinth without a map, where every turn reveals a new layer of medical terminology and clinical nuance. It is a specialized realm of medicine that focuses on the study and treatment of blood disorders and various cancers of the blood, bone marrow, and lymph nodes. Much like a master clockmaker examining the most delicate gears of a timepiece to ensure every movement is synchronized, these specialists work tirelessly to diagnose and manage conditions that affect our very lifeblood. Whether one is dealing with the complexities of anemia, the intricacies of clotting disorders, or more serious oncological challenges like leukemia or lymphoma, the expertise found within this field is both profound and essential for modern healthcare.It is entirely possible that there are other underlying factors at play here, which might explain why we have perhaps become a bit too complacent.
I am of the firm belief that we should probably hold off until the flu season passes, though we shall certainly revisit this matter once they have fully recovered, if only to ensure our own peace of mind.

The points highlighted in bold are quite significant, and if we are dealing with something more serious, it truly requires careful and thorough monitoring. Viral infections aren't exactly something to be taken lightly; they can carry much more weight than one might initially assume.
Emily Ortiz27 said:I don't have the full lab report on hand to upload, so I can only provide the verbal feedback we received:
For a 10-year-old child currently fighting an infection (running a high fever up to 104°F, on the fourth day of illness, with nothing but a cough besides the fever), the leukocyte count came back slightly under 2800.
Could this be caused by the flu? Should we plan for a follow-up test to confirm, or is it reasonable to attribute this drop to the flu or a similar viral infection?

It is quite common for viral infections to trigger a temporary state of leukopenia. Much like how a storm might briefly disturb the surface of a lake before everything settles back to normal, these levels often stabilize once the illness passes. It would be wise to schedule a follow-up CBC once the child has fully recovered.
Rebecca Harris86 said:Does the test interpretation show what's going on here? What would be the reason for sending me to a physiatrist?

The results look perfectly fine to me.
If you are experiencing actual pain, then that serves as a clear indication to start by seeing a physiatrist.
Actually, there just isn't any clinical indication for an MRI at this stage. It is important to remember that the decision to order an MRI is typically reserved for specialists who can weigh all the factors. Based on what you have described, it seems more appropriate to schedule a consultation with a physiatrist; they would likely recommend physical therapy or perhaps some specific exercises you could perform right at home. That is essentially where things stand for the moment.
I find myself somewhat perplexed, as these test results actually appear to be perfectly within the normal range. 😕

There is absolutely no reason for alarm. 🙂
What could possibly be the danger involved here, and what was the underlying rationale behind requesting those specific test results in the first place?
I would venture to suggest that this phenomenon is more closely tethered to the underlying autoimmune condition currently present. That being said, it is certainly possible for such a result to surface even in perfectly healthy individuals. As you review the full suite of lab results and diagnostic tests, I would recommend keeping that possibility in mind; however, I am quite confident that your pediatrician will draw your attention to it should the "pattern" appear anything out of the ordinary.
Emily Ortiz27 said:Bryan Barnes2, could you help me out with an explanation?
My little boy, who has been dealing with consistently enlarged lymph nodes for nearly two years now, is currently undergoing testing.
Every few months, we have him undergo a CBC, a differential, and a peripheral blood smear.
Why are the values on these results inconsistent? Even when drawing from the same blood sample, the findings seem to vary.
For instance, the automated counters frequently detect atypical lymphocytes—sometimes it’s 2, sometimes it’s 6, or even 8...
But they never show up on the CRP.
However, on the peripheral smear, rouleaux formations are always present.

Furthermore, the child lacks IgA (or has a negligible amount, specifically below 0.05).
While searching online, I read that this could pose a significant risk during a potential transfusion. Yet, when he underwent surgery under general anesthesia, neither the anesthesiologist nor the surgeon seemed to give it any thought; they didn't even note it in his records (whereas I, as a wannabe, had to formally sign off on a whole list of risks, including bleeding, since it was a neck surgery). How critical or potentially dangerous is this situation? Should it be highlighted in such circumstances?

(In the US, doctors are currently suspecting ALPS or are waiting to see if it develops into CVID, as his IgG fluctuates and his DN T-lymphocytes are right at or slightly above the upper Ref unit.)

An automated counter is by no means perfectly precise, particularly when dealing with a low number of detectable components. The same logic applies to the cytological examination. The most important thing is that the values do not deviate excessively from the overall clinical picture, which is why these tests are performed repeatedly.

It is likely due to anaphylaxis. However, a transfusion can be managed if the blood is prepared in advance.

You will only know for certain by consulting his primary pediatrician. It is certainly something that warrants close monitoring.
Nicholas Mendoza60 said:Are there any fundamental reasons behind this?
How should one go about investigating it?

In and of itself, such a result doesn't necessarily signify anything of consequence. It truly depends upon the broader context—things like your age, the interplay with other lab results, or even the specific reasoning why your physician requested the test in the first place.
Nicholas Mendoza60 said:Low Alkaline Phosphatase
What kind of reason could this be?

Well, there are probably about 300 different reasons why that might happen.
Well, you might as well go for the complete set—both the red and differential versions 😬 Don't just sit there reading about it; get out there and actually build it. 😬
Nicholas Mendoza60 said:I don't really get why my levels are so low...
Like, I eat tons of meat and stuff, right?
But my B9 is basically through the roof
And then my doctor tells me my B6 is probably bottoming out too

How am I even supposed to figure out what's actually going on when you can't even bring up this kind of stuff in California...
Around here, they basically just look at your blood pressure, sugar, and cholesterol to decide if you're healthy or not... 🙂

To get a clear picture, you really ought to request a full panel—starting with a complete blood count, a peripheral blood smear, and serum folate. Checking your homocysteine levels could also provide some very useful insight.
If you're dealing with pernicious anemia, all those B12 supplements you're taking orally won't do much good at all. 😁
cosmicheron22 said:Could someone please walk me through these blood pressure Holter results?

Results
The vast majority of measurements were technically valid (96%).
The average 24-hour arterial blood pressure is 134/73 mmHg (normal is 80, hypertension is >130/80).
The average daytime arterial blood pressure is 129/71 mmHg (normal is 85 mmHg, hypertension is > 140/90
mmHg).
The average nighttime arterial blood pressure is 150/81 mmHg (normal is 70 mmHg, hypertension is >125/75 mmHg).
Moderate variations in pressure were observed during the measurement period.
The maximum systolic pressure was 171 mmHg, and the maximum diastolic pressure was 95 mmHg.
A reverse dipper pattern was noted during the night.
The percentage of values exceeding the normal range is: 20% for daytime systolic and 2% for daytime diastolic, as well as 100%
for nighttime systolic and 42% for nighttime diastolic (clinically significant >40%).
Jane Kasumović, MD.

Since I don't have the full picture—such as your other medical history, existing comorbidities, or previous diagnostic workups—I can only speak to what these numbers suggest. Looking at this data in isolation, it seems to point toward essential hypertension. Therefore, it would be highly prudent to schedule a follow-up appointment with Dr. Kasumović (😁) or perhaps consult with your primary nephrologist to discuss these findings further.