To RCA 7591

[pzbp]

Hey Again,
I see my nerologist next week.
My question the 5 things you listed in your last post...
Can they all be checked by a hemotologist?  If so, what do I need to ask them to test?
There is a hemotologist in my nerologists office and I'm going to take my husband along we agreed not to leave without the referal.
When I get an appointment to see the hemotologist can they check for all the things you listed or will I need to see another doctor?
Right now my symptoms are changing again, which scares me.  The floaters in my eyes and the pain and ringing in my ears are there all the time.  I took one at my sisters house out of state, by myself, in my car. When I went into it, it was different...Started feeling cold, shaking, ears began to ring so loud that I could not hear. Heart racing, breathing shallow. Throat felt like it was swelling. Felt like I could not lift any part of my body, very weak.  
Last time I was at my PCP my blood pressure was 102 over 62, this is about were it usualy is for me.  When the attacks were worse my blood pressure was around 120 over 82. Any ideas whats going on here?  Doctors not concerned.
Thanks Zana

[RCA7591]

Zana,

The Hematologist should perform the following work-up (print this page out):

Hypercoagulable State Work-Up (consisting of):

-Factor X
-Protein C
-Protein S
-Antithrombin III
-Anticardiolipin IGM, IGG
-APC Resistance
-Prothrombin Gene Variant
-MTHFR Gene Variant A1298C
-Hemochromotosis Gene Variant C2827
-Hexagonal Lipid Neutralization
-Homocysteine Level
-Platelet Aggregation Studies
-Prothrombin Time, INR

Here is where the Neurologist comes into the picture:

If any of the above testing is positive, you are at an increased risk of forming emboli (blood clots), which would increase the liklihood of recurring TIA's and other neurological events.

Therefore, the most important testing to have performed is outlined above (Hypercoagulable State work-up). The Hematologist should run these tests.

Hypercoagulable State alone can cause your symptoms, or it may occur in combination with certain cardiac defects (right-to-left shunting by means of a PFO or ASD). Therefore, if Hypercoagulable State is proved, you should then undergo Transesophageal Echocardiogram to evaluate for sources of cardiac emboli. The Neurologist should be able to order this test, but he may refer you back to Cardiology at that time.

The increase in blood pressure is trivial, as it is well within the normal range. The increase is likely due to anxiety, secondary to your underlying condition.

-Ryan

[alagirl]

A related discussion, quick question was started.