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Just a quick note to say hi!
You deserve a big bear hug!
You're in my thoughts all the time, but especially today.
Thank you for everything!
Welcome to our community!
You are in my thoughts and prayers.
Hope you feel better soon!
Congratulations! Time for a celebration...
Happy Birthday!
Avatar universal
02/15
Hey my names ashley I had an abscess and was prescribed amoxicillin it didn't work then I was prescribed clyndamycin and had all my teeth pulled a while back I now have a lump on my jaw and its not bone from the attractions and I'm not quite sure what to do or if it's from the abscess or not I've been on a totall of 4 antiobiotcs and my body's getting week and I'm only 20 and to be honest this lump is scaring me and I was wanting your thoughts it's like nothing's working, pain medication isn't taking the pain away and my body is getting weaker.
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Avatar universal
08/11
Have you ever heard of anyone with both carotid arteries being blocked having surgery on them to clean them out?  If so did they survive.  We were told that nothing could be done for her.  Please let me know.
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Avatar universal
07/11
Hello, I would like to ask you about the (Invasive micropapillary carcinoma,IMPC), because my mother has this disease. What can contact you?
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Avatar universal
08/10
I'll wait for your reply. Thanks in advance. :)
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Avatar universal
08/10
Sodium
Result:133.00
Normal Value:137.00 – 145.00 mmol/L
DECREASED.

Potassium
Result:3.20
Normal Value:3.60 – 5.00 mmol/L
DECREASED.

BUN
Result:4.10
Normal Value:3.20 – 7.10 mmol/L
NORMAL.

Uric Acid
Result:0.47
Normal Value:0.21 – 0.51  
mmol/L NORMAL.

AST/SGOT
Result:38.00
Normal Value:17.00 – 59.00 umol/L
NORMAL.

ALT/SGPT
Result:50.00
Normal Value:21.00 – 72.00 umol/L
NORMAL.

Chloride
Result:98.00
Normal Value:98.00 – 707.00 mmol/L
NORMAL.

Magnesium
Result:0.70
Normal Value:0.70 – 1.00 mmol/L
NORMAL.

HbA1c
Result:12.80
Normal Value:4.27 – 6.07%
INCREASED.

I don't know how to interpret it related to the disease of the patient.

Our patient is diagnosed of Seizure Disorder and he also has Hyperglycemia.
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Avatar universal
08/10
Hi. I'm a nursing student. This Saturday, we will be having a Small Presentation of our Case.

I would like to ask if why is the patient had taken a Blood Test. Here are the Laboratory Exam Results.


Test Results Normal Value: Interpretation

Cholesterol
Result: 5.6
Normal Value:0.00 – 5.20 mmol/L
NORMAL.

Triglycerides
Result:1.12
Normal Value:0.00 – 2.26 mmol/L
NORMAL.

HDL
Result:1.52
Normal Value:1.00 – 1.60 mmol/L
NORMAL.

LDL
Result:3.59
Normal Value:0.00 – 3.90 mmol/L
NORMAL.

Creatinine
Result:83.00
Normal Value:58.00 – 110.00 umol/L
NORMAL.

(continuation)
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Avatar universal
09/09
Paul,

My mom recently diagnosed with metaplastic breast cancer.  From the Path Report:  
     Histologic grade of 3
     Estrogren and Progesterone receptor negative, HER-2 protein ?
     Tumor in all fragments received.  The largest contiguous focus measures 1.5 cm.
     In addtion to the conventional invasive ductal carcinoma, there are malignant squamous and
           mesenchymal components to the tumor.  A CK ae1/3 immunostain shows at least focal reactivity in all components

Got biospy results yesterday, Dr is rushing to do surgery to remove tomorrow.  Just concerned if this urgency is necessary, or if can afford to take a few extra days to get additional consults.  

Any advice is appreciated.
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1014186 tn?1251040146
08/09
Just a quick note to say hi !My name is Dawn, I am 40yrs old and a heavy smoker. I just recently had several tests to confirm that I have COPD and I am in the early stages of emphysema. I have had a CT and an X-Ray and was confirmed with having several nodules on both of my lungs. Thay are about 5 to 6mm each. I having a time with breathing and my chest always feels soo heavy. I cough constantly and my upper back hurts alot too. I have just had 2nd ct and  they have found renal lesions. One right side 3cm & one on left side 1.5cm. Should I request an PET scan?  I am very concerned and having been researching the internet about lung cancer. Could it be that I do have lung cancer? I have had Please reply, very scared.
Thanks, Dawn
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Avatar universal
06/09
Hi Paul,

I read one of your answers to a post Re: ovary shutdown for pre-menapausal women- That side-effects can be managed.  I am 46, stage 1, ER-pos and lymph Neg.  I was tested to see if i am a metabalizer of Tomaxifen.  I am a Poor metabalizer and was told to do a chemical shutdown of ovaries and then go on Iramidex.  I am terriified of all the bad side-effects.  Low sex drive, hot flashes, etc.   Have you seen good results with this treatment and can the side-effects be managed so we can have a normal life?

Thank you,
Lisa
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Avatar universal
12/08
Just a quick note to say hi! so many thanks for exact diagnosis. i just wana add little more. plez suggest to use salt or salty water on mouth to get quick recovery.god bless u.
mr G
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Avatar universal
11/08
Just a quick note to say hi! Hi Dr. can you please look at my questions posted today, please. (nanita5) I replied to it myself to add more info. Thank you from the bottom of my heart. People like you inspire us to do good for others. May God bless you always.
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Avatar universal
11/08
Just a quick note to say hi! thankyou or replying to my annular erythema question.
ive since found out that there is no infection present fungal or allergy. had biopsy that was neg.
now my consultant has requested for an appoinment to breast clinic. the rash has gone now but my gp found three small free moving lumps size of peas soft to firm when went to him with slight discomfort of the breast and pain in shoulder. no lumps felt in armpit. he has referred me to breast surgeon first no mammograme or ultasound as of yet
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Avatar universal
10/08
Just a quick note to say hi!
Dr. Paul,
I wonder if you would be willing to take a look at a disc of a breast MRI I took and give your opinion. I can elaborate more if you can please contact me at ***@**** Thank you kindly
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646791 tn?1224272983
10/08
Thank you for your replies. They truly help and are comforting.
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Avatar universal
10/08
hi can you look at my questions under Ang831 and tell me your opinion  thanks
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Avatar universal
10/08
Thanks !   your reply was great and i found it very interesting.
My doctor is very concerned about this problem, and i should have an appointment in a private dublin hospital very soon, As i had a bad feeling about this i decided while waiting on this appointment i would contact a healer that i got to know while my dad was very sick,

Words could not describe this healer he is amazing and has cured so many people and has found tumers that scans have not found, So off i went and he confirmed that it was " active and big" so there was my shock but with the last 4 visite to him. There has been a change, by no mean am i in the clear but im getting extra help and also alot of support.

Thank God for people with amazing gifts that cure

Spookey !
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632991 tn?1222697140
09/08
Hey, thanks! I am feeling much better now. But I need to ask you one more question. =) If the lump will disappear after my menstruation, do I still have to see the doctor? I feel no pain now in my left nipple but it's still itchy in some area, the lump is not becoming bigger. Thanks a lot! God Bless you! =)
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Avatar universal
09/08
Thank you for replying on 9/3/08 to my question.
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Avatar universal
09/08
Thank You so much for the fast response!
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Avatar universal
09/08
Dr. Paul, would you please check my response to you? Thank you. Best Regards.
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Avatar universal
08/08
Thank you for your quick reply concerning my husband.  I have made an appointment for him to be seen by his doctor next week. Many thanks Dee
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414136 tn?1219802243
08/08
thank you for the feed back I did get my eyes tested and I did need glasses not a strong prescription no glacoma but now I am still feeling the same
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Avatar universal
08/08
PaulMD
Thank you for your input.  You are right, I have been caught in the medical industrial complex, sent from one specialist to another.  I honestly believe that a dedicated and bright internist, with an interest in research, could handle this by himself/herself.  Finding that person has proved nearly impossible...
Thanks also for the PET scan info...too early probably for that but might explore that later.
Regards,
Marc
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589713 tn?1255703171
08/08
Thank you so much for your quick response.  My Bi-Rads score is a 4.  That is what concerns me.  The radiologist was concerned about the shape of the nodule as it was taller than it is wide.  He wanted to do an ultrasound biopsy, but, since I have an artery that runs right next to the nodule, he was hesitant to do that.  I do have an appointment with a surgeon for next Thursday.  The waiting sure makes me nervous.  Thanks again for your thoughts!  God bless.
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Avatar universal
08/08
Just a quick note to say hi! Thank you ....  will speak to my G.P..... What is important to me is that I dont put on weight.

I see you are an  oncologist. I was diag with sec breast cancer & given 8 months to live.  My only option was  chemo which I did & had 8 bouts not 6 & after that radiotherapy. That was 12 years ago... ? The chemo did make me put on weight as did the tamoxifan & the rad caused probl with my thyroid so have been on a high dose for that ever since

I do not want to put on  more weight... so it is import that r medic is not going to make me fatter.

Once again...a BIG THANK You.  If you know of  other medic that wont affect my weight it will be greatly  apprec. .  I also have a  bad bladder probl could that be part of the cause ?   sinc Torbaygirlie
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586247 tn?1255911390
08/08
Have you read my post? what do you think I should do? Thank you,wavedreamer
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Avatar universal
08/08
Hi there,
Thanks alot Paul for your advise.
BFO
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Avatar universal
08/08
Just a quick note to say hi!
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575811 tn?1217518141
07/08
Hi Dr.Paul,
Can you please take a look at my post and help me with my concern. suzana43
Thanks so much.
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Avatar universal
07/08
Thank you so very much Paul!!! Your answer gave me a lot of peace of mind!!! My mother went ahead and had an ultrasound and we are awaiting the results. She didn't have as much dense breast tissue as the receptionist on the phone made it seem like. There was only a small spot, but she made it seem like it was a lot. Anyway, you are an angel for helping everyone out with your answers. God Bless You!!!!!
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Avatar universal
07/08
Thank you for your quick response to my question.  I have posted more info re: the impression that was given on the results paper.  Would you be so kind as to look at it and maybe give me some more insight.  Thank you, Kathleen
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564639 tn?1231809665
07/08
Just a quick note to say hi! This is Granna4.  I see where "japdip" already contacted you for me.  I am thankful for that.  Please read my post and contact me back.  It also said "solid nodule".
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