High Blood Sugar Levels Even With Insulin

Frequently Asked Questions QUESTION: MRI+hypertension.? Hey all, im going in for an MRI at the end of next week. Now, when I was at the Kidney Disease and Hypertension doctor today, I felt confident in what he said, thinking I knew the true meaning of MRI. But evidently I was wrong. Basically Im on my 6th new BP medicine, none are working, and kidneys came back pretty much sound through the ultrasound and the blood/urine tests. So he has ruled that out. My bp averages (wore the 24hrmonitors already) around 180′s/110′s, even on the different medicines. Basically he said he was going to give me an MRI to check me out, but isn’t that just checking out muscles? What would this have to do in finding the cause for the BP? I keep going for all these tests, but so far none have found my BP answers yet, and I feel its really taking a toll on my leaking heart valves, and the chest pains keep getting worse weekly. But, my cardiologist wont give me a stress test until my BP lowers a bit for my ownsaftey. ANSWER: QUESTION: MRI for hypertension? Hey all, im going in for an MRI at the end of next week. Now, when I was at the Kidney Disease and Hypertension doctor today, I felt confident in what he said, thinking I knew the true meaning of MRI. But evidently I was wrong. Basically Im on my 6th new BP medicine, none are working, and kidneys came back pretty much sound through the ultrasound and the blood/urine tests. So he has ruled that out. My bp averages (wore the 24hrmonitors already) around 180′s/110′s, even on the different medicines. Basically he said he was going to give me an MRI to check me out, but isn’t that just checking out muscles? What would this have to do in finding the cause for the BP? I keep going for all these tests, but so far none have found my BP answers yet, and I feel its really taking a toll on my leaking heart valves, and the chest pains keep getting worse weekly. But, my cardiologist wont give me a stress test until my BP lowers a bit for my own saftey.Mitral and triscupid valve showed minor leakage. Pulmonary valve showed moderate amount of leakage. Cardiologists (been to three now) have been jerking my chain because of my age (21) Kind of getting sick of it, because they are obviously more concerned about their older patients, but w/e evidently none of them around here care. And if I hear one more cardiologist or doctor say “oh your far to young to have heart problems” im really going to snap haha. Not even close to obese, actually in great physical condition untill this all happened and even now, im still not bad by no means. No smoking, and occasional drinking, maybe once a month, or once every two months. No drugs either. I walk a total of at least 2-3 miles a day as well. ANSWER: There are many things that can parade as primary hypertension but are really a secondary source that can explain why your Bp may not respond to conventional meds. Renovascular hypertension Primary aldosteronism Pheochromocytoma HypothyroidismHyperthyroidism Hyperparathyroidism Depending on what your doc is scanning, he may be looking for some or all of these things to explain your BP. Other factors can be obesity, sleep apnea, alcohol intake, smoking, etc. A leaky heart valve is a whole other issue– which valve? Some heart/valve issues can effect BP, too. Good luck, read some medical journals, you are your own best advocate! Chest pain getting worse should be evaluated, if you can’t tolerate a stress test then they should cath (cardiac catheterization) you (if they haven’t already). QUESTION: What are the symtoms of a flu shot? On Oct 24, my husband and i got our flu shots. The next day my shoulder was in pain but it went away. Today(Oct 27) my husband woke up saying he didn’t feel well and that he was throwing up so he went back to bed. Is this one of the symtoms? I am a diabetic and my husband has some medical condtions. He has a kidney disease, renial hypertension, neural hypertension. ANSWER: It causes all sorts ofproblems, long and short term. Do NOT get vaccinated. A vaccinated person is MORE likely to get a disease than a non-vaccinated person. The whole theory of vaccination is flawed. It causes a weakening of the immune system thus making those who are innoculated more susceptible to disease. There are so many awful side effects to vaccination that it should be considered extremely dangerous. Just sit back and think for a while. Is there any sense in injecting a disease directly into your body. We have been subjected to an awful mind control program to enable the drug manufacturers to make a fortune. The Vaccination Hoax If you go to the vaccination liberation web page, at You will find all the forms necessary to provide exemption for your child. If you want to study the history of vaccination, see QUESTION: Kidneys….? I go back to the kidney disease & hypertension doctor on Thursday, but darn, these past two days the front,sides and back around the kidney area have become quite swollen andbeat red. Sort of hurts to walk and move around, almost like there is a shifting weight rotating around that area. Anyone know what could be causing this? I mean, I just started going to this guy, so im basically clueless as to whats going on becuase he just started taking tests, without any kind of diagnoses yet. Hopefully Ill find that out on Thursday. Also, does anyone know what the possible reason was for him taking a 24 hour urine sample from me, and 7 viles of blood? What exactly does that test for? Also, why is he always look at my finger tips and my ankles, im sure its to look for swelling, but every time, thats one of the first things he checks. Xray and Ultrasound. Said nothing seemed out of the ordinary incept for they were somewhat enlarged. ANSWER: maybe a kidney infection or stones did they xray ? QUESTION: My cat’s kidney disease? I have a 12 year old cat whom I love a lot. My wife thinks that since the new year he has been drinking and peeing a lot otherwise she thoughtmaybe he had an occasional bad day but he was acting his normal self otherwise. September 2009 his blood work including thyroid levels were all normal (March 2009 he had a successful partial thyroidectomy). So I took him to the vet 2 weeks ago. I ended up going to a new vet who is across the street rather than his usual vet because he hates car rides. The vet just did a cursory exam and drew some blood and gave him his Rabies and distemper shots. The BUN Creatinine came back high and she said that this was chronic renal failure. All other blood work including sugar and thyroid were normal. When I asked for a workup for the cause she said it did not matter as the treatment is the same. She scheduled him for admission the following Monday for IV fluids. He rapidly deteriorated so last Friday night we rushed him to the ED of the hospital where his regular vet works. His BUN/Cr were worse so they admitted him and did IV fluids. They found no evidence of hypertension, no anemia even afterhydration, normal kidneys on U/S and Xray, and no proteinuria (culture is still pending). He responded very well to 4 days of IV fluids (Cr came down from 9 to 5 and BUN from 135 to 56) and he was sent home with enalapril, antibiotics and sq fluids /- renal diet. He is due to go back next Wednesday for blood work. Now since he is an indoor cat with no exposure to toxins or infection my wife (a “human” dermatologist) thinks that he indeed has chronic renal failure, because of the 6 months of drinking and peeing, that was exacerbated by the distemper shot. The Vets at the hospital think this is something acute given normal BP, hct, U/S and Xray of kidneys. Can a cat have chronic renal failure and have no hypertension, anemia and normal kidneys on both XRay and U/S? Can a cat be exposed to a UTI causing bacteria or a toxin in the house without ever going out? The reason I ask is if he does have chronic renal failure it is going to be very hard for him to get the sq fluids every day. Hehates it and i don’t want to put him through that. ANSWER: QUESTION: Do I have Chronic Kidney Disease (CKD)? Hi everyone, I’m a 20 years old male. No smoking/drinking problem or anything like that. Recently though (~3 or 4 months back) I noticed that my blood pressure was on the higher side of normal, around 138/90. I exercised quite a bit after and thought that should have subsided. However starting earlier this month I had this strange metallic taste in my mouth always. It felt like the water I was drinking was a little rusty (but it wasn’t). Also, I started becoming really lazy/tired in the morning, and yesterday found out I lost 10 kg in the past 4 months, from 70 kg to 60.5 kg. (Although the last 2 points might be because my eating pattern was really bad during university semester, and didn’t feel like eating) I started checking for CKD “signs” on the internet, and it seems all the above points match exactly. As for urine signs, I think mine is a little foamy but it might be justnormal. I don’t have swelling or skin itching, or nausea/vomiting, or shortness of breath. I sometimes have weakness in the knees but that’s usually if I didn’t sleep for 2 days and it’s probably not kidney-related. Nevertheless, the rusty taste, pre-hypertension (and possibly the weight loss and fatigue) seem to all point to CKD. I really hope I’m not getting this condition as it’s said to be irreversible damage that could only get worse.. Could anyone please shed some light towards this matter, thanks! ANSWER: QUESTION: Does anyone have personal experience with the H1N1 vaccine? Has anyone had the vaccine or your children had it? Did it harm you in any way? fever, sickness, etc? I have some severe health problems (DM, hypertension, cardiovascular disease, kidney function issues), and I have the opportunity to have the injected vaccine. I am afraid to do it, but I am afraid not to do it. Has anyone had any personal experience with the vaccine? Your personal experiences would reallyhelp me decide to have or not have it. I understand your opinions based on propaganda on both sides of the issue, but I am looking for real experiences not just opinions. I would just like to live through the epidemic and not die from the shot or the flu. Thank you so very much. If I did not have severe underlying medical conditions, I wouldn’t even consider getting the vaccine due to the risk. But I’m on the fence about this. ANSWER: I am in a priority group for the H1N1 vaccine (under age 64 with cardiovascular disease, including stent and pacemaker and history of heart attack), and I had the shot 4 days ago, with NO REACTION WHATEVER. I got it not just for me, but for my family members, a couple of whom cannot have any kind of flu shot but who are at high risk of complications from flu. I figure that anytime I have the chance to stay healthy and not spread germs to others, it is something I will do unless and until my physicians tell me otherwise. And by the way, there has been NOnews here in Central Illinois about anybody having any adverse reactions at all to the vaccine. I wouldn’t hesitate if I were you, but you might give your doctor’s office a call if that would make you feel better. QUESTION: Has anyone adopted a special needs pet? I would love to hear anyone’s stories about their pet. They are the most special, appreciative, grateful pets to ever get. I had a special needs dog for 23 months. He was about 7 years old and had heartworm, a tumor, and lyme disease. As the months went by, we cured the heartworm, but never knew what damaging effects it would have. He developed heart disease, lung disease, kidney disease, and pulmonary hypertension. He was saved by his doctors and lived 50 more days after he collapsed and was in heart failure. It is the saddest thing to witness your loved one dealing with such obstacles, but my dog was the best thing that ever happened to me. Without a doubt, I would adopt another special needs pet. I am not saying they arethe most deserving of a home, but they are looked down upon because no one wants to deal with the medical stress and emotional stress. I am willing to deal with all of that again to save an animals life. My dog would’ve died in the shelter if we didn’t adopt him. The shelter was extremely grateful for us adopting him and after all the thousands of pets that go through their shelter, they remembered my dog and knew how special he was. When he was in the hospital of heart failure, all of the staff at the shelter came up to us and told us how special he was and how he touched their hearts. Does anyone else have an “special” stories about their pet? I would love to hear any stories. ANSWER: I have had 9 cats in my life. This is a sad story but one close to my heart. One of my many foster cats, Chanel, hadn’t been looking so good. After weeks, we were sure she was sick with something, but we didn’t know what it was. So we took her to the veterinarian down the street and he checked her. Itturns out she had been abused, shot. When I heard the news I cried for a long time. We ended up having to put the cat to sleep. I miss my little Chanel! QUESTION: This cant be good blood pressure….? Just took my BP again today and got 184/107. Ive been on meds for it since November, and still nothing Obviously eating healthy and getting enough fitness, but still wont go down. They put me on a 24 hour bpmonitor, and my avg was 171/106. But, the cardiologist doesnt know how this is happening or whats causing it. He noted I had minor valve leakage in my mitral and triscupid valve, and mild leakage in my pulmonary valve. He says its very common with people and that im far to young for anything like this to worry about at my age (21). Im always getting chest pains, out of breathe, and occasional fainting, but he wont do nothing for me. The kidney disease and hypertension doctor just took 7 viles of blood, and a 24 hour jug of urine from me, I wont find out for a few weeks, but anyone knowtires/rubber/plastic, refined grains, soft water, galvanized pipes, dental alloys, candy, ceramics, electroplating fertilizers, paints, motor oil and motor exhaust. Symptoms and DIseases: Alopecia, anemia, arthritis, cancer, lung disease, cerebral hemorrhage, cirrhosis of the liver, enlarged heart, diabetes, emphysema, hypoglycemia, hypertension, impotence, infertility, kidney disease, learning disorders, migraines, inflammation, renal disease, osteoporosis, schizophrenia, strokes, vascular disease, high cholesterol, growth is impaired, cardiovascular disease, Also, does nickle engenders kidney failure? There’s the link, ANSWER: It is true that our environment is polluted there are people who will be affected just as many animals have been affected by the same pollutants. So we see many fish today which are born with malformed genitalia, deformed fins, extra fins, etc., because they are poisoned by the hormones from the female contraceptive pills which are discharged with the sewageinto rivers and sea. But it is equally true, if the evolutionist are right, that some who are the “fitter” will adapt to the heavy metals, radio-nuclides, hormones, dioxin, poisons, etc., in our environment and go on to produce stronger and fitter stock. e.g. humans with extra fingers, bigger (or smaller) brain, bisexuals who can cope better in our liberal society, etc. So there is really no need to worry. In the long run, evolution will sort it out as it has always been doing. Volcanoes, for example, spewed out poisons and killed off many life forms, but some survive and after millions of years these repopulated the earth. Meteors and comets smashing into our earth brought their heavy metals and other life forms (viruses and bacteria) and probably killed off many earth life, but at the same time brought enduring mutations. The process keeps going on and it gets sorted out. Even global hotification. QUESTION: Living with multiple illnesses (fibromyalgia, PKD and others). Peoplesthoughts on living ……? with illness like these. I’m young (34) and have more health issues then someone that is 75. I find it frustrating and draining to deal with everything. I was wondering if people have some thoughts of what you can do to live with the illness i have. Below is a partial list of my illnesses: ~ Fibromyalgia ~ Polycystic Kidney Disease a.k.a (with Hypertension) ~ Barrett’s Esophagus ~ arthritis ~ Chronic Depression to name a few. I also have a husband that suffers with Degenerative disc disease, my Children (13 & 10) have the PKD that they inherited from me. Please share your thoughts on how you Live/deal with any of the above illness. Thanks ANSWER: My personal background of chronic pain: endometriosis (have had two surgeries for it so far) and fibromyalgia (since 1995). The fibro wasn’t diagnosed until 1999, and before it was i was misdiagnosed with a number of things; one of the misdiagnoses was a potentially fatal autoimmune disorder. I was 23 when that happened,and spent a good six to eight months believing that my life was going to be Shorter and More Miserable than the lives of the people around me. When i found out that what i had was Not A Fatal Condition, it was very much a life-changing event. I had tried a number of highly ineffective coping mechanisms, from alcohol to denial. Eventually i came to realize that this chronic pain is a hidden blessing. I know this sounds completely and totally cheesy, but hear me out. People like you and me have to plan out every single moment of our day. If our hands aren’t working right, we wear clothes with zippers instead of buttons. That sort of thing. When we get home from being out (be it work, errands, a walk in the park, whatever), we have to choose between spending time with loved ones (or relaxing by ourselves in some fashion) and going to lie down from exhaustion. Sounds pretty crappy on the surface, i know. But wait for it, it gets better. We live our lives having to make conscious,minute-by-minute decisions regarding our quality of life. While it certainly can be a whopping huge pain in the neck sometimes, it makes us more aware of those little moments… both good and bad. It means that time spent with loved ones is a Choice, not Just Because. We =choose= the lives we have. I’ve compared notes with friends who do not have chronic pain issues, and found that most of them don’t understand what it’s like to truly appreciate the Little Moments in life. Moreover, they seem almost oblivious to them. This is not necessarily true of everyone who has a pain-free daily life… but it’s not entirely uncommon. I’ve also learned that largely, life is what you make it. I’ve wasted no small amount of time moping about the daily pain that travels (and yet it just won’t leave!) all over my body with no relief, no respite. I can choose to let it get to me, or i can choose to make the best of what i have. I have to fight more for the things i get, but it makes those things that muchsweeter. I can choose to cry about my back going out, or i can find ways to joke and laugh about it. I can’t tell you how many chiropractors i’ve confused by doing just that! I know it probably sounds hokey, and for that i apologize. But i promise you it’s all true. I can only type so much before my hands hurt, and i have =chosen= to type out this huge long thing for you… that’s how much it means to me. This life is full of things that we are given, and it’s up to use to make the most of them. No one else is going to make our lives Worth It if we don’t do it ourselves. QUESTION: Can you answer any of these? any answers would help. thanks 2. The body gains solutes from all of the following processes except ________. a.secretion by cells b. metabolism c. respiration d. sweating 3. All of the following metabolic waste products are removed primarily by the urinary system except ________. a. carbon dioxide b. uric acid c. ammonia d. creatine 4. The structure that carries filtrate from thekidney to the bladder is the ________. a. ureter b. urethra c. nephron d. distal tubule 5. The kidney’s central cavity is called the ________. a. kidney medulla b. renal pelvis c. renal capsule d. kidney cortex 6. The structure of the nephron which receives the substances filtered from blood is the ________. a. glomerulus b. Bowman’s capsule c. loop of Henle d. collecting duct 7. In a nephron, the glomerulus is located between the ________ and the ________. a. Bowman’s capsule, loop of Henle b. afferent arteriole, efferent arteriole c. efferent arteriole, peritubular capillaries d. proximal tubule and distal tubule 8.Which nephron structure is not correctly paired with its function? a. glomerular capillaries, filtration b. loop of Henle, urine concentration c. proximal tubule, secretion d. Bowman’s capsule, reabsorption 9.Reabsorption returns all or most of the ________ in nephron tubules to the blood. a. water b. glucose c. amino acids d. all of the choices 10.Urinary secretionmaintains the body’s acid-base balance through secretion of excess ________. a. water b. hydrogen ions c. potassium ions d. urea 11.In the nephron, cells of the ________ prevent water from escaping. a. peritubular capillaries b. proximal tubules c. descending loop of Henle d. distal tubules 12. Which hormone produced in the brain increases water reabsorption in the distal tubules of the nephron? a. renin b. aldosterone c. ADH d. diuretic 13. The “thirst center” in the brain monitors ________. a. the amount of saliva produced by salivary glands b. the juxtaglomerular apparatus c. blood pH levels d. blood volume 14. The kidneys control the body’s acid-base balance by ________. a. excreting bicarbonate buffer b. forming new bicarbonate buffer and adding it to the blood c. excreting excess H+ ions d. all of the choices 15. Kidneys excrete excess H+ ions by combining them with ________. a. phosphate ions b. ammonia (NH3) c. bicarbonate d. all of the choices 16. Glucose in urine may be asign of ________. a. hepatitis b. urinary tract infection c. diabetes d. hypertension 17. Which disease affecting the urinary system is more frequent in women than in men? a. kidney stones b. polycystic kidney disease c. bladder infection d. glomerulonephritis 18.Symptoms of kidney-function impairment include ________. a. nausea b. fatigue c. memory loss d. all of the choices 19. A hemodialysis machine ________. a. selectively exchanges solutes across a membrane between the patient’s blood and a chemical solution b. replaces the patient’s blood with a balanced chemical solution c. adds a balanced chemical solution to the patient’s blood d. transfuses cross-matched blood to the patient ANSWER: d a a a d b d a b no idea c either B or D not sure about 14 or 15 C C, bladder infections don’t know 18 A P.S. You don’t learn anything from letting other people do your homework for you, but I like the challenge and did it anyway. QUESTION: Medical Benefits of Ramadan ? Medical Benefits ofRamadan by Shahid Athar, M.D. Most Muslims do not fast because of medical benefits but because it has been ordained to them in the Quran. The medical benefits of fasting are as a result of fasting. Fasting in general has been used in medicine for medical reasons including weight management, for rest of the digestive tract and for lowering lipids. There are many adverse effects of total fasting as well as so-called crash diets. Islamic fasting is different from such diet plans because in Ramadan fasting, there is no malnutrition or inadequate calorie intake. The caloric intake of Muslims during Ramadan is at or slightly below the national requirement guidelines. In addition, the fasting in Ramadan is voluntarily taken and is not a prescribed imposition from the physician. Ramadan is a month of self-regulation and self-training, with the hope that this training will last beyond the end of Ramadan. If the lessons learned during Ramadan, whether in terms of dietary intake or righteousness,are carried on after Ramadan, it is beneficial for one’s entire life. Moreover, the type of food taken during Ramadan does not have any selective criteria of crash diets such as those which are protein only or fruit only type diets. Everything that is permissible is taken in moderate quantities. The only difference between Ramadan and total fasting is the timing of the food; during Ramadan, we basically miss lunch and take an early breakfast and do not eat until dusk. Abstinence from water during this period is not bad at all and in fact, it causes concentration of all fluids within the body, producing slight dehydration. The body has its own water conservation mechanism; in fact, it has been shown that slight dehydration and water conservation, at least in plant life, improve their longevity. The physiological effect of fasting includes lower of blood sugar, lowering of cholesterol and lowering of the systolic blood pressure. In fact, Ramadan fasting would be an ideal recommendationfor treatment of mild to moderate, stable, non-insulin diabetes, obesity and essential hypertension. In 1994 the first International Congress on “Health and Ramadan”, held in Casablanca, entered 50 research papers from all over the world, from Muslim and non-Muslim researchers who have done extensive studies on the medical ethics of fasting. While improvement in many medical conditions was noted; however, in no way did fasting worsen any patients’ health or baseline medical condition. On the other hand, patients who are suffering from severe diseases, whether diabetes or coronary artery disease, kidney stones, etc., are exempt from fasting and should not try to fast. There are psychological effects of fasting as well. There is a peace and tranquility for those who fast during the month of Ramadan. Personal hostility is at a minimum, and the crime rate decreases. Muslims take advice from the Prophet who said, “If one slanders you or aggresses against you, say I am fasting.’” Thispsychological improvement could be related to better stabilization of blood glucose during fasting as hypoglycemia after eating, aggravates behavior changes. There is a beneficial effect of extra prayer at night. This not only helps with better utilization of food but also helps in output. There are 10 extra calories output for each rikat of the prayer. Again, we do not do prayers for exercise, but a mild movement of the joints with extra calorie utilization is a better form of exercise. Similarly, recitation of the Quran not only produces a tranquility of heart and mind, but improves the memory. Therefore, I encourage my Muslim patients to fast in the month of Ramadan, but they must do it under medical supervision. Healthy adult Muslims should not fear becoming weak by fasting, but instead it should improve their health and stamina. ANSWER: That was very interesting. I worked for four years in an Elementary school as an EMT. We had many Muslim students. Being children they spent a lotof time in my office during their lunch hour complaining they were hungry and or had headaches. I felt for them, after all they are just children and felt embarrassed in front of their peers. It was very rare that any student was happy with the idea of fasting – but they all survived. As a Catholic, I too have days of fasting and it drives my kids crazy. They too survive. QUESTION: My father died of a sudden heart attack in his home….I cannot get over this REGRET I am feeling….? I should have gotten him LIFE ALERT and he could have pressed it and been saved. He was 76 years old. He had several health problems including diabetes (controlled), hypertension (controlled), stage 4 kidney disease, and atrial fibrillation (controlled by digoxin). He had two strokes in the past, the last being 12 years ago, which paralyzed his left side, but he got some of it back and could walk with a cane. He also had a mild heart attack about 15 years ago, which was treated with balloon angioplasty. Iwanted him to enjoy his final years, so I let him drive, and do his own things, etc. I am VERY REGRETFUL that I did not get him LIFE ALERT (or another similar product). I realize that sometimes when people have a heart attack, they do not know it, and cannot press the button, but I am still very regretful over this…..I don’t know how I am ever going to forgive myself for this…..please help! Thank you everybody, you are very helpful….God Bless You all…. Just for the record, he was found on the kitchen floor in the sitting position (on his bottom), with his knees bent, feet flat on the floor, and his head slumped down to his chest. One arm had an abrasion on it on the upper side of the forearm, as if he may have nicked it against the table or chair that he was near…. ANSWER: I completely understand that you are feeling guilty but you have to bear in mind that your father was a sick man with many other medical problems. His quality of life would be decreasing pretty rapidly at this stageanyway and it is best that he went quickly instead of being kept alive artificially, in pain and in hospital away from everything he knows. It was his time and instead of wallowing in guilt, you should work on preserving the memories you have of him. QUESTION: I don’t even know how I’m writing this, I’m in such shock….my father was found dead on the floor of his home? in a sitting position (on the floor), with his head slumped down on his chest, his feet on the floor and knees bent….they believe he had a heart attack, but we are awaiting autopsy results…has anyone ever heard of anything like this, or what he could have died from? I am in such grief I don’t know what to do…..for the record, he had a lot of health problems, as follows…..diabetes (controlled), coronary artery disease, hypertension (controlled), stage 4 kidney failure (not enough to require dialysis yet), and he also had atrial fibrillation, an irregular heartbeat. He had one mild heart attack 15 years ago, which wastreated with balloon angioplasty. He also had an umbrella put in his groin to prevent blood clots from traveling to the heart or brain. He also had 2 strokes, which left his left side partially paralyzed, but he was still able to walk with a cane. The last stroke was about 12 years ago. I am so sad, I can’t even believe I am typing this….he was 76 years old. Thank you. Thank you for your condolences….. ANSWER: Losing a loved one is undoubtedly one of the most difficult experienced people go through.I pray that you will be able to live again. No one can ever feel what you feel or experience the depths of your pain and anger that overwhelms you. You have a right to be sad,angry and to hurt because your father meant so much to you. I pray that you will be able to have joy and that you will bear no more sadness and pain. I pray that you will carry no more burdens and that you will be able to help the next person who crosses your path. I pray that you will forgive yourself and that youwon’t sentence yourself to eternal prison. I pray for your freedom right now. I pray that your father did not die in vain, but that you can let others know that they can make it through whatever they experience in life. If you need counselling, please find a counsellor because it can help. Take care as always. QUESTION: What’s so bad about guns? CAUSES OF DEATH, USA, 2002 FORMAL NAME INFORMAL NAME % ALL DEATHS (1) Diseases of the heart heart attack (mainly) 28.5% (2) Malignant neoplasms cancer 22.8% (3) Cerebrovascular disease stroke 6.7% (4) Chronic lower respiratory disease emphysema, chronic bronchitis 5.1% (5) Unintentional injuries accidents 4.4% (6) Diabetes mellitus diabetes 3.0% (7) Influenza and pneumonia flu & pneumonia 2.7% (8) Alzheimer’s Disease Alzheimer’s senility 2.4% (9) Nephritis and Nephrosis kidney disease 1.7% (10) Septicemia systemic infection 1.4% (11) Intentional self-harm suicide 1.3% (12) Chronic Liver/Cirrhosis liver disease 1.1% (13) Essential Hypertensionhigh blood pressure 0.8% (14) Assault homicide 0.7% (15) All other causes other 17.4% Guns are totally outclassed here! Who will join me in banning automobiles, alcohol, smoking, poor dieting, and lethargy?!!! ANSWER: I say we start at the top of the list with bans. When that one is complete ,we can work our way down. NO MORE HEART ATTACKS!!! come on people, say it with me… down with heart attacks!! QUESTION: Do any of these Conditions Quality My Infant for SSI Disability (low income family)? My 4 month old son has required hospitalization 30 days out of his 120 day life span. He has had 1 flight for life trip, 3 PICU admissions, 3 surgical procedures and has the following diagnosis’. Hypertension, Left Ventricular Hypertrophy, suspected Kidney Disease, Restrictive Airway Disease, Severe Laryngomalacia, Severe Gerd (even after Nissen Fundoplication and placement of Gastric Button, Dysphagia (aspiration, Laryngeal Penetration, and Nasopharyngeal Backflow), Laryngeal Spasms, ChronicRhinitis, Hx of Aspiration Pneumonia ——I had to quit my job to provide care for my son when the nursing staff is not their (40 hr work week for nurse). My husband and I are seperated and he pays the insurance and child support, but it’s not enough. I qualified for Medicaid based on income and medical needs of my child. What is my son’s likelihood of qualifying for SSI disability based on the fact that the airway issues are not expected to resolve for 18-36 months? Oh yeah, forgot the delayed gastric emptying……he is on 2 medications for breathing (every 3-4 hours), oxygen as needed, prevacid 2x daily, bethanacol 4x daily, norvasc 2x daily, ipratroprium breathing tx for drooling!, he requires 3x daily g-button changes. To date, no one is willing to care for my child expect qualified licensed nurses. People are scared because last week he had a vagal episode after refluxing and his heart-rate fell to 33 and his o2 sat stayed at 84-87 for 2 hours (even on 10 liters o2!). He was nearly deadand it’s a good thing the nurse was there! He will grow out of a lot of this eventually, but in the meantime? ANSWER: I’m so sorry for all that you’ve gone through with your son. The chances of you getting SSI are very good.The process, regardless of how obvious your case seems, often takes quite a while. After filing, you’ll be sent to a doctor who works for the government in determining your child’s disability. After their report comes in, then it’s just a matter of a few weeks until you begin getting monthly payments. Call on Monday morning and get things started..the toll free number is 1-800-772-1213 or you can begin your application online by visiting Even if you’re denied, you can always file again, and hire an SSI attorney who will fight for you. Good luck, and my prayers are with you. QUESTION: OMG any1 know about back pain???? Please Help!!? Please please just take a minute i need all the answers i can get. I have searched all over google and i cant find this. I havehypertension (high BP) thanks to my kidney disease so i am not NOT allowed to take any inti inflamatory which includes advil, alieve, prednisone (steroids), midol, only tylenol, and vicodine and non inflamatories. I am pretty sure i have a pinched nerve or sciatica leg pain or piriformis syndrome.. IDK which. My dr app isnt untill the 15 of feb so i need help!! WHAT WILL RELIEVE MY PAIN!! It hurts so bad i cant eat right and i lost 4 lbs now im 119lbs! Any sites for this?? PLEASE!! Or if u know which one i may have, its deep pain down the back of my legs (1 at a time) and in my butt. It feels like cramps in my legs!!! any knowledge at all!?? ANY!!!?? the pain is in my butt muscles (and legs), not in in my butt lol! =) ANSWER: Have u tried a TENS unit? Works great when my Sciatic acts up. But here is a site that could help you: Good Luck! QUESTION: where can i get information about? hypertension,hypotension,causes of fever,diabetes,toxemia or pregnancy,psoriasis,coronary heartdisease,polsystic kidney disease,pheochromocytoma. i want to know about the causes ,realtions to vital signs and other kinds of information ANSWER: is a great resource is a good one too QUESTION: How can one naturally lower their cholesterol? I’ve changed my diet to include more veggies, fruits and fish (salmon, flounder and tuna). I walk 7 days a week for about 30 to 40 minutes. I’ve started aerobics recently and plan to include running one to two days a week. I have lots of fiber in my diet (beans, nuts, whole wheat breads, oatmeal, prunes etc.). I have never been overweight, never drink or smoke. However, hypertension runs in my family so I am taking 10mg of lisinopril. Kidney disease also runs in the family. So my questions is if I decide to take Lipitor and lisinopril together won’t that harm my kidneys? My last total reading was 250 although that number fluctuates when I get blood tests done by my cardiologist. My HDL is always excellent. Just trying to stay alive. ANSWER: Withall the lifestyle changes you are making, I think your cholesterol will go down. Remember that you have family history for the diseases mentioned, that’s why I think your normal cholesterol levels are a bit higher than for other people. Since your HDL is excellent, the only thing I wish to you is: Hoping you’ll never give up! Good luck! QUESTION: PCOS and prolactin? Can anyone tell me how PCOS can affect prolactin. I know that prolactin will affect ovulation so tests are done to ensure that the prolactin isn’t causing the symptoms of PCOS and prolactin should be low or normal. But then when I was looking at prolactin it said that it might be an effect of PCOS: High levels are also seen with: Anorexia nervosa Drugs: Estrogen, tricyclic antidepressants, and drugs that block the effect of dopamine (a brain chemical that regulates and inhibits the production of prolactin) such as: tranquilizers, some hypertension drugs, and some drugs that are used to treat gastroesophageal refluxHypothalamic diseases Hypothyroidism Kidney disease Nipple stimulation (moderate increase) Other pituitary tumors and diseases Polycystic ovary syndrome Prolactinomas (from Is this true and if so why and how? Thanks! ANSWER: PCOS is connected to high testosterone levels. If prolactin levels are high that means that the person may also have a problem with the pituitary gland. I would recommend checking with your doctor as well to see what they say. QUESTION: High protein levels in urine in a 13 yr old girl? So, I’m a 105 lb, 5 foot 13-year-old girl. I have high blood pressure that they could never explain with lots and lots of tests, so they called it essential hypertension and I’m on Nifediac to control it. I’ve been on it for over a year and my BP’s fine now. But I had my check-up at the doctor’s today and they did some blood work and a urine sample test to make sure my kidney function was A-OK. My kidneys are fine, but the urine sample came back with high levels of protein in it. Ihave no symptoms indicating a urinary tract infection, so I’m just wondering, what could it be? I’m a little scared, all the Google results say kidney disease, and that doesn’t sound good. I don’t eat that much protein. I barely eat any meat, actually, maybe a hot dog or something once every two weeks. In fact, I used to be a vegetarian. ANSWER: you could be eating to much protein foods. It happens to a lot of people don’t worry. Drink lots of water to get rid of the extra protein, and don’t eat it as much. QUESTION: 64yr male. no heart condition nor hypertension nor diabetes. no severe illness that need emergency care.? no known kidney or liver disease. Patient is of african origin. the inter phalangeal JOINTS are swollen and painful and unable to bend. pain is worse in the morning esp if he walked for long the day b4. inablity to hold cutlery to eat. hands and feet are swollen NOT DUE TO EDEMA. he cannot make a fist anymore and sometimes pain radiates from hands to shoulders. it is abilateral condition. what can this be? we have been to see many general practioners, but i need a proper diagnosis. what do you think it is and which specialist do u recommend? i am also a health worker and can diagnose a heart failure when i see one so dont worry. this is not a heart failure case. it is a poor man in constant pain who can’t eat in public bcos its so embarrassing when the fork drops from his hands. he also has to buy progressively bigger shoes because of the swelling in his feet. will be grateful if a seasoned practioner helped me out. thanks ANSWER: my granny had similar problem last winters, well just like this man, she was otherwise fit but she couldnt move. It is arthritis wen the synovial fluid btw the joints degenerates and movement becomes difficuly. She had a hard time too, well her regular physician treated her, gave her injections and i guess she had some chest infection as well, i dont think she got this cuz of chest involvement (joints problem), but sincedaily in the hospital bed, suffering from alzeimher’s, 2 legs amputated below the knees, aotic stenosis, 90% kidney failure, ischemic heart disease, diabetes and hypertension when she’s a christian? Was her god punishing her because I’m an atheist, or did she do really bad things in her previous life, if you believe in karma?…. ….any other opinions? my mum must have been a re-incarnation of Genghiz to suffer that much. Moreover, if her “god” can do everything, why can’t he just gave her back her legs, cure her memory, and those healthy kidneys and heart 12 years ago? It’s little wonder she became an atheist one year before she died. There is no god. “Slave of 12 Gods” – you’re right. ANSWER: I’m sorry for your loss and your mother’s suffering. It happened neither because of God, or Karma, it’s just that sh*t happens in life. QUESTION: sensitive to sound only when the attack time mostly hour after meal? The attack is when I have a headache (but I can feel it my head and foreheadarteries) and makes me want to massage my head. It’s usually start happened about 30-60 afer meal. In this moments I am very sensitive to any kind of sound include whenvneighbor clicking his car key remote, also when my wife talking, etc. The sensitive feeling which I think is nerve reaction is like jumping from the building from the hill in a dream (the feeling when in the air moment) mix together with the feeling after, leg falling sleep from wrong position and tingling feeling when tried to move it, not numb). Well this feeling is happen in my head and my spinal. I am thinking of many disease possibility such ischaemic heart disease, hyperacusis, hypoglycemia,kidney (renal artery stenosis or renovascular hypertension), early sign of multiple sclerosis, etc. i will have my blood work result in two weeks and will post the update, but I am posting this to find out if there anyone with the same experience? ANSWER: It doesn’t sound like multiple sclerosis, but more like a migrainetriggered maybe by something in your diet? Migraines can cause sound sensitivity and light-sensitivity. QUESTION: I want to stop taking Lisinopril before becoming pregnant? I am 36 yrs old. I am being treated for hypertension due to a kidney disorder called “minimal change disease”. I am taking 10mg of Lisinopril and 80mg of Diovan daily. My BP is usually 110/74 while on the meds. I have experienced SEVERE headaches whenever I forget my meds for several days, so I am afraid of discontinuing my medication. But I would like to conceive in the next few months (before the end of May), and my doctor’s appt. isn’t until the middle of May. I would like to try to discontinue the meds before I see the doctor, to find out if my BP is under control, since I have lost 20 lbs. and have increased my exercise and eating healthy. Any suggestions??? ANSWER: My main suggestion is DO NOT stop the meds! I am on lisinopril and another med, I have lost 85lbs in the last 8 months and my BP has not comedown….so don’t rely on weight loss alone. If you are to be taken off the lisinopril the chances are high that it will need to be replaced with another med. Don’t attempt it without medical supervision, it could be dangerous. You will need guidance regarding pregnancy anyway and you need the right advice from the doctor, not here. QUESTION: Does moderate drinking liquors reduces heart disease by 20 to 49%. ? Does moderate drinking liquors reduces heart disease by 20 to 49%. ? I was reading that moderate drinkers tend to have better health and live longer than those who are either abstainers or heavy drinkers. In addition to having fewer heart attacks and strokes, moderate consumers of alcoholic beverages (beer, wine or distilled spirits or liquor) are generally less likely to suffer hypertension or high blood pressure, peripheral artery disease, Alzheimer’s disease and the common cold. Sensible drinking also appears to be beneficial in reducing or preventing diabetes, rheumatoidarthritis, bone fractures and osteoporosis, kidney stones, digestive ailments, stress and depression, poor cognition and memory, Parkinson’s disease, hepatitis A, pancreatic cancer, macular degeneration (a major cause of blindness), angina pectoris, duodenal ulcer, erectile dysfunction, hearing loss, gallstones, liver disease and poor physical condition in elderly. ANSWER: Well, I suppose it depends on what you mean by moderate drinking, but I know that drinking can cause alcoholic dilated cardiomyopathy and can also lead to high blood pressure. Obviously, excessive drinking can also lead to a myriad of other disease states, but the aforementioned processes can result from average drinking in some people. QUESTION: Why did Hepatitis C caused Natalie Cole’s two kidneys to completely fail? Hepatitis C is known by most people as a type of disease that can cause liver complications which can reach end-stage status…meaning you need a liver transplant or you die. But why did the virus attackand destroy her kidneys and spare her liver, yet cause her kidneys permanent damage? We know that hypertension is the no. 2 cause of end-stage renal disease…… ANSWER: QUESTION: I have had IgA Nephropathy, are there ways to self-medicate, and is this disease serious or really incurable? I’ve been diagnosed since 12 and is under a gov doc since. I had my kidney biopsy done. Now I’m 17 and recently after researching, found out more about this disease though I don’t understand half of what all the websites are saying. Most of the websites have the same information though with all the medical terms I don’t comprehend them. I’m quite mad at my doctor for not explaining to me and my parents about it thus we have been misled into thinking its not serious. I’m unsure of how fast this disease progresses and if it’ll reach end-stage renal failure. Recently we’ve stopped going for my checkups and taking my hypertension medication as we hear it harms the liver at such a high dosage and I’m takingit for life. Are there other side effects? We tried asking the doctor about using fish oil but she turned us down thus we were upset with her. I feel like a experiment while she’s taking a “trial and error” approach to it. Will doing this affect the rate my disease progresses? ANSWER: IgA nephropathy is deposition of IgA immune complexes in glomeruli, manifesting as slowly progressive hematuria, proteinuria, and, often, renal insufficiency. Diagnosis is based on urinalysis and renal biopsy. Prognosis is generally good. Treatment options include ACE inhibitors, corticosteroids, and ω-3 polyunsaturated fatty acids. Most cases of IgA nephropathy can’t be prevented. If you have a family history of IgA nephropathy, talk with your doctor to find out if there are steps you can take to reduce your risk of developing the disease. Controlling your blood pressure is one of the most important ways you can help slow kidney damage from IgA nephropathy. You doctor may recommend changes in your diet —such as limiting your salt intake — to help manage your blood pressure. A low-salt diet can also help minimize fluid retention and swelling. Other dietary changes, such as reducing the amount of protein you eat and taking steps to decrease your cholesterol levels, also may help slow the progression of IgA nephropathy. Talk with your doctor about what’s right for you. Coping with IgA nephropathy can be challenging. But, you don’t have to do it alone. If you have questions or would like guidance, talk with a member of your health care team. You may also benefit from joining a support group. Such a group can provide both sympathetic listening and useful information. To find out about support groups in your area that deal with kidney disease, ask your doctor. Or, contact your local chapter of the National Kidney Foundation by calling 800-622-9010. QUESTION: Can someone help me prioritize these nursing diagnoses? 1. Risk for infection r/t placement of hemodialysis catheters in groin andpectoral region AEB frequent use of site can introduce microorganisms into the blood circulation that would trigger a systemic infection. 2. Excess fluid volume r/t compromised kidney function AEB slight edema present in legs, hypertension, increased Creatinine which indicates poor kidney function, and a low GFR rate. 3. Activity Intolerance r/t affects of anemia, increase fall risk (limited movement) AEB morse fall risk scale of 35 and RBC at 3.89 (low). 4. Sleep Pattern disturbance r/t urinary frequency AEB the patient has frequency of urinary urges to empty urinary bladder and disrupts sleeping pattern. 5. Risk for decreased cardiac output r/t chronic renal disease AEB variations in blood pressure readings, oliguria, and hypertension resulting from disease process. ANSWER: QUESTION: i need this now, please? Distinguish between natural and artificial immunity, and discuss the importance of immunisation in controlling the spread of diseases. 2)Explain how might each of the followingconditions affect the functioning of the kidneys? a)Hypertension b)An Anti-diuretic Hormone Deficiency c)Kidney stones 3)Construct a food web not less than five(5) organisms , including a named parasite. a)Suggest a parasite you think would be ideal to use in this case 4)Explain two (2) ways soil organisms are important in the life of a tree. a)Two ways in which the worm for instance, help the tree to survive and how the tree benefits from it. ANSWER: This is a lot to be asking in one question. QUESTION: Kre-Alkalyn: GNC: Arnge Krush. Medical Questions? I am under the age of 18 and am interested in using Arnge Krush. My parents are not to keen on using different supplements. I am asking doctors whether or not Kre-Alkalyn is safe to take, but I am not getting straight answers. Those who use: Why do labels say, “Do not take for more than 6 months” Have you heard the rumors about kidney problems? Here is a label…. Individuals sensitive to stimulants should begin use with half therecommended dosage (1-2 scoops) to help assess your tolerance. Never exceed recommended daily intake. Do not use for more than 6 months. Consult a physician or licensed qualified health care professional before using this product if you have or have a family history of (but not limited to): heart disease, thyroid disease, diabetes, high blood pressure, hypertension, hypotension, recurrent headaches, depression or other psychiatric condition, glaucoma, difficulty in urinating, prostrate enlargement, or seizure disorder, if you are using a monoamine oxidase inhibitor (MAOI) or any other prescription drug or over-the counter drug containing ephedrine, pseudoephedrine or phenylpropanolamine (found in certain allergy, cough/cold, and weight control products). Do not use if pregnant or nursing or are contemplating pregnancy. Reduce or discontinue use if excessive sleeplessness, tremors, dizziness, headaches or heart palpitations occur. For use by healthy adults only. Not intended for use bypersons under the age of 18. Keep out of the reach of children. ANSWER: QUESTION: the term erythropoiesis refers to______ . (Homework help please)? just want some to check my work and if they are wrong please tell me the answer and how you got it.thanks the term erythropoiesis refers to A) the formation of red blood cells in the bone marrow B) the destruction of red blood cells in the spleen C) a disease of the red blood cells D) the secretion of eryhropoietin by the kidneys (I THINK IT’S B) 8)Which disease result from insufficient production of glucocorticoids and mineralocorticoids? A) addisom’s disease B) cushing’s syndrome C) conn’s syndrome D) hodgkin’s disease (I THINK IT’S A) 9)the “silent killer” is A)coronary artery disease B)arteriosclerosis C)anemia D)hypertension (I THINK IT’S D) 11)a common result of hyperthyroidism is A)acromegaly B)osteoporosis C) goiter D)myxedema (ITHINK IT’S A) ANSWER: 1. A – the formation of red blood cells in the bone marrow An erythrocyte is a redblood cell; cell found in blood that lacks a nucleus and contains the red pigment hemoglobin. 2. A – addisom’s disease (actually is named Addison’s disease) 3 D – Hypertension 4. C – Goiter —- Myxedema is caused by hypothyroidism. QUESTION: Indian Oil Pulling or Chinese water Therapy.Which is more effective and any of you have been cured by these? Oil pulling or oil swishing with one tablespoon of sunflower or sesame oil Oilpulling heals totally “head-aches, bronchitis, tooth pain, thrombosis, eczema, ulcers and diseases of stomach, intestines, heart, blood, kidney, liver, lungs and women’s diseases. It heals diseases of nerves, paralysis, and encephalitis. It prevents the growth of malignant tumors, cuts and heals them. Chronic sleeplessness is cured.” Water therapy heals the following. Headache, hypertension, anacmia, rheumatism, Bell’s palsy, obesity, arthritis, tinitus, tachycardia, asthciiia.Cough ‘ asthma, bronchitis, pulmonary tuberculosis. Meningitis, hepatic diseases,aropathies. Hyperacidity, dysentery, rectal prolapse, constipation, hacmorrhoids, diabetes. Opthalmic haemorrhage. Opthalmia. Can you explain the correct procedures of each method and how long we have to do? ANSWER: Indian oil pulling………………. QUESTION: I have a Effective Herbal Products for your health. But I don’t know how to sell it online. Any idea? 1 Aarogya (good health) Herbal Tea Most of the clients have benefited economically and health-wise also by being involved in income plan and using Aarogya Herbal Tea made by mixing various plants having high medicinal value like Tulasi, Lemon grass, Dandelion, Rose merry and Chamomile . ADVANTAGES OF AAROGYA HERBAL TEA: a) Prevents from Gastric, Ulcer and Cancer. b) Prevents from Hypertension, Constipation and Jaundice. c) Does not allow Colitis deposit in kidney and gall bladder. d) Prevents from joint pains. e) Prevents from diseases related to liver and heart. f) Helps Asthma patients. g) Prevents diabetes. Helps cure diabeticpatients. h) Helps in hay fever and cough and cold. i) Increases appetite, cleans blood and helps people suffering from piles. j) Helps people having Uric Acid, Gout and Arthritis. k) Regulates menstruation. Please, Mail me for more Products.- tejdiprai@yahoo.com CRYSTAL SHAKTIPRAS In the process of producing and providing various products made from herbs, this company has presented below a new product called Crystal Shaktipras which is good for health and rejuvenating energy made by mixing up 40 different kinds important herbs including Yarchagumba (aphrodisiac). We have the belief that you will use this also and gain energy and be healthy. ADVANTAGES OF CRYSTAL SHAKTIPRAS 1. Since it is produced from pure herbs, it has no side effect whatsoever. 2. It is a proper nutritional food for all (babies, youths, women and old people) 3. It relives or removes weaknesses. 4. It gives energy and is good for health. 5. It regenerates semen. 6. It is a boon for sexually impotent persons. 7. Itprevents from being aborted once conceived. 8. It is appropriate for Anemia. 9. It helps bones to get strong and increases intelligence. 10. It prevents from old aging or being old. Please, Mail me for more Products. CRYSTAL SHAKTIPRAS In the process of producing and providing various products made from herbs, this company has presented below a new product called Crystal Shaktipras which is good for health and rejuvenating energy made by mixing up 40 different kinds important herbs including Yarchagumba (aphrodisiac). We have the belief that you will use this also and gain energy and be healthy. ADVANTAGES OF CRYSTAL SHAKTIPRAS 1. Since it is produced from pure herbs, it has no side effect whatsoever. 2. It is a proper nutritional food for all (babies, youths, women and old people) 3. It relives or removes weaknesses. 4. It gives energy and is good for health. 5. It regenerates semen. 6. It is a boon for sexually impotent persons. 7. It prevents from being aborted once conceived. 8. Itis appropriate for Anemia. 9. It helps bones to get strong and increases intelligence. 10. It prevents from old aging or being old. ANSWER: ADVERTISE MORE LIKE THE QUESTION YOU HAVE SUBMITTED IN GROCERY CHAINS OR THE MALL QUESTION: General medical questions thanks for the help? In which diseases can we expect the elevation of the serum total bilirubin level? Malnutrition & malabsorption Instrinsic renal lesions Hepatitis b- think its this one Vitamin d deficiency Nephritic syndrome Clubbing of the fingers can be a sign of? Cystic fibrosis Kidney failure-maybe this one Tuberculosis- wrong answer Liver failure Sleen enlargement Second heart sound is produced by ? Closure of the pulmonic and mitral valve Closure of the aortic and mitral valve Closure of the aortic and tricuspid valve Closure of the pulmonic and tricuspid valve Closure of the aortic and pulmonic valve- think its this one Which of the diseases listed below is not a potential cause of dry, hacking cough? Allergies Viralinfections Intersticial lung disease Tuberculosis tumor Which group of lymp-nodes located on the head or neck drainage the lymph from the abdomen? Supra-clavicular Sub-mandibular Anterior-cervical Sub-mental Posterior cervical The muscles used as the accessory ones during forced inspiration are? Internal intercostais Scalenes Diaphragm External intercostals Abdominal muscles First sound is produced by? Closure of the pulmonic and mitral valves Closure of the pulmonic and tricuspid valves Closure of the venous valves Closure of the aortic and mitral valves Closure of the mitral and tripcuspid valves Which of the sentences about macrocytic anemia, mentioned below, are true? The mcv(mean corpuscular volume) is decreased The level of hemoglobin is increased The common cause is iron deficiency The common cause is b1 deficiency The common cause is foliate deficiency Chronic suppurative otitis media should be recognized if the drainage from the ear (otorrhea) persists for at least: 1 month 3days 3 weeks 6 weeks 1 week The muscles used as the accessory ones during forced expiration are: Scalene Abdominal muscles Diaphragm Sternocleidomastoid muscles External intercostals Which laboratory results should be considered as an indicator of the acute bacterial infections of the respiratory tract? Wbc: 5.0X10^9/L Esr: 15mm/hr Esr: 36mm/hr pO2: 95mmHg CRP: 3 mg/L Make a false sentence about cough typical for vital infections of respiratory tract: It usally last 7-10 days A non-productive period is often followed by a productive cough, with production of yellowish sputum In some patients it can lead to subacute cough Loud cough, non-productive or producing small amounts of sputum It is often aggravating at night Which from the following accessory investigations is not the imaging study: Electrocardiography Radiography Ultrasonography Magnetic resonance Tomography Which of the sentences about the evaluation of the patients reflexes, mentioned below are true? When damage occurs theupper motor neurons (cortical and spinal cord injuries) the reflex arc is interrupted During the evaluation of reflex, grade 4+ of the knee jerk means that this reflex is not present When testing the patient’s reflexes you don’t have to remember that reflexes can be influenced by age, metabolic factors or electrolyte abnormalities When damage occurs to lower motor neurons (the peripheral nerve or dorsal roots) the spinal reflex arc in uninhibited When damage occurs to lower motor neurons (the peripheral nerve or dorsal roots)the reflexes are decreased Associated with dyspnea: Pulmonary hypertension Mitral stenosis All of them can be associated with dyspnea Pulmonary embolism Anxiety ANSWER: 1) Hep B 2) Cystic fibrosis 3) Aortic and pulmonary 4) I’d go with tuberculosis, because it would usually be a cough productive of sputum 5) Supraclavicular 6) Scalenes 7) Mitral and tricuspid 8) Folate deficiency 9) 6 weeks 10) Abdominals and intercostals (so I’m not sure which you should put down– maybe abdominals?) 11) None of them really tell you that, but ESR of 36 is the only unusual one there. Although a PaO2 of 95 could occur as well. 12) They are all true 13) Electrocardiograpy 14) The last one is true 15) All of them QUESTION: Double Checking Answers On Nutrition Basics. HELP PLEASE! (:? I put brackets around my answers. example: [A] PLEASE! let me know if they are correct or not. thank you. 1. One positive attribute of dietary fat is that it’s a good source of A. water. B. boron. C. vitamin C [D]. energy. 2. Which one of the following choices is the best way to control Type II diabetes? A. Injecting insulin B. Avoiding all simple sugars [C]. Adopting a healthy diet and exercising D. Avoiding salt 3. Which one of the following snacks provides all of the essential amino acids? A. Apple wedges and carrot sticks [B]. Small bowl of chili beans and rice C. Corn on the cob D. Pasta salad with vinaigrette dressing 4. Which one of the following choices is the best way to buildmuscle bulk? A. Use amino acid powders from a health food store. B. Eat more high-protein foods. C. Avoid vegetarian diets. [D]. Eat a healthy, balanced diet and follow a regular fitness program. 5. High triglycerides increase the risk for which one of the following conditions? A. Type II diabetes [B]. Heart disease C. Thyroid disease D. Osteoporosis 6. Saturated fats found in animal productsGDLuch as bacon and cheese, are also called A. cholesterol. [B]. triglycerides. C. lipids. D. amino acids. 7. An elevated HDL is considered a A. risk factor for osteoporosis. B. risk factor for arthritis. [C]. less harmful form of cholesterol found in the body. D. more harmful form of cholesterol found in the body. 8. How can a person with lactose intolerance obtain dietary calcium? [A]. Take a pill that helps to digest lactose. B. Eat green leafy vegetables, nuts, and enriched soy products. C. Eat lots of fresh shellfish. D. Eat lots of whole grains. 9. Which one of the following choices is mostaccurate about fat-soluble vitamins? A. They can cause gastric upset, diarrhea, and kidney stones. B. They provide no risk of vitamin toxicity. [C]. They can be stored in the body. D. They help build collagen and aid in healing. 10. The glycemic index predicts the way certain foods affect [A]. blood sugar levels. B. weight loss. C. exercise performance. D. blood pressure. 11. What are the health benefits of zinc? A. Reduced muscle fatigue [B]. Proper wound healing C. Control of blood pressure D. Lung efficiency 12. Which one of the following factors contributes to hypertension? A. A vigorous exercise regimen B. A lack of sleep C. A diet that lacks protein [D]. A high-fat diet 13. Which one of the following choices is the best option for a vegan snack? A. Vanilla soymilk, peanut butter, and pretzels B. Almond milk with butter cookies [C]. Chocolate soymilk with angel food cake D. Tomato juice and macaroni and cheese 14. How should daily calorie intake be divided for an adult in goodhealth? A. 80 percent carbohydrates, 20 percent proteins B. 60 percent carbohydrates, 40 percent proteins [C]. 60 percent carbohydrates, 30 percent fats, 10 percent proteins D. 80 percent proteins, 10 percent carbohydrates, 10 percent fats 15. A person who is lactose intolerant would have difficulty digesting which one of the following foods? A. Grilled veggie burger on a sesame bun [B]. Low-fat cheesecake with raspberries C. Turkey hot dog with mustard D. Three-bean salad 16. Which one of the following choices is the most nutrient-dense snack? [A]. Sliced bananas, walnuts, and orange sections B. Baked potato chips and sparkling water C. Green salad with ranch dressing D. Unsalted pretzels and cheddar cheese 17. To derive energy from food, you must eat foods that contain A. vitamins and minerals. [B]. carbohydrates, proteins, and fats. C. water. D. fiber. 18. Which one of the following choices is a simple sugar? A. Glucose B. Orange juice C. Lactase [D]. Chocolate 19. Which one of thefollowing snack combinations will best satisfy a person’s daily fluid requirements? A. Ice cream, sherbet, and fruit B. Bananas, whole-wheat bread, and water [C]. Fresh fruit, green salad, water D. Fruit juice, energy bars, cold cereal 20 Which one of the following choices would be an acceptable small meal for a person who is gluten intolerant? [A]. Microwave popcorn and carrot sticks B. Peanut butter on whole-wheat toast C. Bread sticks with low-fat dressing D. Orange juice and graham crackers ANSWER: You better send each and every question separately.. QUESTION: Can someone please help me!!!? One positive attribute of dietary fat is that it’s a good source of? A)water B)boron C)vitamin C D)energy Which one of the following choices is the best way to control Type II diabetes? A)Inject insulin B)Avoiding all simple sugars C)Adopting a healthy diet & excercising D)Avoiding salt which one of the following snacks provides all of the essential amino acids? A)Apple wedges & carrot sticksB)small bowl of chili beans & rice C)Corn on the cob D)Pasta salad with vinaigrette dressing which on of the following choices is the best way to build muscle bulk? A)use amino acid powders from a health food store B)eat more high-protein foods C)avoid vegetarian diets D)eat a healthy,balanced diet & follow a regular firness program High triglycerides increase the risk for which one of the following conditions? A)type II diabetes B)heart disease C)thyroid disease D)osteoporosis saturated fats found in animal products,such as bacon & cheese,are also called? A)cholesterol B)triglycerides C)lipids D)amino acids an elevated HDL is considered a? A)risk factor for osteoporosis B)risk factor for artritis C)less harmful form of cholesterol found in the boady D)more harmful form of cholesterol found in the body How can a person with lactose intolerance obtain dietary calcium? A)take a pill that helps to digest lactose B)eat green leafy vegetables,nuts,and enriched soy products C)eat lots offresh shellfish D)eat lots of whole grains which of the following choices is most accurate about fat-soluble vitamin? A)they can cause gastric upset,diarrhea,and kidney stones B)they provide no risk of vitamin toxicity C)they can be stored in the body D)they help build collage & aid in healing The glycemic index predicts the way certain foods affect A)blood sugar levels B)weight loss C)excercise performance D)blood pressure what are the heath benefits of zinc? A)reduced muscle fatigue B)proper wound healing C)control of blood pressure D)lung efficiency which one of the following factors contributes to hypertension? A) A vegotous exercise regimen B) A lack of sleep C) A diet that lacks protein D) A high-fat diet which one of the following choices is the best option for vegan snack? A)Vanailla soymilk,peanut butter,& pretzels B)Almond milk with butter cookies C)Chocolate soymilk with angel food cake D)Tomato jucie & macaroni & cheese how should daily calorie intake be divided for anadult in good health? A)80% carbohydrates,20% proteins B)60% carbohydrates,40% proteins C)60% carbohydrates,30% fats,10% proteins D)80% proteins,10%carbohydrates,10% fats A person who is lactose intolerants would have difficulty digesting which one of the following foods? A)grilled veggie burg on a sesame bun B)low-fat cheesecake with rasberries C)turkey hot dog with mustard D)three-bean salad which one of the following choices is the most nutrient-dense snack? A)sliced bananas,walnuts,& orange sections B)baked potato chips & sparkling water C)green salad with ranch dressing D)unsalted pretzels & cheddar cheese To derive energy from food,you must eat foods that contain? A)vitamins & minerals B)carbohydrates,proteins,and fats C)water D)fiber which one of the following choices would be an acceptable small meal for a person who is gluten intolerant? A)microwave popcorn & carrot sticks B)peanut butter on whole-wheat toast C)bread sticks with low-fat dressing D)orange jucie & grahamsections B. Baked potato chips and sparkling water C. Green salad with ranch dressing D. Unsalted pretzels and cheddar cheese 17. To derive energy from food, you must eat foods that contain A. vitamins and minerals. C. water. B. carbohydrates, proteins, and fats. D. fiber. 18. Which one of the following choices is a simple sugar? A. Glucose C. Lactase B. Orange juice D. Chocolate 19. Which one of the following snack combinations will best satisfy a person’s daily fluid requirements? A. Ice cream, sherbet, and fruit B. Bananas, whole-wheat bread, and water C. Fresh fruit, green salad, water D. Fruit juice, energy bars, cold cereal 20 Which one of the following choices would be an acceptable small meal for a person who is gluten intolerant? A. Microwave popcorn and carrot sticks B. Peanut butter on whole-wheat toast C. Bread sticks with low-fat dressing D. Orange juice and graham crackers ANSWER: 1 d 2.c 3.b 4.d 5.b 6.b 7.d 8.b 9.c 10.a 11.b 12.b 13.d 14.c 15.b 16.a 17.a 18.b 19.c 20.balright… i hope i did well! QUESTION: Does this sound like feline hypothyroidism, or something else? Trying to diagnose my cat before the vet does. I have the zillionth appointment today with my senior male feline. He is 16. He was diagnosed with CRF two years ago. Blood test two days ago shows everything within the normal levels (including phosphorus, glucose, liver, kidney) EXCEPT he is a little anemic. He is blind in the only eye he has–at the time his retina detached he was diagnosed with hypertension. He takes a pill to regulate that but his vision did not return. When he was first found to be anemic, he was also diagnosed with a red blood cell infection (yes, red blood cell infection – mycoplasma turicensis and another one that started with an hae…). He took an antibiotic for a month but has not been retested to see if it’s been cleared up. This weekend, he had diarrhea and was vomiting. His back legs are also weak. Today’s tests will be a T4 for thyroid specifically and possiblyxrays for some sort of GI disease/cancer. Can any of his symptoms be in line with a thyroid issue? Or could the mycoplasma issue be cancer related but the rest of his bloodwork was normal? For the diarrhea, they gave him some fluids that seemed to have at least temporarily helped him feel and “go” better, but his hind legs are still weak. Thoughts? (Prayers and miracles also welcome. I know he’s old, but if he can be made to feel better for a little longer, I’d love that.) ANSWER: Hypothyroidism is relatively rare in cats, and it is not considered fatal, although it can affect a cat’s quality of life and IT IS common in older Cats..but the vomiting and diarrhea really has nothing to do with hypothyroidism. This cat has lived a long life, be very happy for it, but also sense/find if he is in pain if you are going to be self-diagnosing too. Because if he is, you wouldn’t want him to suffer any longer either, of course? Symptoms of hypothyroidism are weight gain, dull coat and generallethargy..not vomiting, weak legs and diarrhea. QUESTION: Help Pharmacology question!!!? Which of the following is NOT true of histamine? a. It is a chemical found in body tissue that protects against environmental factors. b. Its greatest concentration is found in the skin, gastrointestinal tract, and lungs. c. Its principal action is vascular dilation and contraction of smooth muscles of the respiratory and gastrointestinal tract. d. It is not a problem with most upper respiratory inflammatory diseases. e. Sneezing, itching, watery eyes, and bronchoconstriction are often the result of histamine release. Which of the following is NOT true of diuretics? a. They block the reabsorption of sodium and chloride. b. They may be used alone or with other medications to treat hypertension. c. Electrolyte levels are not a problem when using diuretics. d. They are classified by their action in the nephron of the kidney. e. All of the above statements are true. Which of the following is NOT trueof cromolyn sodium? a. It relieves allergic reactions after exposure to allergens. b. It relieves allergic reactions before exposure to allergens. c. It takes about a week for it to be effective. d. It should be used throughout the allergy season. e. It is not effective against nonallergic rhinitis. Which of the following is NOT a decongestant agent? a. phenylephrine (Neo-Synephrine) b. pseudoephedrine (Sudafed/Afrin) c. chlorpheniramine (Chlortrimeton/Teldrin) d. ephedrine e. epinephrine (Primatene/adrenalin) Which of the following is NOT true of nitroglycerin? a. The side effects include headache, hypotension, and tachycardia. b. When using sublingual nitroglycerin, the patient should have a moist mouth so that the medication will dissolve. c. It is a stable medication and is effective until the expiration date whether the bottle has been opened or not. d. When using transdermal nitroglycerin, the medication should be worn no more than 10-12 hours per day to avoid developingtolerance. e. Prophylactic nitroglycerin should be discontinued gradually. ANSWER: do your own homework QUESTION: How do I get the council to give me a decent house? I suffer from diabetes, hypertension, kidney problems, diabetic neuropathy and had a short period of depression. Also, i wake up multiple times during the night to use the toilet which disturbs my family’s sleep. More over my mum suffers from depression, hypertension, chronic kidney disease, diabetes, severe arthritis and also frozen shoulder. Also i dont get along with my mom as we are always in conflict as i dont have my own space. btw moving out is not an option. We told this to the council but they dont listen. they say we should accept a 2 bedroom house (we are 4 people), we need at least 3 bedrooms. what should i do? SERIOUS ANSWERS ONLY PLEASE!! ANSWER: have you tyred looking into other housing plans like elem house they work with all different age group and can cater for people in all different situations. my sisgot involved with them after having bad depression they were really good and offer a lot of support.I hope that helps! QUESTION: Medical Benefits of Ramadan ? Medical Benefits of Ramadan by Shahid Athar, M.D. Most Muslims do not fast because of medical benefits but because it has been ordained to them in the Quran. The medical benefits of fasting are as a result of fasting. Fasting in general has been used in medicine for medical reasons including weight management, for rest of the digestive tract and for lowering lipids. There are many adverse effects of total fasting as well as so-called crash diets. Islamic fasting is different from such diet plans because in Ramadan fasting, there is no malnutrition or inadequate calorie intake. The caloric intake of Muslims during Ramadan is at or slightly below the national requirement guidelines. In addition, the fasting in Ramadan is voluntarily taken and is not a prescribed imposition from the physician. Ramadan is a month of self-regulationand self-training, with the hope that this training will last beyond the end of Ramadan. If the lessons learned during Ramadan, whether in terms of dietary intake or righteousness, are carried on after Ramadan, it is beneficial for one’s entire life. Moreover, the type of food taken during Ramadan does not have any selective criteria of crash diets such as those which are protein only or fruit only type diets. Everything that is permissible is taken in moderate quantities. The only difference between Ramadan and total fasting is the timing of the food; during Ramadan, we basically miss lunch and take an early breakfast and do not eat until dusk. Abstinence from water during this period is not bad at all and in fact, it causes concentration of all fluids within the body, producing slight dehydration. The body has its own water conservation mechanism; in fact, it has been shown that slight dehydration and water conservation, at least in plant life, improve their longevity. Thephysiological effect of fasting includes lower of blood sugar, lowering of cholesterol and lowering of the systolic blood pressure. In fact, Ramadan fasting would be an ideal recommendation for treatment of mild to moderate, stable, non-insulin diabetes, obesity and essential hypertension. In 1994 the first International Congress on “Health and Ramadan”, held in Casablanca, entered 50 research papers from all over the world, from Muslim and non-Muslim researchers who have done extensive studies on the medical ethics of fasting. While improvement in many medical conditions was noted; however, in no way did fasting worsen any patients’ health or baseline medical condition. On the other hand, patients who are suffering from severe diseases, whether diabetes or coronary artery disease, kidney stones, etc., are exempt from fasting and should not try to fast. There are psychological effects of fasting as well. There is a peace and tranquility for those who fast during the month of Ramadan.Personal hostility is at a minimum, and the crime rate decreases. Muslims take advice from the Prophet who said, “If one slanders you or aggresses against you, say I am fasting.’” This psychological improvement could be related to better stabilization of blood glucose during fasting as hypoglycemia after eating, aggravates behavior changes. There is a beneficial effect of extra prayer at night. This not only helps with better utilization of food but also helps in output. There are 10 extra calories output for each rikat of the prayer. Again, we do not do prayers for exercise, but a mild movement of the joints with extra calorie utilization is a better form of exercise. Similarly, recitation of the Quran not only produces a tranquility of heart and mind, but improves the memory. Therefore, I encourage my Muslim patients to fast in the month of Ramadan, but they must do it under medical supervision. Healthy adult Muslims should not fear becoming weak by fasting, but instead it shouldimprove their health and stamina. ANSWER: I am not Muslim but I do follow your writings and thank you for posting here. You are very informative. Some might grumble about your posts because it’d be a stretch to call them questions but I do believe (and hope) most would agree that it’s all ok. Best wishes to you. QUESTION: Medical Benefits of Ramadan ? Medical Benefits of Ramadan by Shahid Athar, M.D. Most Muslims do not fast because of medical benefits but because it has been ordained to them in the Quran. The medical benefits of fasting are as a result of fasting. Fasting in general has been used in medicine for medical reasons including weight management, for rest of the digestive tract and for lowering lipids. There are many adverse effects of total fasting as well as so-called crash diets. Islamic fasting is different from such diet plans because in Ramadan fasting, there is no malnutrition or inadequate calorie intake. The caloric intake of Muslims during Ramadan is at or slightlybelow the national requirement guidelines. In addition, the fasting in Ramadan is voluntarily taken and is not a prescribed imposition from the physician. Ramadan is a month of self-regulation and self-training, with the hope that this training will last beyond the end of Ramadan. If the lessons learned during Ramadan, whether in terms of dietary intake or righteousness, are carried on after Ramadan, it is beneficial for one’s entire life. Moreover, the type of food taken during Ramadan does not have any selective criteria of crash diets such as those which are protein only or fruit only type diets. Everything that is permissible is taken in moderate quantities. The only difference between Ramadan and total fasting is the timing of the food; during Ramadan, we basically miss lunch and take an early breakfast and do not eat until dusk. Abstinence from water during this period is not bad at all and in fact, it causes concentration of all fluids within the body, producing slightdehydration. The body has its own water conservation mechanism; in fact, it has been shown that slight dehydration and water conservation, at least in plant life, improve their longevity. The physiological effect of fasting includes lower of blood sugar, lowering of cholesterol and lowering of the systolic blood pressure. In fact, Ramadan fasting would be an ideal recommendation for treatment of mild to moderate, stable, non-insulin diabetes, obesity and essential hypertension. In 1994 the first International Congress on “Health and Ramadan”, held in Casablanca, entered 50 research papers from all over the world, from Muslim and non-Muslim researchers who have done extensive studies on the medical ethics of fasting. While improvement in many medical conditions was noted; however, in no way did fasting worsen any patients’ health or baseline medical condition. On the other hand, patients who are suffering from severe diseases, whether diabetes or coronary artery disease, kidney stones,etc., are exempt from fasting and should not try to fast. There are psychological effects of fasting as well. There is a peace and tranquility for those who fast during the month of Ramadan. Personal hostility is at a minimum, and the crime rate decreases. Muslims take advice from the Prophet who said, “If one slanders you or aggresses against you, say I am fasting.’” This psychological improvement could be related to better stabilization of blood glucose during fasting as hypoglycemia after eating, aggravates behavior changes. There is a beneficial effect of extra prayer at night. This not only helps with better utilization of food but also helps in output. There are 10 extra calories output for each rikat of the prayer. Again, we do not do prayers for exercise, but a mild movement of the joints with extra calorie utilization is a better form of exercise. Similarly, recitation of the Quran not only produces a tranquility of heart and mind, but improves the memory. Therefore, Iencourage my Muslim patients to fast in the month of Ramadan, but they must do it under medical supervision. Healthy adult Muslims should not fear becoming weak by fasting, but instead it should improve their health and stamina. ANSWER: Studies conducted on Ramadan-type fasting (RTF) have shown that fasting affects human biochemistry. Such fasting results in an increase in serum lipids and uric acid, though the latter has no adverse health effects. Long term effects, such as an increase in HDL cholesterol and a decrease in LDL cholesterol, have been observed with Ramadan fasting. A decrease in blood glucose, actate and pyruvate, has also been observed, possibly indicating alterations in metabolic activities. Basal metabolism also slows down, and fat is used more efficiently during such fasting. During fasting, the liver responds with adaptive changes in metabolic activities. The increased activities of enzymes involved in the degradation as well as the production of glucose suggestthat RTF enhances nutrition and energy metabolism. There is no conclusive evidence whether the weight of an individual is affected positively or negatively by Ramadan style fasting. QUESTION: Kre-Alkalyn: GNC: Arnge Krush. Medical Questions? I am under the age of 18 and am interested in using Arnge Krush. My parents are not to keen on using different supplements. I am asking doctors whether or not Kre-Alkalyn is safe to take, but I am not getting straight answers. Those who use: Why do labels say, “Do not take for more than 6 months” Have you heard the rumors about kidney problems? Here is a label…. Individuals sensitive to stimulants should begin use with half the recommended dosage (1-2 scoops) to help assess your tolerance. Never exceed recommended daily intake. Do not use for more than 6 months. Consult a physician or licensed qualified health care professional before using this product if you have or have a family history of (but not limited to): heart disease, thyroid disease,diabetes, high blood pressure, hypertension, hypotension, recurrent headaches, depression or other psychiatric condition, glaucoma, difficulty in urinating, prostrate enlargement, or seizure disorder, if you are using a monoamine oxidase inhibitor (MAOI) or any other prescription drug or over-the counter drug containing ephedrine, pseudoephedrine or phenylpropanolamine (found in certain allergy, cough/cold, and weight control products). Do not use if pregnant or nursing or are contemplating pregnancy. Reduce or discontinue use if excessive sleeplessness, tremors, dizziness, headaches or heart palpitations occur. For use by healthy adults only. Not intended for use by persons under the age of 18. Keep out of the reach of children. ANSWER: Read on down to the bottom of the label to see if the product has been evaluated, endorsed or regulated by the FDA. If not – you need to stay away from it. From the list of possible side effects – you would be better off eating the label!!! Too risky.I’m with your parents on this one.