Oh I agree completely. I just think that some of the answer posts are presented in an authoritative tone yet from someone who is not a trained health care provider. The tone is usually one of a parti cular...
It depends. Atrial fibrillation is an abnormal heart beat. That can be benign in some people and fatal in others. One factor is whether the atrial fibrillation evolves into a very rapid heart beat r ate...
Alcohol can be a depressant on cardiac tissue. The affect varies across individuals with some folks having drastic reduction in heart function with relatively small quantities of alcohol consumption. Fortunately...
Yes, one would expect that after 6 months of warfarin the pulmonary embolism would've been reabsorbed. Six months would be fairly standard. Factors that would influence whether it should be "life-lo ng...
Not a straightfoward answer, but I would say that bleed of the adrenal glands occurs at the same frequency of bleeding in any internal organ. There is nothing particular about the adrenals that makes them...
Yes, I agree with above. Lack of genetic diversity, ie. tight intermarrying within a small population either due to cultural restrictions or frank geographical restrictions, like living on a small is land...
The dosing would be guided by the thyroid stimulating hormone level in the blood, but a rough estimate for most people of 50 kg would be 75-100 micrograms/day (probably closer to 75).
There are no treatments that would restore organs that are not present at birth. I assume you are referring to the ovaries in addition to uterus. Hormone (estrogen) therapy can be used to develop wha t...
Several things as mentioned, and this should be evaluated promptly. Prolactin, a hormone that is normally circulating in all folks and which is necessary for breast milk production, can lead to nipple discharge...
(Got cut off, so let me try that again) Retrospective study with all of the characteristic flaws. Remember, that we use to think that hormone replacement therapy was associated with cardiac protectio n...
There are not a lot of "only"'s in life, and medicine is no different. But, one week or so would be within the general range of risk from cardiac rupture, a typically catastrophic and fatal event as one...
Unfortunately, the effects of chronic high blood pressure are insidious. For the most part as far as the brain goes THE catastrophic event would be a stroke. Certainly an acute very high blood press ure...
Clearly, no clear answer as you can tell by the opinions of physicians on this post. There are only a few posts here but you have completely opposite views. Personally (and I mean literally "persona lly...
Funny you should post this. I just posted a very similar question earlier today. Look for the string of posts. It is just a page or some below this one.
I can think of assay problems leading to this result. I can not think of a situation when taking steroids and then stopping them briefly would lead to "rebound overproduction" of steroid by the adrena l...
Yeah, that is unfortuantely an occupational hazard (for myself and my family members). I actually discovered my wife's thyroid cancer but quickly handed over her case to colleagues eventhough i'm an endocrinologist...
Iodine is supplemented in salt in most developed countries. It is the backbone of thyroid hormone---no iodine-->no thyroid hormone. If the thyroid does not have enough iodine then it tries to compens ate...
Reactivation of the herpes zoster virus (the one that causes chicken pox) can occur later in life, or sometimes as the result of stress, and is generally referred to as "shingles". This is a relative ly...
I guess you never know what might turn up later on, but I do not know of any association between congenital adrenal hyperplasia and lupus or lupus nephritis.
I think this defines the 'art' of medicine, often only obtained through experience (good and bad experiences). It is very, very hard to "teach" this since it ends up being more innate in my opinion.
Dicey issue for sure. At our institution we do allow for the enrolling of a physician's own patients in their research protocol after including language which describes in detail that the patient does not...
Understanding the genetic basis for clearly heritable complex diseases such has high blood pressure is a way of chipping away at the underlying pathology. The low-hanging fruit of developing treatmen t...
Certainly a more difficult question to answer given what osteopenia represents. Since it is really a "pre-condition" it is very hard to pin a hard outcome like fracture risk. Osteoporosis is a T sco re...
I can't think of any obvious contraindications or interactions for this product (assuming that its purity is reliable) with the blood pressure medications you mentioned (or any other medication).
Beth, I would follow a doctor who follows guidelines based on evidence-based medicine. Such guidelines are developed by expert researchers and clinicians who scrutinize data that is available through the...
True, recommendations (for anything) are made based on evidence in populations, not individuals, at this stage. Population means have associated bell curves. Bell curves have tails which represent e xtreme...
I have not heard that, and if it affects thyroid medication at all it would most likely not "negate" it. We often recommend that thyroid medication be taken "alone" (spaced out from other medications For...