Author Archives: Dr. James

I am a teacher and one of my students was diagonised with swine flu.

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Patient: I am a teacher and one of my students was diagonised with swine flu. She recently returned back to school today and I had close contact with her today now I have a head ache and feel hot does t his mean that I now have it I also feel like I wnt to throw up

Optional Information
Age: 31; Female, New York
Already Tried: Drinking water and eating I also an breast feeding mom should I breast feed tonight my child is 10 months what should I take

Doctor: Hello,
Id like to help you with this but I need more information. How many days was she absent? You said she recently returned to school…how many days has she been there prior to you having this headache?

How old is she?

And what are you feeling besides a headache and hot…do you have any fever?

Please check and tell me what your temperature is.
Thanks for clarifying,
Sincerely,
Dr. james

Patient: It is an after school dance class and she was absent about two week if you count weekends I would say about 14 days. Today is the second day she is back and today is the day I felt the headake I was with her for two hours and then I started feeling th hot about an hour after I was with her. She is 11 years old and I am 31 year old I feel like I am going to th row up at any minute. I am very concerned since I have an 10 month old in the house and it is coming up for the time I breast feed. Should I do that I just took two teaspoons of therau flu my temp is 98.5 Continue reading I am a teacher and one of my students was diagonised with swine flu.→

I am a registered nurse who holds a BA in Community Health from…

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Patient: I am a registered nurse who holds a BA in Community Health from CUNY NYC, and a BS in Nursing from Columbia U. in NYC in 1989. I graduated with honors from Columbia. Since that time I have not worked, as I cared for my family. During my time at home, I have done significant and important charity work and have been on the board of a nurses PAC and other organizations. At this point I would like to enter the work force. Any ideas on what a “resume” should look like for me to use in applying for work that is not in bedside nursing?

Doctor: Hi there

What type of job are you looking to attain? (what field) or do you know yet?

Patient: I think that I would like to go into occupational health or some other areas where I would be treating basically well people who are having a problem related to something. Also, I would consider teaching health education in some capacity. I might want to begin part-time if that were possible, but Continue reading I am a registered nurse who holds a BA in Community Health from…→

I dont know if my question is beyond the expertise of some of the Dr on this board.

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Patient: I dont know if my question is beyond the expertise of some of the Dr on this board. If not I apologize. I was told yesterday that I am a carrier of the Alpha 1 tris gene. My phenotype is pi mz. I had the test due to elevated liver functions without any cause. numerous MRI ultrasounds and dozens of whacky blood tests. My Dr who is a pulmonary specialist and gp sent me to a liver specialist in mt sinai hospital nyc. Where I was tested. My gp Dr states that being a carrier is of no real risk to me, just that I should not smoke. He said that my body does produce enough AAT My range is 88 mg ref 82 to 169. I read that being a carrier can increase my chances of getting lung disease. I had the flu last week and still have a cough for about two weeks .My Dr says it can take sometime and the cough has nothing to due with my results. The liver specialist said in the report that he has seen in some cases increased fibosis in setting like mine. would the Mri and ultrsound showed this. My alt 93

Doctor:
Thank you.

Your gp is correct, as long as you don’t smoke your chances of developing COPD is not increased. Dr Seersholm wrote a 2004 article that addressed this specific topic. His research showed that people with pimz did not have an increase incidence of lung disease as long as they did not smoke. The reason is because a pimz still has, at a minimum 60% AAT. This is enough to stave of lung disease in someone with A1AT def. The cough, is a response that can last for weeks to even a month or longer. The reason is not the lungs (in this case) but the bronchi. The cough is often the very last thing to leave or get better. This is seen in almost all cases of any respiratory issue. Since your numbers are good I would not worry that all of a sudden you developed a lung disease. As for the liver, the MRI or ultrasound would have shown fibrosis of the liver. Your clotting factors would be out of whack. Your protein would be low. It doesn’t appear that this is the case. I would have to agree with your gp on the lung issue and would say that your hepatologist (liver doc) may have seen some cases of worsening, but I guarantee you this was the Continue reading I dont know if my question is beyond the expertise of some of the Dr on this board.→