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Q:An 11-month-old boy is brought to a pediatrician by his parents with a recurrent cough, which he has had since the age of 2 months. He has required 3 hospitalizations for severe wheezing episodes. His mother also mentions that he often has diarrhea. The boy’s detailed history reveals that he required hospitalization for meconium ileus during the neonatal period. Upon physical examination, his temperature is 37.0°C (98.6ºF), pulse rate is 104/min, respiratory rate is 40/min, and blood pressure is 55/33 mm Hg. An examination of the boy’s respiratory system reveals the presence of bilateral wheezing and scattered crepitations. An examination of his cardiovascular system does not reveal any abnormality. His length is 67.3 cm (26.5 in) and weight is 15 kg (33 lbs). His sweat chloride level is 74 mmol/L. His genetic evaluation confirms that he has an autosomal recessive disorder resulting in a dysfunctional membrane-bound protein. Which of the following best describes the mechanism associated with the most common mutation that causes this disorder?? {'A': 'Complete absence of the protein', 'B': 'Defective maturation and early degradation of the protein', 'C': 'Disordered regulation of the protein', 'D': 'Decreased chloride transport through the protein', 'E': 'Decreased transcription of the protein due to splicing defect'},	non-urgent
Q:In a code-based phonic approach to early reading instruction, first-grade students are taught the sounds of the letters b, a, s, and g. According to the theory underlying this approach, which of the following will be most effective as the first sentence for the students to read?? A:Bob ate a snack.;B:A dog bit Ann.;C:Gail has a bag.;D:Sally was happy.	non-urgent
I m 43 and work out at least 4 days a week so I m pretty healthy and not overweight, non smoker, but for a week now I ve been having back pain on the left side close to my rib cage. It really bothers me when taking deep breaths. I assumed if it were a pulled muscle it would be a lot better by now but it s not at all. I ve also been short of breath but that s a symptom I ve had for a few years now. Went to doctors and it s just been anxiety. What could this be? I ve had kidney stones before and know for sure this isn t coming from my kidney because the pain is higher and mainly hurts when taking a deep breath.	urgent
Hi I am 23 and I have been on nexaplon since nov 13 and had a period every month I have not had my period now for over a month and had light spotting a couple weeks so I took two test they said negative however I have a multitude of symptoms and I'm nervous because they are very similar to my first two pregnancies... Could I be pregnant	non-urgent
I think my daughter may have Polands syndrome. Insurance denied surgery for expander to be placed in grossly undeveloped left breast and then an implant, and a small implant in the deformed right breast. Can you have Polands syndrome without chest cavity or pectoral muscle problems? Her left pectoral is only about 4mm smaller than her right. She was a low birth weight baby who suffered from lack of blood flow through the umbilical cord. I am trying to find a poland syndrome specialist in the NY/Tri state area. She has always had low tone on her left side and was hypotonic as a baby.	non-urgent
I have heart disease injection rate 30%, heart attack 2010 received stint, recently in heart failure, Now, if I get overly tired or stressed I get dizzy, start to sweat, want to omit an almost pass out if I don t sit immediately, which is hard to do when In am usually on the stairs, any suggestions?	urgent
I am 56 years of age and had an inguinal hernia repair in December of 2009 since then I find it difficult to maintain and erection when making love and also, my ejaculate is very thin and watery. Is this a sign of infertility and also, from the hernia operation?	non-urgent
my dad is having increase in creatine level upto 2.00 while the normal is upto1.4 now from last 3days he is taking medicines cepodem 325 and nutrolin-bplus but is having mild fever from around 99-100 from last 15 days he is also having weight loss more ever he has taken 5 days antibiotics beforethese 3days but worry is regarding stable fever	non-urgent
hello sir im 38 year old man from XXXXX suffering from dust & cold allergy . here doctor suggested me to take foracort 400 only from last two year . what to do .pls help me	non-urgent
OBJECTIVE: Report simple reference structure fabrication and validate the precise localization of subdural micro- and standard electrodes in magnetic resonance imaging (MRI) in phantom experiments. APPROACH: Electrode contacts with diameters of 0.3 mm and 4 mm are localized in 1.5 T MRI using reference structures made of silicone and iron oxide nanoparticle doping. The precision of the localization procedure was assessed for several standard MRI sequences and implant orientations in phantom experiments and compared to common clinical localization procedures. MAIN RESULTS: A localization precision of 0.41±0.20 mm could be achieved for both electrode diameters compared to 1.46±0.69 mm that was achieved for 4 mm standard electrode contacts localized using a common clinical standard method. The new reference structures are intrinsically bio-compatible, and they can be detected with currently available feature detection software so that a clinical implementation of this technology should be feasible. SIGNIFICANCE: Neuropathologies are increasingly diagnosed and treated with subdural electrodes, where the exact localization of the electrode contacts with respect to the patient's cortical anatomy is a prerequisite for the procedure. Post-implantation electrode localization using MRI may be advantageous compared to the common alternative of CT-MRI image co-registration, as it avoids systematic localization errors associated with the co-registration itself, as well as brain shift and implant movement. Additionally, MRI provides superior soft tissue contrast for the identification of brain lesions without exposing the patient to ionizing radiation. Recent studies show that smaller electrodes and high-density electrode grids are ideal for clinical and research purposes, but the localization of these devices in MRI has not been demonstrated.	non-urgent
My 5 yr old son has pitichia on his cheeks. The only medical problems I am aware of are his seasonal allergies and mild asthma. Could the pitichia be caused from rubbing his eyes? He is in the 95th percentile for ht. And the 90th for wt. His wt. has never been a concern of our pediatrician. He has a muscular build.	non-urgent
RECENTLY MY NAN WAS TAKEN BY ABULANCE AT AGE 93 FOR SERVERE BACK PAIN THEY GAVE HER A SHOT OF SOMETHING THAT BASICALLY KNCKED HER RIGHT OUT BUT WE WHERE TOLD IT WASNT MORPHINE OR ANYTHING TO THAT EFFECT, SO WHAT WAS IT THEY GAVE HER . iAM WELL VERSED IN PAIN MEDICATIONS AS I SUFFER FROM CHRONIC PAIN , BUT THIS WAS UNUSALLY QUICK.	non-urgent
a few weeks ago I WAS AWAKENED DURING THE NIGHT TO FLUTTERS IN BACK OF MY LEFT LEG. i have experienced it once in right leg. Last night in shower it felt like a rock w/pins in it was stuck in my heart. I had to take 12 deep breathes and it passed only after my heart did like a huge pump then it went back to normal. What could it be?	non-urgent
Megakaryocytes (MKs) are typical cellular components in the circulating blood flowing from the heart into the lungs. Physiologically, MKs function as an important regulator of platelet production and immunoregulation. However, dysfunction in MKs is considered a trigger in various diseases. It has been described that the lung is an important site of platelet biogenesis from extramedullary MKs, which may play an essential role in various pulmonary diseases. With detailed studies, there are different degrees of numerical changes of MKs in coronavirus disease 2019 (COVID-19), acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD), lung cancer, pulmonary fibrosis (PF), and other pulmonary diseases. Also, MKs inhibit or promote the development of pulmonary diseases through various pathways. Here, we summarize the current knowledge of MKs in pulmonary diseases, highlighting the physiological functions and integrated molecular mechanisms. We aim to shine new light on not only the subsequent study of MKs but also the diagnosis and treatment of pulmonary diseases.	non-urgent
Hi, I need an advice regarding the possibility of being pregnant. I m a virgin. Me and my boyfriend were messing around yesterday somewhat and things got a bit hot. We didn t have penetrative sex, but he fingered me and I gave him a handjob. He touched his penis- while pulling it out of his pants- but then I immediately started giving him a handjob so the contact was brief and I don t think there was any precum as his penis was not even fully erected yet. After a few moments he began unzipping my jeans, etc (so he definitely has brushed his fingers against my clothes) and then fingered me (but not very deep). Also it was day 21 of my cycle (usually my cycle varies from 27 to 31 days, so I guess my ovulation should has happened already). I understand that chances of me getting pregnant are very low but still... should I be worried?	non-urgent
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	non-urgent
Hello doctor, I am 32 years old. I am suffering from stress chest pain for the past one year. 2D echo and ECG are also normal. Is it related to heart or GERD or chest wall? I am taking Cita-S 10 mg and Pantosec.	non-urgent
I had routine lab work done in nov and my troponin level was 6.1. A week ago I had lab work again and the level was 9.5. I have a Thallium stress test scheduled for the end of the week. Needless to say I am quiet anxious about the test. I have not had chest pains.	urgent
I take Ms continued 15mg every 12 hours for pain management.. My next doc appt is tomorrow I m down to my last pill and due to either humidity or it got wet, it broke into 3 peices.... Can I still take it or will the break cause an over dose I hurt extremely bad and my ibuprofen is not helping... I m scared to take it but hurt very much.. Please advise..	non-urgent
my brother aged 55 years is suffering from suspected abdoman koch but same has not been clear from USG ans CTscan and thereafter leproscopy has been advised before starting treatment and no medicine has been advised so far so kindly advise us what should be next course of action in this?	non-urgent
Hello, I heard gargling hydrogen peroxide makes teeth white. I tried it, but shortly afterwards my nose started bleeding and also a little through my mouth. Is this a side affect of gargling hydrogen peroxide or may this be caused be something else?	non-urgent
sir for last two months i had nee problem and my stemina are very low and i feels my semen are coming out with my urine and i feel light neveres problems..what is the reason..and wheter its curable..?whether i have good sex with my wife in future..?im only 24yrs old...pls clarify my doubts..	non-urgent
hi my name is jenny i have acute sciatic in my lower back and in my right leg shooting pain down my right leg and numbness and pins and needles in my toes . iam on pain killers for the last 4 days and no improvment and sleeping is impossible as i am in so much pain and have heat patches on my lower back .is their anything you can recomand to stop the pain as i dont think i can put up with it much longer . do you know how long this pain will go on for . is a MRI scan a necessery	urgent
My mother just turned 80 and used to be very very healthy (has always taken very good of herself) until recently I think she quit taking blood pressure medicine 2 years ago and lost a pet and recently moved. Her feet and ankles were swollen and took her to doctor and they ran blood tests, ekg, chest x-ray and ultrasound will be this week. Doc said she had high blood pressure, atrial Fab, and maybe valve problems and presc. blood pressure medicine, baby aspirin, and high blood pressure medicine. She has been extremly forgettful and sleeps all the time now. Once, she is stablized w/meds and after fridays follow-up (more meds or surgery), do you think she will have more energy, less sleep, and more interest in activities?	non-urgent
my boyfriend had a fever for a week (102) hes very weak he got cold chills.took him to er last week they took alot of blood.everything turn out good.he just now got pain and what seem to be a lump at his grown area,hurts when he touches it, call his doc he said he;ll have to make anappointment with a specialest but didnt say what kind,he started to burp alot now and food is making him sickthis all started 2 thursdays ago,im getting real worryed they also said his white blood cells where really low	urgent
Q:Which of the following organs removes bilirubin from the blood, manufactures plasma proteins, and is involved with the production of prothrombin and fibrinogen?? A:Gallbladder;B:Kidney;C:Liver;D:Spleen	non-urgent
My 2 yr old has been quite fussy the past 3-4 days, very unlike her normal behavior. She has had an abundance of soft stools in that time, far more than her typical 1-2 a day. Nothing has changed in her diet. Notably, she s been telling us her eyes hurt and asking for bandaids. They haven t appeared watery, red nor produced any discharge. Today she woke with a low fever. At 1030 it was 101.3, which we eased with Tylenol. She napped and it went down. She s been awake for about 30 minutes, and the fever is on it s way back up. I can tell by the touch. She s complaint about her eyes even more and having sharp crying jags, referring to her eyes. Still, no other symptoms.	urgent
Hello i am suffering from psoriasis skin disease please infrm the treatment.	non-urgent
My father took chemotherapy in 1994. He was well after taking chemotherapy. But before 3/4 years he started to forget some little things like he puts the key to a place after sometime he forgets where does he put the key. He was worried that he was suffering from memory loss due to chemotherapy. We consulted to a local neurologist and he has been taking medicine from last one year(unister 75, elcafort,donetaz 11.5) but after taking the medicines he started to forget major things. In last year december he went to a nearby shop then he forgot the way to home and went to an another place. The day before yesterday the same incident was happened . He was coming from office and he forgot the way to home. My family is really worried after this incident. Does chemotherapy cause memoryloss?? Please give me somesolution	urgent
Dear Sir, Four years have passed since we got married. I am 30, 5 feet 10 inch, 55 Kg. My wife is 23, 5 feet 8 inch, 65 Kg. Even after continuous attempt we have not been able to have children. We didn t use any contraceptives also. According to Diagnostic report, the quality of semen is poor, and my wife s Hemoglobin percentage is less and Thyroid percentage is more than necessary. Mine and my wifes Blood Group and RH Factor is AB +ve. What should we do to have children ? Please advice.	urgent
Q:A healthy, full-term 1-day-old female infant is evaluated after birth. She is noted to have a cleft palate and a systolic ejection murmur at the left intercostal space. Low-set ears and micrognathia are also noted on examination. A chest radiograph is obtained which reveals a boot-shaped heart and absence of thymus. Vital signs are unremarkable. Echocardiography is performed which demonstrates a ventricular septal defect, pulmonary valve stenosis, a misplaced aorta, and a thickened right ventricular wall. Family history is non-contributory; not much is known about the father. Of the following, which might the baby likely have?? {'A': 'Seizures', 'B': 'Catlike cry', 'C': 'Hyperthyroidism', 'D': 'Webbing of the neck', 'E': 'Increased phenylalanine in the blood'},	non-urgent
I was using the restroom and i noticed a pain like beside my crouch right beside the hole of it and i looked and there is a bumop by it do you know what it would be please give me an answer soon because im really nervouse everyone is saying it could be cancer	urgent
I am 40 trying to conceive. my insulin after pp came 40.8uil/ml. doctor said it is high and gave me obimet sr 500mg.my ht. is 5ft.4 inc. and weight is 66 kg my usg test confirmed that i have very small multiple fibroids. but cavity is clear.should i take the medicine for next 3 months(1 tab. per day)? please advice	non-urgent
sir. i got some brain infection 3 months back....till date i am havin levipill500mg and eptoin er300 daily........fits occured in initial time...since then i am all well....my doc adviced me not to drive or do any physical activities....due to which m feeling bounded....CAN I DRIVE WITH DIS DOSAGE ..AND IS THERE ANY PROBLEM IN CONSUMING ALCOHAL IN LIMITS	non-urgent
Hi Doctor I have a 8 month of daughter she has just broken out with a rash that started over her torso then to her face now on her arms and legs. It looks like little red pin prick spots that are raised she doesnt have a fever and not itchy. Please help.	non-urgent
Jumped into water from a high dive held my nose and loud noise as I hit the water if I remember correctly. And my ear and that whole side of my head feels clogged and stuffy and ear fizzles every time I hold my nose and blow air. Happened immediately not over a few days.	urgent
What is the name of the form of hemoglobin that is found in most tissues?	non-urgent
My 8 year old has been sick off and on since May22,2014. It started with strep, two weeks later an ear infection, one week later strep again. She was given three antibiotics during this time. 10 days later she had another fever and tested positive for mono. She also had a sinus infection that took three different antibiotics to get rid of it. She went a month with no fevers or any sickness. She has had fever for 5 days and it is progressively getting higher. She tested negative for strep, flu, active mono, UTI. Her CBC showed monocytes at 18%. Her fever tonight was 104.4 . should we be concerned?	urgent
Hi. I recently had sexual contact within the past 1.5 weeks with two partners. All contact was extremely low risk, only oral sex and dick/ass rubbing/frotting, without direct penetration; he did however line of the head with my hole and rub intently. Both claim to be HIV neg as well. However, yesterday I began to feel tired, and today it has gotten worse, as well as accompanied body aches, fever of 101.6, lightheadedness, and slight chills. I would typically be unconcerned, but given the symptoms, I am a tad worried even though everything was very low risk. Was do you think my risk is? Thank you.	urgent
My mother in law is 81 years old. She recently had acute onset of pain in her hip area. She was diagnosed witChatDoctorpression fractures. She had an MRI for this and her doctor told her she has a black spot on her kidney. She recently had blood work - lower spine and urine analysis both fine. We are concerned about the black spot on kidney. Your professional opinion?	non-urgent
I am a 16 year old male. During the night, I will find blood in my pants and I dont feel any pain, and sometimes I dont even know it happened until late in the day. I have had tests done, such as an ultrasound on my kidneys and a urine test. They have all come back fine. What are some possible causes of this?	non-urgent
Environmental sex determination (ESD) is common among ectothermic vertebrates. The stress axis and production of stress hormones (corticosteroids) regulates ESD in fish, but evidence of a similar influence in reptiles is sparse and conflicting. The central bearded dragon (Pogona vitticeps) has a system of sex determination involving the interplay between sex chromosomes (ZZ/ZW female heterogamety) and the thermal environment. High egg incubation temperatures induce sex reversal of the ZZ genotype, feminizing chromosomally male individuals. Here we show that corticosterone elevation is not associated with sex reversal in the central bearded dragon, either during embryonic development or adulthood. We also demonstrate experimentally that sex determination is not affected by corticosterone injection into the yolk. This strongly suggests that stress axis upregulation by high temperature during incubation does not cause sex reversal in P. vitticeps. Our work is in general agreement with other research in reptiles, which suggests that the stress axis does not mediate sex in reptiles with ESD. Alternative biological systems may be responsible for capturing environmental conditions during reptile development, such as cellular calcium and redox regulation or the action of temperature-sensitive splicing factors.	non-urgent
Hi, may I answer your health queries right now ? Please type your query here...My 10 year old daughter continues to suffer from stomach pain and nausea and our Doctor has suggested that she may have Gastroparesis. We are concerned that this illness has continued for four months and now wondering if there may be other issues. Do you have any suggestions/recommendations as to what our daughter may have?	urgent
Hello doctor, I am a 28-year-old male, in good shape and exercise 5 to 6 times per week. Lately, I have been feeling weird flutters in my chest. Started wearing a heart rate monitor. It showed my average resting heart rate at 44 BPM, which seems low. Noticed these symptoms are happening almost daily and heightened if I drink any alcohol (1 or 2 beers). Recently, did an ECG. It looked normal. I did another one when my heart felt fluttery and showed some weird results.	non-urgent
Lymphoma Overview Lymphoma is a cancer of the lymphatic system, which is part of the body's germ-fighting network. The lymphatic system includes the lymph nodes (lymph glands), spleen, thymus gland and bone marrow. Lymphoma can affect all those areas as well as other organs throughout the body. Many types of lymphoma exist. The main subtypes are: - Hodgkin's lymphoma (formerly called Hodgkin's disease) - Non-Hodgkin's lymphoma What lymphoma treatment is best for you depends on your lymphoma type and its severity. Lymphoma treatment may involve chemotherapy, immunotherapy medications, radiation therapy, a bone marrow transplant or some combination of these. Lymphoma care at Mayo Clinic Symptoms Signs and symptoms of lymphoma may include: - Painless swelling of lymph nodes in your neck, armpits or groin - Persistent fatigue - Fever - Night sweats - Shortness of breath - Unexplained weight loss When to see a doctor Make an appointment with your doctor if you have any persistent signs or symptoms that worry you. Causes Doctors aren't sure what causes lymphoma. But it begins when a disease-fighting white blood cell called a lymphocyte develops a genetic mutation. The mutation tells the cell to multiply rapidly, causing many diseased lymphocytes that continue multiplying. The mutation also allows the cells to go on living when other cells would die. This causes too many diseased and ineffective lymphocytes in your lymph nodes and causes the lymph nodes to swell. Diagnosis Tests and procedures used to diagnose lymphoma include: - Physical exam. Your doctor checks for swollen lymph nodes, including in your neck, underarm and groin, as well as a swollen spleen or liver. - Removing a lymph node for testing. Your doctor may recommend a lymph node biopsy procedure to remove all or part of a lymph node for laboratory testing. Advanced tests can determine if lymphoma cells are present and what types of cells are involved. - Blood tests. Blood tests to count the number of cells in a sample of your blood can give your doctor clues about your diagnosis. - Removing a sample of bone marrow for testing. A bone marrow aspiration and biopsy procedure involves inserting a needle into your hipbone to remove a sample of bone marrow. The sample is analyzed to look for lymphoma cells. - Imaging tests. Your doctor may recommend imaging tests to look for signs of lymphoma in other areas of your body. Tests may include CT, MRI and positron emission tomography (PET). Other tests and procedures may be used depending on your situation. Many types of lymphoma exist, including rare forms that are difficult for inexperienced pathologists to identify. An accurate diagnosis is key to developing a treatment plan. Research shows that review of biopsy tests by pathologists who aren't experienced with lymphoma results in a significant proportion of misdiagnoses. Get a second opinion from a specialist. Treatment Which lymphoma treatments are right for you depends on the type and stage of your disease, your overall health, and your preferences. The goal of treatment is to destroy as many cancer cells as possible and bring the disease into remission. Lymphoma treatments include: - Active surveillance. Some forms of lymphoma are very slow growing. You and your doctor may decide to wait to treat your lymphoma when it causes signs and symptoms that interfere with your daily activities. Until then, you may undergo periodic tests to monitor your condition. - Chemotherapy. Chemotherapy uses drugs to destroy fast-growing cells, such as cancer cells. The drugs are usually administered through a vein, but can also be taken as a pill, depending on the specific drugs you receive. - Other drug therapy. Other drugs used to treat lymphoma include targeted drugs that focus on specific abnormalities in your cancer cells. Immunotherapy drugs use your immune system to kill cancer cells. - Radiation therapy. Radiation therapy uses high-powered beams of energy, such as X-rays and protons, to kill cancer cells. - Bone marrow transplant. A bone marrow transplant, also known as a stem cell transplant, involves using high doses of chemotherapy and radiation to suppress your bone marrow. Then healthy bone marrow stem cells from your body or from a donor are infused into your blood where they travel to your bones and rebuild your bone marrow. Alternative medicine No supplements have been found to treat lymphoma. But integrative medicine may help you cope with the stress of a cancer diagnosis and the side effects of cancer treatment. Talk to your doctor about your options, such as: - Physical activity - Art therapy - Meditation - Music therapy - Relaxation exercises - Acupuncture - Massage	urgent
problems with low white blood cells for about 6 months, feeling exhausted constantly, circular bruising appearing for no reason, breathless, bleeding gums, feeling nauseated, dizzy , sore heads, severe constant sweating, feeling as if i have a tempreature	urgent
Q:A 24-year-old woman in graduate school comes to the physician for recurrent headaches. The headaches are unilateral, throbbing, and usually preceded by blurring of vision. The symptoms last between 12 and 48 hours and are only relieved by lying down in a dark room. She has approximately two headaches per month and has missed several days of class because of the symptoms. Physical examination is unremarkable. The patient is prescribed an abortive therapy that acts by inducing cerebral vasoconstriction. Which of the following is the most likely mechanism of action of this drug?? {'A': 'Inhibition of β1- and β2-adrenergic receptors', 'B': 'Activation of 5-HT1 receptors', 'C': 'Inhibition of 5-HT and NE reuptake', 'D': 'Inhibition of voltage-dependent Na+ channels', 'E': 'Inactivation of GABA degradation'},	non-urgent
HI I am having intense back spasms and haven't used my prescription on ultram or cyclobenzaprine for a couple of months. Now that I have been taking zoloft 25mg for a month, can I still use either one of these for back spasms and muscle tension. Thanks for any advice. Christian	non-urgent
I have a dull pain in my mid right rib cage, just below my right breast. It s kind of tender to the touch but nothing unbearable. I don t think it s a torn muscle b/c I haven t done anything to tear it. I m a 33 yr old woman. There is no fever and I feel fine other than that. any info would be greatly appreciated	non-urgent
do I need to see a doctor?I often feel really low and depressed , im angry and irritated by small things. I often feel sucidial and that theres nothing to live for. but after a few weeks or sometimes days I no longer feel like this. sometimes my head is filled with thoughts and I feel like my head will explode if I dont stop thinking and then I just get a headache. im 18 , female. I just want to know if this is anything I should show a psychiatrist?	non-urgent
What classification does a garden belong to?	non-urgent
my chest result says i have an ill defined densities in both apical regions. can you please explain fully? is it dangerous, is it contagious? i have teen kids with me.i have no other symptoms of tb aside of fever. no coughs, no weight loss, etc. thanks	urgent
I have oral fibrosis, cannot open my mouth big. The jaw muscle are tight. Can I use apply derma dew inside the mouth on the muscle area to make it more flexable. Or do you have any product that might help me open my mouth wider. I have tried all other medicatins; nothing helped.	urgent
hi.. my mother was walking in the backyard a couple of days back, and she kicked what she thot was a stick, but in reality was a small piece of an iron rod, which gave her a small little scratch near the toe.. she says she doesnt ned a tetanus injection, but i wanted to make sure if she's right in her decision of not getting it.. wat do u think?	non-urgent
Viral diseases are very hazardous for humanity because in the case of most viral diseases, drugs are not effective. At present, the whole world is living with the fear of COVID-19. From time to time, several viral diseases have been troubling human life. In this article, we have tried to capture the progression dynamics of Zika Virus (ZIKV) infection in the Indian scenario. A constructed model is based on compartment modelling. In the model, Susceptible-Infected-Recovered (SIR) structure is used for the human population and Susceptible-Infected (SI) structure is used for mosquito population. The value of the basic reproduction number (R0) is computed 0.36 at baseline values of parameters involved in the model. The lower value of R0 suggests that infection was unable to spread in the human population. Sensitive analysis for R0 revealed that the most accountable parameter in the spread of infection was mosquito biting rate. The modelling technique might be useful for other diseases also.	non-urgent
hello doctor, my name is kinjal, i am from ahmedabad, i am suffering from lycunplanus from past ten years, have taken many medicines and steriods but as soon as i stop them they again reoccur, have also started with homeopatChatDoctoredicine but it is not helping me, pls suggest me what would be better for me, should i continue homeo or should again continue with allopathy medicine.	non-urgent
If you are shot point blank up close with a 270 in the gut, artery severed and holes in colon , intestines, kidneys, uretheas and bladder reduced, is there much chance of survival? He has lost he right leg. Been in Drug induced coma for a week, we are waiting for him to wake up....how long should it take for him to wake and/or what are his survival rate vitals are good	urgent
My niece is eleven years old. She is in UK hospital. Her symptoms are continuous high fever, even with Tylenol and Motrin. Swelling of the eyes, face ,neck, hands and feet. It started with a sore throat. She also has stiff neck, joint soreness, a rash on her stomach, neck, face and ears. Her heart rate is very high, blood pressure very low, oxygen low, inflamed lungs and heart, with fluid in her lungs and now entering her stomach. All obvious illnesses have been ruled out, even things like Lyme s desease and mono. What do you think it is? The doctors are saying she is a mystery!	urgent
The geographic areas most impacted by COVID-19 may not remain static because public health measures/behaviors change dynamically, and the impacts of pandemic vulnerability also may vary geographically and temporally. The nature of the pandemic makes spatiotemporal methods essential to understanding the distribution of COVID-19 deaths and developing interventions. This study examines the spatiotemporal trends in COVID-19 death rates in the United States from March 2020 to May 2021 by performing an emerging hot spot analysis (EHSA). It then investigates the effects of the COVID-19 time-dependent and basic social vulnerability factors on COVID-19 death rates using geographically and temporally weighted regression (GTWR). The EHSA results demonstrate that over the three phases of the pandemic (first wave, second wave, and post-vaccine deployment), hot spots have shifted from densely populated cities and the states with a high percentage of socially vulnerable individuals to the states with relatively relaxed social distancing requirements, and then to the states with low vaccination rates. The GTWR results suggest that local infection and testing rates, social distancing interventions, and other social, environmental, and health risk factors show significant associations with COVID-19 death rates, but these associations vary over time and space. These findings can inform public health planning.	non-urgent
Hello doctor, I and my fiancee have ureaplasma parvum (DNA analysis). I have no symptoms, she has a little excreta. Should we take antibiotics or not?	non-urgent
my son was diagnosed with tonsilitis.his pedia gave him clarithromycin 125mg/5ml.his 5 years old and his weight is 24.9kg.after 4 days his fever recurred.on the fourth and fifth day he had a temp of 38 but it was only during the night.on the sixth day he had fever every six hours.his pedia changed his antibiotic into cefuroxime 125 mg/5ml.he told me to have my son undergo a lab test on cbc platelet and typhoid.the result was normal on the cbc platelet and he is negative of typhoid fever.my concern is my son still has a fever of 38 every 8 or 10 hours.what must be the possible cause of his fever?	non-urgent
Hello. I am a 41 year old male. I bite my lips and insides of my.mouth. I ve had a very small but hardish bump, like a very small pea, on the inside of my cheek for several Yeats now - between 3-5. Connected to it (I think, at the very least it is right next to it) is what feels like a slightly swollen, raised vain. They are both painless and have been trouble free. I just have developed a worry about the possibility that they arr cancerous. For no reason except my paranoia . My friend says that if they ve been there for years with no change, they.must be nothing. Could you tell me what your thoughts are, please?	non-urgent
My baby, whom is 20 months old, has been scratching her head, behind her ears, neck and back causing red scratches and scabs thru out. I have not changed any of her soaps/ shampoos and she has not eaten any new foods. She does have a tootChatDoctoring in but she continues to wake thru out the night for the past week and it has not gone away. Thanks!	non-urgent
my granddaughter is 15 and in the last few months has had episodes of suddenly getting chills, then overly warm, her eyes gloss over, she says her vision is gone. She snaps out of it after a couple minutes but this event has happened 4 times. Just tonite at a concert she went blank and had to be taken from the choir. She has had blood work done and has be told she has vasovagal, but these incidents happen close to her period. Is there any possibility of a hormone problem?	non-urgent
Often when I am sleeping or first wake up, I get a tingling in my right arm and hand. This has only started occurring less than 4 weeks ago. What might be causing it, and how can it be stopped? I am sorry to have wasted your time. I thought it was free to ask the question or that I would be directed to a webpage where I might read about things like this.	urgent
The COVID-19 pandemic has disrupted normal life and has resulted in considerable stress One important reason for reduced well-being is rumination about COVID-19 This study used proactivity theory to propose that playful work design (i e , the process through which employees proactively create conditions within work activities that foster enjoyment and challenge) may buffer the impact of rumination on employee well-being In May 2020, we collected data at two time points among 501 employees of a large bank cooperation At Time 1, participants reported about rumination about COVID-19 and playful work design, and 1 week later (Time 2), they reported depressive symptoms, exhaustion, and vigor Results of hierarchical regression analyses showed that rumination about COVID-19 had a negative relationship with well-being (increased depressive symptoms and exhaustion, decreased vigor) Designing fun was negatively related to exhaustion and positively related to vigor, whereas designing competition was positively related to vigor As hypothesised, designing fun (not designing competition) moderated the link between rumination and well-being Rumination was positively related to depressive symptoms and exhaustion and negatively related to vigor when participants scored lower on designing fun These findings suggest that employees may use playful work design to deal with ruminative thoughts about COVID-19 (PsycInfo Database Record (c) 2021 APA, all rights reserved) Abstract (French) La pandemie de COVID-19 a perturbe la vie normale et engendre un stress considerable Les pensees recurrentes sur la COVID-19 sont l'une des principales raisons de cette reduction du mieux-etre La presente etude recourait a la theorie de la proactivite pour postuler que le travail ludique (c -a-d , le processus grace auquel les employes creent, de facon proactive, des conditions qui favorisent le plaisir et le defi pendant les activites de travail) peut attenuer les effets nefastes des pensees recurrentes sur le mieux-etre des employes En mai 2020, nous avons recueilli des donnees a deux periodes differentes parmi 501 employes d'une grande cooperative bancaire A la periode 1, les participants devaient donner leur impression sur les pensees recurrentes au sujet de la COVID-19 et sur le travail ludique;une semaine plus tard (periode 2), ils devaient rapporter leurs symptomes depressifs ainsi que leurs niveaux d'epuisement et d'energie Les resultats des analyses de regression hierarchiques ont demontre que les pensees recurrentes a propos de la COVID-19 avaient une incidence negative sur le mieux-etre (augmentation des symptomes de depression, epuisement accru, moins d'energie) Le travail ludique etait en correlation negative avec l'epuisement et en correlation positive avec l'energie, tandis que le travail competitif etait en correlation positive avec l'energie Comme il avait ete postule, le travail ludique (et non le travail competitif) attenuait le lien entre les pensees recurrentes et le mieux-etre Les pensees recurrentes etaient en correlation positive avec les symptomes de depression et avec l'epuisement, et en correlation negative avec l'energie, lorsque les participants affichaient des scores inferieurs relativement au travail ludique Ces constatations donnent a penser que les employes peuvent utiliser le travail ludique pour gerer les pensees recurrentes au sujet de la COVID-19 (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement Public Significance Statement: COVID-19 has disrupted daily life, and many people ruminate about the impact of the crisis We argue and show that employees who repeatedly think about COVID-19 and the possible undesirable consequences can redesign their daily work tasks so that these tasks are more fun and employees protect their daily well-being (PsycInfo Database Record (c) 2021 APA, all rights reserved)	non-urgent
Hi, may I answer your health queries right now ? Please type your query here...My WBC was 11.2 a month ago. I had it checked again and now its 13.6. My doctor says to check it again in a month, but Im to stressed to wait and need to know what can be done to investigate the cause now?	urgent
hi doctor i m 28 years old(male) and i have 64 kgs of weight.i m too skinny and weatish complexion too.my cheaks are very low.i need your advise to know that how many days may i use this nutrigain. And is that must to use both powder and capsules. please do reply.thanking you.	non-urgent
I had an inflamed gallbladder about 2 years ago. they told me it was my diet and weight. i lost about 60 pounds and eat really healthy. I now keep having symptoms of a gallbladder attack. But when they run scans and labs everything comes back normal. Can I request the Dr take it out? I ve been in pain for 8 months....?	urgent
SARS-CoV-2 infection manifests itself with several clinical forms, from an asymptomatic course to a life-threatening multiple-organ dysfunction. In terms of pathogenesis, these clinical forms can be divided into a group of mucosal infections (respiratory tract infections, gastroenteritis) and internal organ infections (especially pneumonia). Of particular concern is the dysregulated immune response associated with the production of proinflammatory cytokines (IL-1, IL-6, TNFα) which is otherwise typical of severe bacterial infections. Knowledge of the pathogenetic context allows for better interpretation of the virological and serological findings and aids in choosing an individualized covid-19 treatment.	non-urgent
For the past three years, I have noticed that my first big breath in the morning is raspy and heavy. I can feel crud in my lungs. I have been an off and on smoker since I was 10 years old. I m now 24. I also have a cat that sheds a lot of fur all over my apartment, and who I am mildly allergic to. I m not sure if the cause of this uneasy breathing in the morning is due to my years of smoking or a fur allergy . What do you think and if it s caused by the cat, what can I do to reduce this irritation other than getting rid of my cat?	urgent
Hi I had my second cycle of IUI treatment on 20th march. My day 28 was due on weds last week. I ve not had any spotting. Just a little bit of brown mucus this afternoon when I wiped. I m taking 1 pessarie a night. (I ve had Chlomide day 2-6 of my cycle. ) yesterday I had a strange twinge pulling sensation behind my belly button. My pregnancy test this morning was negative. I have a huge headache. Could it be late implantation? Or my period delayed by the cyclogest pessaries an my period trying to start? Thanks Sarah	non-urgent
I have a rash under my right eye that started a few months ago... my whole face itches at times now. Sharp itch that then becomes painful upon scratching. My back hurts and when I twist it around my tongue goes numb and I'm dizzy / light headed often. Seem to be in a fuzz a lot of the time. Whole body itches at times.	non-urgent
I have pain in my kidney area for 3 weeks when i sit it brings in on. I went to chiropracter yesterday and they relieve a pain above it which is much better now but my kidney area still hurts. No pain to urinate usually helps to lay down only last night it ached for awhile after I went to bed.	urgent
Hi I am 41 a female and weigh 70kg I have been feeling very ill since tuesday, I had such bad abdomal pain I thought I was in labour or having kidney stones . They did bloods and my white blood count is 13. I do not have medical aid and was given antibiotics. I still have alot of pain and my heartrate is 144 over 93 and pulse 103. What do you think is wrong. I had a historectomy 2 years ago and my kidneys are fine. Please help...	urgent
Q:A 20-year-old male presents to the emergency department because of several days of back pain and fatigue. He is a college student who just returned from a study abroad program in Morocco. During his final week abroad he engaged in a number of recreational activities including swimming at the beach, eating local foods such as couscous and bean salad, and riding a camel into the desert. His temperature is 99°F (37°C), blood pressure is 121/79 mmHg, pulse is 70/min, and respirations are 11/min. He says that otherwise he has been healthy except for some episodes of dark urine. Upon physical exam, his skin is found to be more yellow than usual under his eyelids. Which of the following findings would most likely be seen in this patient?? {'A': 'Absent urine bilirubin', 'B': 'Elevated urine bilirubin', 'C': 'Decreased urine urobilinogen', 'D': 'Conjugated hyperbilirubinemia', 'E': 'Elevated aspartate aminotransferase'},	urgent
I HAVE PAIN IN MY BACK. SOMETIMES THE PAIN IS ON MY RIGHT OR CAN GO THE LEFT SIDE OF MY LOWER BACK. A SONOGRAM SHOWED THAT IMY RIGHT KIDNEY IS BIGGER THAN MY LEFT KIDNEY. IM HAVING TRACES OF BLOOD ON MY URINE, BUT IT'S NOT SHOWING INFECTIONS. SOMETIMES I FEEL A LOT OF PAIN ON MY FEETS.	urgent
Q:According to gate-control theory, which condition tends to close the gate?? A:anxiety;B:depression;C:focusing on the pain;D:electrical stimulation	non-urgent
hello sir actualy this year i am turn to 21 but my outter skin which is attech with my penis head . and my frnds are told me that when i go for a relation with a girl then at that time it give me more pain . is it true? if true then plz suggest me how i open my penis properly	non-urgent
What are third-line agents for the treatment of acute gout, and how do they work to alleviate symptoms?	non-urgent
In a patient 2 months post-MI that presents with CHF and persistent ST elevations/deep Q waves on ECG, what could be the likely diagnosis?	non-urgent
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	non-urgent
Hi there, I hit the lower back of my head yesterday evening 4ish. a few hours later I become rather nauseous and had a headache. Work up this am being sensitive to light, tired most of the day. Then tonight I am nauseous again and headache is back. do I need to be concerned? also should I wait a few days before hitting the gym again?thank you Tiffany	urgent
INTRODUCTION: Several reports have emerged describing the long-term consequences of COVID-19 and its effects on multiple systems. METHODS: As further research is needed, we conducted a longitudinal observational study to report the prevalence and associated risk factors of the long-term health consequences of COVID-19 by symptom clusters in patients discharged from the Temporary COVID-19 Hospital (TCH) in Mexico City. Self-reported clinical symptom data were collected via telephone calls over 90 days post-discharge. Among 4670 patients, we identified 45 symptoms across eight symptom clusters (neurological; mood disorders; systemic; respiratory; musculoskeletal; ear, nose, and throat; dermatological; and gastrointestinal). RESULTS: We observed that the neurological, dermatological, and mood disorder symptom clusters persisted in >30% of patients at 90 days post-discharge. Although most symptoms decreased in frequency between day 30 and 90, alopecia and the dermatological symptom cluster significantly increased (p < 0.00001). Women were more prone than men to develop long-term symptoms, and invasive mechanical ventilation also increased the frequency of symptoms at 30 days post-discharge. CONCLUSION: Overall, we observed that symptoms often persisted regardless of disease severity. We hope these findings will help promote public health strategies that ensure equity in the access to solutions focused on the long-term consequences of COVID-19.	non-urgent
I have a rash which I have had for 2 years now first they said it was shingles, then I was hospitalized and they did some biospy and said I have klebsiella and I had a pic line and Invance tx for 2 weeks. This rash is relentless and itches to high heavens. I am taking Atarax which does nothing for it and I have such pain I want to die I am serious. What can I do because the quacks here want to put me under uv light for 50 bucks a pop and that seems like robbery to me? Help....	urgent
Three weeks ago I had ingunal hernia surgery on my right side. After surgery by scrotum was brused and swollen, also where my penis comes out it was brused and sore. now when I have erections my penis is bent upwards and not as thick. there is also a thicker ridge (ring) around the base. Please help me, let me know what s happening..	non-urgent
I have been experiencing salty lips and mouth recently, even though I limit my salt intake. Over the last 3 months I've had 3 seriously bad stomach aches lasting about 30 minutes, the most recent accompanied by a brief fever and feeling like I could pass out	urgent
Hi i have an itchy anas the last couple of weeks now i also have a very swollen stomach with diarhea also have been experiencing itchy skin all over and little energy with sharp pain in head and thighs iv had helibactor pylori could this be the cause waiting on breath test	non-urgent
What is the recommended treatment for severe combined immunodeficiency (SCID)?	non-urgent
INTRODUCTION No large-scale characterizations of neurofilament light chain (NfL) have been conducted in diverse populations. METHODS Baseline data were analyzed among n = 890 Mexican Americans and n = 813 non-Hispanic Whites from the multi-ethnic Health & Aging Brain among Latino Elders (HABLE) study. Plasma NfL was measured on the Simoa platform. RESULTS In unadjusted models, NfL was significantly associated with age (P < .001), hypertension (P < .001), dyslipidemia (P = .02), and diabetes (P < .001). Covarying for age and sex, NfL was associated with neurodegeneration (P < .001) and global amyloid burden levels (P = .02) in a subset with available data. NfL levels were significantly associated with diagnostic groups (Normal Cognition [NC], mild cognitive impairment [MCI], Dementia; P < .001); however, there was no cut-score that yielded acceptable diagnostic accuracy. NfL levels produced a sensitivity of 0.60 and specificity of 0.78 with negative predictive value of 89% for detecting amyloid positivity. DISCUSSION Plasma NfL levels are significantly impacted by age and medical co-morbidities that are common among older adults, which complicate its utility as a diagnostic biomarker.	non-urgent
My husband is almost 68 years old and over weight. Recently he has been getting shortness of breath whenever he walks just a short distance (I m talking a few feet) His blood pressure is pretty normal 130/68, but his pulse has been high for him. It s been running between 75 and sometimes 110. What can be wrong? Do you think it s just because he s over weight? Thank you for your advice.	urgent
my boyfriend has an enlarged heart and is only 19. He has to have a scan in the next 42 hours to find more about it , this is serius , how will they treat this and how did he get it? he has had syptoms of short breath and bad breathing at night for over 3 months befor he had his first scan, what could it be and what medication is available, does this mean a change of lifestyle? how serious is this?	urgent
Two days ago, I developed a small, painful to the touch, pimple-like bump at the base of my scrotum. I did some research which indicated I could apply a small amount of black drawing salve (ichthammol ointment) to it and cover with a band-aid. It seems to be working and now there is no pain in that area. Please advise.	non-urgent
Hi, My father, age 68 had done his ultrasound and report shows -\"bilateral kidney shows increased cortical echogenicity with maintained CMD\" ... what is the meaning ... He is a cancer patient and under treatment for last 4 years and showing improvement	non-urgent
Hi, My mom had grade II breast cancer and every thing is completed including chemo and radiotherapy. Now she is having vitamin D deficiency. Doctor is recommending vit D injections. Is it okay to take those injections because i heard injections are painful and have side effects apart from its cost.Thank you	non-urgent
For the last 4 or so days I ve been having stomach discomfort like I ve been punched in the tummy. 10 days ago I fell down a flight of stairs but my stomach only started hurting a week ago. It s slightly bloated & I don t feel like eating. A hot water bottle provides some relief. It may just be a bug. What is your opinion?	urgent
I m 12 and my lower right side of my stomach hurts. When I take really deep breaths it hurts even when I jump and when I push in my stomach when breathing. I ve been searching for what it possibly could be and every site is saying it s in the abdomen. Help please?	urgent
i dropped my laptop on the top of my foot and i think i busted a vein and possibly broke something... a huge blood lump popped up immediately and after 2 days i still can t put weight on it to walk normally, and can t feel or move the two littlest toes	urgent
dear friends my wife is 8 weeks pregnant and recently her torch profile reveals that she is positive for igg rubella and igm rubella negative all other virus are negative in both igg igm moleculoes, could anyone tell me whether this has any problemt to do with foetus and mother Quote \| Edit \| Delete \| Tell a Friend \| Report	non-urgent
Hi, i am 15 years young :P... nearly 16. I m 4.11 or 5ft. I ve been this like since 2 years short like really short my sisters are taller just me!!! anyways i weigh about 7 and a half stones i think. Anyways moving on i ve been masturbating for like 2 years since i was 13 ready to be 14. Mainly from using the shower head into massage mode down there.... (clitros) :/ Well i ve always wanted to stop,stop and stop but no i just wouldn t. I was really healthy well not healthy you know just not i ll like i always am recently. I don t know if anything is related and making sense!?!?!!? I ve been suffering from insominia for quiet a while now but it s gone better my doctor offered me to go to psychiatrist but i said no (she doesn t know this)... She kept on asking me what i was stressed but i didn t know myself so i made some story up! Well it was true but i wasn t stressed over that! I think it s making me ill...?? i don t know but i want to stop!!!! I ve been also suffering from hayfever/allergy for a year but i ve gone better with medication. But when ever i come out of the shower after masturabting i start sneezing and wheezing :( I m also having memory problems... (my doctor doesn t know this aswell) She said she couldn t sort out so many problems at once! So i didn t bother She s pathetic. :/ I forgot things e.g. if i washed the plate i won t remember if i washed it or not or what i did few mins ago unless i try to remember it! My long term memory is really really good i remember things when i was 5/6 years old... my sisters don t even remember that. But my short term memory is really bad!! I have so many other problems but i know their will be no conclusion to it! I also think i have herps or gential warts... but i m not since i haven t got it cheacked!! And don t intend to. I don t really care about much of my problems but i want my memory to stay as good as it was before and i don t want to be stressed! Well im not but i get stressed if someone tells me like i m ill! Who wouldn t... but i just get stressed extra!! Okay did i waste your time?? What can i do??? Thank You x	non-urgent

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