My father is 62 years old. 6 days ago he got a cardiac arrest & water in the lung with respiratory distress. As per doctors reoprt, pulse 148 b/min, BP 200/110 mm of Hg, heart: NAD, Lungs: Creps(+) Earlier he got a mild heart attack on 2006 & found 3 artery blockage up to 50%. Now wheather he needs bypass surgerie

Sir i am suffering from knee sweeling in my rt knee for 6 month,two times i hv removed water(aspiration) from it bt never found relief.some time it decrease and some time increase.all tests x rays,crp,esr are normal not yet i found any relief.4 years ago same problem were in my lft knee and dr. Removed 2 pieces(tissue) from lft knee which were found normal(non specific),till one month after surgery i couldn't bent knee even a little bit,i took physiotherapy by wax and till 9 months i could bent it onle 80% after 1.5 or 2 year i could bent it properly 100 bt with pain,still there is pain when i bent it proper,and also swelling in rt knee.Dr.'s Of hospital in which i get surgery 4 yrs ago said that same surgery will pass in rt knee,bt i am afraid because still there is pain in my lft knee,if i pass again surgery in rt knee i will face same problem of pain in my rt knee,please advice me sir if there another way to get treated without surgery like med. Or i should get treated by surgery,i am just 23 yr old boy,still there is whole life for me to live please help me.

i used to drink alchohol 180 ml per day for the past 6 yrs,ive left the habit for 4 months,but i hv mouth ulcers with respiratory problems

I get this attack of PSVT once in a while - after 4 years - the heart rate goes up substantially. I am on Calaptin 120 and Corderone - one tab. each everyday for the last 4 years. I was little irregular on medicine recently and then this attack. I am looking at an option of operation in Delhi.

sleep apenia , now my question is , is there anything except using cpap machine to fight with sleep apenia Analysis (Flow evaluation period: 7 h 55 min / SpO2 evaluation period: 8 h 1 min) Indices Normal Result AHI*: < 5 / h Average breaths per minute [bpm]: 7.24 RI*: < 5 Breaths: 3441 Apnea index: 58 < 5 / h Apneas: 463 Hypopnea index: 3 < 5 / h Hypopneas: 27 % Flow lim. Br. without Sn (FL): 21 < Approx. 60 Flow lim. Br. without Sn (FL): 706 % Flow lim. Br. with Sn (FS): 16 < Approx. 40 Flow lim. Br. with Sn (FS): 558 Snoring events: 2355. my sleep study today result ...

my bilirubin (total) is found 0.97 mg/dl, bilirubin direct is found 0.33 mg/dl, SGOT is found 41 iu/l, SGPT is found 80.9 iu/l, alkaline phosphatase is found 101 iu/l & albumin is found 4.2 gm/dl after going through a liver functioning test. I am very much worried about the SGPT count which came abnormal. i do not take regular alcohol, but i do take some medicines like norflox tz or ciprowin tz whenever i came across stomach upsets. Sir, please suggest me what should i do now and shall it be dangerous that the count came abnormal? please help.

Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

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