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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Yes, thank you. I was given a TB test 4/20/18

Yes, thank you. I was given a TB test 4/20/18 that had a 2 by 2 inch pouch attached to the needle. I thought that was strange. Is this a new type of testing? The bubble developed on skin as usual. Three days later, my skin was clear. I asked other people. They act like they do not know what I am talking about. Only one provider said this is new. ???
Tue, 5 Jun 2018
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doctor1 MD

We are married in June 2009 and have been trying for kids. We underwent(especially my wife) lot of medical tests regarding concieving. I am giving some important medical test results below. I request for clarification on below several doubts I have: 1) Does my wife has TB based on below reports? Some doctors say she has TB while some say she does not have. 2) In case she has TB based on below report findings, is that the reason for the right fallopian tube blockage? Will it also cause problems for fertilization when egg is released in normal tube. 3) Also I would like to know if one tube is blocked, then does the egg always get released on the open tube? Or is it irregular in which tube egg gets released or is that alternative in each period cycle? 4) After marriage can RUBELLA virus vaccination be taken? My (Husbands) report: Semen Analysis: Liquification: 35 min; Actively motile: 70%; Sluggishly motile: 10%; Non motile: 20%; Sperm count: 96 millions/ml; Morpholpgy: Normal-80% Abnormal-20%; Other findings: 5-6 pus cells and occassional epithelial cells/HPF Wife health/ reports: Suffered Double Typhoid in Sep 2009. Later had imperofrated hymen surgery in Sep 2010 on a a doctors advice. Other medical reports taken in last 30-60 days: 1) HSG XRAY: Right Fallopian tube is not opacified S/O CORNUAL BLOCK. Uterus retroverted normal in size. Left Fallopian tube is normal in calibre with peritoneal spillage of contrast. 2) Holecular Study: Egg rupture on 20th day during period cycle. (Genrally Having 30 day cycle regularly). 3) TB IgM: 2.1 (Postive) 4) TB IgG: 120 U/mL 5) Estradiol (ELFA): 18.96 /mL (sample taken on 4th day of period) 6) CMV IgG Antibody: 8.17 IU/ML (Positive) 7) CMV IgM Antibody: 0.48 8) RUBELLA VIRUS-IgG: 14.96 (Positive) 9) RUBELLA VIRUS-IgM 0.45 10) Endometrium for HPE: Section shows endometrial glands with stroma. The glands are dilated and lined by a single layer of epithelial cells. Subnuclear vaculoation is seen. HISTOLOGICAL DIAGNOSIS: Early Secretory Phase/ 2nd post ovulatory day. 11) TOXOPLASMA GONDII - IgG 2.12 12) TOXOPLASMA GONDII - IgM 0.36 13) FSH (ELFA) : 2.64 Miu/ML 14) LH (ELFA): 1.70 Miu/ML 15) Prolactin (ELFA): 10.48 ng/mL 16) Testosterone (ELFA): 0.10 ng/mL

doctor1 MD

Hello Dr., Good Afternoon, My younger sister is suffering from Abdominal TB since March 17, 2015 (the date when we came to know about this) from March 18, 2015 we have started taking AKT 4 for 2 months and started taking AKT 3 from May 20, 2015 to till date. There was a gap of around three weeks when she has not taken her medicines i.e. AKT 3 as she was suffering through Jaundice between that period. Further, please note we have done the full Abdomen CT scan on December 26, 2015 and came to know that there is a increase in disease process and our doctor has refer us to some TB specialist hence, would request you to please help me with this situation. Regards, Jaiprakash

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