PW Health Clinic

[tee1234]

Thanks for your reply
Well in this case no one in the family is an HLA match so what is the procedure if one wants to be put on a match list. Id appreciate any details. Is there a match service in Pakistan?
Also failure rates in BMT are reasonably high...which is scary and also why gene therapy is something I wanted to look into despite the costs.

Regards

[Glioblastoma]

Thanks for your reply
Well in this case no one in the family is an HLA match so what is the procedure if one wants to be put on a match list. Id appreciate any details. Is there a match service in Pakistan?
Also failure rates in BMT are reasonably high...which is scary and also why gene therapy is something I wanted to look into despite the costs.

Regards

To be on the list you must contact the physician or tell the family to tell doctor that they want you or the following people to get their blood matched.

No matching service in pakistan contact the hospital or the physician simple.

Can you please forward me studies which tell failure rates are high what I have searched till now thalassemia free survival rates after BMT are pretty impressive.

Gene therapy as I said is in phase 1 trial. Why don't you contact memorial sloan kettering here is the link of the gene therapy website and tells every detail how to get enrolled in the study and all contact information.

https://www.mskcc.org/cancer-care/clinical-trials/10-164

Email them with all reports of patient and make sure patient meets the criteria also be sure patient has beta thalassemia and not alpha thalassemia.

[Glioblastoma]

Assalam o Alaikum Doctor, I donated blood at Shifa and had all my tests done (CBC, Hepatitis B,C, Hiv, Antibodies etc). The tests were all fine and done after 5.5 months of a potential yet not confirm contact with a virus source. Should this test be considered conclusive?

Well it can be considered conclusive, if you are sure if was not a needlestick or sharps injury. If it was a needlestick or sharps injury then you have to repeat it after 6 more months especially HEp c and HIV. If you have been vaccinated against hep b before exposure then highly unlikely you will get hep b. If not vaccinated against hep b get one done now.

[bradleo555]

Well it can be considered conclusive, if you are sure if was not a needlestick or sharps injury. If it was a needlestick or sharps injury then you have to repeat it after 6 more months especially HEp c and HIV. If you have been vaccinated against hep b before exposure then highly unlikely you will get hep b. If not vaccinated against hep b get one done now.

Doctor, it was a oral *exual contact (biggest regret/mistake).
Should I go for the testing again? After 5.5 months, the results are all clear.
I've been dealing with on and off muscle pain, boils, very slight swollen lymph node on the right armpit..

[tee1234]

Thank you for the information. I will contact memorial sloan iA. Yea its B thal..
Well some places say 75% survival rate in first year https://www.mskcc.org/blog/msk-s-one-year-survival-rate-after-allogeneic-bone-marrow-transplant-exceeds-expectations ...some say 85% which like you said is pretty impressive, but it means 15% failure rate- that's too high of a risk in my opinion..It sounds good on paper but when its someone close to you, you really take that 15% into account...hope the success rate increases in the near future iA

Regards

[Glioblastoma]

Doctor, it was a oral *exual contact (biggest regret/mistake).
Should I go for the testing again? After 5.5 months, the results are all clear.
I've been dealing with on and off muscle pain, boils, very slight swollen lymph node on the right armpit..

Well we can be sure at least it's not HIV, Hep B and Hep C. But for confirmation do repeat HIV after 6 months.

The complains you are having looks like some other STD that I am sure of, which STD is it I cannot be certain without a detailed history, examination and tests. But may be note my words I am saying may be it can be syphilis, lymphogranuloma venereum or gonorrhea. Feel free to PM me any details you want to share.

I am forwarding you some highly qualified physicians in your vicinity do go to anyone, all are at shifa international:

Maj. Gen. (R) Dr. S. Tauqeer A. Shah
Wajid Yar Khan
Shahzad Khan Siddique
Aamer Nazir Ahmad
Mian Amjad Sohail
Mazhar Ali Mufti
Of all of them Dr. Tauqeer seems to be more specialized in infectious diseases so he might be your best option. Otherwise all of them are highly qualified.

[ahmed2396]

I had blurry vision and floaters in my right eye and recently visited Maj.Gen Mazhar Ishaq at AFIO rwp he suggested me to have FFA and OCT, he said i might have retinal aneurysm or retinal hemorrhage, so i was worried and took appointment with Doc. Zeba Matin at Shifa she also advised to go for FFA and OCT as they would give clear picture of retina and vessels leaking onto it which are blurring the vision, she said there is a chance but minor chance that i may have Eales. Will have FFA and OCT tomorrow at AFIO.

[Glioblastoma]

I had blurry vision and floaters in my right eye and recently visited Maj.Gen Mazhar Ishaq at AFIO rwp he suggested me to have FFA and OCT, he said i might have retinal aneurysm or retinal hemorrhage, so i was worried and took appointment with Doc. Zeba Matin at Shifa she also advised to go for FFA and OCT as they would give clear picture of retina and vessels leaking onto it which are blurring the vision, she said there is a chance but minor chance that i may have Eales. Will have FFA and OCT tomorrow at AFIO.

Not at all a good sign get these tests done asap can be many things like you said retinal hemorrhage or retinal aneurysm to retinal tears or detachment or certain vitreous infections and some rare causes as well. Lets see what the results are.

By the way what's your age, any history of diabetes or hypertension or history of any other eye condition like cataract, glaucoma, any history of eye surgery.

[ahmed2396]

Not at all a good sign get these tests done asap can be many things like you said retinal hemorrhage or retinal aneurysm to retinal tears or detachment or certain vitreous infections and some rare causes as well. Lets see what the results are.

By the way what's your age, any history of diabetes or hypertension or history of any other eye condition like cataract, glaucoma, any history of eye surgery.

Hypertension runs in my family no other surgery or diabetes. Lets see what are the final results then the doctor will decide what to do, Gen Mazhar suggested me to use Nevanac drops which i am using since three days, three times a day.

[Glioblastoma]

Hypertension runs in my family no other surgery or diabetes. Lets see what are the final results then the doctor will decide what to do, Gen Mazhar suggested me to use Nevanac drops which i am using since three days, three times a day.

Hypertension is one of the risk factor for retinal detachment, tear or retinal hemorrhage. Let's wait for the results.

[margallar]

Can you recommend any orthopedic doctor. My mom has some issue with her arm.

she was twisting a tray of ice, during which she developed a pain in her wrist..,the pain then proceeded further back towards the elbow. to get an idea, run a finger along the thumb of your right hand, until you reach the wrist, you can feel a hollow spot and then bone. Pain starts there.

she also says that the arm seems to be loosing weight

[Glioblastoma]

Can you recommend any orthopedic doctor. My mom has some issue with her arm.

she was twisting a tray of ice, during which she developed a pain in her wrist..,the pain then proceeded further back towards the elbow. to get an idea, run a finger along the thumb of your right hand, until you reach the wrist, you can feel a hollow spot and then bone. Pain starts there.

she also says that the arm seems to be loosing weight

The gap you are telling is called the anatomical snuff box. It has the radial nerve in it, so most probably can be it's compression. Other than that may be compression of median nerve called carpal tunnel syndrome. But a proper examination is required. The weight loss history you are giving is it only confined to one or both arms or is it generalized weight loss. If it is localized to right arm or anyone arm then it is most likely nerve compression somewhere resulting in gradual muscle atrophy. However if it is both arms then can be some neurological condition.

You can visit a orthopedic at shaukat khanum Dr. ahsan shamim or ittefaq hospital Dr. Arif khan. Have heard good things about Dr. Ahsan.

A neurologist can also tackle the problem Dr. Moquit usman at ittefaq hospital.

[AbbasJin]

guys , I think my nightmare is coming through . the wisdom tooth pain is back .

what's a good dentist in pindi isloo to take it out ?

I wanna go to a professional that can do it with less pain . 2 years ago I took my sister to a dentist on Adyala toad and the guy was acting like a bucher , his anaesthetic didn't work proper on her and sis was in so much pain the whole time

the dentist called up someone else to ask why it wasn't working on her . just horrible stuff . I've been postponing mine for months caz of that . I think I'll eventually have to deal with it. ugh

how many days of work will I have to take off ? I'm 29 btw

Sent from my Galaxy Note 4 onboard the International Space Station

[asjdsm]

is clonidine / guanfacine available in pakistan ?

the hyper part of my adhd is controled excellantly by jumex with some affect on attention part.

need some thing for attention/concentration ... attomexetine,bupropion, raises bp and heart beat becomes irregular.. and cause some anxiety .. to alleviate anxiety had to take ssri (escitalopram / Fluvoxamine works best). but after sometime ssri takes over the good achieved by above ndris.

Duloxetine has no good result

only affective thing is ritalin but its too short lived and it poops out after few months .. 4-5 ..

[unware]

guys , I think my nightmare is coming through . the wisdom tooth pain is back .

what's a good dentist in pindi isloo to take it out ?

I wanna go to a professional that can do it with less pain . 2 years ago I took my sister to a dentist on Adyala toad and the guy was acting like a bucher , his anaesthetic didn't work proper on her and sis was in so much pain the whole time

the dentist called up someone else to ask why it wasn't working on her . just horrible stuff . I've been postponing mine for months caz of that . I think I'll eventually have to deal with it. ugh

how many days of work will I have to take off ? I'm 29 btw

Sent from my Galaxy Note 4 onboard the International Space Station

Check for Dr. Adnan at G-10

Shop name: Adnan's clinic

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[Adeels1]

Any body know a good docter for fits problem i mean mirgi

Sent from my iPhone using PW Forums

[Glioblastoma]

is clonidine / guanfacine available in pakistan ?

the hyper part of my adhd is controled excellantly by jumex with some affect on attention part.

need some thing for attention/concentration ... attomexetine,bupropion, raises bp and heart beat becomes irregular.. and cause some anxiety .. to alleviate anxiety had to take ssri (escitalopram / Fluvoxamine works best). but after sometime ssri takes over the good achieved by above ndris.

Duloxetine has no good result

only affective thing is ritalin but its too short lived and it poops out after few months .. 4-5 ..

Not available.

[Glioblastoma]

Any body know a good docter for fits problem i mean mirgi

Sent from my iPhone using PW Forums

Which city are you located in, I know only good ones in Islamabad, Pindi, Lahore and Karachi.

[sjehsan]

Salam all the Doctors!!!!

I had some problems going on in my Family 2-3 months back and those days were going quite tensed!!! After 2-3 days when that problem was over, i went to have all my Test's done (which i usually do, after every six months). Test Lab called me again to give Urine Sample again for rechecking, as they have found High Sugar Level in my Urine!

I checked with Gluco Meter at home and my BSR was 265 at that time, just 1 hour after breakfast!!! I went to Lab and gave Blood Sample for sugar test.... It confirmed that i am NOT Diabiatic (Point 5 - which is ideal) but BSR was still 260...... Go GTT done and it started from 76 and ended at 75 with highest upto 145.

I took special measures and stopped eating everything Sweet and it came to normal in next one week.

Now in Ramadan i was having swear pain Under my Foots when i wake up in the morning!!!! I went to Doctor and checked my sugar and it was 140 Fasting..... Now i have again stopped eating or drinking anything sweet.....

I am 27 Years old and Very Very Slim (Under Weight), married!

Need your view on the above, what should i do now?

[margallar]

The gap you are telling is called the anatomical snuff box. It has the radial nerve in it, so most probably can be it's compression. Other than that may be compression of median nerve called carpal tunnel syndrome. But a proper examination is required. The weight loss history you are giving is it only confined to one or both arms or is it generalized weight loss. If it is localized to right arm or anyone arm then it is most likely nerve compression somewhere resulting in gradual muscle atrophy. However if it is both arms then can be some neurological condition.

You can visit a orthopedic at shaukat khanum Dr. ahsan shamim or ittefaq hospital Dr. Arif khan. Have heard good things about Dr. Ahsan.

A neurologist can also tackle the problem Dr. Moquit usman at ittefaq hospital.

You seem to be right on target.

good thing is we already have been visiting dr ahsan shamim, consulting him for knee replacement. i will get an appointment from him in the morning

it is with one arm