pat57

hi, I'm 52 and have NCS- not POTS.

The GI Dr. is the place to go . There is a story in the numbers. How high one is compared to another. http://www.righthealth.com/topic/Enzymes_L..._function_tests Standard liver panel This section is missing citations or needs footnotes. Please help add inline citations to guard against copyright violations and factual inaccuracies. (November 2008) Measurement Significance Reference range Alanine transaminase (ALT) Alanine transaminase (ALT), also called Serum Glutamic Pyruvate Transaminase (SGPT) or Alanine aminotransferase (ALAT) is an enzyme present in hepatocytes (liver cells). When a cell is damaged, it leaks this enzyme into the blood, where it is measured. ALT rises dramatically in acute liver damage, such as viral hepatitis or paracetamol (acetaminophen) overdose. Elevations are often measured in multiples of the upper limit of normal (ULN). 5 to 40 IU/L [1] Aspartate transaminase (AST) Aspartate transaminase (AST) also called Serum Glutamic Oxaloacetic Transaminase (SGOT) or aspartate aminotransferase (ASAT) is similar to ALT in that it is another enzyme associated with liver parenchymal cells. It is raised in acute liver damage, but is also present in red blood cells, and cardiac and skeletal muscle and is therefore not specific to the liver. The ratio of AST to ALT is sometimes useful in differentiating between causes of liver damage.[2][3] Elevated AST levels are not specific for liver damage, and AST has also been used as a cardiac marker. 10 to 40 IU/L [1] Alkaline phosphatase (ALP) Alkaline phosphatase (ALP) is an enzyme in the cells lining the biliary ducts of the liver. ALP levels in plasma will rise with large bile duct obstruction, intrahepatic cholestasis or infiltrative diseases of the liver. ALP is also present in bone and placental tissue, so it is higher in growing children (as their bones are being remodelled) and elderly patients with Paget's disease. 30 to 120 IU/L [1] Total bilirubin (TBIL) Bilirubin is a breakdown product of heme (a part of haemoglobin in red blood cells). The liver is responsible for clearing the blood of bilirubin. It does this by the following mechanism: bilirubin is taken up into hepatocytes, conjugated (modified to make it water-soluble), and secreted into the bile, which is excreted into the intestine. Increased total bilirubin causes jaundice, and can signal a number of problems: * 1. Prehepatic: Increased bilirubin production. This can be due to a number of causes, including hemolytic anemias and internal hemorrhage. * 2. Hepatic: Problems with the liver, which are reflected as deficiencies in bilirubin metabolism (e.g. reduced hepatocyte uptake, impaired conjugation of bilirubin, and reduced hepatocyte secretion of bilirubin). Some examples would be cirrhosis and viral hepatitis. * 3. Posthepatic: Obstruction of the bile ducts, reflected as deficiencies in bilirubin excretion. (Obstruction can be located either within the liver or in the bile duct.) 2 - 14 mol/L Direct bilirubin The diagnosis is narrowed down further by looking at the levels of direct bilirubin. * If direct (i.e. conjugated) bilirubin is normal, then the problem is an excess of unconjugated bilirubin, and the location of the problem is upstream of bilirubin excretion. Hemolysis, viral hepatitis, or cirrhosis can be suspected. * If direct bilirubin is elevated, then the liver is conjugating bilirubin normally, but is not able to excrete it. Bile duct obstruction by gallstones or cancer should be suspected. 0 - 4 mol/L Gamma glutamyl transpeptidase (GGT) Although reasonably specific to the liver and a more sensitive marker for cholestatic damage than ALP, Gamma glutamyl transpeptidase (GGT) may be elevated with even minor, sub-clinical levels of liver dysfunction. It can also be helpful in identifying the cause of an isolated elevation in ALP. GGT is raised in alcohol toxicity (acute and chronic). In some laboratories, GGT is not part of the standard LFTs and must be specifically requested. 0 to 51 IU/L [1] [edit] Other tests commonly requested alongside LFTs: Pathophysiology sample values BMP/ELECTROLYTES: Na+=140 Cl-=100 BUN=20 / Glu=150 K+=4 CO2=22 PCr=1.0 \ ARTERIAL BLOOD GAS: HCO3-=24 paCO2=40 paO2=95 pH=7.40 ALVEOLAR GAS: pACO2=36 pAO2=105 A-a g=10 OTHER: Ca=9.5 PO4=1 Mg2+=2.0 CK=55 BE=-0.36 AG=16 SERUM OSMOLARITY/RENAL: PMO = 300 PCO=295 POG=5 BUN:Cr=20 URINALYSIS: UNa+=80 UCl-=100 UAG=5 FENa=0.95 UK+=25 USG=1.01 UCr=60 UO=800 PROTEIN/GI/LIVER FUNCTION TESTS: LDH=100 TP=7.6 AST=25 TBIL=0.7 ALP=71 Alb=4.0 ALT=40 BC=0.5 AST/ALT=0.6 BU=0.2 AF alb=3.0 SAAG=1.0 SOG=60 CSF: CSF alb=30 CSF glu=60 CSF/S alb=7.5 CSF/S glu=0.4 [edit] 5' nucleotidase (5'NTD) 5' nucleotidase is another test specific for cholestasis or damage to the intra or extrahepatic biliary system, and in some laboratories, is used as a substitute for GGT for ascertaining whether an elevated ALP is of biliary or extra-biliary origin. [edit] Coagulation test (e.g. INR) The liver is responsible for the production of coagulation factors. The international normalized ratio (INR) measures the speed of a particular pathway of coagulation, comparing it to normal. If the INR is increased, it means it is taking longer than usual for blood to clot. The INR will only be increased if the liver is so damaged that synthesis of vitamin K-dependent coagulation factors has been impaired: it is not a sensitive measure of liver function. It is very important to normalize the INR before operating on people with liver problems (usually by transfusion with blood plasma containing the deficient factors) as they could bleed excessively.

I have had episodes that look just like Atonic Seizures or Catalepsy. But for me its is NCS. Mine are very brief tho - like 20 seconds. I've had lots of seizures from lack of 02 to the brain. Properly called convulsions when lack of 02 is the cause those are 2-3 minutes.

No, I can't recommend my Dr., I did like my first EP but he moved to Delaware. I have NCS not POTS so there will be some differences. The faster I move the better I feel. Its like my BP is on manual. Also my Med and compression stockings. I would not be able to work without the stockings and I would be disabled without the med. I figure you will ask what med. Its Norpace. I'm over the top with my schedule and fighting with her school about transportation right now. There's lots of things I don't do, like cook or shop or do anything but take care of urgent things. I'm moving so I can get a break!

LOL, I'm in Southampton. I'm sorry to say I have no time. I drive 1 hour and 10 minutes, 5days a week to get my daughter to her school. I work 7days a week and take her to many appts. As if that's not enough I'm selling the house, moving. I'll be at the Southampton Applebee's (working)Tues and Weds, the slow time is 2PM. I'm a host, and can chat. Let me know tho since sometimes I leave at 2.

I get dazed when ever my BP drops. I have NCS.

http://www.recovery-inc.com/index.html That would help alot. Its free, and there may be meeting near you. Its cognitive therapy. One thing you would learn is to remember that "People do things THAT irritate you not TO irritate you" ALSO THERE IS NO DANGER IN THE SITUATION. people SUBCONSCIOUSLY believe angry temper is dangerous which greatly adds stress. (the caps are a mistake) anyway that's just a drop of what they teach.. good luck

I use the words , "I can't", it communicates that it is non debatable. good luck

Did you have any changes with your period? This can effect blood volume.

You should do a search on d?ja vu and jamais vu, they are a type of seizure as well as a normal phenomenon. Your description says epilepsy to me also. I have attended epilepsy groups.

nicotine blocks the natural addition of serotonin, and attaches itself to the receptors so that your level of serotonin becomes dependent on dosing with nicotine. When you withdraw the nicotine- serotonin levels fall. The body needs time to , basically - come back on line. But it will, and it's worth it.

I would talk to my primary Dr.

I am positive for RA with the 3 tests used, sed rate, ANA and RA factor, but I don't have any water on the joints or pain. I did have a bout of RA, 10 years ago, during a treatment for Hepatitis C, I assume its in remission and the med brought it out.

http://www.associatedcontent.com/article/7...oms.html?cat=70

It has been my experience that, being nice is to regain control and is manipulation. Going to the neuro the councilor and "agreeing" with you would also be to manipulate. Strictly in my experience- that is. I do agree there are cultural differences with Turkish men. (I work with a few. ) As I put in my first reply, you need to join a support group. If you are like me the change comes from the inside - first you change, then you find a way to make changes. By no means should you condemn yourself for not being more decisive, or for choosing whom you have chosen. Again, if you are like me, you will learn and grow and understand- down the road. We all want to bypass the painful parts of our journeys. It doesn't work that way. good luck, please remember I'm drawing on my experience, it may not apply to you.

carinara , If there is a (repeated) pattern in his behavior, normally there won't be change.

I'm sorry to plop this thought in your lap, but I have been there and done that - it sounds familiar. You should look for a support group for women in abusive relationships. Or codependent or both. By educating yourself you may be able to make improvements in the relationship. Even if not, you can enjoy the support and dignity offered by the group. http://www.ask.com/bar?q=the+honymoon+peri...ticViolence.htm Identifying an Abusive Relationship Does your partner... * put you down, constantly criticize you, or say blatantly cruel, hurtful things? * act in a controlling, jealous manner? * criticize the way you parent your children? * say things to spite you? * bring up the past to hurt you? * swear at you? * yell and scream at you? * give you the 'silent treatment'? * insist you cater to his/her whims? * treat you like a personal servant? * monitor your time? * discourage or prevent you from getting medical care? * discourage or prevent you from attending school? * discourage or prevent you from socializing with friends? * discourage or prevent you from working? * accuse you of having affairs? Of constantly flirting with other men/women? * demand that you stay at home with the children? * discourage or prevent you from seeing your family? * restrict or monitor your use of the car? * restrict or monitor your use of the telephone? * prevent you from leaving the house? * tell you that your feelings are irrational and/or crazy? * blame you for his/her temper or mood? * blame you for his/her use of violence? * change moods radically? * try to convince you that you are crazy? * threaten to hurt him/her self if you left? * threaten to hurt him/her self if you don't do what he/she wants? * threaten to have an affair? * threaten to leave the relationship? * threaten to take your children away from you? * threaten to hurt your children? * threaten to commit you to an institution? If one or more of these items is true for you, you may be involved in an abusive, dangerous relationship.

passing tissue's XXOO

Ruecat, we are neighbors, I'm in Bucks Co. I have an EP but can't recommend him. I have seen 4 EPs in my last 4 appts. because they all leave the practice. Cardio consultants of Philadelphia. They have one EP. Also I have had 0/0 bp readings during a TTT. I believe mine was too low for the machines to read I don't think it was asystole - like Ernie.

Indeed they are gorgeous. I especially notice their sheen. Thanks Nina.

compression stockings work wonders for me.

8-9 nine hours of sleep are essential for me. Less then 7 and I'm a mess. Also CFS is linked to POTS I think.

Zoe, I've have seizures that look like grand mal, and I thought I was conscious every time. But with the two that I got reports from bystanders my recall would have been 3 - 5 seconds when it lasted 2- 3 minutes. I thought the episode was only a few seconds. not so

you have to take one day at a time. I will bet you that the answers you need come to you as time unfolds. Its a difficult thing to wait for the future to come and not stress about it. But the reality is that -that stress is worst for you than the unanswered questions. Also there may be a human resources section in your phone book with places to call that could help. good luck

there are very well know thoughts that produce anxiety. The worst of the worst are, fear of mental collapse fear of physical collapse the reason these are the worst is that they tell your mind you are in great danger there is no ability to relax when you are in great danger. The first thing you need to know is that you are not in danger (ask your Dr) the second thing is that feeling the distress (which you do feel) is not dangerous, you can saftly ride it out. good luck