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Recent Tetralogy of Fallot questions

Good Afternoon, my wife and I live in the northeast, in

Good Afternoon, my wife and I live in the northeast, in western New York (upstate.) She has been diagnosed since birth with Pulmonary Atresia and Tetralogy Fallot. I've been doing some research on some healthy and natural things a person could do to increase heart health and I came across Omega 3 Fatty Acids and also DHA and EPA. My question is, if she takes double the recommended amount daily (1,000 mg is the recommended amount) at 2000 mg of DHA and EPA each and Omega 3 Fatty Acids, will this have noticeable healing effects with the conditions she's dealing with or could it end up being really bad for her or will it not matter if she does this?Thanks for your care concern and expertise in this matter!

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Dr. D. Love

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Hello Dr. Love, I find that I have a few more questions

Hello Dr. Love,I find that I have a few more questions for you concerning my character's heart condition.The hospital that the child would be admitted to would be the Barbara Bush Children's Hospital at MMC. The following is a list of the heart conditions that they, along with MMC's Cardiovascular Institute, diagnosis and treat.This means, at least for my story which I need to be as realistic as possible before the fantasy starts, has a hiccup. If this hospital is so very well equipped, which it seems to be, why would they send my character away?Is there something, not listed here, that my character could suffer from, or some rare complication, that would require the staff at this hospital to send her to Boston Children's Hospital instead?Thank you again for your help.-------Congenital heart disease is a heart defect or structural problem that is present at birth. Congenital defects can range from holes between chambers of the heart to the absence of one or more heart chambers or valves. Types of congenital heart defects we treat include:Patent ductus arteriosis (PDA) – Abnormal blood flow between two of the major arteries connected to the heartAtrial septal defect (ASD) – A hole in the part of the septum (heart wall) that separates the atria, the upper chambers of the heart. A patent foramen ovale (PFO) is a common ASD.Ventricular septal defect (VSD) – A hole in the part of the septum (heart wall) that separates the ventricles, the lower chambers of the heartAtrioventricular (AV) canal defect - Occurs when there's a hole between the chambers of the heart and problems with the valves that regulate blood flow in the heart.Valvular defects – The valves control the heart's blood flow and can have the following types of defects:Stenosis (thickening or narrowing) which prevents the valve from fully opening (pulmonary valve stenosis is the most common valve defect)Atresia which occurs when a valve doesn't form correctly and lacks a hole for blood to pass throughRegurgitation which occurs when a valve doesn't close completely so blood leaks back through the valveTetralogy of Fallot – A complex heart defect that is a combination of four different defectsArrhythmias – Heart rhythm abnormalities caused by disturbances in the heart's electrical system (Brugada syndrome is one such arrhythmia that is a hereditary disease)Cardiomyopathy – Disease of the heart muscle (this can be genetic or acquired)Coronary artery fistulas (CAF) – An abnormal connection between a coronary artery and the right side of the heart or pulmonary arteryPulmonary hypertension –A type of high blood pressure that affects the arteries in the lungs and the right side of the heartCyanotic Ventricle or “Blue Heart” – An abnormal blood flow resulting in low blood oxygen levels. Related conditions include single ventricle, hypo-plastic left heart syndrome, and transposition of the great arteries or “TGA”Acquired heart disease is a condition that develops sometime during childhood. Types of acquired heart disease include:Kawasaki disease – An inflammatory disease that affects the tissues of the heart and blood vesselsRheumatic heart disease – Caused by the same bacteria that causes strep throatInfective endocarditis – Infection of the lining of the heart chambers and heart valves (endocardium) caused by bacteria entering the bloodstreamCardiomyopathy – Disease of the heart muscle (this can be acquired or genetic)

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Dr. D. Love

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My fingernails are curving downward a lot an the tips of my

My fingernails are curving downward a lot an the tips of my fingers seem to be broadening. Looking those symptoms up it seems to be "clubbing nails". I discussed this with my m.d. And he ordered chest X-ray and blood work, but then told me to come back to him in 6 months. I do seem to have some breathing problems after 50 years of smoking (not severe). I looked up this aspect and it indicated that clubbing is not usually associated with COPD. So is 6 months too long to wait for follow up ? That is my main ? Now. Thank you.

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About two weeks ago I noticed a small whitish bump on the

About two weeks ago I noticed a small whitish bump on the area between my vaginal opening and my anus. it did not hurt, was not blister or wart like. Over the next few days it felt like I was getting more of these bumps, but they appeared to be in a straight line appearing on a " fold" line. I went to an urgent care clinic Friday and they said they do not see what I saw and could not locate anything to be concerned with and maybe what I was feeling was the healing from a tear received during intercourse. I feel like the bumps are getting worse/more white. I'm stressing myself out over this and have an apt set with my gyno on Friday but I'm so concerned. I do currently have a yeast infection I am trying to get over so I'm nto sure if this white area/bumsp could be a part of that?

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All of a sudden, since last night, my right hand thumb is

All of a sudden, since last night, my right hand thumb is twitching--big twitches. What could be the problem? Should I go to the doctor immediately?JA: What seems to make the symptoms worse or better? In general, how would you describe your health lately?Customer: I am 68, still working (in a job I enjoy); overweight (203, 5'4); have sleep problems (am supposed to be receiving an oxygen sleep aid but still waiting (diagnosed with mild sleep Apnea); have been on Levothyroxin years; also on Hydrochlorothiazide for 1.5 decades, and Metoprolol for about a decade. Except for not sleeping well, I otherwise feel fine.JA: Anything else in your medical history you think the doctor should know?Customer: I am not a smoker (since about 44 years old). I am under some stress due to neighbor issues right now. That's it.

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Dr Josh

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I have started taking antabuse 250mg per day a week. I have

I have started taking antabuse 250mg per day for about a week. I have taken it before with no ill effects from colognes, food, etc, only if I should actually drink alcohol. I am scheduled for a epidural cortisone shot for 2 bulging discs on this Thursday. Should this be ok?

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I have a cough which isn't bothering me too much (i.e. it

I have a cough which isn't bothering me too much (i.e. it doesn't hurt, I don't have a headache, although I did for about 4 days when it started), but people are starting to look concerned and suggesting that I should see a doctor and it's also leaving me breathless and nauseous after coughing too much. It's quite wheezy - not tickly or producing mucous. It's made me very thirsty but without much appetite.

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Dr Josh

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I get this feeling like I'm turned on like its a weird

I get this feeling like I'm turned on like its a weird feeling , it's that I don't know if it's a normal feelingI'm wondering like what's making it happen becauseThere's no reason I should be turned on

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Been on metformin and victoza 2 1/2 weeks 500mg twice a day,

Been on metformin and victoza 2 1/2 weeks 500mg twice a day, 0.6 victoza. Increased to 1000mg b.i.d, and 1.2 victoza! The sickness I'm getting is almost unbearable. I'm have all the side effects,except vomiting. Afraid to pass gas, for fear of soiling myself! I'm going crazy!!! 5-9 280lbs. A1c 6.6 no symptoms cut my carbs cold turkey on alcohol working out for the last 3 weeks! African American with no family history. Thanks

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Dr. Phil, MD

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