General Medical issues thread

I turn 65 in Feb and I'm going to book in for my shangrix straight away.
I've had shingles once and I never want them again ! (Ha, ha, auto correct keeps changing shingrix to shangri-la. )
 
Shangri-La hotels are very nice and shingles is the opposite of that.
My mother got shingles around her eyes and it was nasty. We paid for our two shots in Los Angeles several years ago. I think it cost $280 USD per person and I cannot remember if the second shot was a further $280 USD 6 months later.
 
Shangri-La hotels are very nice and shingles is the opposite of that.
My mother got shingles around her eyes and it was nasty. We paid for our two shots in Los Angeles several years ago. I think it cost $280 USD per person and I cannot remember if the second shot was a further $280 USD 6 months later.
It's truly awful and the pain recurs for months. Well mine did.
I was lucky and got the antivirals early, but I'd hate to have a full-blown dose.
 
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And watching one of those medico programmes on Netflix they just doscussed the anion gap. What are the chances of that after 8 years of blood tests and never doscussed the anion gap before.
Actually very high chance with most people walking around that have many blood tests will never have a discussion re the Anion Gap as usually it is "normal".
Here is a discussion of it. And note it has CATMUDPILES which we learnt doing Respiratory Medicine.

 
Actually very high chance with most people walking around that have many blood tests will never have a discussion re the Anion Gap as usually it is "normal".
Here is a discussion of it. And note it has CATMUDPILES which we learnt doing Respiratory Medicine.

Thanks. Mine seems to range between 15 and 17 over the last 18 months of monthly tests. 17 being 'upper limit'.
 
If bothanion and osmolar gap elevated then it's alcohol poisoning - ethanol/methanol or antifreeze poisoning. Metabolic acidosis generally also occurs which is part of the anion gap so it's also suspected - in these cases it's going to be bad.


However if anion gap alone, then suspect methanol but never forget diabetic ketoacidosis or (other metabolic acidosis)

Anion gap calculator.
Change units from mEq/L to mol/L
The menu at top lists the differentials including MUDPILERS and HARDUPS etc
Never seen albumin used in Anion Gap - normally Na K Cl HCO3
 

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