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Can TSH Test Support Mild Hyperthyroidism Diagnosis?

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Can TSH Test Support Mild Hyperthyroidism Diagnosis?

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John Macoviak MD MBA a retired heart transplant surgeon, is the co-author of a number of scientific papers on heart conditions and their treatment. John Macoviak dedicated his years of work in the clinic to providing information on innovative ways to improve diagnosis and treatment of heart conditions - as well as heart problem-causing diseases. His research on severe nonthyroidal illness diagnosis led to the publication “Diagnostic performance of sensitive measurements of serum thyrotropin during severe nonthyroidal illness: their role in the diagnosis of hyperthyroidism.”

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John Macoviak MD MBA a retired heart transplant surgeon, is the co-author of a number of scientific papers on heart conditions and their treatment. John Macoviak dedicated his years of work in the clinic to providing information on innovative ways to improve diagnosis and treatment of heart conditions - as well as heart problem-causing diseases. His research on severe nonthyroidal illness diagnosis led to the publication "Diagnostic performance of sensitive measurements of serum thyrotropin during severe nonthyroidal illness: their role in the diagnosis of hyperthyroidism."

A condition of the thyroid (a small butterfly-shaped gland at the front of the neck), hyperthyroidism occurs when the thyroid produces excessive thyroid hormones, namely T4 and T3. High amounts of these hormones speed up the metabolic rate, causing what is called a "hypermetabolic state." When the body is in the hypermetabolic state, the heart may present with an abnormally elevated rate, which may be accompanied by elevated blood pressure.

John Macoviak MD MBA , in a clinical study with other researchers using sheep as a model, took measurements of a hormone called serum thyrotropin TSH in 21 coronary artery bypass surgery patients with no thyroid disease diagnosis (group 1), 14 heart transplant recipients with no thyroid disease diagnosis (group 2), as well as 158 random patients hospitalized for nonthyroidal illnesses. Evaluation of the results from the first two groups showed a direct relationship between TSH and free T4 FT4, and patients with prolonged subnormal TSH level (greater than one week) also had subnormal FT4. This strongly suggests the same results in severely ill non-thyroid-condition patients. Subsets of other groups, on the other hand, showed an inverse relationship between TSH and FT3 or FT4. In addition, hyperthyroidism was confirmed in 5 of 6 patients with suppressed TSH. In conclusion, TSH measurement was suggested as a useful tool in confirming mild hyperthyroidism as an addition to other tests.

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Can TSH Test Support Mild Hyperthyroidism Diagnosis?

# data[].attributes.attachment_link.description
John Macoviak MD MBA a retired heart transplant surgeon, is the co-author of a number of scientific papers on heart conditions and their treatment. John Macoviak dedicated his years of work in the clinic to providing information on innovative ways to improve diagnosis and treatment of heart conditions - as well as heart problem-causing diseases.

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Cortisol Levels Linked to Blood Sugar in People with Diabetes

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Cortisol Levels Linked to Blood Sugar in People with Diabetes

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John Macoviak MD MBA, a graduate of Georgetown University, is a retired Washington, DC, heart transplant surgeon. Now living in California, John Macoviak MD MBA continues to write about medical conditions, most notably chronic conditions like diabetes.

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John Macoviak MD MBA, a graduate of Georgetown University, is a retired Washington, DC, heart transplant surgeon. Now living in California, John Macoviak MD MBA continues to write about medical conditions, most notably chronic conditions like diabetes.

The results of a new study by researchers at the Ohio State University College of Medicine and the Ohio State University Wexner Medical Center has revealed a link between blood sugar and cortisol levels in people living with type 2 diabetes.

Published in Psychoneuroendocrinology, the July 2020 study builds on previous research that showed both stress and depression lead to more stable cortisol levels throughout the day. These sustained levels are not seen in healthy people, for whom cortisol naturally is high at the beginning of the day before dropping in the evening.

Since cortisol is linked to a decrease in insulin and an increase in blood sugar, having sustained levels makes diabetes much more difficult to control. This is why it's essential that people with type 2 diabetes find ways to minimize their cortisol levels so that they do not experience blood sugar spikes.

To find this link, researchers examined data from more than 2,000 participants between the ages of 45 and 84. These participants were followed for a period of six years, during which time researchers noticed that people with diabetes had steadier cortisol levels and higher glucose levels than their peers without diabetes.

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Cortisol Levels Linked to Blood Sugar in People with Diabetes

# data[].attributes.attachment_link.description
John Macoviak MD MBA, a graduate of Georgetown University, is a retired Washington, DC, heart transplant surgeon. Now living in California, John Macoviak MD MBA continues to write about medical conditions, most notably chronic conditions like diabetes. The results of a new study by researchers at the Ohio State University College of Medicine and the...

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John A. Macoviak MD MBA received his MD Magna Cum Laude from Georgetown University School of Medicine. Since then, the heart transplant surgeon performed a variety of ground-breaking surgeries and authored dozens of peer-reviewed articles. Now retired, John Macoviak spends his time writing and blogging about medical topics he is interested in, such as the prevention and management of hypertension and diabetes the most common costly conditions on the planet..

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John A. Macoviak MD MBA received his MD Magna Cum Laude from Georgetown University School of Medicine. Since then, the heart transplant surgeon performed a variety of ground-breaking surgeries and authored dozens of peer-reviewed articles. Now retired, John Macoviak spends his time writing and blogging about medical topics he is interested in, such as the prevention and management of hypertension and diabetes the most common costly conditions on the planet..

Hypertension, or high blood pressure, results from the blood pushing against the arteries with more pressure than normal. Most people who are hypertensive have blood pressure readings where either the diastolic number is 90 or higher, while the systolic reading is 140 or higher. However, some providers regard readings between 130/80 and 139/89 to be hypertensive if patients have other heart risk factors present.

Primary hypertension is the most common of the two main types of hypertension. It develops over time in people as they age and does not have a specific cause. It's believed that diet, lifestyle, age, and genetics play a role in the development of primary hypertension. The condition has been linked to lifestyle factors, like having too much alcohol and stress. Altering lifestyle can prevent the development of primary hypertension and minimize the risk of hypertension-related complications.

Roughly 5 to 10 percent of hypertension cases are secondary hypertension cases. Secondary hypertension is more prevalent in younger people and is potentially reversible if the cause of the hypertension is identified and controlled. With this type of hypertension, there is an underlying cause of the condition, including hormone abnormalities, adrenal gland disease, or narrowing of the arteries going from the heart to the kidneys.

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John A. Macoviak MD MBA received his MD Magna Cum Laude from Georgetown University School of Medicine. Since then, the heart transplant surgeon performed a variety of ground-breaking surgeries and authored dozens of peer-reviewed articles.

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A retired heart and transplant surgeon who was disabled and retired in 2002 due to Graves Disease, who has since been a pro bono volunteer educator John Macoviak MD was trained by the worlds most famous highly esteemed and dominating cardiac surgeons in that era the mid 1980's. They included Doctors. Norman E. Shumway MD PhD,, Edward B. Stinson MD, Philip E. Oyer MD PhD, D. Craig Miller MD, Stuart Jamieson MB, , R Scott Mitchell MD, John C. Baldwin MD Rhodes Scholar, James B.D. Mark MD, along with Co-Chief Residents Bill Frist MD, Chris C.G. MacGregor MD, Vaughn Starnes MD, John Dein MD and Carlos Moreno Cabral MD. He established the Washington Regional Heart Transplant Consortium and performed the first 30 heart transplants in Washington DC. He and Jimmy Light MD assisted Dr. Hans Sollinger MD in the the first in the world combined Pancreas Heart Transplant in Washington DC. Several have been done by others subsequently with long-term survivors. He had served as an educator for esteemed universities. In his YouTube video “4 Steps to Help Someone Having a Heart Attack,” John Macoviak MD offers insight on the symptoms of a heart attack, what to do if you are with someone who is experiencing a heart attack, and some tips on what to do if you are having a heart attack.

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A retired heart and transplant surgeon who was disabled and retired in 2002 due to Graves Disease, who has since been a pro bono volunteer educator John Macoviak MD was trained by the worlds most famous highly esteemed and dominating cardiac surgeons in that era the mid 1980's. They included Doctors. Norman E. Shumway MD PhD,, Edward B. Stinson MD, Philip E. Oyer MD PhD, D. Craig Miller MD, Stuart Jamieson MB, , R Scott Mitchell MD, John C. Baldwin MD Rhodes Scholar, James B.D. Mark MD, along with Co-Chief Residents Bill Frist MD, Chris C.G. MacGregor MD, Vaughn Starnes MD, John Dein MD and Carlos Moreno Cabral MD. He established the Washington Regional Heart Transplant Consortium and performed the first 30 heart transplants in Washington DC. He and Jimmy Light MD assisted Dr. Hans Sollinger MD in the the first in the world combined Pancreas Heart Transplant in Washington DC. Several have been done by others subsequently with long-term survivors. He had served as an educator for esteemed universities. In his YouTube video "4 Steps to Help Someone Having a Heart Attack," John Macoviak MD offers insight on the symptoms of a heart attack, what to do if you are with someone who is experiencing a heart attack, and some tips on what to do if you are having a heart attack.

If someone is having a heart attack, it is important to remain calm and take control. The symptoms of a heart attack vary; however, some common symptoms are pain or fullness in the chest, dizziness, sweating, nausea, shortness of breath, pain that lasts for more than 15 minutes, and discomfort that expands from the heart to the arm and up to the jaw. Most people who have heart attacks experience warning signs hours, days, or weeks before the heart attack occurs.

If you are experiencing a heart attack, do not drive yourself to the emergency room. Call 911 or call someone for help in getting to the hospital. Second, giving someone aspirin during a heart attack has been medically proven to save a life. If the person is unresponsive, put the aspirin under their tongue to dissolve the tablet. If the person has an allergy to aspirin or has been advised by their physician to not take aspirin, skip this step. The next thing to do is begin CPR. Depending on the severity of the heart attack, the person experiencing it may become unconscious. If you are not properly trained to give CPR, a 911 operator can assist you over the phone. Begin giving around 100-120 chest compressions per minute.

If a person becomes unconscious from a heart attack at a place of business or facility in public, use an automated external defibrillator if one is readily available. Follow the instructions and begin using it to resuscitate them. It is important to note that these machines are very dangerous, so make sure to follow the directions completely. For those having a heart attack who have a heart condition, they may have a prescription for nitroglycerin, a medication that can help keep them alive and keep their heart from sustaining a serious injury before help arrives. However never take or give these drugs to anyone except for those who have a prescription for it.

# data[].attributes.attachment_link.description
A retired heart and transplant surgeon who was disabled and retired in 2002 due to Graves Disease, who has since been a pro bono volunteer educator John Macoviak MD was trained by the worlds most famous highly esteemed and dominating cardiac surgeons in that era the mid 1980's. They included Doctors.

# data[].attributes.body
A retired heart and transplant surgeon who was disabled and retired in 2002 due to Graves Disease, who has since been a pro bono volunteer educator John Macoviak MD was trained by the worlds most famous highly esteemed and dominating cardiac surgeons in that era the mid 1980's. They included Doctors. Norman E. Shumway MD PhD,, Edward B. Stinson MD, Philip E. Oyer MD PhD, D. Craig Miller MD, Stuart Jamieson MB, , R Scott Mitchell MD, John C. Baldwin MD Rhodes Scholar, James B.D. Mark MD, along with Co-Chief Residents Bill Frist MD, Chris C.G. MacGregor MD, Vaughn Starnes MD, John Dein MD and Carlos Moreno Cabral MD. He established the Washington Regional Heart Transplant Consortium and performed the first 30 heart transplants in Washington DC. He and Jimmy Light MD assisted Dr. Hans Sollinger MD in the the first in the world combined Pancreas Heart Transplant in Washington DC. Several have been done by others subsequently with long-term survivors. He had served as an educator for esteemed universities. In his YouTube video “4 Steps to Help Someone Having a Heart Attack,” John Macoviak MD offers insight on the symptoms of a heart attack, what to do if you are with someone who is experiencing a heart attack, and some tips on what to do if you are having a heart attack.

# data[].attributes.attachment_link.readable_text
A retired heart and transplant surgeon who was disabled and retired in 2002 due to Graves Disease, who has since been a pro bono volunteer educator John Macoviak MD was trained by the worlds most famous highly esteemed and dominating cardiac surgeons in that era the mid 1980's. They included Doctors. Norman E. Shumway MD PhD,, Edward B. Stinson MD, Philip E. Oyer MD PhD, D. Craig Miller MD, Stuart Jamieson MB, , R Scott Mitchell MD, John C. Baldwin MD Rhodes Scholar, James B.D. Mark MD, along with Co-Chief Residents Bill Frist MD, Chris C.G. MacGregor MD, Vaughn Starnes MD, John Dein MD and Carlos Moreno Cabral MD. He established the Washington Regional Heart Transplant Consortium and performed the first 30 heart transplants in Washington DC. He and Jimmy Light MD assisted Dr. Hans Sollinger MD in the the first in the world combined Pancreas Heart Transplant in Washington DC. Several have been done by others subsequently with long-term survivors. He had served as an educator for esteemed universities. In his YouTube video "4 Steps to Help Someone Having a Heart Attack," John Macoviak MD offers insight on the symptoms of a heart attack, what to do if you are with someone who is experiencing a heart attack, and some tips on what to do if you are having a heart attack.

If someone is having a heart attack, it is important to remain calm and take control. The symptoms of a heart attack vary; however, some common symptoms are pain or fullness in the chest, dizziness, sweating, nausea, shortness of breath, pain that lasts for more than 15 minutes, and discomfort that expands from the heart to the arm and up to the jaw. Most people who have heart attacks experience warning signs hours, days, or weeks before the heart attack occurs.

If you are experiencing a heart attack, do not drive yourself to the emergency room. Call 911 or call someone for help in getting to the hospital. Second, giving someone aspirin during a heart attack has been medically proven to save a life. If the person is unresponsive, put the aspirin under their tongue to dissolve the tablet. If the person has an allergy to aspirin or has been advised by their physician to not take aspirin, skip this step. The next thing to do is begin CPR. Depending on the severity of the heart attack, the person experiencing it may become unconscious. If you are not properly trained to give CPR, a 911 operator can assist you over the phone. Begin giving around 100-120 chest compressions per minute.

If a person becomes unconscious from a heart attack at a place of business or facility in public, use an automated external defibrillator if one is readily available. Follow the instructions and begin using it to resuscitate them. It is important to note that these machines are very dangerous, so make sure to follow the directions completely. For those having a heart attack who have a heart condition, they may have a prescription for nitroglycerin, a medication that can help keep them alive and keep their heart from sustaining a serious injury before help arrives. However never take or give these drugs to anyone except for those who have a prescription for it.

# data[].attributes.attachment_link.description
A retired heart and transplant surgeon who was disabled and retired in 2002 due to Graves Disease, who has since been a pro bono volunteer educator John Macoviak MD was trained by the worlds most famous highly esteemed and dominating cardiac surgeons in that era the mid 1980's. They included Doctors.