Franklin N Campagna, MD
Specialty: Internal Medicine
Location and Office HoursDrs Campagna & Contino
Buffalo, NY 14209
- BC/BS of Western NY
Why should I have my C-reactive protein (CRP) level tested?
Brigham and Women's Hospital answeredC-reactive protein (hs-CRP) is produced by the liver and is a marker for inflammation. Elevations in hs-CRP are associated with increased risk of myocardial infarction (heart attack). If you do not have heart disease, having an hs-CRP performed may help you better understand your risk for developing heart disease in the future. If you already have heart disease there is currently no proven benefit to having an hs-CRP performed. At this time, there is no known treatment for a high hs-CRP.
What kind of impact is obesity having on rates of heart disease?
Eating habits are having a major impact on heart disease rates, says Mary Ann McLaughlin, MD, medical director of the Cardiac Health Program at The Mount Sinai Medical Center. In this video, she discusses how we can reduce heart disease rates.
What is a patient advocate?
A patient advocate helps people with health problems deal with the health care system. This includes working with doctors, nurses, insurance companies, employers, case managers, lawyers and others.
A patient advocate helps solve problems with health care, medical bills and job discrimination related to a medical issue. He or she also may give encouragement and emotional support.
© Healthwise, Incorporated.
How many people die from heart disease each year?
Discovery Health answered
Heart disease kills about a half-million people every year in the United States. It begins with the clogging of the arteries - which is called atherosclerosis.
When there is too much saturated fat and trans fat in the bloodstream, it sticks to the walls, which narrows the passageway that blood must travel through
That narrowing alerts the body that something is wrong, which triggers the immune system to release chemicals to try to fix the problem. That complicates matters, however, because the chemicals make the artery walls even stickier and then more substances get stuck there.
Calcium and proteins in the blood join the fats that are clogging the arteries and the reaction creates a material called plaque.
How is nephrotic syndrome diagnosed?
In addition to a medical history and physical exam, other tests to diagnose nephrotic syndrome include:
- A 24-hour urine collection, which measures the total amount of protein in the urine collected over 24 hours. You will be diagnosed with nephrotic syndrome if you have more than 3 grams of protein in your urine.
- Blood test for albumin. Lower levels of albumin in the blood can cause fluid to collect in the ankles, lungs or abdomen.
- Creatinine and creatinine clearance. Results of these tests give information on how well your kidneys are working.
- Blood profile tests to measure the amount of protein, cholesterol and sugar (glucose) in the blood.
- Kidney ultrasound to look at the kidneys. This exam can rule out other causes of your symptoms.
You may need other tests before treatment for nephrotic syndrome begins. These include:
- A test for varicella (chickenpox) antibodies.
- A bone density scan.
In adults, testing usually includes:
- Serum protein electrophoresis (SPEP).
- Antinuclear antibodies (ANA).
- Antibody tests for systemic lupus erythematosus.
- C3 and C4 complement, proteins normally found in the blood.
- Tests for hepatitis B, hepatitis C, and HIV.
Unless nephrotic syndrome is clearly caused by diabetes, a kidney biopsy is usually done to find the cause. Children do not usually have a biopsy.
© Healthwise, Incorporated.
Where can I learn more about my heart disease?
Dede Bonner, Health Education, answered
Taking a proactive and education-focused approach will help you greatly as you start to make permanent heart-healthy lifestyle changes. Cardiologist Dr. Alfred Bove says, “The number one issue is that patients need to understand their disease. The expectations for me are that they will manage their own cardiovascular risk factors, not just take orders from me. Patients are like the managers of their own databases, but I’m managing five hundred databases [patient files].”You can find extensive resources from the American Heart Association (www.americanheart.org) and Cardiosmart (www.cardiosmart.org).
Find out more about this book:The 10 Best Questions for Recovering from a Heart Attack: The Script You Need to Take Control of Your Health
What is a medical oncologist?
Riverside Cancer Care Center answeredMedical oncologists are physicians who are specially trained in the treatment of cancer with drugs.
How many women in the United States die each year from heart disease?
Heart disease remains the number one cause of death in the United States for both men and women. Heart disease, in all its forms, is responsible for more than 400,000 deaths a year among women -- more than all forms of cancer combined. And although new research on the importance of heart-healthy diets, exercise, and quitting smoking has decreased heart disease rates among men in the past 30 years, the rate for women hasn’t budged, according to a report from the National Institute of Nursing.
See all Kidney Disease questions