Erythrocytosis in Heart Disease

[Ironjustic]

I suppose **any** of the drugs used to reduce red blood cell
count / chemical bloodletting .. would work .. ?
IE: pentoxifylline , hydroxychloroquine , interferon ,
hydroxyurea cladribine, thalidomide

Case Report Hydroxyurea therapy for management of secondary
erythrocytosis in cyanotic congenital heart disease Ulrike M.
Reiss 1 *, Pamela Bensimhon 2, Sherri A. Zimmerman 2, Russell
E. Ware 1 1Department of Hematology, St. Jude Children's
Research Hospital, Memphis, Tennessee 2Division of
Hematology/Oncology, Department of Pediatrics, Duke University
Medical Center, Durham, North Carolina

email: Ulrike M. Reiss (ulrike.reiss@stjude.org)

*Correspondence to Ulrike M. Reiss, Department of Hematology,
St. Jude Children's Research Hospital, 332 N. Lauderdale,
Memphis, TN 38105, USA

Funded by: The American Lebanese Syrian Associated
Charities (ALSAC)

Abstract Secondary erythrocytosis in cyanotic congenital heart
disease (CCHD) causes substantial morbidity because of
complications of hyperviscosity, including stroke and chronic
end organ damage. Phlebotomy provides temporary improvement
but leads to iron deficiency and can actually increase blood
viscosity. We describe the successful use of hydroxyurea
(hydroxycarbamide) in four patients with uncorrected CCHD and
symptomatic secondary erythrocytosis. In all patients,
hydroxyurea improved symptoms of hyperviscosity. Substantial
decreases in the red blood cell (RBC) count were observed,
along with increases in the mean corpuscular volume (MCV) and
mean corpuscular hemoglobin (MCH), leading to only modest
declines in the circulating hemoglobin concentration. Two
patients experienced transient mild myelosuppression, which
promptly resolved with dose reduction of hydroxyurea.
Hydroyxurea provides a novel and useful therapeutic approach
to reduce hyperviscosity from secondary erythrocytosis in
patients with CCHD, while preserving oxygen carrying capacity
and avoiding iron depletion by phlebotomy. Am. J. Hematol.,
2007. =A9 2007 Wiley-Liss, Inc. ------------------------------
----------------------------------------------=
-----
Received: 29 June 2006; Revised: 19 January 2007; Accepted: 23
January 2007 Digital Object Identifier (DOI)

10.1002/ajh.20925 About DOI

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

[ferrous]

"Secondary erythrocytosis in cyanotic congenital heart disease
(CCHD) causes substantial morbidity because of complications
of hyperviscosity, including stroke and chronic end organ
damage. Phlebotomy provides temporary improvement but leads to
iron deficiency and can actually increase blood viscosity."

Would you explain this to us going into more detail about the
low iron problems caused and the greater viscosity blood
letting causes.

[Ironjustic]

>> On Sep 23, 11:23 am, ferr...@paris.com wrote: Would you
>> explain
this to us going into more detail about the low iron problems
caused and the greater viscosity blood letting causes.<<

"High altitude sickness" .. use that as a .. research ..
phrase .. in Google ..

It will yield many studies which will explain .. all ..

Me .. I have very little time .. for teaching .. you ..

You must do your .. own .. learning ..

Number one .. take notes .. number two .. learn to read ..
number three .. don't cheat .. cheaters never prosper ..

And prosperity IS what you ARE .. 'in this for' .. isn't it ..
? .. the big .. bucks .. ?

Heh .. heh ..

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

[Ironjustic]

>> On Sep 23, 11:54 am, ironjustice <teamtan...@hotmail.com>
>> wrote: "High altitude sickness" .. use that as a ..
>> research .. phrase .. in
Google .. <<

Here's a .. start ..

"Be careful of drinking alcohol. Its effect is magnified at
high altitude. "

That's why you get those people going nuts on the plane ..
can't handle their .. booze ..

"Your doctor may prescribe medication to help prevent or treat
altitude sickness."

Guess what drugs .. they .. use .. this .. "medication" .. ?

Couldn't BE .. **any** of the drugs used to reduce red blood
cell count / chemical bloodletting .. would work .. ?
IE: pentoxifylline , hydroxychloroquine , interferon ,
hydroxyurea cladribine, thalidomide .. ?

Check it out .. flatfoot .. him .. get back to me .. quick ..
-----------------------------------------

High-Altitude Sickness

What is high-altitude or mountain sickness? Sometimes people
get sick at high altitudes, such as in the mountains. This is
called mountain sickness or high-altitude sickness.

What causes this problem?

Lack of oxygen causes high-altitude sickness. As altitude
increases, the air becomes "thinner," which means less oxygen
is in the atmosphere. You get less oxygen in your lungs with
each breath, so the amount of oxygen in your blood declines.
(This is called hypoxia) (hi- POKS'e-ah). All people can
experience mountain sickness, but it may be more severe in
people who have heart or lung problems.

What are the symptoms?

Symptoms usually begin within 48 hours of arriving at high
altitude. The higher the altitude, the greater the effects.
People can notice effects when they go to an altitude of 7,000
to 8,000 feet. If you have heart disease (such as heart
failure) or lung disease (such as emphysema), you may have
symptoms at lower altitudes. Symptoms include

headaches, breathlessness, fatigue nausea or vomiting
inability to sleep swelling of the face, hands and feet Both
heart rate and breathing rate increase as the body tries to
send more oxygen to its tissues. At very high altitudes, body
fluid can leak into the brain (called brain or cerebral edema)
or into the lungs (pulmonary edema). Both these conditions can
be serious or even life- threatening.

AHA Recommendation

The best way to avoid or lessen the effects of mountain
sickness is to increase altitude slowly. Climbers and hikers
can take two days to reach 8,000 feet, and then another day
for each 1,000 to 2,000 higher feet. This may not be an option
for people who travel to a destination at high altitude. Most
people can adjust or "acclimatize" to the high altitude within
a few days. Here are some tips:

Avoid strenuous activity for the first day or two. Drink extra
fluid. Be careful of drinking alcohol. Its effect is magnified
at high altitude. Your doctor may prescribe medication to help
prevent or treat altitude sickness. If you have a heart or
lung condition, consult your physician before going to high
altitude. He or she can tell you whether your condition will
let your body adjust to the lower oxygen in the atmosphere.

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

>
> It will yield many studies which will explain .. all ..
>
> Me .. I have very little time .. for teaching .. you ..
>
> You must do your .. own .. learning ..
>
> Number one .. take notes .. number two .. learn to read ..
> number three .. don't cheat .. cheaters never prosper ..
>
> And prosperity IS what you ARE .. 'in this for' .. isn't it
> .. ? .. the big .. bucks .. ?
>
> Heh .. heh ..
>
> Who loves ya. Tom
>
> Jesus Was A Vegetarian!http://jesuswasavegetarian.7h.com
>
> Man Is A Herbivore!http://tinyurl.com/a3cc3
>
> DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk

[Ironjustic]

>> On Sep 23, 11:54 am, ironjustice <teamtan...@hotmail.com>
>> wrote: "High a=
ltitude sickness" .. use that as a .. research .. phrase .. in

Google .. <<

Monge's disease

Also known as: Monge's syndrome

Synonyms: Altitude sickness, Andes disease, chronic mountain
sickness mountain sickness, chronic secondary mountain
polycythemia syndrome, high altitude erythremia.

Associated persons: Carlos Monge-Mendrano

Description: Loss of high altitude tolerance after long
exposure. A chronic form of mountain sickness occurring in
persons living for long periods at high altitudes, usually at
over 14.000 feet, characterized by cyanosis, dyspnea, cough,
arrythmias, headache, dizziness, stupor, muscle and motor
disorders, weakness, and pain in the extremities; vision
problems and depression.

See also Acosta's syndrome, which is acute mountain sickness,
under Jos=E9 de Acosta, Spanish Jesuit missionary in Peru,
1539-1600.

Bibliography:

C=2E Monge-Medrano: Sobre un caso de enfermedad de
Vaqu=E9z. (s=EDndrome eritr=E9mico de altura. Lima,
Sanmarti, 1925. 6 pages.

C=2E Monge-Medrano, C. Encinas, E.C. Heraud, A. Hurtado: La
enfermedad de los Andes (sindromes eritr=E9micos). Anales de
la facultad de medicina. Lima, 1928, 23: 1-314

C=2E Monge-Medrano: Les erythremies de l'altitude. Paris,
Masson et Cie, 1929.

C=2E Monge-Medrano: Sobre algunas manifestaciones congestivas
de orden cerebral en las eritremias de la altura. Anales de la
Facultad de Ciencias M=E9dicas, Lima, 1936, 19: 83-102.

C=2E Monge-Medrano: High altitude disease. Archives of
Internal Medicine, Chicago, 1937,
59: 32-40.

C=2E Monge-Medrano: Sobre algunos puntos de la bioqu=EDmica de
la sangre, considerada como un sistema f=EDsico-qu=EDmico, en
las alturas habitadas del Per=FA. Anales de la Facultad de
Ciencias M=E9dicas, Lima,1938, 21: 237-262.

C=2E Monge-Medrano: Life in the Andes and Chronic Mountain
Disease. Science, 1942, 95: 79-84.

A=2E Hurtado: Chronic Mountain Sickness. The Journal of the
American Medical Association, Chicago, 1942, 120: 1278-1282.

C=2E Monge-Medrano: Chronic mountain sickness. Physiological
Review; 1943, 23: 166-183.

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

>
> Here's a .. start ..
>
> "Be careful of drinking alcohol. Its effect is magnified at
> high altitude. "
>
> That's why you get those people going nuts on the plane ..
> can't handle their .. booze ..
>
> "Your doctor may prescribe medication to help prevent or
> treat altitude sickness."
>
> Guess what drugs .. they .. use .. this .. "medication" .. ?
>
> Couldn't BE .. **any** of the drugs used to reduce red blood
> cell count / chemical bloodletting .. would work .. ?
> IE: pentoxifylline , hydroxychloroquine , interferon ,
> hydroxyurea cladribine, thalidomide .. ?
>
> Check it out .. flatfoot .. him .. get back to me ..
> quick ..
> -----------------------------------------
>
> High-Altitude Sickness
>
> What is high-altitude or mountain sickness? Sometimes people
> get sick at high altitudes, such as in the mountains. This
> is called mountain sickness or high-altitude sickness.
>
> What causes this problem?
>
> Lack of oxygen causes high-altitude sickness. As altitude
> increases, the air becomes "thinner," which means less
> oxygen is in the atmosphere. You get less oxygen in your
> lungs with each breath, so the amount of oxygen in your
> blood declines. (This is called hypoxia) (hi- POKS'e-ah).
> All people can experience mountain sickness, but it may be
> more severe in people who have heart or lung problems.
>
> What are the symptoms?
>
> Symptoms usually begin within 48 hours of arriving at high
> altitude. The higher the altitude, the greater the effects.
> People can notice effects when they go to an altitude of
> 7,000 to 8,000 feet. If you have heart disease (such as
> heart failure) or lung disease (such as emphysema), you may
> have symptoms at lower altitudes. Symptoms include
>
> headaches, breathlessness, fatigue nausea or vomiting
> inability to sleep swelling of the face, hands and feet Both
> heart rate and breathing rate increase as the body tries to
> send more oxygen to its tissues. At very high altitudes,
> body fluid can leak into the brain (called brain or cerebral
> edema) or into the lungs (pulmonary edema). Both these
> conditions can be serious or even life- threatening.
>
> AHA Recommendation
>
> The best way to avoid or lessen the effects of mountain
> sickness is to increase altitude slowly. Climbers and hikers
> can take two days to reach 8,000 feet, and then another day
> for each 1,000 to 2,000 higher feet. This may not be an
> option for people who travel to a destination at high
> altitude. Most people can adjust or "acclimatize" to the
> high altitude within a few days. Here are some tips:
>
> Avoid strenuous activity for the first day or two. Drink
> extra fluid. Be careful of drinking alcohol. Its effect is
> magnified at high altitude. Your doctor may prescribe
> medication to help prevent or treat altitude sickness. If
> you have a heart or lung condition, consult your physician
> before going to high altitude. He or she can tell you
> whether your condition will let your body adjust to the
> lower oxygen in the atmosphere.
>
> Who loves ya. Tom
>
> Jesus Was A Vegetarian!http://jesuswasavegetarian.7h.com
>
> Man Is A Herbivore!http://tinyurl.com/a3cc3
>
> DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk
>
>
>
>
>
> > It will yield many studies which will explain .. all ..
>
> > Me .. I have very little time .. for teaching .. you ..
>
> > You must do your .. own .. learning ..
>
> > Number one .. take notes .. number two .. learn to read ..
> > number three .. don't cheat .. cheaters never prosper ..
>
> > And prosperity IS what you ARE .. 'in this for' .. isn't
> > it .. ? .. the big .. bucks .. ?
>
> > Heh .. heh ..
>
> > Who loves ya. Tom
>
> > Jesus Was A Vegetarian!http://jesuswasavegetarian.7h.com
>
> > Man Is A Herbivore!http://tinyurl.com/a3cc3
>
> > DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk- Hide quoted
> > text -
>
> - Show quoted text -

[ferrous]

"Secondary erythrocytosis in cyanotic congenital heart disease
(CCHD) causes substantial morbidity because of complications
of hyperviscosity, including stroke and chronic end organ
damage. Phlebotomy provides temporary improvement but leads to
iron deficiency and can actually increase blood viscosity."

Would you explain this to us going into more detail about the
low iron problems caused and the greater viscosity blood
letting causes.

Jesus ate a mediterranean diet.

[Ironjustic]

On Sep 23, 2:11 pm, ferr...@paris.com wrote:
>>> "Secondary erythrocytosis in cyanotic congenital heart
>>> disease (CCHD)
> causes substantial morbidity because of complications of
> hyperviscosity, including stroke and chronic end organ
> damage. Phlebotomy provides temporary improvement but leads
> to iron deficiency and can actually increase blood
> viscosity."
>
> Would you explain this to us going into more detail about
> the low iron problems caused and the greater viscosity blood
> letting causes.
>
> Jesus ate a mediterranean diet. <<

"Secondary erythrocytosis in cyanotic congenital heart disease
(CCHD) causes substantial morbidity because of complications
of hyperviscosity, including stroke and chronic end organ
damage. Phlebotomy provides temporary improvement but leads to
iron deficiency and can actually increase blood viscosity."

Would you explain this to us going into more detail about the
low iron problems caused and the greater viscosity blood
letting causes. "

It seems you just repeated yourself .. ?

Explain to me .. what **difference** do you find in that ..
post .. and the post you made .. previously ..

And tell me what difference is THIS .. answer .. FROM
the answer ,,
I .. made previously ..

"I told you I don't have the .. time .. OR the **inclination**
to explain sht to .. you .."

It is a shorter version of .. this .. sort of a .. synopsis /
Coles notes ..

"High altitude sickness" .. use that as a .. research ..
phrase .. in Google ..

It will yield many studies which will explain .. all ..

Ia .. I have very little time .. for teaching .. you ..

You must do your .. own .. learning ..

Number one .. take notes .. number two .. learn to read ..
number three .. don't cheat .. cheaters never prosper ..

And prosperity IS what you ARE .. 'in this for' .. isn't it ..
? .. the big .. bucks .. ?

Heh .. heh ..

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

[Ironjustic]

>> On Sep 23, 2:11 pm, ferr...@paris.com wrote: Would you
>> explain this to u=
s going into more detail about the low iron problems caused <<

There is no .. low iron .. just **unutilized** iron .. not
**discovered** .. by .. 'them' / you .. vitamin C seems to
cure anemia .. but you know that already .. or do you
remember that .. ?

Did you write that .. down .. ?

We both know you didn't ..

>> On Sep 23, 2:11 pm, ferr...@paris.com wrote: and the
>> greater viscosity b=
lood letting causes. <<

**Volume** decrease leads to .. hyperviscosity /
hemoconcentration .. soooo .. the fact .. 'they' / you are ..
involved .. makes one think the hyperviscosity .. is DUE TO ..
you / 'they' .. in that you are too stupid to realize taking
THAT much blood causes .. hyperviscosity ..

Maybe one should remove less .. at .. a .. time .. ?

As opposed to 'your' method .. which normally is .. total
stopping of a regimen in order to prove its .. efficacy.

As opposed to .. **modification** OF .. the .. therapy ..

<<snip>> venesection of small volumes <<snip>>

Nippon Shokakibyo Gakkai Zasshi. 2007 Jul;104(7):1044-50.
Links [Utility of a little phlebotomy intermittently just
before intravenous injection of glycyrrhizin for patients with
chronic hepatitis C] [Article in Japanese]

Sumida Y, Kanemasa K, Fukumoto K, Yoshida N, Sakai K.
Department of Gastroenterology and Hepatology, Nara City
Hospital.

We performed a small phlebotomy (50 ml) intermittently just
before intravenous injection of glycyrrhizin (GL) in eight
patients with chronic hepatitis C and continued this therapy
until their serum ferritin levels dropped below 20 ng/ml
without any changes of GL dosage. No patients had
complications but one patient holded treatment according to
their wishing. In seven patients who completed this therapy,
the average amount of phlebotomized blood was 1221 +/- 1055
ml, their serum ferritin value significantly fell from 253 +/-
233 ng/ ml to 18+/-5 ng/ml (p=3D0.038). Serum ALT levels also
significantly decreased from 74 +/- 22 IU/L to 41 +/- 12 IU/L
(p=3D0.001). Small intermittent phlebotomies before GL
injection may be a effective treatment for hepatitis C.

PMID: 17611380 [PubMed - in process] -------------------------
---------------------------------------------------=
=AD=AD=AD=AD=AD=AD=AD--------------------------

Br J Haematol. 1980 Nov;46(3):435-8.Links Red cell mass,
plasma volume and blood volume before and after venesection in
relative polycythaemia. Humphrey PR, Michael J, Pearson TC.
Seven male patients with relative polycythaemia have had red
cell mass, plasma volume and blood volume measurements made
before and after venesection. The mean PCV prior to
venesection was 0.522. Using a small volume (250 ml) serial
venesection technique, in each the PCV was reduced to or below
0.45, the overall mean value being 0.431. Venesection resulted
in a rise in plasma volume with no significant reduction in
blood volume in six of the patients. Thus hypovolaemia does
not occur in the majority of the patients. One patient did not
increase his plasma volume on packed cell volume reduction.
His blood volume fell by 15%. None of the patients developed
any symptoms of hypovolaemia. To maintain the PCV at values
less than 0.45, venesection was required on average once every
2 months. It is suggested that venesection of small volumes is
an acceptable long-term method of lowering the PCV in patients
with relative polycythaemia.

PMID: 7448128 [PubMed - indexed for MEDLINE]

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

[Ironjustic]

>> On Sep 23, 9:48 pm, ironjustice <ironjust...@cashette.com>
>> wrote: **Volu=
me** decrease leads to .. hyperviscosity /
hemoconcentration .. <<

<<snip>> Diuretics are widely used for treatment of
hypertension and are presumed to reduce blood pressure mainly
by reducing plasma volume. However, plasma volume contraction
leads to hemoconcentration, which in turn increases blood
viscosity and presumably shear stress at the vascular
endothelium, stimulating the release of NO. The same mechanism
of hemoconcentration after hemodialysis might contribute to
the severity of hemodialysis-related hypotension. <<snip>>

http://ajpheart.physiology.org/cgi/content/full/289/5/H2136

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

> >> On Sep 23, 2:11 pm, ferr...@paris.com wrote: Would you
> >> explain this to=
us going into more detail about the low iron
>
> problems caused <<
>
> There is no .. low iron .. just **unutilized** iron .. not
> **discovered** .. by .. 'them' / you .. vitamin C seems to
> cure anemia .. but you know that already .. or do you
> remember that .. ?
>
> Did you write that .. down .. ?
>
> We both know you didn't ..
>
> >> On Sep 23, 2:11 pm, ferr...@paris.com wrote: and the
> >> greater viscosity=
blood letting causes. <<
>
> **Volume** decrease leads to .. hyperviscosity /
> hemoconcentration .. soooo .. the fact .. 'they' / you are
> .. involved .. makes one think the hyperviscosity .. is DUE
> TO .. you / 'they' .. in that you are too stupid to realize
> taking THAT much blood causes .. hyperviscosity ..
>
> Maybe one should remove less .. at .. a .. time .. ?
>
> As opposed to 'your' method .. which normally is .. total
> stopping of a regimen in order to prove its .. efficacy.
>
> As opposed to .. **modification** OF .. the .. therapy ..
>
> <<snip>> venesection of small volumes <<snip>>
>
> Nippon Shokakibyo Gakkai Zasshi. 2007 Jul;104(7):1044-50.
> Links [Utility of a little phlebotomy intermittently just
> before intravenous injection of glycyrrhizin for patients
> with chronic hepatitis C] [Article in Japanese]
>
> Sumida Y, Kanemasa K, Fukumoto K, Yoshida N, Sakai K.
> Department of Gastroenterology and Hepatology, Nara City
> Hospital.
>
> We performed a small phlebotomy (50 ml) intermittently just
> before intravenous injection of glycyrrhizin (GL) in eight
> patients with chronic hepatitis C and continued this therapy
> until their serum ferritin levels dropped below 20 ng/ml
> without any changes of GL dosage. No patients had
> complications but one patient holded treatment according to
> their wishing. In seven patients who completed this therapy,
> the average amount of phlebotomized blood was 1221 +/- 1055
> ml, their serum ferritin value significantly fell from 253
> +/- 233 ng/ ml to 18+/-5 ng/ml (p=3D0.038). Serum ALT levels
> also significantly decreased from 74 +/- 22 IU/L to 41 +/-
> 12 IU/L (p=3D0.001). Small intermittent phlebotomies before
> GL injection may be a effective treatment for hepatitis C.
>
> PMID: 17611380 [PubMed - in process] -----------------------
> ---------------------------------------------------=
--=AD=AD=AD=AD=AD=AD=AD=AD--------------------------
>
> Br J Haematol. 1980 Nov;46(3):435-8.Links Red cell mass,
> plasma volume and blood volume before and after venesection
> in relative polycythaemia. Humphrey PR, Michael J, Pearson
> TC. Seven male patients with relative polycythaemia have had
> red cell mass, plasma volume and blood volume measurements
> made before and after venesection. The mean PCV prior to
> venesection was 0.522. Using a small volume (250 ml) serial
> venesection technique, in each the PCV was reduced to or
> below 0.45, the overall mean value being 0.431. Venesection
> resulted in a rise in plasma volume with no significant
> reduction in blood volume in six of the patients. Thus
> hypovolaemia does not occur in the majority of the patients.
> One patient did not increase his plasma volume on packed
> cell volume reduction. His blood volume fell by 15%. None of
> the patients developed any symptoms of hypovolaemia. To
> maintain the PCV at values less than 0.45, venesection was
> required on average once every 2 months. It is suggested
> that venesection of small volumes is an acceptable long-term
> method of lowering the PCV in patients with relative
> polycythaemia.
>
> PMID: 7448128 [PubMed - indexed for MEDLINE]
>
> Who loves ya. Tom
>
> Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
>
> Man Is A Herbivore! http://tinyurl.com/a3cc3
>
> DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

[ferrous]

I know low iron causes problems of cognition, so
concdntrate again:

"Secondary erythrocytosis in cyanotic congenital heart disease
(CCHD) causes substantial morbidity because of complications
of hyperviscosity, including stroke and chronic end organ
damage. Phlebotomy provides temporary improvement but leads to
iron deficiency and can actually increase blood viscosity."

Would you explain this to us going into more detail about the
low iron problems caused and the greater viscosity blood
letting causes.

I'm asking you to explain the statements in the bit you
posted. It said this proceedure causes problems of low
iron and can in fact increase viscosity. Please explain
how this happens?

Jesus ate a mediterranean diet.

[Ironjustic]

>> On Sep 24, 6:58 am, ferr...@paris.com wrote: I'm asking you
>> to explain the statements in the bit you posted. It said
this proceedure causes problems of low iron and can in fact
increase viscosity. Please explain how this happens? <<

Why don't you just sit and reread my posts over and over and
over and over and over and over and over and over and .. over
.. again ..

THAT is how you LEARN when you are .. stupid ..

Here it is .. so you don't have to .. scroll .. back .. in ..
the .. thread ..

<<snip>> There is no .. low iron .. just **unutilized** iron
.. not **discovered** .. by .. 'them' / you ..

Vitamin C seems to cure anemia ..

You know that already ..

Do you remember that .. ?

Did you write that .. down .. ?

We both know you didn't .. <<snip>>

>> On Sep 23, 2:11 pm, ferr...@paris.com wrote: and the
>> greater viscosity blood letting causes. <<

Here is where you prove the .. stupid .. part ..

The post says .. hemoconcentration CAUSES hyperviscosity.

Hemoconcentration is .. lack of blood VOLUME .. hypoVOLEMIA ..
volemia .. is volume .. hypo is .. less than ..normal ..

You see how that .. works .. ?

If it was HYPERvolemia .. it would mean .. MORE .. than ..
normal .. volume ..

Sooo .. reread the bit below and see if you understand it a
bit .. better ..

<<snip>> **Volume** decrease leads to .. hyperviscosity /
hemoconcentration .. soooo .. the fact .. 'they' / you are ..
involved .. makes one think the hyperviscosity .. is DUE TO ..
you / 'they' .. in that you are too stupid to realize taking
THAT much blood causes .. hyperviscosity .. <<snip>>

Above .. if you don't understand .. is .. a roundabout way of
calling you .. stupid .. again.

Because .. ?

You don't / didn't .. know .. hypovolaemia .. causes ..
hyperviscosity..

I say stupid because .. ? .. it IS your chosen profession ..
and that little .. medical / scientific .. fact .. isn't
generally well known by a .. layman .. but .. should be
required knowledge FOR .. your .. type.

Therefore ignorance doesn't .. fit .. here FOR .. your ..
type.

Type being .. stupid .. medical .. professionals who can't ..
**retain** .. **Retainability** is a .. marker OF ..
intelligence .. .

Write that .. down.

Who loves ya. Tom

Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com

Man Is A Herbivore! http://tinyurl.com/a3cc3

DEAD PEOPLE WALKING http://tinyurl.com/zk9fk

[ferrous]

For the low iron challenged, here isthe exact bit we want you
to explain for us.

"Phlebotomy provides temporary improvement but leads to iron
deficiency and can actually increase blood viscosity."

Jesus ate a mediterranean diet.