20:34:19 [Neuro4u] Kuru

20:34:27 [Neuro4u] host is

20:34:37 Jeffk13057 enters this room

20:34:47 [MDdoc] people i think

20:34:48 [Neuro4u] hi Jeff

20:34:53 [MDdoc] hi jeff

20:34:58 [Jeffk13057] hey guys how is everyone

20:34:59 [Neuro4u] Human host...yes

20:35:16 [Neuro4u] good...we are talking about prion disease

20:35:20 [Neuro4u] Kuru

20:35:25 [Jeffk13057] excellent

20:35:27 [Neuro4u] location

20:35:42 [Neuro4u] region in world

20:35:43 [Jeffk13057] me?

20:36:00 [Neuro4u] New Guinea

20:36:06 [MDdoc] far, far away

20:36:10 [Jeffk13057] syracuse

20:36:36 [Neuro4u] Fore Tribe....they consume infected brains...

20:36:49 [Neuro4u] brain for dinnner

20:36:51 [MDdoc] neuro meant location of Kuru

20:37:17 [MDdoc] that doesn't sound tempting

20:37:33 [Neuro4u] sorry ....I am not good typist or spelling

20:37:37 [MDdoc] thats the one that causes SSE...right

20:37:57 [Neuro4u] thanks...Kuru......

20:38:04 [Neuro4u] yes

20:38:28 [Neuro4u] Subacute Spongiform Encephalolpathy SSE

20:38:40 [MDdoc] CJD also causes it if i remember correctly

20:38:58 [Neuro4u] so if the person is from New Guinea...

20:39:09 [Neuro4u] yes CJD

20:39:28 [Neuro4u] what doctor is at risk for getting CJD

20:40:03 [MDdoc] neurosurgeon??

20:40:10 [Neuro4u] CJD also has genetic predisposition

20:40:21 [Neuro4u] yes...neurosurgeon...

20:40:37 [Jeffk13057] autosomal dominant

20:40:43 [MDdoc] really genetics?

20:40:58 [Neuro4u] thanks jeff...

20:41:08 [Jeffk13057] yup

20:41:28 [Neuro4u] anything else about CJD

20:41:58 [Jeffk13057] life expectancy <1 year after dx

20:42:02 bhavani enters this room

20:42:15 [Neuro4u] very good to know

20:42:18 [MDdoc] hi bhavani

20:42:36 [bhavani] hi doc

20:42:43 [Neuro4u] the only other prion we might be tested on is Scrapie

20:42:56 [Neuro4u] hi bhavani

20:43:09 [Jeffk13057] hi bhavani

20:43:24 [bhavani] hi neuro

20:43:34 [bhavani] hi jeff

20:43:53 [MDdoc] dont know much about scrapie except i think that it also causes SSE

20:44:00 [Neuro4u] Host of Scrapie?

20:44:07 [Jeffk13057] hello...

20:44:15 [Neuro4u] yes all SSE

20:44:24 [Jeffk13057] sheep of course my favorite

20:44:35 [Neuro4u] yes

20:44:53 [Neuro4u] Scrapie from Sheep

20:45:07 [MDdoc] ok

20:46:42 [MDdoc] how does HIV mutate, antigenic shift or drift?

20:46:48 [Neuro4u] Progressive multifocal leuk

20:47:14 [Jeffk13057] i forget

20:47:22 [Neuro4u] drift

20:47:36 [Jeffk13057] ok

20:47:45 [MDdoc] yes that the drift

20:48:54 [MDdoc] PML is caused by JC ...right?

20:49:06 [Neuro4u] yes

20:49:32 [Neuro4u] Hand foot and mouth disease? children

20:49:44 [Neuro4u] I saw this alot in Peds.

20:49:49 [MDdoc] coxsackie

20:50:09 [Neuro4u] I was surprised to see so many....yes coxsackie

20:50:33 [Neuro4u] which.....causes heart problems?

20:50:34 [Jeffk13057] gotta go guys...see yah all later

20:50:40 [Neuro4u] A or B

20:50:53 [Neuro4u] Bye Jeff...

20:51:05 [Neuro4u] Bhavani...are u there

20:51:06 [MDdoc] see ya Jeff

20:51:21 [MDdoc] A

20:51:33 [bhavani] yes

20:51:51 [Neuro4u] I think it is B

20:51:51 [bhavani] coxb

20:52:17 [Neuro4u] I was taliking off the top of my head....

20:52:21 [MDdoc] hand foot and mouth i thought was A

20:52:35 [Neuro4u] yes

20:52:40 [MDdoc] off top of my head too so not sure

20:52:56 [Neuro4u] B damages the heart...but double check ok

20:53:16 [MDdoc] that's part of Picorna, mneumonic is PEE Co Rn A, Polio, Echo, Entero, Coxsackie, Rhino, hep A

20:54:43 [Neuro4u] B for Myocarditis

20:54:53 [Neuro4u] I confirmed

20:55:00 [Neuro4u] A HFM