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- Dec 6, 2006
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My question with physiology is like this - described with an analogy - imagine you are in a casino putting a coin in a machine and it has several places that it can run down (several chutes). How do you know what chute the coin is going to run down?
same deal with physiology:
you can logically "trigger" several "reactions" to a disturbance such as lasix.
How do you know which one is the right reaction to pick when they are all physiologically sensible?
Specifically, we know lasix blocks the NKCC2 channel - but if you think a couple of steps forward you should also know that it makes you lose calcium, but your serum calcium won't be a problem because PTH will upregulate? How was I supposed to know that PTH will definitely upregulate, and the NKCC2 proteins won't upregulate and eventually cancel the effect of the NKCC2 blockade?
thanks
same deal with physiology:
you can logically "trigger" several "reactions" to a disturbance such as lasix.
How do you know which one is the right reaction to pick when they are all physiologically sensible?
Specifically, we know lasix blocks the NKCC2 channel - but if you think a couple of steps forward you should also know that it makes you lose calcium, but your serum calcium won't be a problem because PTH will upregulate? How was I supposed to know that PTH will definitely upregulate, and the NKCC2 proteins won't upregulate and eventually cancel the effect of the NKCC2 blockade?
thanks