TM> Greetings, All!!
Hello Tom,
     Your  message  was date 8/16/95 and it arrived here  to  Los Angeles on 
9/2/95.  That's slow, even for Fido.
 TM> Is it possible (and have any of you noted a siilar effect) that the
 TM> forced-labor and Muscle cramps could have raised that CPK SMA to 270?
 TM> Normally, it is a sign of a silent Heart attack or MI, but i prefer to
 TM> think it was the exercise and cramps! :-)
 TM> Thoughts???
     I don't have extensive knowledge, but I do know that overuse of muscle 
groups in PPSers can cause elevated CPK.  I'm not sure, however,  whether  
the CPK that indicates  muscle  deterioration, other than heart attack, is a 
subset of the general CPK or  visa- versa.  My wife, an RN, has just informed 
me that the CPK numbers are indicative of general muscle deterioration (or 
lack of same,) and  CPK (MB) is the number that would indicate  heart  
problems.  It appears then that the forced labor, as you describe it,  would 
be the cause of your elevated numbers.
   Ed Grey
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