Ask an MD

[K-9]

Originally Posted by Lavender Lilac

What negative effects could come about from taking 100mg spironolactone twice daily and 1mg estradiol once daily, long term? Are these dosages safe?

They both have a variety of side effects and it's probably best to have regular checkups and labs while on them, but are RELATIVELY safe medications. The dosage really depends on your body and how you respond though.

[Rude Louis]

Ok K-9 here's the latest fuck up of mine:




Picture is a few hours after the incident.

Sprained the fuck out of my ankle (tripped on uneven ground). I can walk on it, but it still hurts like a bitch. From what I can tell, if I could not put all my weight on it, the ligaments would be seriously torn.

I'm just hoping there's no fractures or anything. I can wiggle all my toes and can rotate the foot (with pain). There's no bruising as of yet.

I put it on ice and such, but now I'm focused on making sure it repairs properly. I don't need to go limping around for the rest of my life.

What should I do to rehabilitate it?

[K-9]

Originally Posted by Rude Louis

Ok K-9 here's the latest fuck up of mine:




Picture is a few hours after the incident.

Sprained the fuck out of my ankle (tripped on uneven ground). I can walk on it, but it still hurts like a bitch. From what I can tell, if I could not put all my weight on it, the ligaments would be seriously torn.

I'm just hoping there's no fractures or anything. I can wiggle all my toes and can rotate the foot (with pain). There's no bruising as of yet.

I put it on ice and such, but now I'm focused on making sure it repairs properly. I don't need to go limping around for the rest of my life.

What should I do to rehabilitate it?

For right now, ice and ibuprofen to keep the swelling down. Give it some rest for right now, and wait a little bit before trying to put any pressure on it. I'm sure it hurts like a bitch though.

[dephdiddy]

Hi there, thanks for this awesome thread again btw...
my back has been an on and off issue for some time.. 3+ years now since I worked several manual labor jobs, the last of which lifting 40 - 50 lb boxes and restacking them, many days I didn't wear a back brace..
comparitively speaking though, its been a minor annoyance compared to the last 3 days... out of nowhere I got VERY sharp pains around the small of my back.
It feels kindof like a pinched nerve but a friend suggested it may be kidneys...
I drink a bottle or two of water followed by cranberry juice, amongst an otherwise shitty 3 meal + junk food diet...
I urinate more often, but it is admittedly more clear than usual, and always right after I drink something.
the pain isnt constant, and doesnt pulsate but i.. its only when I move in certain positions and walking is a tricky thing because i have to walk with a certain posture to avoid the pain...
anything I should be doing if its pinched nerve?
anything if kidneys..
there is a clinic across the street...= its starting to worry me that it wont go away, and I do not like painkillers, especially more than 1-2 vicodin a day, which barely help.
help

[K-9]

Originally Posted by dephdiddy

Hi there, thanks for this awesome thread again btw...
my back has been an on and off issue for some time.. 3+ years now since I worked several manual labor jobs, the last of which lifting 40 - 50 lb boxes and restacking them, many days I didn't wear a back brace..
comparitively speaking though, its been a minor annoyance compared to the last 3 days... out of nowhere I got VERY sharp pains around the small of my back.
It feels kindof like a pinched nerve but a friend suggested it may be kidneys...
I drink a bottle or two of water followed by cranberry juice, amongst an otherwise shitty 3 meal + junk food diet...
I urinate more often, but it is admittedly more clear than usual, and always right after I drink something.
the pain isnt constant, and doesnt pulsate but i.. its only when I move in certain positions and walking is a tricky thing because i have to walk with a certain posture to avoid the pain...
anything I should be doing if its pinched nerve?
anything if kidneys..
there is a clinic across the street...= its starting to worry me that it wont go away, and I do not like painkillers, especially more than 1-2 vicodin a day, which barely help.
help

It sounds most likely like a flare up of your back pain. Kidney stones can give some of the worst pain there is, and it's not really related to position. I would suspect that less than a flare of the back pain which can be pretty painful as well. The vast majority of the time there's nothing much to do but wait, take some pain meds, and avoid putting too much strain on your back. If it's really not getting better at all in a little while or if it is progressively getting worse, then I would go and have it checked out.

[Lavender Lilac]

Will chewing sugared gum before and during a blood test I fasted for impact the results in any real way?

Also, what kind of sadistic candy company puts sugar in my gum? I had no idea there was sugar in Big Red; sugared gum should be outlawed.

[K-9]

Originally Posted by Lavender Lilac

Will chewing sugared gum before and during a blood test I fasted for impact the results in any real way?

Also, what kind of sadistic candy company puts sugar in my gum? I had no idea there was sugar in Big Red; sugared gum should be outlawed.

Well it will show a higher blood sugar level that had you not ingested any sugar at all, but how much depends on how much sugar is in the gum and how your body processes it.

[rell]

My elbows click when doing push up exercises. The following day after performing the exercises I can "pop" them by full extending my elbows. What could be the problem?

[1337]

Originally Posted by Lavender Lilac

Also, what kind of sadistic candy company puts sugar in my gum? I had no idea there was sugar in Big Red; sugared gum should be outlawed.

How about you just choose your gum accordingly, and keep your dirty hands off my Big Red. "Sadistic" for using real sugar? Give me a fucking break, how about you bitch about them testing on animals instead.

This is like you bitching about how many calories are in a shot of vodka a long time ago. If you had the will power to control your intake of food/drink, there wouldn't be any problems.

[K-9]

Originally Posted by rell

My elbows click when doing push up exercises. The following day after performing the exercises I can "pop" them by full extending my elbows. What could be the problem?

Not really my field of knowledge, but from what I understand the clicking has to do with the mechanics of the joint movement and a relative laxity in the joint (i.e. connective tissue components) itself. And popping is generally thought to do with the release of dissolved air from the synovial fluid as the joint is stretched.
Has it always been like that or it something new? If it isn't something that just started and doesn't cause you any pain then it isn't something I would be too concerned about. But it's probably worth having checked out if it suddenly started after an injury or something and is causing pain, as that can gradually get worse.

[Rude Louis]

Originally Posted by K-9

For right now, ice and ibuprofen to keep the swelling down. Give it some rest for right now, and wait a little bit before trying to put any pressure on it. I'm sure it hurts like a bitch though.

It's been three weeks since the incident. Most of the pain is gone. Some swelling can be seen around the ankle right above the Achilles's Heel. Been using ibuprofen on and off, keeping it elevated, soaking in hot magnesium sulfate water and ice water periodically.

Can run, but pain sets in.

Thought about throwing money away to go to a physician but they'd only refer me to someone so I could throw my money away on an X-ray and MRI just so I could confirm my suspicions that a ligament may be torn.

[K-9]

Originally Posted by Rude Louis

It's been three weeks since the incident. Most of the pain is gone. Some swelling can be seen around the ankle right above the Achilles's Heel. Been using ibuprofen on and off, keeping it elevated, soaking in hot magnesium sulfate water and ice water periodically.

Can run, but pain sets in.

Thought about throwing money away to go to a physician but they'd only refer me to someone so I could throw my money away on an X-ray and MRI just so I could confirm my suspicions that a ligament may be torn.

It can take a while before it's completely better, but most of the pain being gone is a good sign. It also may never get to 100% of what it was before the injury, but if it's feeling better then you can't really ask for more.

[Lavender Lilac]

I know you may not know, because neurology is ridiculous and not all that much is known in the U.S. about etizolam, but:

http://www.zoklet.net/bbs/showthread.php?t=253265

[The Pat-Man]

Originally Posted by Rude Louis

It's been three weeks since the incident. Most of the pain is gone. Some swelling can be seen around the ankle right above the Achilles's Heel. Been using ibuprofen on and off, keeping it elevated, soaking in hot magnesium sulfate water and ice water periodically.

Can run, but pain sets in.

Thought about throwing money away to go to a physician but they'd only refer me to someone so I could throw my money away on an X-ray and MRI just so I could confirm my suspicions that a ligament may be torn.

yea bro i sprained mine about 3 years ago now and i still cant move it the way i can the other one. its always very stiff feeling.

[K-9]

When I see patients before we go into surgery I routinely ask them if they smoke, because it helps me to know what their breathing is going to be like. If they do, I'll ask how much and for how long, and what they think about quitting.
If you're a smoker, how do you feel about it? And how do you feel when being asked about it?

[constantinople]

Originally Posted by K-9

When I see patients before we go into surgery I routinely ask them if they smoke, because it helps me to know what their breathing is going to be like. If they do, I'll ask how much and for how long, and what they think about quitting.
If you're a smoker, how do you feel about it? And how do you feel when being asked about it?

I've been weaning off cigs the past 2 weeks. Pretty much down to 1-2 cigs a day, if that.

[IIIII]

Most doctors who asked, congratulated me when I told them I had quit.

[K-9]

Originally Posted by constantinople

I've been weaning off cigs the past 2 weeks. Pretty much down to 1-2 cigs a day, if that.

Well done, how have you been doing it?

[K-9]

Originally Posted by IIIII

Most doctors who asked, congratulated me when I told them I had quit.

And a well deserved congratulations it is.

[K-9]

Originally Posted by K-9

When I see patients before we go into surgery I routinely ask them if they smoke, because it helps me to know what their breathing is going to be like. If they do, I'll ask how much and for how long, and what they think about quitting.
If you're a smoker, how do you feel about it? And how do you feel when being asked about it?

Anyone else have any feelings on this? I appreciate the input.

[The Big LeBronowski]

do you ahve a lot of people lie before they go under like about their weight drug habits etc

[K-9]

Originally Posted by The Big LeBronowski

do you ahve a lot of people lie before they go under like about their weight drug habits etc

Not their weight because we weigh them in hospital but I'm sure about drug habits. If we really suspect something that will change what we're going to do then we'll send off a drug test before the surgery. Although people do tend to be fairly open about most things. They know we aren't trying to get them in trouble.

[1337]

Originally Posted by K-9

Anyone else have any feelings on this? I appreciate the input.

I would imagine as long as you say that you're only asking because you need to make sure they're safe, and you're going to spare the lecture, there would be no reason to lie. I lied to my doctor when I was a smoker because she was a bitch and would have definitely lectured me about the consequences of smoking, even though anyone with half a brain knows they're dangerous. Granted, this was just a GP, not an anesthesiologist.

[K-9]

Originally Posted by 1337

I would imagine as long as you say that you're only asking because you need to make sure they're safe, and you're going to spare the lecture, there would be no reason to lie. I lied to my doctor when I was a smoker because she was a bitch and would have definitely lectured me about the consequences of smoking, even though anyone with half a brain knows they're dangerous. Granted, this was just a GP, not an anesthesiologist.

It's more about finding how their lungs function than anything else, but as physicians we are expected to counsel anyone who does smoke on quitting. I don't harp on the subject, but I'll definitely ask them if they have thought about quitting. And then I usually say something along the lines - I'm sure you know it's not good for you and that it will help to quit, and I'm sure you've gotten the speech from everyone else already. Either I'll move on to the next thing I have to ask or sometimes the patient will start talking more about how he has tried, what has and hasn't worked, and how thye really do want to quit.

[IIIII]

I have read stories about women being alarmed about having breast cancer because their dog would sniff and paw at a woman's breast repeatedly. And then after seeing a doctor they are told that they have breast cancer.

And today there is a story in my local paper telling of a German Shepard pawing at a woman's side. After going to a doctor, she was told she had a Ewing Tumor on her rib. This is a very painful cancer and she was told she may not survive the cancer. But she is doing great after 11 years.

So the dog business happened over a decade ago.

I have also read a story of a doctor using the reward method to train a dog to find a sample of a cancerous biopsy.

Is there any discussion about this in Medical School or with the doctors that you encounter in your studies?

Do you think dogs will ever become tools in the medical field to diagnose patients?

[majikz10]

Basically from january i started to get a load of wierd symptoms,headaches,stiff neck,ringing ears,sensitive to light,heavy legs,body aches,legs trembling,sweating,bones clicking,rashes,fever,tingling and the list goes on and on and on.Doctors said i was deppressed wich i was a bit but thats because one week i was fine the next few weeks could barley walk or talk.

Started taking the anti-deppresent for 3 months with no improvement i was getting worse.Couldnt walk now.I knew there no way this was just deppression.Kept seeing the doc and they was like your just deppressed.I started looking up my symptoms online and they matched lymes disease everytime.I told my mum i think i have this lymes disease and she was like oh thats funny you said that cause your aunt had it.From then i knew it made sense because i was staying at my aunts for 5months in the countryside.

Told my doctor this they was like no your deppresed i said how can rashes and bone clicking be depression.They said it was all in my head and try put me on anti-phycotics.I didnt take them cause i was sure it was this lymes.They then sent me to a phyciatrist who asked what was wrong i showed him pics of the rashes and vids of mylegs trembling and also showed him all my bones click with slight movemet.He was in shock and was like no way is that deppresion they need to do more testing and sent a letter to them.

I went back and they said how many times have we told you your depressed.By this time i was that bad i had to move out of my flat and move back in with my mum as i started forgetting how to do basic things.My mum finnally listend and took me to a private hospital.The only hospital in Uk that deals with lymes disease.Straight away on symptoms pics vids and the fact i stayed in a known tick area and that my aunt had cought it from the same place they diagnosed me.Started me on anti-biotics.

4 weeks later my tests came back Possotive Lymes Disease.I Knew this 5months ago thats what make me so angry! Certain things improved on them 4weeks of oral antibiotics but stuff like word finding,stuttering,memorry,confussion,tingling all got worse.The private MD said i have neuro lymes disease and that these oral tablet arnt penetrating the blood brain barrior and he said i need IV treatment.My mum had just paid £2000 for all the testing and they wanted £3000 for 4weeks IV.I ended up falling out with my mum over this and moving back home cause she seemed to think that eating healthy and ill be fine.But she hasnt got a clue about it.

So i went back to my (FREE Healthcare) with my results.And they say "we dont think you have lyme"I was like its in black and whit i have every symptom,my aunt had it what is your problem.Then they said they want to retest for it but lymes isnt straight forward and the test for it in the UK are crap and give loads of false negatives.Thats why i went private and had my tests sent to the best tick bourne disease place in Clifornia called igenex.

This is a joke i have a rare disease that none of my doctors here have a clue about.I Dont have the money to see the only specialists in the Uk anymore.Lymes disease is sorounded by polotics and money.Some ideots came out with some guidlines saying that after 2weeks of treatment its gone.Well i and 1000s of other are proof that thats ball**** and its partly so insurance companies and healthcare dont have to fund it as its very expensive to treat.This has sucked the life out of me i lie in bed most days in pain with things only going to get worse.All comes down to money cause IV cost a lot of money and is probley why there not treating me.

Things are that bad i feel like i have atheritus in every joint,i cant even rember the day or time,i dont sleep im that stressed out.Im so ill and also trying to fight my case to get the treatment i need.But then you have alcholics getting liver transplants,i didnt ask for this f**** disease.I lay ib bed everyday hoping that they will listen soon

[Xlite]

I get a weird feeling right under my left shoulder blade sometimes.
Numbness/tingling is how i would describe it, it only lasts for a few secs, but then comes back again later.

Is it serious?
How do i get rid of it?

[Venom]

Originally Posted by K-9

It's more about finding how their lungs function than anything else, but as physicians we are expected to counsel anyone who does smoke on quitting. I don't harp on the subject, but I'll definitely ask them if they have thought about quitting. And then I usually say something along the lines - I'm sure you know it's not good for you and that it will help to quit, and I'm sure you've gotten the speech from everyone else already. Either I'll move on to the next thing I have to ask or sometimes the patient will start talking more about how he has tried, what has and hasn't worked, and how thye really do want to quit.

Unfortunately in the UK it could be used as an excuse not to treat you.

majikz10 try finding a no win no fee personal injury lawyer.

[K-9]

Originally Posted by IIIII

I have read stories about women being alarmed about having breast cancer because their dog would sniff and paw at a woman's breast repeatedly. And then after seeing a doctor they are told that they have breast cancer.

And today there is a story in my local paper telling of a German Shepard pawing at a woman's side. After going to a doctor, she was told she had a Ewing Tumor on her rib. This is a very painful cancer and she was told she may not survive the cancer. But she is doing great after 11 years.

So the dog business happened over a decade ago.

I have also read a story of a doctor using the reward method to train a dog to find a sample of a cancerous biopsy.

Is there any discussion about this in Medical School or with the doctors that you encounter in your studies?

Do you think dogs will ever become tools in the medical field to diagnose patients?

It's not something that we really discuss in teaching, but sometime in casual conversation. There are some interesting studies which seem to show that it may be possible but it's still pretty controversial. I think it's pretty awesome if we can make it happen reliably.

[K-9]

Originally Posted by majikz10

Basically from january i started to get a load of wierd symptoms,headaches,stiff neck,ringing ears,sensitive to light,heavy legs,body aches,legs trembling,sweating,bones clicking,rashes,fever,tingling and the list goes on and on and on.Doctors said i was deppressed wich i was a bit but thats because one week i was fine the next few weeks could barley walk or talk.

Started taking the anti-deppresent for 3 months with no improvement i was getting worse.Couldnt walk now.I knew there no way this was just deppression.Kept seeing the doc and they was like your just deppressed.I started looking up my symptoms online and they matched lymes disease everytime.I told my mum i think i have this lymes disease and she was like oh thats funny you said that cause your aunt had it.From then i knew it made sense because i was staying at my aunts for 5months in the countryside.

Told my doctor this they was like no your deppresed i said how can rashes and bone clicking be depression.They said it was all in my head and try put me on anti-phycotics.I didnt take them cause i was sure it was this lymes.They then sent me to a phyciatrist who asked what was wrong i showed him pics of the rashes and vids of mylegs trembling and also showed him all my bones click with slight movemet.He was in shock and was like no way is that deppresion they need to do more testing and sent a letter to them.

I went back and they said how many times have we told you your depressed.By this time i was that bad i had to move out of my flat and move back in with my mum as i started forgetting how to do basic things.My mum finnally listend and took me to a private hospital.The only hospital in Uk that deals with lymes disease.Straight away on symptoms pics vids and the fact i stayed in a known tick area and that my aunt had cought it from the same place they diagnosed me.Started me on anti-biotics.

4 weeks later my tests came back Possotive Lymes Disease.I Knew this 5months ago thats what make me so angry! Certain things improved on them 4weeks of oral antibiotics but stuff like word finding,stuttering,memorry,confussion,tingling all got worse.The private MD said i have neuro lymes disease and that these oral tablet arnt penetrating the blood brain barrior and he said i need IV treatment.My mum had just paid £2000 for all the testing and they wanted £3000 for 4weeks IV.I ended up falling out with my mum over this and moving back home cause she seemed to think that eating healthy and ill be fine.But she hasnt got a clue about it.

So i went back to my (FREE Healthcare) with my results.And they say "we dont think you have lyme"I was like its in black and whit i have every symptom,my aunt had it what is your problem.Then they said they want to retest for it but lymes isnt straight forward and the test for it in the UK are crap and give loads of false negatives.Thats why i went private and had my tests sent to the best tick bourne disease place in Clifornia called igenex.

This is a joke i have a rare disease that none of my doctors here have a clue about.I Dont have the money to see the only specialists in the Uk anymore.Lymes disease is sorounded by polotics and money.Some ideots came out with some guidlines saying that after 2weeks of treatment its gone.Well i and 1000s of other are proof that thats ball**** and its partly so insurance companies and healthcare dont have to fund it as its very expensive to treat.This has sucked the life out of me i lie in bed most days in pain with things only going to get worse.All comes down to money cause IV cost a lot of money and is probley why there not treating me.

Things are that bad i feel like i have atheritus in every joint,i cant even rember the day or time,i dont sleep im that stressed out.Im so ill and also trying to fight my case to get the treatment i need.But then you have alcholics getting liver transplants,i didnt ask for this f**** disease.I lay ib bed everyday hoping that they will listen soon

Wow I'm sorry to hear that you had such a terrible experience. Socialized medicine definitely leaves a lot to be desired. I'm working in the US now, but I am Canadian and I know just how problematic socialized medicine can be.

[K-9]

Originally Posted by Xlite

I get a weird feeling right under my left shoulder blade sometimes.
Numbness/tingling is how i would describe it, it only lasts for a few secs, but then comes back again later.

Is it serious?
How do i get rid of it?

Did it just recently start? Did you injure it in any way? Is there anything that brings it on and anything that makes it better? any other associated symptoms? That's a little vague but it doesn't sound super concerning if it isn't really bothering you all that much.

[K-9]

Originally Posted by Venom

Unfortunately in the UK it could be used as an excuse not to treat you.

majikz10 try finding a no win no fee personal injury lawyer.

Well I would hope that they don't cancel surgeries for the sole reason that a person is a smoker.

[Xlite]

Originally Posted by K-9

Did it just recently start? Did you injure it in any way? Is there anything that brings it on and anything that makes it better? any other associated symptoms? That's a little vague but it doesn't sound super concerning if it isn't really bothering you all that much.

It mostly happens in a sitting position, but i can feel it if i get up anyway.
If i move my upper body around a little bit it goes away, but still comes back later at some point. That's really all i can tell.

[Venom]

I've got some new questions,
What changes in men cause baldness on your head but extra hair growth elsewhere and middle age spread?

[K-9]

Originally Posted by Xlite

It mostly happens in a sitting position, but i can feel it if i get up anyway.
If i move my upper body around a little bit it goes away, but still comes back later at some point. That's really all i can tell.

Sorry I didn't respond sooner. It sounds like it is musculoskeletal in nature, but hard to say more without further details.

[K-9]

Originally Posted by Venom

I've got some new questions,
What changes in men cause baldness on your head but extra hair growth elsewhere and middle age spread?

As far as I know hair loss is related to levels of androgens, particularly testosterone and DHT, and their receptors, as well as various genes and enzymes. There is a fair amount of research into the genetics of it, but there are definitely still many questions to be answered.

[Freud]

I don't know if you're offering these services of advice anymore, but I'm about to my wittsend with all the doctors. I've been seen by my orthopedic, genetics, endocrinologist, Rheumatologist psychiatrist, pulmonary. They've all told me stuff, we come back in months time and they say the same thing over and over. I mainly work with my pulmonary. I've done therapy for over 5 years, it's not achieved anything. I have been diagnosed with, scoliosis, fibromyalgia, insomnia, rest-less leg syndrome, chronic pain syndrome, hyper mobility dysfunctions. I was also born with kleinfelers as that helps even more I also during my childhood quite "depressive" I was and still am in denial of it as I just cant let this keep interfering with me. Though depression through my younger years were due to family relation issues. You'd think there'd be someway after a absolutely horrific childhood to spare that child from future horrors. Nope, I was wrong more worse things for me. My rheumetolgist has been seeing me for three years and he was at one point the main pill subscriber and he wasn't really into any benzos or other "narcotic" drugs. That's pretty much with all doctors I've seen. The pain is intense as I have nerve muscles that are spasm and is quite uncomfortable. I'm not able to walk or stand for long distances without feeling enormousness pain and tiredness. I'm clueless of why this is happening to me I'm only 23 years old. I'm needing help on what medications I should take and I am preparing myself when I see my Pulmonary and Neurological doctor at the same time. I want to walk in with documents that are found from http://www.ncbi.nlm.nih.gov/pubmed/ a highly known website they quote when we have our dates to see the doctor. I really want to start feeling better but I don't think the doctors are seeing it as it hurts me. They have told me its all in my head and I'm pretending the pain. I really am not, I've been suffering in pain that is someday not even able to get out of bed because the pain is so bad. I'm told to calm down and take some Advil or Asprin. I have and I've told them over and over its make me sick now. They ask how many I'm taking a day and I reply honestly with 14-16 per day to even feel any relief. You are failing to treat me and I am killing my liver in the process. I'm just ready to give them my point of view and if they don't like it then I'm totally fucked. I mean there are no more pain doctors and other practices that will cover my insurance. I'm just seeking hope from those who have gone and tried strong.

I've tried all of the following - will explain what happens
Cyclobenzaprine 10mg - Have taken for 3-5 years now and I have to take more than 10mg (40-60mg) to even better the same effect. They are better before bed.

Ambien 10mg - Absolutely loved this, but it stopped working and turned into a stimulant leaving me wide awake after taking it, so we proceeded to drop this.

Xanax 2mg - Helped tremendously before bed would be able to calm my nerves down. Though the rheuemtologist wouldn't refill the script anymore for unstated reasons.

Zaleplon 10mg - Helped the first week and half and it suddenly stopped working. Doctor took me off that medicine

Klonopin 0.5mg - I see no results with this drug, doctor strongly encourages it. Will see about upping the dosage to a higher mg.

Lunesta 2mg - This just has to go, it's the worst foul tasting in your mouth ever. You can brush your teeth and mouth wash with Clorox bleach and your mouth will still stink.

Melatonin 1mg - I don't notice a difference and I didn't notice a difference when they tried 10mg over a year ago.

Clonodine 0.2mg - Worked for 6 years and it was game over for this bad boy.

methylphenidate 36mg - Shit keeps me up for over a days time cannot get any sleep

methylphenidate 20mg - It's a good lasting 4 hours for things that need to be done.

Ondanesetron 8mg - I have extreme morning nausea and this pill is like Jesus.

Just a sum up, I'm asking for your help on advice on how to approach these people without looking like a junkie (I am very respected and well mannered in public gods truth Which medications seem appropriate and please associate them their class/family). I will probably edit this post when I think of all the medications are that I am on presently.

[Freud]

Originally Posted by Bipolar High Roller

^Honestly, you need to smoke weed. It will help all your symptoms.

I do, the pain is so severe marijuana's only use for me is being able to eat on the days I feel like shit.

[K-9]

Originally Posted by Freud

I don't know if you're offering these services of advice anymore, but I'm about to my wittsend with all the doctors. I've been seen by my orthopedic, genetics, endocrinologist, Rheumatologist psychiatrist, pulmonary. They've all told me stuff, we come back in months time and they say the same thing over and over. I mainly work with my pulmonary. I've done therapy for over 5 years, it's not achieved anything. I have been diagnosed with, scoliosis, fibromyalgia, insomnia, rest-less leg syndrome, chronic pain syndrome, hyper mobility dysfunctions. I was also born with kleinfelers as that helps even more I also during my childhood quite "depressive" I was and still am in denial of it as I just cant let this keep interfering with me. Though depression through my younger years were due to family relation issues. You'd think there'd be someway after a absolutely horrific childhood to spare that child from future horrors. Nope, I was wrong more worse things for me. My rheumetolgist has been seeing me for three years and he was at one point the main pill subscriber and he wasn't really into any benzos or other "narcotic" drugs. That's pretty much with all doctors I've seen. The pain is intense as I have nerve muscles that are spasm and is quite uncomfortable. I'm not able to walk or stand for long distances without feeling enormousness pain and tiredness. I'm clueless of why this is happening to me I'm only 23 years old. I'm needing help on what medications I should take and I am preparing myself when I see my Pulmonary and Neurological doctor at the same time. I want to walk in with documents that are found from http://www.ncbi.nlm.nih.gov/pubmed/ a highly known website they quote when we have our dates to see the doctor. I really want to start feeling better but I don't think the doctors are seeing it as it hurts me. They have told me its all in my head and I'm pretending the pain. I really am not, I've been suffering in pain that is someday not even able to get out of bed because the pain is so bad. I'm told to calm down and take some Advil or Asprin. I have and I've told them over and over its make me sick now. They ask how many I'm taking a day and I reply honestly with 14-16 per day to even feel any relief. You are failing to treat me and I am killing my liver in the process. I'm just ready to give them my point of view and if they don't like it then I'm totally fucked. I mean there are no more pain doctors and other practices that will cover my insurance. I'm just seeking hope from those who have gone and tried strong.

I've tried all of the following - will explain what happens
Cyclobenzaprine 10mg - Have taken for 3-5 years now and I have to take more than 10mg (40-60mg) to even better the same effect. They are better before bed.

Ambien 10mg - Absolutely loved this, but it stopped working and turned into a stimulant leaving me wide awake after taking it, so we proceeded to drop this.

Xanax 2mg - Helped tremendously before bed would be able to calm my nerves down. Though the rheuemtologist wouldn't refill the script anymore for unstated reasons.

Zaleplon 10mg - Helped the first week and half and it suddenly stopped working. Doctor took me off that medicine

Klonopin 0.5mg - I see no results with this drug, doctor strongly encourages it. Will see about upping the dosage to a higher mg.

Lunesta 2mg - This just has to go, it's the worst foul tasting in your mouth ever. You can brush your teeth and mouth wash with Clorox bleach and your mouth will still stink.

Melatonin 1mg - I don't notice a difference and I didn't notice a difference when they tried 10mg over a year ago.

Clonodine 0.2mg - Worked for 6 years and it was game over for this bad boy.

methylphenidate 36mg - Shit keeps me up for over a days time cannot get any sleep

methylphenidate 20mg - It's a good lasting 4 hours for things that need to be done.

Ondanesetron 8mg - I have extreme morning nausea and this pill is like Jesus.

Just a sum up, I'm asking for your help on advice on how to approach these people without looking like a junkie (I am very respected and well mannered in public gods truth Which medications seem appropriate and please associate them their class/family). I will probably edit this post when I think of all the medications are that I am on presently.

Well I apologize for not getting to this earlier, this thread ended up falling down the ways.

That's a lot to deal with and good for you for trying to keep a level head and make progress. I believe the best way to approach it is to be completely honest. I can appreciate when someone comes to me and tells me everything out in the open in a calm and collected fashion. If you discuss how each medication works for you and how it makes you feel, then someone can make a fully informed decision on what the next steps should be. Honesty and laying things out on the table will really boost your credibility.

The best thing (and sadly probably the hardest) would be to find someone you can really trust, connect with, and discuss these matters with. I know a lot of psychiatrists, and just being one has absolutely no bearing on how good they are. It may be really difficult to find someone to connect with, but it can be one of the best thing you could ever do.

[Iehovah]

Originally Posted by IIIII

I have read stories about women being alarmed about having breast cancer because their dog would sniff and paw at a woman's breast repeatedly. And then after seeing a doctor they are told that they have breast cancer.

The problem with dogs is that they're a terribly limited tool of diagnosis, and worthless as a tool of treatment. Sure, it's a neat trick to have Rover identify someone with cancer out of a group of people, and could save you a boatload on screening for cancer. However, once you know you have it, you're still going to have to get tested, because Rover's nose doesn't tell you other critically important information like which of a hundred different miniscule parts of the anatomy or major organs the cancer is actually located in, how far it's metastasized and what you're going to do about it depending on the stage.