Jesus Christ, man! I actually had another dr tell me suspension shouldn't be taken when the eardrum's punctured. When I saw what you wrote I just about shit my pants, fucker! LOL I hope your next patient has a hairdryer stuck up his hairy, pimply ass and you've got to fish it out. :p
Originally posted by FATPad What exactly is the point of making doctors work 36 hour shifts?
I would think being dead ass tired and making decisions that affect people's lives is not the best combination in the world.
There is a certain mentality that working those sorts of schedules has a toughening effect, shows what you're made of.. a bootcamp mentality. Ironically current knowledge contradicts this. After 24 hours without sleep you're as impaired as someone with a .10 blood alcohol level whether its the first time you've been without sleep or the 500th, you never get used to it.
You are right about the mistakes by impaired, sleep deprived residents. They happen, and they can be deadly.
The mentality is changing, but as with all entrenched mentalities, its changing slowly.
Jesus Christ, man! I actually had another dr tell me suspension shouldn't be taken when the eardrum's punctured. When I saw what you wrote I just about shit my pants, fucker! LOL I hope your next patient has a hairdryer stuck up his hairy, pimply ass and you've got to fish it out. :p
But thanks for the legit answer. ;)
Are you sure the eardrum is actually ruptured and not just injured? The corti suspension is commonly used to treat injuries and tears, but seems to be contraindicated in people with full perforations.
Confirm with the doc before using it. He's probably right and some miscommunication maybe went on, but check again just to be sure.
Originally posted by FATPad What do you think of the Atkins diet?
What most docs like to see before recommending nearly anything is a long term human study. The longest done on atkins shows that six months of it will not hurt your cardiovascular system. You can smoke for six months and not have negative cardio effects.
Short term weight loss does not necessarily equal long term health benefits.
Originally posted by Gutterboy Are you sure the eardrum is actually ruptured and not just injured? The corti suspension is commonly used to treat injuries and tears, but seems to be contraindicated in people with full perforations.
Confirm with the doc before using it. He's probably right and some miscommunication maybe went on, but check again just to be sure.
Yeah, he said it's ruptured. What started as a mild earache Mon got extreme that night; was ready to go to ER when all of a sudden there was a loud rushing sound in my ear like when you hold your ear up to a seashell (it's the only way I can describe it lol), started feeling all this gurgling and popping, all this pressure started relieving and all that pain was literally gone within seconds. Then came the blood and pus.
Called Dr in am, he took a look and his exact words were, "Your eardrum has ruptured, it's been punctured." Then he went on to tell me he was prescribing milky-looking eardrops, that it's got a 75% chance of working to close the hole and regain my hearing, etc, etc, and that I have to go back in 2 weeks to see if it worked or if I'll need surgery.
Originally posted by Amputate Your Head Manic Depressive. I need a prescription. Any recommendations?
lithium has been the standard mood stabilizer since the 1800's. Its still popular because in the absence of preexisting cardiovascular or thyroid probs, it has a very good benefits to side effects ratio. The downside is an interaction potential with the the common otc painkillers ibuprofen and naproxen, and SSRI antidepressants. Its most likely what you'll get.
Originally posted by PostWhore is Creatine bad for you?
It has yet to be determined whether creatine supplementation has long term negative effects. There is solid evidence that it enhances athletic performance over the short term, but the claims tend to be exaggerated. This isn't my specialty, but if I were thinking about using it I'd check with a sports medicine physician I trusted first.
Originally posted by Amputate Your Head hmmm... well, I don;t use any of those painkillers, so I guess I'll be okay with that then?
Should be.. the only other contraindications are leukemia and severe renal problems. Just be sure to keep hydrated and take enough salt. The body will try to conserve lithium instead of salt if your serum sodium level gets too low, and that can lead to some probs.
They'll have to monitor your lithium levels for the first couple of weeks of therapy, but once you've been titrated to an effective dosage it should be relatively smooth sailing.
Despite the fact manic depression tends to manifest with far more distressing symptoms, its generally regarded as being easier to treat than clinical depression and various other mental health issues because lithium works so well for most people
my daughter gets a sharp headache when exposed to sun/bright light.
she was a preemie 16 years ago and has mild cerebral palsy. a few years back she got prescriptive lenses for her astigmatism and to correct the tendency for her eyes to cross. is the headache/light thing something to worry about or is it just time for a new presecription?
ps: her last eye exam was a little over a year ago.
Originally posted by titmowse my daughter gets a sharp headache when exposed to sun/bright light.
she was a preemie 16 years ago and has mild cerebral palsy. a few years back she got prescriptive lenses for her astigmatism and to correct the tendency for her eyes to cross. is the headache/light thing something to worry about or is it just time for a new presecription?
ps: her last eye exam was a little over a year ago.
Exposure to strong sunlight causes headaches in many people all by itself. If the headaches are behind or between the eyes, and there are no concurrent symptoms coming along with the headaches, its probably just time for a new prescription.
Given the history, I'd give her regular doctor a call anyway.
One general observation - Earlier in the thread I said that there are few things we want to see you in the ER for, and that headaches are on many an ER residents hate list. However, a sudden, very severe headache with no prior history is a good reason to come down for a visit. This is esp. true if its accompanied by other symptoms like changes in vision, dizziness, confusion, nausea, intense dislike of bright lights, or weakness.
Originally posted by Rose Crans I have an elderly uncle whose eyes are always dialated pretty big. Any idea what would cause this?
There are quite a few drugs he could be taking that cause it. Imitrex, atropine, any drug that has central nervous system stimulant effects, some antihisthamines, a few antidepressants.
Exposure to strong sunlight causes headaches in many people all by itself. If the headaches are behind or between the eyes, and there are no concurrent symptoms coming along with the headaches, its probably just time for a new prescription.
Given the history, I'd give her regular doctor a call anyway.
One general observation - Earlier in the thread I said that there are few things we want to see you in the ER for, and that headaches are on many an ER residents hate list. However, a sudden, very severe headache with no prior history is a good reason to come down for a visit. This is esp. true if its accompanied by other symptoms like changes in vision, dizziness, confusion, nausea, intense dislike of bright lights, or weakness.
thanks doc!
the headaches pass pretty quickly shes says and there's no nausea, weakness, dizzines or confusion. they've apparently been happening for a while now but i just found out. she tends to keep stuff like that from me cause i go into freak out mode.
i'll call to set up an appointment first thing tomorrow
There are quite a few drugs he could be taking that cause it. Imitrex, atropine, any drug that has central nervous system stimulant effects, some antihisthamines, a few antidepressants.
Thanks, Doc. He doesn't take any medications though. He's actually a maniac about not taking pills. Hmmmm...
the headaches pass pretty quickly shes says and there's no nausea, weakness, dizzines or confusion. they've apparently been happening for a while now but i just found out. she tends to keep stuff like that from me cause i go into freak out mode.
i'll call to set up an appointment first thing tomorrow
Your welcome. With headaches as with most things, if its happened before over a period of weeks, months or years and gone away by itself, 99% of the time its not a medical emergency. Sudden, intense aversion to sunlight can be a sign of something ominous (a subarachnoid hemorrhage), but those don't go away by themselves.
Originally posted by PostWhore add- attention deficit disorder
and also LD- learning disabilities
how do you fight htose things:-((((
i am lazy even to think...:-((((((((((((((
Learning disabilities need looking at by a specialist in that area. ADHD is probably overdiagnosed and overdrugged, so seeing a psychiatrist who both specialises in it and is also conservative in his approach (ie. reluctant to throw drugs at a problem) is the best bet. That is one of those area's where shopping around for a doc is a good idea.
Your welcome. With headaches as with most things, if its happened before over a period of weeks, months or years and gone away by itself, 99% of the time its not a medical emergency. Sudden, intense aversion to sunlight can be a sign of something ominous (a subarachnoid hemorrhage), but those don't go away by themselves.
well, thanks again. that makes me feel better. i really really really hate taking her to the hospital. it brings back bad memories.
Originally posted by Rose Crans Have you ever seen ER and if so, what do you think of it?
Never seen it, I like Clooney though. If you want the real deal, check out the emergency medicine or paramedic shows on the discovery health channel. Those are as true to life as you can get without spending a few days riding along in an ambulance or looking over the shoulder of an ER doc.
1. are all doctors jewish?
2. for every illness i had in my life i was given chicken soup by my polish grandmother. was she a good doctor?
3. is selling pornography a sin? can it be cured?
<b>For sale: Country in Europe, French speaking. Will not accept Belgium as tender. Offers above $1 should be sent to [email protected]<b>
Originally posted by capribex 1. are all doctors jewish?
2. for every illness i had in my life i was given chicken soup by my polish grandmother. was she a good doctor?
3. is selling pornography a sin? can it be cured?
1. No
2. No. Does she have money? If so, a malpractice suit may be in order. Cha-ching!
3. As long as it involves consenting adults I couldn't care less. Just don't come to me when you need the gourd surgically removed from your anus.
This is definitely fucked up, you would think a democraticly based government like US and a wealthy country like this would care enough about its citizens to provide at least the basic in medicine..preventative or otherwise..
Originally posted by Gutterboy My brother in law, an emergency room doc, is visiting. I've been showing him around the adult internet.. and knocking back a 12'er.
Originally posted by Gutterboy I'll pass that along. He's a cool guy.
And for the ladies.. he's mid-30's, single, and lives in Portland
Wouldn't your brother-in-law be married to your sister?
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