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Old 05-16-2003, 10:38 PM   #51
The Other Sweetie
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Quote:
Originally posted by Gutterboy
I was kidding!
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. ;)
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Old 05-16-2003, 10:39 PM   #52
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Quote:
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.
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Old 05-16-2003, 10:40 PM   #53
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Which has had better results treating depression.
Zoloft or Prozac?


Oz
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Old 05-16-2003, 10:43 PM   #54
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Originally posted by OzKaNoz
Which has had better results treating depression.
Zoloft or Prozac?


Oz
No idea.
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Old 05-16-2003, 10:45 PM   #55
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Why do you have to lose so much weight to have a hernia operation?
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Old 05-16-2003, 10:47 PM   #56
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My fucking nuts itch...
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Old 05-16-2003, 10:47 PM   #57
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Quote:
Originally posted by The Other Sweetie


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.
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Old 05-16-2003, 10:49 PM   #58
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My fucking nuts itch...
Spred peanutbutter on them, call the dog over.
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Old 05-16-2003, 10:52 PM   #59
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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.
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Old 05-16-2003, 10:59 PM   #60
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Spred peanutbutter on them, call the dog over.
Thats a temporary solution and you know it !
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Old 05-16-2003, 11:04 PM   #61
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Thats a temporary solution and you know it !
Not if you have a dog that REALLY likes peanut butter
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Old 05-16-2003, 11:06 PM   #62
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aspirin or advil?!
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Old 05-16-2003, 11:06 PM   #63
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Quote:
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.
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Old 05-16-2003, 11:09 PM   #64
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aspirin or advil?!
dihydrocodiene suspension enema
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Old 05-16-2003, 11:10 PM   #65
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Manic Depressive. I need a prescription. Any recommendations?
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Old 05-16-2003, 11:11 PM   #66
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is Creatine bad for you?
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Old 05-16-2003, 11:13 PM   #67
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Manic Depressive. I need a prescription. Any recommendations?
More beer! and more Maui wowee and a bigger cat to kill those lizards
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Old 05-16-2003, 11:21 PM   #68
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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.
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Old 05-16-2003, 11:23 PM   #69
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hmmm... well, I don;t use any of those painkillers, so I guess I'll be okay with that then?
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Old 05-16-2003, 11:27 PM   #70
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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.
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Old 05-16-2003, 11:34 PM   #71
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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

Last edited by Gutterboy; 05-16-2003 at 11:38 PM..
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Old 05-16-2003, 11:38 PM   #72
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This is the first remotely interesting "For the next hour" type thread I have ever seen on GFY. Bravo!

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Old 05-16-2003, 11:46 PM   #73
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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.
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Old 05-16-2003, 11:46 PM   #74
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This is the first remotely interesting "For the next hour" type thread I have ever seen on GFY. Bravo!

SpaceAce
Thank you. We are through our 12 pack and onto the 1st bottle of wine

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Old 05-16-2003, 11:57 PM   #75
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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.

Last edited by Gutterboy; 05-17-2003 at 12:00 AM..
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Old 05-17-2003, 12:01 AM   #76
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I have an elderly uncle whose eyes are always dialated pretty big. Any idea what would cause this?
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Old 05-17-2003, 12:09 AM   #77
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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.
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Old 05-17-2003, 12:09 AM   #78
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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

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Old 05-17-2003, 12:09 AM   #79
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add- attention deficit disorder
and also LD- learning disabilities

how do you fight htose things:-((((

i am lazy even to think...:-((((((((((((((
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Old 05-17-2003, 12:15 AM   #80
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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...
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Old 05-17-2003, 12:20 AM   #81
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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

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.
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Old 05-17-2003, 12:26 AM   #82
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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.
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Old 05-17-2003, 12:28 AM   #83
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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.
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Old 05-17-2003, 12:29 AM   #84
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Have you ever seen ER and if so, what do you think of it?
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Old 05-17-2003, 12:30 AM   #85
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Thanks, Doc. He doesn't take any medications though. He's actually a maniac about not taking pills. Hmmmm...
Its probably just a normal variant then.
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Old 05-17-2003, 12:35 AM   #86
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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.
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Old 05-17-2003, 12:42 AM   #87
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Thanks, again.
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Old 05-17-2003, 01:03 AM   #88
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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?
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Old 05-17-2003, 01:13 AM   #89
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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.
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Old 05-17-2003, 01:20 AM   #90
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alright, he's gone to bed.

He's around for a week though... so if I can get him drunk enough again.. he might be persuaded to return for one more night of drunken doctoring.

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Old 05-17-2003, 01:22 AM   #91
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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.
1. no?!?! even Archie Bunker only trusted them...
2. no money. just lots of more chicken soup :-(
3. should i THEN see about a jewish doctor?
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Old 05-17-2003, 03:01 AM   #92
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That was the first time I ever read EVERY SINGLE person's question/response in a thread that long...

BRAVO!

Punch the doc in the head while he's sleeping (to wake him up of course) and say thanks for us!
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Old 05-17-2003, 03:21 AM   #93
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I'll pass that along. He's a cool guy.

And for the ladies.. he's mid-30's, single, and lives in Portland
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Old 05-17-2003, 03:45 AM   #94
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isn't this fucked up? fucking govts

if you haven't seen John Q it says A LOT

http://www.popmatters.com/film/reviews/j/john-q.html
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..
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Old 05-17-2003, 06:48 AM   #95
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Hey you
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Old 05-17-2003, 07:37 AM   #96
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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.
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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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Old 05-17-2003, 07:47 AM   #97
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Wouldn't your brother-in-law be married to your sister?
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Old 05-17-2003, 07:58 AM   #98
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Wouldn't your brother-in-law be married to your sister?
ROTFLMAO!

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Old 05-17-2003, 08:00 AM   #99
capribex
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Join Date: Feb 2001
Location: Amsterdam
Posts: 382
hehe... soon as he said not all doctors are jewish and that chicken soup is not mainstream medicine, i began to be suspecious...
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Old 05-17-2003, 08:07 AM   #100
JDragon
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Join Date: May 2003
Posts: 6

Quote:
Originally posted by Gutterboy
alright, he's gone to bed.

He's around for a week though... so if I can get him drunk enough again.. he might be persuaded to return for one more night of drunken doctoring.

Please do. He seems rather intellegent, well collected, and precise fellow. From what I've seen, he did a good job.
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