Eye Twitching
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From: MD
Originally Posted by espelirS2K,Feb 26 2010, 02:02 PM
But I thought you "didn't drink that much"?
I don't drink that much, and my eyes certainly don't twitch.
I don't drink that much, and my eyes certainly don't twitch.
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From: Salt Lake City, UT
Originally Posted by S2K Medic,Feb 26 2010, 11:15 AM
I'm not going to say I've seen it all but honetly nobody can. Had a cva this morning, simple fix.. Thromboloticsactive. septal mi after,Easy fix... Cardiac cath. then copd/chf exacerbation.... Sit up, lasix, high flow 02.
My questions are.... Why are there over 18 million kids under the age of 13 on anti depessents. Most of them come with the side effect of increased suicidal ideation? Why was my grandfather get a nitro drip and nitro pasted when it is totally contraindicated by a stroke? Because the dr misdiagnosed and mistreated leading to his death. Mal-practice insurance? No way, what doctor still carries it? Why was I being treated for chrons/collitus for 10 years only to be told they were wrong and now they decide it's now GERD years later. Was spending thousand of dollars on tests, specialist, meds, MRI and mra's justifable , hospital stays and stress of worrying, only to be told somebody made a mistake and everybody has just been wrongfully treating you?
My questions are.... Why are there over 18 million kids under the age of 13 on anti depessents. Most of them come with the side effect of increased suicidal ideation? Why was my grandfather get a nitro drip and nitro pasted when it is totally contraindicated by a stroke? Because the dr misdiagnosed and mistreated leading to his death. Mal-practice insurance? No way, what doctor still carries it? Why was I being treated for chrons/collitus for 10 years only to be told they were wrong and now they decide it's now GERD years later. Was spending thousand of dollars on tests, specialist, meds, MRI and mra's justifable , hospital stays and stress of worrying, only to be told somebody made a mistake and everybody has just been wrongfully treating you?
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)...
Crohn's maybe, but still ...And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
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From: San Diego, CA
Originally Posted by VitaRenovatio,Feb 26 2010, 10:34 PM
I normally don't even look at the Off-Topic forum, but this one caught my eye, and this post in particular. There is so much ignorance on this one post, that I have to comment. I am a second year medical student, but even I know this is just bogus.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)... Crohn's maybe, but still ...
And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)...
Crohn's maybe, but still ...And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
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From: Baltimore, MD
Originally Posted by S2K Medic,Feb 26 2010, 01:40 PM
Coming from a paramedic. **** what all doctors say, they don't know shit. Medicine is a guessing game that's all about money. There's a reason they say doctors practice instead if work. Have you ever heard of a doctor making a mistake?? Nope because they've already been buried and forgotten. Self medicating IMO is safer than what these doctors give, plus you don't have to wait a month, pay $100 copay, $50 script, $100 follow up appts, $100 bloodwork, $150 speciatlist, then go back to the doctor for them to say the meds inneffective and well try another med for a new diagnoses and another 500 out the window, then next week well do the same thing and rob you of more money until your fed up with the medical system and say **** it, I'll deal with the symptoms rather than be a human guine pig any longer. Good luck with your situation.
Disclaimer: I have the utmost respect for any medical professional including first responders as I work with many great paramedics at my facility. I have also worked with physicians whom had a less than adequate grasp of the knowledge/skill required to be proficient practitioner. This response was simply generated in the presence of great ignorance. Frankly, I wouldn't feel safe in the hands of someone with such a skewed reality of the medical world, even if it was for a 15 minute transport.
/rant
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From: MD
Originally Posted by VitaRenovatio,Feb 26 2010, 09:34 PM
I normally don't even look at the Off-Topic forum, but this one caught my eye, and this post in particular. There is so much ignorance on this one post, that I have to comment. I am a second year medical student, but even I know this is just bogus.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)... Crohn's maybe, but still ...
And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)...
Crohn's maybe, but still ...And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
Thanks man. helps to know I have a medical expert in here telling me something. Im just going to wait it out and see what happens. Its been slowing down for 2 days so far; been sticking to the vitamins and havnt had a drink for like (4?) days. Im going to look up "benign fasciculations" lol. I dont think anyone knows the TRUE meaning behind it, to be honest I think it could be linked to several things. Just aslong as I dont have a parasite or some shit in my eye idc (that show Monsters Inside Me had me thinking about it LOL)
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From: Cincinnati, OH
Originally Posted by VitaRenovatio,Feb 27 2010, 12:34 AM
I normally don't even look at the Off-Topic forum, but this one caught my eye, and this post in particular. There is so much ignorance on this one post, that I have to comment. I am a second year medical student, but even I know this is just bogus.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)... Crohn's maybe, but still ...
And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)...
Crohn's maybe, but still ...And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
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Likes: 150
From: Doh!!
Originally Posted by VitaRenovatio,Feb 26 2010, 09:34 PM
I normally don't even look at the Off-Topic forum, but this one caught my eye, and this post in particular. There is so much ignorance on this one post, that I have to comment. I am a second year medical student, but even I know this is just bogus.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)... Crohn's maybe, but still ...
And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
CVA. If you find a patient with a CVA, please don't give him thrombolytics and call it a day. That person needs to see a physician, preferably a neurologist, a real MD who went through 4 years of medical school, then 4 more years of post-graduate training--and not some dude who took night classes for a couple years and thinks there is a simple fix for CVA. First of all, alteplase therapy is still a bit controversial, and must be given within a time frame (also controversial, 3 hours is still the standard, I think). Next, hopefully you will do a CT to rule out a intracranial hemorrhage or major ischemic infarction. Did you check his platelets? Is he on oral anticoagulant therapy for his possible atrial fibrillation? Does he have hypertension? And please don't just send him on his way, you probably didn't treat his underlying condition, which could be anything from atrial fibrillation, valvular defect, atherosclerotic plaque, and whatever else you can think of.
Acute COPD Exacerbation. Again, if a patient has an acute exacerbation with hypoxemia and respiratory acidosis, this patient needs to go to the hospital immediately and see a physician. And no, the drug of choice is not lasix (furosemide). It’s actually a beta agonist, for example, albuterol. An anticholinergic such as ipatroprium and systemic corticosteroids (prednisone) are also used along with O2 therapy. Perhaps some antibiotics (TMP/SMX, amoxicillin, tetracycline, etc) depending on etiology. And hopefully you’ll monitor his O2 sats and pay attention to the fact that O2 therapy might worsen hypercapnia by removing the hypoxic respiratory drive in chronic COPD patients.
Catheterization for Septal MI. Who exactly do you think is performing the catheterization? That's right. An MD.
And where in the world did you read that 18 million kids under 13 are on anti-depressants? There are about 60 million Americans under 14, and if 18 million kids are on anti-depressants, that would mean 30% of every child is on an antidepressant? Well actually, according to the NEJM (that would be the New England Journal of Medicine), the US prevalence is more like 2.4%.
Next, yes, there is a black-box warning on all antidepressants about increased suicidality in adolescents. But did you do your homework on the reason behind it? Probably not, since you’re huffing and puffing up a storm, and probably offending the OP who used to be on antidepressants. You see, physicians, real MDs do their homework and understand the reason for black-box warnings, which is why they continue to prescribe antidepressants to adolescents despite your thinking that it’s going to make teens commit suicide. Actually, it’s because meta-analyses indicated that adolescents showed an increase in suicidality from 2 to 4% on antidepressants. But they failed to demonstrate any causality, and could very well be that these teens can now think clearer and can talk about their thoughts and feelings, things like suicidality that was there even before they started these meds. In fact, other studies have shown that increases in SSRI prescriptions have correlated with a decrease in number of suicides. So maybe teens are more apt to talk about suicides with their psychiatrist when they’re on these SSRIs, instead of having it fester and not talking to anyone about it. Ever consider that?
These things aside, I am sorry to hear about your bad experiences with doctors. My good friends and I are studying really, really hard not to do something like that. What really confuses me is how anyone could misdiagnose GERD (an upper GI disease) as UC (a lower GI disease)...
Crohn's maybe, but still ...And, to the OP, it sounds like benign fasciculations. It will most likely go away over time, but could last weeks to months. I sometimes get them when I’m really tired or dehydrated, and might reflect an imbalance in ions (coincidentally, these are things that happen with alcohol use)… but honestly, I don’t think anyone really knows the reason behind it. I wouldn’t worry about it, but if it persists and shows up in other muscle groups, I would go see a neurologist. Good luck.
that's a novel.
but you sure know your facts.
you should do well in your USMLE.
Joined: Mar 2004
Posts: 17,163
Likes: 4
I think the eye twitches are due to a lack of sleep.
Antidepressants can lead to suicide if you come off them cold turkey. They take about 3-4 weeks to reach therapeutic value because the intent is to downregulate your serotonin receptors as well as serotonin to a point where you can now control it with continual use of this drug. SSRI's, or selective serotonin reuptake inhibitors, do just what they're called; they selectively block the reuptake of serotonin at the presynaptic neuron, leading them to crash into receptors of the postsynaptic neuron.
3-4 weeks of this leads to physiological changes as your brain needs to "adapt" to this increase in serotonin. If you were on Prozac or something for a few months to years, as many people are, and then you were to STOP all of a sudden, you will now be depleting your exogenous source of a crucial NT, hence, people become incredibly depressed and can often drive themselves to suicide. Your psychiatrist is supposed to ween you off of it.
Also, antidepressants have been proven to not work or actually exacerbate symptoms for those with minor depression/anxiety. These drugs work very well for very depressed folks, those with bipolar disorder or something similar. But of course the DSM is usually written with Big Pharma in mind and so even if all you need is an open ear and some counseling, you'll probably still be given a prescription.
Antidepressants can lead to suicide if you come off them cold turkey. They take about 3-4 weeks to reach therapeutic value because the intent is to downregulate your serotonin receptors as well as serotonin to a point where you can now control it with continual use of this drug. SSRI's, or selective serotonin reuptake inhibitors, do just what they're called; they selectively block the reuptake of serotonin at the presynaptic neuron, leading them to crash into receptors of the postsynaptic neuron.
3-4 weeks of this leads to physiological changes as your brain needs to "adapt" to this increase in serotonin. If you were on Prozac or something for a few months to years, as many people are, and then you were to STOP all of a sudden, you will now be depleting your exogenous source of a crucial NT, hence, people become incredibly depressed and can often drive themselves to suicide. Your psychiatrist is supposed to ween you off of it.
Also, antidepressants have been proven to not work or actually exacerbate symptoms for those with minor depression/anxiety. These drugs work very well for very depressed folks, those with bipolar disorder or something similar. But of course the DSM is usually written with Big Pharma in mind and so even if all you need is an open ear and some counseling, you'll probably still be given a prescription.
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Joined: Oct 2009
Posts: 2,825
Likes: 1
Originally Posted by Angerman,Feb 24 2010, 02:35 PM
I take Melatonin (2x 5mg) every night before bed
Everyday I feel tired, no matter how much I sleep;
Everyday I feel tired, no matter how much I sleep;
10mg of melatonin every night? That's too much! Probably why you feel tired when you wake up. Besides, it also reduces the natural production of melatonin in your body because of artificial intake.