Health Problems

fred sanford · Jul 7, 2018

Just got the news I have blood clots in my lungs, again. Waiting for my suite upstairs in the hospital.

I guess the episode 5 years ago wore if in my mind and I sat on my duff to much. Just glad I didn't write off the pain as muscular and went to the hospital.

Izo · Jul 7, 2018

Why are you not on blood thinners then,

fred sanford ? Trigger word being 'again'.

fred sanford · Jul 7, 2018

I took them for 7 months after the first episode but was cleared by two doctors to stop. They warned me that if it happened again I would be on thinners permanently.

Izo · Jul 7, 2018

fred sanford said:
I took them for 7 months after the first episode but was cleared by two doctors to stop. They warned me that if it happened again I would be on thinners permanently.

Ah. Usually we prescribe warferin/rivaroxaban/apixaban for a year, and platelet inhibitors like aspirin 75mg for life afterwards.
Do they know why you produce clots? AFIB maybe?

Kithani · Jul 7, 2018

AFib doesn’t cause PE it’s mainly a risk factor for stroke.

You’ll probably be on lifelong anticoagulation BECAUSE they don’t know what caused it. Generally the first event is 3-6 months and if it happens a 2nd time you’re stuck for life unfortunately.

Izo · Jul 7, 2018

Kithani said:
AFib doesn’t cause PE it’s mainly a risk factor for stroke.

You’ll probably be on lifelong anticoagulation BECAUSE they don’t know what caused it. Generally the first event is 3-6 months and if it happens a 2nd time you’re stuck for life unfortunately.

Okay.

DirkDonkeyroot · Jul 8, 2018

Please, you guys that are having sleeping trouble get a study done. I was literally going insane from lack of sleep even though I was out for 6-8 hours a night simply because I wasn't really going to sleep. Symptoms were all over the board. High BP, heartburn, anxiety, depression, severe panic attacks for absolutely no reason. Went through this shit for YEARS before I had a study done and was diagnosed with severe sleep apnea. One CPAP later and I'm a new human, although my memory seems to be permanently fucked up.

To sum it up, see a sleep specialist a good one will work wonders.

Gavinmad · Jul 8, 2018

The real question is what do you do when you have sleep apnea but a CPAP gives you a panic attack lol

sleevedraw · Jul 8, 2018

Gavinmad said:
The real question is what do you do when you have sleep apnea but a CPAP gives you a panic attack lol

Losing weight can sometimes cure OSA on its own if someone is obese. If someone has weird airway anatomy, sometimes they can do surgery. Radiofrequency ablation (RFA) is another option. However, the latter two are unlikely to be covered by insurance without a significant fight, if at all. My employer considers any nasal surgery to treat OSA as experimental/investigational, which is usually a drop-dead "no" vis a vis payment.

DirkDonkeyroot · Jul 8, 2018

Gavinmad said:
The real question is what do you do when you have sleep apnea but a CPAP gives you a panic attack lol

I went through that stage, sleeping with the CPAP an hour or two a night then can't do it anymore. It's a negative feedback loop, can't sleep have panic attacks, use CPAP, CPAP gives panic attack. It took me a good year to sleep a full night with it, but even a couple of hours a night is a whole hell of a lot better than nothing.

jayrebb · Jul 8, 2018

sleevedraw said:
People respond to SSRIs very differently. Some people get energized, some people get sedated.

Oh, no. He's going to be sedated alright I can guarantee you that.

alavaz Ask your doctor about Remeron when considering an SSRI for insomnia.

jayrebb · Jul 8, 2018

alavaz said:
I go back to the doctor tell him about it. He still thinks anxiety but wants to make sure it's not a thyroid thing. So they test that, it's within normal range but the number leans more towards hyperthyroidism than the other direction. Says we'll keep an eye on it but it shouldn't be causing much effect at this point. I just needed some sleep at that point, so I took the Ativan and actually got some great sleep. I'm at the point now where I can usually sleep without it but I wonder if I should give the SSRI a go. My doctor claims it will reset my brain chemistry or whatever and I don't have to stay on it for more than a few months. This is Cymbalta he's pushing by the way. I dunno though, I'm worried about doing all that and really fucking myself for sleep. Seems like from I read it's 50/50 on whether it helps people sleep or wires them up. I definitely don't need the latter.

Personally, that's enough for me to further work up the thyroid. However, you are unlikely to get a doctor to agree due to cost and lack of education on TSH. 9/10 doctors are just going to stop at TSH and leave it there.

You'd have to pursue that on your own. Doctors aren't very big on working up thyroid conditions. Its quite a bit more complicated and insurance would be very angry if every doctor was doing a full work up every time TSH leaned this way or that way. In your case-- you have symptoms. I'd work it up.

Bandwagon · Jul 8, 2018

Kinda just poking my head in here, but regarding sleep issues -

I've always been wild in my sleep. Sleep talking since at least 10 years old, and every girlfriend I've ever had has complained about how "violent" I am when I sleep. Mainly arms I guess, but sometimes feet as well. I think it's usually just from flopping around and catching them with an elbow, but I literally uppercut myself in my sleep twice, when I used to box.

I always assumed that I could never take medication for it, if there was even an option, because I was working as an EMT and couldn't use any of the sleep aid meds while on shift. Now that I'm not doing that anymore, is there something I can check in to? I asked my doctor last year, but she just shrugged it off and said "No, not really. My husband is like that, too."

sleevedraw · Jul 8, 2018

Not to my knowledge; most of the Z-drugs like Ambien can cause wacky sleep behaviors like sleepwalking and sleepeating as side effects. On top of a possible cancer risk.

Izo · Jul 8, 2018

Propofol.

jayrebb · Jul 8, 2018

Guess when you are getting paid 150,000 a month, judgement becomes cloudy.

Guy was no saint either way-- 7 children by 6 different baby mommas. He should have tried prescribing himself some prophylactics.

Erronius · Jul 8, 2018

I've had chest pain for a few years. I've lost about 40lbs since New Years, and surprisingly haven't really felt that pain in a while (more a tightness than pain anymore).

I had gone to a new GP earlier this year and brought up the chest pain. All the guy said was "Hrrmm...hmmm...that's interesting" and then moved on to something else. It was literally like he thought I was making it up or something, completely bizarre.

alavaz · Jul 8, 2018

I've been sleeping pretty decent as of late. Decided to skip the SSRI and haven't needed to take any more ativan in about two weeks.

I have chronic costochondritis (or so I've been told) since high school, which gives me on and off again chest pain. I'm always worried that I'll sit on a real cardiac event for too long, but I hopefully could tell the difference. The chest pain I get definitely feels muscular/joint related as I can stretch and sometimes pop my ribs to make it feel better. It feels very close to the surface and usually I can find the area of rib cartilage that is inflamed by just touching it. I went to a chiropractor for a bit but that only seemed to make it worse.

Kuriin · Jul 8, 2018

Erronius said:
I've had chest pain for a few years. I've lost about 40lbs since New Years, and surprisingly haven't really felt that pain in a while (more a tightness than pain anymore).

I had gone to a new GP earlier this year and brought up the chest pain. All the guy said was "Hrrmm...hmmm...that's interesting" and then moved on to something else. It was literally like he thought I was making it up or something, completely bizarre.

This is just from my experience, but, people who experience chest pain for months, it doesn't sound like cardiac in nature. It sounds more musculoskeletal than anything.

fred sanford · Jul 8, 2018

Izo said:
Ah. Usually we prescribe warferin/rivaroxaban/apixaban for a year, and platelet inhibitors like aspirin 75mg for life afterwards.
Do they know why you produce clots? AFIB maybe?

No, I'm still at the hospital going through various tests

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