Health Problems

Borzak

Bronze Baron of the Realm
24,548
31,843
Nuts. If it makes you feel any better, I'd kill for your blood pressure =)

It used to be much lower and I had to get up and get going to get it raise some. Every so often now it goes down to 110 ish over something I don't know off the top of my head.

The pamelor I was on was "ok". Didn't do much. But it did kill my sex drive which I got off of before my wedding for obvious reasons. It was gone in two days thankfully.
 

moonarchia

The Scientific Shitlord
21,282
38,642
Nuts. If it makes you feel any better, I'd kill for your blood pressure =)

You guys made me look up my last visit stats. 118/50 2 weeks ago. Thankfully that has never been an issue for me. My a1c is down to 5.9, which makes me happy.
 
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Lanx

<Prior Amod>
60,535
132,456
as a 40yr old on zero meds w/ a wife in the same area (nasal allergies only)

how great is this?
 

Blitz

<Bronze Donator>
5,655
6,175
Do we have any optometrists/opthalmologists in here?

Have a corneal abrasion that has lasted 14 days (which is way too fucking long). Went to see a opthalmologist because I lost confidence in my optometrist, and just had some additional questions.
 

LiquidDeath

Magnus Deadlift the Fucktiger
4,877
11,248
Borzak Borzak and ver_21 ver_21

What are your diets like. For real, not what you aim for.

A lot of the things you guys are talking about can be helped or even cured by eating better and it is something that most doctors don't take very seriously before prescribing meds.
 

Izo

Tranny Chaser
18,458
21,218
Borzak Borzak and ver_21 ver_21

What are your diets like. For real, not what you aim for.

A lot of the things you guys are talking about can be helped or even cured by eating better and it is something that most doctors don't take very seriously before prescribing meds.
What do you mean, LiquidDeath LiquidDeath ? Most docs here can't help or cure this over the internet. It, usually, requires a GP first, to assees if it's petty / chronic stuff that needs simple treatments, simple meds to be kept in check. Or something more. Specialists don't usually go into the petty stuff, no. It's hard to diagnose or help here when one does not have the clinical picture, history, blood works and so forth. It rubs most docs the wrong way when someone claims it's all in the 'most doctors do or don't this and that'. From a doctors perspective, is more of a go through the right channels, pt. Compliance, fear of doctors, fear of death and morbidity, and so forth that's the problem when one ends up discussing ones symptoms on the net. Not saying that's the case here, but sure, diet and exercise is fundational of health. Not being DM2, not being malnurrished. Simple blood works at the gp and a checkup can determine that and the battle plan forward if any.

But a cure to a disease with diet, well, I donno. What kind of disease are we talking about? What do you mean, when you say 'cured by eating better'? Are you talking cancer cure or, petty/correctables in diet? Curious.
 
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Borzak

Bronze Baron of the Realm
24,548
31,843
I got another letter today from the lab at one of the hospitals. They will pay to have X lab work done at another lab. I don't know what triggers it. My mom got one a couple of years ago from the cancer lab. That instills confidence. All her lab work came back the same. I don't know if they lost some paperwork or something was coming back out of the ordinary and didn't repeat when done again.
 

LiquidDeath

Magnus Deadlift the Fucktiger
4,877
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What do yoi mean, LiquidDeath LiquidDeath ? Most docs here can't help or cure this over the internet. It, usually, requires a GP first, to assees if it's petty / chronic stuff that needs simple treatments, simple meds to be kept in check. Or something more. Specialists don't usually go into the petty stuff, no. It's hard to diagnose or help here when one does not have the clinical picture, history, blood works and so forth. It rubs most docs the wrong way when someone claims it's all in the 'most doctors do or don't this and that'. From a doctors perspective, is more of a go through the right channels, pt. Compliance, fear of doctors, fear of death and morbidity, and so forth that's the problem when one ends up discussing ones symptoms on the net. Not saying that's the case here, but sure, diet and exercise is fundational of health. Not being DM2, not being malnurrished. Simple blood works at the gp and a checkup can determine that and the battle plan forward if any.

But a cure to a disease with diet, well, I donno. What kind of disease are we talking about? What do you mean, when you say 'cured by eating better'? Are you talking cancer cure or, petty/correctables in diet? Curious.

Of course I'm not saying you can cure cancer with your diet (although our own pharmakos pharmakos can tell you how he went keto and saw an improvement in his condition that his doctors couldn't explain but refused to believe could be because of his diet, that is if I recall his story correctly), but I am absolutely saying that it is fundamentally impossible to know what conditions actually require medical intervention without ensuring your diet is good. I am also absolutely saying that 95% of doctors, and probably more than that, are guilty of completely ignoring diet as a possible cause and cure for illness.

These guys are complaining of problems like high cholesterol, high blood pressure, unexplained skin conditions, joint pain, type 2 diabetes, and more. All of these conditions have been shown to be diet related in a number of cases and could be reduced or even eliminated by eating a better diet. Sure, in the case of blood pressure and cholesterol particularly, genetics probably has more to do with it than anything else but that isn't an excuse to use meds to treat everything without addressing diet first.

If I was having the type of problems Borzak Borzak was having, then the first thing I would do is go on a very strict elimination diet to see if that helped. What do you have to lose when all the meds and specialist visits for years have yielded no results?
 
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a_skeleton_05

<Banned>
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34,508
Diet certainly plays a part in it. Learning to cook and eating meals with real ingredients in them instead of just microwaving something or eating some pre-packaged shit helped a lot in changing my life. Everytime I go off the rails and start eating garbage on a consistent basis results in not only physically feeling worse, but my energy and mood takes a dive too.

Anyway, regarding the anti-depressent topic, while my situation is still not 100%, here are the things I did to go from a state of deep depression and anxiety into being functional and relatively "happy"

Improved diet (less junk. learned to cook)
Started taking vitamin D
Increased activity (including consistently getting out of the house) by a huge amount
Almost died of cancer (not recommended) which resulted in a lot of exposure therapy to things I had learned to avoid
Trained myself to avoid thought spirals, slow down, and to stop giving a shit about most things.
Quit smoking

These are all things that provided a lot of improvements when it came to depression before medication was included. The escatalopram prescription just improved on the existing improvements. All in all, I'd say the meds are only responsible for about 40% of my recovery gains.

The annoying part of this sort of stuff is that the meds are the only "easy" one to do when you're so far down into depression. Trying to do the rest is heavily compromised by the physical and mental effects of depression.
 
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Izo

Tranny Chaser
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Of course I'm not saying you can cure cancer with your diet (although our own pharmakos pharmakos can tell you how he went keto and saw an improvement in his condition that his doctors couldn't explain but refused to believe could be because of his diet, that is if I recall his story correctly), but I am absolutely saying that it is fundamentally impossible to know what conditions actually require medical intervention without ensuring your diet is good. I am also absolutely saying that 95% of doctors, and probably more than that, are guilty of completely ignoring diet as a possible cause and cure for illness.

These guys are complaining of problems like high cholesterol, high blood pressure, unexplained skin conditions, joint pain, type 2 diabetes, and more. All of these conditions have been shown to be diet related in a number of cases and could be reduced or even eliminated by eating a better diet. Sure, in the case of blood pressure and cholesterol particularly, genetics probably has more to do with it than anything else but that isn't an excuse to use meds to treat everything without addressing diet first.

If I was having the type of problems Borzak Borzak was having, then the first thing I would do is go on a very strict elimination diet to see if that helped. What do you have to lose when all the meds and specialist visits for years have yielded no results?
Alright, so you're not a nutcase, but lack the basic physiology/biochemistry knowledge, cool. So petty and the chronic, okay. Well, to a GP it's not that simple. Diet doesn't cure the years of wear and tear the high bloodsugar does on the endothelium (inner lining) of vessels. It simply makes takes it back to normal wear and tear. Conditions like dm2 is not cured by diet, but the numbers are better, normalized. If you forget to change the oil on your truck for 10 years, and suddenly start changing it, say regurlarly your oil dip check, bloodworks, is good, by not necesarily a true reflection of the inner system, vessels, organs. Hence we check for more than just a1c and cholesterol, but also clinical assesment and regurlarly depending on past history - aka the period of non-normal operation - additional biomarkers, bloodworks etc.
DM2 can be held at bay, bar genetics, by regurlar interval training and balanced diet. Aka have the short term sugar depots ready to absorb the ingested sugar, and thus buffer the highs and lows. Inactivitiy leads to these depots being less efficient - aka insulin resistance bc depots are full, insulin receptors downregulated, thus more insulin is needed to stuff thes sugar into the cells, causing further downregulation and so forth. A skew in homeostasis. So. Exercise. Interval training is the most efficient, pulsup and down, get your quads (the short term depots) working daily. Sedantric lifestyle -> bad.
So, if you already have a deficient, non-normal homeostasis, you can try to cure this by limiting the intake of sugar, thus not overloading your full depots, and get the ketosis running. Ketosis in essense is an inefficient energy conversion of fat to the levels of sugar and ketones which the brain needs to live of, either one. This will, if kept also in kj/energy deficit also cause weightloss of fat, and give your body additional resiliance to sugar highs. Fat cells are the final depots of energy storage, long term, for both fat and sugar.

That's the essense of a doctors understanding, more or less accurate. So. Yes, keto diet can be good for the average overweight diabetic joe, sure. It's a fast track to get to normal homeostatis. But it is paradigm to have the exercise part into it as well, bare minumum being the above stated quads (largest muscle group, largest short term depot). In the long term it will have benefitial effects on the gluco storage and glucogeneration in the liver as well, avoiding fatty liver too.
Being fit also keeps pickwick symptoms at bay, lessens the pressure on vessels and organs, lowering blood sugar etc. It's all a big, interchangable, cooporating system, the body.

The main problem we see in consults is, that it's piss hard for patients to correct their lifestyle, get the body working optimally again, and thus not need meds. Also it can take a hellova time to get there, and the longer your body is exposed to f.inst. Glucose levels above 11mmol/l is bad. Sowe start ppl on meds according to evidence based algorhitms, f.inst. Metformine first, escalating to 2-3 different farmaka, and possibly insuline if it's not controllable - either bc insulin resistance and low intrinsic production, or much much much more common, because ppl are simply not capable of changing their lifestyle. They dont get that diabetus is a chronic condition. It's not cured. Bc it's not the numbers. It's the whole effect, wearing down vessels, damaging them from the inside, thus reducing their capacity and function (contractabily, compliance), vessels stiffen, organs, fingers, feets, eyes dont get the proper supply at the proper pressure. In essence when you get your a1c under control it's just to notBeon a highway to hell, but mroe on the slow road of natural aging we should be on.

Does that make sense? To me diet is an intrinsic part of getting better, managing diabetes. But it's nowhere a cure. When you have diabetes its' because it's progressed so far and been underway so long, the time part of time x dose has made the effect already.

Don't meant to take the hope away from anyone, But really, we see a lot whom are not capable of just getting of their butt an change this for the better by simple diet - most are comorbid, kidneys silently halfed, peripheal nerve damage and other irreveersible effects of dm2.

So: dont get diabetes. Take care of yourself Before this shit kicks in.And if it does, make sure you get the hell away from it asap - diet, exercise, drugs to bridge or permanent, and obviously don't smoke. Whichever makes you live longer. Consult a GP first.Before it it's organ failures and whatnot.

SOrry for spelling mistakes, half asleep, shift in 6h. I hope it gives a little insight into the basics and not too inaccurate bc cannot brain atm.
 
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LiquidDeath

Magnus Deadlift the Fucktiger
4,877
11,248
Alright, so you're not a nutcase, but lack the basic physiology/biochemistry knowledge, cool. So petty and the chronic, okay. Well, to a GP it's not that simple. Diet doesn't cure the years of wear and tear the high bloodsugar does on the endothelium (inner lining) of vessels. It simply makes takes it back to normal wear and tear. Conditions like dm2 is not cured by diet, but the numbers are better, normalized. If you forget to change the oil on your truck for 10 years, and suddenly start changing it, say regurlarly your oil dip check, bloodworks, is good, by not necesarily a true reflection of the inner system, vessels, organs. Hence we check for more than just a1c and cholesterol, but also clinical assesment and regurlarly depending on past history - aka the period of non-normal operation - additional biomarkers, bloodworks etc.
DM2 can be held at bay, bar genetics, by regurlar interval training and balanced diet. Aka have the short term sugar depots ready to absorb the ingested sugar, and thus buffer the highs and lows. Inactivitiy leads to these depots being less efficient - aka insulin resistance bc depots are full, insulin receptors downregulated, thus more insulin is needed to stuff thes sugar into the cells, causing further downregulation and so forth. A skew in homeostasis. So. Exercise. Interval training is the most efficient, pulsup and down, get your quads (the short term depots) working daily. Sedantric lifestyle -> bad.
So, if you already have a deficient, non-normal homeostasis, you can try to cure this by limiting the intake of sugar, thus not overloading your full depots, and get the ketosis running. Ketosis in essense is an inefficient energy conversion of fat to the levels of sugar and ketones which the brain needs to live of, either one. This will, if kept also in kj/energy deficit also cause weightloss of fat, and give your body additional resiliance to sugar highs. Fat cells are the final depots of energy storage, long term, for both fat and sugar.

That's the essense of a doctors understanding, more or less accurate. So. Yes, keto diet can be good for the average overweight diabetic joe, sure. It's a fast track to get to normal homeostatis. But it is paradigm to have the exercise part into it as well, bare minumum being the above stated quads (largest muscle group, largest short term depot). In the long term it will have benefitial effects on the gluco storage and glucogeneration in the liver as well, avoiding fatty liver too.
Being fit also keeps pickwick symptoms at bay, lessens the pressure on vessels and organs, lowering blood sugar etc. It's all a big, interchangable, cooporating system, the body.

The main problem we see in consults is, that it's piss hard for patients to correct their lifestyle, get the body working optimally again, and thus not need meds. Also it can take a hellova time to get there, and the longer your body is exposed to f.inst. Glucose levels above 11mmol/l is bad. Sowe start ppl on meds according to evidence based algorhitms, f.inst. Metformine first, escalating to 2-3 different farmaka, and possibly insuline if it's not controllable - either bc insulin resistance and low intrinsic production, or much much much more common, because ppl are simply not capable of changing their lifestyle. They dont get that diabetus is a chronic condition. It's not cured. Bc it's not the numbers. It's the whole effect, wearing down vessels, damaging them from the inside, thus reducing their capacity and function (contractabily, compliance), vessels stiffen, organs, fingers, feets, eyes dont get the proper supply at the proper pressure. In essence when you get your a1c under control it's just to notBeon a highway to hell, but mroe on the slow road of natural aging we should be on.

Does that make sense? To me diet is an intrinsic part of getting better, managing diabetes. But it's nowhere a cure. When you have diabetes its' because it's progressed so far and been underway so long, the time part of time x dose has made the effect already.

Don't meant to take the hope away from anyone, But really, we see a lot whom are not capable of just getting of their butt an change this for the better by simple diet - most are comorbid, kidneys silently halfed, peripheal nerve damage and other irreveersible effects of dm2.

So: dont get diabetes. Take care of yourself Before this shit kicks in.And if it does, make sure you get the hell away from it asap - diet, exercise, drugs to bridge or permanent, and obviously don't smoke. Whichever makes you live longer. Consult a GP first.Before it it's organ failures and whatnot.

SOrry for spelling mistakes, half asleep, shift in 6h. I hope it gives a little insight into the basics and not too inaccurate bc cannot brain atm.

I mean, you dm2 is a condition of insulin resistance. Of course you can't repair advanced damage done by long term exposure to it but you can certainly use diet to reverse the insulin resistance.

Also, I disagree with you that GPs are at all knowledgeable about diet related medicine besides the generally accepted, and very wrong, recommendations they are all given by the AMA and AHA.

My current and previous GPs have all recommended I cut my red meat intake and insist that I eat a low fat diet. This has been the recommendation for over 5 decades now and has seen us into a diabetes and heart disease epidemic. Even after showing them that years eating majority low carb, high protein and fat have greatly improved my numbers they still disagree with me and tell me to change my diet. This isn't just my anecdotal experience either, this is what the majority of Americans are told regardless of their current or past health.

I don't have to be a doctor or a medical student to read the research and understand that doctors are still just people and are capable of making vast mistakes even with their encyclopedic knowledge of biology and physiology.
 
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ver_21

Molten Core Raider
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Borzak Borzak and ver_21 ver_21

What are your diets like. For real, not what you aim for.

A lot of the things you guys are talking about can be helped or even cured by eating better and it is something that most doctors don't take very seriously before prescribing meds.

No salt, nothing processed, try to avoid eating out. That's mainly for bp. The cholesterol drug I'm winds up being too effective, so I'm actually ok with fat and cholesterol. I try to make sure I get some extra potassium foods, too. For me, it's in my genes. Dad had hypertension since his teens, his brother too. Heart disease to boot.
 
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LiquidDeath

Magnus Deadlift the Fucktiger
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No salt, nothing processed, try to avoid eating out. That's mainly for bp. The cholesterol drug I'm winds up being too effective, so I'm actually ok with fat and cholesterol. I try to make sure I get some extra potassium foods, too. For me, it's in my genes. Dad had hypertension since his teens, his brother too. Heart disease to boot.

See Izo Izo , this is a problem.

The evidence linking salt intake to high blood pressure is incredibly tenuous, but that myth has been peddled by healthcare professionals for decades. Here we have a man consciously reducing his salt intake, most likely to the detriment of his overall health as we know that salt is vital for our survival.

Very, I am not a medical professional, but I strongly advise you do research yourself about the relationship between salt intake and high blood pressure. The fact that your father had hypertension very early in life is probably the overwhelming factor in your blood pressure. I mean, do you think your dad ate so much sodium in his early life that he developed hypertension? I'm not suggesting you start eating salt by the handful, either, I'm just saying that you should get more information about the issue than simply the oft repeated but rarely researched opinion of GPs. My best suggestion for you is finding a medical dietician that actually keeps up to date with current scientific research on the subject and not just one that repeats things like the food pyramid and nauseum. They should be able to suggest the best diet to ensure your condition isn't negatively affected. Their recommendation may indeed be to limit salt because of your genetics and your father's hypertension, but you should certainly make sure of that with someone specifically trained for it.
 

ver_21

Molten Core Raider
975
-361
See Izo Izo , this is a problem.

The evidence linking salt intake to high blood pressure is incredibly tenuous, but that myth has been peddled by healthcare professionals for decades. Here we have a man consciously reducing his salt intake, most likely to the detriment of his overall health as we know that salt is vital for our survival.

Very, I am not a medical professional, but I strongly advise you do research yourself about the relationship between salt intake and high blood pressure. The fact that your father had hypertension very early in life is probably the overwhelming factor in your blood pressure. I mean, do you think your dad ate so much sodium in his early life that he developed hypertension? I'm not suggesting you start eating salt by the handful, either, I'm just saying that you should get more information about the issue than simply the oft repeated but rarely researched opinion of GPs. My best suggestion for you is finding a medical dietician that actually keeps up to date with current scientific research on the subject and not just one that repeats things like the food pyramid and nauseum. They should be able to suggest the best diet to ensure your condition isn't negatively affected. Their recommendation may indeed be to limit salt because of your genetics and your father's hypertension, but you should certainly make sure of that with someone specifically trained for it.

No doubt sodium is vital, and I wouldn't be surpised if salt has very little to no direct impact on my hypertension. I generally suspect my problems are genetic and/or cortisol based. So at best the docs I see are usually treating symptoms and not the real problem. But that's why I'm meeting with a new specialist in a few weeks. I think his group has a dietician. I'll ask what they think.

I don't recall my dad ever really blaming diet. But I think I heard his brother once blame depression-era peanut butter they ate tons of as children!
 
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Borzak

Bronze Baron of the Realm
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The blood work keeps showing that I'm not dehydrated. But I feel dehydrated in my mouth, my skin, my nose etc..

My hands look like they do after you do the dishes in the sink or take a bath. Wrinkly as shit. No amount of drinking water fixes it either.
 

Izo

Tranny Chaser
18,458
21,218
LiquidDeath LiquidDeath
Hey again, tough shift, home again.
Yeah, I get that the US system is not like the ones here in eurocuckdom. In the nordics where I practice medicine, it's quite alright to go to a GP first. They're well educated, and in general uptodate on the mysteries of dm2, hypertension, overweight, chronic heart insufficiency and other chronic conditions. Keto diet is not recommended here universally, but it's one of various ways to get back on track with the lab works, sure. Here, they, GPs, are the gatekeepers to our publically funded healthcare system, referrals and such, and the link/manager of the condition in close coorporation with the patient. The individual doctor, bar the 2% specialist in private practice not funded by public, generally do not have an economic interest in a pt as your system is built on, hence different, different strong and weak points. Works okay here for the vast majority.
And yes, you're right, obviously, the insulin recepters upregulate once bloodglucose is normalized by diet/exercise/meds - lowering insulin resistance. In effect meaning the buffers, muscles and 2ndary the fat tissue are ready, more stable glucose.

I can't say what the best course of action is, when you have to pay for it all yourself/insurrance and doctors have economic interest in treating you vs actually healing / getting you on track. Doing keto might be a way for some. But for the chronic and comorbid, it might not be so easy to start with. The salt thing is related to hypertension, but usually not significant on it's own. It has more to do with osmosis, diebetic diuresis, thirst and thus electrolyte imbalance. It has more to say in CHD ptt than Essential HTN. DM2 on it's own, vessel damage, causes silent kidney failure, IHD - smoking adding to this. Like I said it's more of a holistic approach that's necesary for a starter - which the GP (here) facilitates. Once the basics are in check, or treatment initiated, then specialists are added. I can't say if it's smarter for US citizens to see a specialist first. I'd recommend a GP to start with, get the initial bearings. But mostly, focus on the lifestyle change, patient compliance, disease awareness It's the hard part. Else one ends up being tossed around in the system - which I think I'm reading between the lines in most questions in here. As for systematically giving bad advice / not uptodate, well, we do try to treat from the newest knowledge, uptodate.com is a nice source I use daily. Many such databases exist, being localized is important too - genetics, disease and germline exposure etc. Mayo comes to mind as well. What do you guys use? Curious if it's the economical part that makes US citizens rely (in part?) on the internet and advice from laymen. Not that it's wrong, but locally where I recide it's considered, well, dubious, echochamber'ish. Can be dangerous, put the focus on single points of health aspects. Hence why I tend to recommend a GP first. A generalist with at least some insight.

Borzak Borzak
Your condition, wellness, or lack thereof is intriquing. It's hard to help here, I'd have to have a clinical eval (physical, exam), history, family history, diags, bloodworks and so forth. The skin thing can be related to numerous things. I have no clue if it's related to something chronic, but it sounds like it You have a tendency to post in a diary form, not sure if it's ups and downs you relate, or new findings. I believe you spoke of being disabled/in a wheelchair / having a neurological condition or history, someone typing for you (all the time?). Being in europe helping you is obviously not feasable or ethical, and I don't recommend using me as a sole source of medical advice (we have plenty others @FOH) as well as your own health care system, I hope. As such I hope you've been through the system, GP first, referrals and so fourth. Doctors are not miracle workers. We treat what we can, cure what we can, maintain what we can. It's pretty much how it goes here.

Cheers and enjoy your Sunday :)
 
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Borzak

Bronze Baron of the Realm
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I've seen 75+ doctors in local hospital systems, clinics, the Mayo clinic, and USC medical. Nobody can make their opinion match anothers. Suprised I have any blood left. $85k of blood work and MRI's.

Was just wondering if anybody had anything like this before and what they did about it.
 
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Izo

Tranny Chaser
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I've seen 75+ doctors in local hospital systems, clinics, the Mayo clinic, and USC medical. Nobody can make their opinion match anothers. Suprised I have any blood left. $85k of blood work and MRI's.

Was just wondering if anybody had anything like this before and what they did about it.
Have you tried asking the collective that is Figure 1? Regardless if it's a derma condition or a symptom of something else, underlying, it's a pretty good eval. Has an app. Take a pic. Have medical nerds obscess and discuss it. We use it all the time for weird rashes etc. High five if they figure it out - sure beats posting here, imho.

 
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pharmakos

soʞɐɯɹɐɥd
<Bronze Donator>
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Focus problems can be more about you than the Prozac.

What's your activity levels like? Being active and getting out (regardless of how shitty it feels) has been shown to be as effective as any antidepressant. Meds can only do so much. If you really want to get out of that ever-widening hole: you have to program yourself to do the shit you don't want to do. It sucks and literally hurts, but it's the way through.

he most have overlooked this post, i think he works tho. he's talked about working in some logging industry adjacent job, pretty sure it was current (tho maybe he'll answer now :) )
 
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