Health Problems

Kajiimagi

Kajiimagi

<Aristocrat╭ರ_•́>
3,941
7,439
Kithani said:
Urgent Care

But understand for 50% of problems that they should be able to manage in theory, they will be useless

Also see my comment about DPC/Concierge
Click to expand...
And where do you live that DPC/Concierge is available. Here in middle of nowhere NV you have a PCP that I'm now being told will be out until mid-February, I went to her (NP at that) because my previous PCP (also a NP) kept changing appointments before she up and quit and moved to Alaska. Urgent care is where we all have to go, but last time I went I sat in the waiting room for 3 hours and when I still had not been seen decided I'll just go home and die as sitting there that long destroys my back. I'm really sorry you have to slam patients to get your pay up. From the other side it's a bunch of shit on a shit sandwich.
 
Kithani

Kithani

Blackwing Lair Raider
1,789
2,521
Kajiimagi said:
And where do you live that DPC/Concierge is available. Here in middle of nowhere NV you have a PCP that I'm now being told will be out until mid-February, I went to her (NP at that) because my previous PCP (also a NP) kept changing appointments before she up and quit and moved to Alaska. Urgent care is where we all have to go, but last time I went I sat in the waiting room for 3 hours and when I still had not been seen decided I'll just go home and die as sitting there that long destroys my back. I'm really sorry you have to slam patients to get your pay up. From the other side it's a bunch of shit on a shit sandwich.
Click to expand...
I agree with you, I think maybe on the forums my responses are coming off differently than intended. The system is fucked. I was just pointing out that in my experience Urgent Cares suck and providing a bit of insight into why PCPs (and specialists) are super booked out. I don't think there's a good solution to healthcare in rural America tbh you basically have to hope there is a saint of a human being that grows up there and goes to med school then returns
 
  • 1Like
Reactions: 1 user
Kajiimagi

Kajiimagi

<Aristocrat╭ರ_•́>
3,941
7,439
Kithani said:
I agree with you, I think maybe on the forums my responses are coming off differently than intended. The system is fucked. I was just pointing out that in my experience Urgent Cares suck and providing a bit of insight into why PCPs (and specialists) are super booked out. I don't think there's a good solution to healthcare in rural America tbh you basically have to hope there is a saint of a human being that grows up there and goes to med school then returns
Click to expand...
All good, you didn't come off bad. I also have an appointment with my pain management doc (aka drug dealer) today at 4:30. My wife cannot accept that there is not a cure for neuropathy (that I have not already tried at least twice) and she wants to ask questions again. I told her to make a list because we are only allowed 10 minutes with the doc (who is also only a PA).
 
  • 1Solidarity
Reactions: 1 user
Noodleface

Noodleface

A Mod Real Quick
39,201
17,506
Cad said:
Ear infection is basically what Urgent Care places are made for even though they are ripoffs. If you need to be seen immediately but it's not life-threatening or going to need surgery/etc then urgent care works great, they can do stitches, prescribe meds, etc. Anything more serious and they just kick you to the ER.

I'm not a fan of urgent care places but it sounds like this is one of the scenarios where they make sense.
Click to expand...
Mostly agree. Unfortunately first urgent care basically said yeah you have an ear infection take this. Second place didn't even look in my ear and gave me a very aggressive antibiotic.

When I saw my PCP he was dumbfounded because when he looked my canal was so full of discharge he said no medicine could even make it in. He said if the urgent care doc had even looked she would've sent me somewhere else for a flush.

My pcp flushed out my ears and the antibiotics fixed it in like a day.
 
  • 1Like
Reactions: 1 user
Kajiimagi

Kajiimagi

<Aristocrat╭ರ_•́>
3,941
7,439
Pain doc wants me to try an antidepressant called Nortriptyline HCL 10MG for my neuropathy. Side effects don't look any worse than the other stuff I am on. Anyone here tried it or have any opinion? Apparently I have to take it for a while to get it in my system to see if it does any good.


Also a (poor) reflection of our times - when we checked out they gave me & the wife an American Flag pin for veterans day, they were clearly marked 'Made in China'. /rustle.
 
Cad

Sheriff Cad

scientia potentia est
<Nazi Janitors>
29,672
67,758
Kajiimagi said:
Pain doc wants me to try an antidepressant called Nortriptyline HCL 10MG for my neuropathy. Side effects don't look any worse than the other stuff I am on. Anyone here tried it or have any opinion? Apparently I have to take it for a while to get it in my system to see if it does any good.


Also a (poor) reflection of our times - when we checked out they gave me & the wife an American Flag pin for veterans day, they were clearly marked 'Made in China'. /rustle.
Click to expand...
How does a tricyclic antidepressant treat neuropathy?

Whats causing your neuropathy?

Doctors love throwing antidepressants at everything, christ.



Seems like most people had no help and side effects, but some people had it help.

SSRI side effects are no joke though, I dunno what else you're taking but the side effects are pretty serious. Sometimes they don't go away when you stop taking it, either.
 
  • 1Like
Reactions: 1 user
Springbok

Springbok

Karen
<Gold Donor>
9,931
15,220
Kajiimagi said:
Pain doc wants me to try an antidepressant called Nortriptyline HCL 10MG for my neuropathy. Side effects don't look any worse than the other stuff I am on. Anyone here tried it or have any opinion? Apparently I have to take it for a while to get it in my system to see if it does any good.


Also a (poor) reflection of our times - when we checked out they gave me & the wife an American Flag pin for veterans day, they were clearly marked 'Made in China'. /rustle.
Click to expand...
My nerologist (I get migraine w/ aura about once a year) gave me Nortriptyline 10mg to take EVERY DAY. This was a few years ago. I took one, never took it again. Not sure what it would do for neuropathy, but like Cad says, SSRI's have some very serious and debilitating side effects. To the extent that I was half tempted to give the rest of those pills to an absolute bitch that works for me, but thought better of it (and flushed em').
 
Izo

Izo

Tranny Chaser
21,714
31,579
TCAs like nortriptylin are known to modulate pain sensatio, works for anxiety and depression. It's a TCA not an SSRI. Treatment indications and works are complex. I'd go with the pain doc pain ladder advice.
Many drugs have multi purposes albeit initially developed for a single purpose. That blue pill you take for the weekend boner was developed to treat hypertension.
SSRI side effects can range from nothing to severe, like any drug. Any antidepressant / pain modulation have to be weaned.

Hope it works out for you, Kajiimagi Kajiimagi
 
  • 2Like
Reactions: 1 users
Kajiimagi

Kajiimagi

<Aristocrat╭ರ_•́>
3,941
7,439
Cad Cad no one and I mean NO ONE has been able to tell me what causes it. I've even said 'if it's in my fucking head, fine but how do we get it out of my fucking head'. It could be the 7 back surgeries, or the giant brain tumor (just aced my last MRI yay me) or the chemo for said tumor, or the radiation or all the other fucking meds they had me on. But no one has pointed at an image and said 'that's yer problem' with the exception of my 1st back surgery where I blew out a disc that they could clearly see was pinching my nerve.

As Izo Izo said they are 'borrowing' a side effect of the antidepressant as it confuses pain signals, some diabetic meds and one other type (Cannot remember what) does the same. Thing is , I've tried them all. I'm also on generic Lyrica as well. All I know is I went to lunch with my wife & MIL , then to the pain doc, then had dinner with the wife at Dennys (YOLO) and having clothes & shoes on that long had my lower body on fire to the point where I didn't get to sleep until 2am last night.

Sorry to whine but I guess this is the place for it at least. Not ask Amod , ;)
 
  • 2Worf
Reactions: 1 users
Cad

Sheriff Cad

scientia potentia est
<Nazi Janitors>
29,672
67,758
Kajiimagi said:
Cad Cad no one and I mean NO ONE has been able to tell me what causes it. I've even said 'if it's in my fucking head, fine but how do we get it out of my fucking head'. It could be the 7 back surgeries, or the giant brain tumor (just aced my last MRI yay me) or the chemo for said tumor, or the radiation or all the other fucking meds they had me on. But no one has pointed at an image and said 'that's yer problem' with the exception of my 1st back surgery where I blew out a disc that they could clearly see was pinching my nerve.

As Izo Izo said they are 'borrowing' a side effect of the antidepressant as it confuses pain signals, some diabetic meds and one other type (Cannot remember what) does the same. Thing is , I've tried them all. I'm also on generic Lyrica as well. All I know is I went to lunch with my wife & MIL , then to the pain doc, then had dinner with the wife at Dennys (YOLO) and having clothes & shoes on that long had my lower body on fire to the point where I didn't get to sleep until 2am last night.

Sorry to whine but I guess this is the place for it at least. Not ask Amod , ;)
Click to expand...
If it even has a chance of relieving your pain it's probably worth a shot, but just seems sketchy to me. I know doctors do what they CAN do, not what they wish they could do, and trying different drugs to see what works is one of the things they can do. I'm not criticizing them for that.

Just be aware of what you're taking and what it does, and use your best judgment, thats all you can do in any given situation.
 
  • 1Like
Reactions: 1 user
Kajiimagi

Kajiimagi

<Aristocrat╭ರ_•́>
3,941
7,439
Cad said:
If it even has a chance of relieving your pain it's probably worth a shot, but just seems sketchy to me. I know doctors do what they CAN do, not what they wish they could do, and trying different drugs to see what works is one of the things they can do. I'm not criticizing them for that.

Just be aware of what you're taking and what it does, and use your best judgment, thats all you can do in any given situation.
Click to expand...
I knew there were a few peeps here in the med field is why I asked.
 
Cad

Sheriff Cad

scientia potentia est
<Nazi Janitors>
29,672
67,758
Kajiimagi said:
I knew there were a few peeps here in the med field is why I asked.
Click to expand...
Doctors all follow the same guidelines and read the same stuff, they're just going to parrot the same prescription guidelines.

If you ask them WHY does this work and can you tell me if it will help or not or what side effects I'll get...

Good Luck Charlie What GIF
 
  • 2Like
Reactions: 1 users
Kajiimagi

Kajiimagi

<Aristocrat╭ರ_•́>
3,941
7,439
Cad said:
Doctors all follow the same guidelines and read the same stuff, they're just going to parrot the same prescription guidelines.

If you ask them WHY does this work and can you tell me if it will help or not or what side effects I'll get...

Good Luck Charlie What GIF
Click to expand...
Well wife went and picked it up, moved her phone beside her bed (I usually wake her up but need to know wtf this will do to me 1st) , going to start it tonight, we shall see. If I come on here tonight slinging shit /chimping out like an american inventer - it hit me hard. LOL
 
Noodleface

Noodleface

A Mod Real Quick
39,201
17,506
Doctor told me I'm a good candidate for ozempic or mounjaro (tldr in T2 diabetic). Probably gonna go for it. Insurance covers it
 
  • 2Thoughts & Prayers
  • 1Like
Reactions: 2 users
Brahma

Brahma

Obi-Bro Kenobi-X
13,317
50,903
Noodleface said:
Doctor told me I'm a good candidate for ozempic or mounjaro (tldr in T2 diabetic). Probably gonna go for it. Insurance covers it
Click to expand...

Mounjaro works. I went from literally an immeasurable A1C (17 is max measurement?) down to 6.8 in like 10 months. It's a weekly injection. My daily morning sugar levels are 110 or lower now. It made me nauseous the 1st month or so, but that does eventually go away. You feel full all the time. I honestly believe it keeps food in your stomach longer somehow. So I see how it would be incredibly effective as a weight loss drug.

GET TUMS!!! I have never experienced heart burn before, that shit is the most annoying shit ever...but I get it now depending on what I eat pretty frequently after starting the Mounjaro.
 
Last edited:
  • 3Like
Reactions: 2 users
Noodleface

Noodleface

A Mod Real Quick
39,201
17,506
Brahma said:
Mounjaro works. I went from literally an immeasurable A1C (17 is max measurement?) down to 6.8 in like 10 months. It's a weekly injection. My daily morning sugar levels are 110 or lower now. It made me nauseous the 1st month or so, but that does eventually go away. You feel full all the time. I honestly believes it keeps food in your stomach longer somehow. So I see how it would be incredibly effective as a weight loss drug.

GET TUMS!!! I have never experienced heart burn before, that shit is the most annoying shit ever...but I get it now depending on what I eat pretty frequently after starting the Mounjaro.
Click to expand...
Thanks. That's like 500 mg/dl, glad you got that down.

My a1c is pretty well controlled but I take a lot of pills and some of them make me feel like shit. I'm sure I'll have to take some pills on a glp-1 still but hoping I can start eliminating all that. Weight loss would be secondary really as I'm not THAT heavy (6'3" 225).
 
  • 1Solidarity
Reactions: 1 user
Brahma

Brahma

Obi-Bro Kenobi-X
13,317
50,903
Noodleface said:
Thanks. That's like 500 mg/dl, glad you got that down.

My a1c is pretty well controlled but I take a lot of pills and some of them make me feel like shit. I'm sure I'll have to take some pills on a glp-1 still but hoping I can start eliminating all that. Weight loss would be secondary really as I'm not THAT heavy (6'3" 225).
Click to expand...

You're right there with me. I'm 6'3" 260. I'm on like 3 other diabetes meds, and a couple more high blood pressure to boot. One of those makes me feel...lousy, for lack of a better word. The doc wants to see me stay under 6.6 on the A1C for at least a couple months before he lowers/removes me from any of the medications.

6'3" 225 man? You're OBESE!! My doc said he wants to get me under 200. I'm like doc...I have not been under 200 since high school. These charts must be for little fuckin feudal Japanese Asian men, or some little ass square shaped Peruvian from the mountains. Clearly not for those with some Nordic barbarian or fuckin African zebra rider blood.
 
  • 1Worf
Reactions: 1 user
Noodleface

Noodleface

A Mod Real Quick
39,201
17,506
Brahma said:
You're right there with me. I'm 6'3" 260. I'm on like 3 other diabetes meds, and a couple more high blood pressure to boot. One of those makes me feel...lousy, for lack of a better word. The doc wants to see me stay under 6.6 on the A1C for at least a couple months before he lowers/removes me from any of the medications.

6'3" 225 man? You're OBESE!! My doc said he wants to get me under 200. I'm like doc...I have not been under 200 since high school. These charts must be for little fuckin feudal Japanese Asian men, or some little ass square shaped Peruvian from the mountains. Clearly not for those with some Nordic barbarian or fuckin African zebra rider blood.
Click to expand...
I think technically I'm considered obese if you look at BMI but I just have the classic dad bod lol. I think as you get taller the BMI chart just doesn't really work.
 
  • 1Solidarity
Reactions: 1 user
Izo

Izo

Tranny Chaser
21,714
31,579
Cad said:
Doctors all follow the same guidelines and read the same stuff, they're just going to parrot the same prescription guidelines.

If you ask them WHY does this work and can you tell me if it will help or not or what side effects I'll get...

Good Luck Charlie What GIF
Click to expand...
In DK alone we have more than 65K drugs licensed and marketed. I doubt you know 65K laws by heart vs more the general idea, groups and mechanisms, most used, specialize in some? Sorta how it works. We're not pharmacists. Hence why a pain doc might know about, say, chronic pain treatments incl the drug options? I'm not a pain doc. Here's Dr. House shrugging.
Dr House Idk GIF
 
You must log in or register to reply here.