This is a static copy of In the Rose Garden, which existed as the center of the western Utena fandom for years. Enjoy. :)

#151 | Back to Top08-03-2011 05:23:01 AM

chrisb
Eternal Eschatologist
From: Tx,USA
Registered: 01-18-2010
Posts: 956

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Thanks for the advice Gio! I guess it's a combo of biting the flesh (going to get a guard) and just very dry lips from not drinking enough water. I started ordering only water when I go out to eat and the dryness inside my mouth and on my lips has really improved. My phlegm is still an annoying problem at the moment. I'm going to give nasal irrigation a try. The neti pot solution looks rather odd, but nothing ventured nothing gained right?

What would you recommend for acid reflux? I've had it pretty bad in the mornings and the meds don't agree with me. Especially after eating any kind of BBQ which is my latest obsession.

Once again I appreciate it emot-smile

Last edited by chrisb (08-16-2011 08:37:27 PM)


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#152 | Back to Top08-03-2011 11:54:14 AM

Hiraku
Easter Elf #40
From: Singapore
Registered: 02-21-2007
Posts: 6342
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Yep yep! Now I'm fully recovered. Couple days ago was feeling fatigue, but I'm hoping that now that I'm back to normal, this is the last time I will need to hear from varicella for a long time.

Since I got reaction from the vaccine, would I still need to go take the 2nd shot? emot-confused

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#153 | Back to Top08-13-2011 10:04:09 AM

allegoriest
Delicious Duellist
From: Cloudcuckooland
Registered: 10-16-2006
Posts: 2507
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

I don't know if this is a nurse related question. I have no idea what territory this falls into. However, I'm overbooked, poor, and OH GOD WHYYY
It took me months to book a goddamn ENT and I had to cancel.


So like, I have really fucked up ears. I apparently went temporarily deaf as a kid, and noone can explain exactly what happened, but I had surgery and got betterish. (It was in the early 90's, and I know that alot of ear things have been discovered since.) I can hear my blood moving 24/7 (It took YEARS of confusion to figure that out.), often a horrible ringing noise, and sometimes, I hear myself... blink? (I need an MRI, it just... isn't feasible right now.) I have trouble understanding things people say, and on top of all the extra noise, I'm so confused. Also, if there's a noise, everyone turns one direction, and I usually look the other.  Right now, I know my mom is talking elsewhere, but I just kinda hear a monotone buzz and know its her. Real point being, they're insane.

Unfortunately, I am too. I'm also not sure what, and haven't been making a good effort on this, because, noone's really at danger. Also, my family is kinda really against it, and, again, no money or time right now. I'm apparently one of several things that starts with schi-, and didn't go far enough to figure out of its like, SPD or if I'm just batshit, I have no idea wtf the difference is really. (On the plus side, they removed the whole AS thing with me and decided it was a horrible mistake YAY.) Though really, that isn't important, just backstory.


Now... How do I know if I'm like, tripping the hell out, and having auditory hallucinations, or if my ears are just insane and making noises? Sometimes I SWEAR I heard a loud crashing or metal noise, but I have this feeling that, I don't think I really heard that. Like, you can't FEEL the noise, and noone else notices. Sometimes I THINK I hear someone in the next room talking, and its noone, but I don't know if I'm imagining it, or if its just a distortion and I think its talking. Is there a way to tell the difference? IS there a difference? I have no idea, but its really driving me crazy.

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#154 | Back to Top08-16-2011 06:57:50 PM

Riri-kins
World's End
From: Cloud Nine
Registered: 09-22-2008
Posts: 2354

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Nurse Gio, my neurotic mom suffers from ringing in her ears and dizziness when she moves her head while sitting or lying down. She has a doctor's appointment but begged me to ask you anyway.


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My Utena fanfiction: http://www.fanfiction.net/u/2000115/Riri-kins

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#155 | Back to Top10-25-2011 05:17:44 AM

BlackBeforeRed
Acknowledged Smart Person
From: The Nightosphere
Registered: 07-09-2010
Posts: 178

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Okay so, random question. My fingernails are turning kid of purpleish. Is that bad, should I go see my doc about this emot-confused

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#156 | Back to Top10-25-2011 12:54:27 PM

Giovanna
Ends of the Fandom
From: Edmonton, AB
Registered: 10-12-2006
Posts: 8797
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Hmm. Is it the actual nail? That I'm not sure about, but a purple hue is often from a lack of oxygen, such as from smoking, anemia, or Reynaud's disease and such. Do you have any other symptoms? Is it all your nails? (Toe nails, also?)

Sorry I missed these last posts! emot-redface

Riri - I get that too, my blood pressure drops like a rock at random moments. It may be that. If it's the right time 'o her life, it may also be menopause. It probably has nothing to do with her ears.

allegoriest - I wish I could give you some really clever trick, but ultimately the only way to distinguish the reality of noises you hear and ones others do is to constantly be checking with them. Ask a friend or someone to spend a day or two with you, and pretty much any suspect noise, anything you want to react to that doesn't seem to be heard by them, you need to ask about.

Hiraku - Do it. You didn't go into shock, so just get the next shot. You wasted the first one and won't have the immunity without going through with the whole course. emot-frown

chrisb - Acid reflux is tricky. Avoid coffee and sodas and all that, caffeine will make it worse. Milk helps a lot of people, but I've also had good feedback from suggesting people eat regular meals with lots of fiber--whole grain bread and such. Basically, things that are bulky in the diet.


Akio, you have nice turns of phrase, but your points aren't clear and you have no textual support. I can't give this a passing grade.
~ Professor Arisa Konno, Eng 1001 (Freshman Literature and Composition)

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#157 | Back to Top10-25-2011 04:30:06 PM

BlackBeforeRed
Acknowledged Smart Person
From: The Nightosphere
Registered: 07-09-2010
Posts: 178

Re: Ask Nurse Spadaro! Avoid public embarrassment!

I'm pretty sure it's just the nail beds, it isn't constantly purple, it goes away and then comes back throughout the day, it actually looks more bluish the longer it's like that. It's all my fingernails and toenails, but my toenails aren't as bad as my fingernails

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#158 | Back to Top10-25-2011 07:00:14 PM

Giovanna
Ends of the Fandom
From: Edmonton, AB
Registered: 10-12-2006
Posts: 8797
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

That's a sign that there's not much oxygen in your blood at that moment--the blue is unoxygenated blood in your system. Is it cold where you are?


Akio, you have nice turns of phrase, but your points aren't clear and you have no textual support. I can't give this a passing grade.
~ Professor Arisa Konno, Eng 1001 (Freshman Literature and Composition)

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#159 | Back to Top10-26-2011 06:16:42 AM

BlackBeforeRed
Acknowledged Smart Person
From: The Nightosphere
Registered: 07-09-2010
Posts: 178

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Yes. It is cold where I am right now, I'm in Canada so it's about time for winter to start. I do seem to get cold pretty easily lately now that you mention it

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#160 | Back to Top11-02-2011 06:33:13 PM

Giovanna
Ends of the Fandom
From: Edmonton, AB
Registered: 10-12-2006
Posts: 8797
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Reynaud's in that case may be a possibility. Your iron may also be low, and that's the easier thing to check for. Try getting in more red meat or take iron pills. emot-smile Give it a couple months, though!


Akio, you have nice turns of phrase, but your points aren't clear and you have no textual support. I can't give this a passing grade.
~ Professor Arisa Konno, Eng 1001 (Freshman Literature and Composition)

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#161 | Back to Top11-03-2011 08:26:01 PM

crystalwren
Dark Whisperer
From: Brisbane
Registered: 04-21-2009
Posts: 1172
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

allegoriest wrote:

So like, I have really fucked up ears. I apparently went temporarily deaf as a kid, and noone can explain exactly what happened, but I had surgery and got betterish. (It was in the early 90's, and I know that alot of ear things have been discovered since.) I can hear my blood moving 24/7 (It took YEARS of confusion to figure that out.), often a horrible ringing noise, and sometimes, I hear myself... blink? (I need an MRI, it just... isn't feasible right now.) I have trouble understanding things people say, and on top of all the extra noise, I'm so confused. Also, if there's a noise, everyone turns one direction, and I usually look the other.  Right now, I know my mom is talking elsewhere, but I just kinda hear a monotone buzz and know its her. Real point being, they're insane.

I have issues with my hearing as well. I consistently and regularly test obscenely high for reflexes and higher pitched noises, to the point where I'm hearing notes that are slightly higher than what the conventional scientific wisdom says I should be hearing. I flinch when there are loud noises because it physically hurts, and when there's a loud, unexpected high pitched noise I freeze and shut down. If it goes on for any length of time I basically loose those seconds of my life; I can't remember the time that passed, only that it did pass. Apparently it's rather creepy and upsetting for other people to watch, particularly if they're my family and are really concerned about me and don't get teh ass burger's as well. My mother and my sister in law understand what and why and they still get upset. Others, like my father and brother, don't understand and get extremely upset because they don't know what's going on and feel, deep down, that it's something I should be able to control.

There have been times where I've had to listen to my own pulse. When I was a kid I used to hear the electricity hissing in the sockets at night. Drove me fucking bonkers. I'd have to get up and turn off every damn switch in the room except for my alarm clock. My alarm clock was/is agony; I don't care what people tell me, that they're designed to be quiet and all that, because they're not. They hiss, they hum, there's the vibration of them across the surface of whatever they're sitting on, and worst of all, they have to be close to your head. It's torture.

I sometimes have a lot of trouble with my balance, although it's possible that has more to do with the whole lack of co-ordination I have, particularly down my left side.

I also have tinitus. Constantly. Forever. It's permanent. I used to get it on and off when I was a kid, but when I was seventeen it came to visit and never left. (It seems to be a genetic thing; my father's started when he was thirteen.) When I'm off my medication, I can hear five to six different notes; there's the circada whine, which is at least smooth and constant. I also hear bells, whistles, sirens and occasionally engines. If I stop taking my meds for longer than three days the noise becomes overwhelming; I can't hear what people are saying to me because the noise in my ears is so loud. I start losing my grip on the world. I can't sleep. I can be standing one metre away from a reving truck engine and still having the ringing louder than the engine. At this point my balance starts to go, and I'll startle innocent passers-by by screaming randomly at thin air. I tend to sway and fall over a lot.

Sometimes I can't hear what people are saying to me if there is background noise. Some days are worse than others.

I used to hear my pulse, but not very often these days.


My point to all of this? I am no doctor, but what you're describing sounds like genuine problems with your hearing; NOT your sanity. You symptoms match a lot of industrial deafness symptoms that older gentlemen from various places that I've worked have described. The fact that you've already had one operation on your hearing is a good sign that you might have further issues that were missed at the time, or even that the operation itself caused damage. The fact you're hearing your own pulse all the time (even I've only done that one infrequently) is a pretty good sign of that, IMHO.

If you tried to arrange the MRI by yourself or even with your GP, then perhaps that's not the way you need to go about it. I know that the amerikan health system is fucked up and weird, but you really need to scare up the money to go see an auiditory specialist. They'll be a hell of a lot more use to you than a shrink. And if you're having this much problems and are in this much distress, you need to jump up and down and scream that this is a problem witho your HEARING. Not with your brain. There are four things you should never, ever fuck with: your eyes, your knees, your back and your hearing. If nothing else you NEED to know if your condition is degenerative, and if anything can be done to stop it. You family needs to fucking understand that sticking their fingers in their ears and screaming, 'LA LA LA!' will NOT help you if it does turn out to be degenerative. Because by the time it's obvious that it is, then you'll be fucking deaf and permanently screwed and they'll say, 'oh...um, sorry?' and go merrily on their way.

Mine certainly did, on several different things. And now guess what? I'm turning thirty next year, and I'm still trying to straighten out various health problems left over from their brainless denial of REALITY.

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#162 | Back to Top12-18-2011 09:17:36 PM

OnlyInThisLight
KING OF ALL DUCKS
Registered: 01-15-2008
Posts: 4412

Re: Ask Nurse Spadaro! Avoid public embarrassment!

I've been having bad pains in my shoulder for about a week now.  Not just soreness, but sharp pain whenever I move my arm across my body or basically in any way other that sticking it straight up in the air slowly, even typing on my laptop at certain positions hurts.  I do have a job that requires constantly reaching up and to the right of me (putting particular items in the steamer at Taco Bell items, which we can sell over one hundred of per hour now that we have a lot of steamed items on special) and I have to do it quickly in order to make times.  Last week I did put over 40 hours in four days (three days, actually, because I had Sunday off to sleep through), and most of my shifts were at night, when we are busier.  I'm not sure if its from work or just sleeping wrong or maybe lifting one too many heavy trash bags, since I've never gotten this kind of pain from work. 

I'm not sure if I should go to a doctor or not, but it hurts to even carry a light purse on my right shoulder and it only seems to be getting worse.  Is it something I can just treat with painkillers and a warm seed pillow?

Last edited by OnlyInThisLight (12-18-2011 11:30:23 PM)

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#163 | Back to Top12-20-2011 12:44:11 AM

Giovanna
Ends of the Fandom
From: Edmonton, AB
Registered: 10-12-2006
Posts: 8797
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

More likely than not, yes. Muscle injuries like that rarely get treated any other way. THAT said, if there are two things no one should fuck with, it's shoulders and knees. I would say try as best as you can to rest it a little for another week. Also, get a bottle of ibuprofen, the cheap store stuff is fine, and take large doses, 400-600mg, every six hours or so. The bottle will say 200, as that's the dose for use as a painkiller, but you also want the anti-inflammatory benefits, which take more. Try to eat it with food, as that's a big dose and it might upset your stomach otherwise. If there's no change or it worsens in the next seven days, definitely do something about it. And go through worker's comp--this is almost definitely a work-related injury.


Akio, you have nice turns of phrase, but your points aren't clear and you have no textual support. I can't give this a passing grade.
~ Professor Arisa Konno, Eng 1001 (Freshman Literature and Composition)

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#164 | Back to Top12-24-2011 03:48:35 AM

Prince_of_Stars
Someday Shiner
From: The Hellsing Organization
Registered: 06-12-2008
Posts: 4165
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

I've got one. One night, I went to sleep. The next morning, I woke up aching all over, like everywhere; my back hurt the worst. I couldn't walk standing straight up it hurt so bad, so I was walking around bent at the waist, which eased the pain a bit. I don't know why it happened, and despite the insane amount of strain I put on my body, the worse I get is usually muscle pains, which aren't that bad. None of the Army's doctors could tell me what was wrong with me, but of course, they don't really give a damn about us anyway, as they collect a check whether we feel better or not. The last time I had this full body aching, I had strep throat; this time, I didn't. What the hell is going on?

Last edited by Prince_of_Stars (12-24-2011 03:49:52 AM)


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Faithfully failing at feminine tasks, gender roles, and the conventionality of femininity since 1990.

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#165 | Back to Top12-25-2011 03:12:33 AM

Giovanna
Ends of the Fandom
From: Edmonton, AB
Registered: 10-12-2006
Posts: 8797
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Do you have a history of night terrors? That was my first thought.

Otherwise, you might have gotten a viral infection or somesuch and managed to fight it off. Sometimes the body puts up such a fight doing that that while you don't ultimately get sick, for that one day your body doesn't know what the fuck.

Keep in mind also that if you put frequent and excessive strain on your body, yea it'll take it, but the effect is cumulative. Eventually it's going to start creeping up on you. emot-frown


Akio, you have nice turns of phrase, but your points aren't clear and you have no textual support. I can't give this a passing grade.
~ Professor Arisa Konno, Eng 1001 (Freshman Literature and Composition)

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#166 | Back to Top12-27-2011 01:44:11 PM

Koshernova
Touga Topper
From: City 7
Registered: 08-22-2010
Posts: 55
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Dear Madam Nurse Gio,

Ever since I was 12 or so I've had these little red bumps on my upper arms. They don't itch, and have never gone away. Sometimes a few of them get a bit harder and I kinda scratch them off, which I'm sure is not the right thing to do. I've tried exfoliating every other day for a month, and while they do get better, they still come back always.

Ever since I finished my first puberty they've been getting better, and now that I'm in my second one (due to being trans and being on Hormone Replacement Treatment) they're better still, but you know, they're kinda still there. Any recommendations to what I could do?

Yours sincerely,

Bumpy, Dublin

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#167 | Back to Top12-27-2011 04:34:35 PM

OnlyInThisLight
KING OF ALL DUCKS
Registered: 01-15-2008
Posts: 4412

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Giovanna wrote:

Do you have a history of night terrors? That was my first thought.

Otherwise, you might have gotten a viral infection or somesuch and managed to fight it off. Sometimes the body puts up such a fight doing that that while you don't ultimately get sick, for that one day your body doesn't know what the fuck.

Keep in mind also that if you put frequent and excessive strain on your body, yea it'll take it, but the effect is cumulative. Eventually it's going to start creeping up on you. emot-frown

I believe that many forms of clinical depression, like Seasonal Affective Disorder, can also cause unexplained body aches and pains.  Just like when stress takes its toll on your body instead of your mind, its all a sign that something is wrong.   If you've been feeling extremely fatigued, had problems getting to sleep or waking up, weight loss or gain from sudden changes in eating habits, intense, noticeable cravings for carbohydrates and in general feelings of apathy or legarthy you may want to look into SAD. which is when depression episodes occur during certain times of the year, mostly during the winter and fall when there is less sunlight.  Medication and talk therapy help wonders, and even just making sure your getting enough sunlight can improve your mood and body.

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#168 | Back to Top12-27-2011 11:06:59 PM

icarus
Wakaba Wrangler
Registered: 07-31-2011
Posts: 18

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Correct me if wrong, but doesn't vitamin D (from lack of skin exposure to sun) have something to do with SAD?

Love that acronym.

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#169 | Back to Top12-28-2011 12:57:46 AM

OnlyInThisLight
KING OF ALL DUCKS
Registered: 01-15-2008
Posts: 4412

Re: Ask Nurse Spadaro! Avoid public embarrassment!

icarus wrote:

Correct me if wrong, but doesn't vitamin D (from lack of skin exposure to sun) have something to do with SAD?

Love that acronym.

Close,  but it is melatonin you are thinking of.  Sun exposure affects secretion of melatonin in the brain, which while also being a powerful antioxidant (perhaps why you confused it with Vitamin D, which is also aided by sun exposure) regulates the body's circadian rhythm and is released by the pineal gland (in darkness) to cause sleepiness and lower your body temperature.  Messing with one's circadian rhythm is a really good way to cause a host of problems in the body.  I would go into more detail, but honestly a lot of aspects of SAD and how serotonin and other chemicals in the brain create or work with it is still being studied. 

Keep in mind that because of this, most people feel sleepy or tired during the winter.  SAD is marked in that this legarthy is emotional as well, lasts for long periods of time, and is severe enough to affect your eating and hygiene habits.  It is a specifier of major recurrent depression, and that is a title not to be taken lightly.  There is also delayed sleep cycle syndrome, which may be confused for it. 

For example,  I'm obsessively clean and organized, but when in a depressive state, will go over a week without showering, days without brushing my teeth (and when I do, it's just squirting toothpaste in my mouth and swishing it around), and stop cleaning up.  I will stay in bed all day and night, even if awake because I am too tired to get up and will only leave bed to use the bathroom or take a quick drink of something, and when hungry enough to finally feel like getting up and eating, will binge.  I'll make up excuses to not go to work or school, show up half and hour late when I do decide to go, and even a full 9-hour night's rest doesn't help.  It's a completely different me than who I am when not in a depressed mood.  In the spring and summer I am active (overtime ALL OF THE WEEKS), clean, organized, a dedicated student and according to many people I know quite charming and helpful when it comes to giving advice on, well, happiness. 

You always need to, if possible see a psychiatrist and get a clinical diagnosis for any suspected mental disorder, because knowledge of having one changes your self-outlook and your perspective on life in both positive and negative ways, and gives you better opportunities for successful treatment.  If you are curious is you have one yourself, always look to the four D's of a mental disorder diagnosis, which you need all four of to categorize something as a disorder.  Here is a short description of each, with my own case used as examples:

Distress:  A disorder distresses the individual in some way -often anxiety, fear, or a personal dissatisfaction with oneself or ones behavior.  Even with antisocial personality disorder, distress is present (impaired ability to feel arousal kinda sucks, and so does the prospect of legal punishment).

FE:  I hate SAD.  It makes me hate myself and my life, upsets progress I make with school, friends and work, makes my body ache and in general makes my whole life harder to live and enjoy.

Deviance:  A disorder involves thoughts or behavior unacceptable or differing from a social or cultural norm. 

FE: SAD has me sleeping during the day and awake for short periods of night, when the rest of society is awake during the day. Most people are happy and sociable and take care of themselves properly and can handle many problems and stress in positive ways.  When in a depressed mood, I can do none of these things.

Dysfunction:  A disorder impairs your life or ability to function in some significant way.   

FE:  My moods and fatigue affect my performance at work and attendance rate, personal hygiene and social life.  I get written up at work and lose money, leave my apartment unclean to the point that it smells and my body so unclean I break out in acne and gain cavities and I neglect friends and family, ignoring their calls, to the point that people in my life notice and either come over to get me or stop associating with me.

Danger:  The disorder puts yourself or others in danger of harm.

FE:  Suicidal thoughts and a suicide attempt put my life at risk when I was younger, which is how I ended up getting diagnosed.  Self-harm is something I risk doing when on the upswing from a down mood (more energy to act on thoughts and feel anger, frustration and sadness as opposed to nothing at all).  Not taking proper care of myself in eating and hygiene put me at greater risk for chronic illness and catching colds, flus and the like.

Last edited by OnlyInThisLight (12-28-2011 01:01:04 AM)

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#170 | Back to Top12-30-2011 12:04:38 PM

Ashnod
La poétesse revolutionnaire
From: Missouri, United States
Registered: 03-01-2007
Posts: 1243
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Nurse Spadaro,

Last time I was this ill, I went to the doctor on the 3rd or 4th day of illness and was told that I had a viral infection and just had to ride it out. Which makes sense, I know, but it has prejudiced me against going back for something that feels similar to the last time and to be told the same thing.

Symptoms include:

Thick and frequent phlegm (ranging from yellow to brown in color) accompanied by coughing.
Stuffy nose accompanied by frequent noseblowing (yellow in color)
Fever that comes and goes but has not remained constant
Headache
Reduced appetite
Sore throat (but likely a result of frequent coughing)

At this point, the general pracs will be closed tomorrow and I would be forced to go to urgent care or the ER if I decide to see the doc tomorrow. Should I check in with them just to be sure that this isn't pneumonia?  Thoughts?

EDIT: Went to urgent care today (Day 4 of illness) just to be sure. Was very surprised when they gave me amoxicillin as I was not expecting to be given antibiotics for this. Hopefully it will clear it up soon.

Still surprised I was given medication.

Last edited by Ashnod (12-31-2011 02:50:34 PM)


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#171 | Back to Top01-01-2012 12:32:47 AM

Prince_of_Stars
Someday Shiner
From: The Hellsing Organization
Registered: 06-12-2008
Posts: 4165
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

So, you guys think it's happening due to depression or stress? Stress I can see, but, I don't think I even know what depression feels like. I'm pretty happy most of the time, and if I do have an off day, it's just an off day. Or am I misinterpreting you guys' diagnosis? emot-confused


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Faithfully failing at feminine tasks, gender roles, and the conventionality of femininity since 1990.

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#172 | Back to Top01-01-2012 03:28:26 AM

OnlyInThisLight
KING OF ALL DUCKS
Registered: 01-15-2008
Posts: 4412

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Prince_of_Stars wrote:

So, you guys think it's happening due to depression or stress? Stress I can see, but, I don't think I even know what depression feels like. I'm pretty happy most of the time, and if I do have an off day, it's just an off day. Or am I misinterpreting you guys' diagnosis? emot-confused

Well, I'm not diagnosing you with anything -I'm not licensed or properly trained to and even if I was I wouldn't do so over the internet and without meeting you.  I'm just giving you some other sources for your aches to consider looking into.  I also wouldn't recommend considering only the things I have suggested.  Gio's advice is solid, and any psychologist worth their salt knows that you look for and rule out biological causes and problems first.

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#173 | Back to Top01-01-2012 05:09:01 AM

Prince_of_Stars
Someday Shiner
From: The Hellsing Organization
Registered: 06-12-2008
Posts: 4165
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Oooooh. Gotcha! I was just like 'whoa; so much stuff to consider... o.o'.


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Sir Hellsing: Leader of the Feminine Failure Revolution
Faithfully failing at feminine tasks, gender roles, and the conventionality of femininity since 1990.

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#174 | Back to Top01-01-2012 03:56:45 PM

Giovanna
Ends of the Fandom
From: Edmonton, AB
Registered: 10-12-2006
Posts: 8797
Website

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Koshernova wrote:

Red Bumps

This sounds like keratosis pilaris. (No I'm not so amazing that I remembered that specific name, but I knew what it was.) This is a common, hereditary, and benign skin problem that, unfortunately, has no single reliable fix. It's the keratin in the hair follicle clogging and generally being a jerk, and tends to be exacerbated by dry skin. This is probably why it's easier during the hormone therapy, where your skin is producing more sweat and oil to push the keratin out. Some common things to try (nothing will totally fix it, and you may need to try a few things to find the one that works) include scrubbing or chemical peel products, low-additive, non-greasy lotions (such as Lubriderm), and treatment with creams that contain things like lactic acid or salicylic acid (look at the ingredient lists at the drugstore for these things, I know Burt's Bees has an acne lotion with salicylic acid). Your doctor might give you isotretinoin or vitamin D creams if it's severe, but I would exhaust other options first. Keep in mind that any treatment you try may take months to show results, so don't give up easily!

OnlyInThisLight wrote:

I believe that many forms of clinical depression (...) can also cause unexplained body aches and pains.

Absolutely, yes! I should have also suggested that as a possibility, but I personally like to try to rule out medical explanations before I advance on psychological/emotional ones. This is the opposite of the approach often taken by medical professionals, which is to assume everything is psych until proven otherwise. It makes for lazy medicine, underdiagnosing of significant physical concerns, and overdiagnosing of psychological problems, which creates a big issue where people with true psychological needs have them addressed less because they're blended together with the million others who had perfectly simple physical solutions they never explored because they weren't encouraged to.

OnlyInThisLight wrote:

SAD

Great advice all around! That said, melatonin and vitamin D are kind of two sides of the same coin. The body uses the influence of melatonin on your mood partially to get you to go outside when you're in need of more vitamin D. So if you lack one, you probably lack the other. Vitamin D and melatonin can both be taken as supplements, though the usefulness of the latter is in hot debate in the medical community. (Vitamin D is often packaged with calcium, which pretty much everyone universally needs more of.) That said, supplements (just like drugs) should never be used to make up for a lack you're able to correct by other means. Unless you live even farther from the equator than I do (not likely), there is probably enough sunlight, for long enough, that you can get half an hour or so of exposure a day. A walk around the block is enough for many people who experience some symptoms of SAD to feel significant relief, and even more severe cases benefit greatly from it.

OitL, you sound like you experience some pretty severe symptoms, so I'm not trying to suggest that your answer is sunlight alone, but for most people, there are often very simple answers to problems like this that get ignored because we have a mentality that suggests people must rely on therapy, drug or otherwise, for every answer. People are more adaptable and capable than we give them credit for, and I wonder sometimes if the health care culture we live in makes people undervalue their own body and its ability to take care of itself.

Ashnod wrote:

Symptoms:
Thick and frequent phlegm (ranging from yellow to brown in color) accompanied by coughing.
Stuffy nose accompanied by frequent noseblowing (yellow in color)
Fever that comes and goes but has not remained constant
Headache
Reduced appetite
Sore throat (but likely a result of frequent coughing)

Treated with: amoxicillin

Those symptoms are quite characteristic of pneumonia, although it would be a milder case if the fever isn't constant. So I'm glad you went to the doc! Don't be too intimidated by the word 'pneumonia', it's easily treated and not terribly dangerous if caught early in an otherwise healthy young gal like yourself. emot-smile I know getting told to wait it out turns people off to going to the doctor, but let me say this about it--doctors are all about covering their ass. If they don't give you drugs, they are probably very, very confident that they're right, because if there's a shred of doubt, your average American doctor will load you with antibiotics. Which isn't a good thing, but it is the atmosphere and behavior to expect.

Some people will tell you if the snot/phlegm is clear, it's viral, if it's not, it's bacterial. That is horse poop, so don't rely on it. The only constant I've noticed is that viral infections tend to involve much more severe fever symptoms than bacterial ones do, but again, that can't be relied on. In a perfect world, people would be financially able and comfortable with going to a doctor every time they get sick, but it's not like that, so just use your head. If someone around you was hacking and coughing, you get sick, and that person hasn't been hospitalized, then no, it's probably just a crummy ass viral thing, but if your symptoms are primarily in your throat, you need to see someone. When in doubt, see someone. Don't go to the ER unless you are in actual immediate danger--it's not the best place to have colds and such diagnosed.


OnlyInThisLight wrote:

Gio's advice is solid, and any psychologist worth their salt knows that you look for and rule out biological causes and problems first.

The problem there is finding a psychologist with their salt. emot-frown That can be very challenging in and of itself, and it's a sad situation the field is in where people who are in even less of a position to evaluate their health providers than people dealing with MDs have to sort through a thousand people that may just suck, or may prefer treatment courses that don't work for that person, or etc.

I would reiterate that you should explore physical causes before moving to the psychological ones. Try thinking of something like ibuprofen as a way to diagnose. If taking it cures symptoms for a while, but then stopping a couple weeks causes them to return, you should see a doctor. If you take the painkiller and it does nothing, you should probably examine psychological answers sooner.


Akio, you have nice turns of phrase, but your points aren't clear and you have no textual support. I can't give this a passing grade.
~ Professor Arisa Konno, Eng 1001 (Freshman Literature and Composition)

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#175 | Back to Top01-01-2012 07:53:17 PM

OnlyInThisLight
KING OF ALL DUCKS
Registered: 01-15-2008
Posts: 4412

Re: Ask Nurse Spadaro! Avoid public embarrassment!

Sunlight does do wonders, absolutely, but the problem with SAD and other mood disorders is that its symptoms often cause you deny yourself treatment, either by making you feel helpless or unworthy or doubting your need for it, or simply by feeling too tired to get up and go for a walk.   I've been leaving my curtains open all month to help me get as much sunlight as I can, but there just isn't a lot of light here in MO at this time.  Springfield is a gray, cold city, and my neighborhood is not the kind of place to go walking around in by yourself. 

Lexapro may very well be a placebo for me, I feel like I'm doing something when I take it, and it doesn't require much energy to do.  I try to use it as my ladder when I find myself into deep, not my cure.  I still have to make the climb and continue to take care of myself.  I just know how I am when I have it, and how I am when I don't, and I would really much rather have some on hand.  I recommend therapy or counseling to anyone with any kind of life or mood problems, but when I say that I mean I recommend they go and speak to a knowledgeable person for some advice or just to vent, not to get a diagnosis and be psychoanalyzed. 

Drugs should be a last or near last resort, but they aren't and I can't imagine them ever becoming so until other means are made more available to people.   Its easier to take a prescribed medicine than it is to schedule a day out of every week to talk to a therapist, or to even do seemingly simple things like getting more sunlight when your job requires you to be awake at night.  Environmental factors are a lot harder to alter than most cognitive or biological factors when it comes to mood disorders, especially for people on the lower end of the socioeconomic spectrum. 

And it is difficult to find a good, dedicated psychiatrist.  I fear its because in this economy most students are going into psychology for the money and job stability rather than any personal interest in helping people.  All I hear in my classes are people discussing how much they desire to make, plans for doing so, etc, and not what they want to do or why.  I understand up to a point, but honestly.  Psychology is a lucrative field.  You will be making a healthy living with a Masters or Doctorates, calm down.  Or it may just be me, who hears a prospective 40,000 a year and is like, THATS ALL THE MONEY IN THE WORLD OMG. 

If a psychiatrist is in it solely for the money, then of course they are going to prescribe drugs to and be done with the person whose insurance isn't paying them as much per hour, and be likely to ask patients with better insurance or more money to come and see them twice a week.   

I don't want this fear to turn people away from psychiatry, but I would say that if at all possible, because of this risk, see more than one psychiatrist or therapist.  You have every right to.

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