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anyone? by Shit Crozzledale - Sun, 13 Dec 2015 04:41:30 EST ID:mGpPNktT No.53563 Ignore Report Reply Quick Reply
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here a personal trainer? Im studying to get certified in it and nutrition. how hard is the test? anything i should really know in general?
Samuel Brookspear - Sun, 13 Dec 2015 23:12:39 EST ID:FFtUXNqx No.53565 Ignore Report Quick Reply
Nathaniel Mennerbut - Mon, 14 Dec 2015 00:54:41 EST ID:DsNeYsJB No.53566 Ignore Report Quick Reply
>AND Nutrition, plus with my CEC's im going for other courses later as well

Craving sugar? by Jenny Muttingspear - Sat, 28 Nov 2015 15:01:07 EST ID:UR971sHr No.53512 Ignore Report Reply Quick Reply
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I find myself craving sugar to the point that I will drink milk just because of the lactose in it.

I don't normally eat lots of sugar. I don't even have sugar with my coffee and tea. I only get it from milk, fruit and honey. No dessert. No cake. No biscuits. Of course I get glucose from bread and pasta and stuff.

Today I did not consume any fruit nor honey. I drank a glass of milk and now I'm sort of craving something sweet.

Is this something to be worried about?
Sidney Fangerhitch - Sun, 29 Nov 2015 18:36:37 EST ID:tmdJ+EgM No.53515 Ignore Report Quick Reply
I don't know, I love ice cram and chocolate and stuff. I will eat a lot of sweet things
every now and then, like I put ice cream in breakfast cereal. I see no real issue.
Martin Semblespear - Sun, 29 Nov 2015 18:59:01 EST ID:CO+s6Jm1 No.53516 Ignore Report Quick Reply
Some psychiatric medications I take cause me sugar cravings. Are you on any medication at all, for anything?

Sugar is addicting. Once some people develop a taste for it (eating it over a period of a few days), they may have trouble controlling their impulse to FEED. FEEED.

I am sure it is dietary related. Your body wants sugar for some reason. They say that people who do too many math problems in a row can become violent if they don't consume sugar because of the brain runs on it and math is one of the most energy-wasting things in the brain
CrazyFolksTribe !owU3wSU682 - Mon, 07 Dec 2015 18:36:02 EST ID:JSWb2jau No.53539 Ignore Report Quick Reply
If you don't experience any other negative symptoms and the sugar cravings don't interfere with your life, it's probably not a serious problem. You could get your blood sugar tested if you're concerned. I crave sweet stuff often too; I think it's from having an extensive supply of chocolate and candy within reach at all times when I lived with my parents. On my own, I don't buy as many sugary snacks, but I still crave them.
A Wizard - Wed, 09 Dec 2015 16:39:19 EST ID:x1dwROX3 No.53553 Ignore Report Quick Reply

If you're craving something, you're probably lacking something in your diet that is associated with that flavor.

The obvious choice for "sweet" is fruit, though you do seem to have a restricted diet. You might just be craving something that's occasionally in your diet that is unusually sweet for it's nature, like a scone I donno. It's your diet.

Easiest thing I can think of to do is to go to a large buffet tonight and sample everything that seems appetizing.
Eliza Bladgenore - Sun, 13 Dec 2015 14:35:37 EST ID:HGXhQlWm No.53564 Ignore Report Quick Reply
this sounds to be what makes the most sense. you said you don't normally eat a lot of sugar, so it's possible your body is requesting a little more of it.

what I was going to suggest is that sometimes taste buds change, man, ya know? think about some foods that you remember not liking throughout your life that now you eat without thinking about, and started eating more and more of over time?

I, personally, have a huge sweet tooth and the majority of my diet is definitely sugar, so you saying that milk is one of the sweetest things you crave sounds off to me. I drink milk to wash down the meals worth of chocolate I eat in one sitting.

treat yourself.

Here's another one if you want to keep playing: by Martin Duckspear - Mon, 07 Dec 2015 22:55:45 EST ID:/vLIXZIq No.53542 Ignore Report Reply Quick Reply
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A 10 year old female presents to your clinic with a 3 day history of vomiting, generalized aches and decreased energy. She has always been healthy; but when looking back at your records you notice she has lost 10 lbs since her last check up visit (had a lowish BMI to begin with). You ask about other symptoms and discover she has been having to get up to use the bathroom at night (multiple times) for the last week and a half. On examination she is ill appearing, responsive but slow to give you answers, she is having deep somewhat irregular respiration. Her breath smells off, a mixture of fruit and nail polish.
You order a urinalysis suspecting a urinary tract infection; but there are no white blood cells, bacteria, or nitrites. However there are 3+ (lots) of ketones. You check basic electrolytes and find a bicarb of 7 (very low; suggesting acidosis). You direct her to the nearest emergency department for treatment.

1) Diagnosis? What else is present in your urinalysis and abnormal electrolyte panel (typically has Glucose, sodium, potassium, chloride, BUN, creatinine)?
2) What medicine does this patient need?
Martin Duckspear - Mon, 07 Dec 2015 22:56:45 EST ID:/vLIXZIq No.53543 Ignore Report Quick Reply
>>53542 FUCK this was for the grand rounds thread. Sorry.
Archie Pickcocke - Tue, 08 Dec 2015 22:28:11 EST ID:6uPmXcoD No.53547 Ignore Report Quick Reply
Bitch is hypoglycemic either diabetes or some other reason
George Waddleshit - Wed, 09 Dec 2015 12:27:26 EST ID:mrBbFDVS No.53550 Ignore Report Quick Reply

acidoses due to diabetus

bit weird though because shes so young and it usually takes some time to develop
Beatrice Fobbleshit - Sat, 12 Dec 2015 02:21:18 EST ID:FFtUXNqx No.53560 Ignore Report Quick Reply

Type 1 diabetes, nigra. The "deep somewhat irregular respiration" is Kussmaul breathing, a symptom of type 1.
Hannah Goffinglire - Sat, 12 Dec 2015 13:07:43 EST ID:/vLIXZIq No.53561 Ignore Report Quick Reply
Diabetic keto acidosis, likely Type ! diabetes
>>53543 Hyperglycemic; insulin is needed to move glucose into cells; with a lack of insulin there is excess glucose in serum.

>>53550 Because cells can not utilize carbs for energy the body shifts to metabolism of lipids (fats) which generates large amounts of ketones (thats why she has ketones in urine) which shifts serum pH to acidic ranges.

Shes actually not that young. Classically Type 1 DM developed before puberty

>>53560 Correct, the Kussmaul breathing results from the acidosis. This patient is trying to compensate by breathing off excess CO2.

Your other labs would show Glucose in urine and elevated glucose in serum. Additionally your serum potassium might be high (insulin shifts potassium into cells), although you may have a total body deficit of potassium.

This patient needs fluids and insulin administered intravenously.

Sleeping a metric fuckton and being tired all the time by Archie Pickcocke - Tue, 08 Dec 2015 22:37:03 EST ID:6uPmXcoD No.53548 Ignore Report Reply Quick Reply
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I need some help figuring out wtf is wrong with me and what i can do to fix it.

I'm very tired and fatigued during the day and generally just sluggish. I sleep for around 14 hours a night and usually take a nap during the day aswell. If i'm up and around doing something like working or jogging i'm fine but the fatigue feeling comes back as soon as i get stationary. At night when i lay down to go to sleep even though i'm very tired it takes me hours to fall asleep. But once i am asleep, its extreeeeeemely difficult for me to wake up. Its not unusual for me to sleep 20 hours and still have to force myself to wake up and its agonizing.

So what's wrong with me? My diet is good, and i've only been experiencing this for a little less than a year. I've tried cutting out alcohol and benzodiazepines and that had no effect. I'm pretty sure its not hypoglycemia because i keep a good diet, my blood pressure and heart rate are both normal also. I plan to see a doctor but i imagine all they're going to do is tell me if i have hypothyroidism or not and i don't think i have that.
Thomas Buzzridge - Thu, 10 Dec 2015 12:02:51 EST ID:LmamKjAL No.53557 Ignore Report Quick Reply
are you depressed son

What do these symtptons point toward? Diabetes? by Nicholas Bockledotch - Mon, 07 Dec 2015 01:44:16 EST ID:QTVDJk9R No.53537 Ignore Report Reply Quick Reply
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So for a long time I would occasionally wake up with no feeling in one or both hands from sleeping on them. Give it a minute maximum and this would pass.

However, in the last 2 months or so I started to get healthier. Down to 1 cigarette a day, really active job. Do press ups, pull ups every day and 1x cardio a week. The numbness/pins and needles got worse though?

I wake up with completely dead hands that feel like they take ages to allow the blood back in. 2 minutes maximum maybe? I'm the deepest sleeper ever though, a complete dead weight so I don't know if I just fall asleep on them for a long time.

Sometimes when I sit on the edge of my bed playing video games or on the toilet with my feet flat on the ground they go numb or start to feel a bit dead?

I cannot work out why. Googled it and freaked myself out a bit with all types of things like Carpal Tunnel Syndrome and Diabetes?

My body fat is naturally really low. I'm 6ft 2 (189cm) but I only weigh about 70kg. Almost entirely of muscle, I'm not unhealthy though. I eat very well. Lots of fruits and vegetables and water. Almost no sweets or sodas. I have a very high amount of carbohydrates in my diet in the week but only for energy at work which I need. It all gets burnt off. Read something about linking high carbohydrate intake and diabetes somewhere though?

Will arrange a doctors appointment today but just wondering you guys input? I'm actually quite worried, I feel like my my circulation shouldn't be this bad?

Thanks in advance!
CrazyFolksTribe !owU3wSU682 - Mon, 07 Dec 2015 21:18:34 EST ID:JSWb2jau No.53540 Ignore Report Quick Reply
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I'm taller and lighter than you and often have this problem too. I always guessed it was from a combination of lots of sitting in the same position, little exercise, and stimulants. But if you frequently use your muscles and don't do drugs besides tobacco... hmm... it's probably, uh... I really don't have a clue. I'm interested in reading what the doctor says after you go in for a visit though. Hopefully it's something as simple as easily pinched nerves from being skinny.

Don't get too worked up about diabetes or carpal tunnel syndrome just yet; there's not much you can do until you actually know the root of the problem.
Ghengis Dong - Tue, 08 Dec 2015 14:32:44 EST ID:EAKxA/Rd No.53545 Ignore Report Quick Reply
I've had this for years. I also notice it more when I'm more physically active. What's your resting heart-rate and blood pressure? Mine is usually around 90bpm and 9X/6X, I always thought low blood pressure contributed to it. Do you also get head-rushes when you stand and are you a back/front sleeper?

Ingrown nail? by Nigel Femblewat - Sun, 29 Nov 2015 17:13:43 EST ID:WuB0tdon No.53513 Ignore Report Reply Quick Reply
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Hey /med/ I smashed my finger pretty badly several months ago, had to get 11 stitches and now there is a gnarly scar. It's all healed but on one side the skin is slightly starting to grow over the side of the nail.

Is this a problem?
Sidney Fangerhitch - Sun, 29 Nov 2015 18:33:27 EST ID:tmdJ+EgM No.53514 Ignore Report Quick Reply
I mashed my finger while splitting wood, not broken but a overly-heavy heavy log.
Which should not have been offered for home firewood. Could see the bone as it split it open. It did leave a nice indentation in my finger but since is far less noticeable today. No issues aside from losing my fingernail after a while which grew back just fine. Anyway I would say that should be looked into pretty soon.
Isabella Hublingfoot - Mon, 30 Nov 2015 15:34:37 EST ID:I6bOlkS6 No.53521 Ignore Report Quick Reply
Only if the nail breaks the skin and prevents it from healing which leads to an infection. I've never heard of someone getting an ingrown fingernail. I've had 3 ingrown toe nails. If the skin isn't broken it isn't ingrown. If the skin heals it isn't ingrown.

Man I'm glad the last two times I had my toe nail break the skin it healed. I don't know what is different than the other three times it got infected. I have some kind of natural immunity to Novocaine so it is a bitch to get them removed.

When I take a nap, I wake up with a headache by Hugh Bickleson - Mon, 30 Nov 2015 02:02:38 EST ID:CO+s6Jm1 No.53517 Ignore Report Reply Quick Reply
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Happens every time. If I go to sleep on at night without any naps in the day, this never happens.


Trichilemmal cysts by Martin Mumblestone - Sun, 22 Nov 2015 11:21:02 EST ID:UPvbU7Ox No.53487 Ignore Report Reply Quick Reply
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so, i have two large bumps on my head. one near the very top of my head, and the other to the central-left area. the left one is actually split into two, its one physical bump but you can feel an indent which seems to separate it into two entities. as i am aging i am experiencing hair loss and fear these (and how i brush my long hair accordingly) may be to blame. they're sensitive to touch but do not cause pain when left alone. if i had to estimate size, i would say it has a little over an inch diameter, and is raised at least a cm above my scalp.

i live in canada, ontario and want to have it removed. we get free health care but not for cosmetics. i am working at a job atm which if successful, will reward me with health benefits.

so what do i need to say to the doctor to get it removed? someone told me to just tell them they "hurt," but i feel i need to be a little more precise than that.

alternatively can anyone estimate a cost for the procedure to remove that one bump / "Trichilemmal cyst"
Hugh Wandercocke - Sun, 22 Nov 2015 12:14:05 EST ID:vdD1G58+ No.53490 Ignore Report Quick Reply

Just say that they hurt, the one feels like it's turning into two (which is bad) and you're afraid they may become cancerous over time. Further, they're fucking with your mental health, as they cause you to be insecure in social situations, and are starting to fear going to work should they be spotted.

I donno, just tell them to cut the fuckers out. It shouldn't take them more than an hour, and most of that is just prep.
Charles Dartman - Fri, 27 Nov 2015 20:30:53 EST ID:UPvbU7Ox No.53511 Ignore Report Quick Reply
any other feedback anyone?

what do i say when my presumably lazy walk-in doctor says my bumps are harmless and tries to downplay their existence so not to have to do any other actual work?

Prostate stimulation and Gallbladder. by Nigel Narringville - Fri, 27 Nov 2015 07:52:28 EST ID:h7NVSFdn No.53510 Ignore Report Reply Quick Reply
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I have used an aneros vice for prostate stimulation and the next day the area near where the gallbladder would be felt somewhat achey but mildly. Not even sure it was the gallbladder and never had gallbladder issues.

I don't know if there is any correlation or if it was the two benadryl that I took a night before to help me fall asleep.

Does anal sex affect IBS or the gallbladder whatsoever? I have low IGM antibodies from primary immune disorder.

My gut has been a little different since I got MRSA and was prescribed 28 days worth of Bactrim. 5 days after I used up the antibiotics, I had stomach issues for a week but things turned back to normal. I understand that Bactrim can mess with your guts pretty badly but it was required.

Can a uroligist remove a MRSA infection? by Albert Clodgewell - Thu, 26 Nov 2015 09:18:17 EST ID:XaWJWNG0 No.53501 Ignore Report Reply Quick Reply
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So I've been a MRSA carrier for about 6 months. I've had about 5+ removed at my local walk-in clinic so far. I'm in the middle of a doctor transfer and the clinic couldn't prescribe enough for a long term cleansing. 2 days ago I went in for a MRSA infection on my scrotum and they said the infection was too deep and my testicles seemed to be in too much trauma to do anything with their equipment. They insisted it would require me to be put under to remove it and I need a sonogram as both my testicles are swollen and inflamed. They wanted me to rush to the ER but that's simply something I can't financially handle at this time. Would a urologist be able to lance the infection and give a sonogram or is the ER my only real option?
Oliver Tillingshaw - Thu, 26 Nov 2015 10:39:20 EST ID:cBgeoyET No.53502 Ignore Report Quick Reply

Depends on where you live m8 but I don't know if urologists look at testicles. Maybe try a dermatologist?
Albert Clodgewell - Thu, 26 Nov 2015 10:53:30 EST ID:XaWJWNG0 No.53504 Ignore Report Quick Reply
OP here. I need a ultrasound to look for interior damage or atrophy.
Hannah Wubberdick - Thu, 26 Nov 2015 11:49:07 EST ID:Klk04URf No.53505 Ignore Report Quick Reply

What the fuck is wrong with you!? I can hardly believe that they could even let you out of the hospital. Dude. Your balls are going to fall off, and then you will die, in hours of agony until septic shock shuts your brain down and you finally die.

And btw, medical bills don't mean jack shit when you have no money. And money is fucking worthless when you're a neutered zombie.

If you do not have this treated IMMEDIATELY you are going to lose your testicles. If you do not have this treated SOON, you are going to DIE.
Clara Perryhall - Fri, 27 Nov 2015 06:26:58 EST ID:TQk2BscS No.53509 Ignore Report Quick Reply

then go to a radiologist
but listen to >>53505
would you rather have no money and septic balls that will drop off or kill you eventually or do you want no money with healthy balls?

your choice op, i know what id choose

Can't sleep at night. by Martha Trotdock - Thu, 26 Nov 2015 03:21:33 EST ID:jtldgxRS No.53500 Ignore Report Reply Quick Reply
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So, here's the deal. I can't sleep at night, no matter what I do. I tried melatonin supplements and they don't work. I tried sleeping pills and all they do is leave me groggy as FUCK for a good chunk of the day afterwards. I do have a regular sleeping schedule though. I normally fall asleep comfortably around 5-6am and sleep well until 1-2pm. Give or take an hour or so on either side of course. At night I am very alert, aware, energetic, and quite sharp. But during the day I am sluggish and groggy unless I sleep into the afternoon.

Any ideas? simply googling "I can't sleep at night" gives a fuckload of different causes, conditions, remedies, etc. So I don't really know what's going on.

Again, I have a stable, regular sleeping schedule. But it's from early morning into the afternoon. This is playing hell with my work and college which both require me to be up and about a few hours after I usually fall asleep. And forcing myself into a "normal" sleep schedule does not work. I've tried for months with no results.
Oliver Tillingshaw - Thu, 26 Nov 2015 10:43:19 EST ID:cBgeoyET No.53503 Ignore Report Quick Reply

OP, what do you do at night?
Hannah Wubberdick - Thu, 26 Nov 2015 12:09:33 EST ID:Klk04URf No.53507 Ignore Report Quick Reply

Maybe you're not supposed to be asleep at those hours? Without people like you, who the fuck would keep us from being eaten should we fall asleep in the darkness?!

Fuck college, get a night job, get paid extra for being on your natural cycle, and then study on your own in the free time that you will have since you don't have to work as much to make the same wage.

Also, I was on that sleep schedule for the majority of my life. That is my natural sleep cycle and should I do anything to fuck with it, my health immediately went to shit. Though, I grew up in the south, where it's too fucking hot to be out during the day and night time was the nice time. Now, I'm awake and grumpy at 9am!... The difference though was not caused by me, it was caused by geography. I moved to a rainforest in the pacific northwest of the USA where half the year it's too overcast to know what time it is, and then the other half, it's dark at like 5pm.

So, what I'm trying to say is that there is nothing wrong with you. What's wrong is that you're forcing yourself into an unnatural rhythm by societal forces to keep you weak.
Phoebe Clayman - Thu, 26 Nov 2015 19:05:06 EST ID:jtldgxRS No.53508 Ignore Report Quick Reply

I mainly chill at home or go out to my regular bar. Or work a night shift if I'm lucky to pick one up.


Ha right, I live up north in the U.S. so it can get chilly out at night and downright cold during the winter and fall. But spring and summer nights are beautiful. I'm one of those people who actually prefer the peace and quiet of the night as well, and night time is very beautiful compared to the daytime for me.

I was thinking of just owning it, like you're suggesting. I honestly love being up at that time. And I love going on a walk around town during the "magic hour" of 3-4am when the entire town seems to be asleep aside from the odd car going by on the main roads. Everything's nice and quiet and peaceful and I can just chill and walk around with my music in a world that seems like I'm the only one there.

Allergies? Something else? by Esther Clirryshit - Wed, 25 Nov 2015 23:50:28 EST ID:Xoa0Fcxd No.53498 Ignore Report Reply Quick Reply
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So for the last 3 months I have been coughing up white to yellow to green phlem all day, erryday, and my nose has been stuffed up. My wife and I live in a 1 bedroom, tiny house with 3 cats. After the 1st month, the phlegm and mucus became brown and I got a sore throat. Went to the doc. In the examining room, all symptoms went away. Doc said bronchitis and gave me an antibiotic. Phlegm went from brown back to white/yellow/green, all day, erryday.

I don't believe I'm allergic to my cats cause my symptoms persist even when I'm at work and my cats don't come into contact with my work clothes.


Also I don't smoke (anything) and haven't for years.... :(
Hannah Wubberdick - Thu, 26 Nov 2015 12:02:06 EST ID:Klk04URf No.53506 Ignore Report Quick Reply

Your phlegm is changing colors because you're getting severely dehydrated. If you drink more water, the phlegm will become less gummy-like and your throat will be less sore. For the rest of the day, always have a glass of water or juice or tea besides you. Sip it regularly and keep your damn throat moist.

As for the cause, dude, you wouldn't had mentioned the cats if you didn't believe it was an issue. You are the one that added this information in there, as if it is relevant, and it probably is. You have THREE CATS in a one bedroom.... How do you clean this place? Are there litter boxes? Is there carpet?

Ug, get the place thoroughly clean and then buy an air filter. They help immensely in confined spaces like that. Regardless of if you have an "allergy" or not, it's not healthy to breath in that much filth that's going to get into the air from three cats and two humans in a space barely big enough for just one human. You know that each human usually sheds at least a pound if not more, SKIN, a year... and that lands where you are man, and then it gets eaten by dust mites, which then shit everywhere, and we breathe that in.

PS: Doctors give antibiotics to people who they think "will get over it", and use them as a placebo to get them to go away. Unless they did a throat swab and a culture on the flora and fauna of your throat, they brushed you off and gave you improper medical treatment. Bronchitis is NOT a diagnosis. Bronchitis is a SYMPTOM of something else. It means "Inflammation of the Bronchi"

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