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Posts by velvetmoose9

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Switzerland — things are finally clicking 😁

I honestly can't wrap my head around the idea that Deanxit is some kind of "mild" sedative. I mean, sure, maybe if you're living in some remote corner of Central Asia—and I’m not being xenophobic toward the people there, just talking about how those healthcare systems operate—that might hold water. But elsewhere? Not a chance.

I’ve never really dug into how the health insurance system works over in Switzerland, so maybe there's a reason they lean on that specific medication. Maybe it’s a cost thing? Or just how their bureaucracy handles things?

There’s this one story that keeps getting passed around whenever people start discussing the Swiss medical system. It's pretty wild.

So, picture this: a guy is in absolute agony, dealing with a kidney stone. Pure, unadulterated pain.

He ends up calling some kind of emergency medical service for help.

And what does he get? They basically tell him to go hop in a warm bath, take a hot shower, and then give them a call back in an hour or two. That was it.
It absolutely is medical.
Psychiatry is a legitimate, serious branch of medicine, plain and simple.
In the developed world, obviously ☕

I’m not sure where you’re based (which matters when picking meds, since things vary outside of America), but jumping straight to Deanxit (Flupentixol + Melitracen) 🙄
Maybe the cost factor influenced which medication was chosen 🤷

Temast (lorazepam)—look, that’s a totally fine choice if you're dealing with an acute phase, just as a temporary, occasional fix👍
A psychiatrist, hands down.

I mean, sure, there’s definitely room for a psychologist in the mix too, 🤔

But look, this stuff doesn't just vanish overnight, and it won't just disappear tomorrow either.

You're going to have to put in some serious work yourself, obviously, all while following the lead of a solid professional who actually knows what they're doing.👍
Anyone else experience intense déjà vu? in Health ·
Anyway, I’ll try to get my "crew" out of the house so they can catch some extra sleep, if I can manage it, and then we can figure out which day works best to get together.

Honestly, sometimes just getting a little peace and quiet is all you need to make things work. 😉
Anyone else experience intense déjà vu? in Health ·
Matthew Thompson25 said:Lately, life’s just been hitting me with one thing after another during the week, so I’ve been getting pretty little sleep—maybe five or six hours at most. The thing is, I’m kind of a perfectionist, which is probably my own fault; I tend to pour way too much energy and time into even the smallest tasks, and it just ends up being a massive stressor. My sleep schedule is also a mess; sometimes I’ll just lie there staring at the ceiling for hours. Not too long ago, I actually pulled a total all-nighter, and by the time morning rolled around, I felt completely detached from reality, like I was moving through a dream. Sorry if I'm drifting a bit off-topic here. 😕

Don't worry about it being off-topic; honestly, what you're feeling is pretty much par for the course.

It’s all pretty much laid out there in what you said.

Maybe try dialing back the pace a little.

Get your priorities straight.

Start operating under the mindset that you come first.

You really need to bake this into your core values: you can only tackle your responsibilities effectively when you're:

1. rested
2. fed
3. hydrated (the opposite of thirsty, obviously 😬)
4. actually enjoying some small wins in life 😈

Otherwise, you're just fast-tracking yourself toward burnout.

We're talking anxiety and depression mixed with anhedonia, sleep disorders, somatic symptoms—like heart palpitations, night sweats, dizziness, shortness of breath, that stabbing sensation in your chest... and if it gets bad enough, you start looking at serious endocrine issues, high cholesterol, sexual dysfunction...

etc.

If you can swing it, go see a decent therapist. It might help to work through things and build a mental framework that lets you actually function in this cutthroat world we live in today.
Anyone else experience intense déjà vu? in Health ·
How much sleep are you actually getting?

Dealing with stress?

Are we talking about pure focus issues, or more of that feeling where you're trying to juggle ten different things at once and nothing is sticking?

To start with, I'd suggest an EEG, maybe even one after a night of pulling an all-nighter just to see how it reacts. It’s totally non-invasive, doesn't hurt at all, and you can find a clinic for it pretty much anywhere in the States.
Metformin experiences and side effects in Health ·
Jose Ramirez2 said:There are actually several different tests used to check for insulin resistance. In my opinion, the five-hour OGTT is the gold standard. You just have to be admitted to the outpatient clinic for it.

Has anyone else dealt with feeling sick after taking metformin?

Oh, for sure.

But honestly, you can usually get past a lot of those side effects from metformin if you give it enough time. 👍
Looking for a specialist... in Health ·
shadowwalker11 said:J.
Rajko.

Lately, I feel like my words are getting all tangled up, whether I'm typing them out or just trying to speak normally,

Hmm, maybe it might be worth checking in with a neurologist? 🤔
Looking for a specialist... in Health ·
shadowwalker11 said:Thanks, we actually traded a few emails recently and I was really hoping I could snag an appointment with him specifically, but it looks like I'll end up seeing Dr. Ranko Ostojić instead.

Is it Ranko or Rajko? 😒
Anesthesia, Resuscitation, and ICU: Q&A in Health ·
Olivia Bennett81 said:I’m looking for some advice, maybe even a little help... my father-in-law is 83 years old, and about 10 days ago, he... So, I finally went under the knife for my spine surgery. Honestly, it’s one of those things where you spend months dreading the whole ordeal, playing out every worst-case scenario in your head, and then it just happens. It’s a bit surreal looking back on it now—just one of those big life milestones you have to check off the list. Everything went according to plan, though I'm definitely feeling the aftermath today. Just taking it slow, leaning into the recovery, and trying not to rush the process too much.So, he finally got discharged after six days, but honestly, the whole ten-day stretch was... well, you know. He was just stuck in that state the entire time. It’s just non-stop delirium at this point—they're basically up all night, totally out of it. They’re wandering around, shouting, rambling on about things that don't even make sense, and calling out for people who aren't even there. It’s getting pretty unsettling because they don't even recognize the people living in the house anymore, and every now and then, they just snap and get really aggressive. Before the procedure even started, he was totally sharp—no mental fog or anything like that, just his usual self. We actually went as far as calling in the surgeon and his primary care doctor, and everyone gave us the same line: they said it could take anywhere from seven to eight days for things to settle down, especially since he’s older. Well, it's been ten days now and there hasn't been any change at all. In the meantime, he's... Woke up feeling like absolute garbage today—caught a fever out of nowhere. Honestly, it just came out of left field. Everything feels heavy, and I’m just trying to ride this out. So, his doctor put him on some antibiotics, and now we're all sitting here wondering what exactly could be going on inside his head. It’s a bit unsettling when someone who was perfectly healthy and sharp as a tack suddenly seems... off. I can't help but wonder what actually happens in the brain during something like this, or if there's anything we can even do to help him through it. Is this just one of those things that'll eventually blow over on its own, or should we be looking into specific medications to steady him out? Honestly, the uncertainty about potential long-term consequences is the hardest part to wrap my head around.

Based on what you're describing, this sounds like the kind of situation where you really shouldn't wait around—you need to get a doctor to take a look at this right away. 🧐

First things first, you really have to rule out meningitis. If that turns out to be what we're actually dealing with, there’s zero time to waste—you've got to jump straight into aggressive treatment immediately.
They’re probably going to need to do a local exam on the wound, and there's a good chance they'll run some imaging through radiology too. Honestly, if the pathology report comes back with anything specific, we might even be looking at a revision.

Honestly, dealing with pneumonia and a UTI is pretty much par for the course when you're looking at procedures like this in patients of that age group. It’s one of those expected complications, and frankly, it could easily be the underlying reason behind everything you're seeing with their current condition.

It's peak flu season right now, so there's a pretty good chance he just picked up some nasty virus going around. 🤷

It’s also worth keeping in mind that it doesn't necessarily have to be an infection causing the issue—if someone has been hitting the booze on a regular basis, what you're looking at might just be a textbook case of delirium tremens.

Sometimes, anesthesia itself just leaves you feeling completely out of sorts, like your whole system is totally thrown off balance. 🤷

You really have to approach a patient this heavy with total focus and extreme care; there's no room for cutting corners when things get that complicated.
Maybe there's just a bit too much going on here. ☕
Wrist injury in Health ·
Robert Rodriguez2 said:Hey guys, I’m not totally sure if this is the right spot for this kind of thing, so if I’m barking up the wrong tree, I’d really appreciate it if the mods could just move this thread for me.

So, here’s the deal—I decided to get back into shape a few days ago after a massive hiatus. Just the standard bodyweight stuff, you know? Pull-ups, push-ups, the usual classics. No weights involved, just working with my own mass.

But man, by the second day, the muscle soreness hit me like a freight train. I actually had to skip my next session because the pain was so intense; I couldn't even straighten my arms out. They were stuck in this weird, semi-bent position.
For the next couple of days, I was basically slathering Bengay all over both arms trying to dull the ache, while slowly trying to force my arms back into a straight position.
The actual pain eventually subsided, but I’ve had this constant feeling of tightness in my left arm ever since.
I managed to squeeze in a workout the day before yesterday, and everything felt fine then. But today, while I'm at work, I’m noticing some swelling in my left arm. My forearm is puffing up—it looks about an inch wider than my right one. It’s creeping down toward my wrist, and now it’s starting to hurt again, along with this tight sensation running from my elbow upward.

I'm stuck at the office right now and won't be home until around 8 PM. Should I be freaking out, and what should I do?

Go ahead and check your radial pulse—just press your right index and middle fingers right under that area where your hand meets your thumb, near the edge. There’s a little groove there, you can't miss it.
If you can feel the pulse and your arm doesn't feel cold to the touch, you can probably hold off until tomorrow morning, but you definitely need to check in with your primary care doctor.

In the meantime, you can try using cold compresses (just water), or maybe some topical stuff like Voltaren, Luboreta, or Fastum gel—assuming you aren't allergic to any of that.

Just take it easy and rest for a bit.

It’s possible you were doing those push-ups on your palms and messed something up in the carpal tunnel, though honestly, we can't rule out a fracture 😲 either, so you really ought to get a professional to look at it.
Osteopenia: Questions and advice? in Health ·
Looking at the BMI numbers you’re "surrounded" by, it’s actually totally plausible that body mass is an issue for you.
The thing is, you didn't mention your body fat percentage alongside that low BMI, which is honestly way more important than the number on the scale.

I'm trying to keep this as simple as possible.

For female hormones to function the way they should, your body fat percentage is absolutely critical.
Basically, if you don't have enough fat mass relative to your total weight, your body won't trigger the right hormonal activation—even if you go in for bloodwork and everything looks like it's within the "normal" range.

By the way, BMI isn't exactly a precision tool. If you look at certain athletes who sit in that "healthy" 24-26 range, but it's mostly just muscle and bone with almost zero fat, that's a recipe for amenorrhea.
Once the season ends, or the championships wrap up, their body fat goes up, their diet shifts, their training changes, and suddenly the shareholders at Depend and Always are seeing a nice little bump in profits.😁

You didn't mention what kind of activity you're doing, did you?
What does your typical diet look like?
And how are your calories looking, both in terms of total intake and how you distribute them?

With all due respect to my colleagues in the field, if I were your attending physician, once we stepped on the scale and calculated your actual body fat percentage based on your labs, most likely I would recommend:

a) a fundamental overhaul of your eating habits
b) a shift in your exercise routine

As for option A, I'd probably suggest adding at least half a liter of beer 🙂 into your daily routine (ideally a decent craft brew, though not strictly required)—assuming, of course, you don't have any medical reasons to avoid it.

So yeah, I'm pretty much backing up exactly what your gynecologist told you.👍
Osteopenia: Questions and advice? in Health ·
So, which specific hormones are actually looking normal right now? 🤷

Is the prolactin level okay? 🤔

And what about those headaches? 🤔

Have you had an MRI of the brain specifically looking at the pituitary gland? 🤔
Metformin experiences and side effects in Health ·
I’m going to try to break down how metformin actually manages your blood sugar, keeping it as simple and stripped-back as possible here.

This drug is about 60 years old now.
So, basically, it's in its prime.
We know a ton about what it does, but the exact "how"—well, we’re still scratching our heads over some of the finer details (like its recent effects on the gut microbiome or its potential impact on certain types of cancer).

Most researchers seem to agree that its main gig happens in the liver, where it essentially puts the brakes on the production of "new" glucose molecules from your existing reserves.

There’s a second mechanism—which is way less clear-cut—that involves the muscles. To put it very, very simply, metformin helps your body actually utilize the glucose that's already circulating.
It cuts down insulin resistance (and look, I might be getting a bit tangled up here, since this is still a huge topic of debate and new research is popping up constantly), which basically means you need less insulin, whether it's the stuff your body makes naturally or the stuff you inject.

Now, here’s the part we actually care about (again, keeping this super simplified).
In the real world, we often see a massive effect in people who take metformin for diabetes but also hit the gym for resistance training—think heavy lifting. Their blood sugar regulation gets significantly better, sometimes even allowing them to drop their doses of both insulin and metformin. I recently saw a case involving a younger guy, a bit on the heavier side, who was diagnosed with diabetes. He started out needing maybe 22 to 28 units of insulin a day, but after committing to some hardcore weightlifting, he dropped down to just 4 to 6 units a day while maintaining an absolutely stellar HbA1c—basically a total outlier in terms of long-term control.
Don't get me wrong, any kind of movement is good for you.

There’s even a trend of people misusing metformin as a weight-loss shortcut, but I really don't want to go there :no no:

Bottom line: if you don't have any contraindications, feel free to keep up with your workouts while taking metformin.
Keep an eye on your blood sugar and your HbA1c, and enjoy seeing those numbers improve. 🙂
Metformin experiences and side effects in Health ·
Taking metformin alongside Synthroid isn't exactly a weird combo; most people seem to handle the mix pretty smoothly.

Now, birth control pills can be a bit of a wildcard—they can mess with your liver function, throw your lipid metabolism out of whack, and if you’ve already got a predisposition toward blood clotting issues (like some kind of thrombophilia), things can get scary fast, potentially leading to stuff like deep vein thrombosis or even a stroke.
That’s especially true if you’re also dealing with acne and smoking 😱

If you’re following a specific diet that’s heavy on fats—something like an LCHF approach—you really need to sit down with a whole team of specialists. You need a solid, multidisciplinary game plan to monitor your vitals and make sure you aren't accidentally cruising toward some serious health complications.

Personally, I’d definitely look into exploring some other contraceptive options.

The endocrinologist's advice about hitting the gym after eating "forbidden fruits" is actually pretty solid, particularly since there's metformin in the mix.
In this situation, getting under a barbell with some resistance training is basically the gold standard, mostly because of how metformin actually works in the body 🙂
What about serology?
Bloodwork?
CSF?
Neurotropic viruses?
Fungal infections? (It’s rare, but honestly, anything goes—even stuff hiding in the sphenoid sinuses)
Parasite screening (blood, stool samples)?

Any past medical history? Like, have you noticed any uptick in infections lately?
Immunodeficiency issues?

Any insect bites? Specifically ticks?

Any recent shifts in lifestyle or diet?

Injuries? Especially anything involving the head or neck?

Have you traveled anywhere tropical recently, or maybe been around people who just got back from those kinds of spots?

Just some initial thoughts to get the ball rolling.
Could you maybe give me a bit more meat on the bones here? This is way too vague to get any real sense of what we’re actually working with 🤷
Honestly, the doctor is doing a solid job—he’s definitely on the right track, especially since he suggested we keep up with regular monitoring and actually flagged IBD as a possibility.

Please, keep us posted on how everything unfolds 🙂
steelbadger22 said:Could anyone suggest an oncologist over at Osijek University Hospital? I’m totally flying blind here and don't know anyone, so if you've had any experience, please let me know. The doctor who referred me mentioned abdominal oncology, so if that helps narrow down the recommendation, there you go.

If you're looking at Osijek University Hospital, Dr. Labudovic is definitely the way to go when it comes to oncologists.

There's also a younger colleague there who does really solid work too.

Just a heads-up though—from what I've heard lately, their radiotherapy equipment has been out of commission, so they've been sending patients over to places like Chicago University Hospital instead.
Nicole Cook47 said:Hey everyone, I’ve got a follow-up scheduled with my gastroenterologist in about two weeks, so I was wondering if anyone could take a look at these results for me. 🙂
I'm 29, dealing with some digestive issues—constipation, bloating, really loud bowel sounds, and some blood in my stool.

Calprotectin came back negative.
Stool tests for parasites, bacteria, and viruses were all negative.
Stool analysis for digestibility showed muscle and starch fibers present, but no fat droplets were found.
Ferritin - 9 (Normal range: 10-120)
CBC - deviations from the normal ranges:
Hemoglobin - 109 (119-157)
Hematocrit - 0.340 (0.356-0.470)
MCV 79.1 (83.0-97.2)
MCH 25.3 (27.3-33.9)
RDW 16.6 (9.0-15.0)
Iron - 4 (8-30)
UIBC 68 (26-59)

Other tests: Colonoscopy showed edema in the terminal ileum, with PHD edematous mucosa and loose mononuclear infiltrate.
The MR enterography came back normal.


Now, this is just me speculating here , so obviously, it’s only after the gastroenterologist goes through your entire medical history, does a full physical exam, and takes your clinical history that they can give you a real opinion or recommendations.

It’s possible we're looking at terminal ileitis.
Is this just a standalone thing, or could it be the start of something more complex, maybe even Crohn disease? 🤔

Definitely let us know what the doctor says once you've had that consultation.