Posts by jadelynx16

vividsailor7 said:So, you're talking about vitals—blood pressure, heart rate, and things like that.
She really needs to go see a neurologist.

She’ll get there,,,

honestly, her blood pressure is tanking and her pulse is slow,,,,

vividsailor7 said:They really need a referral to a nephrologist or maybe an endocrinologist. We’ve ruled out diabetes mellitus for now, but they should look into diabetes insipidus along with other potential issues involving the pituitary gland, kidneys, or adrenal glands.
If her hemodynamics are stable, I don't see any reason why she shouldn't go through with the surgery.
And someone should probably loop in a neurologist to tweak the epilepsy therapy.

Oh, we are definitely working on getting that sorted out...

Hemodynamically??

Well, there isn't actually epilepsy; we're looking at suspected muscular dystrophy instead. (All four of us nurses have the EMG results to back that up, but the formal diagnosis is still pending.)

vividsailor7 said:Ideally, she should see a nephrologist—if she hasn't already.
She needs a full clinical history taken, covering things like excessive thirst and other symptoms, followed by a proper workup.
And hopefully, the folks at the lab can get their act together.

The thing is, she’s incredibly thirsty, drinking liters of fluids, but her glucose profile looks fine. However, this all started right when she began taking gabapentin.

The problem is, nobody seems willing to refer her elsewhere. They just keep making comments about how she didn't produce enough urine—as if she’s somehow incompetent, despite the fact that she holds a Master’s degree.

I don't understand why they can't just issue the results exactly as they are.

My sister is scheduled for septoplasty; would you recommend going through with surgery given these current findings?

vividsailor7 said:1. I don't quite follow the "three days straight" part—was everything being collected into a single container? Or how does that work?
2. If these are truly the complete results, then this entire diagnostic workup is pretty much useless.
Check her blood pressure.
They need to run a full panel on serum and 24-hour urine electrolytes, check aldosterone (serum/urine), cortisol, and standard biochemistry.
A full nephrology evaluation is required.

No, no, no... the first time she collected it, they told her the sample was invalid. Then it happened twice more because they basically argued it was physiologically impossible for someone to drink 5 liters of fluid and still produce the kind of levels she’s showing.

Hi everyone,

I’m looking for some perspective on my sister’s recent 24-hour urine test results. Lately, she’s been dealing with some significant polyuria—she's putting out about 5 liters of urine a day.
Here is what the lab report shows:
Albumin in urine: 34.4 (normal range up to 30)
24-hour urine volume: 4300 mL (normal range up to 1600)

Creatinine excretion: 226 umol/kg/d..

Just to be clear, she followed the collection protocol perfectly. A senior lab technician, who happens to be our sister, supervised her through the process three separate times to ensure everything was done right. Despite that, the report includes a note suggesting the results might be falsely elevated..

Brenda Foster said:When I was a little girl, I had my appendix removed. Out of three different anesthetics used, they confirmed an allergic reaction to two of them (fentanyl and nesdonal). The side effects from all that ended up causing extrasystoles, which I spent six years being treated for.
The real issue I deal with now is that as soon as I mention I'm allergic to those two specific drugs, people start panicking. It basically means I can't get any numbing injections at the dentist, so I’ve had to endure root canals while feeling everything "live." Even my eye surgery could only proceed because they used adrenaline... I don't even want to describe how intense that pain was.
I always carry around a formal medical certificate signed by my doctors stating my allergies, just in case some emergency situation pops up.
Is there actually a test out there that could pinpoint exactly what I'm allergic to? I'd love to avoid a repeat of everything I've been through and hopefully make these "everyday" medical situations a lot easier to manage.
Thanks.

In my case, doctors mentioned that as a result of a general anesthesia session that went pretty poorly, I've developed this long-term hyperthyroidism along with extrasystoles that haven't cleared up even after all these years—and I'm only 24.

No one has ever actually referred me for allergy testing...

But I am 100% certain that something went sideways during the anesthesia.🙄

24-Hour Urine Analysis Results

Creatinine (S) 46 L
Creatinine Clearance (U24) 2.67 H
Urinary Albumin (dU
Microalbuminuria (U24) 16.5
24-Hour Urine Volume (U24) 1645 H

vividsailor7 said:The liver enzymes aren't actually that high, though the triglycerides definitely are. Since you have elevated cholesterol, you really need to get a full lipid panel to check your HDL and LDL levels. That slightly low creatinine reading isn't a big deal, and everything else looks normal aside from the TSH. You should probably go back and retest your AST, ALT, GGT, ALP, bilirubin, and hepatitis markers, plus maybe schedule an abdominal ultrasound just to be safe. Honestly, there's no reason to lose sleep over this.

Panic is definitely in the air here, 😢 😢

I'll go ahead and get those tests repeated... thanks.

RBC (pK) 5.34 H
MCV (mean corpuscular volume) (pK) 82.8 L
RDW (red cell distribution width) (pK) 35.7 L
Creatinine (S) 46 L
Cholesterol (S) 6.4 H
Triglycerides (S) 2.9 H
Sodium (S) 135 L
AST (S) 36 H
ALT (S) 72 H
FT4-22.5
T3-2.88
TSH- 0.00

I've been on 3x2 PTU for a while now.

urbanscout50 said:So, apparently there isn't an anesthesiologist at the Rib Hospital?!

During anesthesia, a chart is maintained to record everything that occurs—the specific drugs administered, vital signs, any side effects, and unexpected events. Once the anesthesia wears off, typically the next day when the patient is fully awake and no longer under the influence of medication that might cloud their judgment or memory, the anesthesiologist who handled the case (or sometimes the surgeon, though the anesthesiologist is better suited) will discuss any complications or adverse events with the patient. This ensures the patient remembers them and can inform their anesthesiologist during future procedures. It’s a way for both the patient and the doctor to prepare for potential issues and ensure they can react quickly and appropriately if anything goes sideways.
As for arrhythmias? They are actually quite common. If you weren't specifically warned about them, the medical team likely didn't consider them a major risk in your case. Very often, they are simply a hemodynamic response to a specific anesthetic agent.
Given that you are heading in for thyroid surgery, issues of that nature could also be a direct result of the underlying condition or how the thyroid responds to surgical stress.
That’s why it’s best to share all your concerns with the anesthesiologists at the hospital; they will perform a thorough assessment, explain things clearly, and hopefully put your mind at ease. I think you'll be in good hands, and there's no need to worry too much—you don't want to manifest bad luck just by dwelling on it.
Good luck.

Thanks for such a detailed breakdown, but just to clarify, I'm not going in for rib surgery—I'm headed to the oncology clinic.

I really feel like they should have mentioned something to me, because my previous experience left a pretty nasty impression.

And honestly... I am terrified of anesthesiologists. Brrr.😢😢😢

PS. And frankly, I don't care which doctor or which hospital is commenting, as long as someone does. 🙂 🙂

Alright, since it feels like I’m shouting into a void here lately, I figured I’d try asking one more thing...

Is an anesthesiologist actually required to document any complications or issues that arise during anesthesia somewhere?

Hi there

Does anyone here know when it actually makes more sense to have a total thyroidectomy instead of just a partial removal?

I’ve been dealing with hyperthyroidism for years now—it keeps coming back, and my antibody levels are through the roof. I've finally reached the point where surgery seems like the only real solution.

But the more specialists I consult, the more confused I get. One doctor says take the whole thing out, while another insists on just leaving a quarter behind. Honestly, I have no idea who to trust at this point.

I'm 24, and one doctor mentioned that since I'm still in my prime reproductive years, removing the entire gland might not be the best move for me.

He also warned that if you leave a piece behind, that remnant could flare up later on, which would just land me right back in the operating room again.

The opinions are so split that I feel like I'm losing my mind. To make matters worse, both surgeons are highly respected chief surgeons at major hospitals. It's exhausting.

Hi there.

On February 2nd, 2012, I’m scheduled for a total thyroidectomy at Mayo Clinic.

Naturally, that means I need anesthesia. The thing is, about ten years ago, I had a pretty bizarre experience when they were putting me under. It was mask anesthesia, and I stayed conscious through the whole ordeal—I actually went into arrhythmia and everything. The nurse told me that while it can happen, hospitals don't exactly broadcast those kinds of complications to patients in practice.

After that incident, I had to undergo another procedure that is normally done under short-term IV sedation, but the anesthesiologists refused to put me under entirely; I had to settle for just local anesthesia.

Not to mention the psychological toll that left on me. Honestly, I’m so traumatized by the memory that I might actually die of fear before they even get a chance to sedate me.

All jokes aside, what am I supposed to do now? Is anyone actually going to agree to anesthetize me? Does anyone here have experience dealing with Mayo Clinic?😢