Posts by Sam Hall15

Since the results indicate a high presence of bacteria and epithelial cells, a urine culture seems necessary... the blood work appears normal enough.

I believe this was just an incidental finding, so there’s really nothing to worry about. We can simply re-run the tests in a month unless any other symptoms pop up, which seems unlikely. Don't stress; everything else looks perfectly fine. If the follow-up ultrasound comes back clear, it will confirm that this was just a fluke... at which point we'll just repeat the blood work in a month.

These results aren't particularly alarming on their own, but I can't help but wonder why she had them done in the first place. Are there any other abnormal findings besides the liver enzymes? What are her total protein, albumin, globulin, and fibrinogen levels? Did she have a coagulogram, a CBC, or any hormone testing? Is she experiencing any symptoms? Has she had an abdominal ultrasound yet... and if so, what did it show?

Just one more rule: please refrain from using all caps when creating a thread 😁

In my experience, most doctors here tend to rely heavily on Tramadol as their go-to analgesic... while it works, it often lacks the necessary potency. I would suggest considering transdermal Fentanyl; although I don't have extensive experience with it, it has proven quite effective for all of my patients. If that isn't sufficient, perhaps parenteral administration of morphine, pantazocine, or a specific cocktail might be required... It would be best to consult with an anesthesiologist regarding these options.

Even if you've been taking iron supplements, this result isn't cause for panic, though it does require monitoring. If levels remain elevated or continue to climb, we should review all the aforementioned parameters—including a full blood count to rule out anemia—and perform a differential, a coagulation profile, and perhaps an abdominal ultrasound to rule out hypersplenism...

As I previously noted regarding Zolpidem, the standard starting dose is 10 mg. However, if there is any liver impairment, we typically drop that down to 5 mg. Of course, the dosage can be adjusted up or down based on individual needs... but I suppose I am just repeating myself now...

So, you're admitting you have a uterus 😁
...

The situation is worsening, please evacuate immediately...

Is monotherapy really the only way? For an immunocompromised patient facing a hospital-acquired infection—specifically a postoperative infection following a craniotomy—shouldn't we be looking at combined therapy instead?

We're really racking up the thread count 😁 our community is expanding rapidly... lol

Hyperventilation is generally discouraged, as it can lead to respiratory alkalosis

You haven't mentioned much regarding your blood sugar levels... what was your A1C? Acidity in the mouth can sometimes be a sign of ketoacidosis associated with diabetes, and in its early stages, it might not present a full clinical picture yet.
So, have you checked your glucose levels?
Scott Allen10, I appreciate you helping me make sense of this...

If insomnia has an organic origin, then regular sleeplessness is to be expected. However, things aren't always black and white; it depends on the patient's current condition. For instance, while untreated patients with organic causes often suffer from chronic insomnia, those with psychiatric triggers might experience it more sporadically, perhaps provoked by specific stressors... or it could simply be a sign that another underlying illness is worsening.

There is really no need for us to argue about this... The only thing that comes to mind regarding potential cardiovascular issues would be Marfan syndrome, though since his father is a physician, he or perhaps a pediatrician would likely have flagged that early on. It is also true that malnutrition can lead to heart failure, but I am certain that isn't the case here; during starvation, the body prioritizes the brain and heart, so those are the last organs to fail, and he doesn't fit that profile

You are still growing into your potential 😁 you might consider trying a B-complex supplement, taking one or two capsules after meals, three times a day... follow that for about a month and then transition to a daily multivitamin, I’d recommend Nature Made

It might be wise to schedule an appointment with your doctor. While I doubt they'll refer you to a specialist immediately, getting some baseline tests done—like a full blood panel and biochemistry—would be prudent. Have you noticed any digestive issues lately, or perhaps any sudden weight changes? If those results come back inconclusive, a stool culture should be the next step before seeking out an internist, ideally a gastroenterologist...

Didn't the doctor who examined you refer you to a neurologist?

Furthermore, one is entitled to manage two or more medical conditions simultaneously...

Low iron levels often point toward anemia, though as I mentioned earlier, anemia isn't always the root cause; it can frequently be a symptom of an underlying issue
In your first post, you mentioned vomiting "out of nowhere." Does that mean there’s no nausea beforehand? Is the vomiting triggered by physical exertion, or does the stomach contents just come up on its own?