Hmm....I'll give it :beer::beer::beer::beer:/10. You already took the show off route, try going for something different next time.
Hmm....I'll give it :beer::beer::beer::beer:/10. You already took the show off route, try going for something different next time.
Originally posted by: DrNoobie
Hmm....I'll give it :beer::beer::beer::beer:/10. You already took the show off route, try going for something different next time.
yes, i'm very impressed with you, the stellar student who tries to impress people over the internet with your big medical vocabulary.
I had an anal fissure once when i had a horrible stomach flu. For the burning of the butt my doctor recommended 'tucks' type medicated wipes after you do #2. It helped a bit and leaves your butt with a cool, fresh feeling (once you get past the burning)!
when i had a horrible stomach flu. For the burning of the butt my doctor recommended 'tucks' type medicated wipes after you do #2. It helped a bit and leaves your butt with a cool, fresh feeling (once you get past the burning)!While a bit different from the first, it still attacks my vocabulary, so *yawn*. I'm thinking you should lurk in the shadows until I, again, do something which you can create a new insult from.
Addressing your insult, which I probably shouldn't do...While I may have overused medical terminology, you're the one who is insulting someone on the internet claiming that you never showed those faults before.
No, i'm not attacking your vocabulary at all. I'm attacking your character. You're exactly the type of med students (overconfident show-off, who thinks he knows everything and likes to flaunt his title) that I and most of my colleagues hate to work with.
It's funny how you think you know how I am. I definately don't think I know everything, nor even most things. I do however, think that I am capable of looking it up and providing people with the information. Judge me how you will, I just think it's a shame you're doing so prematurely and without ever meeting me.
Where are these medical terms that DrNoobie was using? I don't see any posts by DrN with med terms..??
Pliablemoose
Lifer
- Oct 11, 1999
- 25,195
- 0
- 56
OK, last response, & it's only cuz my fever is >102 now (time for some tylenol I guess).
I've worked in a strictly outpatient setting (for ~9 months now, I made the change for my family), I'm a triage nurse in a walk in clinic my best buddy is a PA & procto clinic (ewww). Do you know so little about how hospitals work that you don't consider an ER essentially an outpatient setting?
So iliopsoas & AEnigmaWI are both smarter than the physician(s) who have actually examined you & are unable to detect an anal fissure that a first year medical student could pick out during a cursory examination of your anus. With the attitudes they're showing, is it any wonder that they're busy posting on AT rather than seeing patients?
They didn't bother to mention the pounding headaches that accompany nitroglycerine administration in patients with a healthy vascular system. I've had patients develop dizziness & collapse from nitrates administered inappropriately.
buyer262000 please listen to the physician that's examined you & follow their plan of care. If you get worse, go to another physician.
DrNoobie, I love you man
[crickets-chirping midi file goes here]
If there is one thing I learned about nursues and doctors in general it's that they know very little outside of what they deal with on a day to day basis. For example an ER nurse would know very little about hemeroids because it is not something they deal with on a day to day basis and any attempt to appear knowledgable about the subject is them generally blowing steam out their butt.
I've had a specific situtation where a Opto/Neurologist thought he was a Hematoligist and after I saw the hematoligist I was told that what the other doctor had told me was completely wrong. This happens a lot with doctors, they think that their years of education makes them experts at everything and qualified to make diagnosis and treatment decisions about something they had 3 hours of instruction in. If they don't deal with it on a day to day basis, seeing all varations and symptoms present in our diverse population they often have no idea what they are talking about. You MUST find a specialist to get accurate diagnosis and treatment and your general practioner should be a doc that refers you on anything that is anything other than common illness.
I've had a specific situtation where a Opto/Neurologist thought he was a Hematoligist and after I saw the hematoligist I was told that what the other doctor had told me was completely wrong. This happens a lot with doctors, they think that their years of education makes them experts at everything and qualified to make diagnosis and treatment decisions about something they had 3 hours of instruction in. If they don't deal with it on a day to day basis, seeing all varations and symptoms present in our diverse population they often have no idea what they are talking about. You MUST find a specialist to get accurate diagnosis and treatment and your general practioner should be a doc that refers you on anything that is anything other than common illness.
Pliablemoose
Lifer
- Oct 11, 1999
- 25,195
- 0
- 56
I was joking initially, sorry... This is a really bad place to get medical advice.
It was the fever talking
Pliablemoose
Lifer
- Oct 11, 1999
- 25,195
- 0
- 56
Picking an ER nurse/physician is prob a bad example... ER nurses & physicians are the swiss army knife of the medical world. They have to be. We learn from the specialists that we have to call in, looking over their shoulder is cool as hell.
Strangely enough the best all-purpose physician's I'm acquainted with as a group are urologists, especially while they're in their residency, they have the extra surgical experience that internal medicine docs don't have & they're not as flippant about medical problems as surgeons tend to be.
I've worked with some kick-ass ER residents too, it's like a special treat to work with them, you're standing there & they've already performed a procedure you've never seen before & they're done. It's like magic.
- Feb 7, 2004
- 11,088
- 2
- 81
Ok let me get a few things straight with everyone.
1. Thank you for all that pm'd me - some I replied to, some I did not - but I did read them all and thanks!
2. It is a shame that thing denigrated into a contest.
3. To those that thing I am not capable of utilizing google, I am. I've been using the internet since before banner ads (a long time), I have a degree in MIS (obviously underemployed). I have searched and read a ton of information before asking here. I wonder why people that always says google things utilize forums at all. After all, anything you could find or talk about here - you should just google it. Isn't a forum about human interaction? Really what is it with all the - just google it people, why are they here to begin with? Obviously they have a disdain for human communication.
4. To those that tell me to go and listen to my doctor - I've been to two doctors so far. What I've figured out so far is you can't totally trust your docs to listen to you. So far I've been sadly disappointed. I've never had any real health problems, and the first time I have a problem, they are not helping me at all. From what I've seen so far, god help me when I get something really wrong with me. I have took the doctors aside and man to man told em that the pain is so severe I can't take it, and they prescribe tylenol 3?
While I would like to galivant around and try multiple doctors at my leisure, I do have a full-time job, am a full time student and pretty poor. I have health insurance, but my part of the bill adds up ya know? I plan on trying to see a colo-rectal specialist soon as I can.
5. To those that think I should not follow medical advice on the internet, it seems to me that lots of people rely on the internet for conditions much more serious than mine, especially when you can't get anyone to listen to you. I mean what does it take, do I have to breakdown in front of tears in front of the doc and get on my knees begging him to do something? Believe me I'm smart nuff not to follow dumb advice. Most of what I've seen seems pretty benign, and the few suggestions I've got that are 'different'. I'm not an expert at obtaining medical care like some of you are. I blindly assumed I go to my doc and he fixes me up or refers me to someone that will. I see now I've been fairly misguided. Like I said earlier - god forbid when I really have something wrong if they can't get me out of pain for this.
6. Thanks again for those that took time to give me good suggestions.
1. Thank you for all that pm'd me - some I replied to, some I did not - but I did read them all and thanks!
2. It is a shame that thing denigrated into a contest.
3. To those that thing I am not capable of utilizing google, I am. I've been using the internet since before banner ads (a long time), I have a degree in MIS (obviously underemployed). I have searched and read a ton of information before asking here. I wonder why people that always says google things utilize forums at all. After all, anything you could find or talk about here - you should just google it. Isn't a forum about human interaction? Really what is it with all the - just google it people, why are they here to begin with? Obviously they have a disdain for human communication.
4. To those that tell me to go and listen to my doctor - I've been to two doctors so far. What I've figured out so far is you can't totally trust your docs to listen to you. So far I've been sadly disappointed. I've never had any real health problems, and the first time I have a problem, they are not helping me at all. From what I've seen so far, god help me when I get something really wrong with me. I have took the doctors aside and man to man told em that the pain is so severe I can't take it, and they prescribe tylenol 3?
While I would like to galivant around and try multiple doctors at my leisure, I do have a full-time job, am a full time student and pretty poor. I have health insurance, but my part of the bill adds up ya know? I plan on trying to see a colo-rectal specialist soon as I can.
5. To those that think I should not follow medical advice on the internet, it seems to me that lots of people rely on the internet for conditions much more serious than mine, especially when you can't get anyone to listen to you. I mean what does it take, do I have to breakdown in front of tears in front of the doc and get on my knees begging him to do something? Believe me I'm smart nuff not to follow dumb advice. Most of what I've seen seems pretty benign, and the few suggestions I've got that are 'different'. I'm not an expert at obtaining medical care like some of you are. I blindly assumed I go to my doc and he fixes me up or refers me to someone that will. I see now I've been fairly misguided. Like I said earlier - god forbid when I really have something wrong if they can't get me out of pain for this.
6. Thanks again for those that took time to give me good suggestions.
Geekbabe
Moderator Emeritus<br>Elite Member
Originally posted by: Pliablemoose
OK, last response, & it's only cuz my fever is >102 now (time for some tylenol I guess).
I've worked in a strictly outpatient setting (for ~9 months now, I made the change for my family), I'm a triage nurse in a walk in clinic my best buddy is a PA & procto clinic (ewww). Do you know so little about how hospitals work that you don't consider an ER essentially an outpatient setting?
So iliopsoas & AEnigmaWI are both smarter than the physician(s) who have actually examined you & are unable to detect an anal fissure that a first year medical student could pick out during a cursory examination of your anus. With the attitudes they're showing, is it any wonder that they're busy posting on AT rather than seeing patients?
They didn't bother to mention the pounding headaches that accompany nitroglycerine administration in patients with a healthy vascular system. I've had patients develop dizziness & collapse from nitrates administered inappropriately.
buyer262000 please listen to the physician that's examined you & follow their plan of care. If you get worse, go to another physician.
DrNoobie, I love you man
[crickets-chirping midi file goes here]
I know exactly how ERs work, especially the county hospital variety. Some problems are inpatient, some are outpatient. And being the experienced RN that you are, you should recall one of the differential diagnosis of rectal pain, especially with defecation, is anal fissure.
I never contradicted the original diagnosis. I only added that the rectal pain may also be due to fissures. In this case, a trial of nitroglycerin paste may be helpful. And I am quite positive I mentioned the side effects of this medication. Perhaps the fever is impairing your thought processes.
As a physician, I've never told people over the internet to follow my medical advice/crap/bullsh*t. I only direct them to seek medical care from their physicians. And yes, I'm not seeing patients because I have some time off
if you bleed like 50% of the time, i'll suggest you go to the doctor and have it surgically taken care of.
as to hemorrhoids, i don't think they go away once it develops.
all your good diets and behaviours (exercise and have bowel movement daily) after the discovery of hemorrhoids are ways to make sure they don't aggravate.
it's always better to have them taken care of no matter what, but i do hear that they do have a chance of coming back, i don't know why though.
as to hemorrhoids, i don't think they go away once it develops.
all your good diets and behaviours (exercise and have bowel movement daily) after the discovery of hemorrhoids are ways to make sure they don't aggravate.
it's always better to have them taken care of no matter what, but i do hear that they do have a chance of coming back, i don't know why though.
There's no need to suffer like this. Hemorrhoids are extremely common, the most common cause of rectal bleeding in young adults. Anal fissures are very common too, especially if you frequently have hard bowel movements, and are difficult to heal as you can't really rest that area.
I really recommend seeing a general internist or your family doc for the time being. Surgeons tend to be more hard-nosed. Internists and family practitioners tend to make better listeners and empathize with your needs.
i have both, and the sitting at desk all day job is not good for it no matter how much you walk about because you have to be sitting most of the time if you want to reach satisfactory productivity.
from what you describe, i'd say the anal fissure is your biggest worry. if you have internal roid, then it probably hasn't yet reached a late stage where it protrudes after BM. if it is in the later stage, you would definitely know because you know there is something down there when you wipe. now depending on how severe it is, it will either spontaneously retract, retract on its own, or need to be pushed back.
my specialist wanted to try tying it off, basically tie it until there is no more blood flow to it and wait for it to fall off on its own, if that doesn't work, then full-blown surgery will be the only answer. problem is that you need time off to do this, and right now that's not an option.
fiber and water is your best friend, see if your specialist will prescribe anything (USEFUL) for it, often times they completely ignore the fissure, i had to bring it up myself to make him take notice.
from what you describe, i'd say the anal fissure is your biggest worry. if you have internal roid, then it probably hasn't yet reached a late stage where it protrudes after BM. if it is in the later stage, you would definitely know because you know there is something down there when you wipe. now depending on how severe it is, it will either spontaneously retract, retract on its own, or need to be pushed back.
my specialist wanted to try tying it off, basically tie it until there is no more blood flow to it and wait for it to fall off on its own, if that doesn't work, then full-blown surgery will be the only answer. problem is that you need time off to do this, and right now that's not an option.
fiber and water is your best friend, see if your specialist will prescribe anything (USEFUL) for it, often times they completely ignore the fissure, i had to bring it up myself to make him take notice.
You have my sympathies. I've had experiences in the past where I had explosive diarrhea along with painful bleeding hemorroids. I wouldn't want anyone to go through that.
TRENDING THREADS
-
Discussion Zen 5 Speculation (EPYC Turin and Strix Point/Granite Ridge - Ryzen 9000)- Started by DisEnchantment
- Replies: 25K
-
Discussion Intel Meteor, Arrow, Lunar & Panther Lakes Discussion Threads
- Started by Tigerick
- Replies: 21K
-
Discussion Intel current and future Lakes & Rapids thread- Started by TheF34RChannel
- Replies: 23K
-
-
Facebook
Twitter