Yeah, they won't be for long is the point.Originally Posted by FatFreddy
Remember to not put the bills on a credit card The laws were changed under bush so that you can't discharge card debts through bankruptcy any more the last I had heard. CC = debt for lyfe yo'.
[Nyan Infraction] "Winning at all costs, costs everything" - Me, just now. [Nyan Infraction]
Chest X-Ray showed nothing.I'm only a medical student (currently in PA), so take my opinions for what they're worth. Totally sucks that nobody has been able to correctly diagnose so far
You wrote up an impressive bit of information, but there's still quite a bit I'd want to know:
-What did the chest xray show?
-Did/do you have a fever?
-Can you be more descriptive on the skin rash (if it's a rash): where exactly, how big, is it raised and by how much; did you get associated symptoms with its development
-What did the urinalysis show? Has your urine been dark for a long time or is this a problem with you drinking water? Do you still have dark urine? Is your bilirubin still elevated?
-Family history? AI diseases, lung problems, cancer, stroke, hypertension, diabetes, cardiovascular problems, etc?
-I'm more interested in your vitals/lab test values changing as time goes on and not just a BP at a single point in time (I'm guessing they shrugged off your high BPM and BP because you were stressed, but has it always been that high?)
-The nutritionist probably means well but I wouldn't waste any more money on her.
-Did they prescribe anything for the chest pain? Nitroglycerin tablets? Do you have any difficulty breathing?
-What else, if anything, was abnormal in your physical?
-What do you think started all of this? You mentioned you got sick back in February, any thoughts on what caused it?
-What do you do for a living?
These are just some of the questions I've thought up atm; sorry if it's a lot, but it's only a few out of the large amount of questions I'd ask any other patient.
Hope they figure out what's wrong soon so you get better
edit: Are you taking all the drugs they prescribed? Might be a dumb question, but just to be sure..
I never had a fever, although occasionally I would have night sweats / had a hard time maintaining a comfortable temperature while sleeping (I haven't experienced this in about 3-4 weeks).
Rash is red and raised, very tough and leathery. Appears to be on the way out but will post pictures if that doesn't stay that way.
Urine Analysis showed elevated ketones nothing else of note. Bilirubin was raised in tests about 7 days apart, I don't have anything newer but that was when I made this thread.
Family history, lots of cancer, grand-mother had diabetes. No other issues that I'm aware of.
My BP and BPM are both raised from my normal, I don't have high confident about the BP but my resting HR used to be about 60.
Chest Pain last summer I was prescribed Lodine, a few weeks ago nothing. In the first case breathing was difficult simply because it hurt like hell whenever I took a deep breathe. I don't find breathing difficult now.
Nothing else of note.
I'm not sure how I got sick in February, but it was a pretty intense illness.
I'm an Software Engineer.
Prior to starting Fluconazole treatment I was regular, first few days of that my shit was a bit loose, now I've been unable to shit for two days, but that's all known side-effects so not concerned. For what it's worth I ate some Thai Curry (super super super mild) a few days ago in Estes Park (Mountains) which caused me to feel a bit worse for about an hour. But uhm, otherwise the shit's normal.
Edit:
I am unsure of how much this is costing me, I'm seeing claims only after 2-3 months so I have no idea.
Yeah, I live in Eastern fucking Europe and all of that would be free here. Every country hick or bum gets his gastroscopy or CT-angio if there's an indication to do the procedure.
.. you would get your diagnosis for free but you'd probably also get beaten by Russian skinheads v0v
Last edited by The Monkeysphere; March 26 2012 at 10:12:13 PM.
Spoiler:
I've got a big test tomorrow so sorry I can't take a deep look into it asap, but at the moment I'm also pretty confused.
I guess I'm most concerned with the night sweats + family history of cancer, but how old are you? And what age did your family get cancer, and what type?
I'm assuming the rash went away when you took the antifungal medication? So was it a fungus? Just based on your description I would have gone with psoriasis, but AFAIK that's more autoimmune....I just wouldn't suspect fungus since you're immunocompetent.
I'll take a better look at this stuff tomorrow.
edit: WEIGHT LOSS/GAIN. did you have any of it, and if so, how much and how fast
and ffs how did I forget- do you smoke; if you do, how much.
Last edited by Arcuate; March 26 2012 at 10:20:16 PM.
I'm 22, family youngest cancer was 44, oldest 87.
It's going away (seems to be fading).
Lost about 12 pounds since January.
I don't smoke (ever) and stopped drinking in January.
Please tell me you were on a diet.
No, but I had a pretty big loss of appetite along with that.Please tell me you were on a diet.
Maybe monkeysphere can maybe back me up or shoot me down on this, but from the 'limited' evidence it all 'points' to cancer. Family history ('lots of cancer'), fast weight loss, loss of appetite, night sweats, fatigue, chest pain, etc. It explains many of the systemic problems you've been having.
What kind of cancer is running in your family?
BUT*******************
the good news is I'm probably talking out of my ass (probably the biggest reason), I'm only a medical student, the multiple doctors that saw you are probably competent enough to catch it if they had the same history (I assume they know about the family history, weight loss, etc), and I'm sure some of the previous lab tests that they did could have easily excluded cancer (again maybe MSphere can say something on it).
Last edited by Arcuate; March 27 2012 at 01:05:23 AM.
Breast / Ovarian is the common one, women seem to get the short end of the stick in my family.
This Thursday I have to go perform some history and physicals on several patients in a central PA hospital. After finishing our exams, I meet with my several other of my classmates and supervising doctors to talk about each of our cases. Our doctor supervisors don't actually know which patients we performed a history/exam on, so technically we could bullshit a full HP and present that. Given this, if you'd like, I could take a full history from you sometime before Thursday and present your case (minus any identifying information of course) and see what we come up with. It's a shot in the dark, but if you're interested it might be worth something.
Happy to, I haven't got my latest results physically yet, so I will try to send you what I have when I get it, otherwise I just have one print-out which is probably gonna be useless.
wtf
when did fhc get so many med students?
I don't mean lab tests- I wouldn't be getting lab work back that quickly anyway...it's just a day of history, physicals, and presenting cases. You could tell me how the labs went in your history itself. I'd want to get a full history from you, meaning we could set it up over vent (or whatever) either tomorrow evening or Wednesday; it shouldn't take more than an hour since it seems like you've got a pretty long history. Let me know
Really sounds like cancer, actually.
E: or some neuroendocrine bullshit v0v
Are you complaining?
Contract stuff to Seraphina Amaranth.
"You give me the awful impression - I hate to have to say - of someone who hasn't read any of the arguments against your position. Ever."
I'd hold back with the 'Dr Google say's it's cancer' comments.
The night sweats/weight loss doesn't sound good but a full blood test would have shown elevated white cell count with specific markers. !?!?
I know, just another Dr Google here but still.
Anyway fingers crossed for you. I hope you get this resolved ASAP.
Not necessarily. Anyways, cancer (or at least a tumor, doesnt have to be cancerous) is something you could throw up in almost any ddx since its symptoms are so wide. A guy could come in a simple cough and still have a .000001% chance that it's caused by cancer.
Jesus christ, stop diagnosing cancer over the bloody internet.
Anyway, these are some conditions that are possible but would need further studies:
Candidiasis of bronchi, trachea, or lungs
Candidiasis esophageal
Coccidioidomycosis, disseminated or extrapulmonary
Cryptococcosis, extrapulmonary
Cryptosporidiosis, chronic intestinal for longer than 1 month
Cytomegalovirus disease (other than liver, spleen or lymph nodes)
Cytomegalovirus retinitis (with loss of vision)
Encephalopathy
Herpes simplex: chronic ulcer(s); or bronchitis, pneumonitis, or esophagitis
Histoplasmosis, disseminated or extrapulmonary
Isosporiasis, chronic intestinal
Kaposi's sarcoma
Lymphoma, Burkitt's
Lymphoma, immunoblastic (or equivalent term)
Lymphoma, primary, of brain
Mycobacterium avium complex or Mycobacterium kansasii, disseminated or extrapulmonary
Mycobacterium, other species, disseminated or extrapulmonary
Mycobacterium tuberculosis, any site (extrapulmonary)
Pneumocystis jiroveci pneumonia (formerly Pneumocystis carinii)
Progressive multifocal leukoencephalopathy
Salmonella septicemia (recurrent)
Toxoplasmosis of the brain
Tuberculosis, disseminated
Wasting syndrome
Spoiler:
I didn't 'diagnose cancer' at any point. I just said some of the evidence points to it, and it is still unlikely. At any rate, I'm not going to argue potential e-diagnoses on the internets ; if Aea wants he can contact me and we can go ahead with setting up a short history that may or may not help.
That wasn't directed at you personally, god bless a med student hard at work (seeing how I should be revising nephrology for hours already, which I obviously am not doing). But don't scare the poor sickly gay fellow. It's most likely not cancer.
Spoiler:
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