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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22216
Experience:  Over 20 yrs of Family Practice
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To the right of my sternum my chest hurts, a lot

Customer Question

To the right of my sternum my chest hurts, a lot
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Tender there?
Customer: replied 1 year ago.

No

Expert:  Dr. Chip replied 1 year ago.
Does it hurt to take a deep breath?
Customer: replied 1 year ago.

Nope

,

No

Expert:  Dr. Chip replied 1 year ago.
Up and down the right chest near the sternum? Any shortness of breath?
Customer: replied 1 year ago.

No shortness of breath, Its not up and down the whole sternum. Its like A 2 inch area

Expert:  Dr. Chip replied 1 year ago.
Seem like it's in the chest wall or deeper in the lung?
Customer: replied 1 year ago.

I dont really know

Expert:  Dr. Chip replied 1 year ago.
Well, again, hard to know exactly what to say. If it's not tender and doesn't hurt to take a deep breath then it's not chest wall. The only serious possibility would be a pulmonary embolus and there's now way I can be sure about that just from your symptoms. If it's really that bad you ought to have it checked out.
Customer: replied 1 year ago.

I could get it checked out but the dr will say its costochondritis, because thats the easy answEr

Expert:  Dr. Chip replied 1 year ago.
If it's costochondritis, there should be some tenderness and it should hurt more to take a very deep breath.
Customer: replied 1 year ago.

Are the odds pretty low that its an embolis

Expert:  Dr. Chip replied 1 year ago.
I don't like to talk odds with a potentially life threatening situation--even low odds still demand an evaluation and not a wait and see what happens stance.
Customer: replied 1 year ago.

I just dont want to waste money if its just inflammation

Expert:  Dr. Chip replied 1 year ago.
You asked about it and I'm telling you I can't be sure--could be just inflammation but there's no way for either of us to be sure about that.
Customer: replied 1 year ago.

Ill see how it feels later

Expert:  Dr. Chip replied 1 year ago.
OK
Customer: replied 1 year ago.

Do you think itd be ok to take advil?

Expert:  Dr. Chip replied 1 year ago.
That depends on your stomach--if you were told not to, then of course you shouldn't.
Customer: replied 1 year ago.

But i hurt and i dont like tramadol

Expert:  Dr. Chip replied 1 year ago.
Up to you. Probably no major harm done if you take some Advil.
Customer: replied 1 year ago.

My boss scheduled a meeting with me on Tuesday. And i dont know why

Expert:  Dr. Chip replied 1 year ago.
Something that isn't like anything she's done before?
Customer: replied 1 year ago.

The last time she wanted to meet with me was to tell me not to miss anymore work

Expert:  Dr. Chip replied 1 year ago.
And have you missed any work since then?
Customer: replied 1 year ago.

I havent called in sick, that i remember. The only days i had off were days i requested off

Expert:  Dr. Chip replied 1 year ago.
How many days off did you have?
Customer: replied 1 year ago.

I dont really knoW

Expert:  Dr. Chip replied 1 year ago.
More than, say, a couple?
Customer: replied 1 year ago.

I dont think so

Expert:  Dr. Chip replied 1 year ago.
Well, hard to say but that isn't very many--guess we'll just have to wait and she what she wants to talk to you about.
Customer: replied 1 year ago.

What if she fires me? My mom says if she was going to, she would have fired me instead of waiting

Expert:  Dr. Chip replied 1 year ago.
Probably so about the firing happening then and there but we're just speculating now.
Customer: replied 1 year ago.

I know but im going to let my worrying about it ruin my weekend

Expert:  Dr. Chip replied 1 year ago.
So get out and stay busy for the weekend
Customer: replied 1 year ago.

Well im still watching my friends kid til late this afternoon. Then im bringing my autistic cousin to see the movie paranormen.

Customer: replied 1 year ago.

Well im still watching my friends kid til late this afternoon. Then im bringing my autistic cousin to see the movie paranormen. I dont know what else to do

Expert:  Dr. Chip replied 1 year ago.
That's good for now. Listen--have to be away until this evening. Will post you when I'm back on.
Expert:  Dr. Chip replied 1 year ago.
Back when you are.
Customer: replied 1 year ago.

Im back too

Expert:  Dr. Chip replied 1 year ago.
So where were we?
Customer: replied 1 year ago.

I dont remember

Expert:  Dr. Chip replied 1 year ago.
Neither do I
Customer: replied 1 year ago.

I apologize if i wasnt very nice last night

Expert:  Dr. Chip replied 1 year ago.
You get a little testy from time to time, but I can handle that.
Customer: replied 1 year ago.

But i should not be mean rude and/or disrespectful

Expert:  Dr. Chip replied 1 year ago.
Who knows--maybe you're right and I don't know much about anything.
Customer: replied 1 year ago.

I dont really think that

Expert:  Dr. Chip replied 1 year ago.
Whenever someone (not talking about you) says to me, "That was stupid," my response is, "I'm very sorry but I'm never intentionally stupid so there was no reason for your being offended."
Customer: replied 1 year ago.

OK

Expert:  Dr. Chip replied 1 year ago.
There you go again--itchy fingers.
Customer: replied 1 year ago.

Why havent you given up on me yet?

Expert:  Dr. Chip replied 1 year ago.
I'm just not a quitter.
Customer: replied 1 year ago.

I know, but im not exactly nice to you. And we basically cover the same thing day after day

Expert:  Dr. Chip replied 1 year ago.
Sort of cover the same things, but I do bring up a few new things from time to time; The physical part we often do a retread on, though. The biggest problem is not getting you to talk about the important things--not your fault, but sometimes it's like pulling eye teeth.
Customer: replied 1 year ago.

Important things, such as what

Expert:  Dr. Chip replied 1 year ago.
Something about--at least in general terms--the PTSD. And you never talk about the possibility of your being in denial about your problem. You also won't work with me on the idea that the eating disorder is only a symptom and not your major problem.
Customer: replied 1 year ago.

So what do you want to discuss

Expert:  Dr. Chip replied 1 year ago.
Tell me just in vague terms about the PTSD cause--just an idea, you don't have to be graphic.
Customer: replied 1 year ago.

I think you probaby have a good idea about the cause

Expert:  Dr. Chip replied 1 year ago.
Yes I do. So you really have never talked about it, and, if not, is it because it would be too painful or is it more that you're ashamed and maybe blame yourself?
Customer: replied 1 year ago.

Ive never really talked about it. I am totally ashamed and i do blame myself

Expert:  Dr. Chip replied 1 year ago.
So do you think that I judge you about it and think it makes you either a bad person or a digusting person or someone I wouldn't want to have anything to do with?
Customer: replied 1 year ago.

I would hope that you wouldnt judge me but i dont know.

Expert:  Dr. Chip replied 1 year ago.
Well I wouldn't. In fact, I have two good friends who had the same situation happen to them.
Customer: replied 1 year ago.

But they are your friends and you shouldnt judge your friends.

Expert:  Dr. Chip replied 1 year ago.
I knew about their problems before we became friends.
Customer: replied 1 year ago.

Ok. But maybe in their case it wasnt their fault

Expert:  Dr. Chip replied 1 year ago.
They thought it was in the beginning.
Customer: replied 1 year ago.

But they got over it?

Expert:  Dr. Chip replied 1 year ago.
Yes--very much so. To the point where they can sometimes laugh about it now.
Customer: replied 1 year ago.

Ok

Expert:  Dr. Chip replied 1 year ago.
Come on--this is the one time in all our conversations where an OK was absolutely inappropriate and silly.
Customer: replied 1 year ago.

I dont know what to say. To me it seems impossible to Get over it

Expert:  Dr. Chip replied 1 year ago.

They did and you didn't ask how they did it.

Customer: replied 1 year ago.

Im sure they got over it by talking about it

Expert:  Dr. Chip replied 1 year ago.

And you already knew that anyway. Just pointing out that it can be done and they didn't have an easy time discussing it with their therapists in the beginning.

Customer: replied 1 year ago.

Its just hard to do

Expert:  Dr. Chip replied 1 year ago.
I know but you're strong enough to do it. It's just that until you do, nothing's going to change.
Customer: replied 1 year ago.

Maybe i dont want things to change

Expert:  Dr. Chip replied 1 year ago.
Your call--guess you just are more comfortable being sick and tired all the time.
Customer: replied 1 year ago.

I just dont know what I want. Maybe im scared to get better, i dont remember what that feels like.

Expert:  Dr. Chip replied 1 year ago.
Same thing that happens with battered women--most people can't understand why they stay with the batterer (unless it's because of the kids) and it's because that house and partner are comfortable--familiar--and change is scary.
Customer: replied 1 year ago.

What if getting better isnt a goood think?

Expert:  Dr. Chip replied 1 year ago.
Why wouldn't it be?
Customer: replied 1 year ago.

I dont know

Expert:  Dr. Chip replied 1 year ago.
Then why even ask a relatively senseless question? Either work with me here or let's call it a night for now.
Customer: replied 1 year ago.

I am trying to work with you

Expert:  Dr. Chip replied 1 year ago.
Then stop with the I don't know's. Why would you think getting better wouldn't be a good thing?
Customer: replied 1 year ago.

Maybe i say i dont know because i dont know how to explaiN what im thinking.

Expert:  Dr. Chip replied 1 year ago.
Then take your time until you can get your thoughts arranged. So it might be better just to sit and suffer than to do some footwork and have a little pain involved in the beginning and get better?
Customer: replied 1 year ago.

If i get better i might fail and go back to my old routines. But if i dont get better i dont really have to worry about failing

Expert:  Dr. Chip replied 1 year ago.
Why is the idea of possible failure so bothersome for you?
Customer: replied 1 year ago.

I feel that failure Means i let people down. And i dont like to let people down

Expert:  Dr. Chip replied 1 year ago.
But haven't you already let people down?
Customer: replied 1 year ago.

Yes. But i feel that if i got better and then failed i would be letting people down more than i currently am. Dont ask why because i really dont know

Expert:  Dr. Chip replied 1 year ago.
OK--this is still part of the denial that was the other part of the problem I wanted to discuss more along with the PTSD. Whether you realize it or not, you're not seeing things clearly and you're excusing yourself from looking at the real problem by talking about this letting people down thing. It's like the alcoholic saying he really doesn't have a problem with alcohol--it's other people's fault that he drinks. Right now your problem has nothing to do with anyone else and only with you. Think about that and we'll discuss it tomorrow. Try to get some sleep for now.
Customer: replied 1 year ago.

How do i stop being in denial

Expert:  Dr. Chip replied 1 year ago.
I think we've made some progress in getting past that wall. Do you at least realize that at least this time around your eating/drinking problem was pretty bad and can you at least consider the possibility that it isn't your primary problem--that it's just a symptom of other problems?
Customer: replied 1 year ago.

I know that thus time it is pretty bad. I do consider the possibility that it isnt the primary problem

Expert:  Dr. Chip replied 1 year ago.
Good--then that denial brick wall has a crack in it. Serious not kidding with you here--the thinking you're fat and the eating problem that comes from that is only a small part of your overall problem.
Customer: replied 1 year ago.

So tell me what exactly i need to work on

Expert:  Dr. Chip replied 1 year ago.
Well the PTSD is the most important part, but I would start with working on your feeling of being a failure and your internal anger that I don't think you realize is a major component of the problem.
Customer: replied 1 year ago.

Why do you think the PTSD is the most important part

Expert:  Dr. Chip replied 1 year ago.
Because a good part of the anger and body image and overall shame you feel from it is basically festering inside you with no outlet right now.
Customer: replied 1 year ago.

So how do I find an outlet?

Expert:  Dr. Chip replied 1 year ago.
Like a boil that won't come to a head and drain, it has to be lanced. In your case, sorry but no way out of this--you have to recognize it, embrace it, talk about it, deal with it, and let it go--not forget about it but leave in it the past where it belongs and not present here in the present.
Customer: replied 1 year ago.

Ugh

Expert:  Dr. Chip replied 1 year ago.

And it isn't as bad as you think--yes, in the beginning it's hard and painful, but really, within a very short time it gets easier to talk about and work on. And it's not like you have to relive it over and over--you talk about the whole episode and then you deal with the feelings and not the episode itself.

Customer: replied 1 year ago.

You cant know whether or not its not as bad as it seems

Customer: replied 1 year ago.
, You cant know whether or not its not as bad as it seems
Expert:  Dr. Chip replied 1 year ago.
That's always a line you can give me and of course it's something I can't refute, but so far in my own personal experience and with the people I've worked with in cases like this, it's always been the same--you look back after a while and say, wow, it wasn't nearly as bad as I thought it would be. Just asking you to consider doing it--not trying to push you into it.
Customer: replied 1 year ago.

It might be easier to talk about it if my current therapist wasnt such a dork

Expert:  Dr. Chip replied 1 year ago.
Well, true that it takes a therapist that has a soft hand but is persistent. And it doesn't take giving out every last detail in the beginning--just mentioning what happened briefly and then talk about the feelings--the details can be filled in later. It would also help for you to write down exactly what happened and how you felt/feel about it--not thinking about sharing it with anyone else, just keeping it for yourself.
Customer: replied 1 year ago.

I just want it to all go away

Expert:  Dr. Chip replied 1 year ago.
I know but you really feed it and give it power by trying to hide it and not bringing it out into the light.
Customer: replied 1 year ago.

That just sucks

Expert:  Dr. Chip replied 1 year ago.
OK--enough said about all that--just making comments and suggestions and you have to decide whether you'll do it.
Customer: replied 1 year ago.

I know

Expert:  Dr. Chip replied 1 year ago.
So how's the weekend going?
Customer: replied 1 year ago.

Its alright How about youra

Expert:  Dr. Chip replied 1 year ago.
Piano, running, maybe a movie tonight.
Customer: replied 1 year ago.

Sounds fun

Expert:  Dr. Chip replied 1 year ago.
Piano's fun but Chopin can be so frustrating--so beautiful but so difficult
Customer: replied 1 year ago.

I dont know how you have the patience to play piano

Expert:  Dr. Chip replied 1 year ago.
How so?
Customer: replied 1 year ago.

Not just you but any body. It takes a lot of practice to get good at playing piano

Expert:  Dr. Chip replied 1 year ago.
Oh, definitely but it's fun to reap the benefits of that practice and I don't just work at practicing all the time--I do play the pieces I already know.
Customer: replied 1 year ago.

I think i would get frustrated trying to learn piano

Expert:  Dr. Chip replied 1 year ago.
Like the therapy thing, takes the right teacher but you of course have to want to learn like I did from age about five.
Customer: replied 1 year ago.

I suppose so

Expert:  Dr. Chip replied 1 year ago.
By the way--just mentioning again--you really should see the movie Ordinary People.
Customer: replied 1 year ago.

I just havent found that movie yet. Stupid question, what possible complications could an eating disorder have on pregnancy

Expert:  Dr. Chip replied 1 year ago.
Miscarriage, low birth weight, premature birth, and trouble conceiving in the first place.
Customer: replied 1 year ago.

So it probably wouldnt be a very good pregnancy

Expert:  Dr. Chip replied 1 year ago.
No
Customer: replied 1 year ago.

You really seem to be totally against me getting pregnant until im better

Expert:  Dr. Chip replied 1 year ago.
I only told you the possible problems you'd have and I'm not totally against it, but if you by chance think that getting pregnant will somehow make you feel better and in a way solve all your problems, it just doesn't work that way.
Customer: replied 1 year ago.

But it would be possible that i could eat better if someone else depended on it

Expert:  Dr. Chip replied 1 year ago.
Maybe, but that's wishful thinking. Still looking for an outside reason to solve the problem.
Customer: replied 1 year ago.

I know. But i would really like to have a baby

Expert:  Dr. Chip replied 1 year ago.
Like I said, delaying that for about a year isn't too long.
Customer: replied 1 year ago.

I know.

Expert:  Dr. Chip replied 1 year ago.
Why do you want a baby?
Customer: replied 1 year ago.

Because I just do. I always have.

Expert:  Dr. Chip replied 1 year ago.
Not much of an answer there.
Customer: replied 1 year ago.

I dont really have an answer as to why sorry

Expert:  Dr. Chip replied 1 year ago.
Must just be a woman thing, I guess
Customer: replied 1 year ago.

Probably.

Expert:  Dr. Chip replied 1 year ago.
Here's one for you--what if you decided to be a mother and you failed at that task?
Customer: replied 1 year ago.

Thats an awful thing to even think aBout

Expert:  Dr. Chip replied 1 year ago.
Yet you have a definite problem with the fear of failure of treatment.
Customer: replied 1 year ago.

I think id be a wonderful parent. I think i can be a good parent even if i sont get over this eating issue

Expert:  Dr. Chip replied 1 year ago.
So why is there no worry for you about being a wonderful parent when you worry about whether you can get better with treatment?
Customer: replied 1 year ago.

I just use the fear of failing as an excuse not to try

Expert:  Dr. Chip replied 1 year ago.
True
Customer: replied 1 year ago.

Doesnt it make you frustrated that i am not willing to do the necessary things to get better

Expert:  Dr. Chip replied 1 year ago.

No--seen it lots of times before and some do it and some don't. It's worthwhile when the ones that wouldn't do it for love or money in the beginning finally turn around.

Customer: replied 1 year ago.

Do you think eventually i will get help

Expert:  Dr. Chip replied 1 year ago.
Well, we've made some headway here, so I'm optimistic about that, yes.
Customer: replied 1 year ago.

Why do you think i wont make the commitment?

Expert:  Dr. Chip replied 1 year ago.
I just said I think you will.
Customer: replied 1 year ago.

What i meant was why do you think that i am havinG a hard time making the commitment

Expert:  Dr. Chip replied 1 year ago.
You've already told my why.
Customer: replied 1 year ago.

Ok

Expert:  Dr. Chip replied 1 year ago.
Still with the OK's?
Customer: replied 1 year ago.

Theres too many rules when talking to you. Dont say ok, sorry, i dont know, ect ect

Expert:  Dr. Chip replied 1 year ago.

Well, the only rule, and I'll repeat it just once more, is that if you can't think a while and come up with something substantial to say I don't mind your waiting until you do. I don't expect you to respond to something I've said immediately--it would be OK if that didn't happen for an hour or more. It's just that we're wasting time and space with the OK's and the IDK's.

Customer: replied 1 year ago.

Do you realize how hard it is to think. sometimes i even have a hard time putting together a sentence while speaking.

Expert:  Dr. Chip replied 1 year ago.
No problem, but I'm just saying take all the time you need until you can say something and you've been able to tell me some worthwhile things before.
Customer: replied 1 year ago.

I know, but seriously sometimes it seems impossible

Expert:  Dr. Chip replied 1 year ago.
Then just tell me you can't think right now and I'll be glad to wait as long as it takes. And sometimes I think you type IDK or OK not because you just can't think but because you don't want to consider what I've just said.
Customer: replied 1 year ago.

Youre right sometimes i say it because i dont want to consider what you say

Expert:  Dr. Chip replied 1 year ago.
I understand
Customer: replied 1 year ago.

What do you want to know

Expert:  Dr. Chip replied 1 year ago.
So you do realize that your fear of failure is just an excuse you use not to try?
Customer: replied 1 year ago.

I totally understand that

Expert:  Dr. Chip replied 1 year ago.
OK. So do you think there's a reasonable chance that you will try?
Customer: replied 1 year ago.

Im not sure. Some days i think there is but other days i dont think so

Expert:  Dr. Chip replied 1 year ago.
Not bad--keep working on it. You need to seize one of those days when you think it's time and do something with it like calling your therapist and saying so.
Customer: replied 1 year ago.

The thought of doing that makes me feel uneasy

Expert:  Dr. Chip replied 1 year ago.
Don't expect it to be a walk in the park--of course it won't be easy.
Customer: replied 1 year ago.

Im afraid that my family will get mad at me if i did

Expert:  Dr. Chip replied 1 year ago.
Why exactly--because they, like you, would think you should be able to do it on your own? And are they truly aware of all your other problems besides just the eating problem?
Customer: replied 1 year ago.

They agree with me that I can do this on my own. I think they know about my other issues

Expert:  Dr. Chip replied 1 year ago.
So they don't realize that the eating problem is much more than simply a case of your summoning your will power and just eating like normal? What exactly do they say to you when they talk about it?
Customer: replied 1 year ago.

They think my eating issue is for attention. They thinky


Eating is better now

Expert:  Dr. Chip replied 1 year ago.
Attention?
Customer: replied 1 year ago.

My mother figure is convinced that the reason that it vot so bad was because by being "sick" i got attention from my dr

Expert:  Dr. Chip replied 1 year ago.
What about the other people in your family--what are they saying?
Customer: replied 1 year ago.

They dont really say much about it. I think that they are afraid if they say something that will hurt my feelings that i will stop eating again

Expert:  Dr. Chip replied 1 year ago.
So what exactly does your mother figure say?
Customer: replied 1 year ago.

She says that I am fine and I dont have an eating issue. That the reason I stopped eating was for attention. And that I need to grow up and stop with that stupid behavior

Expert:  Dr. Chip replied 1 year ago.
Strange comment from her--so she thinks that somehow you need attention just from your doctor?
Customer: replied 1 year ago.

I guess

Expert:  Dr. Chip replied 1 year ago.
Well, what can I say? You and I both know she's wrong.
Customer: replied 1 year ago.

I know shes wrong

Expert:  Dr. Chip replied 1 year ago.
OK--worst case scenario here--she get's angry if you go into treatment and then what--she stays angry and never lets you forget it?
Customer: replied 1 year ago.

It would hurt my feelings if she were to be mad at me

Expert:  Dr. Chip replied 1 year ago.
Isn't she already mad with you? And why exactly would it hurt your feelings if she were mad?
Customer: replied 1 year ago.

Shes usuallY mad at me about something. It would hurt my feelings because i equate being mad with not loving me anymore

Expert:  Dr. Chip replied 1 year ago.
So people that love each other never get mad at one another? And since she's already mad with you so what if she gets mad if you go into treatment?
Customer: replied 1 year ago.

I know my thinking is flawed but its what i believe. Today is one of them days I dont think i need treatment. It seems like ive been eating all day

Expert:  Dr. Chip replied 1 year ago.
Well, for now, let's not talk about the eating or not eating since that really isn't the major concern. I'd lump your worrying about her being mad and your fear of failure into the excuses for not doing it folder.
Customer: replied 1 year ago.

Ok What do you wanT to discuss

Expert:  Dr. Chip replied 1 year ago.

Hard to say right now--we've done a fair amount of discussion already.

Customer: replied 1 year ago.

Would you be ok with my just doing DBT

Expert:  Dr. Chip replied 1 year ago.
Yes if you'd actually do it and take as many sessions as possible.
Customer: replied 1 year ago.

Id rather do DBT than the eating disorder clinic.

Expert:  Dr. Chip replied 1 year ago.
DBT is basically what you need, however you get it.
Customer: replied 1 year ago.

Ok. Will you listen to my medical complaints

Expert:  Dr. Chip replied 1 year ago.
Come again?
Customer: replied 1 year ago.

I dont feel good and i dont want you to say theres nothing to do about it

Expert:  Dr. Chip replied 1 year ago.

I don't think I've ever said there's nothing to do about it just that there may not be anything I can do about it. What's going on?

Customer: replied 1 year ago.

I feel yucky. My chest hurts still. My stomach hurts as do all my muscles. Today it seems like everytime after i eat i get lightheaded. And my vomit has blood in it again

Expert:  Dr. Chip replied 1 year ago.
You've been vomiting on your own and not purging?
Customer: replied 1 year ago.

No purging

Expert:  Dr. Chip replied 1 year ago.
How many times have you vomited and how much blood?
Customer: replied 1 year ago.

Ive vomited atleast 5 times Its not what i would consider a huge amount of blood

Expert:  Dr. Chip replied 1 year ago.
Well, again, not a good thing ever to vomit blood but also again, nothing I can do. I just consider any episode of hemoptysis an urgent situation that needs medical attention. Not just trying to sound like a parrot, but that's just how it is
Customer: replied 1 year ago.

I could get it checked out but all theyd do is check my hemoglobin and when that came back normal they would say im fIne

Expert:  Dr. Chip replied 1 year ago.
And remind me--the last time you were scoped?
Customer: replied 1 year ago.

Had EUS a little over a month ago

Expert:  Dr. Chip replied 1 year ago.

Well, much as I'd like not to have to say this, I'd scope you again.

Customer: replied 1 year ago.

Why?

Expert:  Dr. Chip replied 1 year ago.
Told you before--to see exactly what's bleeding and to treat it if necessary. There can be a Mallory Weiss tear of the GE junction, or a gastric or peptic ulcer that has developed since your last scope
Customer: replied 1 year ago.

When you say i told you before, it makes me think that you think im being dumb. I see my gi dr on wednesday ill tell him about it then

Expert:  Dr. Chip replied 1 year ago.
Not saying you're dumb--stop being so sensitive--maybe you just forgot.
Customer: replied 1 year ago.

Are you ok with me waiting to get checked out til Wednesday

Expert:  Dr. Chip replied 1 year ago.
For now yes but it's not the best course of action.
Customer: replied 1 year ago.

And what exactly is the best course of action

Expert:  Dr. Chip replied 1 year ago.
Getting scoped now
Customer: replied 1 year ago.

Why am i extremely tired all the time? Ive been eating and drinking ok

Expert:  Dr. Chip replied 1 year ago.
Can you tell me exactly what that means?
Customer: replied 1 year ago.

Im am constantly exhausted. Even if i sleep all night. I wake up just as tired as i was the night before. I can take 3 naps during the day and am still tired. And at any given time i feel like a can just fall asleep

Expert:  Dr. Chip replied 1 year ago.
No, I meant what you meant by eating and drinking OK
Customer: replied 1 year ago.

Ihave eaten like a billion calores today znd yesterday

Expert:  Dr. Chip replied 1 year ago.
OK--guess I should've know better than to ask because I have absolutely no idea what that means. Even if you have done that, it would take at least a week or two of that to get rid of the fatigue.
Customer: replied 1 year ago.

What kind of answer were you looking for?

Expert:  Dr. Chip replied 1 year ago.
Come on--you know as well as I do that what you call a billion calories probably translates at best into maybe 500
Customer: replied 1 year ago.

Well i think it was more than 500 but probably less than 1000

Expert:  Dr. Chip replied 1 year ago.
OK--still, as I said, even if you could master say 1500 or more I wouldn't expect it to take effect for at least a couple of weeks and still there's the fluid thing.
Customer: replied 1 year ago.

If i ate more would my hair stop falling out? Do you think my tiredness is directly related to my not eating healthy?

Expert:  Dr. Chip replied 1 year ago.
Maybe not all the fatigue is related to the eating but a lot of it is. As for the hair, the lack of protein you're not consuming could have something to do with that.
Customer: replied 1 year ago.

O nothing to be too terribly concerned qbout

Expert:  Dr. Chip replied 1 year ago.
Hair loss by itself? No
Customer: replied 1 year ago.

Why do you suppose i hold some people responsible for what theyve done but not others. I hold my brother responsible for what he did but i dont hold my dad responsible for what he did

Expert:  Dr. Chip replied 1 year ago.
Hard to say. It may be that unconsciously you do hold others responsible, and also I don't know the particulars of the events.
Customer: replied 1 year ago.

If they both did pretty much the same thing i should be able to


Hold them both responsible

Expert:  Dr. Chip replied 1 year ago.
Then for some reason you're blocking your dad's responsibility in the matter.
Customer: replied 1 year ago.

SO what do I do about that

Expert:  Dr. Chip replied 1 year ago.
Still comes down to talking about all the events. It's likely that when you do the resentment and blame for your dad will surface.
Customer: replied 1 year ago.

I dont know how someone who is suppose to love you unconditionally can hurt you so badly

Expert:  Dr. Chip replied 1 year ago.
Well, the key words there are unconditional love which is not always what is there and then even unconditionally loving people have problems that may cause them to hurt the ones they love.
Customer: replied 1 year ago.

I suppose

Expert:  Dr. Chip replied 1 year ago.
Anyhing more for tonight to discuss?
Customer: replied 1 year ago.

Do you wamt to be done talking to me for tonight?

Expert:  Dr. Chip replied 1 year ago.
No--just didn't know what else you'd like to talk about.
Customer: replied 1 year ago.

Serious question and no judging me. Does it make me an awful person if i wish that one of these times my dad tries to kill himself that hed be successful

Expert:  Dr. Chip replied 1 year ago.
No, doesn't make you an awful person, just an angry, resentful one and maybe with good reason. That said, if you don't start working on that resentment and he is successful, you may be saddled with the irrational guilt that somehow you made your wish come true.
Customer: replied 1 year ago.

I really do just dislike him

Expert:  Dr. Chip replied 1 year ago.
Whatever that means.
Customer: replied 1 year ago.

Do you think i have PTSD?

Expert:  Dr. Chip replied 1 year ago.
Well, I don't know enough of the particulars to be sure about that but obviously you've had events in the past that battered you emotionally and are still affecting you know, so I don't know if the term PTSD fits exactly, but it's basically what you have.
Customer: replied 1 year ago.

. Will you pick something to talk about please

Expert:  Dr. Chip replied 1 year ago.
OK--you chose that particular subject anyway. So can you at least see what I was referring to when I said that the eating thing is only a symptom and not the real problem?
Customer: replied 1 year ago.

I agree with that

Expert:  Dr. Chip replied 1 year ago.
Good. Then, seriously--not trying to run away from you right now, but we've talked a lot today and covered a lot of ground and it's time you rested and let all we've talked about sink in.
Customer: replied 1 year ago.

I just dont think you want to talk to me anymore, but goodnight

Expert:  Dr. Chip replied 1 year ago.
I refuse to allow you to make me feel guilty and I'll be glad to continue but only if you come up with something substantial that we need to talk about right now. After all, I've spent most of the whole day with you already.
Customer: replied 1 year ago.

It was your choice to spend most of The whole day with me.

Expert:  Dr. Chip replied 1 year ago.
True, and thank you for being ungrateful for that--my bad for thinking I was helping you here.
Customer: replied 1 year ago.

I am not ungrateful and you were helping me. I will talk with you some other time

Expert:  Dr. Chip replied 1 year ago.
Sounds like a plan

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