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Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 23057
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: 2 years ago.
Category: Health
Expert:  Dr. Chip replied 2 years ago.
Tender there?
Customer: replied 2 years ago.

No

Expert:  Dr. Chip replied 2 years ago.
Does it hurt to take a deep breath?
Customer: replied 2 years ago.

Nope

,

No

Expert:  Dr. Chip replied 2 years ago.
Up and down the right chest near the sternum? Any shortness of breath?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Seem like it's in the chest wall or deeper in the lung?
Customer: replied 2 years ago.

I dont really know

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
If it's costochondritis, there should be some tenderness and it should hurt more to take a very deep breath.
Customer: replied 2 years ago.

Are the odds pretty low that its an embolis

Expert:  Dr. Chip replied 2 years 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 2 years ago.

I just dont want to waste money if its just inflammation

Expert:  Dr. Chip replied 2 years 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 2 years ago.

Ill see how it feels later

Expert:  Dr. Chip replied 2 years ago.
OK
Customer: replied 2 years ago.

Do you think itd be ok to take advil?

Expert:  Dr. Chip replied 2 years ago.
That depends on your stomach--if you were told not to, then of course you shouldn't.
Customer: replied 2 years ago.

But i hurt and i dont like tramadol

Expert:  Dr. Chip replied 2 years ago.
Up to you. Probably no major harm done if you take some Advil.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Something that isn't like anything she's done before?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
And have you missed any work since then?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
How many days off did you have?
Customer: replied 2 years ago.

I dont really knoW

Expert:  Dr. Chip replied 2 years ago.
More than, say, a couple?
Customer: replied 2 years ago.

I dont think so

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years ago.
Probably so about the firing happening then and there but we're just speculating now.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
So get out and stay busy for the weekend
Customer: replied 2 years 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 2 years 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 2 years 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 2 years ago.
Back when you are.
Customer: replied 2 years ago.

Im back too

Expert:  Dr. Chip replied 2 years ago.
So where were we?
Customer: replied 2 years ago.

I dont remember

Expert:  Dr. Chip replied 2 years ago.
Neither do I
Customer: replied 2 years ago.

I apologize if i wasnt very nice last night

Expert:  Dr. Chip replied 2 years ago.
You get a little testy from time to time, but I can handle that.
Customer: replied 2 years ago.

But i should not be mean rude and/or disrespectful

Expert:  Dr. Chip replied 2 years ago.
Who knows--maybe you're right and I don't know much about anything.
Customer: replied 2 years ago.

I dont really think that

Expert:  Dr. Chip replied 2 years 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 2 years ago.

OK

Expert:  Dr. Chip replied 2 years ago.
There you go again--itchy fingers.
Customer: replied 2 years ago.

Why havent you given up on me yet?

Expert:  Dr. Chip replied 2 years ago.
I'm just not a quitter.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

Important things, such as what

Expert:  Dr. Chip replied 2 years 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 2 years ago.

So what do you want to discuss

Expert:  Dr. Chip replied 2 years ago.
Tell me just in vague terms about the PTSD cause--just an idea, you don't have to be graphic.
Customer: replied 2 years ago.

I think you probaby have a good idea about the cause

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Well I wouldn't. In fact, I have two good friends who had the same situation happen to them.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
I knew about their problems before we became friends.
Customer: replied 2 years ago.

Ok. But maybe in their case it wasnt their fault

Expert:  Dr. Chip replied 2 years ago.
They thought it was in the beginning.
Customer: replied 2 years ago.

But they got over it?

Expert:  Dr. Chip replied 2 years ago.
Yes--very much so. To the point where they can sometimes laugh about it now.
Customer: replied 2 years ago.

Ok

Expert:  Dr. Chip replied 2 years ago.
Come on--this is the one time in all our conversations where an OK was absolutely inappropriate and silly.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.

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

Customer: replied 2 years ago.

Im sure they got over it by talking about it

Expert:  Dr. Chip replied 2 years 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 2 years ago.

Its just hard to do

Expert:  Dr. Chip replied 2 years 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 2 years ago.

Maybe i dont want things to change

Expert:  Dr. Chip replied 2 years ago.
Your call--guess you just are more comfortable being sick and tired all the time.
Customer: replied 2 years 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 2 years 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 2 years ago.

What if getting better isnt a goood think?

Expert:  Dr. Chip replied 2 years ago.
Why wouldn't it be?
Customer: replied 2 years ago.

I dont know

Expert:  Dr. Chip replied 2 years 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 2 years ago.

I am trying to work with you

Expert:  Dr. Chip replied 2 years ago.
Then stop with the I don't know's. Why would you think getting better wouldn't be a good thing?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years ago.
Why is the idea of possible failure so bothersome for you?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
But haven't you already let people down?
Customer: replied 2 years 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 2 years 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 2 years ago.

How do i stop being in denial

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years 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 2 years ago.

So tell me what exactly i need to work on

Expert:  Dr. Chip replied 2 years 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 2 years ago.

Why do you think the PTSD is the most important part

Expert:  Dr. Chip replied 2 years 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 2 years ago.

So how do I find an outlet?

Expert:  Dr. Chip replied 2 years 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 2 years ago.

Ugh

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Customer: replied 2 years ago.
, You cant know whether or not its not as bad as it seems
Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

I just want it to all go away

Expert:  Dr. Chip replied 2 years 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 2 years ago.

That just sucks

Expert:  Dr. Chip replied 2 years ago.
OK--enough said about all that--just making comments and suggestions and you have to decide whether you'll do it.
Customer: replied 2 years ago.

I know

Expert:  Dr. Chip replied 2 years ago.
So how's the weekend going?
Customer: replied 2 years ago.

Its alright How about youra

Expert:  Dr. Chip replied 2 years ago.
Piano, running, maybe a movie tonight.
Customer: replied 2 years ago.

Sounds fun

Expert:  Dr. Chip replied 2 years ago.
Piano's fun but Chopin can be so frustrating--so beautiful but so difficult
Customer: replied 2 years ago.

I dont know how you have the patience to play piano

Expert:  Dr. Chip replied 2 years ago.
How so?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

I think i would get frustrated trying to learn piano

Expert:  Dr. Chip replied 2 years 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 2 years ago.

I suppose so

Expert:  Dr. Chip replied 2 years ago.
By the way--just mentioning again--you really should see the movie Ordinary People.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Miscarriage, low birth weight, premature birth, and trouble conceiving in the first place.
Customer: replied 2 years ago.

So it probably wouldnt be a very good pregnancy

Expert:  Dr. Chip replied 2 years ago.
No
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Maybe, but that's wishful thinking. Still looking for an outside reason to solve the problem.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Like I said, delaying that for about a year isn't too long.
Customer: replied 2 years ago.

I know.

Expert:  Dr. Chip replied 2 years ago.
Why do you want a baby?
Customer: replied 2 years ago.

Because I just do. I always have.

Expert:  Dr. Chip replied 2 years ago.
Not much of an answer there.
Customer: replied 2 years ago.

I dont really have an answer as to why sorry

Expert:  Dr. Chip replied 2 years ago.
Must just be a woman thing, I guess
Customer: replied 2 years ago.

Probably.

Expert:  Dr. Chip replied 2 years ago.
Here's one for you--what if you decided to be a mother and you failed at that task?
Customer: replied 2 years ago.

Thats an awful thing to even think aBout

Expert:  Dr. Chip replied 2 years ago.
Yet you have a definite problem with the fear of failure of treatment.
Customer: replied 2 years 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 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
True
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

Do you think eventually i will get help

Expert:  Dr. Chip replied 2 years ago.
Well, we've made some headway here, so I'm optimistic about that, yes.
Customer: replied 2 years ago.

Why do you think i wont make the commitment?

Expert:  Dr. Chip replied 2 years ago.
I just said I think you will.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
You've already told my why.
Customer: replied 2 years ago.

Ok

Expert:  Dr. Chip replied 2 years ago.
Still with the OK's?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years 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 2 years ago.

I know, but seriously sometimes it seems impossible

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
I understand
Customer: replied 2 years ago.

What do you want to know

Expert:  Dr. Chip replied 2 years ago.
So you do realize that your fear of failure is just an excuse you use not to try?
Customer: replied 2 years ago.

I totally understand that

Expert:  Dr. Chip replied 2 years ago.
OK. So do you think there's a reasonable chance that you will try?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

The thought of doing that makes me feel uneasy

Expert:  Dr. Chip replied 2 years ago.
Don't expect it to be a walk in the park--of course it won't be easy.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years 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 2 years ago.

They think my eating issue is for attention. They thinky


Eating is better now

Expert:  Dr. Chip replied 2 years ago.
Attention?
Customer: replied 2 years 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 2 years ago.
What about the other people in your family--what are they saying?
Customer: replied 2 years 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 2 years ago.
So what exactly does your mother figure say?
Customer: replied 2 years 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 2 years ago.
Strange comment from her--so she thinks that somehow you need attention just from your doctor?
Customer: replied 2 years ago.

I guess

Expert:  Dr. Chip replied 2 years ago.
Well, what can I say? You and I both know she's wrong.
Customer: replied 2 years ago.

I know shes wrong

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Isn't she already mad with you? And why exactly would it hurt your feelings if she were mad?
Customer: replied 2 years 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 2 years 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 2 years 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 2 years 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 2 years ago.

Ok What do you wanT to discuss

Expert:  Dr. Chip replied 2 years ago.

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

Customer: replied 2 years ago.

Would you be ok with my just doing DBT

Expert:  Dr. Chip replied 2 years ago.
Yes if you'd actually do it and take as many sessions as possible.
Customer: replied 2 years ago.

Id rather do DBT than the eating disorder clinic.

Expert:  Dr. Chip replied 2 years ago.
DBT is basically what you need, however you get it.
Customer: replied 2 years ago.

Ok. Will you listen to my medical complaints

Expert:  Dr. Chip replied 2 years ago.
Come again?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years ago.
You've been vomiting on your own and not purging?
Customer: replied 2 years ago.

No purging

Expert:  Dr. Chip replied 2 years ago.
How many times have you vomited and how much blood?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years ago.
And remind me--the last time you were scoped?
Customer: replied 2 years ago.

Had EUS a little over a month ago

Expert:  Dr. Chip replied 2 years ago.

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

Customer: replied 2 years ago.

Why?

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years ago.
Not saying you're dumb--stop being so sensitive--maybe you just forgot.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
For now yes but it's not the best course of action.
Customer: replied 2 years ago.

And what exactly is the best course of action

Expert:  Dr. Chip replied 2 years ago.
Getting scoped now
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Can you tell me exactly what that means?
Customer: replied 2 years 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 2 years ago.
No, I meant what you meant by eating and drinking OK
Customer: replied 2 years ago.

Ihave eaten like a billion calores today znd yesterday

Expert:  Dr. Chip replied 2 years 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 2 years ago.

What kind of answer were you looking for?

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years 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 2 years 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 2 years ago.

O nothing to be too terribly concerned qbout

Expert:  Dr. Chip replied 2 years ago.
Hair loss by itself? No
Customer: replied 2 years 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 2 years 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 2 years ago.

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


Hold them both responsible

Expert:  Dr. Chip replied 2 years ago.
Then for some reason you're blocking your dad's responsibility in the matter.
Customer: replied 2 years ago.

SO what do I do about that

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

I suppose

Expert:  Dr. Chip replied 2 years ago.
Anyhing more for tonight to discuss?
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
No--just didn't know what else you'd like to talk about.
Customer: replied 2 years 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 2 years 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 2 years ago.

I really do just dislike him

Expert:  Dr. Chip replied 2 years ago.
Whatever that means.
Customer: replied 2 years ago.

Do you think i have PTSD?

Expert:  Dr. Chip replied 2 years 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 2 years ago.

. Will you pick something to talk about please

Expert:  Dr. Chip replied 2 years 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 2 years ago.

I agree with that

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years 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 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
True, and thank you for being ungrateful for that--my bad for thinking I was helping you here.
Customer: replied 2 years ago.

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

Expert:  Dr. Chip replied 2 years ago.
Sounds like a plan

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