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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 23185
Experience:  Over 20 yrs of Family Practice
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I just want the lightheadedness to go away

Resolved Question:

I just want the lightheadedness to go away
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
How long did it last this time?
Customer: replied 1 year ago.
Couple minutes. But like right now im at home playing solitaire and i feel dizzy and my vision gets hazy
Expert:  Dr. Chip replied 1 year ago.
Dizzy as in spinning around? What's your blood pressure and pulse and did you make any change in the diltiazem dose?
Customer: replied 1 year ago.
Dizziness as in spinning around. I dont know my bp or pulse. I have taken the diltiazem since wednesday
Expert:  Dr. Chip replied 1 year ago.
OK. Spinning around isn't really lightheadedness which I relate to feeling faint. Have the other times been dizziness too?
Customer: replied 1 year ago.
No
Expert:  Dr. Chip replied 1 year ago.
Well, spinning around is vertigo and often those episodes resove in a day or so.
Customer: replied 1 year ago.
What about the lightheadedness
Expert:  Dr. Chip replied 1 year ago.
Well we've kind of gone over that before--low blood pressure, low cortisol levels, anemia, cardiac arrhythmias and of course anxiety. I think most of those have been evaluated in your case.
Customer: replied 1 year ago.
Ive never had my cortisol level checked. I dont think im an anxious person. And i dont think my bp is low
Expert:  Dr. Chip replied 1 year ago.
Well, just giving you the possibilities. I would be helpful if you had an exam when it was actually happening
Customer: replied 1 year ago.
I dont think you believe me
Expert:  Dr. Chip replied 1 year ago.
You always say that and I always have to refute the statement. What I meant is by having an exam when it happens your heart and blood pressure can be checked right there and then
Customer: replied 1 year ago.
Thats pretty much impossible to do
Expert:  Dr. Chip replied 1 year ago.
Well, I'd still consider a cardiac workup and a cortisol check.
Customer: replied 1 year ago.
Ive seen a cardiologist in like june
Expert:  Dr. Chip replied 1 year ago.
And what did he do?
Customer: replied 1 year ago.
I saw him for rapid pulse and he chalked it up to anxiety
Expert:  Dr. Chip replied 1 year ago.
Did he know about the lightheaded spells? And I guess he didn't do any tests?
Customer: replied 1 year ago.
I wasnt having lightheaded spells back then. He didnt do any tests
Expert:  Dr. Chip replied 1 year ago.
Well, all I can say about that is I would send you back to him to check for cardiac arrythmias
Customer: replied 1 year ago.
Ive done a 48 hour holter that was normal.
Expert:  Dr. Chip replied 1 year ago.
Wouldn't help unless you were having a spell while it was on.
Customer: replied 1 year ago.
Do yo honestly thinkni should go back and see the cardiologist. Or are you just suggesting it so i drop this subject
Expert:  Dr. Chip replied 1 year ago.
I don't play games and you should know that by now. Just telling you what I think could be the possible problems with this and what I would do for them--beyond that, that's really all I can do.
Customer: replied 1 year ago.
I dont want to see the cardiologist for him to tell me its just anxiety
Expert:  Dr. Chip replied 1 year ago.
Just telling you what I would do--let's not get into what you might or might not want to do.
Customer: replied 1 year ago.
Omg whatever
Expert:  Dr. Chip replied 1 year ago.
Don't understand what you sometimes mean by that but whatever back at you
Customer: replied 1 year ago.
Im sick of feeling crappy
Expert:  Dr. Chip replied 1 year ago.
I know, and I try to help as much as I can, but I can't do more than give you my thoughts.
Customer: replied 1 year ago.
So if it is anxiety what do i do to lessen the anxiety
Expert:  Dr. Chip replied 1 year ago.
Well, it depends to a certain extent whether it's an anxiety disorder or whether it's situational anxiety.
Customer: replied 1 year ago.
Do you think its more than likely anxiety?
Expert:  Dr. Chip replied 1 year ago.
I think it's pretty high on the list.
Customer: replied 1 year ago.
Then theres no real point in seeing a cardiologist
Expert:  Dr. Chip replied 1 year ago.
Well, I said high on the list but without being able to examine you at the time, there really isn't any way to tell for sure.
Customer: replied 1 year ago.
The lightheadedness happens a whole bunch of times during the day. I don't think its anxiety
Expert:  Dr. Chip replied 1 year ago.
May not be, but I've given you the other possibilities.
Customer: replied 1 year ago.
Im sure its nothing and ill be fine
Expert:  Dr. Chip replied 1 year ago.
Well, if it is anxiety, it won't hurt you physically
Customer: replied 1 year ago.
Exactly
Expert:  Dr. Chip replied 1 year ago.
So what else?
Customer: replied 1 year ago.
I dont know
Expert:  Dr. Chip replied 1 year ago.
Well let me know if and when there is something else
Customer: replied 1 year ago.
Im sorry that i bug you everyday. Its just that i dont have anyone else to talk to.
Expert:  Dr. Chip replied 1 year ago.
You never bug me. I know you don't have anyone else right now so I'm happy to be here for you.
Customer: replied 1 year ago.
As far as my physical health issues go i never had any until i started staving myself like an idiot
Expert:  Dr. Chip replied 1 year ago.
Well, a good bit of that is reversible in time.
Customer: replied 1 year ago.
I really screwed up back then. If i could take it all back i would. I really didnt think that not eating would cause all sorts of problems
Expert:  Dr. Chip replied 1 year ago.
Well, as always, shoulda coulda woulda is really a waste of energy and thoughts. We all make mistakes but we don't have to make them more than once
Customer: replied 1 year ago.
How long will it take to recover from the starvation
Expert:  Dr. Chip replied 1 year ago.
Well, if your nutrition had been perfect and in the right amount of calories, it might only have taken maybe three months.
Customer: replied 1 year ago.
Well we both know it hasnt been and it still isnt. So how long
Expert:  Dr. Chip replied 1 year ago.
Up to six months
Customer: replied 1 year ago.
So 4 more months?
Expert:  Dr. Chip replied 1 year ago.
Depends--if you could manage to stay the course on a proper diet regimen, it might only take one more month.
Customer: replied 1 year ago.
I dont know what a proper diet is. I dont know what im suppose to eat
Expert:  Dr. Chip replied 1 year ago.
Well, needs to be nutrient dense--fresh green and leafy veggies and fruits, nuts, coconut milk, tofu or tempeh along with some lean meats, fish and poultry.
Customer: replied 1 year ago.
That would ve like 600 calories
Expert:  Dr. Chip replied 1 year ago.
Say that again?
Customer: replied 1 year ago.
I could ony eat 600 calories
Expert:  Dr. Chip replied 1 year ago.
You and I both know that that just won't work.
Customer: replied 1 year ago.
I just feel uncomfortably full if i eat more.
Expert:  Dr. Chip replied 1 year ago.
Probably wouln't be a problem if you took the needed calories and divided them into six or more small meals a day.
Customer: replied 1 year ago.
Maybe i should meet with a nutritionist
Expert:  Dr. Chip replied 1 year ago.
Not a bad idea at all
Customer: replied 1 year ago.
Last time i saw one she yelled at me for not eating correct
Expert:  Dr. Chip replied 1 year ago.
Well, hopefully she didn't actually yell, but even so, if you see a nutritionist and don't do what they tell you to do it obviously would be a waste of theirs and your time.
Customer: replied 1 year ago.
Tell me what to do nutrition wise
Expert:  Dr. Chip replied 1 year ago.
I already did so far as what to eat. Now it just is a matter of eating enough calories and whether you want to argue about it or now, you need at least around 2,000 or more a day, just like we all do.
Customer: replied 1 year ago.
Seriously 2000. I was thinking like 1200 calories
Expert:  Dr. Chip replied 1 year ago.
Better than nothing but still not enough if you want to get better faster.
Customer: replied 1 year ago.
Why do i make this so difficult?
Expert:  Dr. Chip replied 1 year ago.
Good question. It's not that you make it difficult, it's more that you just won't do what should be an easy thing to do.
Customer: replied 1 year ago.
But why do i refuse to do something that would lead to me feeling better
Expert:  Dr. Chip replied 1 year ago.
We've covered that a lot it the past. This time it's time for you to answer that question for me--why do you do that? And please don't come back with IDK
Customer: replied 1 year ago.
Can we just skip that question?
Expert:  Dr. Chip replied 1 year ago.
Sure--you brought it up so you have the option to skip it but I think you already knew th answer anyway.
Customer: replied 1 year ago.
Actually i dont know the answer so is rather skip the question than to say IDK. I know you probably dont think im trying 100% to get adequate nurtririon but i am
Expert:  Dr. Chip replied 1 year ago.
Well, the answer is, as I've told you before, that you've yet to deal with your anger and your shame an guilt from the past and because of all that you find it nearly impossible to do something good for yourself or even to acknowledge that you're worth doing something good for yourself.
Customer: replied 1 year ago.
I agree. How do you know what
Expert:  Dr. Chip replied 1 year ago.
How do you know what?
Customer: replied 1 year ago.
Howd you come up with that answer
Expert:  Dr. Chip replied 1 year ago.
I came up with it long ago. But not so much as I came up with it as I've just seen the problem so many times before with patients and friends and even with myself in the past.
Customer: replied 1 year ago.
Youre smart
Expert:  Dr. Chip replied 1 year ago.
True but experience also works with smart. I've met a lot of highly intelligent but still stupid people.
Customer: replied 1 year ago.
I guess
Expert:  Dr. Chip replied 1 year ago.
So it really is a matter of doing something good for yourself even if you don't like doing it
Customer: replied 1 year ago.
I understand that. Its just tough.
Expert:  Dr. Chip replied 1 year ago.
I know you understand that and you always say it's difficult. That doesn't make it impossible unless you choose to think of it as impossible.
Customer: replied 1 year ago.
I really am going to actually try. Do you think i should find a nutritionist
Expert:  Dr. Chip replied 1 year ago.
If you resolve to work with the next one, then yes that would help. But just for completeness here-what exactly was the problem with the other one?
Customer: replied 1 year ago.
She scolded me for what i ate. She was not nice at all
Expert:  Dr. Chip replied 1 year ago.
How did she scold you?
Customer: replied 1 year ago.
She told me that normal people dont eat like i do. And i dont remember what else. But mostly it was her tone
Expert:  Dr. Chip replied 1 year ago.
Well, the only reason I asked is that you have a way of thinking people are being nasty or scolding you when they either tell you something you don't want to hear or they tell you you're mistaken. Maybe her tone was harsh but that wasn't a good reason not to follow her instructions.
Customer: replied 1 year ago.
I did follow her instruction. I was eating more and i kept a stupid food journal but i still wasnt good enough
Expert:  Dr. Chip replied 1 year ago.
Well, so long as you follow the next nutritionist's orders, good enough. But you'll have to eat sufficient calories.
Customer: replied 1 year ago.
Its not just going to happen overnight
Expert:  Dr. Chip replied 1 year ago.
I never said it should but a little extra each day should be doable.
Customer: replied 1 year ago.
I think thats what ive been doing
Expert:  Dr. Chip replied 1 year ago.
Well, since when and how many total daily calories are you up to now?
Customer: replied 1 year ago.
Last couple weeks. I eat between 600-900 calories a day.
Expert:  Dr. Chip replied 1 year ago.

Well the 900 is better I guess, but seriously, and I can't back down from the fact that on average EVERYBODY needs at least around 2000 calories a day just for maintenance of nutritional health.

Customer: replied 1 year ago.
Did you really have to add the i guess. 2000 calories is a lot. Ive already been gaining weight and dont really need to gain anymore.
Expert:  Dr. Chip replied 1 year ago.
Let's stop here for now with this line of conversation because we've been through it time and time again. You asked how you could get better physically and I've told you about what to eat and how much you need. Either you work on getting better physically and forget about the weight thing for now or you stay feeling poorly--entirely your choice. And don't try to tell me I'm being a jerk--I'm just stating facts.
Customer: replied 1 year ago.
I dont think you are being a jerk. Ultimately i have to make the decision. I can talk about what i should do but nothings going to change unless i choose to do something. So tonight i dont think youre being a jerk
Expert:  Dr. Chip replied 1 year ago.
Well, thanks for that. But let me ask you--with all you have to deal with in your life now that isn't very pleasant, is it too much to ask for your to make the effort of doing something beneficial for yourself?
Customer: replied 1 year ago.
I dont think it is
Expert:  Dr. Chip replied 1 year ago.
Good because neither do I
Customer: replied 1 year ago.
Thanks
Expert:  Dr. Chip replied 1 year ago.
You are indeed worth it even if you have a hard time believing it
Customer: replied 1 year ago.
It makes me sad when you say im worth it.
Expert:  Dr. Chip replied 1 year ago.
Sad or is it more that it just hurts to find someone who thinks you're worth it in spite of how you feel about yourself?
Customer: replied 1 year ago.
I think its both
Expert:  Dr. Chip replied 1 year ago.
Tomorrow I'll give you another personal vignette of my own--how I felt when it was obvious without a doubt that someone cared about me and was suffering because he cared about me.
Customer: replied 1 year ago.
Ok
Expert:  Dr. Chip replied 1 year ago.
Anything else for tonight?
Customer: replied 1 year ago.
Nope. Have a good night.
Expert:  Dr. Chip replied 1 year ago.
You too. Nite
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 23185
Experience: Over 20 yrs of Family Practice
Dr. Chip and 4 other Health Specialists are ready to help you
Customer: replied 1 year ago.
Morning
Expert:  Dr. Chip replied 1 year ago.
Morning to you
Customer: replied 1 year ago.
Howd you sleep? I didnt sleep so well.
Expert:  Dr. Chip replied 1 year ago.
Got my usual four hours--all I ever need
Customer: replied 1 year ago.
Ive been having flashbacks lately
Expert:  Dr. Chip replied 1 year ago.
Of what?
Customer: replied 1 year ago.
What my brother did
Expert:  Dr. Chip replied 1 year ago.
Dreams or while you're conscious?
Customer: replied 1 year ago.
Sleeping
Expert:  Dr. Chip replied 1 year ago.
That never happened before?
Customer: replied 1 year ago.
It has before. But it hasnt happened in a while
Expert:  Dr. Chip replied 1 year ago.
OK. Not trying to not be helpful here, but that can happen from time to time--how can I help you with it?
Customer: replied 1 year ago.
I guess you cant
Expert:  Dr. Chip replied 1 year ago.
Well of course dreams can involve unresolved issues but there isn't anything specific about them when they occur--can disrupt sleep.
Customer: replied 1 year ago.
Ok
Expert:  Dr. Chip replied 1 year ago.
Anything else?
Customer: replied 1 year ago.
I guess
Expert:  Dr. Chip replied 1 year ago.
Didn't understand that?
Customer: replied 1 year ago.
It was suppose to say i guess not
Expert:  Dr. Chip replied 1 year ago.
OK. I'm here for whenever
Customer: replied 1 year ago.
Are you going to trll me another one of yoyr personal vignette
Expert:  Dr. Chip replied 1 year ago.
Oh--OK. When I was at one of my halfway houses there was a guy named John who had said in group that we were not his family and he wouldn't treat us as brothers. John was a big guy and not very nice to look at--sort of the kind of guy you'd move to the other side of the street rather than walk past him. But not a mean guy--just quiet and angry looking and not very communicative in group. I kept asking him if he needed a ride to work and he refused for a while but then accepted the offer. When I got into major trouble after I left the house, I still went to AA meetings there even though I wasn't going to get much out of them, being high all the time. Just about everyone knew what I was doing and the director--Betty--would yell at me about killing myself. Well, at one meeting, afterwards, John was talking to Betty in the kitchen and I knew that wasn't like him. Later, when Betty was yelling at me again on the phone, she said, "I know I really shouldn't tell you this, but do you know why John was talking to me in the kitchen that night?" I said, "No, but I hope he's OK." She said, "OK you stupid idiot--he had tears in his eyes and he said he loved you and your were killing yourself and there wasn't anything he could do about it." And that hit me like a knife in the heart--John just wasn't the kind of person who'd say that unless he meant it. It just didn't jive with me that someone could care about me that much when I thought there was absolutely nothing about me to like or love or care about.
Customer: replied 1 year ago.
Thats sad
Expert:  Dr. Chip replied 1 year ago.
But my point was that because I had no respect for myself I couldn't accept the fact that someone else could care about me.
Customer: replied 1 year ago.
I understand that. Thanks for sharing
Expert:  Dr. Chip replied 1 year ago.
Could you relate at all?
Customer: replied 1 year ago.
Ican
Expert:  Dr. Chip replied 1 year ago.
Hoped you could
Customer: replied 1 year ago.
How do i get over that
Expert:  Dr. Chip replied 1 year ago.
Well, again, a good bit of it has to do with the anger and shame about what happened that you've never really opened up and let go of. I know you don't like the idea, but the only way to work it out is to talk about it, no matter how difficult it is for you
Customer: replied 1 year ago.
Fine
Expert:  Dr. Chip replied 1 year ago.
A bit like a boil--unless it's lanced and drained, it just festers forever
Customer: replied 1 year ago.
I know I will try. But its really hard to talk about it especially when my therapist asks me if im sure im ready
Expert:  Dr. Chip replied 1 year ago.
Well,like I said before, I really don't understand his approach there. At least he could start the discussion and decide when to end it for the time being. If I were your therapist, I wouldn't leave it up to you to decide when you were ready since you might never say you were
Customer: replied 1 year ago.
And i think itll be hard to start working on it and tgen wait a week to continue working in it
Expert:  Dr. Chip replied 1 year ago.
But the idea of therapy sessions is just to jumpstart the process and work on it some during the session but then you go home an work on some homework about it--you don't just put everything on the shelf until the next session
Customer: replied 1 year ago.
Why cant i just work on it with you
Expert:  Dr. Chip replied 1 year ago.
We can try but again, face to face therapy is more useful
Customer: replied 1 year ago.
I dont like face-to-face
Expert:  Dr. Chip replied 1 year ago.
I know that but really that's just an excuse.
Customer: replied 1 year ago.
Maybe
Expert:  Dr. Chip replied 1 year ago.
Not maybe--fact. Simple concept here--you want to get better, or at least you say you're ready to, and I'm telling you what you need to do to get there. To say you don't like the idea just says no I won't do it.
Customer: replied 1 year ago.
I dont think you believe that im ready to get better. I asked for your help to work on it, but whatever
Expert:  Dr. Chip replied 1 year ago.
I'm more than willing to help but I'm just saying that it also takes working with your therapist whether you like the idea or not.
Customer: replied 1 year ago.
I know
Expert:  Dr. Chip replied 1 year ago.
So I can help, but it's going to take your talking to me in more than just one liners and short sentences. I need you to start out with a paragraph about it--whatever comes to mind. So, if we were in a therapy session, I'd say, Kate, I know you need to tell me about what happened with your brother and how that is affecting you now, so, tell me all about it. Your turn, but, please, if we're going to get anywhere with this you have to work with me.
Customer: replied 1 year ago.
So you want to know what happened and how i feel about it?
Customer: replied 1 year ago.
Yes, no, maybe?
Expert:  Dr. Chip replied 1 year ago.
Sorry--had to step out. Go ahead
Customer: replied 1 year ago.
Brother was babysitting me. We were playing Go Fish. I lost 3 times. My brother decided i owed him 25cents for every game i lost. I didnt have any money and i looked in mom stuff and she didnt have any change either. When i told my brother this he said i could do a chore for every quarter i owed him. He has paper ripped up and put in a bucket. I picked 3 and they were all sexual acts. I told him no, but he said i didnt have a choice. I lost so i had to pay up. He told me i had to get undressed or he was going to hit me. He forced himself on top of me and in me. He told me to stop crying. It hurt. He finished having sex with me. I was still crying and he told me hed give me something to cry about and he made me put his thing in my mouth. Then he told me if i said anything hed say i was lying. i thought it was the end of it. Weeks later he came and said we had to do it again since i had more than one debt to pay off. I told him no but he pushed me to my bedroom floor and took my bottom half off. He once again forced himself into me. When he was done he left and told me i was disgusting. It went on and on for years. It made me feel dirty and disgusting. He made me feel like it was my fault because if i would of had the money it wouldnt have happened. One of the times when i told him no, he said hed tell our mom that we even did it in the first place. It made me feel like I did something wrong and would be punished for it
Expert:  Dr. Chip replied 1 year ago.
Thanks for sharing that--I know it wasn't easy. So you never told anyone about this? Are you telling yourself that somehow you could have stopped him?
Customer: replied 1 year ago.
I told my social worker like 8 yrs later and they said it was mutual.
Expert:  Dr. Chip replied 1 year ago.
Mutual as in mutual consent?
Customer: replied 1 year ago.
Yes as in mutual consent
Expert:  Dr. Chip replied 1 year ago.
She was dead wrong
Customer: replied 1 year ago.
I know she was wrong. But it kind of cemented the fact that he did nothing wrong. They didnt believe me about my dad either, so whatever. I hate social workers
Expert:  Dr. Chip replied 1 year ago.
So now you can tell yourself that he was in the wrong and yet you can't really convince yourself?
Customer: replied 1 year ago.
I can tell myself its not my fault but i dont believe it
Expert:  Dr. Chip replied 1 year ago.
So what could you have done to have kept it from happening?
Customer: replied 1 year ago.
I could have came up with the 75 cents or i coulda told my mom
Expert:  Dr. Chip replied 1 year ago.
Well somehow he came up with the owing the three quarters which you never agreed to in the first place and I can understand why you didn't tell your mom. But instead of going through what you could have done, you're telling yourself this was in no way his fault--his responsibility?
Customer: replied 1 year ago.
I have a really hard tine holding hom accountable for his actions. Its just easier for me to blame myself
Expert:  Dr. Chip replied 1 year ago.
Because you're inherently a bad person?
Customer: replied 1 year ago.
I am a good person. But i put myself in the position to let it happen not only once but multiple times
Expert:  Dr. Chip replied 1 year ago.
Listen--I want to continue here but this page has gotten so long it takes forever to load it on my computer. Let's close this page and start a new one, OK?
Customer: replied 1 year ago.
I dont have any money jn my checking account right now until tomorrow. But we can continue tomorrow, i guess.
Expert:  Dr. Chip replied 1 year ago.
Well we can keep going here but don't be surprised if it takes a while for me to respond. So how exactly did you put yourself in the spot to have it happen again and again?
Customer: replied 1 year ago.
We dont have to continue. I allowed myself to be alone with him
Expert:  Dr. Chip replied 1 year ago.
And why do you think you did that?
Customer: replied 1 year ago.
Because i was dumb and didnt think it would happen
Expert:  Dr. Chip replied 1 year ago.
Then you really didn't plan for it to happen and you were just naive--it wasn't like you did something on purpose to make it happen
Customer: replied 1 year ago.
I guess not. But i shoulda told my mom
Expert:  Dr. Chip replied 1 year ago.
Well, most often victims like you don't tell anyone for a long time--from the shame, guilt, and fear of reprisals
Customer: replied 1 year ago.
But if i told my mom it could have potentally prevented it from happening again
Expert:  Dr. Chip replied 1 year ago.
But I just told you most victims don't do that and why they don't
Customer: replied 1 year ago.
It doesnt change the way i feel about it
Expert:  Dr. Chip replied 1 year ago.
Listen--sorry but this page is really holding me up. I'm going to opt out for now and try to get back to you later
Expert:  Camille-Mod replied 1 year ago.

Hi,

My name is Camille and I’m the moderator for this topic. I am sorry, but It seems that the professional has left this conversation. This happens occasionally, and it's usually because the professional thinks that someone else might be a better match for your question. But don’t worry….. If you are still waiting for an answer, I will try to find a new professional to assist you! Please keep in mind that sometimes finding the right professional can take a little longer than expected. All of our Professionals come on at varying times, so sometimes it’s a bit difficult to predict. Either way....If you would prefer not to wait, please feel free to let me know, and I will cancel this question for you. Thank you.

Camille

Customer: replied 1 year ago.
No

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