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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22873
Experience:  Over 20 yrs of Family Practice
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I am a good person and I need to stop blaming myself for the

Customer Question

I am a good person and I need to stop blaming myself for the past
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
I agree
Customer: replied 1 year ago.

It wasnt my fault. They are 100% responsible for their actions and i am 0% responsible.

Expert:  Dr. Chip replied 1 year ago.
You're right
Customer: replied 1 year ago.

I usually am

Expert:  Dr. Chip replied 1 year ago.
So did you just come up with this over night?
Customer: replied 1 year ago.

I dont know

Expert:  Dr. Chip replied 1 year ago.
No matter but that's real progress on your part
Customer: replied 1 year ago.

I really am trying

Expert:  Dr. Chip replied 1 year ago.
And doing very well
Customer: replied 1 year ago.

Anything you want to know?

Expert:  Dr. Chip replied 1 year ago.
What do you plan to do with your revelation that none of this was your fault?
Customer: replied 1 year ago.

Nothing

Expert:  Dr. Chip replied 1 year ago.
Nothing at all?
Customer: replied 1 year ago.

I didnt know i had to do anything with it

Expert:  Dr. Chip replied 1 year ago.
Well, I'm glad you've come to that conclusion but it usually doesn't happen that you just realize it wasn't your fault and somehow you suddenly just let it all go.
Customer: replied 1 year ago.

What am i suppose to so?

Expert:  Dr. Chip replied 1 year ago.
Well for now just go with the flow and don't worry too much. Let's see if you feel the same way about it tomorrow.
Customer: replied 1 year ago.

Ok

Expert:  Dr. Chip replied 1 year ago.
Of course, just realizing you weren't at fault is only part of it--we still need to address the anger and resentment
Customer: replied 1 year ago.

How?

Expert:  Dr. Chip replied 1 year ago.
Well first you need to acknowledge you have them
Customer: replied 1 year ago.

I do have them

Expert:  Dr. Chip replied 1 year ago.
http://www.psychologytoday.com/blog/the-therapist-is-in/201009/find-freedom-in-forgiveness
Customer: replied 1 year ago.

Thats too much information

Expert:  Dr. Chip replied 1 year ago.
Too bad--just something for you to look at and think about
Customer: replied 1 year ago.

too bad, really? Youre not being very nice

Expert:  Dr. Chip replied 1 year ago.
Just read it and think about it and stop complaining about whether or not I'm being nice. You asked what to do about anger and resentment and I gave you something to look at
Customer: replied 1 year ago.

Alrighty

Expert:  Dr. Chip replied 1 year ago.
Read it, think about it, and then get back to me
Customer: replied 1 year ago.

Ive read it and i still dont know how to do it

Customer: replied 1 year ago.

Im not ever going to feicken forgive them

Expert:  Dr. Chip replied 1 year ago.
Don't think you understand what's meant by forgiveness--it's not the same as letting bygones be bygones or erasing the slate as if it never happened. And it's not saying they weren't responsible and shouldn't undergo any consequences of their actions.
Customer: replied 1 year ago.

I think this is dumb

Expert:  Dr. Chip replied 1 year ago.
You would but I assure you it isn't
Customer: replied 1 year ago.

And that article didnt help me much

Customer: replied 1 year ago.

I think i sound wheezy and My chest hurts

Expert:  Dr. Chip replied 1 year ago.
Can't tell you much about the physical part again--doesn't sound like anything you need to see a doctor for. No article is going to help you much unless you reread it and think about it but I guess you just don't want to do that
Customer: replied 1 year ago.

I have reread it and i still dont understand it. So whatever

Expert:  Dr. Chip replied 1 year ago.
Not going to push it but what exactly do you mean by you don't understand it?
Customer: replied 1 year ago.

Its like the information isnt stickinf. Ive reread it 4 times

Expert:  Dr. Chip replied 1 year ago.
OK--we'll try that later then
Customer: replied 1 year ago.

I dont think you believe me

Expert:  Dr. Chip replied 1 year ago.
I do but I think subconciously you don't want to work on it and that's OK--you came a long way just by admitting you weren't at fault
Customer: replied 1 year ago.

but i do want to work on it

Expert:  Dr. Chip replied 1 year ago.
Well, that article gave you things to do that don't seem too complex to me--maybe you should just do them
Customer: replied 1 year ago.

Whatever

Expert:  Dr. Chip replied 1 year ago.
Just try--all I ask
Customer: replied 1 year ago.

I have been and you know that

Expert:  Dr. Chip replied 1 year ago.
I meant the instructions in the article, but as you say, whatever
Customer: replied 1 year ago.

I give up

Customer: replied 1 year ago.

I am trying my hardest but i dont think that that is good enough for you

Expert:  Dr. Chip replied 1 year ago.
OK--just let it go for now but this is why you need a therapist to guide you through it
Customer: replied 1 year ago.

No therapist. im doing fine without one

Expert:  Dr. Chip replied 1 year ago.
We'll see
Customer: replied 1 year ago.

are we calling it a night

Expert:  Dr. Chip replied 1 year ago.
Well, I'm kinda sick--flu--need to get under the covers and try to get some sleep
Customer: replied 1 year ago.

Yucky. I hope you feel better. Maybe watch some Dexter

Expert:  Dr. Chip replied 1 year ago.
Thanks--usually only takes a day or two for me--talk to you later
Customer: replied 1 year ago.

Do you feel better

Expert:  Dr. Chip replied 1 year ago.
A liitle, thanks-still feel like a truck ran over me--tired and sleepy
Customer: replied 1 year ago.

Im sorry.

Expert:  Dr. Chip replied 1 year ago.
I'll live, thanks. This only happens to me about once every three years
Customer: replied 1 year ago.

I saw my dr today and he mentioned POTS. what do you think?

Expert:  Dr. Chip replied 1 year ago.
Have you had an ultrasound of your ovaries?
Customer: replied 1 year ago.

not talking about anything with my ovaries

Expert:  Dr. Chip replied 1 year ago.
Oh--sorry--POTS. OK. Good thought--a little difficult to diagnose
Customer: replied 1 year ago.

He said something about tilt table study. he also said that he thinks the cardiologost is wrong and that my tachycardia isnt from anxiety. That anxiety doesnt make you tachycardic everyday all day

Expert:  Dr. Chip replied 1 year ago.
That's one test, yes.
Customer: replied 1 year ago.

Yes what

Expert:  Dr. Chip replied 1 year ago.
The tilt table test is one of the diagnostic tools for POTS
Customer: replied 1 year ago.

What do you think about what he said about the cardiologist being wrong

Expert:  Dr. Chip replied 1 year ago.
If this is a consistent tachycardia and not just from time to time, I agree it's not anxiety
Customer: replied 1 year ago.

I just want to know whats wrong with me. Its annoying to be lightheaded

Expert:  Dr. Chip replied 1 year ago.
Could definitely be POTS
Customer: replied 1 year ago.

What symptoms do i have that are symptoms of POTS

Expert:  Dr. Chip replied 1 year ago.
Fatigue, dizziness, tachycardia, abdominal pain, headaches are all possible POTS symptoms
Customer: replied 1 year ago.

How is a diagnosis made

Expert:  Dr. Chip replied 1 year ago.
The tilt table test and blood work for certain antibodies and for catecholamine levels.
Customer: replied 1 year ago.

I think i have a sinus headache

Expert:  Dr. Chip replied 1 year ago.
OK--don't know what to say about that
Customer: replied 1 year ago.

I have appt with my therapist on tuesday

Expert:  Dr. Chip replied 1 year ago.
Thought you'd come to the conclusion that you don't need therapy?
Customer: replied 1 year ago.

I have

Expert:  Dr. Chip replied 1 year ago.
So I guess you aren't going to keep the appointment?
Customer: replied 1 year ago.

I might

Expert:  Dr. Chip replied 1 year ago.
So why did you tell me you had the appointment?
Customer: replied 1 year ago.

My dr put me back on metoporol. Ame meclazine

Expert:  Dr. Chip replied 1 year ago.
Actually those are used for POTS
Customer: replied 1 year ago.

i think he just prescribe me them because he doesnt know what else to do

Expert:  Dr. Chip replied 1 year ago.
Well, they could very well help.
Customer: replied 1 year ago.

i just dpent the last 4 hours with 2 of my friends

Expert:  Dr. Chip replied 1 year ago.
Great--what did you guys do?
Customer: replied 1 year ago.

We made food for the Peds nurses xmas party tomorrow

Expert:  Dr. Chip replied 1 year ago.
OH yeah I forgot about that. So was it a fun time?
Customer: replied 1 year ago.

Yea

Expert:  Dr. Chip replied 1 year ago.
Glad to hear it
Customer: replied 1 year ago.

Thanks. Are you feeling better?

Expert:  Dr. Chip replied 1 year ago.
Almost--just a little tired still
Customer: replied 1 year ago.

im sorry

Expert:  Dr. Chip replied 1 year ago.
Thanks for caring.
Customer: replied 1 year ago.

No problem

Expert:  Dr. Chip replied 1 year ago.
Anything more for tonight?
Customer: replied 1 year ago.

In your opinion what do you think is causing my lightheadedness and tachycardia?

Expert:  Dr. Chip replied 1 year ago.
POTS is something that for some reason I didn't consider because it more often hits when you stand up from sitting for a while, but I think POTS is a very likely diagnosis
Customer: replied 1 year ago.

really?

Expert:  Dr. Chip replied 1 year ago.
You do have the right symptoms
Customer: replied 1 year ago.

Youre not just saying it cuz i want you to?

Expert:  Dr. Chip replied 1 year ago.
You know better than to ask me that
Customer: replied 1 year ago.

i guess

Expert:  Dr. Chip replied 1 year ago.

Anything else?

Customer: replied 1 year ago.

I guess not. Feel better tomorrow

Expert:  Dr. Chip replied 1 year ago.
Kinda tired--talk at you later
Customer: replied 1 year ago.

I have blood in stool


again. can i just ignore it

Expert:  Dr. Chip replied 1 year ago.
I think this time you can unless it gets really heavy
Customer: replied 1 year ago.

Ok. One other thing my visions been getting blurry when i get really lightheaded and my face is flushed

Expert:  Dr. Chip replied 1 year ago.
Could be a drop in blood pressure--not uncommon with POTS
Customer: replied 1 year ago.

My lightheadedness is the worse it ever been

Expert:  Dr. Chip replied 1 year ago.
What's your blood pressure?
Customer: replied 1 year ago.

Idk

Expert:  Dr. Chip replied 1 year ago.
Are you taking the metoprolol?
Customer: replied 1 year ago.

did this am

Expert:  Dr. Chip replied 1 year ago.
It could be that--it may have dropped your pressure too much
Customer: replied 1 year ago.

i dont know. I feel like shit and like im going to vomit

Expert:  Dr. Chip replied 1 year ago.
Well, lie down for a while
Customer: replied 1 year ago.

120/80

Expert:  Dr. Chip replied 1 year ago.
Not bad--then it isn't the metoprolol
Customer: replied 1 year ago.

What should i do. I had a couple times i was sure i was going to pass out and starting seeing black

Expert:  Dr. Chip replied 1 year ago.
There's only one answer for that--go to the ER
Customer: replied 1 year ago.

Anything besides going to the ER. i have to work

Expert:  Dr. Chip replied 1 year ago.
Nothing you can do on your own, no.
Customer: replied 1 year ago.

do you think i should talk to my Dr

Expert:  Dr. Chip replied 1 year ago.
At least do that
Customer: replied 1 year ago.

My pulse is 150

Expert:  Dr. Chip replied 1 year ago.
Still could be POTS--I just can't help ypu out right now--talk to your doctor.
Customer: replied 1 year ago.

I did

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

Told me to increase metoporol and referre. me back to cardiology

Expert:  Dr. Chip replied 1 year ago.
Well, with your pulse still up, I understand increasing the metoprolol
Customer: replied 1 year ago.

That doesnt really help me right now

Expert:  Dr. Chip replied 1 year ago.
What exactly do you want me to say? Do you really think I can wave a magic wand and make you better?
Customer: replied 1 year ago.

Youre kinda being a jerk

Customer: replied 1 year ago.

My dr ordered a carotid ultrasound and echo

Expert:  Dr. Chip replied 1 year ago.
To see if the problem is either a transient ischemic attack or a cardiac arrhythmia I suppose.
Customer: replied 1 year ago.

The carotid u/s was normal

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

Are you feeling 100% better yet?

Expert:  Dr. Chip replied 1 year ago.
Maybe 80%
Customer: replied 1 year ago.

That sucks

Expert:  Dr. Chip replied 1 year ago.
I don't look at it like that--I just keep busy to stop from dwelling on how tired I feel.
Customer: replied 1 year ago.

thats good i guess. I had an echo in like march do you really think its necessary to have another one?

Expert:  Dr. Chip replied 1 year ago.
No, but I guess you didn't ask why get another one?
Customer: replied 1 year ago.

yesterday he left clinic early and tokd his nurse that he wants an echo and carotid u/s. so he wasnt there to ask

Expert:  Dr. Chip replied 1 year ago.
Can't see a reason unless he didn't know about the last one you had.
Customer: replied 1 year ago.

he ordered that last one. I have a question.

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

I know you cant examine me, but im having pain in my chest like a couple inches to the left of my sternum. What do you think?

Expert:  Dr. Chip replied 1 year ago.
Tell me more about it.
Customer: replied 1 year ago.

Itsa sharp pain. Its pretty constanT. Every once in a while itll intensify for a bit and then lessen

Expert:  Dr. Chip replied 1 year ago.
And deep breaths don't make it worse? No tenderness?
Customer: replied 1 year ago.

deep breathes dont make it worse. And its not tender

Expert:  Dr. Chip replied 1 year ago.
Hard to say then--I can't rule out your heart.
Customer: replied 1 year ago.

you dont have any idea

Expert:  Dr. Chip replied 1 year ago.
It's your heart until ruled out. Possibly pneumonia but you don't have any other symptoms.
Customer: replied 1 year ago.

I thought maybe a chest cold?

Expert:  Dr. Chip replied 1 year ago.
That really isn't a medical term--I guess you cpuld have the symptoms of that with the flu, but not just in one area. Pulmonary embolus is another possibility
Customer: replied 1 year ago.

Anythig i have to be concerned about

Expert:  Dr. Chip replied 1 year ago.
Not a fair question.
Customer: replied 1 year ago.

It it too

Expert:  Dr. Chip replied 1 year ago.
Not fair because you're asking me whether or not you should ignore it and not have it checked out. I won't say that.
Customer: replied 1 year ago.

If you knew nothing about me, would you say id be fine,

Expert:  Dr. Chip replied 1 year ago.
Where did you come up with that ridiculously incorrect statement?
Customer: replied 1 year ago.

im just asking if you knew nothing about me would you still think it could be heart related?

Expert:  Dr. Chip replied 1 year ago.
I would have told you exactly the same thing if this was the first time we communicated.
Customer: replied 1 year ago.

so what do you recommend?

Expert:  Dr. Chip replied 1 year ago.
You know the answer to that--get checked out
Customer: replied 1 year ago.

Not working this afternoon. Id have to drive an hour one way

Expert:  Dr. Chip replied 1 year ago.

You do this to me a lot. All I can say is you should get it checked out just to be safe.

Customer: replied 1 year ago.

Im not doing anything to you. It was an honest question

Expert:  Dr. Chip replied 1 year ago.
I meant I tell you to get something checked out and you say things like it's too far to drive or can you wait until Monday.
Customer: replied 1 year ago.

well can it wait?

Expert:  Dr. Chip replied 1 year ago.
Still not fair. Why bring these things up if you won't take my advice? If I had to guess I'd say waiting on it would be OK but that's just guessing.
Customer: replied 1 year ago.

Im an almost 24 year old whos in pretty good health With a normal ekg like 3 weeks ago.

Expert:  Dr. Chip replied 1 year ago.
Yes but you're not my patient and a normal EKG doesn't exclude a coronary artery problem. And, like I said, this could be a pulmonary embolus
Customer: replied 1 year ago.

It could be a embolus. Ans i could go to the dr and they could do a ddimer which would very likely be elevated like it has been all 4 times ive had one done. Which would then lead to a ct. Im worried about my real parents they were in an accident

Expert:  Dr. Chip replied 1 year ago.
What kind of accident?
Customer: replied 1 year ago.

Vehicle. My momsays shes now coughing upblood and peeing blood

Expert:  Dr. Chip replied 1 year ago.
I assume they went to the hospital?
Customer: replied 1 year ago.

They both told the dr they were fine when they were at the hospital

Expert:  Dr. Chip replied 1 year ago.
Well, she at least needs to be seen again.
Customer: replied 1 year ago.

she wont. Right now they are on ther wau to texas

Expert:  Dr. Chip replied 1 year ago.
Well, whatever then.
Customer: replied 1 year ago.

Ok.

Expert:  Dr. Chip replied 1 year ago.
Listen--this page is old and long--we need to close it so it doesn't take forever for my computer to load it.
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22873
Experience: Over 20 yrs of Family Practice
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