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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 25764
Experience:  Over 20 yrs of Family Practice
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What if i get in trouble at work tomorrow

Customer Question

What if i get in trouble at work tomorrow
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Chip replied 2 years ago.
Trouble how? And remember my thoughts about what ifs
Customer: replied 2 years ago.
What if they fire me for not being at work all last week
Expert:  Dr. Chip replied 2 years ago.
Your boss knows you'll be there tomorrow?
Customer: replied 2 years ago.
Yes
Expert:  Dr. Chip replied 2 years ago.
Well, if she hasn't said anything I don't think you'll be fired.
Customer: replied 2 years ago.
What the hell
Am i goingbto do if i do get fired
Expert:  Dr. Chip replied 2 years ago.
Get another job but still what if's right now don't help you at all
Customer: replied 2 years ago.
75mg amityptaline, 0.5 mg ativan and vicodin 5-500. I feel like a druggie
Expert:  Dr. Chip replied 2 years ago.
So what to do about that feeling?
Customer: replied 2 years ago.
Idk. I feel completely drugged when i take them 3.
Expert:  Dr. Chip replied 2 years ago.
Almost anyone would
Customer: replied 2 years ago.
I dont like that feeling though
Expert:  Dr. Chip replied 2 years ago.
So stay off the vicodin and ask the psychiatrist to take you off the ativan
Customer: replied 2 years ago.
Vicodin helps with pain. And i dont think this psychiatrist has plans on ever taking me off it
Expert:  Dr. Chip replied 2 years ago.
Then just stay on the meds and feel drugged.
Customer: replied 2 years ago.
Wow!
Expert:  Dr. Chip replied 2 years ago.
Just saying those are the only two options right now.
Customer: replied 2 years ago.
Im just going to stop them all tonight
Expert:  Dr. Chip replied 2 years ago.
Never suggested that
Customer: replied 2 years ago.
Im suggesting it
Expert:  Dr. Chip replied 2 years ago.
Again--not a good idea to stop the ativan cold turkey. It would be OK with the other two
Customer: replied 2 years ago.
I dont like how it makes me feel. Im going to go one night without it. It cant hurt
Expert:  Dr. Chip replied 2 years ago.
No, one night won't hurt
Customer: replied 2 years ago.
Night
Expert:  Dr. Chip replied 2 years ago.
Night
Customer: replied 2 years ago.
What if i cant get to sleep and i toss and turn all night
Expert:  Dr. Chip replied 2 years ago.
Just try--nothing more you can do but that
Customer: replied 2 years ago.
Im so tired
Expert:  Dr. Chip replied 2 years ago.
Just go to work and get back to me in about three hours
Customer: replied 2 years ago.
What does this mean?

Ulcerations and focal inflammation both acute and chronic. Findings are suggestive of possible focL mucosal prolapse
Expert:  Dr. Chip replied 2 years ago.
Where's the biopsy from?
Customer: replied 2 years ago.
The rectum
Expert:  Dr. Chip replied 2 years ago.
Not very specific--mostly just inflammation--not an exact diagnosis of any type
Customer: replied 2 years ago.
Whats focal mucosal prolapse?
Expert:  Dr. Chip replied 2 years ago.
The lamina propria coming through the mucosa--an inner lining pushing out but again it isn't specific to a certain diagnosis
Customer: replied 2 years ago.
Ok thanks
Expert:  Dr. Chip replied 2 years ago.
No problem
Customer: replied 2 years ago.
So what does it all mean
Expert:  Dr. Chip replied 2 years ago.
I can't tell you for sure--it's obviously abnormal, obviously ulcer like and it smacks of either Crohn's or ulcerative colitis but I can't really expand on that
Customer: replied 2 years ago.
Path said no signs of crohns or ulcerative colitis
Expert:  Dr. Chip replied 2 years ago.
That doesn't rule out Crohn's but let's get off this for now. How did work go?
Customer: replied 2 years ago.
Busy. Saw 16 pt this am
Expert:  Dr. Chip replied 2 years ago.
Great--so you still have a job?
Customer: replied 2 years ago.
Yeppers
Expert:  Dr. Chip replied 2 years ago.
I'm glad
Customer: replied 2 years ago.
Me too
Expert:  Dr. Chip replied 2 years ago.
Later then
Customer: replied 2 years ago.
Worked a 10 hr day and my nurse coworkers said they were glad i was back and that they missed my spunk
Expert:  Dr. Chip replied 2 years ago.
How did that make you feel?
Customer: replied 2 years ago.
Good
Expert:  Dr. Chip replied 2 years ago.
Great--hope it gave you a boost in that low self esteem
Customer: replied 2 years ago.
Why you also got to bring up my low self esteem
Expert:  Dr. Chip replied 2 years ago.
Because you and I both know you have a problem with it and nothing wromg with that since it's not your fault. But if you can take complements like that and enjoy them then there has been some improvement
Customer: replied 2 years ago.
I dont like talking about it. I had to xancel my tgerapy appt this week
Expert:  Dr. Chip replied 2 years ago.
Because of work?
Customer: replied 2 years ago.
Ya. I work with a neurology provider who starts at 7 am tomorrow
Expert:  Dr. Chip replied 2 years ago.
Well, wish you could have made the appointment but good for you to be back into the work routine
Customer: replied 2 years ago.
I didnt go to therapy last week either. MyBlood sugar was 43 earlier
Expert:  Dr. Chip replied 2 years ago.
I hope you ate something at that point
Customer: replied 2 years ago.
Ya. I didnt think itd get that low
Expert:  Dr. Chip replied 2 years ago.
Why did you check it?
Customer: replied 2 years ago.
CuZ i felt really lightheaded
Expert:  Dr. Chip replied 2 years ago.
I'm sure. That's getting down to the passing out or having a seizure level
Customer: replied 2 years ago.
Thats kinda scary
Expert:  Dr. Chip replied 2 years ago.
Well, not trying to get into an old subject but you should eat or drink something every two hours with a sugar problem like that
Customer: replied 2 years ago.
I didnt think normal peoples blood sugar would go that low
Expert:  Dr. Chip replied 2 years ago.
They don't. And let's get off the subject for now but either it's from not eating or from overproduction of insulin but the treatment is the same for both
Customer: replied 2 years ago.
I miss seeing my therapist
Expert:  Dr. Chip replied 2 years ago.
When can you see him again?
Customer: replied 2 years ago.
Next week unless my work schedule changes
Expert:  Dr. Chip replied 2 years ago.
Well, that's not too long in the future
Customer: replied 2 years ago.
I know. Will you give me a list of all the questions i should ask my gi dr tomorrow
Expert:  Dr. Chip replied 2 years ago.
I already did but here goes again--what does the fact that you have both rectal and gastric ulcers mean? Could this be Crohn's with these and the elevated gastrin levels? Where exactly is the bleeding coming from? Why the Cipro and the Flagyl? Why does it hurt so much to eat anything that you'd almost rather not eating at all even though you know that's not a good idea? At what point in the future should you go to the ER?
Customer: replied 2 years ago.
Could what marty did cause the acute inflammation?
Expert:  Dr. Chip replied 2 years ago.
No
Customer: replied 2 years ago.
Its just weird when i had a colonoscopy last september everthing was normal.
This is my uncles interpretation of the results: Solitary rectal ulcer is a badly named condition. Acts kinda like a hemorrhoid. It occurs with straining and can bleed ESP after biopsy. It is benign and best left alone. Just avoid constipation.
Expert:  Dr. Chip replied 2 years ago.
I disagree. Nothing like a hemorrhoid and he's probably confusing it with an anal fissure.
Customer: replied 2 years ago.
Im just confused
Expert:  Dr. Chip replied 2 years ago.
About what?
Customer: replied 2 years ago.
I just want a straight forward answer about what the pathology means
Expert:  Dr. Chip replied 2 years ago.
Then add that to your question list for your GI doc
Customer: replied 2 years ago.
Why cant you tell me exactly what it means?
Expert:  Dr. Chip replied 2 years ago.
It says what it says. The ulcer itself and its pathology report isn't the important part here. That's only a statement of what's seen through the microscope and in a case like this it doesn't make a precise diagnosis. The important part is it is an ulcer and with what else is going on with your GI tract to me it points to something like Crohn's
Customer: replied 2 years ago.
They gi drs nurse keeps asking me if i use enemas
Expert:  Dr. Chip replied 2 years ago.
It wouldn't be from an enema even if you used them
Customer: replied 2 years ago.
Just so you know i havent done anything to cause inflammation to my stomach or my intestines. My momfigure says if they cant find a reason why i have all these issue shes gokng to tell everyone i have munchausin by proxy. WTF
Expert:  Dr. Chip replied 2 years ago.
She doesn't even have her terms right. That would refer to you lying about your child's symptoms or doing something to your child to cause symptoms. And if what she meant was just Munchhausen's no one could on their own cause all your documented GI conditions
Customer: replied 2 years ago.
She says i cause my own ulcers by taking advil, that my pain is subjective and not really there
Expert:  Dr. Chip replied 2 years ago.
Pardon my French here but why should you or I give a you-know-what what she thinks about this?
Customer: replied 2 years ago.
I think she is just venting. Ni might fall asleep soon so just fyi.
Expert:  Dr. Chip replied 2 years ago.
OK--you had a long day. Anything else before we close?
Customer: replied 2 years ago.
I dont like this feeling of being drugged up at all. Everyrhing gets blurry
Expert:  Dr. Chip replied 2 years ago.
Tell your GI tomorrow that the amitriptylene is probably not doing anything for you and it's making you feel drugged and see if he'll agree you don't need it Get a good night's sleep
Customer: replied 2 years ago.
Do you think its tge amitryptaline causing it
Expert:  Dr. Chip replied 2 years ago.
When you combine it with the ativan, yes
Customer: replied 2 years ago.
Does amitrtptaline cause dry mouth because since ive been on tge 75 mg my mouth is so dry
Expert:  Dr. Chip replied 2 years ago.
Yes--a very common complaint
Customer: replied 2 years ago.
What cAn i do to get rid of it
Expert:  Dr. Chip replied 2 years ago.
You can't really--sucking on some hard candy or chewing gum can help but nothing counteracts the dry mouth effect. Hey--I have to be off for three hours so we need to close this page
Customer: replied 2 years ago.
Spoke to me gi dr he said the blood in my vomits from a mallory weise tear and the blood in my stools from the ulcer
Expert:  Dr. Chip replied 2 years ago.
OK--we need to close this page and then you can tell me all he said on a new page
Customer: replied 2 years ago.
I asked a new question
Expert:  Dr. Chip replied 2 years ago.
Just got on but close this page first
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 25764
Experience: Over 20 yrs of Family Practice
Dr. Chip and 3 other Health Specialists are ready to help you
Customer: replied 2 years ago.
Im
On my way to the hospital

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