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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22117
Experience:  Over 20 yrs of Family Practice
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Can i let you know how it goes after my psychiatry meeting

Customer Question

Can i let you know how it goes after my psychiatry meeting
Submitted: 10 months ago.
Category: Health
Expert:  Dr. Chip replied 10 months ago.
Sure--but no more discussion about the pregnancy until you have the next ultrasound
Customer: replied 10 months ago.
You are evil
Expert:  Dr. Chip replied 10 months ago.
Yeah, right.
Customer: replied 10 months ago.
Tell me your still 99% certain
Expert:  Dr. Chip replied 10 months ago.
I'm 99% certain but again--first off if I'm evil you shouldn't talk to me again and second, nothing more about the pregnancy until the next ultrasound
Customer: replied 10 months ago.
Youre really evil. Im just really nervous
Expert:  Dr. Chip replied 10 months ago.
OK--I'll bite--how exactly am I evil?
Customer: replied 10 months ago.
ThAt aas suppose to say not evil
Expert:  Dr. Chip replied 10 months ago.
OK--listen I'm trying to help you out by refusing to talk about the pregnancy anymore because like I said it only makes things worse for you for us to keep talking about it
Customer: replied 10 months ago.
I know. I am just going to ignore what the NP said because shes not a dr and my dr said im fine
Expert:  Dr. Chip replied 10 months ago.
Perfect
Customer: replied 10 months ago.
And i trust you more than anyone else
Expert:  Dr. Chip replied 10 months ago.
OK--but get back to me after the session today
Customer: replied 10 months ago.
She said no meds until 2nd trimester
Expert:  Dr. Chip replied 10 months ago.
And what did you guys do with the rest of the session?
Customer: replied 10 months ago.
Thats all the longer the session was. 5 mins max
Expert:  Dr. Chip replied 10 months ago.
She really isn't doing any psychiatric work then. Did you have another meeting with your therapist?
Customer: replied 10 months ago.
I did. And that went ok
Expert:  Dr. Chip replied 10 months ago.
In what way?
Customer: replied 10 months ago.
He didny make my anxiety worse
Expert:  Dr. Chip replied 10 months ago.
Come on--sometimes it's like pulling hen's teeth with you--what did you talk about?
Customer: replied 10 months ago.
Baby stuff. Thats pretty much it
Expert:  Dr. Chip replied 10 months ago.
Baby stuff?
Customer: replied 10 months ago.
Just about being pregnant eating healthy exercising
Customer: replied 10 months ago.
I talked to my OB nurse today and she said she tried to explain to the OB NP about my anxiety and she said it would have made me more anxious if i went there and there wasnt a heartbeat that coukd ve heard on the Doptone
Expert:  Dr. Chip replied 10 months ago.
Sorry--I was off. Just have to say it's unfortunate that you have a psychiatrist that only hands out pills and a therapist who totally wastes the time of a session. And I didn't quite understand the statement above?
Customer: replied 10 months ago.
My ob drs nurse told the rn that she should see me today because of my anxiety issues
Expert:  Dr. Chip replied 10 months ago.
Still don't understand--that isn't what you first said she said
Customer: replied 10 months ago.
Thats not what the ob np said to me
Expert:  Dr. Chip replied 10 months ago.
Well, let's let it go because I just don't understand exactly what happened there
Customer: replied 10 months ago.
What dont you understand
Expert:  Dr. Chip replied 10 months ago.
Well with your first statement the third "she" doesn't tell me which one said that. And whichever one said the part about the possible negative ultrasound, even that statement doesn't really make sense to me
Customer: replied 10 months ago.
I dont know how
To mske it make sense sorry
Expert:  Dr. Chip replied 10 months ago.
No problem--anything else?
Customer: replied 10 months ago.
I wish people understood how their words make my anxiety skyrocket
Expert:  Dr. Chip replied 10 months ago.
Words from other people don't do that--you do that to yourself
Customer: replied 10 months ago.
I dont. Even my psychiatrist said i cant help it
Expert:  Dr. Chip replied 10 months ago.
I didn't say right now you can't help it but you still do it to yourself and you tend either to misunderstand what someone says or go way beyond the meaning of what they said. And I really don't need to hear what your psychiatrist says if all she does is meet with you for five minutes.
Customer: replied 10 months ago.
No i dont. I told you exactly what the OB RN said
Expert:  Dr. Chip replied 10 months ago.
And you ran with that just like you focused on Dr Bray's not being absolutely certain about your viable pregnancy. Let's drop this because you won't be able to grasp what I'm saying right now and I blame your therapist and your psychiatrist for that since what I'm trying to do should have been their job long ago. By the way--I could be dead wrong but there's a new question posted to a GYN where the pregnancy facts almost match yours identically--was that you?
Customer: replied 10 months ago.
What do you mean i wont be able to grasp it im not dumb. And no i didnt ask a question in ob
Expert:  Dr. Chip replied 10 months ago.
Just asking because the facts in the question almost matched yours identically. I'm not saying you're dumb but since you keep debating me about how you take statements and turn them around to make yourself worry I'm saying that for now you just aren't receptive to my suggestions
Customer: replied 10 months ago.
Whats the question? My ob said my baby will be fine so thats what i havr to believe
Expert:  Dr. Chip replied 10 months ago.
So then why did you let what the NP said before whack you out after your OB had told you there was nothing to worry about?
Customer: replied 10 months ago.
Because my OBs nurse calmed me back down
Expert:  Dr. Chip replied 10 months ago.
No--my point was it whacked you out before you got calmed down.
Customer: replied 10 months ago.
Sorry
Customer: replied 10 months ago.
TAlkedto my GI dr today and he told me the itchiness could be from either the pentasa or the folic acid. But to continue taking them until i see him tomorrow
Expert:  Dr. Chip replied 10 months ago.
Could be the folate--easy enough to stop that for a short time to tell
Customer: replied 10 months ago.
But theres folic acid in my prenatal
Expert:  Dr. Chip replied 10 months ago.
Just saying it could be and it could be only the prescription folate
Customer: replied 10 months ago.
Well ill let you know what my gi says this afternoon
Expert:  Dr. Chip replied 10 months ago.
Be sure to ask him all the questions I gave you
Customer: replied 10 months ago.
He says the only way for certain to tell if i have crohns is to take meds and see if i feel better. He said he cant answer my question about wether or not ill have to be on meds forever. He said if i wasnt pregnant hed blast me with steriods to see if that helped. He said if the pentasa helps then the pain, cramping, ect should get better
Expert:  Dr. Chip replied 10 months ago.
And the itching?
Customer: replied 10 months ago.
He didnt say anything
Customer: replied 10 months ago.
He also said if i dont take the medication then im risking my babys health
Expert:  Dr. Chip replied 10 months ago.
OK--so do you have questions about all this?
Customer: replied 10 months ago.
Im kinda confused. He said i had crohns but then today says the only way to know if i have crohns is to see if the meds work. And i dont like how he cant tell me if i have to be on them forever
Expert:  Dr. Chip replied 10 months ago.
I have to admit that wasn't very specific at all. Even if the medication doesn't help much that wouldn't prove it isn't Crohn's And as I said before, if it calms it down, you don't have to be on it forever
Customer: replied 10 months ago.
He still wants to do a gastrin stimulation test but cant cuz im pregnant but he did repeat the gastrin and did the chromogranin A
Expert:  Dr. Chip replied 10 months ago.
Well, unless the Crohn's calms down the gastrin level will still probably be elevated
Customer: replied 10 months ago.
Why is my crp not elevated
Expert:  Dr. Chip replied 10 months ago.
I told you before it's relatively nonspecific and it doesn't have to be elevated with Crohn's
Customer: replied 10 months ago.
He thinks im going to flare
Expert:  Dr. Chip replied 10 months ago.
Why?
Customer: replied 10 months ago.
He didnt say. But i think im already flared
Expert:  Dr. Chip replied 10 months ago.
I don't understand why you don't ask obvious questions when they come up right then and there. And yes you are having a flare
Customer: replied 10 months ago.
He doesnt think so
Expert:  Dr. Chip replied 10 months ago.
Well, why didn't you simple ask him why he thought it would flare? I get the impression you mostly sit there and just nod your head at whatever a doctor says.
Customer: replied 10 months ago.
I do just agree with what he says. He doesnt like lots of question
Expert:  Dr. Chip replied 10 months ago.
Exactly how do you know he doesn't like questions?
Customer: replied 10 months ago.
Because he gets crabby
Expert:  Dr. Chip replied 10 months ago.
So what?
Customer: replied 10 months ago.
I guess i dont like to make him crabby. But if im not flaring now then i cant imagine what a flare would feel like
Expert:  Dr. Chip replied 10 months ago.
You as a patient have the right and the responsibility to ask questions and he as the doctor has the responsibility to answer them so drop the worry about his feelings. I see no reason to be predicting an additional flare right now and I guess we can't know why he said that because you didn't ask
Customer: replied 10 months ago.
Am i flaring now or not
Expert:  Dr. Chip replied 10 months ago.
Your not quiescent. A flare by definition is significant symptoms and unless you're realitively OK now with little or no abdominal pain and diarrhea you're in a flareup
Customer: replied 10 months ago.
If secretin is a natural element in our bodies why cant i do the secretin stimulation test
Expert:  Dr. Chip replied 10 months ago.
The test is done in pregnant women only if it's determined that there's an urgent reason for doing it--secretin is category C for pregnancy
Customer: replied 10 months ago.
Inwonder why he did the repeat gastrin if crohns can cause it to be elevated. And the chromagranin a
Expert:  Dr. Chip replied 10 months ago.
I can't read his mind so let's drop that part. It seems to me you're still looking for a way to get out of having the diagnosis of Crohn's
Customer: replied 10 months ago.
I dont want to have crohns. And i dont think a blood test can determine if i have it
Expert:  Dr. Chip replied 10 months ago.
OK but we've discussed this as much as we can for now so anything else?
Customer: replied 10 months ago.
You kinda wont let me talk about anythjng
Expert:  Dr. Chip replied 10 months ago.
Not true at all--we've talked about this extensively but, as usual, you won't let go of something and keep saying but but but. So far as I'm concerned you have Crohn's and I don't know what I can tell you that I haven't already told you
Customer: replied 10 months ago.
How do i accept that
Expert:  Dr. Chip replied 10 months ago.
May take time--knowing you there's no way for you to easily let go and accept. Right now you get on with your life and stop useless rumination about it
Customer: replied 10 months ago.
Its just a crappy diagnosis
Expert:  Dr. Chip replied 10 months ago.
True--by the way how did your mother figure react to the news?
Customer: replied 10 months ago.
What news? The crohns
Expert:  Dr. Chip replied 10 months ago.
Of course
Customer: replied 10 months ago.
She doesnt think i have it. She still thinks all my gi issues are from when i starved myself last summer
Expert:  Dr. Chip replied 10 months ago.
I figured that would be the stance she'd take--might as well give up trying to convince her of the obvious truth
Customer: replied 10 months ago.
She is hard set that all my problems were caused by no eating
Expert:  Dr. Chip replied 10 months ago.
And that you're making up your pain
Customer: replied 10 months ago.
She says its not as bad as i say. That im a overreactor
Expert:  Dr. Chip replied 10 months ago.
Well, again consider the source and she really should focus on her own problems
Customer: replied 10 months ago.
It. Is kinda nice to have A diagnosis
Expert:  Dr. Chip replied 10 months ago.
Yes--an answer relieves a lot of doubt and rumination
Customer: replied 10 months ago.
The lab drew my gastrin level today but i wasnt fasting
Expert:  Dr. Chip replied 10 months ago.
Not important really. I have to get to bed soon--anything else?
Customer: replied 10 months ago.
Night
Expert:  Dr. Chip replied 10 months ago.
Night--talk at you later
Customer: replied 10 months ago.
Is there really nothing i can do for morning sickness? I cant eat without puking
Expert:  Dr. Chip replied 10 months ago.
Talk to you GYN and see if he'll be OK with something like the Zofran
Customer: replied 10 months ago.
Is there anything besides medication i can try
Expert:  Dr. Chip replied 10 months ago.
Here's one link

http://www.mindbodygreen.com/0-9602/30-natural-remedies-for-morning-sickness.html
Customer: replied 10 months ago.
When will it go away
Expert:  Dr. Chip replied 10 months ago.
Usually after a month--listen page is very long so let's not post on this one any more
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22117
Experience: Over 20 yrs of Family Practice
Dr. Chip and 7 other Health Specialists are ready to help you
Customer: replied 10 months ago.
It wont let me look at you answer because i dont have enough funds. Thats why i didnt want u to put an answer
Expert:  Dr. Chip replied 10 months ago.
Seriously--if you don't have the money you shouldn't post any questions
Customer: replied 10 months ago.
Wow, way to be mad at me
Customer: replied 10 months ago.

Please dont be

Expert:  Dr. Chip replied 10 months ago.
I'm not mad but that's how the site works
Customer: replied 10 months ago.
Be mad at me i dont care. The RN triagers said i can take zofran do you agree
Expert:  Dr. Chip replied 10 months ago.
What do you mean by an RN triager?
Customer: replied 10 months ago.
She is an RN abd she works the triage line for our clinic
Expert:  Dr. Chip replied 10 months ago.
I still won't tell you to take it without the OK from your OB
Customer: replied 10 months ago.
Please dr chip. I cant even eat And i wint be able to talk to my ob until monday
Expert:  Dr. Chip replied 10 months ago.
I just can't do it--I'm not even your own doctor but I told you before that even if I were I'd run it by your OB first. Look--you've been so worried about this pregnancy so why take even the smallest risk at this point?
Customer: replied 10 months ago.
Because if i cant eat/drink thats harmful to the baby too
Expert:  Dr. Chip replied 10 months ago.
Stop debating me--I just won't personally tell you it's OK to take the Zofran so stop asking me to
Customer: replied 10 months ago.
Wow
Expert:  Dr. Chip replied 10 months ago.
Wow nothing--it would be like me prescribing for you on an internet site--that's tantamount to medical negligence and medical malpractice
Customer: replied 10 months ago.
So what do i do for it today
Expert:  Dr. Chip replied 10 months ago.
If push comes to shove, go to the ER
Customer: replied 10 months ago.
Do you think i can wait until monday. I havent been able to eat anything since a little toast yesterday am
Expert:  Dr. Chip replied 10 months ago.
What about fluids?
Customer: replied 10 months ago.
They arent going down to great either
Expert:  Dr. Chip replied 10 months ago.
You need to be specific with this--are you getting dehydrated?
Customer: replied 10 months ago.
My pees really dark and my mouth is dry so probably
Expert:  Dr. Chip replied 10 months ago.
Then you need to get to the ER for IV hydration and they can OK the Zofran
Customer: replied 10 months ago.
I really have been trying. My therapist is going to say its my eatibg disorder but its not
Expert:  Dr. Chip replied 10 months ago.
It's not your eating disorder but you need the ER
Customer: replied 10 months ago.
Fine
Expert:  Dr. Chip replied 10 months ago.
Later then
Customer: replied 10 months ago.
Do you think theyll give me fluids
Expert:  Dr. Chip replied 10 months ago.
They should--just go
Customer: replied 10 months ago.
Im scared
Expert:  Dr. Chip replied 10 months ago.
Just go and stop the chatting
Customer: replied 10 months ago.
Did some blood work my glucose was low. They gave me some zofran and gave me some juice to drink but i vomited it back up. The dr said my labs dont show that im dehydrated enough to require fluids
Expert:  Dr. Chip replied 10 months ago.
Well at least now you have the Zofran
Customer: replied 10 months ago.
They gave me a shot of zofran and said to tAlk to my ob tomorrow
Expert:  Dr. Chip replied 10 months ago.
That's enough for today if it's going to help
Customer: replied 10 months ago.
Am i going to hurt this baby if i cant eat or drink
Expert:  Dr. Chip replied 10 months ago.
Usually early term sickness like this can be managed with no harm done
Customer: replied 10 months ago.
Are you mad at me
Expert:  Dr. Chip replied 10 months ago.
No--and I never have been whenever you say that so I really don't understand why you think I would be
Customer: replied 10 months ago.
Ithink your mad at me because i cant even make myself eat/drink for this baby
Expert:  Dr. Chip replied 10 months ago.
No--I told you I don't think this has anything to do with your eating disorder
Customer: replied 10 months ago.
But i feel like a bad parent
Expert:  Dr. Chip replied 10 months ago.
If you can't eat because of being sick that's not your fault
Customer: replied 10 months ago.
Wgat can i do. I am miserable
Expert:  Dr. Chip replied 10 months ago.
Nothing more for now until you talk to your OB tomorrow
Customer: replied 10 months ago.
Why didnt the zofran help? I read an article about getting Crohns into remission without steroids by doing exclusive enteral nutrition
Expert:  Dr. Chip replied 10 months ago.
Enteral as with a feeding tube or a J tube? Zofran doesn't always work
Customer: replied 10 months ago.
http://www.practicalgastro.com/pdf/April09/DayArticle.pdf
Expert:  Dr. Chip replied 10 months ago.
OK--that's been around for a long time and it could be beneficial in your case. The term enteral feeding is a little nebulous since just eating is by definition enteral feeding
Customer: replied 10 months ago.
Do you think its something worth talking to my gi about
Expert:  Dr. Chip replied 10 months ago.
Absolutely
Customer: replied 10 months ago.
Is it ok to do this while pregnant?
Expert:  Dr. Chip replied 10 months ago.
Yes but first it needs to be determined if what's going on now is the Crohn's or your pregnancy
Customer: replied 10 months ago.
How do they determine that
Expert:  Dr. Chip replied 10 months ago.
I think it's your pregnancy--there's no way to be sure but this sounds more like that. Like I said, that can be treated first
Customer: replied 10 months ago.
I dont like having crohns disease
Expert:  Dr. Chip replied 10 months ago.
You just started chatting again on an already overly long page
Customer: replied 10 months ago.
Do you promise me that nit eating isnt going to hurt the baby
Expert:  Dr. Chip replied 10 months ago.
Not for a few days, no
Customer: replied 10 months ago.
Im sorry that all i talk about baby stuff
Expert:  Dr. Chip replied 10 months ago.
That's OK but you have to stop posting the chat things like you don't like having Crohn's
Customer: replied 10 months ago.
Im sorry. Is a chromagranin a level if 62 good if reference range is less than 90? Should itbe 0
Expert:  Dr. Chip replied 10 months ago.
That just means basically a negative test.
Customer: replied 10 months ago.
How come its not zero. Im worried that in a couple years itll be higher. Tjis website says it should be lower than 39
Expert:  Dr. Chip replied 10 months ago.
You need to stop right now doing any internet research on anything medical--that's as bad as your continuing to talk about something when there's no more reason to. It's a negative test so let it go
Customer: replied 10 months ago.
Will you just look at the website? http://www.carcinoid.org/content/understanding-biochemical-markers

Promise its normal
Expert:  Dr. Chip replied 10 months ago.
Did you notice the part about elevation with pregnancy?
Customer: replied 10 months ago.
No
Expert:  Dr. Chip replied 10 months ago.
Then read it again
Customer: replied 10 months ago.
So my level is totally normal
Expert:  Dr. Chip replied 10 months ago.
Yes--doesn't indicate a gastrinoma. Listen--I totally understand about the money thing and your not being allowed to see my answer when I post one, but I give you a lot of answers before I post a response as an answer. We simply can't keep a page going on forever.
Customer: replied 10 months ago.
I know. Im sorry
Expert:  Dr. Chip replied 10 months ago.
Don't be but we need to close this page
Customer: replied 10 months ago.
Ok. Fyi iwas able to eat a little before throwing up
Expert:  Dr. Chip replied 10 months ago.
I think in time you'll be able to eat again--just hold on
Customer: replied 10 months ago.
Pulse is 162
Expert:  Dr. Chip replied 10 months ago.
We can't keep going on on this page so please stop. Could be dehydration but no way to tell. In a case like this you need to call your doctor
Customer: replied 10 months ago.
Tomorrow
Expert:  Dr. Chip replied 10 months ago.
Don't post anything more on this page
Customer: replied 10 months ago.
Guess whos gastrin level is normal. I just had to post this
Expert:  Dr. Chip replied 10 months ago.
Good--then you can let go of one worry
Customer: replied 10 months ago.
http://www.justanswer.com/health/7zi8d-locked-customer-service.html
Expert:  Dr. Chip replied 10 months ago.
Not sure why you showed me that
Customer: replied 9 months ago.
Dr chip please. I cant keep anything down. Im afraid imgoing to hurt this baby

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