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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 23680
Experience:  Over 20 yrs of Family Practice
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Do you think I am crazy

Customer Question

Do you think I am crazy
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Why switch pages? No--like I said, crazy isn't a medical term and I definitely don't think you're schizophrenic or psychotic which are the closest true medical terms for crazy.
Customer: replied 1 year ago.
Today my gi dr saidthat im suspected to have Crohns. Why would he say suspected
Expert:  Dr. Chip replied 1 year ago.
Just a term and sounds like he thinks you do. At least let's close the other page with a rating. We'll keep this one open as long as you need.
Customer: replied 1 year ago.
The other page just kind of disappeared. I will rate this page
Expert:  Dr. Chip replied 1 year ago.
OK--no problem. What else?
Customer: replied 1 year ago.
How do i not let what the ob said bother me
Expert:  Dr. Chip replied 1 year ago.
That won't be easy for you with all you ever do being thinking negatives about yourself. One thing that will help is to confront him about what he said and stand up for yourself
Customer: replied 1 year ago.
I dont want to cause any problems
Expert:  Dr. Chip replied 1 year ago.
Here you go again--there's a way of confrontation that doesn't come across as angry or unreasonable. I gave you the suggestion but it's up to you as to whether you do it. Just to say that you were very offended and hurt by what he said is not attacking him.
Customer: replied 1 year ago.
I have a huge trust issue. I trusted in him and then he says something very hurtful
Expert:  Dr. Chip replied 1 year ago.
Off the subject
Customer: replied 1 year ago.
Are you feeling 100% better now
Expert:  Dr. Chip replied 1 year ago.
Yes--took a while
Customer: replied 1 year ago.
Im glad you finally feelbetter. Do you think my vomitting is 100% morning sickness
Expert:  Dr. Chip replied 1 year ago.
Hard to say but since you didn't have it this bad before you got pregnant it probably is
Customer: replied 1 year ago.
The gi dr ordered cbc, crp, comp profile, amylase, lipase, and prealbumin
Expert:  Dr. Chip replied 1 year ago.
Routine and probably they'll all be normal except maybe the albumin
Customer: replied 1 year ago.
You think the albumin might be low?
Expert:  Dr. Chip replied 1 year ago.
If you're somewhat malnourished, yes
Customer: replied 1 year ago.
Do you believe me that i am doing everything i can to eat enough to gain a healthy amount of weight
Expert:  Dr. Chip replied 1 year ago.
Yes
Customer: replied 1 year ago.
So whatelse can I do to gain weight
Expert:  Dr. Chip replied 1 year ago.
Nothing for now if the vomiting makes that impossible
Customer: replied 1 year ago.
Anything you want to know
Expert:  Dr. Chip replied 1 year ago.
Not right now, no.
Customer: replied 1 year ago.
Do you really think the right thing to do is to switch ob drs
Expert:  Dr. Chip replied 1 year ago.
Yes--since you've lost confidence in the one you have
Customer: replied 1 year ago.
Night.
Expert:  Dr. Chip replied 1 year ago.
Keep in touch
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 23680
Experience: Over 20 yrs of Family Practice
Dr. Chip and 7 other Health Specialists are ready to help you
Customer: replied 1 year ago.
Im sad
Customer: replied 1 year ago.
CRP is elevated. Potassium is low at 3.2 sodiums low at 134. BUN and creatinine is low
Expert:  Dr. Chip replied 1 year ago.
And the slbumen?
Customer: replied 1 year ago.
Its not back. It take a couple days
Expert:  Dr. Chip replied 1 year ago.
Well nothing really worrisome about the rest. What about the amylase and lipase?
Customer: replied 1 year ago.
Normal. Is it ok to have low potassium
Expert:  Dr. Chip replied 1 year ago.
Yours isn't too low but you should try some bananas
Customer: replied 1 year ago.
Last time it was 3.3 they gave me iv potassium
Expert:  Dr. Chip replied 1 year ago.
Not necessary so long as you can get it orally
Customer: replied 1 year ago.
Its hard when i throw everything up
Expert:  Dr. Chip replied 1 year ago.
We're starting to chat
Customer: replied 1 year ago.
Im sorry. But im miserable
Expert:  Dr. Chip replied 1 year ago.
How so?
Customer: replied 1 year ago.
I just dont feel right or good. I guess my magnesium was a little low too
Expert:  Dr. Chip replied 1 year ago.
Well, with the lack of much food staying down I'm not surprised
Customer: replied 1 year ago.
What do i do if i cant keep food down? Will the potassium level keep dropping?
Expert:  Dr. Chip replied 1 year ago.
Hopefully with small portions and the Zofran it will stay down. Unless you have more diarrhea the potassium won't fall any more
Customer: replied 1 year ago.
I feel like im doing everything wrong
Expert:  Dr. Chip replied 1 year ago.
Everything?
Customer: replied 1 year ago.
Just everything with this pregnancy. Itll be a miracle if this baby ends up healthy
Expert:  Dr. Chip replied 1 year ago.
Well, it's not your fault with the vomiting
Customer: replied 1 year ago.
I think my gi dr thinks i make myself puke. This is the only time my crp has been elevated beaides when i had a ruptured cyst
Expert:  Dr. Chip replied 1 year ago.
By itself the CRP doesn't mean much. Unfortunately your past is following you around with what the GI thinks. Have you seen your OB?
Customer: replied 1 year ago.
I havent talked to my old ob
Expert:  Dr. Chip replied 1 year ago.
Thought you were going to
Customer: replied 1 year ago.
I think its best that I dont since we work in the same clinic
Expert:  Dr. Chip replied 1 year ago.
Then are you working on getting another OB?
Customer: replied 1 year ago.
Yes. They can get me in in 2 weeks
Expert:  Dr. Chip replied 1 year ago.
Good--we're not really getting very far here
Customer: replied 1 year ago.
I dont want to eat. Today at work people kept telling me i have gained weight
Expert:  Dr. Chip replied 1 year ago.
We're still not getting anywhere here
Customer: replied 1 year ago.
I know. Can you just ask me questions
Expert:  Dr. Chip replied 1 year ago.
Done the mirror thing? Any more on the self esteem modules? What's up with Marty?
Customer: replied 1 year ago.
I do themirror thing everyday. I have not gotten any further on the modules but i go back and look at the ones ive already done. Martys an alcoholic loser
Expert:  Dr. Chip replied 1 year ago.
OK. What else since I just gave you three questions?
Customer: replied 1 year ago.
Im just really sad
Expert:  Dr. Chip replied 1 year ago.
I sometimes wonder about your choice of words--what do you mean by sad and why are you sad?
Customer: replied 1 year ago.
I just feel blah. I cut again last night. I feel like i could burst into tears at anytime. Im sad because this isnt the way i envisioned thngs
Expert:  Dr. Chip replied 1 year ago.
Have you ever discussed the cutting with any therapist?
Customer: replied 1 year ago.
In the past i have. And he gave me a list of 101 non destructive coping skills
Expert:  Dr. Chip replied 1 year ago.
Which I guess you still use?
Customer: replied 1 year ago.
No. There not as satisfting as cuttin g
Expert:  Dr. Chip replied 1 year ago.
That's really a bit of a nonsensical statement
Customer: replied 1 year ago.
Its the truth
Expert:  Dr. Chip replied 1 year ago.
That's not what I'm talking about--that's just a reason to stop trying the alternatives
Customer: replied 1 year ago.
Maybe i am crazy
Expert:  Dr. Chip replied 1 year ago.
No but very stubborn and set in your ways and your opinions of yourself
Customer: replied 1 year ago.
Omg. My calves hurt so bad
Expert:  Dr. Chip replied 1 year ago.
Get back to me in about four hours
Customer: replied 1 year ago.
Ya
Expert:  Dr. Chip replied 1 year ago.
I'm back
Customer: replied 1 year ago.
My calf muscles hurt
Expert:  Dr. Chip replied 1 year ago.
May be the potassium. If nothing else you could take some potassium supplements for a week
Customer: replied 1 year ago.
My gi dr talked to my new ob and the ob wants mwme to get the potassium naturally
Expert:  Dr. Chip replied 1 year ago.
That's fine if you can--couple of bananas a day
Customer: replied 1 year ago.
Is a TSH of .32 good
Expert:  Dr. Chip replied 1 year ago.
So long as you don't have any symptoms of hypothyroidism.
Customer: replied 1 year ago.
Is there going to be something wrongvwith my baby
Expert:  Dr. Chip replied 1 year ago.
No and let's not chat
Customer: replied 1 year ago.
Sorry.
Expert:  Dr. Chip replied 1 year ago.
Please, please--stop the one liners like that
Customer: replied 1 year ago.
Do you believe me 100% that Im not making myself throw up? If you had to take a guess would you say that my prealbumin will be low
Expert:  Dr. Chip replied 1 year ago.
Stop asking a question I've answered more than once--yes I believe ypu. I think it will be low
Customer: replied 1 year ago.
Im just so worried
Expert:  Dr. Chip replied 1 year ago.
That's another waste of space
Customer: replied 1 year ago.
Do you think I should do the Quad screen
Customer: replied 1 year ago.
My stomach really hurts
Expert:  Dr. Chip replied 1 year ago.
Quad screen?
Customer: replied 1 year ago.
Its a screening they do in pregnancy to see your "risk" of having a baby with down's and other things
Expert:  Dr. Chip replied 1 year ago.
If it will keep you from worrying then yes--very, very unlikely it'll show anything
Customer: replied 1 year ago.
My stomach feels like its on fire and ive been vomitting again
Expert:  Dr. Chip replied 1 year ago.
I don't have anything to add to that since we've talked about it over and over
Customer: replied 1 year ago.
Are you frustrated with me
Expert:  Dr. Chip replied 1 year ago.
No but you knew very well that I wouldn't have anything to add to your stomach problems so that basically gets us into chat mode
Customer: replied 1 year ago.
Do you think its really necessary to see the gi dr again next week
Expert:  Dr. Chip replied 1 year ago.
If he wants to see you then yes--right now you need all the GI attention you can get
Customer: replied 1 year ago.
Do you know why hes concerned about the weight loss but my ob wasnt
Expert:  Dr. Chip replied 1 year ago.
I can't speak to your OB--it doesn't make any sense that he's not worried
Customer: replied 1 year ago.
My OB said its normal to lose weight
Expert:  Dr. Chip replied 1 year ago.
Normal? Only if you're vomiting all the time
Customer: replied 1 year ago.
Do you think its the crohns flaring up
Expert:  Dr. Chip replied 1 year ago.
Could be but we've also got the pregnancy so it's hard to choose just one cause.
Customer: replied 1 year ago.
Hows my gi dr going to help me if its pregnancy related
Expert:  Dr. Chip replied 1 year ago.
BotXXXXX XXXXXne would be a feeding tube
Customer: replied 1 year ago.
No fricken way
Expert:  Dr. Chip replied 1 year ago.
Just telling you and we need to leave this page since it's long and we're starting to chat again
Customer: replied 1 year ago.
Last thing you dont think its likely that i will need a feeding tube
Expert:  Dr. Chip replied 1 year ago.
If you can't keep down enough nourishment from the vomiting you'll need it and it's not that uncommon for hyperemesis gravida--severe nausea and vomiting in early pregnancy
Customer: replied 1 year ago.
Is it possible to have rectal fissures?
Expert:  Dr. Chip replied 1 year ago.
When you say last thing please mean it. Not really--you can have rectal tears. But we're doing what if's here and you really need the exam to see exactly what's going on
Customer: replied 1 year ago.
I know i need the exam, im not dumb. But if i have scratches/cuts from his fingernails isnt it possible thattgey are higher up
Expert:  Dr. Chip replied 1 year ago.
Yes but an anoscope should reach the limits of his fingers. Now if you post anything more on this page I'll have to opt out again
Customer: replied 1 year ago.
Night. I will let you know how it goes tomorrow. I think its going to be another rough night. Anything i can use up there to get rid of the pain
Expert:  Dr. Chip replied 1 year ago.
Not besides the prep H but let's close the other page with a rating
Expert:  Dr. Chip replied 1 year ago.
Actually that one was closed so let's do it here
Customer: replied 1 year ago.
Im not trying to be annoying. But it really hurts and is uncomfortable
Expert:  Dr. Chip replied 1 year ago.
There's nothing more you can take but Tylenol and of course there's always the ER but just hang on for now. Get back to me on a new page tomorrow
Customer: replied 1 year ago.
Do i go to the or not?
Expert:  Dr. Chip replied 1 year ago.
If the pain is intense and you think you should then you should
Customer: replied 1 year ago.
I need a yes or no from you. You are more reasonable than i am. Why did it suddenly get a lot worse?
Expert:  Dr. Chip replied 1 year ago.
I don't know but you may have an infection so go and let me know on a new page how it goes. You need to rate this since I think the reason the other questions are being closed is because you have a history of not rating several
Customer: replied 1 year ago.
I will rate. I am so scared. Im having a full blown panic attack. How will they know if its an infection
Expert:  Dr. Chip replied 1 year ago.
Exam, blood work
Customer: replied 1 year ago.
The exams going to hurt even more than ever now wont it, and dont lie
Expert:  Dr. Chip replied 1 year ago.
I'm just talking about an abdominal exam. Now rate, let's close the page and get back to me later
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 23680
Experience: Over 20 yrs of Family Practice
Dr. Chip and 7 other Health Specialists are ready to help you
Customer: replied 1 year ago.
I am so scared. If the do the scope is it goibg to hurt? Do you think its ok to wait
Expert:  Dr. Chip replied 1 year ago.
We've talked and talked and talked about this--no it needs to be done and no putting it off
Customer: replied 1 year ago.
Answer me about if its going to hurt
Expert:  Dr. Chip replied 1 year ago.
I already told you it will hurt a little
Customer: replied 1 year ago.
Its going to hurt more than a little. It hurts like an 8/10 right now.can i talk to my gi dr tomorrow
Expert:  Dr. Chip replied 1 year ago.
Stop the run on--just see the GI tomorrow and talk to him
Customer: replied 1 year ago.
All the gi dr will do is a dre and then send a referral to the colorectal surgeon for the scope but it could take a couple days to get into see him
Expert:  Dr. Chip replied 1 year ago.
Just see the GI and let's stop the conversation for now
Customer: replied 1 year ago.
This is important. Do you believe me about the pain and that im not just overreacting
Expert:  Dr. Chip replied 1 year ago.
Yes I fully believe you
Customer: replied 1 year ago.
Its worse than when it happened. I want to die because it hurts
Expert:  Dr. Chip replied 1 year ago.
Stop telling me things like that and get to the ER--it doesn't make any sense to delay any more
Customer: replied 1 year ago.
Stop being mean. im scared ok. I thought youd understand
Expert:  Dr. Chip replied 1 year ago.
I do and stop being silly--if it's that bad you need to get to the ER and stop talking to me
Customer: replied 1 year ago.
it is that bad but i hate the er. I wish you were here
Customer: replied 1 year ago.
thanks for abandoning me
Expert:  Dr. Chip replied 1 year ago.
Had to get to bed and I didn't abandon you--I can't be there to treat you and I told you to go to the ER
Customer: replied 1 year ago.
I dont feel better, i hurt
Expert:  Dr. Chip replied 1 year ago.
Well, let the GI evaluate what's going on today
Customer: replied 1 year ago.
I dont think i can go to work
Expert:  Dr. Chip replied 1 year ago.
Listen--and I'm not mad or frustrated here--there really isn't anything more I can do here as to your pain and what's going on. As I've said before, I'm limited by not being able to examine you. It just doesn't get us anywhere to talk about it any more for now
Customer: replied 1 year ago.
Do you think im a loser if indont go to work
Expert:  Dr. Chip replied 1 year ago.
No, not at all--are you saying that others are losers if they're too sick to do their job at work?
Customer: replied 1 year ago.
No but they are sick. Im just in pain not sick
Expert:  Dr. Chip replied 1 year ago.
So why exactly do you think you can't or shouldn't go to work?
Customer: replied 1 year ago.
I dont know that id be able to focus on work. It hurts to move to the point of wanting to vomit. And i think it would be unproductive
Expert:  Dr. Chip replied 1 year ago.
Then you have valid reasons not to go
Customer: replied 1 year ago.
Im sorry. I should have listened to your advice last night.
Expert:  Dr. Chip replied 1 year ago.
Have to get on the road--get back to me in about three hours
Customer: replied 1 year ago.
Are you sure its just going to hurt a little bit
Expert:  Dr. Chip replied 1 year ago.
Yes but let's not go on and on about this--when do you see the GI?
Customer: replied 1 year ago.
I calledand lefts his nurse a message.
Expert:  Dr. Chip replied 1 year ago.
I thought you already had an appointment scheduled?
Customer: replied 1 year ago.
No. When i saw them on wednesday they said to call monday
Expert:  Dr. Chip replied 1 year ago.
OK--didn't think that was the case. So what did you say on the message?
Customer: replied 1 year ago.
I just asked her to call me. That the pain hasnt gotten any better
Expert:  Dr. Chip replied 1 year ago.
What exactly happened last Wednesday?
Customer: replied 1 year ago.
I had my regular appt with my gi dr. And i told him what happened. He did his usually abdomen examination. Offered to do a DRE which i refused. Offered to talk to the surgeon about doing the scope and setting it up and i refused. Said that i need to get seen if it gets worse. His nurse told me to call today
Expert:  Dr. Chip replied 1 year ago.
OK--hopefully he'll let you know when he can see you today. Get back to me after you see him
Customer: replied 1 year ago.
Ok but its not necessary to see him today if he'll send a referral to the surgeon without seeing me right
Expert:  Dr. Chip replied 1 year ago.
You need to see him anyway--you got worse
Customer: replied 1 year ago.
But he cant do anything. And you already said i dont need a dre
Expert:  Dr. Chip replied 1 year ago.
I didn't say a DRE wouldn't be worthwhile but let's stop batting this back and forth--we really don't need to discuss this any more for now
Customer: replied 1 year ago.
Wouldnt you have thought that it would be healed by now?
Expert:  Dr. Chip replied 1 year ago.
Not necessarily but we still don't know exactly what's wrong. Seriously--no more on this for now
Customer: replied 1 year ago.
Last thing until i talk to him. If i see him and he does a DRE what can that tell him
Expert:  Dr. Chip replied 1 year ago.
Whether you have a fissure and the state of your anal sphincter
Customer: replied 1 year ago.
What do you mean state of anal sphincter
Expert:  Dr. Chip replied 1 year ago.
You just won't stop will you? To see if the sphincter--what contracts and closed your anus--is intact or torn
Customer: replied 1 year ago.
Please dont be angry at me
Expert:  Dr. Chip replied 1 year ago.
Then please don't waste any more time on this--I've asked you more than twice to stop
Customer: replied 1 year ago.
Im sorry. I think you ARE angry with me. I will leave you alone for the day.
Expert:  Dr. Chip replied 1 year ago.
I don't get angry with people or if I do it lasts for at most a few seconds. But it's going over and over things like this that just fuels your anxiety and I'm trying my best not to do that
Customer: replied 1 year ago.
I just like to know things. And if my anxiety gets bad then its my fault for going over things time and time again
Expert:  Dr. Chip replied 1 year ago.
True but I try my best to stop you from doing that
Customer: replied 1 year ago.
How come this time was so much worse than the other times
Expert:  Dr. Chip replied 1 year ago.
No comment
Customer: replied 1 year ago.
Please Dr Chip

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