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Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 26383
Experience:  Over 20 yrs of Family Practice
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Do you think I am crazy

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Do you think I am crazy
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 2 years ago.
Today my gi dr saidthat im suspected to have Crohns. Why would he say suspected
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 2 years ago.
The other page just kind of disappeared. I will rate this page
OK--no problem. What else?
Customer: replied 2 years ago.
How do i not let what the ob said bother me
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 2 years ago.
I dont want to cause any problems
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 2 years ago.
I have a huge trust issue. I trusted in him and then he says something very hurtful
Off the subject
Customer: replied 2 years ago.
Are you feeling 100% better now
Yes--took a while
Customer: replied 2 years ago.
Im glad you finally feelbetter. Do you think my vomitting is 100% morning sickness
Hard to say but since you didn't have it this bad before you got pregnant it probably is
Customer: replied 2 years ago.
The gi dr ordered cbc, crp, comp profile, amylase, lipase, and prealbumin
Routine and probably they'll all be normal except maybe the albumin
Customer: replied 2 years ago.
You think the albumin might be low?
If you're somewhat malnourished, yes
Customer: replied 2 years ago.
Do you believe me that i am doing everything i can to eat enough to gain a healthy amount of weight
Yes
Customer: replied 2 years ago.
So whatelse can I do to gain weight
Nothing for now if the vomiting makes that impossible
Customer: replied 2 years ago.
Anything you want to know
Not right now, no.
Customer: replied 2 years ago.
Do you really think the right thing to do is to switch ob drs
Yes--since you've lost confidence in the one you have
Customer: replied 2 years ago.
Night.
Keep in touch
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 26383
Experience: Over 20 yrs of Family Practice
Dr. Chip and 2 other Health Specialists are ready to help you
Customer: replied 2 years ago.
Im sad
Customer: replied 2 years ago.
CRP is elevated. Potassium is low at 3.2 sodiums low at 134. BUN and creatinine is low
And the slbumen?
Customer: replied 2 years ago.
Its not back. It take a couple days
Well nothing really worrisome about the rest. What about the amylase and lipase?
Customer: replied 2 years ago.
Normal. Is it ok to have low potassium
Yours isn't too low but you should try some bananas
Customer: replied 2 years ago.
Last time it was 3.3 they gave me iv potassium
Not necessary so long as you can get it orally
Customer: replied 2 years ago.
Its hard when i throw everything up
We're starting to chat
Customer: replied 2 years ago.
Im sorry. But im miserable
How so?
Customer: replied 2 years ago.
I just dont feel right or good. I guess my magnesium was a little low too
Well, with the lack of much food staying down I'm not surprised
Customer: replied 2 years ago.
What do i do if i cant keep food down? Will the potassium level keep dropping?
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 2 years ago.
I feel like im doing everything wrong
Everything?
Customer: replied 2 years ago.
Just everything with this pregnancy. Itll be a miracle if this baby ends up healthy
Well, it's not your fault with the vomiting
Customer: replied 2 years 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
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 2 years ago.
I havent talked to my old ob
Thought you were going to
Customer: replied 2 years ago.
I think its best that I dont since we work in the same clinic
Then are you working on getting another OB?
Customer: replied 2 years ago.
Yes. They can get me in in 2 weeks
Good--we're not really getting very far here
Customer: replied 2 years ago.
I dont want to eat. Today at work people kept telling me i have gained weight
We're still not getting anywhere here
Customer: replied 2 years ago.
I know. Can you just ask me questions
Done the mirror thing? Any more on the self esteem modules? What's up with Marty?
Customer: replied 2 years 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
OK. What else since I just gave you three questions?
Customer: replied 2 years ago.
Im just really sad
I sometimes wonder about your choice of words--what do you mean by sad and why are you sad?
Customer: replied 2 years 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
Have you ever discussed the cutting with any therapist?
Customer: replied 2 years ago.
In the past i have. And he gave me a list of 101 non destructive coping skills
Which I guess you still use?
Customer: replied 2 years ago.
No. There not as satisfting as cuttin g
That's really a bit of a nonsensical statement
Customer: replied 2 years ago.
Its the truth
That's not what I'm talking about--that's just a reason to stop trying the alternatives
Customer: replied 2 years ago.
Maybe i am crazy
No but very stubborn and set in your ways and your opinions of yourself
Customer: replied 2 years ago.
Omg. My calves hurt so bad
Get back to me in about four hours
Customer: replied 2 years ago.
Ya
I'm back
Customer: replied 2 years ago.
My calf muscles hurt
May be the potassium. If nothing else you could take some potassium supplements for a week
Customer: replied 2 years ago.
My gi dr talked to my new ob and the ob wants mwme to get the potassium naturally
That's fine if you can--couple of bananas a day
Customer: replied 2 years ago.
Is a TSH of .32 good
So long as you don't have any symptoms of hypothyroidism.
Customer: replied 2 years ago.
Is there going to be something wrongvwith my baby
No and let's not chat
Customer: replied 2 years ago.
Sorry.
Please, please--stop the one liners like that
Customer: replied 2 years 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
Stop asking a question I've answered more than once--yes I believe ypu. I think it will be low
Customer: replied 2 years ago.
Im just so worried
That's another waste of space
Customer: replied 2 years ago.
Do you think I should do the Quad screen
Customer: replied 2 years ago.
My stomach really hurts
Quad screen?
Customer: replied 2 years ago.
Its a screening they do in pregnancy to see your "risk" of having a baby with down's and other things
If it will keep you from worrying then yes--very, very unlikely it'll show anything
Customer: replied 2 years ago.
My stomach feels like its on fire and ive been vomitting again
I don't have anything to add to that since we've talked about it over and over
Customer: replied 2 years ago.
Are you frustrated with me
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 2 years ago.
Do you think its really necessary to see the gi dr again next week
If he wants to see you then yes--right now you need all the GI attention you can get
Customer: replied 2 years ago.
Do you know why hes concerned about the weight loss but my ob wasnt
I can't speak to your OB--it doesn't make any sense that he's not worried
Customer: replied 2 years ago.
My OB said its normal to lose weight
Normal? Only if you're vomiting all the time
Customer: replied 2 years ago.
Do you think its the crohns flaring up
Could be but we've also got the pregnancy so it's hard to choose just one cause.
Customer: replied 2 years ago.
Hows my gi dr going to help me if its pregnancy related
BotXXXXX XXXXXne would be a feeding tube
Customer: replied 2 years ago.
No fricken way
Just telling you and we need to leave this page since it's long and we're starting to chat again
Customer: replied 2 years ago.
Last thing you dont think its likely that i will need a feeding tube
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 2 years ago.
Is it possible to have rectal fissures?
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 2 years 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
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 2 years 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
Not besides the prep H but let's close the other page with a rating
Actually that one was closed so let's do it here
Customer: replied 2 years ago.
Im not trying to be annoying. But it really hurts and is uncomfortable
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 2 years ago.
Do i go to the or not?
If the pain is intense and you think you should then you should
Customer: replied 2 years ago.
I need a yes or no from you. You are more reasonable than i am. Why did it suddenly get a lot worse?
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 2 years ago.
I will rate. I am so scared. Im having a full blown panic attack. How will they know if its an infection
Exam, blood work
Customer: replied 2 years ago.
The exams going to hurt even more than ever now wont it, and dont lie
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: 26383
Experience: Over 20 yrs of Family Practice
Dr. Chip and 2 other Health Specialists are ready to help you
Customer: replied 2 years ago.
I am so scared. If the do the scope is it goibg to hurt? Do you think its ok to wait
We've talked and talked and talked about this--no it needs to be done and no putting it off
Customer: replied 2 years ago.
Answer me about if its going to hurt
I already told you it will hurt a little
Customer: replied 2 years 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
Stop the run on--just see the GI tomorrow and talk to him
Customer: replied 2 years 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
Just see the GI and let's stop the conversation for now
Customer: replied 2 years ago.
This is important. Do you believe me about the pain and that im not just overreacting
Yes I fully believe you
Customer: replied 2 years ago.
Its worse than when it happened. I want to die because it hurts
Stop telling me things like that and get to the ER--it doesn't make any sense to delay any more
Customer: replied 2 years ago.
Stop being mean. im scared ok. I thought youd understand
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 2 years ago.
it is that bad but i hate the er. I wish you were here
Customer: replied 2 years ago.
thanks for abandoning me
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 2 years ago.
I dont feel better, i hurt
Well, let the GI evaluate what's going on today
Customer: replied 2 years ago.
I dont think i can go to work
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 2 years ago.
Do you think im a loser if indont go to work
No, not at all--are you saying that others are losers if they're too sick to do their job at work?
Customer: replied 2 years ago.
No but they are sick. Im just in pain not sick
So why exactly do you think you can't or shouldn't go to work?
Customer: replied 2 years 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
Then you have valid reasons not to go
Customer: replied 2 years ago.
Im sorry. I should have listened to your advice last night.
Have to get on the road--get back to me in about three hours
Customer: replied 2 years ago.
Are you sure its just going to hurt a little bit
Yes but let's not go on and on about this--when do you see the GI?
Customer: replied 2 years ago.
I calledand lefts his nurse a message.
I thought you already had an appointment scheduled?
Customer: replied 2 years ago.
No. When i saw them on wednesday they said to call monday
OK--didn't think that was the case. So what did you say on the message?
Customer: replied 2 years ago.
I just asked her to call me. That the pain hasnt gotten any better
What exactly happened last Wednesday?
Customer: replied 2 years 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
OK--hopefully he'll let you know when he can see you today. Get back to me after you see him
Customer: replied 2 years ago.
Ok but its not necessary to see him today if he'll send a referral to the surgeon without seeing me right
You need to see him anyway--you got worse
Customer: replied 2 years ago.
But he cant do anything. And you already said i dont need a dre
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 2 years ago.
Wouldnt you have thought that it would be healed by now?
Not necessarily but we still don't know exactly what's wrong. Seriously--no more on this for now
Customer: replied 2 years ago.
Last thing until i talk to him. If i see him and he does a DRE what can that tell him
Whether you have a fissure and the state of your anal sphincter
Customer: replied 2 years ago.
What do you mean state of anal sphincter
You just won't stop will you? To see if the sphincter--what contracts and closed your anus--is intact or torn
Customer: replied 2 years ago.
Please dont be angry at me
Then please don't waste any more time on this--I've asked you more than twice to stop
Customer: replied 2 years ago.
Im sorry. I think you ARE angry with me. I will leave you alone for the day.
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 2 years 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
True but I try my best to stop you from doing that
Customer: replied 2 years ago.
How come this time was so much worse than the other times
No comment
Customer: replied 2 years ago.
Please Dr Chip

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