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Im still nervous about the EGD. I think I should cancel it

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Im still nervous about the...
Im still nervous about the EGD. I think I should cancel it
Submitted: 5 years ago.Category: Health
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Answered in 7 minutes by:
7/1/2012
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 34,459
Experience: Over 20 yrs of Family Practice
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Hi--what's your concern about the EGD?
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Customer reply replied 5 years ago
Uh the sedation
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Why the concern with that?
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Customer reply replied 5 years ago
What if i die
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
You understand the term "conscious sedation?"
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Customer reply replied 5 years ago
Ya but i still worry
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Understandable, but so far I haven't had a patient die with conscious sedation.
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Customer reply replied 5 years ago
I just worry
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
You'll be fine--it really isn't anything that comes near an overdose.
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Customer reply replied 5 years ago
If im dehydrated or hypoglycemic on that day it wont matter
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
What won't matter?
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Customer reply replied 5 years ago
Im afraid if im dehydrated/hypoglycemic during the egd i will some how end up dying. I know that that is an unrealistic thought
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
unrealistic--the procedure itself will not take any water from you or drop your blood sugar any.
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Customer reply replied 5 years ago
I think i just dont want to get it done
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
I kinda knew that but I wasn't going to go there.
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Customer reply replied 5 years ago
Do you think I need it done
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Not as a semi emergency procedure, but yes for a check on peptic ulcers, gastritis, reflux, H pylori, etc.
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Customer reply replied 5 years ago
Thats not the answer i
Was looking for
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
what was the answer you were looking for?
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Customer reply replied 5 years ago
That you dont think i ever need one
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Can't tell you a falsehood just to make you happy with the answer.
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Customer reply replied 5 years ago
I dont think its something i need next week
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
No, especially if you supercede it with going into treatment, but, otherwise, it would just be a put-it-off thing.
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Customer reply replied 5 years ago
I guess
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
No guessing--you would just be procrastinating for no good reason.
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Customer reply replied 5 years ago
Its not for no good reason. Its because it scares me
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
As good an excuse as any. It may scare you but we've already discussed that your fear is somewhat overblown.
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Customer reply replied 5 years ago
I know. It just seems soon
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Soon?
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Customer reply replied 5 years ago
I dont know why it cant wait til the end of summer. Instead of in a week. It doesnt give me time to think about it
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Nothing more to think about--you won't have anything new to come up with by the end of summer.
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Customer reply replied 5 years ago
Ok
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK
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Customer reply replied 5 years ago
What else
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
That's entirely up to you.
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Customer reply replied 5 years ago
Not sure i want to be away from my family if i do the eating disorder treatment
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Well, from what you've told me it would sound like a welcome relief from your mother and maybe your father, and by your own admission, it doesn't sound like your sisters will miss you much. And, looking at it another way--a little silly, I know--a two week vacation is something many people take.
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Customer reply replied 5 years ago
But i love my family and 2 weeks away is a long time. And my little cousin is only here til august
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Two weeks is not a long time and you owe it to your cousin to get well so you can be there for him--let's not get into excuses and if onlys and what if's.
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Customer reply replied 5 years ago
Maybe im not ready to
Go
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
I never said you were ready, but that doesn't matter--in a case like yours I'd be very surprised if you said you were 100% sure it was time to go.
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Customer reply replied 5 years ago
I dont think im even 15% sure anymore
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
It doesn't matter
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Customer reply replied 5 years ago
It does matter. I dont know if i want to mention it to my dr
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
No, whether or not you want to go doesn't matter. It's just like the alcoholics and drug addicts I work with--hardly any of them are ready to go to treatment, or so they say. I just say I never expect them to be fully ready and, if they refuse, I just say they're entirely welcome to continue to suffer and to get worse.
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Customer reply replied 5 years ago
Im ok with suffering and getting worse
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Fine--you have my permission to do so.
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Customer reply replied 5 years ago
I think that you are angry with me
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Not at all--if you will, it's called tough love. I just won't fall into your trap of agreeing to feeling sorry for you along with yourself.
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Customer reply replied 5 years ago
I dont think i feel sorry for myself
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
I do.
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Customer reply replied 5 years ago
How so
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago

Doesn't really matter for the point of our discussion but your saying you were OK with suffering and getting worse was one clue. But we've neatly gotten off course here--back to just because you don't want to go to treatment or don't think you're ready is absolutely no argument against biting the bullet and going.

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Customer reply replied 5 years ago
It is an argument for not going. If i dont think im ready to gonwhat do you think the odds are that i will work on my issues
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
You can argue all you want--it won't change facts. I've known you long enough to be straight and to the point here--I don't think you can ever make any progress with the eating problem without inpatient treatment.
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Customer reply replied 5 years ago
Thanks for that. It was a real confidence booster. Just what i needed to end my already crappy day
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Now you are definitely feeling sorry for yourself. Don't ever expect me to tell you something I don't believe just to make you feel better--that won't help you in the least. Let me put it this way--if you do go into treatment, I would consider that to be a greater show of power on your part than if you refused to go.
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Customer reply replied 5 years ago
I need my family. I cannot be away from them for 2 weeks
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Pardon my French--that's BS but let's drop the subject. I'll just finish with saying that if you refuse to go, you're in a deep denial and you aren't capable of recognizing that. Not your fault--I've had a lot of experience with it.
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Customer reply replied 5 years ago
Everyone makes it seem like my fault. The drs ive seen in the past week make me feel like this is all my fault. That all i need to do is deink/eat and i would feel better. Yes they are correct but its not that easy for me to do
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
I never once have said the disorder is your fault.
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Customer reply replied 5 years ago
Not you. But everyone else does
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
stick with me and let go of what they think
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Customer reply replied 5 years ago
No because it makes me so mad. I am not stupid. I know that if i eat/drink i will feel better. But they dont realize that i cant do that. I may have an eating disorder but i still deserve to be treated with respect. They could atleast try to treat the symptoms
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Remember what I said long ago about resentments--like resenting the fact they don't treat you with respect--they don't lose any sleep over that. Getting angry over others' ignorance is really a waste of energy.
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Customer reply replied 5 years ago
I dont care
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Thanks for sharing that--so what?
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Customer reply replied 5 years ago
Im just having a really bad day. But im sure tomorrow will be better
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Do you realize how much anger you have right now?
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Customer reply replied 5 years ago
i do
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Important--very important--who all are you angry at and why?
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Customer reply replied 5 years ago
I feel like Im angry at everyone which i know is impossible. Ive just been angry lately
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Not any anger towards yourself? And, another important point--why exactly does one get angry?
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Customer reply replied 5 years ago
I am constantly angry with myself
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Why?
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Customer reply replied 5 years ago
I get angry at myself for getting angry at others
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
That's the only reason?
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Customer reply replied 5 years ago
That and for continuing to let this disorder kick my butt. But mainly because im angry at others is why im angry at myself
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--so we're basically talking about a control issue, or, rather a lack of control over other's reactions and your anger towards that and towards your not having the power to control the eating disorder by yourself.
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Customer reply replied 5 years ago
Huh?
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
What part of that wasn't clear?
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Customer reply replied 5 years ago
Nvm. I read it again.
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
your response?
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Customer reply replied 5 years ago
That its true
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--at least with my alcoholics and drug addicts I tell them that the only way you regain control is to let go and admit that you're powerless over the addiction--that you've tried your best to beat it and it just didn't work. If you don't stop fighting an unwinnable battle, all you do is exhaust yourself.
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Customer reply replied 5 years ago
But i still think its winnable
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
That's the denial part
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Customer reply replied 5 years ago
what
Customer reply replied 5 years ago
i dont have plans on it ever getting bad enough that i would need to be admitted
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago

Too late--it's already that bad.

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Customer reply replied 5 years ago
It is not that bad. I still have the say whether or not i be admitted
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
You've missed my whole point, but no matter.
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Customer reply replied 5 years ago
What exactly was your point
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
You're in denial and you either don't see things clearly (which I think is the case and not your fault) or you're just ignoring and refusing to talk about how you need the treatment. Either way, it will probably mean you won't agree to treatment. It's the old analogy of one expression of insanity is doing the same thing over and over expecting different results or the guy that keeps pushing the already illuminated elevator button again and again thinking it'll make the cab arrive faster.
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Customer reply replied 5 years ago
I see things clearly
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
If that's true, then you have decided to go to treatment--congratulations.
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Customer reply replied 5 years ago
I can think clearly and decide i dont need treatment
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--I've heard the same thing from drug addicts and several times they were dead not long after they made that statment.
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Customer reply replied 5 years ago
Thats comforting.
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Just the facts, ma'am. Listen--whether you realize it or not, what I've been trying to do with all this is to hold a therapy session with you, limited as it is with this internet thing. My goal was not to convince you of anything in particular like going to treatment, just to make some comments that hopefully made you think for a moment. My experience with the denial problem is you usually can't get through the wall but sometimes you can chip away a small piece of it so that a little water seeps through the dam. Then, later, maybe the dam will eventually burst. Sometimes, though, the wall holds no matter what. I'm not at all angry if you don't accept anything I've said and if you think I've got it all wrong--I wasn't trying to win any battles here.
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Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Sleep well--either get back to me early in the morning or tomorrow evening if you'd like.
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Customer reply replied 5 years ago
i have taken 50 mg of metoprolol. Instead of 12.5
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
How did that happen?
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Customer reply replied 5 years ago
Sometimes ill just take a whole one instead of taking it twice a day. I just took one about 5 mins ago but im pretty sure i took One this am
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Could cause a significant drop in your blood pressure--are you able to measure that?
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Customer reply replied 5 years ago
Even if its just 50mg. Half hour ago it was 118/82
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
That's still double the usual dose but so long as your pressure doesn't drop to say a less than 100 systolic, you'll be OK. Were you to see your doctor today?
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Customer reply replied 5 years ago
I saw him earlier
Customer reply replied 5 years ago
Nothing
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--'nuf said.
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Customer reply replied 5 years ago
Oh and i may have take 3 25 mg tabs
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago

Same answer--watch your blood pressure.

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Customer reply replied 5 years ago
For how long. Right now its 112/58
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
At least for another two hours.
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Customer reply replied 5 years ago
I feel dizzy and woozy but my bp is fine
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
long as it stays above 100, no problem.
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Customer reply replied 5 years ago
I know its stupid of me
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Well, no real harm done.
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Customer reply replied 5 years ago
Im just really sad
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
About?
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Customer reply replied 5 years ago
I dont really know
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Well--I really don't see a need to talk much about it, but I assume you've decided not to go into treatment?
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Customer reply replied 5 years ago
Ya basically.
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--no need ever to discuss that again.
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Customer reply replied 5 years ago
Nope I guess not
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
what does that leave for us to talk about?
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Customer reply replied 5 years ago
Nothing really. What would happen if i took the whole bottle of metoprolol
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
I won't go there--that's against JA regulations.
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Customer reply replied 5 years ago
Ok
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
What else?
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Customer reply replied 5 years ago
i dont have to worry about my bp later this evening or tonight.
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
No
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Customer reply replied 5 years ago
K i have nothing more to say. I think i wont need you anymore
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Entirely your choice, but I'll be here if and when you do. Hope at least you consider all the things I've said and what we've talked about.
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Customer reply replied 5 years ago
im admitted to the hospital. Just a plain hospital mind u not an eating disorder one
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--what's the plan?
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Customer reply replied 5 years ago
Get lots of fluids. Talk to a psychiatrist and ya
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
How did you end up in the hospital?
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Customer reply replied 5 years ago
I called my dr cuz i had blurred vision and seeing spots and thats what he recommended
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
what has the physical workup shown?
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Customer reply replied 5 years ago
Low blood sugar. Idk what else
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Well, what about the cause of all the problems--just low blood sugar? Any testing to see why it was low?
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Customer reply replied 5 years ago
The cause if the low blood sugar is prob cuz i havent eaten
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--so is this a new psychiatrist you'll be seeing?
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Customer reply replied 5 years ago
Its someone ive never seen before
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--earlier you said you didn't think you'd need me anymore. While I'm glad you came back, can I ask why you did?
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Customer reply replied 5 years ago
Im lonely right now. Early when i said that i had plans on taking my whole bottle of pills
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
OK--I'm here like I said I would be.
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Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
You still with me?
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Customer reply replied 5 years ago
Sorry fell asleep
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
How long you gonna be in the hospital?
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Customer reply replied 5 years ago
I dont know im hoping im out today sometime
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Have you seen the new psychiatrist?
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Customer reply replied 5 years ago
No
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Aren't you supposed to before leaving the hospital?
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Customer reply replied 5 years ago
Ya
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
I guess you'll be there until you do.
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Customer reply replied 5 years ago
I was thinking id grt out today but am not so sure anymore since i developed diarrhea
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Anybody visited you yet while you've been in the hospital?
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Customer reply replied 5 years ago
My fiance came last night for an hour
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
How did that go?
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Customer reply replied 5 years ago
It went alright
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
What about your sisters?
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Customer reply replied 5 years ago
Havent talked to them
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
Still sad and lonely?
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Customer reply replied 5 years ago
Ya
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
How can I help?
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Customer reply replied 5 years ago
You cant
Health Professional: Dr. Chip, Doctor (MD) replied 5 years ago
That's very cynical or defeatist, but if and when you think I can, let me know. And we need to close this page--much too long again.
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Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

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