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it sounds like they are recommending that you have a new chest CT scan

fullness of L hilum.

could be from blood vessels.
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Customer reply replied 5 years ago

here is the mri of liver an what does L hilum mean




ort


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Exam Number: 17245438 Report Status: Final Type: MRI Liver WWO Date/Time: 06/12/2014 14:20 Exam Code: MRILIVWWO Ordering Provider: Rosovsky, Rachel P MD HISTORY: NEOPLASM-EXTRA-ABDOMINAL PRIMARY, ABNORMAL CT SCAN - Info for Rad: Liver MRI. History of lung cancer. New lesion on abd CT in liver. Rule out metastatic disease. Pt needs IV conscious sedation for this exam. REPORT TECHNIQUE: MR of the upper abdomen WITH AND WITHOUT intravenous Eovist contrast. COMPARISON: Abdomen and pelvis CT from 5/9/2014, liver MRI performed on 6/20/2004 FINDINGS: LIVER: There is diffuse hepatic steatosis including prominent signal dropout within the area of abnormality within segment 4 (series 900, image 20) in an area where there has been a stable hypodensity on CT. In the area of abnormality noted within segment 8 near the hepatic dome on the most recent CT, there is no focal hepatic lesion. BILIARY: Focal intrahepatic biliary ductal dilatation within segment 2 (series 6, image 16), does not appear significantly changed since 2004. PANCREAS: No mass or ductal dilatation. SPLEEN: No splenomegaly. ADRENALS: No nodules. KIDNEYS: No hydronephrosis or mass in the imaged portion of the kidneys. PERITONEUM / RETROPERITONEUM: No upper abdominal free fluid. LYMPH NODES: No upper abdominal lymphadenopathy. VESSELS: Unremarkable. BONES AND SOFT TISSUES: Unremarkable. IMPRESSION: No evidence of metastatic disease. Specifically, no MRI correlate for the finding on recent CT, which may have reflected branching vessels. Focal fat in segment 4 superimposed on diffuse hepatic steatosis. PROVIDERS: SIGNATURES: Chow, David Z MD Gee, Michael S. MD PHD Gee, Michael S. MD PHD






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Customer reply replied 5 years ago

would it have made a difference that the first xray was standing up an the second was laying down the day after mri where i was given benzos i couldnt walk without weakness severe. hypotension jittery an now anti biotics blood vessels dialate does this make sense just so bad on benzos birth control steroids an anti anxiety an antidepressants an statins all cause the same effect which i thought was water retention just so weak an anxious so they did x ray in the bed make a diff.....they should wait til i am off anti biotics an repeat reg. xray dont you think i dont know you are the dr.

you can get the chest xray repeated.

I'm not to worried about it.
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Customer reply replied 5 years ago

i still an jittery an weak an heavy feeling an my vision is blurred 3 days on antibiotics an not helping stools are very light in color with black from antibiotics i think ......do you think they should already be working , can i just stop this .........feeling yukky an sick.........is L hilum a breathing thing i do have some sleep apnea....... i did the study in hosp. last yr....... but i feel ok with breathing i am just so tired weakness is what bothers me the most

I told you that antibiotics would most likely not help

I don't think this an infectious disease sort of thing.

you have black in your stools?

sleep apnea comes from being overweight and swelling in the throat and tongue blocking off your airway when you sleep. usually with really bad snoring.

do you snore.
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Customer reply replied 5 years ago

i am not overweight 143 lbs 5ft 6in i know u said anti biotics wouldnt work............. i dont think infectious disease either.....stools light an black are from antibiotics i was told i had copd an sleep apnea no i dont snore heck i dont sleep an when i was in hosp. overnight for sleep study i did not sleep all night insomnia is the problem i see a chiropractor today i am just so weak in my mid back an ankles legs wrists an heaviness in the head an vision trouble an jitters shakiness . it is hard to walk .cannot hold a spoon at times an everything is heavy i am so weak when i stand up i get right side stomach discomfort an then weakness an i need to sit or lay down i feel like crying i am so bad shouldnt i see a neurologist i dont have one .just weak an jittery thanks for helping me keep trying ttys have a great day

I hope the chiropractor helps today.
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Customer reply replied 5 years ago

so weak an the chiro helped relax some of the nerves in the mid back she said the reason i am sick when i stand up is the vasovagal nerve in stomach also she took my vitals an blood pressure ok with sitting but standing up 85/72 blood pressure dropping ...she gave me some vit. d supplements . an said i should see neurologist to see why nervous sytem is making me weak.i cried when she made me lie on stomach an on back just so sick with these positions sitting is the best position . so i was slightly better...an told her about meds given to me in iv with mri she said drs. dont listen or read charts she said i may still be coming off that drug benzos i asked about meds for phychotic meds an she said sometimes it acts diff than benzos but recommends a neurologist .

I recommend a neurologist as well.
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Customer reply replied 5 years ago

thanks .i spoke with nova institute for immune deficiancy chronic fatigue syndrome there are 2 big drs. dr. . ray an dr. klimus who specialize in this immune problem i should hear more they are sending me info in mail well .......chiropractor also says sounds like m.s. an all the symptoms it may mimic that .....doing some research of my own these 2 doctor s are in demand an not accepting new patients but have new people that were taught thru them so i will see what happens

good luck

I agree with testing for MS

you need a spine MRI scan and a spinal tap.

neurologist can order these tests
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Customer reply replied 5 years ago

yes they should redo a spinal tap which in 2005 was two obligonal bands which some say nothin an some drs. say m.s .i agree with mri of the spine but my dr. will an is not gonna do that for me.......he says anxiety depression i am also gonna speak with a manager case worker about phyche services i spoke with him an he said i knew a lot about medical stuff , an i seem levelheaded ......i see him tomorrow i found out about the ward they put u is you stay 3 days an try diff. meds u cannot sign yourself out a shrink has the ability to keep you there so that i dont agree. but i will talk with him an i told him about neurologist an he said he would help talk to my dr. about it. he cant get me one.. my dr. will not do anymore for me seeing he thinks this is anxiety depression an so i actually walked better today still jittery bit walked in a store she calmed my nervous system with manipulations an she does wonders had her before she know my history she cant believe when u tell drs. not to give u meds that cause trouble they still do anyway so i see 2 drs. tomorrow but a lot calmer today an i took unison last night but kept waking up with jitters ect. trying to calm me down as long as i dont feel weak in legs ankles i dont freak out i feel like i will be crippled maybe still coming off the benzos as the chiro says just like levaquin an antibiotic i once took coud walk or move so bad....i am still on antibiotics its helping my blood pressure standing today was 85/72 not good weakness but i feel somewhat better thanks

I am glad you feel better today.

good to talk to case worker.
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Customer reply replied 5 years ago

my mid back is so bad maybe i pushed it today cant stand or walk without pain an weakness ........ i will let you know what happens with these drs. feeling crippled .well ttys have a nice night ......i will rae u excellent again as always ...thanks

thanks
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Customer reply replied 5 years ago

hi, insomnia again last night .....been up since 230 am ............woke up feel dizzy, jittery, tense, wrist an ankles feel swollen an vision is distorted, can this be anxiety in my sleep?
trying to shake of this feeling its a nightmare lately............coud this be the benzos still in my system......i am so afraid of taking anything now again. what do u think?

you can have excessive anxiety at night time as well.

no, the benzos would not still be in your system
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Customer reply replied 5 years ago

how except meds do i rid this?

I don't know

might be only meds

you might need cogneitive behavoral therapy

or exposure therapy from a psychotherapist to help decrease your anxiety symptoms.
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Customer reply replied 5 years ago

i already have cognitive behavior therapy.............. for yrs. sleep deprivation is causing this anxiety whats exposure therapy? do you think i need the ward u have to volenteer 3 days without leaving an then shrink will say if u can leave after that. u cant dismiss yourself ..an afraid if they give me drugs like benzos an keep me on them telling me its in my head just like they didnt believe me when i was sick from the benzos can a person actually die from being there on these meds. as you know i am terrified.......... i have no reason to be anxious i live in a nice home i have no kids i am just sleep deprived an this is my anxiety , muscles dont work right an weakness from lack of sleep . does this make sense ..i am seeing a phychologist today an the case manger for that program in mental ward............just thinking about mental drives me crazy. still the stigma behind this....... what would you do? ttys

anxiety disorder does not have a reason to cause anxiety

I am glad you are seeing a psychologist.

I would volunteer and try the medications and stay for 3 days and see if medications help.
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Customer reply replied 5 years ago

i am so sick upper stomach again an weakness ect maybe i will consider just terrified ......... the thing is if i am not well after that they will keep me against my will...... not liking that ..........i am quitting antibiotics today also didnt do anything for me . thanks..........................

they won't keep you against your will after 3 days.

but you have to give them some time to see if the medications will work for you.
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Customer reply replied 5 years ago

hi spoke with intake manager he said that mental ward hosp. was not the place for me....there is an other option a place to rest away from home councellers on the premises own room an do not have to take meds...a doctor comes everyday its 3 days volenteer for this program . u need evaluation an sounds better to me. he said if u will try meds they would help with that also. so gonna call this its like a crisis center for people with anxiety issues ect. no drug addicts or alcholics been having chest pains an sick feeling no sleep is causing this .just exhausted...... totally well tty soon told them i speak with u an you been dead on with what ails me an you r better than anyone here . so thanks have a nice day .

hopefully this rest place will be better for you where you can try medications.

no drug addicts and no alcoholics is good.

I hope you can find the right medications for you.
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Customer reply replied 5 years ago

they just asked me to come in at 4 to be evaluated so wish me luck ttys

good luck to you

you will do great!

BOSTON STRONG!!!!!
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Customer reply replied 5 years ago

hello i am wiped out so tired an weak ........anyway had 2 phsyche evaluation an both programs are not for me they said . ..............he wants me to do partial out patient group therapy for my anxiety he an the other intake worker thinks this is what will help me since i cannot do medications ... so there is no overnight stay just a daily program i hope i sleep i am so tired sometimes i cant move, weakness killing me so exhausted.... my body is run down.........been up since 2 am no sleep .this is whats ailing me sleep deprivation... thanks for your support oh course have a good night ......

I hope you get some sleep

I hope your anixety gets better

outpatient treatment is ok.
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Customer reply replied 5 years ago

hi . took a unisom i slept ok........but when i get up to walk , blurred vision, i am shaky, weak legs, an upper rightside stomach sick an arms weak an shakiness an jittery an weak ..no group therapy is gonna help with this . i feel disoriented with upright position ............so tired of this as you know...... i think they think talk therapy is best cause i live with a alchoholic........which is really not my problem........so sick even though i had sleep.........they said they didnt want a neurologist since i seen so many in the past.....an they all say anxiety...............but why do i only get anxiety with upright position doesnt make sense to me...........i feel like i am falling off chair even though i am sitting..........idont know there is no help as you can see that is fit for me. the light bothers my eyes noise bothers my ears. tightness in upper trapeze area. right side .weak thats all i am weak..they are probably gonna talk to me about living with this issue.......an dont talk or dwell on it......well they arent the one feeling this discomfort................so long time an still sick...............idk i stopped all antibiotics including 3 a day omeprazole now only taking 1 a day why am i so sick an disoriented ....feeling unwell...........i do not have many good days ...............mornings my worst an vision is a problem

you wake up with anixety.

so it is not just when you are in a upright position.
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Customer reply replied 5 years ago

true,but not all the time seems like the anxiety was worse after cat scan lesion on the liver then the mri........... ..... i know i been off balance for yrs. with neurological issues weak an stomach would only bother me at times ......what do you think? still seems like there is more to this than anxiety hmm i need you to be honest if you were my dr. what would you do for me?

I told you that you had excessive anxiety before and you almost ripped my head off before

now you seem more willing to acept this as least part of what is going on.
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Customer reply replied 5 years ago

yes i am accepting that i just dont know what to do for it........i went to store an my muscles are progressivly getting worse. weak back, arms,legs an disoriented i the head,,,, vision is not right .. light bothers my eyes..... seems worse when i get up to walk or stand .... i tell u its like m.s. i feel like i will be crippled .arms tingle an legs an hed just not right .........scared to death as i was an independent person ......just so weak called dr. again today...... like u i do not know how group therapy is gonna work........just so weak an disoriented .... an u say this is anxiety .....never had this severe weakness like i do since 2 months ago ......so disabling . feels like m.s. an there is no good way to treat that either except steroids. i am doomed . nothin worse than being so weak........i used to walk around the mall now i am lucky to walk into a mall.......i am just so disoriented back stiffness an pain an legs weak an upper back spasms an arms weak an my balance if way off.......anxiety can be caused from ms i guess do u think group is gonna help? i really dont see how......................is there anything i can do to get strength back .i am desperate an sick of feeling disabled .

Is you psychiatrist willing to try you on medications?
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Customer reply replied 5 years ago

no, he knows how drugs affect me ..... an doesnt think thats the right treatment.....i still think m.s. .i can barely walk ........i only seen the shrink 2 times an many phychologists.....the shrink wanted to try meds but didnt have a hosp. part to put me. an he said the mental ward was not the place for people like me.......an sent me to case manager who thought the getaway the home where u get councelled was ok an so i had a evaluation an they decided that wasnt the place fore me since most of then smoke, or are battered, or anyway they came up with group therapy since i cant tolerate meds. i just dont think this is gonna help........hello i am a chronic insomniac , i am weak, an disorieted just like aa i just dont fit in anywhere ......i am too difficult i guess an they cant be bothered with me i guess..... an yes i am actually listening to you about having anxiety i know i do but this weakness just doesnt seem a part...balance trouble for 14 yrs. has to be more than anxiety...........been all over to most drs. here in mass. an in boston... they just cant come up with a direct diagnoses . so suffer i do....... ttys what would you do? i dont drink, smoke, drugs, no sex, i am like a nun an i am the sick one. ..just need relief at this point...........

If you think ms then you need a spine MRI and a spinal tap and you have to be will to take treatments for ms
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Customer reply replied 5 years ago

again i cannot order tests from these stubborn drs. who think my problem is anxiety depression .................... . like i said even if it were m.s. i cannot tolerate medication ....u act as though i never tried meds. before i have tried........ an no way can i take steroids. an other meds. cause they cause me trouble worse than the way i am................ i just would like to know the real diagnoses so i can see what is best without medication........... .........i know so many drug addict s i wish i could take them i dont want to be sicker as you seen with benzos i end up in the e,r an it takes a long time to get out of my system..........this is not anxiety.....its poison to my body....i cant move an shake ect. lose weight bad side effects.........i am willing to do spinal tap again.......to see the obligonal bands . i had 2 then an i probaly need mri of brain again to see . why i am so off balance an why my muscles are not working right. weakness is killing me

then there is no point in doing an MS workup if you can't get MS treatment.
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Customer reply replied 5 years ago

my phychologist called today an i told him what those drs shrink an case managers . want to do..... an he said what................that is not gonna work........he said yes u have anxiety but the symptoms are making you that way.....i been walking around today not far but such weakness in muscles an leg s an its affecting my arms weak blurred vision muscles are weak an its disabling ....... an i cant see this being just anxiety. sounds like u r sick of trying to help also. all u say is the dr. should put me on meds........why so i will shut up an die... cause after the benzos i really felt like i was dying..... severe issues u drs. like to see people suffer .i thought u were suppose to help a person with med.issues i am beginning to think there is no help an never will be any help. an do u see me anxious about that xray.i am not probably blood vessels like u say....... but my breathing is labored cause i have copd. short distance walk, i am tired sweats an weak...legs ........... just dont get it an you are not on my side either dont u think a person knows themself.........yes i have anxiety no its not anxiety proble its my debilitating symptoms the weakness stiffness an balance trouble an vision trouble the problem now u tell me i know u know some neurologists this is there specialty to deal with the nervous system an spinal cord...............these symptoms are their specialty......... ...but i cant find a independent dr. here cause they want my medical record an they see anxiety depression an turn the other way telling me they cannot help it sucks but it is the truth ............i am on the blacklist . i complain too much .........my opinion................sounds like u r turning away too . i need answers..................... not anxiety fix the real problem then the anxiety will go away........

you seem to know what is best for you

it doesn't seem like you want my help.
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Customer reply replied 5 years ago

you dont know me but what i write............. how can you say that. i have trusted you throughout this ordeal better than my own drs. you have been dead on ... i agree i have anxiety / i really agree............problem i cannot tolerate medication . but you keep saying try meds. lots of meds. screw me up.........so when u say that . it seems like u dont listen . you know other drs. an they can give ther opinion weakness in muscles , balance trouble , vision blurred ect. ask them a neuro dr . this isnt just anxiety.....i had terrible anxiety with the benzo as you know an steroids an ect. i tried them so why torture me more . if i were your patient what would you do for me seriously>

I never said try lots of meds.

your anxiety gets so build up when you try meds and this is why you have had anxiety when you try meds.

I don't listen.

if I don't listen why are you coming back

this is 56 back and forth responses we have had so far on this thread.

there are other medications to treat anxiety besides benzos.
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Customer reply replied 5 years ago

no i said i tried lots of meds. yes i have anxiety when i am being asked to try meds. cause they all have caused me problems ..i meant about u listening that i say i cannot take meds an u say i need to try meds. sorry about the 56 back an forth but i know u can help .why then do you think i am scared to try diff, meds. here is the meds. i tried in past. with problems ..........ok xanax, prozak, paxil, valium. clonapin. ativan. amlytripilins , zoloff, methyprednesonolone....... cant take lo dose birth control. cant take progesterone cream bio-identical, flexeril..... pain meds. perkoset , vicodin oxycontin . much more. i tried ambiam had me awake 3 days its suppose to help u sleep..... these drugs act opposite on me i dont now why skelaxton , flexeril now this is why i am terrified look at all those drugs that have caused me trouble side effects. woudnt u be anxious be honest. .

you have anxiety disorder.

I don't have anxiety disorder

I have tried medications without problems.

you don't have bad reactions to all medications

you can take your sleep medication you take at home

it is hard to know if your reacts are true reactions or if you are just working yourself up like before the MRi scan. remember those symptoms you had before the MRI scan?

it is not like I don't want to help you

but you are a super challenging case

and I have talked to you and chatting with you for years now.

and you are no better.

so I don't think more chatting will help you.

you don't seem willing to try medications.

medications is how we treat anxiety disorder.

so I don't know what you are looking for

you keep thinking that there might be some other rare disorder which could be causing your symptoms.

and I don't think you will ever find that disorder.
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Customer reply replied 5 years ago

well "you told me i guess. i wasnt anxious about getting mri.......i was anxious about what would show on the mri an who wouldnt be if they had stage 3 lung cancer. and i get sick after mri cause of the meds. .......my sleep med at home has diphenhydramine in it. an i take a quarter of one pill when normal dose is 2 pills for adults. and i never said u have anxiety disorder ... yes i am challenging. thanks for nothin dont worry i hear you loud an clear i wont ask you anymore questions .... i guess after all these yrs. you are right you cannot help either.........so thanks for more anxiety.... have a good life ...........i will rate you now

quot;thanks for nothing"

that is nice of you.
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Customer reply replied 5 years ago

hurting badly......dr. gave me some anti inflammatories ..........i think this is post menapausal ........lack of estrogen , progesterone an testosterone .......causes this in lots of women over age 50 .............also known as fibromyalgia .................complex pain syndrome........... makes sense to me . my muscles hurt. an are tense an severe weakness. ..............it affects vision too....yes i have anxiety due to pain issues. an this is why they are sending me to group i am working hard with my medical advisor.............to help.......... but anxiety comes after pain .. not pain from anxiety..............didnt say you did nothin .........you been helpful on my cancer....... an i am not stressing about xray ........ that shows something. if i could tolerate hormonal therapy that would be the right method but i cannot............ an estrogen alone is not for me since i have my ovaries an i have cancer as this causes cancer in some. it has to be mixed with progesterone so cancer risk isnt high..... make sense .............yes i got irritated at you because u kept saying my anxiety was the problem an it isnt its pain affecting my anxiety.... we need to treat the pain then the mental health improves.............. ttys an yes does it bother you that this thread is so long...if so i will ask new on new forum again or if u wish not to talk telll me.

if you are in pain, then you should be on pain medications.

but you can't tolerate pain medications either.
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Customer reply replied 5 years ago

i can take ibiprofen 8oo mg. which they gave me today..an i can take vicodin 5 mg. if i take it in halves .or a quarter of one. but it does depress me too . like sleep aids they cause same trouble . just so weak an my muscles hurt bad. mid back an also upper neck trapezius area always in spasm an it hurts to touch . arms weak an legs weak an my vision not right like blurred an dry an ect. disoriented in my head due to this. i am going to therapy tomorrow after 2 evaluations. at hosp. to see what program will help me best . since i dont tolerate meds //////// will see what happens. ttys... lyrica is for this type issue but so many side effects. i know you are a oncologist so please just help with that ok. i will do cat scan for chest next month an i will show you that. ok . ttys an sorry for any bad remarks since i am in so much distress lately but people tell me anxiety an it actually causes more anxiety. it spain an weakness then anxiety......... have a good night i will rate you after this an get back to you soon.

too night.
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Customer reply replied 5 years ago

whats too night...

sorry.

good night.
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Customer reply replied 5 years ago

i am totally outraged right now..........these mental health people think they know it all....my muscles hurt an i feel stiff an weak bad....an they wanted to put me in a partial program hospitalization like 9-3 everyday... an do 12 step program like aa.. or alanoni this is not gonna work for me cant believe this was their plan for me. getting sick of all damn drs. who think they know it all... i am more anxious now than i ever was they said i had ptsd......the problem is there is no program for people like me i am straight an i hurt all over... i am gonna start muy own outpatient hosp. for people like me an i know 22 people now whao arent getting the right treatment from drs. the old way one doctor. was better, this new learning way is not helping people. pills are not the answer to help people it just covers up their real problem.... an makes most zombies. i just told them to stick it they are putting me in an early grave.

I am sorry you are not finding a treatment program which will work for you
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Customer reply replied 5 years ago

are you really sorry ....or are you just like them .... i know u mentioned this long thread a few times. you are sick of listening to me too...dont blame you..... my anxiety is getting worse .yes. i am labeled an i think its the wrong label............ anywhere i go it will be on my record....... just gonna suffer at home never go to er or dr. again. i swear my dr. gave me a placebo antibiotics didnt do a damn thing for me. i no longer trust the medical world ...i however trust you when it comes to my scans .that is all cause i dont believe u when u say anxiety is causing my muscles to be this way. i dont buy it......never will......... meds are not for me. it paralizes me. an this does happen in a small percent of people i am now gonna start drinkin again ....you drs. drive me to drink thanks i know enough well nite to you too

quot;you doctors drive me to drink, thanks"

thanks for that

does drinking help decrease your anxiety symptoms?

alcohol often acts very similarly to benzo medications to help decrease anxiety
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Customer reply replied 5 years ago

no dinking actually does help me ........ unlike benzos....they paralize me ... not the same for sure...................well these drs. have decieved me i dont know whats wrong with me but my stiff weak muscles an balance trouble an vision trouble are causing anxiety an it would cause anxiety in anyone .....i am now on my own drs. will not help me anymore . i do not care what was on the xray...........i am now not gonna do my cat scan next month cause i dont care anymore... i give up well nice talking u were helpful at one point, with cancer only......... but not when it comes to my mental health you dont know me nice chatting ....i will not reply after this .....i just give up.........................

well, that is good that drinking helps

drinking alcohol has very similar effect as benzos.

don't drink too much.
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DR SHAHZAD ONLY - Hi Doctor. Are you by any chance online? I have a question for you about scalene muscle. Are you available ?… read more
Dr. SH
Dr. SH
Board Certified Physician
Doctoral Degree
6,761 satisfied customers
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Doctoral Degree
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A. Schuyler, NP
12,886 satisfied customers
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hi dr. david.. didnt do that program .my back has been in pain an spasm all day. arms an legs weak. i was reading if you have cancer an you have back pain an weakness the cancer may have spread somewh… read more
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Dr. David
Board Certified Physician
Post-Doctoral Degree
55,805 satisfied customers
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55,805 satisfied customers
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Doctoral Degree
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Hi i had post concussion syndrome from hitting my head 9 months ago and developed anxiety disorder and was on benzos for 5 months to treat them. I have been off benzos 60 days and am having some sympt… read more
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Doctoral Degree
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Just Googled and found this forum, and this is the closest
Just Googled and found this forum, and this is the closest I've read to what I've been experiencing for many months! I have episodes like this about every 3 wks, in the a.m., lasting only a second or … read more
Dr. Singh
Dr. Singh
Physician
Doctoral Degree
2,715 satisfied customers
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Dr. Mark
private practice of Internal Medicine
Doctoral Degree
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