Yittz's Clinic!!

[hyperlink989]

Its more like circulating your oxygenated blood around your body in hopes that the brain will get the heart functioning...

[Han Solo]

this is actually about my grandmother. she's in her 80s, and for the last couple of months, she's been having fevers at night. they occured when she was younger, too, but more and more frequently now. her forehead gets hot around 8pm at night, and stays hot until she wakes up the next morning. she doesn't have any other flu symptoms, just the fever. and she doesn't feel hot anywhere else. she mentioned it to her doctor, and he was just basically like, "mmm hmmm, i see." -_-

any idea what could be the matter? it happens a few times a week now. she has high blood pressure and high cholesterol. and has trouble walking. the reason for that is unknown, too. and her doctor seems to not care. yeah, i don't like him.

Does she have fever or high temperature at night? or is just a flushing sensation of feeling hot?

Does she have any shakes that are uncontrollable?

Does she have any sweating especially at night?

Has the following happened recently:-
1) Loss of weight?
2) Coughing especially if coughing up blood?
3) Any new medications?
4) Any visit to any foreign countries?

Does she ever have any history of illnesses such as tuberculosis?

Fever, especially unexplained fever over many many days should be investigated, imho, as there could potentially be something serious. Did her doctor did any investigations at all?

Han Solo

[Han Solo]

What are the longterm effects of 'cracking' your knuckles?

And also...a lil offtopic...i plan on becoming a chemist...hopefully atleast >_>"
Would Physics be beneficial towards being a chemist?

1) Knuckle cracking is actually a release of nitrogen gas in the joint, at least one of the theories anyway.

My rheumatology professor once told me that it should not cause arthritis, for what it is worth.

2) Yes, physics is important in chemistry and biology. All 3 which is important in Pharmacy studies. How else would you explain all the physical laws that govern the chemistry of certain medications?

Han Solo

[Suet Seung]

1) Knuckle cracking is actually a release of nitrogen gas in the joint, at least one of the theories anyway.

My rheumatology professor once told me that it should not cause arthritis, for what it is worth.

2) Yes, physics is important in chemistry and biology. All 3 which is important in Pharmacy studies. How else would you explain all the physical laws that govern the chemistry of certain medications?

Han Solo

Does that apply to cracking other parts of the body?

[Han Solo]

Dr. Han:

I saw a news report on the Lancet about a study concluding that chest compressions only has a better effect than normal CPR to rescusitate a person. From my "general" knowledge of the body, this does make sense.

The point of CPR is to jump the heart; the mouth-to-mouth part is to supply the brain with oxygen. However, ur body should have enough oxygen in the blood stream to supply ur brain for 10 min (?).
SO is it better to do chest compressions only?

Heres the article: LINK

What yittz said.

Basically, the simpler it is, the less likely the general public will mess it up.

This is something that has continuous evolve since we started to teach the general public CPR, the initial 2 breath has already been eliminated and teaching the "calipher rule" about the cardiac compression too has been eliminated as it confuses by-standers, and limit their ability to do the most important thing, which is trying to compress the chest to return some blood to the brain and other important organs.

Obviously in a trained persons, depriving the mouth to mouth resuscitation may likely cause a worse outcome, but there will never be a trial on this.

Han Solo

[Han Solo]

ive always wondered about supplying oxygen thru the mouth-to-mouth. isnt when we blow/exhale into the mouth we're actually depositing CO2? i read something about this on an article saying that it's actually useless to do the mouth-to-mouth resuscitation because of this (that we're blowing CO2 into the chest)....is this true?

Atmospheric CO2- 0.3%
Exhaled CO2 ~ 3%.

Atmospheric O2~ 21%
Exhaled O2~ 18%

O2 in a person not breathing ~ will keep dropping.

So, it is always important to try to deliver some O2 of some sort- and exhaled O2 is something the only option.

Han Solo

[ghostdarTeal'c]

The O2 content would be lower than the air, but a lot higher than someone in respiratory arrest. When you do m-m, you take a good breath in, then immediately deposit that into their mouth, not like you hold your breath for a while and then blow it in. So no.

Atmospheric CO2- 0.3%
Exhaled CO2 ~ 3%.

Atmospheric O2~ 21%
Exhaled O2~ 18%

O2 in a person not breathing ~ will keep dropping.

ooooooo, I see.... thanx for the info, yittz, Dr Han. that helps a lot.... now i know how important it is to do the m-m thank god this stupid ghost hasnt killed anyone by this sheer ignorance

[Han Solo]

Its more like circulating your oxygenated blood around your body in hopes that the brain will get the heart functioning...

You do chest compression to deliver blood and oxygen to vital organs such as the brain and THE HEART- so that the heart start working again.

HAn solo

[Han Solo]

Does that apply to cracking other parts of the body?

Ya, it should.

Han SOlo

[pemberly]

Does she have fever or high temperature at night? or is just a flushing sensation of feeling hot?

Does she have any shakes that are uncontrollable?

Does she have any sweating especially at night?

Has the following happened recently:-
1) Loss of weight?
2) Coughing especially if coughing up blood?
3) Any new medications?
4) Any visit to any foreign countries?

Does she ever have any history of illnesses such as tuberculosis?

Fever, especially unexplained fever over many many days should be investigated, imho, as there could potentially be something serious. Did her doctor did any investigations at all?

Han Solo

1) she's probably gained a little weight, but she was always kinda heavy set. even as a farmer woman in a village in china.
2) no coughing.
3) no new meds. the stuff she takes, she's been taking for years. i just remember one of them is lipitor.
4) and she probably hasn't left the country in almost 2 decades.

she runs a fever. her forehead gets hot to the touch. no uncontrollable shakes. her hands are a little shaky, but i think that's just an age thing. she doesn't shake more than other 80 yr olds. i don't think any sweating, but she always did get warm very easily. as far back as i remember, she hated summers and would keep windows open in the winters. no history of tuberculosis. and all her doctor said was, "mmmhmmm." yeah, he kinda sucks. uh...she just had cataract surgery a few months ago.

[Han Solo]

1) she's probably gained a little weight, but she was always kinda heavy set. even as a farmer woman in a village in china.
2) no coughing.
3) no new meds. the stuff she takes, she's been taking for years. i just remember one of them is lipitor.
4) and she probably hasn't left the country in almost 2 decades.

she runs a fever. her forehead gets hot to the touch. no uncontrollable shakes. her hands are a little shaky, but i think that's just an age thing. she doesn't shake more than other 80 yr olds. i don't think any sweating, but she always did get warm very easily. as far back as i remember, she hated summers and would keep windows open in the winters. no history of tuberculosis. and all her doctor said was, "mmmhmmm." yeah, he kinda sucks. uh...she just had cataract surgery a few months ago.

Ask her doctor to do a few tests- if not done already

1) Full Blood Examination and Blood Film- FBE - To look for signs of infections with rise in white cells, and if so the subtypes of white cells.

2) Thyroid Function Test- TFT - To see if she has hyperthyroid disease. Feeling hot at winter, feeling hot at night, shaking - could be a thyroid disease.

3) Liver Function Test- LFT and Creatininine Kinase- CK--> She's on lipitor, and she had problems with walking, and now this drug fever. Lipitor and other statins have an idiosyncratic time with onset of myositis and other inflammation of the muscles. Fever could uncommonly with one of the symptoms.

4) Also urine test- as old people can often get asymptomatic urine infection, with only fever being the only sign.

Obviously if fever is persistent, then other things such as CXR.

If the basic tests are all normal though, i'm gonna be

Han Solo

[pemberly]

Ask her doctor to do a few tests- if not done already

1) Full Blood Examination and Blood Film- FBE - To look for signs of infections with rise in white cells, and if so the subtypes of white cells.

2) Thyroid Function Test- TFT - To see if she has hyperthyroid disease. Feeling hot at winter, feeling hot at night, shaking - could be a thyroid disease.

3) Liver Function Test- LFT and Creatininine Kinase- CK--> She's on lipitor, and she had problems with walking, and now this drug fever. Lipitor and other statins have an idiosyncratic time with onset of myositis and other inflammation of the muscles. Fever could uncommonly with one of the symptoms.

4) Also urine test- as old people can often get asymptomatic urine infection, with only fever being the only sign.

Obviously if fever is persistent, then other things such as CXR.

If the basic tests are all normal though, i'm gonna be

Han Solo

will do, but she hates going to the doctor, ha ha. i think she does have something the matter with her thyroid. she says in chinese that she takes something for it, but looking through her medication, i couldn't find anything for it.

[big master]

Dr. Han:

my pointer finger(shucks, is that what u call that finger, i totally forgot) feels painful in the joints when i wake up in the morning. it is hard to move it. the pain will lessen in the middle of the day but its still there. when i compare it to my other fingers, it looks swollen. this had been on for like 2 weeks. two days ago, that particular hand started to feel hot as in like when u have sunburns....mind telling me what do u think it is n what i must do? thanks doc han

[yearning]

Just wondering, is it normal to have abnormal menstral cycles if you skip a month or something on a regular basis? I heard it's due to stress, but mine's never been regular ever.

And is constant tiredness a sign of anemia? My friend who has anemia apparently says it is, so I'm toying with the idea of whether I should get a checkup haha.

[Versace]

Just wondering, is it normal to have abnormal menstral cycles if you skip a month or something on a regular basis? I heard it's due to stress, but mine's never been regular ever.

And is constant tiredness a sign of anemia? My friend who has anemia apparently says it is, so I'm toying with the idea of whether I should get a checkup haha.

I think what you could potentially have is called iron deficiency anemia. There are a couple of causes and complications but it varies on each. I'm not an expert but I suggest you should see a doctor and get a blood test to find out if there's symptoms.

[Han Solo]

Dr. Han:

my pointer finger(shucks, is that what u call that finger, i totally forgot) feels painful in the joints when i wake up in the morning. it is hard to move it. the pain will lessen in the middle of the day but its still there. when i compare it to my other fingers, it looks swollen. this had been on for like 2 weeks. two days ago, that particular hand started to feel hot as in like when u have sunburns....mind telling me what do u think it is n what i must do? thanks doc han

Sorry late reply.

There are few potential causes, including Rheumatoid arthritis, gout, or even septic arthritis.

So which hand? Is it symmetrical on both side?

Pictures please.

Han SOlo

[yittz]

Just wondering, is it normal to have abnormal menstral cycles if you skip a month or something on a regular basis? I heard it's due to stress, but mine's never been regular ever.

And is constant tiredness a sign of anemia? My friend who has anemia apparently says it is, so I'm toying with the idea of whether I should get a checkup haha.

Has it ever been regular or never have been since you started menstruating (btw ladies and Han, are the cycles regular when they first start in puberty)? What is your cycle (length and what do you mean by regular skipping)? Your weight and diet? Your generally health (any other symptoms? hows your smell? Dr Han why ask sense of smell?) and lifestyle (stress?)? Heavy exercise? I assume you are not on the pill.

[yearning]

Has it ever been regular or never have been since you started menstruating (btw ladies and Han, are the cycles regular when they first start in puberty)? What is your cycle (length and what do you mean by regular skipping)? Your weight and diet? Your generally health (any other symptoms? hows your smell? Dr Han why ask sense of smell?) and lifestyle (stress?)? Heavy exercise? I assume you are not on the pill.

No, I'm not on the pill lol. Maybe regular for like half a year or something somewhere, but in general, not regular. Most of my friends said that they're regular within a couple of months of getting their first period, but then some are like me as well....I suppose it's the stress.
Well, BMI is still within the normal range. Stress, yeah tons of stress, no heavy exercise. Diet, I think I get enough of everything. And uh, I think normal smell....

Like it's supposed to be 28 days right? So now I'm late by another week again. I've hardly ever had it exactly 28 days. It's always like 35 or 40 days.

[big master]

Sorry late reply.

There are few potential causes, including Rheumatoid arthritis, gout, or even septic arthritis.

So which hand? Is it symmetrical on both side?

Pictures please.

Han SOlo

thanks han....its my right hand...so what do i do with it if it be one of those potential causes? i dun have pictures...its pretty much the same just that its slightly swollen...my left hand feels pain too but very much slighter than that of my right hand n it is not swollen...is it possible that one cause may be too much writing?

[Han Solo]

(any other symptoms? hows your smell? Dr Han why ask sense of smell?)

Kallman syndrome is what you are looking for.
http://www.emedicine.com/med/topic1216.htm

Han Solo

Edited: cause i got confused re: prolactin.