Virtual Clinic v4
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Hi! Welcome all! This shall be my 4th clinic and as for this clinic, as you can see, I have moved to a new place
1st Clinic
Dear Doctor Reno
2nd Clinic
Dear Doctor Part II
3rd Clinic
~!~Clinic Prima~!~
Do post all your medically related questions here and I will try my very best to reply to your queries ASAP!!
I offer advises on what you should do next and also clear your doubts about the human anatomy and physiology which is clinically related to your current complains. On prescription of medications, it is better to get a second opinion from your general practitioner. This reason is practically based on the different medications made available and the dosage that are commonly used, may be different as well.
Hope to hear more from you soon...
Below will be my personal fellow co-workers:-
LIAISON PSYCHOLOGIST - alfagal
CLINICAL ONCOLOGIST / PATHOLOGIST - oxford mushroom
MEDICAL ASSISTANTS - Othello_Red, thinkdifferent
NURSE - mystiv
LAB ASSISTANT - seow -
I think you must have grown out of your heart murmur...
You open a thread everywhere, then I post everywhere.
Did your doctor mentioned anything about fluid overload or big heart in your files or records?
If it is not, then I presume that your racing heart beat should not be due to your cardiac past history...
Answers: Nothing said about fluid overload or big heart. -
quote:
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Originally posted by ndmmxiaomayi:
Topic closed, so post here.
Answers: Nothing said about fluid overload or big heart.
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You probably have a condition called General Anxiety Disorder...
I shall let alfagal talk to you about this condition first and see if you agree you have the condition mentioned...
REFERRAL TO ALFAGAL
This patient presented with tension headache and palpitations associated with poor concentration, restlessness, profuse sweating, diarrhoea and poor sleep.
He has been self medicating with Paracetamol for his headache but to no response. He also has a history of cardiac murmur and bronchial asthma when he was young but has resolved now.
Sought follow-up with cardiologist up to 15 years of age. I ruled out the possibility of a cardiac and respiratory origin of his palpitations and am thinking of the possibility of General Anxiety Disorder. -
Originally posted by renorenal:
What is General Anxiety Disorder?
quote:
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Originally posted by ndmmxiaomayi:
Topic closed, so post here.
Answers: Nothing said about fluid overload or big heart.
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You probably have a condition called General Anxiety Disorder...
I shall let alfagal talk to you about this condition first and see if you agree you have the condition mentioned...
[b]REFERRAL TO ALFAGAL
This patient presented with tension headache and palpitations associated with poor concentration, restlessness, profuse sweating, diarrhoea and poor sleep.
He has been self medicating with Panadol for his headache but to no response. He also has a history of cardiac murmur and bronchial asthma when he was young but has resolved now.
Sought follow-up with cardiologist up to 15 years of age. I ruled out the possibility of a cardiac and respiratory origin of his palpitations and am thinking of the possibility of General Anxiety Disorder.[/b] -
I shall give you a brief clinical description, but alfagal will tell you more about it...Originally posted by ndmmxiaomayi:What is General Anxiety Disorder?
GAD - A disorder classified under the major group of anxiety disorders involving excessive worry about actual circumstances (happenings), events (exams, preparations) or conflicts (relationship) with fluctuating symptoms. Commonly occurs in the adults and children... -
Lab rat reporting, again...
Lab rats have nothing to do one.
I go chiak jua... -
Do you come face to face or live in highly stresful situations?Originally posted by ndmmxiaomayi:What is General Anxiety Disorder? -
Originally posted by seow:Lab rat reporting, again...
Lab rats have nothing to do one.
I go chiak jua... 
chiak wat jua? Wad's that? -
chiak jua = eat snake.Originally posted by renorenal: chiak wat jua? Wad's that? -
btw ndmmxiaomayi, I think u worry too much excessively that its affecting your health. You overdo things sometimes..did you know that?. You shouldnt worry too much about your physical appearance. This can cause GAD.
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Of all the reptiles, why did you choose snake?Originally posted by seow:chiak jua = eat snake. -
trouser snake?
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ask something. if drink way too much water what will happened? heard from new weeks ago a boy drank lots of water and kena water poisoning
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LOL, never worry too much about physical appearance. Worry more about health because got asthma and heart murmur. Physical appearance heck care. Got people shorter than me also don't care, I don't need to care so much.Originally posted by alexkusu:btw ndmmxiaomayi, I think u worry too much excessively that its affecting your health. You overdo things sometimes..did you know that?. You shouldnt worry too much about your physical appearance. This can cause GAD. -
but u exercise alot right?Originally posted by ndmmxiaomayi:LOL, never worry too much about physical appearance. Worry more about health because got asthma and heart murmur. Physical appearance heck care. Got people shorter than me also don't care, I don't need to care so much. -
Nope, but tend to be perfectionist. I think this causes stress which leads to GAD.Originally posted by alexkusu:Do you come face to face or live in highly stresful situations?
Need to learn to be imperfect. -
Eat snake = go laze around.Originally posted by renorenal:Of all the reptiles, why did you choose snake? -
Yup.Originally posted by alexkusu:but u exercise alot right? -
exercise more than normal?Originally posted by ndmmxiaomayi:Yup.
can u cope or not? -
Yes hello! I remember you, you are one of my first patients...Originally posted by martin_lim85:ask something. if drink way too much water what will happened? heard from new weeks ago a boy drank lots of water and kena water poisoning
Yes, drinking too much water, excessively that is (normal we should take in 6 glasses of water per day, which although, it may vary) may cause a condition called dilutional hyponatremia (lack in salt content because of over-dilution).
When this happens, the patient may be thrown into a wide range of symptoms such as confusion, seizures, hypertension, heart failure, accumulation of bodily fluids all over the body (bloatedness, leg swelling, eye puffiness, cheek puffiness, lungs and heart fluid overload), anorexia (loss of appetite), nausea and muscle weakness.
Natrium or sodium is an essential mineral in our body that is involved majorly in fluid balance and also blood pressure control. It does have more functions than that, but clinically this is far more important... -
Yup. Their body lack of sodium or something, I think. Cannot remember exactly what causes water poisoning.Originally posted by martin_lim85:ask something. if drink way too much water what will happened? heard from new weeks ago a boy drank lots of water and kena water poisoning -
Clever you!Originally posted by seow:Eat snake = go laze around. -
Definition: General Anxiety Disorder (GAD) is characterized by persistent high levels of anxiety and excessive worry over many life circumstancesOriginally posted by ndmmxiaomayi:What is General Anxiety Disorder?
Symtomps: heart palpitations, muscle tension, restlessness, trembling, sleep difficulties, poor concentration and persistent apprehension and nervousness.
since u have most of e symtomps above, taz y Dr. reno thinks u have GAD-like symtops or have GAD.
pple who have GAD generally are easily startled and contunually 'on edge'.
if you have you would agree to most of the following points:
-during your last 4 weeks, you have been bothered by feeling worried, tense; anxious most of the time,
-unable to dicover the 'real' sources of their fears and therefore remain anxious
-occasional experience more acute attacks of anxiety
-co-occuring disorders such as depression, substance abuse pr phobia (recall that Doc asked you bout using cocaine n stuff?)
-likely to worry over minor events as over major events
GAD seems to be a congitive problem involving excessive worry or apprehension. pple withe GAD feel uncertainty very easily, which leads to worrying.
most have false beliefs that: worry is an effective way to deal with problems and problems are to be avoided rather than solved. -
I never exercise beyond my limit. Tired will rest. Afraid if go over limit, will trigger asthma. I got friends who have asthma, exercise over limit, then asthma attack.Originally posted by alexkusu:exercise more than normal?
can u cope or not? -
Seemingly, the rising trend of stressful environment that we live in seems to creep into our lives and we tend to be more competitive than what we should be. When conditions do not allow for us to achieve better than others or better than what we want to achieve, we tend to worry and a conflict between our ego and our actions come into play.Originally posted by ndmmxiaomayi:Nope, but tend to be perfectionist. I think this causes stress which leads to GAD.
Need to learn to be imperfect.
When this occur, we tend to get easily frustrated over simple things or small things and treat them as though they are major events of our lives.