Virtual Clinic v4
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But I don't take drugs, unless necessary.Originally posted by alfagal:Definition: General Anxiety Disorder (GAD) is characterized by persistent high levels of anxiety and excessive worry over many life circumstances
Symtomps: heart palpitationsm 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. -
If your condition is stable enough, which I believe you are, and if you are afraid an attack may precipitate, you can take the blue inhaler prior to exercising. It has proven to be a prophylactic kit against an exacerbation of bronchial asthma.Originally posted by ndmmxiaomayi: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.
But you do not take them right?
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but u havent have an asthma in bout a decade right? do u use inhaler/puffer?Originally posted by ndmmxiaomayi: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. -
Nope. Never had an attack before, so doctors never give. So I just take precautions when exercising - that is never go beyond my limit.Originally posted by renorenal:If your condition is stable enough, which I believe you are, and if you are afraid an attack may precipitate, you can take the blue inhaler prior to exercising. It has proven to be a prophylactic kit against an exacerbation of bronchial asthma.
But you do not take them right? -
That apart, what do you think about the listed criterias, how many do you have them?Originally posted by ndmmxiaomayi:But I don't take drugs, unless necessary.
I believe if 3 out of all the 6, for a duration of 6 months suffices the diagnosis criteria if I am not wrong... -
Don't even have them in the first place. Because never had an asthma attack before.Originally posted by alexkusu:but u havent have an asthma in bout a decade right? do u use inhaler/puffer? -
yup docOriginally posted by renorenal:That apart, what do you think about the listed criterias, how many do you have them?
I believe if 3 out of all the 6, for a duration of 6 months suffices the diagnosis criteria if I am not wrong... -
Bronchial asthma may return again when one progress to adulthood, given the fact that they do have a history of childhood asthma.Originally posted by ndmmxiaomayi:Nope. Never had an attack before, so doctors never give. So I just take precautions when exercising - that is never go beyond my limit.
The reason most children grow out of it is that the bronchials (small passageways in the lungs that transmit and filters out the air particles) becomes better develop and matured. The diameters of these passageways also increase proportionately, hence allowing an ease of flow.
Asthma is a chronic, reversible yet inflammatory condition whereby the airways are clogged up with excessive mucus production plus a hypersensitivity of activity of the airways when triggered by certain allergens that you are allergic to. Following that it will go into spasm (bronchospasm) leading to narrowing of the airways and hence developing the symptoms of shortness of breath, drop in BP and rapid heart rate. -
I think there is some misunderstandings.Originally posted by renorenal:That apart, what do you think about the listed criterias, how many do you have them?
I believe if 3 out of all the 6, for a duration of 6 months suffices the diagnosis criteria if I am not wrong...
Firstly, I had racing heartbeats which leads to headaches. Dr Renorenal then ask a series of questions similar to above. But you may be correct. -
Headache itself can result from GAD and stress... alfagal, can you list out the symptoms and signs of anxiety or a panic attack, both physiological and psychological...Originally posted by ndmmxiaomayi:I think there is some misunderstandings.
Firstly, I had racing heartbeats which leads to headaches. Dr Renorenal then ask a series of questions similar to above. But you may be correct. -
Stroll out. Need to sleep because got school tomorrow. Will be back tomorrow morning.
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The common teaching is not to let asthma stop you from doing anything, but rather to let your activities limit yourselves. If you feel out of breath after a certain activity (to a certain extent), then you should stop, but not to keep letting the fear of an attack precipitate your doubts of having fun through playing the sports you like or exercisingOriginally posted by ndmmxiaomayi:Don't even have them in the first place. Because never had an asthma attack before. -
Alright... see you again tomorrow... I am about to close the clinic for the day anywayz...Originally posted by ndmmxiaomayi:Stroll out. Need to sleep because got school tomorrow. Will be back tomorrow morning. -
That's what I am doing.Originally posted by renorenal:The common teaching is not to let asthma stop you from doing anything, but rather to let your activities limit yourselves. If you feel out of breath after a certain activity (to a certain extent), then you should stop, but not to keep letting the fear of an attack precipitate your doubts of having fun through playing the sports you like or exercising -
Alrightie thenOriginally posted by ndmmxiaomayi:That's what I am doing. That's the spirit! 
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Panic attack: intense fear accompanied by symptoms such as a pounding heart, trembling, shortness of breath or frea of losing control or dying.Originally posted by renorenal:Headache itself can result from GAD and stress... alfagal, can you list out the symptoms and signs of anxiety or a panic attack, both physiological and psychological...
1. situationally bound panic attack: occur before or during the exposure to a particular stimuli
2. suituationally predisposed: attack occurs usually but NOT ALWAYS in the presence of the freared stimuli
3.unexpected or uncued: those attack the occur spontaneously, without warning.
is tis wat u wanted? -
Ermmm... noperz!Originally posted by alfagal:Panic attack: intense fear accompanied by symptoms such as a pounding heart, trembling, shortness of breath or frea of losing control or dying.
1. situationally bound panic attack: occur before or during the exposure to a particular stimuli
2. suituationally predisposed: attack occurs usually but NOT ALWAYS in the presence of the freared stimuli
3.unexpected or uncued: those attack the occur spontaneously, without warning.
is tis wat u wanted?
Here (adapted from DSM-IV):-
Physical Signs
Trembling, twitching, feeling shaky
Backache, headache
Muscle tension
Shortness of breath, hyperventilation
Fatigability
Startle response
Autonomic hyperactivity
-Flushing and pallor
-Tachycardia, palpitations
-Sweating
-Cold hands
-Diarrhoea
-Dry mouth
-Urinary frequency
Paresthesia (Numbness)
Difficulty Swallowing
Psychological Symptoms
Feeling of dread
Difficulty concentrating
Hypervigilance
Insomnia
Decreased libido
Lump in the throat
Upset stomach (butterflies) -
LOL...my list exhausted le..
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Originally posted by alfagal:LOL...my list exhausted le..
Not really what I wanted but it's good to describe some of the examples
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CLINIC CLOSED FOR THE DAY
REOPENS TOMORROW AFTERNOON (time uncertain, sorry)
...though you can still post your queries here, but you have to wait for your replies... -
wat is a good site to get lists like this?Originally posted by renorenal:
Not really what I wanted but it's good to describe some of the examples -
For me, I still have my DSM-IV small manual to refer to whenever I need them... I just bought it recently coz I feel that since I am going into that specialty, I might as well invest some money on some of these vital textOriginally posted by alfagal:wat is a good site to get lists like this?
But I think you can find it online... You can try this site...
DSM-IV Text Revision -
lolz new forum again?
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Yap yap...Originally posted by rainee:lolz new forum again?
Sarport hor!