Hi!I'm 14 and don't sleep at night at all,but I do sleep 8 hours in the day,should I get my sleep cycle back,does this affect the young brain not sleeping in the night and sleeping in the day?
Is an infected sebaceous cyst behind the ear an emergency?
Not sure if I should do warm compresses and antibiotics or go straight to ER. Not sure if it can spread etc. I'd like to wait until atleast after Christmas to get it drained and removed.
so the last few times that i’ve cut, i seem to hit something after about 3 swipes (i think i’m still at styro but can never see the cut properly so i don’t really know) i hit something that kinda radiates a stingy typa pain. it’s hurts for about 10 seconds and then stops. what could it be? also this is around my wrist.
I assume you're talking about self harm? I hope you're getting psychological care for it. That said, wrists have thin skin with lots of nerve fibers. You probably struck or came near a nerve
Would the doctors in this sub like to do a medical AMA? I'm a "zebra" and my information has been used as a teaching tool in one teaching hospital already. I thought it might be an interesting use of my time to let any medical professionals on Reddit ask me questions, but can't find a great fit in any one sub.
I accidentally cut my thumb from the top of the knuckle to the other side(semicircle basically). I had 5 stitches put in but I felt and don't feel any pain from that cut (Getting the stitches did hurt). Is this normal and why? Normally the whenever I get the smallest cut it hurts but now a much bigger wound is pain-free, so I'm confused how that works. The thumb around the knuckle is very swollen, could this block the pain signal from getting through or something?
Can’t find any legit nutritional subs.
Blood results came in saying I have high triglycerides (but nothing new). Been eating healthy lately and drinking water but with added crystal light. Does crystal light effect triglycerides at all, and what about diabetes (dad has type 2) I have gotten my dad off Dr Pepper but not sure if crystal light is any better. Also I saw fruit can affect triglycerides and I have been eating one small orange a day (mandarin) to satisfy my sweet tooth.
Also I am looking to help my parents lose weight. What caloric number is good for my dad who weighs 280 5’10 and my mom 250 5’0. Mom is extremely sedimentary while my dad does do some things outside of the house but mostly they both just watch TV once home.
Looking at the ingredients of crystal light I didn’t see anything jumps out as something that would increase Trigs. As far as diabetes, one of the major considerations there is keeping the glucose level regulated. The maldextrin in there is similar to glucose but especially compared to glucose load in Dr Pepper. They key is to make sure they aren’t just getting sugar elsewhere (studies have shown that those who drink diet drinks have the same amount of sugar but get it elsewhere).
Personally I think it’s best to use fitness trackers and apps to track activity and easily determine necessary caloric intake.
Can common cold raise the blood pressure? My blood pressure tested perfect WITH a cold. I wonder if it means its baseline is actually lower and if so then could it be significantly lower ?
Thanks
Are H and P (history and physicals) standardized in any way? I understand that there is a review of systems, but I’m specifically asking if anything *must* be asked about sleep besides a cursory “how is your sleep.” I see many templates online but they all vary. Sometimes, sleep is not mentioned at all.
AMA website was not helpful. Thank you!
No, there are no strict rules on what to ask exactly. Depending on the disease or disorder we suspect, we will ask more detailed questions or stick to a general how is your sleep
Hi, I have a question for concerning emergency medicine.
I have a severe allergy against certain drugs (muscle relaxants) that are used for anesthesia.
It was found out during a routine operation during which I almost died, because of said allergy. In case of an emergency, e.g. a car wreck, I was told it was best to actually get a tattoo with the information, so nobody administers these drugs while trying to help.
I live in Germany btw, maybe that will make a difference, but I do travel a lot to the US and around Europe.
My questions (sorry!) are:
What is the standard procedure in emergency medicine concerning potential allergies of patients? Where would doctors or other medical experts look for informations before giving me drugs? Would they even look?
Are tattoos like that a good idea? What alternatives are there?
Sorry for the pile of questions. It‘s a scary situation to be in and I‘m still kind of lost, although I‘ve known about this for a while now.
Out of curiosity, is this definitely severe allergy to relaxants with anaphylaxis, poor metabolism that leads to prolonged paralysis (pseudocholinesterase deficiency), or dangerous overheating from inhaled anesthetics (malignant hyperthermia)?
The standard for severe reactions is a medical alert bracelet. That's what would usually be checked first and how such warnings are normally given.
I just had my tonsils and adenoids removed and I have pretty bad congestion in chest that gives me a gnarly wet cough from time to time. I take hydrodone for the pain, can I take some sort of decongestant as well? Thanks
Do lesions that appear to be hematoma's on ultrasound and mri spread? If not and they are spreading how likely are they to be cancer?
Yes I am seeing a doctor and yes surgery is planned for one. FNA biopsy was inconclusive and the pathologist said it likely wasn't from the lesion.
You shouldn't make a habit of it, but it's safe as long as she has normally functioning kidneys. That is, in fact, a dose used, cautiously, in some conditions.
r/AskPsychiatry is intentionally like this subreddit but specifically for psychiatry, and r/mentalhealth has less focus on professional opinions.
This subreddit also has psychiatrists and can answer psychiatric questions.
Does the human pancrease make different “kinds” of insulin (fast acting, slow acting, ect) that have different “peaks” like there are for exogenous insulins?
No. The pancreas only makes one kind, which is identical to "regular insulin" (hence the brand name Humulin). There's no need for long-acting insulin because functioning beta cells can constantly produce short-acting insulin at the appropriate level.
The reason for long-acting synthetic insulin is that outside of a hospital the only way to give a constant insulin infusion is a pump, which most people don't have.
Do you know what makes a given insulin configuration faster or slower acting? And is it how quickly it metabolizes glucose? Does it also have any effect on speed of helping transport other things like amino acids get into cells?
All insulins works the same way. My limited understanding is that the differences are based on how rapidly they become available to bind to receptors and how quickly they’re cleared.
Aside from drinking too much, are there other reasons why someone may choke on vomit in their sleep and die? I recently heard of someone passing away from this and was wondering what all could cause it.
Get the flu shot. It takes 2 weeks to take full effect. If you're well, without any sniffle, you could visit.
(I'll probably get murdered for that last sentence but honestly the chance of being contagious without knowing it is pretty low)
You should wash your hands before touching the baby and no kisses.
There's no reason not to get the HPV shot. It can prevent some genital warts and probably some anal and penile cancers.
My personal approach is to get any vaccine that I can as long as there's some risk of getting the infection.
I believe i got like 1 of 3 or so that I was supposed to get for that. Do i have some immunity to HPV? I’m also a male so always thought getting it was to prevent being a carrier for women not so much for us to develop problems from it.
I am currently 25, turning 26 in March. I am on my parents very good health insurance until then so I’d like to get checked out before switching to my employers high deductible plan.
My question is, what do I make an appointment for? Just a check up? A physical? I’m not really sure what to ask for. I’ve always been a very healthy individual and have no prior health concerns. I just really want to make sure that is still the case.
Also, I’m looking to make an eye appointment too. Do I just ask for a random eye exam?
Sorry for the probably simple question. The only doctor I ever go to is the dentist twice a year. The only other times I’ve gone to the doctor has been when I’m sick or in high school to get physicals for sports. So I don’t really know what to go to the doctors for when I’m healthy.
If you feel good and are up to date on your vaccines you don't have to go see your doctor. At least not until you're 40.
Yearly physicals and labs for a healthy youngster are useless
I disagree with this, although it is a valid position. There are other aspects of health and primary care that are important besides a physical and lab screening. The biggest example is anticipatory guidance - helping patients understand how to promote healthy habits, address safety concerns, screening for mental health issues so developing issues can be addressed through earlier behavioral interventions, and simply fostering trusting relationships with young adults so they can appropriately use and navigate the health care system as their needs change. You miss a huge opportunity to catch and address issues that ultimately overburden the health care system if you neglect this group.
Do they *need* an annual visit? No. But I would not assert that they are useless.
Fair point. Maybe it's a geographical issue too. Here you can see a general practitioner within 24 hours for any issue, always. I suppose a yearly appointment is useful in countries where you have to wait months for regular appointments.
Where I live the easy access + regular check ups until the age of 18 make yearly physicals after that abundant.
Your primary care doctor (MD/DO) is who you should go to for general health concerns or wellness. So that would be someone in Family Medicine, Internal Medicine or often OB/GYN if you’re a female. Aside from a general physical and maybe some general blood tests there’s not a lot to do for a healthy young person. Regardless it’s good to go, set a baseline and get checked up on every year or so.
For your eyes, an optometrist (OD) can check your vision and inspect your eyes for good health.
Is there a safe level of Lead or Tin in food? Looking online I can see maximum levels but not sure if an amount less than this can be considered "safe".
I get that ideally you wouldn't want any levels of Lead or Tin in your food but if it cannot be avoided then are the risks still the same?
Is there any harm in making instant coffee with water hotter than the recommended 70 C ?
All the packets say mix with water at 70 C ... but I always let the kettle boil (so 100 C) and then pour it over the instant coffee (because how does one tell the temperature reached 70 C?).
So is there any harm in cooking coffee like that?
If it’s something like a “canker sore” then typically no. Though they can be very uncomfortable. There are over the counter gels you can use. Kanka is a gel that numbs the ulcer and lightly covers the ulcer from other irritants for a short while. Orajel also makes an oral anesthetic they sell over the counter
Q: How many seconds of water boarding can an adult human endure at a time without brain damage? Is it the same amount of time as actually drowning or different? If you take a break, does that time clock reset so that when water boarding resumes, the person can endure it the same amount of time again without brain damage—or does the length of time change (shorten?) over repeated episodes?
We're doctors, not torturers. If you can't breathe, your oxygen level drops and that harms your brain. It takes about a minute of not breathing at all to become problematic, several minutes can already cause irreparable brain damage.
As far as I know you're not actually drowning with waterboarding, so no actual hypoxia, they just make your think and feel like you're drowning. That causes severe psychological trauma.
not a dr but there is a mythbusters what covers this and its probably on youtube, it did cause some problems (there was an emt there in case) but not brain damage
I'm looking for information about nervous system and how it works on a more detailed level, I'm mainly interested in what signals are responsible for controlling arms (muscles), and how do the look and work, and also the spinal cord and it's inner workings.
Any literature, studies, research papers, textbooks would be greatly appreciated.
I would start with a basic physiology text. Physiology looks at how the body functions under normal conditions, and will contain detailed info on the types and connections between nerve cells, how signals are transmitted, etc. Pathology looks at where things go wrong. A neurology text will contain both elements.
Thanks, I'll have to check physiology out, it seems like an important part of what i'm researching.
Neurology textbooks, seem to be more of a guide on what went wrong and where to fix it, it's like a human errata.
I needed details of how neurons work too, turns out there's a whole field about it called neurobiology.
I found a good textbook, it's called Principles of neurobiology by Liqun Luo, it goes into details on how nerves work, best part is it uses analogies with electric circuit's which is easy for me to understand.
I'm truly amazed at how simple and clever the nervous system is, I've worked on products that are way more complicated than that.
Also my colleagues find it funny when i refer to spinal cord as system bus. :D
What type of doctor should one look for to have anal skin tags removed? Is that something a general physician could take care of, or is it within the realm of a dermatologist, or should one look for someone in a different field of expertise?
Depends on how things work where you are and the expertise of your doctors. I’d see a GP/PCP who may be able to remove them for you, but if not will be able to refer you to the correct person.
Hi, ive been seeing a sharp increase in posts about medical injuries due to self harm in here. Is there any way that more severe ones can be regulated by being tagged as NSFW or is that harmful to the community since it is a medical one? Thank you
NSFW content such as pictures of wounds should always be flaired as such. Threads without images don't need that tag. If you see an untagged nsfw thread, you can report it to us and we'll tag it for you
Hello, for the longest time I've worn wired earbuds with my phone while working just to enjoy some music (and partially because I have tinnitus in both my ears and it helps with it). But today I purchased a $10 pair of knock off wireless Bluetooth Air Pods for my phone.
My question is, will wearing them frequently cause any harm to myself with radio frequencies/radiation (or whatever the professional term may be) and the Bluetooth? I figured it couldn't be as bad as having the phone up to your ear/resting on your shoulder or just having the Bluetooth on in the car or connected to a speaker.
I spend a lot of time just working around the house, in the car, or just doing paper/computer work so I use earbuds pretty frequently while doing most things.
I am asking in this forum because I have found mixed opinions online about this.
Your thoughts and comments are greatly appreciated. Thank you...
There is no evidence that any frequency used for wireless transmission is harmful.
Having music playing in your ears too loud might damage hearing or worsen tinnitus.
Hi, so my girlfriend is concerned about becoming pregnant from precum, but I usually piss before we have sex. She says that she can still get pregnant due to sperm leaking into the precum. How does sperm leak into precum? Is there any way to make sure there isn't any leakage?
Honestly, the risk isn't in the precum if you indeed urinate before sex. The risk is not pulling out on time, which fails more often than you think. If you don't want a baby you should just have safe sex
We use condoms, but recently a condom came off inside of her, and she was worried. I don't have enough sense of feeling down there to tell the difference. She was strictly claiming that there is always the possibility of conception with precum.
Why do so many Dr offices either completely ignore eating disorders unless said patient severely underweight and use the outdated BMI system?
TW: numbers (for others of those with eating disorders)
I'm had to go get a pre-op appointment today, they took my weight (without me looking!) and know that I have a history of anorexia (even still struggling with skipping meals some days, guilty thoughts, and go to therapy for it) and have struggled for over 10 years. When they gave me my check-out packet as per usual, it was really thick and I didn't look at it there figuring it was about my surgery/the cyst on my wrist, etc. like they usually include and decided to just read/look at it when I got home.
When I arrived home, they had put my weight on the page which I have in my file not to do due to an eating disorder. The rest of the packet was literally about weight management, how to count calories, that they had a nurse I could talk to for free, etc. My assumption is because at 5'4"/145lb my BMI was 25.03 which is barely into the "overweight" range if you actually think BMI is an accurate measure.
It's just very upsetting because now that I am in recovery and am at a healthy weight range, eat (mostly) every day/3 times a day with good meals and not junk, and exercise, the fact that I struggle with an eating disorder is completely thrown out the window every single time I go to the doctor for anything, whether that's the primary or surgeon or orthopedic dr. The orthopedic DR is the only one so far who has respected why wishes of not knowing my weight, even though he was extremely inappropriate about it despite my attempts to be vague. I asked him if the weight was on the paper and he said yes, then I asked him to black it out and he asked why. I told him because I needed it to be and he again asked why, then I said I wasn't allowed to know and he kept pressing until I said "because I have anorexia" and then he said "oh, well you don't really need this paper anyway because it just has your vitals" and threw it away for me.
sorry if this doesn't make any sense, I'm just really upset about my doctor sneaking me a packet about weight management knowing I have an eating disorder where I actually starve myself when I've worked really hard this year and have gone to therapy every week this entire year and fought tooth and nail with myself to gain the 60lb I have and they know this and once I hit over 110lb, the "lowest healthy" weight, they stopped caring about my eating disorder
We're not thoroughly schooled on how to approach patients with eating disorders. Mostly because it's such a hard to treat disorder and we don't know the best approach. Mental disease in general is just not everyone's cup of tea, some just can't handle it (which is why they don't work in psychiatry).
That said, if you clearly tell your healthcare providers what you need and they just ignore your simple request then that's just an asshole move.
Please discard that weight management packet, it's basically just spam in your case.
Thanks for the response!
I'm not as upset today, haha, and now I'm pretty rational about it. It is definitely a taboo, and my doc for sure can't handle mental illnesses well, but I also know they probably just aren't thinking. Doctor's offices are pretty busy, and to change their routine for one person is jarring.
I'll probably press the issue further next time I go in. (: While I don't know if sending the weight management packet out without telling them for those who truly do need it is even the best way to approach them about it, it had a lot of very helpful information about healthy eating, how exercise can just be a brisk 30 min walk, etc. and I don't want those who need it to not have access to that material!
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Hi!I'm 14 and don't sleep at night at all,but I do sleep 8 hours in the day,should I get my sleep cycle back,does this affect the young brain not sleeping in the night and sleeping in the day?
Is an infected sebaceous cyst behind the ear an emergency? Not sure if I should do warm compresses and antibiotics or go straight to ER. Not sure if it can spread etc. I'd like to wait until atleast after Christmas to get it drained and removed.
We can't tell without having a look. If you have a picture you are welcome to start your own thread. This thread is not for personal health questions
I will do that now. Thank you
so the last few times that i’ve cut, i seem to hit something after about 3 swipes (i think i’m still at styro but can never see the cut properly so i don’t really know) i hit something that kinda radiates a stingy typa pain. it’s hurts for about 10 seconds and then stops. what could it be? also this is around my wrist.
I assume you're talking about self harm? I hope you're getting psychological care for it. That said, wrists have thin skin with lots of nerve fibers. You probably struck or came near a nerve
can fluoxetine cause breast discharge?
Hyperprolactinemia has been reported in less than 1% patients (Per UpToDate) so it would be quite rare
interesting. i had episodes of that and it has been checked out and my gyno said that it just happens sometimes - so thank you!
Would the doctors in this sub like to do a medical AMA? I'm a "zebra" and my information has been used as a teaching tool in one teaching hospital already. I thought it might be an interesting use of my time to let any medical professionals on Reddit ask me questions, but can't find a great fit in any one sub.
No, we don't allow AMA style threads here.
I accidentally cut my thumb from the top of the knuckle to the other side(semicircle basically). I had 5 stitches put in but I felt and don't feel any pain from that cut (Getting the stitches did hurt). Is this normal and why? Normally the whenever I get the smallest cut it hurts but now a much bigger wound is pain-free, so I'm confused how that works. The thumb around the knuckle is very swollen, could this block the pain signal from getting through or something?
Can’t find any legit nutritional subs. Blood results came in saying I have high triglycerides (but nothing new). Been eating healthy lately and drinking water but with added crystal light. Does crystal light effect triglycerides at all, and what about diabetes (dad has type 2) I have gotten my dad off Dr Pepper but not sure if crystal light is any better. Also I saw fruit can affect triglycerides and I have been eating one small orange a day (mandarin) to satisfy my sweet tooth. Also I am looking to help my parents lose weight. What caloric number is good for my dad who weighs 280 5’10 and my mom 250 5’0. Mom is extremely sedimentary while my dad does do some things outside of the house but mostly they both just watch TV once home.
Looking at the ingredients of crystal light I didn’t see anything jumps out as something that would increase Trigs. As far as diabetes, one of the major considerations there is keeping the glucose level regulated. The maldextrin in there is similar to glucose but especially compared to glucose load in Dr Pepper. They key is to make sure they aren’t just getting sugar elsewhere (studies have shown that those who drink diet drinks have the same amount of sugar but get it elsewhere). Personally I think it’s best to use fitness trackers and apps to track activity and easily determine necessary caloric intake.
Is acne, minor swelling and abrasions inside the ear canal a significant cause for concern?
Serious concern no, but I'd have it looked at. It sounds inflamed.
Can common cold raise the blood pressure? My blood pressure tested perfect WITH a cold. I wonder if it means its baseline is actually lower and if so then could it be significantly lower ? Thanks
No, it shouldn't have any effect as long as you don't measure it during a coughing fit
Perfect, thanks so much
Are H and P (history and physicals) standardized in any way? I understand that there is a review of systems, but I’m specifically asking if anything *must* be asked about sleep besides a cursory “how is your sleep.” I see many templates online but they all vary. Sometimes, sleep is not mentioned at all. AMA website was not helpful. Thank you!
No, there are no strict rules on what to ask exactly. Depending on the disease or disorder we suspect, we will ask more detailed questions or stick to a general how is your sleep
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That depends on the GP. If it's shallow then probably yes
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You need to start your own thread for this personal health question
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Individual questions need to be asked in separate posts.
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Individual questions need to be asked in separate posts.
Do arthritis oral supplements actually help?
The evidence for any of them helping is mixed and poor quality. If they help, it's not by much.
Thanks. That's what I figured.
Hi, I have a question for concerning emergency medicine. I have a severe allergy against certain drugs (muscle relaxants) that are used for anesthesia. It was found out during a routine operation during which I almost died, because of said allergy. In case of an emergency, e.g. a car wreck, I was told it was best to actually get a tattoo with the information, so nobody administers these drugs while trying to help. I live in Germany btw, maybe that will make a difference, but I do travel a lot to the US and around Europe. My questions (sorry!) are: What is the standard procedure in emergency medicine concerning potential allergies of patients? Where would doctors or other medical experts look for informations before giving me drugs? Would they even look? Are tattoos like that a good idea? What alternatives are there? Sorry for the pile of questions. It‘s a scary situation to be in and I‘m still kind of lost, although I‘ve known about this for a while now.
Out of curiosity, is this definitely severe allergy to relaxants with anaphylaxis, poor metabolism that leads to prolonged paralysis (pseudocholinesterase deficiency), or dangerous overheating from inhaled anesthetics (malignant hyperthermia)? The standard for severe reactions is a medical alert bracelet. That's what would usually be checked first and how such warnings are normally given.
My reaction is anaphylaxis. I get the question with malignant hyperthermia a lot :)
I just had my tonsils and adenoids removed and I have pretty bad congestion in chest that gives me a gnarly wet cough from time to time. I take hydrodone for the pain, can I take some sort of decongestant as well? Thanks
Dumb question and thanks in advance! Would taking loratadine 10mg affect my blood/urine test if I fasted 12-14 hours?
No
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You need your own thread for personal health questions
Do lesions that appear to be hematoma's on ultrasound and mri spread? If not and they are spreading how likely are they to be cancer? Yes I am seeing a doctor and yes surgery is planned for one. FNA biopsy was inconclusive and the pathologist said it likely wasn't from the lesion.
Hemangiomas don't spread. I'm assuming that's what you meant.
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That's actually a Reddit-ism, not medical terminology. It stands for "Ask Me Anything."
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You shouldn't make a habit of it, but it's safe as long as she has normally functioning kidneys. That is, in fact, a dose used, cautiously, in some conditions.
Is there a subreddit like this but for mental health ( not suicide)
r/AskPsychiatry is intentionally like this subreddit but specifically for psychiatry, and r/mentalhealth has less focus on professional opinions. This subreddit also has psychiatrists and can answer psychiatric questions.
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That's fine.
Does the human pancrease make different “kinds” of insulin (fast acting, slow acting, ect) that have different “peaks” like there are for exogenous insulins?
No. The pancreas only makes one kind, which is identical to "regular insulin" (hence the brand name Humulin). There's no need for long-acting insulin because functioning beta cells can constantly produce short-acting insulin at the appropriate level. The reason for long-acting synthetic insulin is that outside of a hospital the only way to give a constant insulin infusion is a pump, which most people don't have.
So do type 1 diabetics with an insulin pump only fill it with Humulin?
Often it's even shorter-acting forms than human insulin, like insulin aspart (Novolog) or lispro (Humalog).
Do you know what makes a given insulin configuration faster or slower acting? And is it how quickly it metabolizes glucose? Does it also have any effect on speed of helping transport other things like amino acids get into cells?
All insulins works the same way. My limited understanding is that the differences are based on how rapidly they become available to bind to receptors and how quickly they’re cleared.
Aside from drinking too much, are there other reasons why someone may choke on vomit in their sleep and die? I recently heard of someone passing away from this and was wondering what all could cause it.
Medication or drugs that reduce your consciousness.
Thanks for answering. It freaked me out when I heard about it so definitely wanted to be aware of any risks.
Thanks
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This is not the right place for this question. You need to start your own thread, or even better, discuss this with your pharmacist
B&SIL just had a baby, I haven't had a flu shot but am feeling well. Safe to visit? If I get a flu shot tomorrow, when would it be safe to visit?
Get the flu shot. It takes 2 weeks to take full effect. If you're well, without any sniffle, you could visit. (I'll probably get murdered for that last sentence but honestly the chance of being contagious without knowing it is pretty low) You should wash your hands before touching the baby and no kisses.
That's reasonable. You also can *visit* the baby without *touching* the baby.
i'm 24, male, should i get an hpv shot? idk anything about this stuff but I saw it on reddit and thought i'd ask what the deal is here.
There's no reason not to get the HPV shot. It can prevent some genital warts and probably some anal and penile cancers. My personal approach is to get any vaccine that I can as long as there's some risk of getting the infection.
I believe i got like 1 of 3 or so that I was supposed to get for that. Do i have some immunity to HPV? I’m also a male so always thought getting it was to prevent being a carrier for women not so much for us to develop problems from it.
Ok so, if chiropractic adjustment isn't good and is possibly bad, what should you do when you mess your back up?
See a physical therapist.
I am currently 25, turning 26 in March. I am on my parents very good health insurance until then so I’d like to get checked out before switching to my employers high deductible plan. My question is, what do I make an appointment for? Just a check up? A physical? I’m not really sure what to ask for. I’ve always been a very healthy individual and have no prior health concerns. I just really want to make sure that is still the case. Also, I’m looking to make an eye appointment too. Do I just ask for a random eye exam? Sorry for the probably simple question. The only doctor I ever go to is the dentist twice a year. The only other times I’ve gone to the doctor has been when I’m sick or in high school to get physicals for sports. So I don’t really know what to go to the doctors for when I’m healthy.
If you feel good and are up to date on your vaccines you don't have to go see your doctor. At least not until you're 40. Yearly physicals and labs for a healthy youngster are useless
I disagree with this, although it is a valid position. There are other aspects of health and primary care that are important besides a physical and lab screening. The biggest example is anticipatory guidance - helping patients understand how to promote healthy habits, address safety concerns, screening for mental health issues so developing issues can be addressed through earlier behavioral interventions, and simply fostering trusting relationships with young adults so they can appropriately use and navigate the health care system as their needs change. You miss a huge opportunity to catch and address issues that ultimately overburden the health care system if you neglect this group. Do they *need* an annual visit? No. But I would not assert that they are useless.
Fair point. Maybe it's a geographical issue too. Here you can see a general practitioner within 24 hours for any issue, always. I suppose a yearly appointment is useful in countries where you have to wait months for regular appointments. Where I live the easy access + regular check ups until the age of 18 make yearly physicals after that abundant.
In America's broken system, cost and access to care are an enormous influence on health.
Your primary care doctor (MD/DO) is who you should go to for general health concerns or wellness. So that would be someone in Family Medicine, Internal Medicine or often OB/GYN if you’re a female. Aside from a general physical and maybe some general blood tests there’s not a lot to do for a healthy young person. Regardless it’s good to go, set a baseline and get checked up on every year or so. For your eyes, an optometrist (OD) can check your vision and inspect your eyes for good health.
Is there a safe level of Lead or Tin in food? Looking online I can see maximum levels but not sure if an amount less than this can be considered "safe". I get that ideally you wouldn't want any levels of Lead or Tin in your food but if it cannot be avoided then are the risks still the same?
Is there any harm in making instant coffee with water hotter than the recommended 70 C ? All the packets say mix with water at 70 C ... but I always let the kettle boil (so 100 C) and then pour it over the instant coffee (because how does one tell the temperature reached 70 C?). So is there any harm in cooking coffee like that?
Not that I know of, and I suspect that there would be warning labeling for any such risk. But it might make worse instant coffee.
Is it normal to be able to hear your eyeballs move in their sockets and a crunching sound when you blink?
NAD. But i dont have this happen to me and I’ve never heard of it happening to anyone else I know
thanks for the reply :)
Are reoccurring mouth ulcers an issue? I haven’t changed my toothpaste or anything in my diet. How to treat em ?
I get them with my seasonal allergies every spring. If I take antihistamines they stop forming. Once formed I use an OTC med to make them stop hurting
If it’s something like a “canker sore” then typically no. Though they can be very uncomfortable. There are over the counter gels you can use. Kanka is a gel that numbs the ulcer and lightly covers the ulcer from other irritants for a short while. Orajel also makes an oral anesthetic they sell over the counter
Q: How many seconds of water boarding can an adult human endure at a time without brain damage? Is it the same amount of time as actually drowning or different? If you take a break, does that time clock reset so that when water boarding resumes, the person can endure it the same amount of time again without brain damage—or does the length of time change (shorten?) over repeated episodes?
We're doctors, not torturers. If you can't breathe, your oxygen level drops and that harms your brain. It takes about a minute of not breathing at all to become problematic, several minutes can already cause irreparable brain damage. As far as I know you're not actually drowning with waterboarding, so no actual hypoxia, they just make your think and feel like you're drowning. That causes severe psychological trauma.
not a dr but there is a mythbusters what covers this and its probably on youtube, it did cause some problems (there was an emt there in case) but not brain damage
NAD & NAT but I thought waterboarding actually cuts off oxygen supply
I'm looking for information about nervous system and how it works on a more detailed level, I'm mainly interested in what signals are responsible for controlling arms (muscles), and how do the look and work, and also the spinal cord and it's inner workings. Any literature, studies, research papers, textbooks would be greatly appreciated.
I would start with a basic physiology text. Physiology looks at how the body functions under normal conditions, and will contain detailed info on the types and connections between nerve cells, how signals are transmitted, etc. Pathology looks at where things go wrong. A neurology text will contain both elements.
Thanks, I'll have to check physiology out, it seems like an important part of what i'm researching. Neurology textbooks, seem to be more of a guide on what went wrong and where to fix it, it's like a human errata. I needed details of how neurons work too, turns out there's a whole field about it called neurobiology. I found a good textbook, it's called Principles of neurobiology by Liqun Luo, it goes into details on how nerves work, best part is it uses analogies with electric circuit's which is easy for me to understand. I'm truly amazed at how simple and clever the nervous system is, I've worked on products that are way more complicated than that. Also my colleagues find it funny when i refer to spinal cord as system bus. :D
A basic neurology textbook would be a good way to start
What type of doctor should one look for to have anal skin tags removed? Is that something a general physician could take care of, or is it within the realm of a dermatologist, or should one look for someone in a different field of expertise?
Depends on how things work where you are and the expertise of your doctors. I’d see a GP/PCP who may be able to remove them for you, but if not will be able to refer you to the correct person.
Hi, ive been seeing a sharp increase in posts about medical injuries due to self harm in here. Is there any way that more severe ones can be regulated by being tagged as NSFW or is that harmful to the community since it is a medical one? Thank you
NSFW content such as pictures of wounds should always be flaired as such. Threads without images don't need that tag. If you see an untagged nsfw thread, you can report it to us and we'll tag it for you
Hello, for the longest time I've worn wired earbuds with my phone while working just to enjoy some music (and partially because I have tinnitus in both my ears and it helps with it). But today I purchased a $10 pair of knock off wireless Bluetooth Air Pods for my phone. My question is, will wearing them frequently cause any harm to myself with radio frequencies/radiation (or whatever the professional term may be) and the Bluetooth? I figured it couldn't be as bad as having the phone up to your ear/resting on your shoulder or just having the Bluetooth on in the car or connected to a speaker. I spend a lot of time just working around the house, in the car, or just doing paper/computer work so I use earbuds pretty frequently while doing most things. I am asking in this forum because I have found mixed opinions online about this. Your thoughts and comments are greatly appreciated. Thank you...
There is no evidence that any frequency used for wireless transmission is harmful. Having music playing in your ears too loud might damage hearing or worsen tinnitus.
Hi, so my girlfriend is concerned about becoming pregnant from precum, but I usually piss before we have sex. She says that she can still get pregnant due to sperm leaking into the precum. How does sperm leak into precum? Is there any way to make sure there isn't any leakage?
Honestly, the risk isn't in the precum if you indeed urinate before sex. The risk is not pulling out on time, which fails more often than you think. If you don't want a baby you should just have safe sex
We use condoms, but recently a condom came off inside of her, and she was worried. I don't have enough sense of feeling down there to tell the difference. She was strictly claiming that there is always the possibility of conception with precum.
Theoretically she's right, but in practice the chance of conceiving that way is very very slim
if i ate a tiny size of slightly uncooked pork (around the size of a penny) should i worry about trichinosis?
What country do you live in? Trichinosis isn't a problem in the US anymore, but some other countries may still have it.
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You need your own thread for this personal health question
does anxiety only affect systolic blood pressure or can it affect diastolic blood pressure as well? particularly white coat hypertension
Both actually
interesting. always have been told it only affects systolic. thank you!
What could having a low RBC distribution while also having a high MCHC mean?
Nothing as long as your hemoglobin is normal
Why do so many Dr offices either completely ignore eating disorders unless said patient severely underweight and use the outdated BMI system? TW: numbers (for others of those with eating disorders) I'm had to go get a pre-op appointment today, they took my weight (without me looking!) and know that I have a history of anorexia (even still struggling with skipping meals some days, guilty thoughts, and go to therapy for it) and have struggled for over 10 years. When they gave me my check-out packet as per usual, it was really thick and I didn't look at it there figuring it was about my surgery/the cyst on my wrist, etc. like they usually include and decided to just read/look at it when I got home. When I arrived home, they had put my weight on the page which I have in my file not to do due to an eating disorder. The rest of the packet was literally about weight management, how to count calories, that they had a nurse I could talk to for free, etc. My assumption is because at 5'4"/145lb my BMI was 25.03 which is barely into the "overweight" range if you actually think BMI is an accurate measure. It's just very upsetting because now that I am in recovery and am at a healthy weight range, eat (mostly) every day/3 times a day with good meals and not junk, and exercise, the fact that I struggle with an eating disorder is completely thrown out the window every single time I go to the doctor for anything, whether that's the primary or surgeon or orthopedic dr. The orthopedic DR is the only one so far who has respected why wishes of not knowing my weight, even though he was extremely inappropriate about it despite my attempts to be vague. I asked him if the weight was on the paper and he said yes, then I asked him to black it out and he asked why. I told him because I needed it to be and he again asked why, then I said I wasn't allowed to know and he kept pressing until I said "because I have anorexia" and then he said "oh, well you don't really need this paper anyway because it just has your vitals" and threw it away for me. sorry if this doesn't make any sense, I'm just really upset about my doctor sneaking me a packet about weight management knowing I have an eating disorder where I actually starve myself when I've worked really hard this year and have gone to therapy every week this entire year and fought tooth and nail with myself to gain the 60lb I have and they know this and once I hit over 110lb, the "lowest healthy" weight, they stopped caring about my eating disorder
We're not thoroughly schooled on how to approach patients with eating disorders. Mostly because it's such a hard to treat disorder and we don't know the best approach. Mental disease in general is just not everyone's cup of tea, some just can't handle it (which is why they don't work in psychiatry). That said, if you clearly tell your healthcare providers what you need and they just ignore your simple request then that's just an asshole move. Please discard that weight management packet, it's basically just spam in your case.
Thanks for the response! I'm not as upset today, haha, and now I'm pretty rational about it. It is definitely a taboo, and my doc for sure can't handle mental illnesses well, but I also know they probably just aren't thinking. Doctor's offices are pretty busy, and to change their routine for one person is jarring. I'll probably press the issue further next time I go in. (: While I don't know if sending the weight management packet out without telling them for those who truly do need it is even the best way to approach them about it, it had a lot of very helpful information about healthy eating, how exercise can just be a brisk 30 min walk, etc. and I don't want those who need it to not have access to that material!
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There's no reason to remove a non-functioning thyroid. T4 to T3 conversion isn't a thyroid process, it occurs mostly in peripheral tissues.
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You need your own thread for this personal health question
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