Is there any Dr at PDF?

[Imran Khan]

i know only one confirm doctor . wo bhi abhi kaam seekh raha tha @surb

 

[Big Tank]

Get it done first and rule out hyperthyroidism.

Sure, I'll go for it. Thanks a lot.

 

[Ace of Spades]

stomach pain since a year which I just noticed now.

How's your bowel health?

 

[ziaulislam]

I am excessively losing weight despite of eating more than a normal person does. Mood swings are common for me along with irritation or short temper even at home. I cannot tolerate someone speaking loud at all lol



He prescribed Inderal 10mg which didn't work. So I went for 40 instead which did at first but now it doesn't.

you should first get a diagnosis, not treatment
regardless 10 mg is very low dose and it has be taken mulitple times a day as it i sshort acting

you should always ask you doctor whats the diagnosis?
and he should be able to answer you

 

[Big Tank]

you should first get a diagnosis, not treatment
regardless 10 mg is very low dose and it has be taken mulitple times a day as it i sshort acting

you should always ask you doctor whats the diagnosis?
and he should be able to answer you

I did visit Drs in past and all they do is keep me confused. I am tired making booking appointments so I decided to make sure where to visit.

How's your bowel health?

extremely poor.

 

[Ace of Spades]

I did visit Drs in past and all they do is keep me confused. I am tired making booking appointments so I decided to make sure where to visit.

What do you mean by poor? keep an eye on color, shape, smell, frequency, and consistency of your stool.

Also, see a medical specialist and go forward from there. Tell him your symptoms, all of them. And let him rule out any possible underlying conditions.

 

[ziaulislam]

I did visit Drs in past and all they do is keep me confused. I am tired making booking appointments so I decided to make sure where to visit.

well, its your doctor job to explain it to you carefully and to tell you what the next step

even if doctors dont go for any tests, they away think about a diagnosis..let say he might have thought you have simple essential tremors so he prescribed you inderal/propanolol.

but that would not explain, weight loss, and blood pressure.

weight loss is big red flag, no simple condition causes weight loss.
so you need more investigation, proper history, physical exam and diagnosis

 

[Big Tank]

What do you mean by poor? keep an eye on color, shape, smell, frequency, and consistency of your stool.

Also, see a medical specialist and go forward from there. Tell him your symptoms, all of them. And let him rule out any possible underlying conditions.

The thing is that medical experts are not willing to listen to me. All they do is keep shaking their heads or 5 minute men farigh karne ki karty hen. I don't even get a chance to explain my situation. They ask few scripted question like a Customer Representative in a firm does lol. That happens everywhere I go.

 

[ziaulislam]

its unfortunate but medicine is not good in pakistan new generation (me being one from them), it seems medical is only field where we have gone backwards in last 15-20 years and i mean alot backwards...
no wonder why nawaz goes to england for simple dental check up

 

[Big Tank]

well, its your doctor job to explain it to you carefully and to tell you what the next step

even if doctors dont go for any tests, they away think about a diagnosis..let say he might have thought you have simple essential tremors so he prescribed you inderal/propanolol.

but that would not explain, weight loss, and blood pressure.

weight loss is big red flag, no simple condition causes weight loss.
so you need more investigation, proper history, physical exam and diagnosis

Drs asked me to get HBsAg diagnoses done along with LFT , Stool test and cbc. But none of them actually respond according to the situation.

 

[Ace of Spades]

The thing is that medical experts are not willing to listen to me. All they do is keep shaking their heads or 5 minute men farigh karne ki karty hen. I don't even get a chance to explain my situation. They ask few scripted question like a Customer Representative in a firm does lol. That happens everywhere I go.

I know what you mean; don't go to emergency wards or in the OPDs of government hospital. Go to professor doctor of any university in his/her private clinic.

In which city do you live?

 

[ziaulislam]

The thing is that medical experts are not willing to listen to me. All they do is keep shaking their heads or 5 minute men farigh karne ki karty hen. I don't even get a chance to explain my situation. They ask few scripted question like a Customer Representative in a firm does lol. That happens everywhere I go.

you are bond to fail if you dont take a proper history
ye kis qisam key doctors hein?

anyway 90% of diagnosis is history and first look at the patient

but never take weight loss lighty, yoy need to have diagnosis at hand

 

[Big Tank]

What do you mean by poor? keep an eye on color, shape, smell, frequency, and consistency of your stool.

Also, see a medical specialist and go forward from there. Tell him your symptoms, all of them. And let him rule out any possible underlying conditions.

I am having extreme constipation since years. I tried many Drs for this but It never got cured and I don't have much time to keep visiting drs for days due to my work. Stool is dark, hard and smells like shit (it shit already) haha..

you are bond to fail if you dont take a proper history
ye kis qisam key doctors hein?

anyway 90% of diagnosis is history and first look at the patient

but never take weight loss lighty, yoy need to have diagnosis at hand

Trust me every dr seems to be same the way he wants me to leave his cabin asap. And then working for a pvt firm in Pakistan doesn't allow you that much freedom to keep visiting. That's my own fault too

 

[ziaulislam]

Drs asked me to get HBsAg diagnoses done along with LFT , Stool test and cbc. But none of them actually respond according to the situation.

hep b is screening test recommended for every one, it WILL NOT EXPLAIN YOUR TREMORS OR BLOOD PRESSURE if god forbid you have hepatitis it will cause loss of apetite and weakness

unless you are going into cirrhosis, in that case you gain weight with muscle loss
stool testing is for most part useless, cbc will tell you key information
but you need metabolic profile and thyroid testing

other clues for thyroid disorder are skin changes, hair loss, swallowing problems..but i would assume even a medical student should pick up hyperthyroidism..it seems things are getting worse since i left 5 years ago

see someone from teaching hospital and insist on him explaining it to you

 

[Big Tank]

I know what you mean; don't go to emergency wards or in the OPDs of government hospital. Go to professor doctor of any university in his/her private clinic.

In which city do you live?

Karachi. I'll get seriously now. This is getting much weird for me since tremors are increasing along with stomach/liver pain. My serum ALT in LFT was higher. Bharwanna suggested a good Dr in Karachi. Will visit him.

hep b is screening test recommended for very one, it WILL NOT EXPLAIN YOUR TREMORS OR BLOOD PRESSURE if god for bid you have hepatitis it will cause loss of apetite and weakness

unless you are going into cirrhosis, in that case you gain weight with muscle loss
stool testing is for most part useless, cbc will tell you key information
but you need metabolic profile and thyroid testing

other clues for thyroid disorder are skin changes, hair loss, swallowing problems..but i would assume even a medical student should pick up hyperthyroidism..it seems things are getting worse since i left 5 years ago

see someone from teaching hospital and insist on him explaining it to you

I understand that. Will do it now. Looks like I will have to stop being nice much. It can only be cured if I explain my situation properly.