General Medical issues thread

[drron]

I've personally known (and that's not to mention famous others) a number of people who have not led a life according to health advice and/or ignored doctors' and their loved ones' advice. Many have been fun and interesting (and sometimes maddening) people and even though it has shortened their lives they've generally been aware of the fact. I've missed them now they've gone but am pretty sure they'd have not been the same if they had complied-even though we might have wanted them to

On the other hand I had 2 delightful patients who did everything wrong encouraged by their former Physician who retired to Tasmania. Both lived well into their 90s despite prodigious alcohol intake and severe aortic stenosis for 20 years or so. Last time I met their physician was just before I retired. He was 99 and still drinking a case of champagne and a case of red wine per week.
All of them lived very full and happy lives.

 

[Freq Flier 2013]

My mum got diagnosed with plantar fascia/ plantar fibroma which makes it very difficult to walk.
Went to two podiatrist who said to walk less and advised on proper foot wear, saying that it will take a very long time to heal.
Any other advice?

 

[bussyboy]

If I am not mistaken the average daily intake of an adult male is ~2200 calories.

If I am not mistaken the average daily intake of an adult weighing 140kgs on a sedentary lifestyle is ~3800 calories to maintain that weight. If any exercise then the calories increase.

So, I'm struggling to consume 2500 calories per day let alone 3000 calories. If you consume 500 calories less per day then you should lose ~450g per week.

So what gives? I'm really confused. I have lost ~3kgs in 3 months. New target of losing ~10kgs in 19 weeks just as we head off to Thailand.

Good luck on this journey.

 

[Pushka]

Having to use fluorouracil ointment for first time on a skin cancer. While at the time it wasn't Doctors advice, too long ago, I never sunbaked as sun makes me feel wretched even as a teenager. Of course that is now considered being wise, it was just me hating the sun at the time. I now know it's an issue for lupus people but that wasn't known so much way back then.

 

[bussyboy]

Looks like a fun thread to share war stories: I'm late 40s, active but overweight, and no significant life impacting issues until late last year. Non smoker, occasional drinker

Now on low dosage blood pressure, cholesterol, and diabetes medications.

Investigation of URQ abdominal pain in December found large gallstones, fatty liver, and splenic arterial aneurysms (larger is 21mm, smaller in an awkward spot where artery joins spleen - cool image attached)

Gallbladder now removed, aneurysms practically inoperable at present and to be monitored.

Also a sleep study in my immediate future, further look at liver, and an overdue crown on a molar tooth.

Feels like everything all at once, hoping this is just a mid- life service, and all is good for another 40+ years. Definitely need to turn life around before i reach 50. I certainly wasn't impressed when qantas travel insurance quoted near $1800 extra on an annual policy to cover pre existing conditions!!


Any stories of hope or advice appreciated

 

[TheRealTMA]

My mum got diagnosed with plantar fascia/ plantar fibroma which makes it very difficult to walk.
Went to two podiatrist who said to walk less and advised on proper foot wear, saying that it will take a very long time to heal.
Any other advice?

Get Plantar Fasciitis shoe inserts from physiotherapist. Works.

 

[Katie]

Get Plantar Fasciitis shoe inserts from physiotherapist. Works.

I've ended up with orthotics as well.

My podiatrist also made me a section of pool noodle with a wooden dowel through it - I stand on this to try to relieve some of the pain of the plantar faciitis. Spiky ball or even a towel rolled up it a good alternative, depending how severe the pain is at the moment.

 

[RooFlyer]

He was 99 and still drinking a case of champagne and a case of red wine per week.
All of them lived very full and happy lives.

I see what you did there

 

[drron]

I see what you did there

Yes I am just getting in early before the Brisbane AFF do so that if anybody makes a comment about my drinking i can refer them to that post.

 

[Quickstatus]

She can't remember any injuries

Worth doinga foot Xray if not getting better

I would end up channeling @JohnK

Could be a simulation

 

[Quickstatus]

aneurysms practically inoperable at present and to be monitored.

Very few aneurysms are inoperable
Its got a wide neck which makes it difficult but aneurysm coiling often done for these things

They fill up the sac with coils of very fine wire with bristles sticking outthe sides of the wire.

 

[TheRealTMA]

I've ended up with orthotics as well.

My podiatrist also made me a section of pool noodle with a wooden dowel through it - I stand on this to try to relieve some of the pain of the plantar faciitis. Spiky ball or even a towel rolled up it a good alternative, depending how severe the pain is at the moment.

Good idea. My physio said the custom orthotics are 10 times the price and realy no difference, but whatever works! I have multiple pairs (about $75 a pair) from the physio in different shoes. I rerally notice it if I wear shoes wthot them for a day. Seems to work well for me. YMMV.

 

[bussyboy]

Very few aneurysms are inoperable
Its got a wide neck which makes it difficult but aneurysm coiling often done for these things

They fill up the sac with coils of very fine wire with bristles sticking outthe sides of the wire.

To clarify, practically inoperable based on the relatively low risk at 21mm, and the more complex approaches to be considered beyond a normal stent.

Will scan again at end of the year, and every year, and progress a surgical solution of there's signs of growth

 

[VPS]

Good idea. My physio said the custom orthotics are 10 times the price and realy no difference, but whatever works! I have multiple pairs (about $75 a pair) from the physio in different shoes. I rerally notice it if I wear shoes wthot them for a day. Seems to work well for me. YMMV.

Interesting but I have very flat feet so need custom made orthotics. I really struggle to walk far without good shoes and with my orthotics in

 

[Katie]

Worth doinga foot Xray if not getting better

Physio today was inconclusive, apart for the heel being very sensitive.
GP appt booked tomorrow.

 

[Quickstatus]

Will scan again at end of the year,

Yes not all aneurysms require immediate treatment. Often they will follow with regular scans and see.
2.1mm is tiny. Over 2cm is considered significant

 

[bussyboy]

Yes not all aneurysms require immediate treatment. Often they will follow with regular scans and see.
2.1mm is tiny. Over 2cm is considered significant

21mm is 2.1cm

Apparently there's a few different schools of thought on the size. If I was a female of child bearing age, pregnant or intending to conceive, this would be a bigger priority apparently.

My specialist is mildly concerned but rate of growth come my November scans this year and next will be the deciding factor.

Just need to avoid car accidents and bar fights in the meantime

 

[Seat0B]

Feeling a bit nervous tonight. Tomorrow I have my first haematologist review after getting remission declared last December. I have some blotches back on my arms and still feel pretty tired a lot of the time. Although he did say I’d feel tired for up to 12 months.

I’m finding that it’s quite hard emotionally to live with the certainty of a relapse but not really know when. And to know what’s just normal life and what isn’t. The blotches definitely are not normal.

 

[Seat0B]

Thanks for the support everybody. I’ll let you know I go.

 

[Katie]

Physio today was inconclusive, apart for the heel being very sensitive.
GP appt booked tomorrow.

Just back from the GP (now missing the time when they were recovering from the 2022 floods, and our GP was at a clinic ~500m from the Teen's school rather than ~500m from home )

Knee and foot ultrasound booked for Tuesday, earliest possible. Definitely achilles problems. Said to stop the antibiotics as she saw no signs of cellulitis and to drop the Celebrex 100mg to once a day. Need to drop Teen at school and pickup rather than take the bus, and rest as much as possible. If school won't allow us to drop off at the door, then she should do remote learning for 1-2 weeks!