Then when I walked from the patient drop off to GP's office it all hit me again and was there to stay. I feel much better now that I took the new BP med. I am glad about that because, I was starting to feel like I did before I went to the ER Friday night. I sure did not want another episode already had enough of them What a time you're having, Joonie. Sending positive thoughts and prayers your way!What does TIA stand for? Sorry; don't recognize that.
Sorry you're having such a rough time Joonie; but I'm glad to hear your doctors are on the trail. They'll get to the bottom of all this soon enough. Hang in there.
Transient Ischemic Attack its like a mini stroke it produces stroke like symptoms but doesnt have a long lasting effect Aw Joonie, I am so sorry you are going through this, but it sounds like you are doing all the right things. Am I understanding it that the doctor is saying your BP medication might have been causing this? I only got BP medication when I went to the ER, and when they RXed me some. I did not have BP problems until about 3 weeks ago, maybe almost a month ago. According to my Remicade Nurse my BP & pulse have been elevated since my 3rd loading dose of Remicade. RD & Remicade Nurse both thought my elevated BP & Pulse the first time was from me being in pain when I came in for that loading dose. That is also the same time RD gave me a pain med drip along with my Remicade.
GP said that my low BP & pulse on Sunday was the cause of that one BP pill I took on Saturday evening at 6pm. Said that it was too strong for me. And gave me a different kind in a lower dose, and told me to take asprin too.
joonie2008-03-24 18:24:47good luck to you Joonie... I hope they get to the bottom of this for you!!Thanks for the prayers and good lucks everyone. They are GREATLY appreciated.
It really hurt me to have to tell my mom about all that I have to have done this week and why they had to be done.
The weird part is... that I had the TIA when I was sitting there "slurring" to the ER nurse. But it actually began when I was at in-laws and progressively got worse when I got to the ER.
I fit the symptoms of the TIA to a "T". I mean I HAD all the symptoms, not just a few, ALL of them. I just thought it was from HBP & Pulse.
I do not have any of the symptoms of High Blood Sugar or even Diabetes. GP said it was more than likely because of my J/RA and from where it has been out of control. He told me that today. He said I had more of a chance of having a TIA because of Rheumatoid.
Thanks, WatchingWolf for telling me of the TIA. I was not as Shocked when my GP said that is what he thought I had and ordered the MRI. Because I googled the symptoms and had hubby read it and he said that was me from what all I told him. Then I read it again today when I got home and it was me.
Oh well...
Hope Everyone had a good day.
Gosh Joonie, this is scary stuff. I hope and pray that everything turns out well for you and your family.
Take care...
You know, Katie... I had that same thought today when I was listening to my in-laws talk about it to me and needing the MRI.
But if you would like I will make you a copy of my MRI papers I have to take to registration wednesday to prove to you that I was told that he was sure by what the ER and I said that happened was TIA.
I would NEVER make this up. I so do not want to die. I do not even want to be more of a burden to my family than I already am.
Let me go scan my stuff for you, ok?
No, I was just asking. I read and re-read this post, and I didn't see really where you said "the results of my MRI said..." But I guess I missed it? Sorry.Joonie: You were still having numbness and other problems and your gp didn't send you to a neurologist? A TIA Stroke usually lasts for no more than 20 minutes. If symptoms persist longer than this this indicates a stroke.
My uncle had an mri as well as an mra - actually two them - and they were ordered by a neurologist - not his gp.
GP is a internal medicine and board certified vascular and endovascular medicine. I just call him my GP because he is my medicaid appointed Doctor. My RD is also internal medicine doctor too. So... I have 2 internal medicine doctors.
Yes, I still have slight numbness on the right side of my face. I told my GP about it, too. He even poked my right cheek bone where it is still numb.
Yes, I do have some tingling or sleep sensation in my left arm. I told him this too. Then he made me do all of these push against his hands, squeeze his fingers, try not to let him push my arms down with his hands, not let him push my legs down with his hands and to push against his hands with my legs. Then he walked out of the room and came back and said MRI of my brain. Which was quite a shock for me.
But anyways...
I am off to let me head spin me to sleep. Night.
So you got an MRI done AND got the results all in one day?
And yet you complain about the medical care up there. I'm sure *no one* on this board has ever had an MRI and gotten the results in one day.
That's gotta be some kind of record.
^ I think joonie means that after the tests the doc ordered an MRI, Katie, she probably hasn't had it yet. She hasn't been diagnosed with TIA yet, it could be a few things, joonie just thinks from her symptoms that it sounds like it is, doesn't mean that it is. Hopefully it is just localized nerve damage and high blood pressure with anemia and everyone won't need to be stressing about anything.
_popupControl();Here in Australia you wait up to six months to see a neurologist, up to two months to get an MRI and wait nine days for the results to get back to your Dr. Then you have to schedule an appointment with your neuro which usually is a month or so in the future. I had to wait four months to prove to my Dr that I didn't have MS. Knew it all along!
I started having dizzy spells a few weeks ago, and my gp did balance checks and said he is 99% sure i have meneires. but has ordered a cat scan and mri just to check in case its something else. I live in a small country town in South Australia and the bigger town next to here has a bigger hospital with the machines. The doctor just fills out the referral letter and we ring up and book the appointments . I rang up thursday and have appointment tomorrow ( within 6 days). After the scans the results are given to me straight after and i then take it back to my gp. Same day if an appt is possible or the day after. So here we are able to get results the same day as the scans and have a short waiting time.^ Wow! That is lightning fast speed! Mine were done with those stupid privatised companies and that do scans and not a hospital, and a private practice neuro. Everything in WA is bloody privatised. It cost me 0 out of pocket to prove to my Doc I didn't have MS! But if you go to the emergency department, you get it all for free and very very quick.
^ I'm sorry to hear that you may have Ménière's, my step-mum has it is. Not nice! _popupControl();
I had a low back MRI two years ago, and the tech called in the doctor who showed me four collapsed discs within five minutes out of the machine. I had surgery within days. When you really have something critical, they are suppose to move quickly. June, I had a feeling it was medication - I thought it was interaction, not overdosing. But women are given high doses all the time - the "adult" dose. Big difference between a 6 foot 250 man and a 5'4 125 foot woman. Good luck and you are in my thoughts and prayers today. CathyMy mum has it also, so it wasnt too scary as I know a fair bit about it. The scans are done at a public hospital and I have a dissability pension so I dont have to pay anything for them. My mum lives in Adelaide ,has private cover and has to wait longer for tests and pay a huge amount. I tell she is crazy having private cover. ok thanks to Katie for confusing me first thing in the morning...LOL ;) I didnt think Joonie had the MRI done yet but then I was all sorts confused (not quite awake this morning). You have you f/u the next day so Ive got to assume that they will have the results fast. Usually they take a while for then them to be read then sent to the dr. So it looks like he is putting a rush in on the resuts so that they can be figured out ASAP...hope you get some relief and all this gets taken care of!!
Joonie: For sure if I were presenting the symptoms you have I would be looking for a new medical team!!
When you're sitting in the waiting room and with your doctor displaying symptoms that could quite possibly be a TIA and the doctor not ordering an MRI immediately to determine what is going on with you is totally mind-boggling.
Also, your doctor should have made you an appt. with a neurologist. A doctor with a specialty in another field of medicine doesn't have the expertise a neurologist has.
Also, are all of your doctors receiving the reports of all your tests?
Also, cannot phathom how a doctor(s) can make a viable dx if you don't have all the tests done that they feel are necessary. Case in point: tests ordered by your urologist. Insurance problems or not you are risking your health by not having the test(s).
Seems unreasonable that if your insurance will pay for an MRI, Holter Monitor Test, etc. and so forth that they would balk at a test ordered by your urologist.
Also, why they haven't ordered stress tests puzzles me. Our daughter has a heart murmur and also had to wear the Holter Heart Monitor. In addition, she was also put through a series of stress tests while hooked up/attached to a monitor so they were able to see the results immediately.
If all your doctors have access to your medical records it is totally confusing as to why you haven't been hospitalized for testing and monitoring. Lotza questions I know but we are all sooooooo concerned about you.
watchingwolf2008-03-25 07:58:33[QUOTE=arriscolwell]So, you've been told by a MEDICAL PROFESSIONAL that you had TIAs? 110% for sure? Or he just thought maybe that's what it is?
This feels like Roxy all over agian.
[/QUOTE]
Katie- You are such a bitch. I come on here to read for pleasure and find my last post. I rarely come here or post as I do not have the energy. I do a search and you are saying I did not have a stroke. I would make that up????? You are one sick little girl to make such accusations and the fact that you get by with this and people "like you" dumbfounds me.
Roxy,
Slither back under your rock...loser
Phats
[QUOTE=justsaynoemore]But women are given high doses all the time - the "adult" dose. Big difference between a 6 foot 250 man and a 5'4 125 foot woman. Good luck and you are in my thoughts and prayers today. Cathy[/QUOTE]
Pharmacokinetic studies often show no statistically significant difference between concentrations in men and women for the same dose of the same med. Most testing is done on men and women today. They also test on geriatric vs. younger adult patients, and also patients with hepatic/renal impairment.
And there is considerable overlap between male and female body size. I have an aunt who is 6'2" and about 400 pounds; my husband is 5'9" and 170 pounds.
"Reducing the risk for errors by using alternative dosage calculation techniques15 or alternatives to the use of dosage regimen equations (ie, weight-based dosage ranges and tables) should be evaluated.10, 13-14"justsaynoemore2008-03-26 03:46:52Hi Joonie, all I can say is take no notice of any negative posts, you have enough to deal with, I can't understand for the life of me why people have to be nasty, you take care girlie, and I will keep you in my prayers as I always do.
HI Roxy, same for you love, take no notice, hope all is still going well for you, good on you, much love Janie.
[QUOTE=justsaynoemore]
Jasmine - "pharmacokinetic studies" - sponsored by whom? The company who makes and sells the drugs? My doctor has told me and starts me on low doses because she has told me that women react differently and smaller frame women need lower starting doses, and have to work up to the full dose, if they can handle it. I know you are in the medical field, and believe totally in the science behind it, but there is still that wild card - the patient. http://archpedi.ama-assn.org/cgi/content/full/152/4/340?ck=nck
Besides, many drugs should be titrated anyway - blood pressure,
diabetes control, diuretics, pain meds, psych drugs... none of these
are billed as "one size fits all."
Because I'm allergic - not sensitive - to many classes of drugs and the fact that I tend to respond to drug treatment, either positively or negatively, quicker than most people doctors as a rule prescribe me like half the dose based on weight.
When my gp first put me on AP he began with about half the usual dosages recommended and I'm doing fine - just fine!
Joonie...I hope you are doing better! How are the tests going? Please take care of yourself and take that baby asprin...it is to thin your blood a little bit, so as to avoid a major heart atttack.
Let us know when you get the results of the tests...Love ya girl!
Joonie - I apologize, but I am hijacking your thread :)
Jasmine: If I am understanding you correctly, you believe that there is no difference between men and women and how they react to medication and that only weight is considered for proper dosing?
And this is because no study has ever proven this?
What about the research that women assimilate alcohol differently than men? What about women's hormones vs. men's hormones interacting with medications?
I am really curious as I have been told by several medical doctors over the years that men and women do react differently to medication and gender is a part of their dosing decisions. Thanks in advance ~~ Cathy
I never said that. What I said was that many times, the pharmacokinetic studies show statistically insignificant differences. I also said that medicines aren't one-size-fits-all. This is why manufacturers make different dosage strengths. Even when there are differences between the sexes, there is much overlap. Especially when you also look at body size. This is why medicine is an art.
http://www.doctorslounge.com/calc/carboplatinauc.htm
Carboplatin dosage is calculated from
sex, age, weight, serum creatinine and
AUC (Area Under the Curve) of carboplatin. Height is necessary for weight correction in obese patients.
Carboplatin is a cancer treatment. I am confused here.
[QUOTE=justsaynoemore]http://www.doctorslounge.com/calc/carboplatinauc.htm
[QUOTE=justsaynoemore]You obviously took exception to my original statement that women are given too high of doses based on gender, coupled with my example of weight/frame dosing. I am confused as to what part of my original post that you found fault with? [/QUOTE]
Your own example seemed to place more value on gender than on the fact that your hypothetical man was twice the size of your hypothetical woman.
Okay, that's accurate. I was curious as to why you were placing more value on size than gender. Thanks ~~ CathyMy father and I took the same dosage of metoprolol for years, even though he outweighs me by more than 100 pounds. We would still be taking the same dosage, except his new cardiologist likes Coreg better for patients with heart failure. I just have an annoying arrhythmia.
Hello Joonie. Hope you are feelling better. This is scary stuff. As far i was understanding you get your mri done wendnesday. What day is it? My pill despencer has the Wendnesday broke on it. Mine got done and read on the same day. They had an mri in the office at the nuerologist. Back when my sister got beat up by her husband and the hospital said she had bleeding of the brain. She was afraid to sleep. Thought she was going to bleed to death in her sleep. I said call my neurologist so you can get some sleep. He got her in right away did an mri read it , and gave her a job. Now that is service. Some docs read the mri them selves and some just have the hospital read them and go from the report. Get well soon Joonie.Hope your feeling better Joonie. My prayers are with you and your family . Thanks maimi! They are greatly apperciated.
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