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The Medical Thread: We're experts on everything else; why not?
- Thread starter The Sicatoka
- Start date
Interesting! And this study was specifically looking at the results without associated therapy.
Between this and the recent studies using psilocybin to treat PTSD, I just get more frustrated at the effects of the ridiculous reefer madness garbage that we've been taught for decades.
MissThundercat
Are the cis okay?
My homework this week was to write up a case of a fictional human being and how they would be treated in an Integrated Care setting. This is my story:
Jimbo McCann is a 47 year old white cisgender heterosexual male. He currently works at Conglom-O, Inc, as a mid-level manager. He checked into Brighter Days Health in Kentwood, MI, complaining of high blood sugar, high blood pressure, and fatigue. When the office took his weight, he checked in at 265 lbs, more than 50 lbs overweight. At home, his marriage is strained due to the fact he stays at the office 14 hours a day and is hardly ever home to take care of their two year old daughter, Isabelle Jean. Their other children, a 15, 12, and 7, have sacrificed extracurriculars to help with the two year old. He also reports spending most of his free time at a local bar with his friends Mike and Steve. On the intake form, Jimbo indicated he drinks three beers or two very stiff cocktails every night. He did not indicate marijuana or other drug use. Jimbo reports his father sat on the board at Conglom-O and “greased enough palms” so Jimbo could be employed with the company out of high school. Jimbo earned his MBA while employed with the company, but despite additional training and networking, Jimbo has not risen past middle management. His father, now retired, has expressed “extreme disappointment” that Jimbo has not risen higher in the company and has threatened to call in some favors so Jimbo gets fired. Jimbo has a performance review for his job coming up in 2 weeks, and his department is last in sales for the company. He feels hopeless, depressed, and after drinking with Mike and Steve at the bar one night, he reports he “called his father and told him to F off, the dirty mother f-cker. GO AHEAD AND FIRE ME!” Jimbo reports he has never seen a therapist in his life; he says “the McCann boys were told to suck it up and be men.”
Jimbo McCann is a 47 year old white cisgender heterosexual male. He currently works at Conglom-O, Inc, as a mid-level manager. He checked into Brighter Days Health in Kentwood, MI, complaining of high blood sugar, high blood pressure, and fatigue. When the office took his weight, he checked in at 265 lbs, more than 50 lbs overweight. At home, his marriage is strained due to the fact he stays at the office 14 hours a day and is hardly ever home to take care of their two year old daughter, Isabelle Jean. Their other children, a 15, 12, and 7, have sacrificed extracurriculars to help with the two year old. He also reports spending most of his free time at a local bar with his friends Mike and Steve. On the intake form, Jimbo indicated he drinks three beers or two very stiff cocktails every night. He did not indicate marijuana or other drug use. Jimbo reports his father sat on the board at Conglom-O and “greased enough palms” so Jimbo could be employed with the company out of high school. Jimbo earned his MBA while employed with the company, but despite additional training and networking, Jimbo has not risen past middle management. His father, now retired, has expressed “extreme disappointment” that Jimbo has not risen higher in the company and has threatened to call in some favors so Jimbo gets fired. Jimbo has a performance review for his job coming up in 2 weeks, and his department is last in sales for the company. He feels hopeless, depressed, and after drinking with Mike and Steve at the bar one night, he reports he “called his father and told him to F off, the dirty mother f-cker. GO AHEAD AND FIRE ME!” Jimbo reports he has never seen a therapist in his life; he says “the McCann boys were told to suck it up and be men.”
Well, fuck.
My mom (late 70s) has had a nagging cough and lethargy for a few weeks now. They identified anemia right away and have been chasing the cause for the last week or so. As a result, she is about to get the 5th (and maybe even more) cancer diagnosis of her lifetime: thyroid cancer in the '70s, two unrelated breast cancers in the '90s, basal cell in the '10s, squamous cell earlier this summer, and just today a terrifying abdominal CT scan with swollen lymph nodes and at least 5 other sites of concern including colon and pancreas.
If there's a way, though, she's not a bad bet. She completed her 11th marathon 4 weeks after her second mastectomy and went on to do 10 more - one tough mother.
Give that cancer the business, mom.
My mom (late 70s) has had a nagging cough and lethargy for a few weeks now. They identified anemia right away and have been chasing the cause for the last week or so. As a result, she is about to get the 5th (and maybe even more) cancer diagnosis of her lifetime: thyroid cancer in the '70s, two unrelated breast cancers in the '90s, basal cell in the '10s, squamous cell earlier this summer, and just today a terrifying abdominal CT scan with swollen lymph nodes and at least 5 other sites of concern including colon and pancreas.
If there's a way, though, she's not a bad bet. She completed her 11th marathon 4 weeks after her second mastectomy and went on to do 10 more - one tough mother.
Give that cancer the business, mom.
Kepler
Cornell Big Red
Hope your mom kicks cancer's as-s, Lynah.
So, mostly good news to report, if your 6th (I can’t count) cancer diagnosis can ever be considered good.
It appears to be “just” lymphoma and it does not appear to have spread beyond the lymph system. The spots that showed up all turned out to be lymph nodes near the liver, pancreas, etc, but those organs appear to be minding their own business so far, so that is a tremendous relief. 6 months of chemo has already started; prognosis for this is still only fair - 50% survival at 5 years, lower if you have other risk factors (my mom has a fistful). So, we shall see.
The thing you need to understand about my mother is that for a good decade after her back-to-back breast cancers in the 90s, she was heavily involved in pretty much every cancer support group in our little city of 35,000 people. 6+ in-person meetings per week and keeping tabs on the progress and prognosis of up to 600 fellow travelers at any given time. And when I say “keeping tabs,” that means she could tell you everything about them, from their kids to their conditions - it was like listening to Erin Brokavich give a rundown of her clients. And the cards - my goodness, the cards. Every one if those people got birthday cards and anniversary cards and cancer milestone cards. She had an entire filing cabinet for her card collection so that she’d always be certain to have just the right one. I swear that when she left the Hallmark store, it looked like she had been grocery shopping, not card shopping. Those cancer survivors were her people, and that’s what she called them, “I lost 3 of my people this week,” she’d say. I only hope she feels 1% of the love and support that she has showered on others.
It appears to be “just” lymphoma and it does not appear to have spread beyond the lymph system. The spots that showed up all turned out to be lymph nodes near the liver, pancreas, etc, but those organs appear to be minding their own business so far, so that is a tremendous relief. 6 months of chemo has already started; prognosis for this is still only fair - 50% survival at 5 years, lower if you have other risk factors (my mom has a fistful). So, we shall see.
The thing you need to understand about my mother is that for a good decade after her back-to-back breast cancers in the 90s, she was heavily involved in pretty much every cancer support group in our little city of 35,000 people. 6+ in-person meetings per week and keeping tabs on the progress and prognosis of up to 600 fellow travelers at any given time. And when I say “keeping tabs,” that means she could tell you everything about them, from their kids to their conditions - it was like listening to Erin Brokavich give a rundown of her clients. And the cards - my goodness, the cards. Every one if those people got birthday cards and anniversary cards and cancer milestone cards. She had an entire filing cabinet for her card collection so that she’d always be certain to have just the right one. I swear that when she left the Hallmark store, it looked like she had been grocery shopping, not card shopping. Those cancer survivors were her people, and that’s what she called them, “I lost 3 of my people this week,” she’d say. I only hope she feels 1% of the love and support that she has showered on others.
dxmnkd316
Lucia Apologist
Well, what's your LDL?
Kepler
Cornell Big Red
Code:
[TABLE]
[TR]
[/TR]
[TR]
[TD]Cholesterol[/TD]
[TD]200 mg/dL[/TD]
[TD]0 - 199 mg/dL[/TD]
[/TR]
[TR]
[TD]Triglycerides[/TD]
[TD]149 mg/dL[/TD]
[TD]34 - 149 mg/dL[/TD]
[/TR]
[TR]
[TD]HDL[/TD]
[TD]32 mg/dL[/TD]
[TD]40 - 9,999 mg/dL[/TD]
[/TR]
[/TABLE]
[TABLE]
[TR]
[TD]LDL Calculated[/TD]
[TD]138 mg/dL[/TD]
[TD]0 - 99 mg/dL[/TD]
[/TR]
[TR]
[TD]VLDL Calculated[/TD]
[TD]30 mg/dL[/TD]
[TD]10 - 40 mg/dL[/TD]
[/TR]
[/TABLE]dxmnkd316
Lucia Apologist
Yeah... that's not so good. You should probably be eating a bowl of statins for breakfast.
Kepler
Cornell Big Red
I'm on statins. That's with them.
dxmnkd316
Lucia Apologist
I mean, seriously, take care of yourself man. We've all got this one chance on this rock. I'm pulling for you.
Kepler
Cornell Big Red
I am doing my best, exercising and I kicked sodas entirely (down from about 30 a week). I have been measuring my calories for three weeks, averaging now around 1600 and never exceeding 1900. I'm down from 251 to 238 (at 5-8). I told myself the day I hit 199 I announce my retirement. There is no stronger motivation, including living.
13 down, 39 to go (25%).
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dxmnkd316
Lucia Apologist
Kepler
Cornell Big Red
The first 25% is easy. It gets much harder.
dxmnkd316
Lucia Apologist
I recommend mono.
I mean, I don't, but it works! Just make sure you don't take any punches to the spleen area though.