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deepspacem32
09-02-2009, 03:30 PM
Q: Why do some people break their wrists during arm wrestling? Seemingly physically fit guys probably without osteoporosis.

Original URL: http://www.break.com/index/cocky-arm-wrestler-snaps-elbow.html

A:

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Q: In public, somebody keels over maybe due to heart attack, what would you do in the perfect scenario? No mouth-to-mouth just chest compressions? Extra people squeeze legs to circulate more blood? If in the winter, take 30s to move outside into cold to slow down brain damage? Do you crush an aspirin and put it under their tongue? If someone has an epi-pen would you use it?

A:

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Q: I have horrendous allergies seemingly set off by spending 3 or more hours at my grandparents house, or spending a night at my parents house. I'm talking sneezing hundreds of times in an hour, bloody nose, broken capillaries under skin on nose, the whole deal. But what causes the shooting pain inside after a sneeze? It seems to radiate out to extremities and lasts about 5s?

A:

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Q: When to ice pain, when to use a hot pack?

A:

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Q: I had this weird one night sickness I have never got around to asking a doc about. About 2 years ago (21yr./M) I got extremely ill one night seemingly out of no where. It was the sickest I have ever been in my life. I was spending the night at my gf's dorm and out of no where I started feeling it coming on at like 6PM. By 8PM, in a normal temperature room, I was freezing cold (goosebumps, chattering teeth so bad I couldn't talk, it felt like I was laying down in the snow). BUT, I was profusely sweating with an extremely high fever, with extra clothes on and all the blankets in the room covering me. I took a ibuprofen and vomited. I went to take a shit, was dizzy while walking holding onto walls. I rember sitting on the toilet, dripping in sweat thinking to myself that if I died, it wouldn't matter that much. Here's the kicker, I woke up the next morning and felt completely, 100% fine. What the fuck happened to me????

A:

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Q: How come some people can take a punch and not get knocked out? Do MMA fighters train to not have their brains twist as much? Does adrenaline raise your knockout threshold (sucker punch = likely knockout)?

A:

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Q: Do doctors think some patients are stupid? Example? How do doctors handle patients that swear by homeopathy and want to raise their kids like its the 1700's?

A:

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Q: Why do doctors in the same field get paid differently depending on their location? Is it solely patient load and private practice expenses? How do you find patients in private practice? How come surgeons in private practice work so much; can't they set their own schedule? I heard they have to write something in a patient chart every single day.

A:

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Q: How do primary care doc's screen patients with common symptoms? "I have a headache, stomach pain, and a fever" How do doc's know to when it might be one of 20,000 serious illnesses? Turf em?

A:

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Q: With your current medical knowledge, how would you raise your kids to be healthy besides the obvious? Green tea, caloric restriction, resveratrol?

A:

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Random comment. I remember one post here about using superglue to close cuts if band aids aren't handy. I have done it many times when younger. A little birdie told me that he (Neurosurgeons) commonly use Home Depot superglue to close the Dura, instead of the $5,000 medical equivalent. The superglue they use is exactly the same chemical, just not sterile. It is used all the time but never spoken of. It is referred to as "The special dura closing compound".

Dr Steve
09-20-2009, 07:18 PM
Ok, this counts as 10 questions, just for the record. :smile:

Q: Why do some people break their wrists during arm wrestling? Seemingly physically fit guys probably without osteoporosis.

Original URL: http://www.break.com/index/cocky-arm-wrestler-snaps-elbow.html

A: LEVERAGE




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Q: In public, somebody keels over maybe due to heart attack, what would you do in the perfect scenario? No mouth-to-mouth just chest compressions? Extra people squeeze legs to circulate more blood? If in the winter, take 30s to move outside into cold to slow down brain damage? Do you crush an aspirin and put it under their tongue? If someone has an epi-pen would you use it?

A: First, get someone to call 911 immediately. This is probably the most important thing you can do. If they're pulseless, you must begin CPR immediately, chest compressions plus mouth to mouth (or mouth to mask if you have one). If there's an automatic defibrillator on the premises, it can be used if you've taken the class. So FIRST, I'd take a class, then I'd do all this stuff if something happens. A CPR course and an AED course will save lives.



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Q: I have horrendous allergies seemingly set off by spending 3 or more hours at my grandparents house, or spending a night at my parents house.

So don't go!


I'm talking sneezing hundreds of times in an hour, bloody nose, broken capillaries under skin on nose, the whole deal. But what causes the shooting pain inside after a sneeze? It seems to radiate out to extremities and lasts about 5s?

A: If you sneeze repeatedly, you can cause stretching of the arteries in the head due to the increased pressure created by sneezing (or straining at stool). Arteries don't like to be stretched or dilated, in fact, this is a proposed mechanism for migraine headaches (contraction of the vessel due to some stimulus-->eventual dilation of the vessel --> severe pain).

If you have pain that doesn't go away, you need to get checked out immediately. Or if you have any other weird symptoms. But dude, you're allergic to something in those houses. Seeing an allergist could halt the episodes, resulting in no more pain.



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Q: When to ice pain, when to use a hot pack?

A: Ice is a direct antiinflammatory, so anytime there is inflammation, ice will probably help better than heat. Heat makes you FEEL better while it's on, though, and is primarily used for pain in muscle strain and spasm.


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Q: I had this weird one night sickness I have never got around to asking a doc about. About 2 years ago (21yr./M) I got extremely ill one night seemingly out of no where. It was the sickest I have ever been in my life. I was spending the night at my gf's dorm and out of no where I started feeling it coming on at like 6PM. By 8PM, in a normal temperature room, I was freezing cold (goosebumps, chattering teeth so bad I couldn't talk, it felt like I was laying down in the snow). BUT, I was profusely sweating with an extremely high fever, with extra clothes on and all the blankets in the room covering me. I took a ibuprofen and vomited. I went to take a shit, was dizzy while walking holding onto walls. I rember sitting on the toilet, dripping in sweat thinking to myself that if I died, it wouldn't matter that much. Here's the kicker, I woke up the next morning and felt completely, 100% fine. What the fuck happened to me????

A: Sounds like a virus. My ex-wife would get mad at me when one of her kids would get sick and she'd ask me what was wrong with them and i'd invariably say "probably a virus" she'd yell "THAT'S YOUR FAVORITE WORD!" as if she'd rathered that I'd said "could be cancer" or something. Anyway, acute viral illnesses can make you sicker'n hell and can resolve quickly too. Food poisoning is another possibility. There's a bacteria called Bacillus Cereus that you can get from poorly stored rice that is in and out within 24 hours a lot of the time.



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Q: How come some people can take a punch and not get knocked out? Do MMA fighters train to not have their brains twist as much? Does adrenaline raise your knockout threshold (sucker punch = likely knockout)?



A: The physiology of the knockout is pretty simple...jerk your head back hard enough and you interrupt the blood supply to the brain long enough to lose consciousness. This video explains it better than I can:

<object width="425" height="344"><param name="movie" value="http://www.youtube.com/v/cITQ5jRS_pA&hl=en&fs=1&"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/cITQ5jRS_pA&hl=en&fs=1&" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="425" height="344"></embed></object>

Now, if you have a big giant muscular neck, you're less likely to get the sloshing around of the brain in the brainpan. It can still happen, but it's less likely than it would be in a wimp like me.



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Q: Do doctors think some patients are stupid? Example? How do doctors handle patients that swear by homeopathy and want to raise their kids like its the 1700's?

A: Informed consent is the best method. You tell the patient what you think will help them and why, and document it. It's a free country, so for the most part people can refuse any medical treatment that they want to. The exception to this is the minor patient.

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Q: Why do doctors in the same field get paid differently depending on their location? Is it solely patient load and private practice expenses? How do you find patients in private practice? How come surgeons in private practice work so much; can't they set their own schedule? I heard they have to write something in a patient chart every single day.

A: ok, if their patient is over 65, they DON'T get paid differently. Every doctor makes the same money from medicare for a 99213 office visit (expanded problem focused visit) whether they're from Talahassee, Nashville, or Juno. Some private insurance companies will have to negotiate a higher rate in some areas or they won't be able to sign up doctors. Places with high malpractice insurance or high costs of living are subject to this. Regarding documentation, you should write down everything said and done during a patient encounter. It's hard to do, and we often fail, but the goal is to get it all down. This improves patient care in the long run and helps to avoid lawsuits.

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Q: How do primary care doc's screen patients with common symptoms? "I have a headache, stomach pain, and a fever" How do doc's know to when it might be one of 20,000 serious illnesses? Turf em?

A: Common illnesses occur commonly. If you're in minnesota and you hear hooves behind you, it's likely it's a horse, not a zebra. It's POSSIBLE it's a zebra, but unlikely.

If you make a common diagnosis and the patient doesn't respond to the common treatment, then you have to start looking for things, eventually you may find a zebra.



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Q: With your current medical knowledge, how would you raise your kids to be healthy besides the obvious? Green tea, caloric restriction, resveratrol?

A: Get them off their asses, teach them to eat a balanced and varied diet, and teach them that the world doesn't owe them anything so they'll be motivated to do stuff for themselves. Teach them to think critically so they won't fall for every stupid scam out there (medical or otherwise). Also discourage smoking and teach the boys to examine their testicles once a month when they hit puberty. Oh, also condom use when that's appropriate.



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Random comment. I remember one post here about using superglue to close cuts if band aids aren't handy. I have done it many times when younger. A little birdie told me that he (Neurosurgeons) commonly use Home Depot superglue to close the Dura, instead of the $5,000 medical equivalent. The superglue they use is exactly the same chemical, just not sterile. It is used all the time but never spoken of. It is referred to as "The special dura closing compound"

I can't even imagine a bacterium that could live in superglue; i bet it's ALL sterile.



whew.

I blew through a few of those. Now I'm going to bed.



your pal,



steve

opie's twisted balls
09-20-2009, 10:07 PM
I wish I'd noticed the "Post Count=1" before I spent an hour on this. :-)
You Sir, are a trooper!! :thumbup:

OTB

p.s. caught the replay of Saturday's WM and am still lmao over the shit filled walmart bags that must be littering America's highways :flush:

Dr Steve
09-25-2009, 08:22 PM
You Sir, are a trooper!! :thumbup:

OTB

p.s. caught the replay of Saturday's WM and am still lmao over the shit filled walmart bags that must be littering America's highways :flush:

HA HA I know! Barry the Blade is a star. you can follow him on twitter at

http://www.twitter.com/barrytheblade



steve

deepspacem32
09-28-2009, 10:58 AM
Thanks Dr. Steve! I will get my post count up soon. Before shows I always set my FB status to promote the show and this forum. I may have a few other tricks up my sleeve to help promote the show.

Thanks for answering my questions.