RE: Meds and sleep deprivation...

RE: Meds and sleep deprivation... (Full Version)

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LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 4:36:11 AM)
I don't produce the smell, I always assumed that I couldn't smell it on myself, so after indulging in a lot of asparagus other half went to the bathroom, I complained, opened the window and said I rather use the other bathroom, then joked that we better not get visitors since both bathrooms now might smell, he joked that he's sure I'm worse and stuck his head in and said "I can't smell a thing", we also had a nice bottle of Sauvignon Blanc with it (always a pain in the neck to find a wine that will go with asparagus without the wine tasting like it came out of a tin can), so we were joking a bit and he was fascinated, blamed it on my flush technique, so he asked me not to flush next time because it can't be, everybody smells after asparagus... I didn't (mind you I didn't invite all friends or random strangers over for a sniff test so it's not representative). I left it at that, only about a year later after an emergency rush to the hospital, I had eaten shrimps in a mild cheese sauce and ended up in horrendous pain and with a belly that looked like I was 9 month pregnant with twins, turned out to be a severe gall colic but they found no gall stones, one of the doctors talked to me and said if I had something like that before, I said not quite so bad but after chicken alfredo I had similar symptoms. So they put me through all sorts of tests, asked about reactions to food, I mentioned that more than a minimal amount of red meat leaves me with a feeling of dizziness and like I've eaten something that was off, apparently not all that rare and due to a lack of an enzyme, they said the positive side is that it also takes care of the asparagus smell... Apparently that ties in with an incompatibility to some dairy proteins when mixed with fowl or fish proteins, oddly enough I am fine with mixing some cheeses and fish/poultry but others just don't work, same with broccoli (or anything related to cabbage) and coconut products (I love Thai food but always study the ingredients when going to a restaurant). Let's say I do whatever I can to NOT set another colic off, I thought I was going to die and it's not that I am super tough or anything, but I seem to have an amazingly high pain tolerance because even as a kid I managed to fall off my bike, broke an arm (which I didn't know at the tender age of 5) and decided there isn't any blood, just a "funny lump" so it can't be bad, proceeded cycling to my friend where I proudly showed up my lump "Look what I got" her mom freaked out a bit and so did mine... Even after falling down the stairs, it didn't hurt that much, so I thought if I lace myself up in Doc Martens for stability and take the dog for a short stroll, it might help, it actually didn't because I ended the stroll by crawling home on all 4s through the snow (dog was a bit confused and nudged me along), it's possibly that in cases of injuries/pain/shock, I have a high adrenaline production which blocks out the pain. In some cases it can be good, when I was robbed in LA at gunpoint, I calmly handed all my stuff over, with "No problem, have it, we're cool..." as soon as they were gone I thought I better find a cop and inform the embassy as my passport was also gone, still feeling rather calm, then as if somebody had flipped a switch, vomited, shivered, crumbled and was a crying wreck with "Ohmygodihavebeenrobbed HEEEEEELP"

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 4:41:43 AM)
quote: ORIGINAL: LadyConstanze everybody smells after asparagus Not true. Some people don't process that specific chemical themselves, others can't smell it in themselves or others. The latter is a genetic trait, the former I don't know about, but would hazard it probably is.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 4:45:32 AM)
quote: ORIGINAL: RapierFugue quote: ORIGINAL: LadyConstanze everybody smells after asparagus Not true. Some people don't process that specific chemical themselves, others can't smell it in themselves or others. The latter is a genetic trait, the former I don't know about, but would hazard it probably is. As I said, I thought everybody smells after asparagus, but learned that it's linked to the meat digesting enzyme, I can't process meat and oddly enough not the chemical that produces the smell after eating asparagus. Is my English getting worse? I stopped taking the codeine pills but there's still a sleep deficit as the throbbing I feel is unfortunately in my ankle and not the more pleasant kind.

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 5:02:50 AM)
quote: ORIGINAL: LadyConstanze quote: ORIGINAL: RapierFugue quote: ORIGINAL: LadyConstanze everybody smells after asparagus Not true. Some people don't process that specific chemical themselves, others can't smell it in themselves or others. The latter is a genetic trait, the former I don't know about, but would hazard it probably is. As I said, I thought everybody smells after asparagus, but learned that it's linked to the meat digesting enzyme, I can't process meat and oddly enough not the chemical that produces the smell after eating asparagus. Is my English getting worse? I stopped taking the codeine pills but there's still a sleep deficit as the throbbing I feel is unfortunately in my ankle and not the more pleasant kind. chortle No it was, I think, my interpretation of what you wrote; it's not only the "meat digesting enzyme" though, was my point.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 6:05:48 AM)
I just relied on what they told me in the hospital, found the asparagus thing interesting but given the fact that the reason why I was enjoying the hospitality of a Munich hospital was a colic, I thought the asparagus thing is mildly interesting but not the focus of my interest. That asparagus thing is very passing and I could live with it, gall colic - not so much. Though unfortunately in the end it's still very much trial and error, so anything I haven't tried before and that could trigger a colic, I take my clue from rats - only try a little bit and make sure it has no ill effects, if that works, try more next time...

mummyman321 -> RE: Meds and sleep deprivation... (12/22/2010 8:56:41 AM)
Definitely call the doctor and ask about switching meds. For Vicodin works great for pain, but I cannot sleep. I stay wide awake. You loose nothing by calling and asking some questions. There are enough alternatives they should be able to get you some relief.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 9:05:16 AM)
quote: ORIGINAL: mummyman321 Definitely call the doctor and ask about switching meds. For Vicodin works great for pain, but I cannot sleep. I stay wide awake. You loose nothing by calling and asking some questions. There are enough alternatives they should be able to get you some relief. I already changed, trying to get off the pain killers ASAP (bit paranoid about what else they do to you) but according to the GP my reaction is very unusual, never heard about anybody having that problem, should make you sleepy, blah blah... Oddly enough quite a few people here seem to have the same problem.

mummyman321 -> RE: Meds and sleep deprivation... (12/22/2010 10:14:06 AM)
That is a poor response from your doctor. I have several family members that are nurses. That is not an uncommon reaction. I am not sure which med you are on but if you look it up manytimes you will see elevated heart rate as a side reaction to narcotic drugs. You could always post a question to the Mayo clinic website for an unbiased answer. You could also try taking Benadril for a sleep aide. Its pretty harmless OTC for allergies with the big side effect being drowsiness.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 12:41:56 PM)
It's OK, I sat on the sofa earlier on and just dozed off, slept despite the ankle hurting and then my dog joined me, snuck up and since she's no little girl and settled on my foot, I was wide awake all of a sudden. My pets have it in for me right now. I'm giving it a try without anything and if it doesn't work I take one of the Demerol they gave me instead. For somebody who usually only has the odd aspirin or ibuprofen in the house, I feel a bit "overloaded" on drugs.

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 12:52:13 PM)
quote: ORIGINAL: LadyConstanze It's OK, I sat on the sofa earlier on and just dozed off, slept despite the ankle hurting and then my dog joined me, snuck up and since she's no little girl and settled on my foot, I was wide awake all of a sudden. My pets have it in for me right now. I'm giving it a try without anything and if it doesn't work I take one of the Demerol they gave me instead. They prescribed Demerol? What was the first thing they prescribed you? The thing that left you unable to sleep. Co-codamol? If so, which strength? It'll give the codeine first, then the Paracetamol, something like "8/500", for example. Or a straight Codeine/ Dihydrocodeine? You don't have any hyperthyroid history do you?

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 1:17:49 PM)
I have a hypothyroid history no hyper... I got the 30/500 Co-Codamol, that's the stuff where half of one took the edge of the pain but sent be basically spinning, after explaining that to them they gave me Demerol, which I treat with a healthy respect. I spoke with a consultant (father of a friend is a Harely Street consultant) and called my old sports doctor in Germany, since there is a fair bit of ligament damage (apparently that is the major cause for the pain, the fracture wouldn't hurt all that much), I'll go for prolotheraphy (NHS doesn't agree with it but my private insurance does) and so no antiinflammatories. From the way the foot looks right now I don't think I need to worry about the swelling going down too quickly. I explained to them that I will go for the prolotheraphy privately and please no antiinflammatories, which could be the reason. Also it's an ankle that has given me grief in the past, knew that I broke it one and tore a ligament, but apparently there is another old fracture there that they estimate happened about 5 years ago, but for the life of me, I can't remember. As luck has it, the current fracture is right between the 2 old fractures. What can I say? I don't do things by half ;)

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 2:16:36 PM)
quote: ORIGINAL: LadyConstanze I have a hypothyroid history no hyper... Good. Demerol is a no-no in the latter instance. quote: ORIGINAL: LadyConstanze I got the 30/500 Co-Codamol, that's the stuff where half of one took the edge of the pain but sent be basically spinning, after explaining that to them they gave me Demerol, which I treat with a healthy respect. 30/500 will knock most mild-to-medium pain on the head very fast. I'm slightly surprised they're giving you that much codeine TBH. 8/500 is usualy where they start, but then again it's presumably quite an injury so maybe so. quote: ORIGINAL: LadyConstanze I spoke with a consultant (father of a friend is a Harely Street consultant) and called my old sports doctor in Germany, since there is a fair bit of ligament damage (apparently that is the major cause for the pain, the fracture wouldn't hurt all that much), I'll go for prolotheraphy (NHS doesn't agree with it but my private insurance does) and so no antiinflammatories. From the way the foot looks right now I don't think I need to worry about the swelling going down too quickly. I explained to them that I will go for the prolotheraphy privately and please no antiinflammatories, which could be the reason. No anti-inflammatories? Why not? I also wouldn’t touch Prolotherapy with a shitty stick, but it’s your call, obviously.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 2:39:28 PM)
quote: ORIGINAL: RapierFugue No anti-inflammatories? Why not? I also wouldn’t touch Prolotherapy with a shitty stick, but it’s your call, obviously. The anti-inflammatories reduce the swelling, which apparently cuts down the blood supply and because ligaments don't have the best blood supply in the first place, it will heal quicker with the anti-inflammatories but not quite as well. I had damage to the ankle before and and they went for conventional treatment, gave me trouble ever since and was considerably weaker than the other (possibly the reason why it was injured in the Saturday tumble), I know a couple of guys who were professional athletes and they went for the Prolotherapy when they had ligament damage, not a problem and especially hardly and long term effects. If there's a chance to have it working again, it's that and not some outdated method, if it's good enough for your football players, I think it should work for me.

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 2:44:55 PM)
quote: ORIGINAL: LadyConstanze The anti-inflammatories reduce the swelling, which apparently cuts down the blood supply and because ligaments don't have the best blood supply in the first place, it will heal quicker with the anti-inflammatories but not quite as well. That's certainly one way of looking at it. quote: ORIGINAL: LadyConstanze I had damage to the ankle before and and they went for conventional treatment, gave me trouble ever since and was considerably weaker than the other (possibly the reason why it was injured in the Saturday tumble), I know a couple of guys who were professional athletes and they went for the Prolotherapy when they had ligament damage, not a problem and especially hardly and long term effects. If there's a chance to have it working again, it's that and not some outdated method, if it's good enough for your football players, I think it should work for me. Best of luck then. Personally, if it's previously weakened, I think you'll end up having a minor op to correct (no need to worry it's perfectly standard these days), but maybe you'll get lucky with the prolotherapy.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 3:06:44 PM)
Everybody I know who had it was more than happy with it and had good results, so it's certainly worth a try and it comes highly recommended. quote: Personally, if it's previously weakened, I think you'll end up having a minor op to correct (no need to worry it's perfectly standard these days), but maybe you'll get lucky with the prolotherapy. I was told that too, by the same docs who recommend the Prolotheraphy and it might be an idea, but for some odd reason I won't be comfy doing it in an NHS hospital, my trust in them is rather limited. As I said, regarding the meds, I am kinda surprised that I got the 100 pack of the Co-Codamol 30/500 thrown at me and now Demerol, friends joked that apparently they are quite "popular" with junkies, it might be worth if I fall down the stairs regularly (other half offered to help - once he ups my life-insurance and leaves soap bars on the stairs, I start worrying), when they refused me the rather harmless Thyroxine tablets that I had been taking for almost 20 years on account of "not needed, oh so dangerous", they offered me heavy duty anti-depressants and all sorts of stuff, claiming it would be harmless... I do wonder a bit what they deem harmless and what not... On another note, I got 97 of the Codamol pills left and don't plan to take them (nor do I plan to sell them on the black market), what do I do with them here? In most other countries the chemists have a secure box where you can drop them, they then get sorted and if they are not past their use by date, they are given to charities abroad. Never saw anything like that here, I'm not really comfy with throwing them into the regular rubbish...

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 3:08:13 PM)
quote: ORIGINAL: LadyConstanze On another note, I got 97 of the Codamol pills left and don't plan to take them (nor do I plan to sell them on the black market), what do I do with them here? In most other countries the chemists have a secure box where you can drop them, they then get sorted and if they are not past their use by date, they are given to charities abroad. Never saw anything like that here, I'm not really comfy with throwing them into the regular rubbish... Hand them in at a chemists/pharmacy.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 3:21:31 PM)
I was thinking that but they don't have the secure boxes there, so I figured it's possibly nothing they're interested in

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 3:22:53 PM)
quote: ORIGINAL: LadyConstanze I was thinking that but they don't have the secure boxes there, so I figured it's possibly nothing they're interested in You thought wrong. They'll take them off you and store them securely for collection later.

LadyConstanze -> RE: Meds and sleep deprivation... (12/22/2010 3:35:22 PM)
Not taking a pop here, but don't you think it would be a good method to do what other countries tend to do? I'm not a huge pill popper so whenever I got a prescription I would first talk to the doctor and say I don't need that much (in most countries they also tend to give you a smaller amount), in case that was forgotten, talking to the chemist who would take them out of the package and seal them, in case you misjudged you could get it back within a week, if not they were given to others. That was different from the secure boxes... I think it's a slightly different mentality, the UK seems to think of medical doctors as sort of demi-gods or seems to place a really funny value on the title. When we were house hunting, I was shown places where I wouldn't like my pet rat to live in, my boss told me I need to use the Dr. (which I thought was a bit presumptuous as it didn't change what I wanted to spend on a house) and guess what, gave it a try and all of a sudden I was shown NICE houses....

RapierFugue -> RE: Meds and sleep deprivation... (12/22/2010 3:45:34 PM)
quote: ORIGINAL: LadyConstanze Not taking a pop here, but don't you think it would be a good method to do what other countries tend to do? I'm not a huge pill popper so whenever I got a prescription I would first talk to the doctor and say I don't need that much (in most countries they also tend to give you a smaller amount), in case that was forgotten, talking to the chemist who would take them out of the package and seal them, in case you misjudged you could get it back within a week, if not they were given to others. That was different from the secure boxes... GPs tend to use a prescription to cover one course of treatment, typically either 7-10 days in the case of ABs, or 14 days for painkillers (for an acute condition such as yours). They do this because a) they have big waiting lists every day so don't need the additional load of people coming in for repeat prescriptions and b) because if they under-prescribe people often kick up a fuss and make a complaint. BTW we prescribe approximately one tenth of what France does, as a comparison. Oh and c) the generics used by the NHS are frankly cheap enough that they can afford a 20% over-script and still stay easily within budget. And of course if you'd have asked for a 7 day course you'd have got a 7 day course. As it was, with an acute condition, 14 days for 30/500 at max dosage being 2 x 30/500 x 4 times a day x 14 = 112 tablets. So they gave you exactly what they should have. Since all you ever want to do is moan about the clinical treatment you're getting here from the NHS, and the systems in the UK, may I suggest fucking off somewhere else? You'd be a lot happier. As, I suspect, would they.

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