Fibromyalgia

[gasaddict54]

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anyone not cringe when you see this on the pre-op? ever had an "attending" tell you how real this is? ( I really hope this makes you sigmend freuds in attendance feel better)

 

[deleted126335]

anyone not cringe when you see this on the pre-op? ever had a MD tell you how real this is?

Yes I cringe. Over time I have come to believe that there is something real there. Doesn't make me cringe any less. But I have more sympathy for this diagnosis than I used to.

 

[geogil]

anyone not cringe when you see this on the pre-op? ever had a MD tell you how real this is?

I'm still having a hard time believing that you're a resident. "ever had a MD tell you...". It seems you're contrasting being an MD with your current level of education, whatever it is. Perhaps its just my inner lit major overanalyzing your posts, but thus far they sure don't seem to be consistent with the resident status you allegedly have. If you truly were a resident, I would expect that you would phrase it " ever had an attending tell you..." , because it would be implicit that you were both MD's, and thus using the title would be redundant. If jet were here he might be reaching back into "Da monsta truck" and fingering whichever firearm he thought best suited for trolls. Perhaps I'm just misreading your post, however, gasaddict.

so i am not a resident now???? wow i have some explaining to do to my mom for why i havent seen her since Christmas. why do u troll me?

 

[WholeLottaGame7]

I'm still having a hard time believing that you're a resident. "ever had a MD tell you...". It seems you're contrasting being an MD with your current level of education, whatever it is. Perhaps its just my inner lit major overanalyzing your posts, but thus far they sure don't seem to be consistent with the resident status you allegedly have. If you truly were a resident, I would expect that you would phrase it " ever had an attending tell you..." , because it would be implicit that you were both MD's, and thus using the title would be redundant. If jet were here he might be reaching back into "Da monsta truck" and fingering whichever firearm he thought best suited for trolls. Perhaps I'm just misreading your post, however, gasaddict.

Maybe he's a DO resident and he just wanted to differentiate. Hiyo! Just kidding. I agree. The titles or whatever are pretty useless. Anybody could be anybody. All you can go off is what they sound like.

 

[Planktonmd]

I don't think you are misreading anything, I think you got it right.

I'm still having a hard time believing that you're a resident. "ever had a MD tell you...". It seems you're contrasting being an MD with your current level of education, whatever it is. Perhaps its just my inner lit major overanalyzing your posts, but thus far they sure don't seem to be consistent with the resident status you allegedly have. If you truly were a resident, I would expect that you would phrase it " ever had an attending tell you..." , because it would be implicit that you were both MD's, and thus using the title would be redundant. If jet were here he might be reaching back into "Da monsta truck" and fingering whichever firearm he thought best suited for trolls. Perhaps I'm just misreading your post, however, gasaddict.

 

[gasaddict54]

Maybe he's a DO resident and he just wanted to differentiate. Hiyo! Just kidding. I agree. The titles or whatever are pretty useless. Anybody could be anybody. All you can go off is what they sound like.

sorry only a first year and never really put much thought into it ,,,,,I meant the attending SURGEON etc. Why do several people on this board seem to be so mistrusting? I am obviously very new here and i am amazed at the level of us versus them , u are either for us or against us attitude. I was an RN for a year before going back to Med School so i guess i have a different perspective on matters. I have and will not ever TROLL anyone on here. I am only here to extend my knowledge base and have no ill will toward anyone.😱

 

[Planktonmd]

sorry only a first year and never really put much thought into it ,,,,,I meant the attending SURGEON etc. Why do several people on this board seem to be so mistrusting? I am obviously very new here and i am amazed at the level of us versus them , u are either for us or against us attitude. I was an RN for a year before going back to Med School so i guess i have a different perspective on matters. I have and will not ever TROLL anyone on here. I am only here to extend my knowledge base and have no ill will toward anyone.😱

 

[Planktonmd]

Most people with the diagnosis of Fibromyalgia are simply crazy (about 90%).
There is a minority (10%) of them who actually have a physical disease but that physical disease is not diagnosed yet and some genius had told them that they must have Fibromyalgia.

 

[geogil]

sorry only a first year and never really put much thought into it ,,,,,I meant the attending SURGEON etc. Why do several people on this board seem to be so mistrusting? I am obviously very new here and i am amazed at the level of us versus them , u are either for us or against us attitude. I was an RN for a year before going back to Med School so i guess i have a different perspective on matters. I have and will not ever TROLL anyone on here. I am only here to extend my knowledge base and have no ill will toward anyone.😱

There is a long and rich history on this board of RN's, SRNA's, and CRNA's starting accounts and pretending to be med students or residents. They then pick fights or support thinly veiled agendas which coincide closely with the AANA's agenda. It is with great suspicion then, that we read posts by a new SDN member who has posted only on the gas board. If indeed you are a resident, by all means, stick around, and post like a resident and you will be welcome. If, however, you are a CRNA, SRNA, or RN, know that this is the Student Doctor Network, and as such is for med students, residents and attendings and that CRNA's, SRNA's, and RN's are guests who are welcome to learn, but not to push political agendas. This is not intended to be personally insulting, but to give you a context for reactions you may encounter in our little forum.

 

[DrDre']

I used to think the diagnosis was made-up too. Many are over-diagnosed but some really have it.

The evidence (or anecdote) that finally convinced that this was real and likely related to central pain processing was my own life.

That's right, I gots the anti-fibro.

I am only content, happy, satisfied when my muscles, connective tissue and my glycogen-depleted liver are totally trashed. My brain processes that as a great thing- they are the opposite...

Yes I cringe. Over time I have come to believe that there is something real there. Doesn't make me cringe any less. But I have more sympathy for this diagnosis than I used to.

 

[gasaddict54]

There is a long and rich history on this board of RN's, SRNA's, and CRNA's starting accounts and pretending to be med students or residents. They then pick fights or support thinly veiled agendas which coincide closely with the AANA's agenda. It is with great suspicion then, that we read posts by a new SDN member who has posted only on the gas board. If indeed you are a resident, by all means, stick around, and post like a resident and you will be welcome. If, however, you are a CRNA, SRNA, or RN, know that this is the Student Doctor Network, and as such is for med students, residents and attendings and that CRNA's, SRNA's, and RN's are guests who are welcome to learn, but not to push political agendas. This is not intended to be personally insulting, but to give you a context for reactions you may encounter in our little forum.

fair enough

 

[BobBarker]

I just think of it as a somatic manifestation of depression... doesn't mean they aren't crazy still, I just more understand their craziness.

 

[dhb]

My mother told me she had fibromyalgia...





I told here she was crazy...

 

[Apollyon]

I just think of it as a somatic manifestation of depression... doesn't mean they aren't crazy still, I just more understand their craziness.

That's what I say - chronic fatigue, interstitial cystitis, irritable bowel syndrome, fibromyalgia - all are somatic representations of psychological issues. Scopes have shown actual physical findings in interstitial cystitis.

However, fistfuls of Percocet are not the solution to the "fibro".

 

[SleepIsGood]

I'm still having a hard time believing that you're a resident. "ever had a MD tell you...". It seems you're contrasting being an MD with your current level of education, whatever it is. Perhaps its just my inner lit major overanalyzing your posts, but thus far they sure don't seem to be consistent with the resident status you allegedly have. If you truly were a resident, I would expect that you would phrase it " ever had an attending tell you..." , because it would be implicit that you were both MD's, and thus using the title would be redundant. If jet were here he might be reaching back into "Da monsta truck" and fingering whichever firearm he thought best suited for trolls. Perhaps I'm just misreading your post, however, gasaddict.

good catch!

nice.

 

[MJB]

 

[Jeff05]

That's what I say - chronic fatigue, interstitial cystitis, irritable bowel syndrome, fibromyalgia - all are somatic representations of psychological issues. Scopes have shown actual physical findings in interstitial cystitis.

However, fistfuls of Percocet are not the solution to the "fibro".

opioid analgesics are not recommended for fibro by any of the pain management societies. even pain guys find fibro patients difficult to manage.

 

[Apollyon]

opioid analgesics are not recommended for fibro by any of the pain management societies. even pain guys find fibro patients difficult to manage.

And, yet, in upstate South Carolina, boy howdy - FM docs prescribing by the ton (Lortab is the drug of choice there). I loved it there, don't get me wrong, but that was an element of my patient base that I did NOT enjoy, and don't see here now.

 

[Jeff05]

And, yet, in upstate South Carolina, boy howdy - FM docs prescribing by the ton (Lortab is the drug of choice there). I loved it there, don't get me wrong, but that was an element of my patient base that I did NOT enjoy, and don't see here now.

2 key points: south carolina and FM. that does not equal pain management. that equals pill mill.

 

[drf]

http://www.youtube.com/watch?v=LIFc2mlSm7U

What I prefer:

http://www.youtube.com/watch?v=NX7qfGOyoYM

 

[Noyac]

Yes I cringe. Over time I have come to believe that there is something real there. Doesn't make me cringe any less. But I have more sympathy for this diagnosis than I used to.

What made you believe this?

 

[RabbMD]

Here on the east coast the new thing to do is call it lyme's disease and place ports in them all for long term
abx. We are doing tons of these cases now under mac.

 

[tucker27705]

I don't care. I dose everything the way I would for a pt that wt. They do fine. In PACU, when they are still drowsy, I "good bye."
I love anesthesia, and am very glad I don't have clinic.
Tuck