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I (27F) need a bone marrow transplant, should I give up hope?
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I'm Kenyan (African) and I suffer from sickle cell disease. After years of managing the condition, it just seems to be getting out of hand so my doctor suggested we look into getting the bone marrow transplant. Problem is, I only have a half sibling who's not a match and we couldn't get one in the registry either. Is all hope lost?
Edit: Thank you so much for all the positive feedback and encouragement. This is really uplifting. I won't give up hope.
| 331 |
No. My friend is half Japanese and half German, with only half siblings who weren’t a match, and they found a match for her halfway across the world.
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AskDocs
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Is it possible to quit alcohol on your own by tapering down? What's the protocol for it?
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Age: 35
Sex: male
8-10+ 16oz beers every day.
I'm afraid to go back to my doctor for it after he already helped me once with this using prescriptions. It was a while ago but I feel like he wouldn't want to help me like that again and it's my own fault anyway. I don't want him to drop me as a patient, I finally feel like I have a good doctor.
I have off work until the 3rd. It's gotten to the point that by 10am I'm feeling tense, high anxiety and kinda shaky and need a drink.
I can't have it like that at work because I can't drive or be on site after drinking lol. So I have to get this taken care of before I go back.
I fully understand the dangers of alcohol withdrawal and cold turkey isn't smart. So how should I figure out how many beers to have per day etc, and what timing? Just enough to get rid of the anxiety and shakiness then put it in the fridge and wait again?
If I feel like I need emergency medical attention I won't hesitate.
| 269 |
Please see your doctor. Don’t be embarrassed. This is not worth gambling your life over. If you are walking, have a seizure, fall, and hit your head, it might be too late to seek medical attention. Sometimes withdrawal symptoms can appear abruptly and they can be fatal.
I think in patient detox would be a better idea.
| 601 |
AskDocs
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42F - just had 2nd Heart Attack. How do I keep it from happening again?
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I had my 1st heart attack at 35. I was recovering from the flu (type a) and taking OTC meds that had decongestants. The doctor said the decongestants made my arteries spasm and that a spasm ruptured plaque causing a blockage. I had 100% blockage in my LAD and required 2 stents to open. They said the other arteries looked good and that this was just a fluke and I shouldn't have further issues.
I don't smoke, not diabetic, low blood pressure, 10-20 lbs overweight (5'3" and was 150 lbs), cholesterol was good except triglycerides which were around 200 for the first heart attack. Family history of heart issues in people over 60, but nowhere near my age. I was put on a lot of meds for the first few years to recover from heart damage and for the stents. For the last few years I've just been on baby aspirin and statins. The statins were not because my cholesterol was bad, but because the doctor felt it would be a good preventative measure. I haven't taken decongestants since then.
Last week I was again recovering from something. Not COVID, possibly flu as I was extremely exhausted with fever/chills for a few days. But I was never tested so I don't know for sure.
Got chest pains and ended up in the hospital. They initially had me on nitroglycerin via iv and heparin. Troponin was slightly elevated, but stress test and echo showed everything was good. They diagnosed vasospasms and put me on imdur and norvasc. However, the pain would still come every 6-12 hours requiring nitroglycerin. Troponin was slowly increasing. After several days they took me to the Cath lab. Spasms started in the lab and they couldn't get the RCA to open back up even with nitroglycerin. They said it was a 60% blockage that was spasming to a 99% closure. 2 stents were placed in the RCA.
The doctor said the 60% blockage was concerning but the other arteries, including the LAD, looked great. They are keeping me on imdur, norvasc, and plavix.
I got the diet and exercise lectures from the nurses, but neither is bad and I feel like that can't be full the answer. My cholesterol was 98 with ldl at 44 and hdl at 40 when they tested this time. I'm slightly overweight, but I rock climb 1-2 times a week and hike. Honestly, I eat better now and am in better shape than I was prior to the first heart attack. The doctor ordered a LPA test and said there may be a genetic factor, but no results yet. Both times I had absolutely no symptoms and no issues when exercising leading up to the heart attacks. Both times were right after I was fairly sick, can that cause this? Can blockages develop quickly?
Can anyone explain how this happens and what to do to prevent it from happening again? I honestly feel doomed because it feels like it doesn't make sense. I feel very defeated and worry that it is just a matter of time before it happens again and maybe next time they can't fix it.
| 298 |
Can you provide a more in-depth family history? Multiple heart attacks this young makes me think genetic or familial causes. Mom/dad/uncle/aunt/grandparents with sudden cardiac death? Age of first heart attack? Strong history of elevated triglycerides or other lipids?
| 157 |
AskDocs
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Im afraid I’m losing my 9 year old daughter.
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My daughter just turned 9 a couple weeks ago. Her life has taken a major turn. She’s been the funniest, happiest girl here whole life and now it’s like something took over her brain.
She all of a sudden is stressed all the time, scared to go anywhere, even school. She cries all the time and says “What’s wrong with me!” “I wish this could be taken away.” “Why is my brain doing this to me!?”
It’s absolutely heartbreaking seeing her, especially at such a young age, go through this.
She did start going through puberty early. Starting when she was 7.5 she skyrocketed in height, developed breast and has pubic hair. Though hasnt started her period. If you look at photos of her the year before she doesn’t look like the same person.
Could her issues be related to puberty? Would hormone blockers help her? Are they safe? I miss my happy girl and hate seeing her suffer.
| 442 |
Sounds like it may be time for therapy. Honestly, solid job paying attention to her and how she’s feeling. She’s going through a lot of changes and it sounds like you’re trying to be as attentive as possible.
Research says girls that start puberty younger struggle with body image, self esteem, and anxiety more than their male counterparts and girls who have puberty later. “Why is my brain doing this to me” sounds like anxiety. There are many many coping skills that she can learn to help this. Therapy could be a huge help. It’s not just for “crazy people.” Sounds like she just needs a few skills to help her out.
In terms of interacting with her, remind her that she’s safe, you have her covered, and that there is nothing wrong with her. Feelings are not facts. And she’s going to be ok.
| 928 |
AskDocs
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My mom thinks everyone on social media is obsessed with her, I need advice
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Mom is 53F, she takes klonopin 1mg twice daily for around 4 months now
As of around 8 months ago, my mom thinks people on social media are obsessed with her. She believes all of these social media posts are somehow connected to her. It could be someone posting a picture of their dog and she thinks it has to do with her. She has also lost a lot of weight, she does not eat and weighs about 95lbs at 5'3. I noticed she does not talk that much recently unless it's to discuss her "social media shitshow" as she calls it. She believes many of her friends are in on this "social media shitshow" and has actually confronted some of her friends about the things she connects that aren't even real. She has stopped talking to a few because of it.
History: she had a drug-induced psychotic break from adderall in 2014-2015. Her most recent bloodwork from a few months ago was bulk normal besides borderline pre-diabetic and vitamin D deficiency. She may just be starting menopause.
I don't know what to do for her. She does not have health insurance currently. I appreciate any advice for lab testing or mental health.
Edit: state of Florida in the US
| 305 |
So, two possibilities. She is actually social media famous or has reason to believe she is, and nobody offline really knows.
Otherwise, this sounds very suspicious for a psychosis episode. Mental health law varies literally everywhere in the world, in my province (in Canada) adults cannot be hospitalized or treated against their will unless they present a significant harm to their safety/wellbeing (ie, people have the right to live how they want and the right to remain in psychosis, if they aren’t at any risk of harm). The threshold is very high to take someone’s rights away and involuntarily keep them in hospital or medicate them without consent (and rightfully so!)
It sounds like you may be in the US? If you have health insurance for yourself, you could make an appointment with your doctor and ask for advice on behalf of your mom and navigating the system if she did have psychosis. Basically a medical appointment for you to learn how to best help your mom. You really need personalized help here, with someone who knows your local legislation.
Your state may have some auto-coverage for people who go to the emergency room, so if this is the case, it may be best to take your mom to the ER just so you wouldn’t be faced with a hospital bill. There is no guarantee you can actually get her there, she may not be agreeable to go, and the ER may not feel she warrants hospital admission or that she even needs emergency treatment.
If you don’t have health coverage or a doctor you can talk to, there may be a mental health organization/charity near you that can get some free advice from. Just make sure the organization is legitimate, because there are a lot of groups that look like they understand mental health but actually just take advantage of vulnerable people.
Sorry that’s not more helpful. If you’re comfortable sharing your state, a health professional on here may be able to give more specific advice.
| 295 |
AskDocs
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