Every doctor has patients that he or she has treated over a lifetime that can be recalled to memory. Often, it is because the circumstances of their care were particularly troubling or difficult. These memories pop up at unexpected times. Many years ago I was called to the emergency room to see a very pleasant 50 year-old woman for chest pain. Upon arrival, I noted a somewhat "ripe" (like an orange that had "passed its prime") smell to the room, a very lovely well made up lady, seated, breathing quite heavily, and unable to lie down without gasping for air. Underneath my hand when I went to examine her heart was a hard lump the size of a robin's egg in her breast. My stethoscope revealed clear evidence that her lungs were filled with fluid. Her laboratory tests quickly returned demonstrating proof of a heart attack, diabetic ketoacidosis, and a leukemoid (suggesting leukemia) reaction. I still recall the feeling of helplessness as I debated with mysel...
What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
Generic Name: ALUMINUM/MAGNESIUM ANTACID - ORAL Pronounced: (a-LOO-mi-num/mag-NEE-zee-um) Heartburn Antacid Oral Precautions
Before taking this product, tell your doctor or pharmacist
if you are allergic to aluminum hydroxide; or to magnesium; or if you have any
other allergies. This product may contain inactive ingredients, which can cause
allergic reactions or other problems. Talk to your pharmacist for more
If you have any of the following health problems, consult
your doctor or pharmacist before using this product:
frequent alcohol use
severe loss of body water (dehydration/fluid
kidney problems (including kidney stones)
This medicine may contain aspartame. If you have
phenylketonuria (PKU) or any other condition that requires you to restrict your
intake of aspartame (or phenylalanine), consult your doctor or pharmacist about
using this drug safely.
During pregnancy, this medication sh...
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