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 ...
Chest pain is one of the scariest symptoms a person can have because the first thing we usually think of is a heart attack. Of course, any new chest pain should be considered a medical emergency and checked out right away. But once a heart problem has been ruled out, one of the possibilities your doctor may consider is costochondritis. Costochondritis ((kos-toe-KHON-dri-tis) is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It is one of the most common cause of musculoskeletal chest pain. Symptoms: The two main symptoms of costochondritis are pain and tenderness in the chest wall, specifically where the ribs attach to the breastbone.
Pain – The pain of costochondritis is usually described as sharp and/or stabbing, but may also be dull, burning or gnawing. Often the pain gets worse when coughing or taking a deep breath. There may also be some difficulty breathing. The location of the pain can be on either...
At the 2008 convention, I was fortunate to catch up
with Dr. Ken Duckworth, NAMI's medical director, and his colleague, Stephen M.
Goldfinger, MD, professor and chair, Department of Psychiatry and Behavioral
Sciences, State University of New York Downstate Medical Center. Their insights into schizophrenia in young
people I offer as a complement to my first blog outlining the findings of NAMI's
recent survey. We chatted outdoors in
the Florida sun.
CB: First, I'd like to know how you got involved in the blog for MTV's True Life: I Have Schizophrenia . All three of the people featured had
different stories. Schizophrenia in each
person is as unique as his or her thumbprint.
Comment on this, and how MTV put human faces on the illness.
KD: I think MTV did a great job, and they picked interesting young adults living
with schizophrenia and each of them has a different kind of package of what
they're doing, how they're living, the supports and the s...
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