[quote]Derek542 wrote:
[quote]csulli wrote:
[quote]Derek542 wrote:
Little more than a nurse, but that is from the book. [/quote]
Oh shit sorry; I meant no offense. What are you?[/quote]
Lol, I have my masters in nursing, so basically I am equal to a Physician Assistant. In the state of Texas I can diagnose, treat and prescribe. [/quote]
I’m a Male nurse Derek, could you milk me?
Fibromyalgia is a convenient diagnosis for patients who are hell bent on finding a diagnosis for their condition which hasn’t shown up on a number of tests. So by saying yes you have fibromyalgia is an easy way of getting the patient off their back. Especially as the patient will often ask the Dr “Do I have fibromyalgia, a diagnosis for which there is no real treatment so I will no longer bother you about it and will accept my fate instead of bothering you every week about it”.
Kind of like kids with ADD…
However I have noticed some people who present with fibromyalgia are the sorts who have burnt themselves out and have chronic fatigue. But in reality they probably just have poor coping mechanisms.
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
Its bullshit diagnosis and happens 2:1 in females to males.
Do you know what the treatment for it is? Exercise [/quote]
Phil Mickelson has psoriatic arthritis…mow much different is that?[/quote]
Like the difference in Cherry Pie and Diet Dr Pepper[/quote]
LOL…bite me DT!![/quote]
hahahhahah no man its a legit question, but what Phil has is a true diagnosed treatable condition. Fibro is more fucking mental than anything. I have yet to see after all my years of medicine someone with Fibro that was not fucking bat shit crazy [/quote]
I will now have to give my mom a call and let her know a PA has found her problem she is bat shit crazy. Nice. So because the human body is so easy to understand and manipulate anything that is not easy to figure out must be in their head 
I will remeber this when treating my patients ina couple years. Oh btw this isn’t said will ill intent I just find it funny when people can’t explain something with the human body so it either doesn’t exist or it’s made up in their head. The reason that blows my mind is we are discovering new things everyday and this will occur for generations. We are not even close to grasping the complexity of the human body.
Carry on
Oh and ps my mom is slightly under weight insanely active to the point I can’t get her to sit down normally even though she spends most of her time in pain which is quite evident at the intense pain running across her face everytime she moves.
[quote]Mr Stern wrote:
Fibromyalgia is a convenient diagnosis for patients who are hell bent on finding a diagnosis for their condition which hasn’t shown up on a number of tests. So by saying yes you have fibromyalgia is an easy way of getting the patient off their back. Especially as the patient will often ask the Dr “Do I have fibromyalgia, a diagnosis for which there is no real treatment so I will no longer bother you about it and will accept my fate instead of bothering you every week about it”.
Kind of like kids with ADD…
However I have noticed some people who present with fibromyalgia are the sorts who have burnt themselves out and have chronic fatigue. But in reality they probably just have poor coping mechanisms.
[/quote]
Your avatar is awesome.
[quote]csulli wrote:
[quote]Derek542 wrote:
[quote]csulli wrote:
[quote]Derek542 wrote:
Little more than a nurse, but that is from the book. [/quote]
Oh shit sorry; I meant no offense. What are you?[/quote]
Lol, I have my masters in nursing, so basically I am equal to a Physician Assistant. In the state of Texas I can diagnose, treat and prescribe. [/quote]
You sound like the perfect guy to diagnose me with whatever conditions you have to have to be prescribed testosterone and medicinal marijuana.[/quote]
Yes, yes, derek says I need a gram of test daily to help with my depression. Yes, for it to work it’s best it must be free of cost.
[quote]DSSG wrote:
[quote]csulli wrote:
[quote]Derek542 wrote:
[quote]csulli wrote:
[quote]Derek542 wrote:
Little more than a nurse, but that is from the book. [/quote]
Oh shit sorry; I meant no offense. What are you?[/quote]
Lol, I have my masters in nursing, so basically I am equal to a Physician Assistant. In the state of Texas I can diagnose, treat and prescribe. [/quote]
You sound like the perfect guy to diagnose me with whatever conditions you have to have to be prescribed testosterone and medicinal marijuana.[/quote]
Yes, yes, derek says I need a gram of test daily to help with my depression. Yes, for it to work it’s best it must be free of cost.[/quote]
Otherwise the stress would release cortisol, which in turn…
It really should be free.
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
Its bullshit diagnosis and happens 2:1 in females to males.
Do you know what the treatment for it is? Exercise [/quote]
Phil Mickelson has psoriatic arthritis…mow much different is that?[/quote]
Like the difference in Cherry Pie and Diet Dr Pepper[/quote]
LOL…bite me DT!![/quote]
hahahhahah no man its a legit question, but what Phil has is a true diagnosed treatable condition. Fibro is more fucking mental than anything. I have yet to see after all my years of medicine someone with Fibro that was not fucking bat shit crazy [/quote]
I will now have to give my mom a call and let her know a PA has found her problem she is bat shit crazy. Nice. So because the human body is so easy to understand and manipulate anything that is not easy to figure out must be in their head I will remeber this when treating my patients ina couple years. Oh btw this isn’t said will ill intent I just find it funny when people can’t explain something with the human body so it either doesn’t exist or it’s made up in their head. The reason that blows my mind is we are discovering new things everyday and this will occur for generations. We are not even close to grasping the complexity of the human body.
Carry on
Oh and ps my mom is slightly under weight insanely active to the point I can’t get her to sit down normally even though she spends most of her time in pain which is quite evident at the intense pain running across her face everytime she moves.
[/quote]
Is there a true diagnosis, of course, what is the percentage that truly have it is much much lower than shown.
You have a valid point, over 20 years of medicine and working ER, family practice, ICU, home health, cardiac rehab, nursery, surgery and nursing home. That is my clinical experience that I draw my medical opinion. Like has been said its an easy diagnosis for some MDs.
I will apologize if you took my generalization as being harsh, again I am just saying I have not seen many true fibro and them not have a psychological factor.
That includes the men that I have seen with that diagnosis. The problem with this diagnosis is no quantifiable data to diagnosis this, it’s all subjective data on reported pain.
I would think it is as with anything…there will always be people that take advantage of something in order to get something…but then there are those that are truly suffering. AND its the abusers that make it bad for the true people.
The sad part is, its usually the abusers that will milk everything while the people who really do suffer still struggle on.
[quote]coyotegal wrote:
I would think it is as with anything…there will always be people that take advantage of something in order to get something…but then there are those that are truly suffering. AND its the abusers that make it bad for the true people.
The sad part is, its usually the abusers that will milk everything while the people who really do suffer still struggle on.[/quote]
Exactly the true ones don’t go to the ER daily looking for pain meds or their family Drs.
[quote]Derek542 wrote:
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
Its bullshit diagnosis and happens 2:1 in females to males.
Do you know what the treatment for it is? Exercise [/quote]
Phil Mickelson has psoriatic arthritis…mow much different is that?[/quote]
Like the difference in Cherry Pie and Diet Dr Pepper[/quote]
LOL…bite me DT!![/quote]
hahahhahah no man its a legit question, but what Phil has is a true diagnosed treatable condition. Fibro is more fucking mental than anything. I have yet to see after all my years of medicine someone with Fibro that was not fucking bat shit crazy [/quote]
I will now have to give my mom a call and let her know a PA has found her problem she is bat shit crazy. Nice. So because the human body is so easy to understand and manipulate anything that is not easy to figure out must be in their head I will remeber this when treating my patients ina couple years. Oh btw this isn’t said will ill intent I just find it funny when people can’t explain something with the human body so it either doesn’t exist or it’s made up in their head. The reason that blows my mind is we are discovering new things everyday and this will occur for generations. We are not even close to grasping the complexity of the human body.
Carry on
Oh and ps my mom is slightly under weight insanely active to the point I can’t get her to sit down normally even though she spends most of her time in pain which is quite evident at the intense pain running across her face everytime she moves.
[/quote]
Is there a true diagnosis, of course, what is the percentage that truly have it is much much lower than shown.
You have a valid point, over 20 years of medicine and working ER, family practice, ICU, home health, cardiac rehab, nursery, surgery and nursing home. That is my clinical experience that I draw my medical opinion. Like has been said its an easy diagnosis for some MDs.
I will apologize if you took my generalization as being harsh, again I am just saying I have not seen many true fibro and them not have a psychological factor.
That includes the men that I have seen with that diagnosis. The problem with this diagnosis is no quantifiable data to diagnosis this, it’s all subjective data on reported pain.[/quote]
I didn’t take it as harsh though what I wrote was true but also slightly sarcastic which is hard to get over the interwebz
I agree that diagnosis is subjective but again I believe that’s because we don’t know what data to collect yet. It’s out of reach for now.
And yes too many patients use it as a cop out and same with Mds or PAs or NPs that don’t want to put in the time. Which then ruins it for people that do have it because then many become biased against its existence and close their mind to possibilities.
Of course this type of situation crops up pretty much every where a small group messes things up for others
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
Its bullshit diagnosis and happens 2:1 in females to males.
Do you know what the treatment for it is? Exercise [/quote]
Phil Mickelson has psoriatic arthritis…mow much different is that?[/quote]
Like the difference in Cherry Pie and Diet Dr Pepper[/quote]
LOL…bite me DT!![/quote]
hahahhahah no man its a legit question, but what Phil has is a true diagnosed treatable condition. Fibro is more fucking mental than anything. I have yet to see after all my years of medicine someone with Fibro that was not fucking bat shit crazy [/quote]
I will now have to give my mom a call and let her know a PA has found her problem she is bat shit crazy. Nice. So because the human body is so easy to understand and manipulate anything that is not easy to figure out must be in their head I will remeber this when treating my patients ina couple years. Oh btw this isn’t said will ill intent I just find it funny when people can’t explain something with the human body so it either doesn’t exist or it’s made up in their head. The reason that blows my mind is we are discovering new things everyday and this will occur for generations. We are not even close to grasping the complexity of the human body.
Carry on
Oh and ps my mom is slightly under weight insanely active to the point I can’t get her to sit down normally even though she spends most of her time in pain which is quite evident at the intense pain running across her face everytime she moves.
[/quote]
Is there a true diagnosis, of course, what is the percentage that truly have it is much much lower than shown.
You have a valid point, over 20 years of medicine and working ER, family practice, ICU, home health, cardiac rehab, nursery, surgery and nursing home. That is my clinical experience that I draw my medical opinion. Like has been said its an easy diagnosis for some MDs.
I will apologize if you took my generalization as being harsh, again I am just saying I have not seen many true fibro and them not have a psychological factor.
That includes the men that I have seen with that diagnosis. The problem with this diagnosis is no quantifiable data to diagnosis this, it’s all subjective data on reported pain.[/quote]
I didn’t take it as harsh though what I wrote was true but also slightly sarcastic which is hard to get over the interwebz
I agree that diagnosis is subjective but again I believe that’s because we don’t know what data to collect yet. It’s out of reach for now.
And yes too many patients use it as a cop out and same with Mds or PAs or NPs that don’t want to put in the time. Which then ruins it for people that do have it because then many become biased against its existence and close their mind to possibilities.
Of course this type of situation crops up pretty much every where a small group messes things up for others [/quote]
Yes, it tends to be a cop-out diagnosis. a trash can diagnosis if you will.
BUT- chronic pain conditions absolutely exist. I know because i suffer through it daily.
they have been called fibrosis, myofascial pain syndrome, fibromyalgia, etc.
i think one of the biggest problems with any of these is the fact that it is a trash can diagnosis. docs cant figure it out in their normal routine, its fibro. so the real etiology of the disease/diseases/conditions is nearly impossible to elucidate, even in studies. Since you could have a study full of people with 14 different true issues, yet all are called fibro, the study is always going to be inconclusive or a complete failure.
and anybody that says it is all in my head can kindly go fuck themselves and kiss my ass on their way.
[quote]Chushin wrote:
[quote]coyotegal wrote:
Hey someone changed my title!
[/quote]
The mods have been doing that lately.
You can change it back if you like by editing your OP.[/quote]
Haha maybe I will start an OCD thread and title it lazily 
I work with 2 ladies that are out on disability with it. The first is about age 62, not in horrible shape but not really active. She went on vacation somewhere and contracted psoriasis (sp?) and soon after that fibromyalgia. Like a 1-2 punch. She’s been out for like 3 years.
The second is a lady around 55… quite fat and not active at all. A real desk jockey. She had been out for days at a time with vague illnesses/ reactions to medicine. This one has been out since late in 2012.
Rob
[quote]cwill1973 wrote:
[quote]Mr Stern wrote:
Fibromyalgia is a convenient diagnosis for patients who are hell bent on finding a diagnosis for their condition which hasn’t shown up on a number of tests. So by saying yes you have fibromyalgia is an easy way of getting the patient off their back. Especially as the patient will often ask the Dr “Do I have fibromyalgia, a diagnosis for which there is no real treatment so I will no longer bother you about it and will accept my fate instead of bothering you every week about it”.
Kind of like kids with ADD…
However I have noticed some people who present with fibromyalgia are the sorts who have burnt themselves out and have chronic fatigue. But in reality they probably just have poor coping mechanisms.
[/quote]
Your avatar is awesome.
[/quote]
Cheers mate
[quote]beachguy498 wrote:
I work with 2 ladies that are out on disability with it. The first is about age 62, not in horrible shape but not really active. She went on vacation somewhere and contracted psoriasis (sp?) and soon after that fibromyalgia. Like a 1-2 punch. She’s been out for like 3 years.
The second is a lady around 55… quite fat and not active at all. A real desk jockey. She had been out for days at a time with vague illnesses/ reactions to medicine. This one has been out since late in 2012.
Rob[/quote]
I wonder if she has been checked for psoriatic arthritis? My friends son had this, they treated the Psoriasis and it went away. very painful condition as I understand it.
[quote]csulli wrote:
I wonder if squatting is the cure to fibromyalgia.[/quote]
It already cures cancer, so I don’t see why not.
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
Its bullshit diagnosis and happens 2:1 in females to males.
Do you know what the treatment for it is? Exercise [/quote]
Phil Mickelson has psoriatic arthritis…mow much different is that?[/quote]
Like the difference in Cherry Pie and Diet Dr Pepper[/quote]
LOL…bite me DT!![/quote]
hahahhahah no man its a legit question, but what Phil has is a true diagnosed treatable condition. Fibro is more fucking mental than anything. I have yet to see after all my years of medicine someone with Fibro that was not fucking bat shit crazy [/quote]
I will now have to give my mom a call and let her know a PA has found her problem she is bat shit crazy. Nice. So because the human body is so easy to understand and manipulate anything that is not easy to figure out must be in their head I will remeber this when treating my patients ina couple years. Oh btw this isn’t said will ill intent I just find it funny when people can’t explain something with the human body so it either doesn’t exist or it’s made up in their head. The reason that blows my mind is we are discovering new things everyday and this will occur for generations. We are not even close to grasping the complexity of the human body.
Carry on
Oh and ps my mom is slightly under weight insanely active to the point I can’t get her to sit down normally even though she spends most of her time in pain which is quite evident at the intense pain running across her face everytime she moves.
[/quote]
Is there a true diagnosis, of course, what is the percentage that truly have it is much much lower than shown.
You have a valid point, over 20 years of medicine and working ER, family practice, ICU, home health, cardiac rehab, nursery, surgery and nursing home. That is my clinical experience that I draw my medical opinion. Like has been said its an easy diagnosis for some MDs.
I will apologize if you took my generalization as being harsh, again I am just saying I have not seen many true fibro and them not have a psychological factor.
That includes the men that I have seen with that diagnosis. The problem with this diagnosis is no quantifiable data to diagnosis this, it’s all subjective data on reported pain.[/quote]
I didn’t take it as harsh though what I wrote was true but also slightly sarcastic which is hard to get over the interwebz
I agree that diagnosis is subjective but again I believe that’s because we don’t know what data to collect yet. It’s out of reach for now.
And yes too many patients use it as a cop out and same with Mds or PAs or NPs that don’t want to put in the time. Which then ruins it for people that do have it because then many become biased against its existence and close their mind to possibilities.
Of course this type of situation crops up pretty much every where a small group messes things up for others [/quote]
Question, why do you think most studies have consistently shown that exercise and diet help with Fibro?
[quote]Testy1 wrote:
[quote]beachguy498 wrote:
I work with 2 ladies that are out on disability with it. The first is about age 62, not in horrible shape but not really active. She went on vacation somewhere and contracted psoriasis (sp?) and soon after that fibromyalgia. Like a 1-2 punch. She’s been out for like 3 years.
The second is a lady around 55… quite fat and not active at all. A real desk jockey. She had been out for days at a time with vague illnesses/ reactions to medicine. This one has been out since late in 2012.
Rob[/quote]
I wonder if she has been checked for psoriatic arthritis? My friends son had this, they treated the Psoriasis and it went away. very painful condition as I understand it. [/quote]
She told me that the psoriasis came on suddenly and then another diagnosis of sudden onset RA and eventually fibro. She’s definitely out for good on medical retirement, I still wonder what happened to her.
Rob
[quote]Derek542 wrote:
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]ryanbCXG wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
[quote]UtahLama wrote:
[quote]Derek542 wrote:
Its bullshit diagnosis and happens 2:1 in females to males.
Do you know what the treatment for it is? Exercise [/quote]
Phil Mickelson has psoriatic arthritis…mow much different is that?[/quote]
Like the difference in Cherry Pie and Diet Dr Pepper[/quote]
LOL…bite me DT!![/quote]
hahahhahah no man its a legit question, but what Phil has is a true diagnosed treatable condition. Fibro is more fucking mental than anything. I have yet to see after all my years of medicine someone with Fibro that was not fucking bat shit crazy [/quote]
I will now have to give my mom a call and let her know a PA has found her problem she is bat shit crazy. Nice. So because the human body is so easy to understand and manipulate anything that is not easy to figure out must be in their head I will remeber this when treating my patients ina couple years. Oh btw this isn’t said will ill intent I just find it funny when people can’t explain something with the human body so it either doesn’t exist or it’s made up in their head. The reason that blows my mind is we are discovering new things everyday and this will occur for generations. We are not even close to grasping the complexity of the human body.
Carry on
Oh and ps my mom is slightly under weight insanely active to the point I can’t get her to sit down normally even though she spends most of her time in pain which is quite evident at the intense pain running across her face everytime she moves.
[/quote]
Is there a true diagnosis, of course, what is the percentage that truly have it is much much lower than shown.
You have a valid point, over 20 years of medicine and working ER, family practice, ICU, home health, cardiac rehab, nursery, surgery and nursing home. That is my clinical experience that I draw my medical opinion. Like has been said its an easy diagnosis for some MDs.
I will apologize if you took my generalization as being harsh, again I am just saying I have not seen many true fibro and them not have a psychological factor.
That includes the men that I have seen with that diagnosis. The problem with this diagnosis is no quantifiable data to diagnosis this, it’s all subjective data on reported pain.[/quote]
I didn’t take it as harsh though what I wrote was true but also slightly sarcastic which is hard to get over the interwebz
I agree that diagnosis is subjective but again I believe that’s because we don’t know what data to collect yet. It’s out of reach for now.
And yes too many patients use it as a cop out and same with Mds or PAs or NPs that don’t want to put in the time. Which then ruins it for people that do have it because then many become biased against its existence and close their mind to possibilities.
Of course this type of situation crops up pretty much every where a small group messes things up for others [/quote]
Question, why do you think most studies have consistently shown that exercise and diet help with Fibro? [/quote]
I would imagine it has something to do with moving nutrients through bad areas and inflammatory and metabolic waste from problem areas. But until a mechanism is known its just a shot in the dark. It could have to do with neurological rewiring as well.
I would also have to look at the studies and see the population of people that are used. I know it’s not effective for everyone. Which I guess is really same for any disease. People are gonna react differently to various treatments because everyone’s physiology is just a little bit different.