Fibromyalgia in Men?

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[quote]ryanbCXG wrote:

[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 :wink: 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. [/quote]
I have often wondered myself, is it due to what you listed or is it a decrease in depressive symptoms etc. (chicken or egg argument)

I remember a mentor ER Dr friend of mine who trained me, discussing Fibro and while he was a “grumpy” ER DR he still treated all patients with fresh eyes. He diagnosed a lady on an ER visit with Fibro and we discussed the treatment and long term success.

What you find is that a large majority of people use their chronic illness as an identity and mental issues either develop or are exacerbated.

42

[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]

I was going to say something very similar to this. Once people are convinced they have fibromyalgia there isn’t a damn thing you can tell them to convince them otherwise. For some reason everyone wants to have something wrong with them.

43

[quote]CroatianRage 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]

I was going to say something very similar to this. Once people are convinced they have fibromyalgia there isn’t a damn thing you can tell them to convince them otherwise. For some reason everyone wants to have something wrong with them.[/quote]

I agree with this. Especially with women creeping up to age 50 and beyond. If you sit around doing nothing, of course you’ll be achy and your muscles will waste away.

I work in a big place and there’s no shortage of people hobbling around like they’re crippled. I’d want a very good reason to walk around with a cane all day. Some have those handicapped parking tags… but funny how they miraculously are able to hustle to the cafeteria for lunch or head out the door at quitting time.

Rob

44

[quote]beachguy498 wrote:

[quote]CroatianRage 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]

I was going to say something very similar to this. Once people are convinced they have fibromyalgia there isn’t a damn thing you can tell them to convince them otherwise. For some reason everyone wants to have something wrong with them.[/quote]

I agree with this. Especially with women creeping up to age 50 and beyond. If you sit around doing nothing, of course you’ll be achy and your muscles will waste away.

I work in a big place and there’s no shortage of people hobbling around like they’re crippled. I’d want a very good reason to walk around with a cane all day. Some have those handicapped parking tags… but funny how they miraculously are able to hustle to the cafeteria for lunch or head out the door at quitting time.

Rob [/quote]

That’s so true, ever seen the pensioners move when they race to the pokies. It’s like the running of the bulls at Pamploma, any disability is quickly forgotten.

45

I always wondered since I first heard the term Fibro used, and sought out information regarding it’s symptoms, why this seems to be more or less a female ailment. I noticed that once this term was used that cases seemed to skyrocket in a very short period of time. I am thinking that it possibly has become a mass hysteria event for anyone that had any ache or pain.

I attended a presentation put on by the Fibromyalgia group in my area as part of my studies. The speakers kept referring to trigger points that they said were common among sufferers. There was talk of other things such as therapies and supplements that were supposed to ease the conditions of sufferers etc. But What I found most interesting was that after the presentation many of the female attendees started to recognize similar symptoms in themselves and family members who were also female.

I am sure that there are many that are suffering from some kind of viral, or autoimmune issue, but I think that the biggest problem is the power of suggestion. This blanket type of diagnosis is unfair due to the lack of investigating other possibilities, and possible therapies that are not even being considered due to a lack of effort by the powers that be in research.

A funny story to close with. My Sister in law was having issues with strange aches and pains, so she went to her Doctor, who could not find anything wrong. She had given her all the testing she could think of and all results were negative. She kept on going from Doctor to Doctor, and finally she came upon a Naturopath who quickly told her she had Fibro, and there was no cure, but it could be managed with supplements and diet. Well her life was pretty well over after that, so she settled into doing Yoga and eating sprouts etc. She also joined a support group and was quite involved for awhile. It eventually turned out that she wasn’t having such a good marriage, and was drinking heavily. She eventually found a Doctor that told her that if she laid off the booze and went on Antidepressants she would be fine. She left the support group shortly afterword, because “they were just bringing her down because they only wanted to complain”.

46

Thought this was funny in light of the current thread

47

I have a confession. I have ulcers in my butt. It is a pain in the ass, literally. However, I take my meds and live as normal a life as possible and I don’t much tell people unless I have to or someone is direct about it. It’s really not a big deal except I’m an idiot and almost killed myself over it once. Anyway, something shocked me the other day.

As I laid in my ER bed from blood loss this “case worker” asked if I needed resources. And, I was like, yeah I’ll take the TV Remote, an IV drip and some pain killers. And, then she said no more like information about support groups. And, I’m like support group for what?

“Your condition.”
“Why would I want to spend an hour about something that hardly affects me.”
“Because you need to identify with your disease.”
“Ain’t nobody got time for that. I have stuff to do, please get out of my room.”
“I think you’re in denial.”
“I’ll refrain from making ridiculous diagnosis about you based off soft sciences I have never studied, please leave.”

What’s with support groups, valid or waste of time? It just sounds depressing and fatalistic, very “woe, is me.”

48

I’m an EMT, and have transported more than a few women with Fibromyalgia. Since I heard that this disease was “fake” I started paying attention to the women who suffer from it (haven’t seen a man yet), and I noticed that they always have a long list of medications, like 10 or more.

They also love to tell stories about medical malpractice, once you get to know them, and you do get to know them because they go to the hospital a lot. I don’t know if they have a victimhood complex, hence the stories of malpractice, or if they have stories of malpractice because they spend so much time in hospitals and doctor’s offices that eventually the odds catch up to them and they have a bad experience.

A “fribromyalgia” diagnosis is a code word for hypochondriac and or drug seeker, and I think most of the time it is correct. But I also think that doctors, like most people, seek the simplest answer. But the simplest answer is not always the right one. There are probably many “fibromyalgia patients” who are suffering from something real and don’t get a better diagnosis or better treatment because they’ve already been labeled.

I fight complacency in myself daily. Even though this person has a history of anxiety attacks, they could actually be having a heart attack right now. Even though this elderly person has a history of dementia, someone could still be abusing them, or stealing their money or whatever. But I just give expensive taxi rides to the hospital.

49

^ Basic or Paramedic?

Let me know when you want to move and work as a medic in Exxon.

50

[quote]Uncle Gabby wrote:
I’m an EMT, and have transported more than a few women with Fibromyalgia. Since I heard that this disease was “fake” I started paying attention to the women who suffer from it (haven’t seen a man yet), and I noticed that they always have a long list of medications, like 10 or more.

They also love to tell stories about medical malpractice, once you get to know them, and you do get to know them because they go to the hospital a lot. I don’t know if they have a victimhood complex, hence the stories of malpractice, or if they have stories of malpractice because they spend so much time in hospitals and doctor’s offices that eventually the odds catch up to them and they have a bad experience.

A “fribromyalgia” diagnosis is a code word for hypochondriac and or drug seeker, and I think most of the time it is correct. But I also think that doctors, like most people, seek the simplest answer. But the simplest answer is not always the right one. There are probably many “fibromyalgia patients” who are suffering from something real and don’t get a better diagnosis or better treatment because they’ve already been labeled.

I fight complacency in myself daily. Even though this person has a history of anxiety attacks, they could actually be having a heart attack right now. Even though this elderly person has a history of dementia, someone could still be abusing them, or stealing their money or whatever. But I just give expensive taxi rides to the hospital. [/quote]

You have described my brother’s wife to a T. So far she hasn’t admitted to having fibro, but she’s always good for at least 2 weeks in the hospital every year for vague complaints. She’s my age but looks like total shit all the time, has a very unhealthy appearance. Part of her problem is that she’s a total attention whore and will get it any way she can.

Rob

51

I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.

52

[quote]CroatianRage wrote:
I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.[/quote]

What are you medically?

Again Why were you in Corpus

53

[quote]Derek542 wrote:

[quote]CroatianRage wrote:
I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.[/quote]

What are you medically?

Again Why were you in Corpus[/quote]

Stalker

54

[quote]Testy1 wrote:

[quote]Derek542 wrote:

[quote]CroatianRage wrote:
I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.[/quote]

What are you medically?

Again Why were you in Corpus[/quote]

Stalker[/quote]

55

Derek or Ryan:

Does exercise seem to help the cases of fibromyalgia that you think are legitimate, or does it seem to help your mother Ryan?

I ask because, could it be that exercise helps many cases of fibromyalgia because many cases are faulty diagnoses and the symptoms being experienced are merely a product of inactivity?

56

Did an internship at an rehabilitation centre with chronic pain patients, I’ve had a few male patients with FM.

57

[quote]Derek542 wrote:

[quote]CroatianRage wrote:
I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.[/quote]

What are you medically?

Again Why were you in Corpus[/quote]

Chiropractor. I was in Corpus looking at an office that I’ll be renting space in and my girlfriend was interviewing for a couple of jobs.

58

[quote]CroatianRage wrote:

[quote]Derek542 wrote:

[quote]CroatianRage wrote:
I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.[/quote]

What are you medically?

Again Why were you in Corpus[/quote]

Chiropractor. I was in Corpus looking at an office that I’ll be renting space in and my girlfriend was interviewing for a couple of jobs.
[/quote]

Did you ask me a different time why I was down there?

59

[quote]CroatianRage wrote:

[quote]CroatianRage wrote:

[quote]Derek542 wrote:

[quote]CroatianRage wrote:
I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.[/quote]

What are you medically?

Again Why were you in Corpus[/quote]

Chiropractor. I was in Corpus looking at an office that I’ll be renting space in and my girlfriend was interviewing for a couple of jobs.
[/quote]

Did you ask me a different time why I was down there?
[/quote]
Yes another thread?

What does she do?

I may need to hire a LVN nurse case manager and a mid-level provider for Corpus soon.

60

[quote]Derek542 wrote:

[quote]CroatianRage wrote:

[quote]CroatianRage wrote:

[quote]Derek542 wrote:

[quote]CroatianRage wrote:
I don’t really know how to link it, but we were taught that the diagnosis of fibromyalgia is based on 18 points in the body. If something like 12 or 13 of them are tender you can diagnose someone with it. The problem is, the locations are among the more common trigger points found in the body. Hell, I probably have 12 of them myself and would bet most others do as well.[/quote]

What are you medically?

Again Why were you in Corpus[/quote]

Chiropractor. I was in Corpus looking at an office that I’ll be renting space in and my girlfriend was interviewing for a couple of jobs.
[/quote]

Did you ask me a different time why I was down there?
[/quote]
Yes another thread?

What does she do?

I may need to hire a LVN nurse case manager and a mid-level provider for Corpus soon. [/quote]

Oh okay, I found it. Haha, I didn’t think it was nearly as bad as you made it sound. She’s going to be doing market research for a children’s hospital. Masters in statistics, no medical training. Do you deal with the oil workers down there? I think I might try to get a contract with them but don’t know who to approach about it.