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	<title>Comments for The Queen of Optimism</title>
	<atom:link href="http://medicalpuzzle.com/comments/feed/" rel="self" type="application/rss+xml" />
	<link>http://medicalpuzzle.com</link>
	<description>The life and times of one woman with many diagnosed and not yet diagnosed medical problems that are autoimmune, neuromuscular, and/or chronic.</description>
	<lastBuildDate>Mon, 21 May 2012 02:42:34 +0000</lastBuildDate>
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		<title>Comment on Time for change by sickmomma</title>
		<link>http://medicalpuzzle.com/2012/05/20/time-for-change/#comment-2092</link>
		<dc:creator><![CDATA[sickmomma]]></dc:creator>
		<pubDate>Mon, 21 May 2012 02:42:34 +0000</pubDate>
		<guid isPermaLink="false">https://queenofoptimism.wordpress.com/?p=1704#comment-2092</guid>
		<description><![CDATA[I&#039;ve had that happen too, although not after traveling great distances like you did to Hopkins (which is at least a 100 times worse than having it happen with a local doc). And I tell them what they said on the phone or in our last appointment and they look at me like I&#039;m crazy and hallucinated the entire thing. :-/ 

I&#039;m sorry, LIsa. I was really hoping that it would at least result in some more tests that might give a hint if not a full diagnosis. I&#039;m so sorry you wasted time, money and (especially!) energy on that trip. 

*hugs*]]></description>
		<content:encoded><![CDATA[<p>I&#8217;ve had that happen too, although not after traveling great distances like you did to Hopkins (which is at least a 100 times worse than having it happen with a local doc). And I tell them what they said on the phone or in our last appointment and they look at me like I&#8217;m crazy and hallucinated the entire thing. :-/ </p>
<p>I&#8217;m sorry, LIsa. I was really hoping that it would at least result in some more tests that might give a hint if not a full diagnosis. I&#8217;m so sorry you wasted time, money and (especially!) energy on that trip. </p>
<p>*hugs*</p>
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		<title>Comment on Back in the Exam Chair by kellykay</title>
		<link>http://medicalpuzzle.com/2012/05/10/back-in-the-exam-chair/#comment-2079</link>
		<dc:creator><![CDATA[kellykay]]></dc:creator>
		<pubDate>Wed, 16 May 2012 19:01:43 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1696#comment-2079</guid>
		<description><![CDATA[I&#039;m so proud of you.. for getting make into it.. I hope it that maybe this time you get some answers... we can only hope right?!]]></description>
		<content:encoded><![CDATA[<p>I&#8217;m so proud of you.. for getting make into it.. I hope it that maybe this time you get some answers&#8230; we can only hope right?!</p>
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		<title>Comment on Back in the Exam Chair by queenofoptimism</title>
		<link>http://medicalpuzzle.com/2012/05/10/back-in-the-exam-chair/#comment-2074</link>
		<dc:creator><![CDATA[queenofoptimism]]></dc:creator>
		<pubDate>Sun, 13 May 2012 21:22:17 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1696#comment-2074</guid>
		<description><![CDATA[Love it!  Essay assignments for our docs.  Think how much we could all learn.  And, they can be published for CMEs.

What I don&#039;t get is why wait for the culture?  I asked him about complications and he pretty much said complications don&#039;t happen anymore because medicine is so advanced and people go to the doctor.  In his words - I haven&#039;t seen mastoiditis since the 90&#039;s and even though your skull is right there, I&#039;ve only seen one case of someone having something go wrong there.

Dyspatient - I turned to you for the meaning of sensitivity and mycotic because you provide details beyond regular Internet info. Thank you!]]></description>
		<content:encoded><![CDATA[<p>Love it!  Essay assignments for our docs.  Think how much we could all learn.  And, they can be published for CMEs.</p>
<p>What I don&#8217;t get is why wait for the culture?  I asked him about complications and he pretty much said complications don&#8217;t happen anymore because medicine is so advanced and people go to the doctor.  In his words &#8211; I haven&#8217;t seen mastoiditis since the 90&#8242;s and even though your skull is right there, I&#8217;ve only seen one case of someone having something go wrong there.</p>
<p>Dyspatient &#8211; I turned to you for the meaning of sensitivity and mycotic because you provide details beyond regular Internet info. Thank you!</p>
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		<title>Comment on Back in the Exam Chair by dyspatient</title>
		<link>http://medicalpuzzle.com/2012/05/10/back-in-the-exam-chair/#comment-2073</link>
		<dc:creator><![CDATA[dyspatient]]></dc:creator>
		<pubDate>Sun, 13 May 2012 20:00:19 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1696#comment-2073</guid>
		<description><![CDATA[Sensitivity is when they check to see what drugs kill it:  http://www.ncbi.nlm.nih.gov/pubmed/15321034.  

Mycotic is fungal (general idea being that the long term/repeated antibiotic use could have made for a friendlier environment for a fugal overgrowth).  You can just ask &quot;could it be fungal?&quot;  if you say &quot;mycotic&quot; then I guarantee chilly responses.  More on this topic:  http://www.ncbi.nlm.nih.gov/pubmed/3216882; http://www.ncbi.nlm.nih.gov/pubmed/19649486 

I am horrified that they have not cultured this stuff yet.  You&#039;ve had ear infections for so long!  What the hell are they thinking? With the misuse of antibiotics and the development of drug resistant infections, I think culture and sensitivity (especially for a chronic/recurring infection) is just common sense.  But when has common sense had much to do with business as usual?  :/

Here&#039;s what I think.  If they culture it and find out it&#039;s mycotic or very drug resistant bacterial, then your ENT doc should have to write an essay on &quot;what I learned from my internet using patient&quot; and submit it to a journal as a cautionary tale.]]></description>
		<content:encoded><![CDATA[<p>Sensitivity is when they check to see what drugs kill it:  <a href="http://www.ncbi.nlm.nih.gov/pubmed/15321034" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/15321034</a>.  </p>
<p>Mycotic is fungal (general idea being that the long term/repeated antibiotic use could have made for a friendlier environment for a fugal overgrowth).  You can just ask &#8220;could it be fungal?&#8221;  if you say &#8220;mycotic&#8221; then I guarantee chilly responses.  More on this topic:  <a href="http://www.ncbi.nlm.nih.gov/pubmed/3216882" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/3216882</a>; <a href="http://www.ncbi.nlm.nih.gov/pubmed/19649486" rel="nofollow">http://www.ncbi.nlm.nih.gov/pubmed/19649486</a> </p>
<p>I am horrified that they have not cultured this stuff yet.  You&#8217;ve had ear infections for so long!  What the hell are they thinking? With the misuse of antibiotics and the development of drug resistant infections, I think culture and sensitivity (especially for a chronic/recurring infection) is just common sense.  But when has common sense had much to do with business as usual?  :/</p>
<p>Here&#8217;s what I think.  If they culture it and find out it&#8217;s mycotic or very drug resistant bacterial, then your ENT doc should have to write an essay on &#8220;what I learned from my internet using patient&#8221; and submit it to a journal as a cautionary tale.</p>
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		<title>Comment on Back in the Exam Chair by Queen Of Optmism</title>
		<link>http://medicalpuzzle.com/2012/05/10/back-in-the-exam-chair/#comment-2072</link>
		<dc:creator><![CDATA[Queen Of Optmism]]></dc:creator>
		<pubDate>Sun, 13 May 2012 19:27:54 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1696#comment-2072</guid>
		<description><![CDATA[Thanks, Dyspatient.   

With ear infection - no culture and sensitivity by ENT.  What is sensitivity?  Prior to going to ENT, my PCP attempted a culture but I had already cleaned the goop out and as we expected, it didn&#039;t show anything.  That was a few months ago. 

ENT says that in 2 weeks, of oral and drops of antibiotics don&#039;t clear up, he may do a culture.  I asked what he would be looking for with culture and I got no direct response. 

You know more that ENT seems to:  what is mycotic infection? 

You can send me a bill for this consult.  ! 

]]></description>
		<content:encoded><![CDATA[<p>Thanks, Dyspatient.   </p>
<p>With ear infection &#8211; no culture and sensitivity by ENT.  What is sensitivity?  Prior to going to ENT, my PCP attempted a culture but I had already cleaned the goop out and as we expected, it didn&#8217;t show anything.  That was a few months ago. </p>
<p>ENT says that in 2 weeks, of oral and drops of antibiotics don&#8217;t clear up, he may do a culture.  I asked what he would be looking for with culture and I got no direct response. </p>
<p>You know more that ENT seems to:  what is mycotic infection? </p>
<p>You can send me a bill for this consult.  ! </p>
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	<item>
		<title>Comment on Back in the Exam Chair by dyspatient</title>
		<link>http://medicalpuzzle.com/2012/05/10/back-in-the-exam-chair/#comment-2071</link>
		<dc:creator><![CDATA[dyspatient]]></dc:creator>
		<pubDate>Sat, 12 May 2012 13:36:21 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1696#comment-2071</guid>
		<description><![CDATA[I&#039;ll be hopeful for you for the neurologist - is this to look into the pseudobulbular palsy (hope I spelled that right)?  

How frustrating about the ear infection.  :(  Have they done a culture and sensitivity?  Do you know if they checked for a mycotic infection?]]></description>
		<content:encoded><![CDATA[<p>I&#8217;ll be hopeful for you for the neurologist &#8211; is this to look into the pseudobulbular palsy (hope I spelled that right)?  </p>
<p>How frustrating about the ear infection.  <img src='http://s0.wp.com/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' />   Have they done a culture and sensitivity?  Do you know if they checked for a mycotic infection?</p>
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	<item>
		<title>Comment on Back in the Exam Chair by sickmomma</title>
		<link>http://medicalpuzzle.com/2012/05/10/back-in-the-exam-chair/#comment-2070</link>
		<dc:creator><![CDATA[sickmomma]]></dc:creator>
		<pubDate>Fri, 11 May 2012 05:11:08 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1696#comment-2070</guid>
		<description><![CDATA[Oh, I hope this makes the difference for you! I know being able to do the tests he wants with the people he wants you to do them with will be huge. 

Thinking of you!! xo]]></description>
		<content:encoded><![CDATA[<p>Oh, I hope this makes the difference for you! I know being able to do the tests he wants with the people he wants you to do them with will be huge. </p>
<p>Thinking of you!! xo</p>
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		<title>Comment on Are you&#8230; by queenofoptimism</title>
		<link>http://medicalpuzzle.com/2012/05/08/are-you/#comment-2069</link>
		<dc:creator><![CDATA[queenofoptimism]]></dc:creator>
		<pubDate>Fri, 11 May 2012 02:07:38 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1691#comment-2069</guid>
		<description><![CDATA[Dyspatient - same with me - I recently told 2 longterm friends very few details other than I am basically not going to get better and the replies and follow up questions ended.  I even wrote to one of them and said, i don&#039;t want to make you uncomfortable - please, let&#039;s move on away from my health and get back to our enjoyable conversation.
No reply.  

Btw - I care about you and wish you weren&#039;t getting worse.  No matter what, you have a friend in me.]]></description>
		<content:encoded><![CDATA[<p>Dyspatient &#8211; same with me &#8211; I recently told 2 longterm friends very few details other than I am basically not going to get better and the replies and follow up questions ended.  I even wrote to one of them and said, i don&#8217;t want to make you uncomfortable &#8211; please, let&#8217;s move on away from my health and get back to our enjoyable conversation.<br />
No reply.  </p>
<p>Btw &#8211; I care about you and wish you weren&#8217;t getting worse.  No matter what, you have a friend in me.</p>
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	<item>
		<title>Comment on Are you&#8230; by queenofoptimism</title>
		<link>http://medicalpuzzle.com/2012/05/08/are-you/#comment-2068</link>
		<dc:creator><![CDATA[queenofoptimism]]></dc:creator>
		<pubDate>Fri, 11 May 2012 02:03:25 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1691#comment-2068</guid>
		<description><![CDATA[Hi Kelly - great to hear from you and AWESOME to hear that you&#039;re getting treatment and feeling stronger.  Hooray that it is working.  I know from the things you have shared here that you have been through a ton of B.S. and I&#039;m so happy that you are seeing improvements.  Your story is a great example for me and an inspiration to not give up.  Thanks for not giving up on this blog and for letting me know this important news.

Am I understanding that your dx is still undefined myopathy?  If so, I especially am glad to know that docs are taking it serious enough to finally get the treatment.  This is great news.  Thanks again!]]></description>
		<content:encoded><![CDATA[<p>Hi Kelly &#8211; great to hear from you and AWESOME to hear that you&#8217;re getting treatment and feeling stronger.  Hooray that it is working.  I know from the things you have shared here that you have been through a ton of B.S. and I&#8217;m so happy that you are seeing improvements.  Your story is a great example for me and an inspiration to not give up.  Thanks for not giving up on this blog and for letting me know this important news.</p>
<p>Am I understanding that your dx is still undefined myopathy?  If so, I especially am glad to know that docs are taking it serious enough to finally get the treatment.  This is great news.  Thanks again!</p>
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		<title>Comment on Are you&#8230; by If you ask &#171; Final Trick</title>
		<link>http://medicalpuzzle.com/2012/05/08/are-you/#comment-2066</link>
		<dc:creator><![CDATA[If you ask &#171; Final Trick]]></dc:creator>
		<pubDate>Wed, 09 May 2012 16:22:04 +0000</pubDate>
		<guid isPermaLink="false">http://medicalpuzzle.com/?p=1691#comment-2066</guid>
		<description><![CDATA[[...] prepared to listen to the answer.  Queen&#8217;s post got me thinking about how and when and why people ask things like &#8220;how are you?&#8221; [...]]]></description>
		<content:encoded><![CDATA[<p>[...] prepared to listen to the answer.  Queen&#8217;s post got me thinking about how and when and why people ask things like &#8220;how are you?&#8221; [...]</p>
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