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snobuny

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About snobuny

  • Rank
    TT Newbie

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  • Location
    Michigan
  • Interests
    Snowmobiling, supermoto, keeping my hubby out of trouble
  1. snobuny

    Gout Sucks

    posted this a little earlier this year in another gout section so it may not exactly answer your question. Hope this helps and you can do a search online for more information. prednisone works as a rescue but is not a good alternative for long term therapy. There are many consiquences to taking corticosteroids for management of chronic problems. Gout is a condition where hyperuricemia develops and crystals of monosodium urate are deposited in tissue causing a gout attack resulting in pain and inflammation. 95% of cases are in the male population and it occurs mainly between the ages of 30-50 yrs old. Attacks are usually percipitated by something i.e. following illness/surgery, exercise, dietary changes, physical or emotional stress, etc. Gout can be primary or secondary. Primary is an inborn metabolic defect to excret uric acid and secondary is usually caused by another issue i.e. leukemia, diuretic (water pill) use for high blood pressure, etc. You need to determine if you are primary or secondary. In primary you treat the disease in secondary you remove or treat the cause. Treatment involves diet modification with low-purine foods (google this for a complete listing) but avoid anchovies, organ meat (liver, kidney) spinach, mushrooms, asparagus, oatmeal, Beef, Pork, Bacon, Lamb, Seafood, (shrimp, scallops, lobster not fish), Foods that are made with a significant amount of yeast such as beer and bread, etc. I would recommend using a food log for awhile to see if you can determine what is triggering your episodes then eliminate that source if possible. Controling weight is also beneficial but avoid atkins or low carbohydrate diets, limit alcohol and avoid beer due to the hops and yeast, choose another alcoholic beverage if you must drink (its ok in moderation) If you are taking medications for high blood pressure, avoiding diuretics may be helpful. Unfortunately diuretics are a common medication for blood pressure control but there are many other alternatives that work for high bloodpressure. Motrin and aleve can be used for pain relief during an attack, Colchicine (perscription) given by mouth or IV is useful in controlling acute attacks and some studies have shown it is quicker at getting pain under control. Steroids can be used if patients are intolerant of other medications. Joint injections can be given when other medications are not helpful. probenecid or allopurinol are used for chronic gout where patients cannot get control of attacks with diet modification and weight control. They are not very beneficial for acute attacks and should be started after your attack subsides. Sometimes gout attacks can occur with normal blood levels so treatment is more symptomatic rather than driven by lab values. Indications for prophylaxis is more than 3 attacks yearly if you qualify go talk to your doctor about a perscription. Remember all medications have side effects so read all the info prior to starting a new medication.
  2. snobuny

    Riding in the dust-lung infection

    depends on the damage to the lung tissue. Once your lung tissue is injured, it does not always recover, if you have other chronic problems i.e. asthma, emphysema, COPD, cystic fibrosis it can be worse. If you smoke it also compounds the problem. Most people do not notice a problem until they get below 70% function, yz250ftony was vunerable due to a chronic condition which makes secretions thick and clearing his airways difficult so he probably noticed the problem a little earlier than most of us would have which is lucky for him.
  3. snobuny

    Intense Exhaustion....

    I'm a nurse practitioner and also ride motorcycles/snowmobiles. I have see way to many groups that leave others behind in situations where if our group had not helped the situation could have turned tragic! So I always encourage groups to ride at the pace of the weakest link and frequently assess to see if the entire group is doing ok. Glad you are feeling better but if you still feel off, go get evaluated....it will put your mind at ease if nothing else. Again, just water will not help the situation, getting the electrolytes in balance and your temperature regulated are just as important. It is better to limit your fluid intake if your sodium is low, we actually limit fluid to a liter to 1500cc daily in severly depleted patients to get the sodium back to normal levels in the hospital. Give yourself some time to recover.....maybe take next weekend off to rest. See a dr. tomorrow and take it easy, if you push this could happen again and be more severe next time.
  4. snobuny

    Intense Exhaustion....

    The problem is most people believe that water in intense heat will make them feel better but that is not true. you must look at all factors when dealing with heat and extreme exertion. 1st heat is your enemy and if your body cannot disperse the heat you can have a heat stroke. Motorcycle riding does not help the situation because your helmet covers your head......a main source if heatloss in your body. Plus we wear all this protective equipment which holds in heat also can combine into a serious problem. 2nd, salt follows water so when you sweat, you lose salt i.e. sodium. by drinking excess water and not replacing the sodium you make yourself hyponatremic i.e. low in salt which is a dangerous situation and causes headache, nausea, vomiting, seizures and can lead to swelling of the brain and death. the non-medical term is water toxicity....to much water, not enough salt. so to solve the problem, avoid this type of exertion when it is very hot and maximize your heat loss, wear mesh gear, use a fluid pack to hydrate and replace everything your body needs while exerting yourself in these conditions. Once you have the headache just water won't fix the problem and if you don't do something right then, the symptoms get worse. My friends laugh but I always include pickles in lunches when we are out riding in hot conditions, pickles replace the salt you need. You can also use sport drinks to replace lost electrolytes, chips or anything else salty. Make sure your tank is full by not skiping meals, and replace fluids with water and something with electrolytes, even soda works becasue it has sodium in it. Replace fluids at a slower pace, its better to sip fluids over a period of time then to gup down a liter in 30 seconds, your body will handle it better and you won't feel so bloated. You should immediately go to a doctor if you think you are having a heat stroke. If you can't make the decision yourself, your riding partners should make it for you and see that you get the care you needed. Can't say I think much of your riding buddies if they didn't help you back to your vehicle and get you the help you needed. Don't take offense but if you had passed out this situation could have been a lot worse and you would not have gotten the help you needed until they made it back to the staging area and it could have been too late. So please correct me if I am wrong. I am use to riding with a group and if one feels bad, gets injured, has equipment failures, etc we all make sure they get back to the trailer or get the help they need. If you are still feeling bad a couple of days out, again go to a doctor for evaluation. Heat stroke is nothing to joke about and can be life threatening, it can happen to all of us due to our chosen form of recreation but be careful. Google heat stroke to get more information to help avoid this situation in the future.
  5. snobuny

    Riding in the dust-lung infection

    Yes seriously, aspergillosis infections of that magnitude can result in death especially with your chronic condition. aspergillosis usually does not infect healthy people that severly with a normal immune system so I thought your problem could be coccidioidomycosis i.e San Joanquin valley fever which is a fungal infection from the dry dust that is predominately located in south west climates. Most common is arizona, california, nevada, texas area in the US. But you had a positive culture for aspergillosis, you first posting puzzled me as to how you developed this infection. The cystic fibrosis explains alot and was the missing piece of the puzzle. Because of your cystic fibrosis you are especially vunerable to this type of infection so should follow your DR.s instructions to the letter. If they say to stay out of the dirt and dust for awhile follow their instructions. If you must be in the dust the type of masks you should wear need to be a filtering type for fungal spores, just a wet cloth may not prevent the fungal spores from reaching your lungs and you could have a re-occurance. You will be on the anti-fungal therapy for a long time, up to a year in some cases. Its important to be compliant and take you medication also. Let us know how you are doing, good luck!
  6. snobuny

    Hard time catching breath

    how old are you?? Do you have any other health problems? If you have any other chronic conditions go see a Dr. for a physical. Being short of breath can be caused by many things including being out of shape, but also heart and lung problems. It is always best to get an opinion from a professional, I see people every day for open heart surgery to get valves replaced, bypass surgery, etc. who thought they were just getting older and not in as good of shape as they used to be.
  7. snobuny

    meds to control back pain

    ibuprophen/motrin is pretty benign if it does not trash your stomach. If it ain't broke....don't fix it! Jusk kidding, in reality, there are more invasive things you could try, different medications but they will all have side effects/consiquences. If motrin works, keep doing it until you either develop a problem with it or it stops working, then look at alternative treatment. 800mg once or twice daily is not too much, I have seen doses double that tolerated without problems. Remember back problems usually develop over time so do your back exercises to keep your back as strong and healthy as possible.
  8. snobuny

    Oxycodone reaction?

    call you dr right away and tell them the problem. They can perscribe you something else that may not make you itch soo much. Have them call it into a pharmacy that is open today and switch to something that will work for you. You can also get some over the counter zantac (ranitideen) (for heartburn) and take that, it will help with the itching along with the benadryl. DO NOT TAKE EXTRA TYLENOL WITH IT!!!!! the 5/325 is 5 mg oxycodone and the 325 is tylenol!!!! you can get tylenol toxcicity from taking extra tylenol with percocet (oxycodone/tylenol combination) Most pain pills perscribed have tylenol in them i.e. tylenol with codeine, vicodin, percocet, etc. So do not take extra tylenol when taking these medications! You can suppliment pain control with an NSAID (non-steroidal anti-inflammatory) i.e. aleve/naproxsen/anaprox or motrin/ibuprophen but not tylenol. Do not exceed 4gms (4000mg) of tylenol in one day. Keep a total and watch how much you take. If you have liver disease or kidney disease you need to have the dosage adjusted by your DR. 2 pills = 650mg tylenol, every 4 hours for 24 hours = 650 X 6 = 3900mg which is the maximum for a day (12 pills total per day). Its not a great idea to take this much for several days in a row either. If you add extra tylenol you will need to cut back on percocet pills.
  9. snobuny

    whats a healthy wieght for me ?

    remember that the recommendation are general and need to be adjusted for each individual depending on body type, frame size, activity level, etc. A sprinter will look different than a marathon runner, depends on the body type and muscle development. The important thing to remember is to start healthy and stay healthy. Its a life long decision not a summer game. Good luck guys
  10. snobuny

    Arthritus, Naproxen Sodium, long term

    aleve, naprosin, anaprox is an NSAID i.e non-steroidal anti-inflammatory. It can increase you risk of bleeding especially if combined with other medications i.e. aspirin, coumadin, ginger, garlic, ginsing, ginko, etc. and can be very harsh to the stomach wall, take it with food if you get stomach upset. Along with the stomach problems make sure you do not have a history of coronary artery disease or stroke or a strong family history of coronary artery disease/stroke. Drugs in this catagory have shown an increase in heart attack/stroke if you have the genetic tendency so use with caution. You should also use with caution of you have kidney or liver disease and the dosage should be adjusted by your physician. If you have perscription coverage I would recommend seeing your Dr. to get a perscription of anaprox, it may be cheaper than the over the counter kind usually you can get a 90 day supply for a reduced cost. I would not go over 1000mg daily. I believe aleve is 200 mg per tablet and the bottle recommend two for the first dose and one for subsiquent doses so you should be ok taking 2 pills twice daily if you do not have any of the above listed medical conditions. the pain relief property takes about an hour to kick in. IF you are taking it for anti-inflammatory properties you should take it daily for about 2 weeks before you will start see results. Again, its best to do this under the supervision of a physician if you have any other medical conditions.
  11. snobuny

    How do you fix gout attacks?

    prednisone works as a rescue but is not a good alternative for long term therapy. There are many consiquences to taking corticosteroids for management of chronic problems. Gout is a condition where hyperuricemia develops and crystals of monosodium urate are deposited in tissue causing a gout attack resulting in pain and inflammation. 95% of cases are in the male population and it occurs mainly between the ages of 30-50 yrs old. Attacks are usually percipitated by something i.e. following illness/surgery, exercise, dietary changes, physical or emotional stress, etc. Gout can be primary or secondary. Primary is an inborn metabolic defect to excret uric acid and secondary is usually caused by another issue i.e. leukemia, diuretic (water pill) use for high blood pressure, etc. You need to determine if you are primary or secondary. In primary you treat the disease in secondary you remove or treat the cause. Treatment involves diet modification with low-purine foods (google this for a complete listing) but avoid anchovies, organ meat (liver, kidney) spinach, mushrooms, asparagus, oatmeal, Beef, Pork, Bacon, Lamb, Seafood, (shrimp, scallops, lobster not fish), Foods that are made with a significant amount of yeast such as beer and bread, etc. I would recommend using a food log for awhile to see if you can determine what is triggering your episodes then eliminate that source if possible. Controling weight is also beneficial but avoid atkins or low carbohydrate diets, limit alcohol and avoid beer due to the hops and yeast, choose another alcoholic beverage if you must drink (its ok in moderation) If you are taking medications for high blood pressure, avoiding diuretics may be helpful. Unfortunately diuretics are a common medication for blood pressure control but there are many other alternatives that . Motrin and aleve can be used for pain relief during an attack, Colchicine (perscription) given by mouth or IV is useful in controlling acute attacks and some studies have shown it is quicker at getting pain under control. Steroids can be used if patients are intolerant of other medications. Joint injections can be given when other medications are not helpful. probenecid or allopurinol are used for chronic gout where patients cannot get control of attacks with diet modification and weight control. They are not very beneficial for acute attacks and should be started after your attack subsides. Sometimes gout attacks can occur with normal blood levels so treatment is more symptomatic rather than driven by lab values. Indications for prophylaxis is more than 3 attacks yearly so you qualify but I would try strict diet modification prior to goin on long term therapy. you can try the cherry juice if you are into alternative therapies, fruits and fruit juices are ok in your diet. It is touted to have anti-inflammatory properties and I know several people with rheumatoid arthritis who swear by it but have not heard of its use for gout.
  12. snobuny

    whats a healthy wieght for me ?

    Congratulations on the weight loss! to calculate ideal body weight you use 100 pounds for the first 5 ft then add 6 pounds for each inch over 5 feet (for a girl its 5#). 5 feet 100# 12 inches X 6 72# ideal body weight 172# this is a rough estimate and you need to take frame size and muscle mass into consideration but 175 - 180 sounds like a realistic goal. You best bet is to talk to a dietition, nurse or physician who specializes in weight management to see how low you should go and that you are doing it safely. Just remember diets usually do not work, weight loss is a lifestyle change and if you resume your old habits the weight will come back. Good luck!!!
  13. snobuny

    circleville ohio sunday may 25th anyone?

    for those that thought about it but did not go we had a great time. Pics so you will make the trip next time!! Enjoy! www.mook-photo.com/webs/sumo/new folder
  14. snobuny

    wolf parkinsons white?

    Since this just happened you should be evaluated by a cardiologist and you may have to wear a holter monitor to track your rhythm, take medication and/or have a procedure to stop the rapid rate. Although wolf parkinson white can be benigh it can have other consiquences and you should be followed by a cardiologist! Wolf Parkinson White or WPW is a increased heart rate due to an abnormal pathway in the heart that allows the circuit of conduction between the upper chambers and lower chambers of the heart to loop. Fast heart rates i.e. tachycardia cause light headedness, dizzyness, fainting due to the fact that the heart is beating so fast the chambers cannot fill completely and your blood flow drops to the rest of your body (decreased cardiac output) If you have underlying heart disease you can have chest pain but WPW is usually seen in the younger population with normal heart function, its more common in males and the risk decreases as we get older. There are 2 types as davbrucas points out, orthodromic (more common) or antidromic. Health care providers will tell you the type by how your ECG (picture of electrical activity of the heart) looks. If you experience a rapid heart rate you can try vagal maneuvers like bearing down with your abdomen as if you are having a bowel movement. This will sometimes flip the rhythm back into a normal rhythm. But you should only try this under the direction of your cardiologist if they say its ok to try before seeking medical treatment. If the rhythm becomes frequent or the symptoms interfere with your daily life an ablation of the accessory pathway can be performed. The ablation is usually an overnight stay in the hospital to monitor your heart rhythm. A needle stick in the groin area to access your heart and catheters are used to locate the accessory pathway, burn or ablate the area in your heart. Ablation is not 100% successful but its minimally invasive and most patients have good success with it. Two great web sites are http://www.mayoclinic.com/health/wolff-parkinson-white-syndrome/DS00923/DSECTION=1 which is more for people with no healthcare background and http://www.emedicine.com/emerg/TOPIC644.HTM which is geared more toward the health care provider and a little more technical. Hope this helps and follow up with your cardiologist!
  15. snobuny

    Good Way To Stay In Shape?

    what are you currently doing? Without knowing your current exercise/riding schedule its hard to determine where you can add/improve.
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