Re: Advise non-pharmacological therapy as first line treatment for chronic insomnia
(Source: BMJ Comments)
Source: BMJ Comments - April 4, 2021 Category: General Medicine Source Type: forums
Cyproheptadine for sexual side effects
So I've had a few VA patients lately who have been a bit unique in terms of medications and was hoping to get some input on people's experience with Cyproheptadine, as I have some questions about it that my supervising attending hasn't been able to answer (overall he's great, but just doesn't use Cyproheptadine and admits he doesn't really know a lot about it).
First patient is more straightforward, 30-something yo m with PTSD and insomnia 2/2 severe nightmares. Prazosin did nothing and...
Cyproheptadine for sexual side effects (Source: Student Doctor Network)
Source: Student Doctor Network - October 26, 2020 Category: Universities & Medical Training Authors: Stagg737 Tags: Psychiatry Source Type: forums
UCAT (formerly UKCAT) 2021 entry Results thread - "Final" (?) results published!!
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UCAT (formerly UKCAT) 2021 entry Results thread - "Final" (?) results published!!
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Source: The Student Room - October 8, 2020 Category: Universities & Medical Training Authors: GANFYD Tags: Medicine Source Type: forums
Anyone else suffer from insomnia?
I realize that the nature of our field and being on call and woken up sporadically and randomly throughout the night (negatively) affects sleep cycles so even when I'm in the comfort of my own bed at home I don't sleep well; and then it just becomes a really vicious circle. I've tried all the "usual" remedies (melatonin, cherry juice, no screentime before bed, darkened room, meditation, etc.) and don't want to resort to meds at all. Any suggestions? (Source: Student Doctor Network)
Source: Student Doctor Network - May 28, 2020 Category: Universities & Medical Training Authors: leaverus Tags: Anesthesiology Source Type: forums
Self-reflection after Quitting Medical School in 2015.
I'm 31 years old. My Xanax addiction started innocently when I was probably about 22, in 2012 -- in the prime of my life, at the time. I found myself struggling with a bit of insomnia as I was in the process of applying to medical school and taking Adderall in the name of vocational success.
That's how Xanax entered my life: upon an initial and cursory complaint of difficulty sleeping. Had I known this garbage would leave me grasping at the strings of my very existence, I'd have scoffed at...
Self-reflection after Quitting Medical School in 2015. (Source: Student Doctor Network)
Source: Student Doctor Network - December 1, 2019 Category: Universities & Medical Training Authors: whizatphys Tags: Medical Students - MD Source Type: forums
Just failed an Ochem exam.
Long vent incoming. Please disregard the ironic screenname.
I usually score well above average on our weekly exams. This past week I became super motivated to do as well as I possibly can.
I studied 34 hours since Monday a.m. just for ochem. I followed the study guide to a T. Studying became all that I do. I wasn't able to get through all the material as I was being so thorough. I did learn about 80% of the material completely.
I developed insomnia and slept 2.5 hrs last night and 4hrs...
Just failed an Ochem exam. (Source: Student Doctor Network)
Source: Student Doctor Network - November 16, 2019 Category: Universities & Medical Training Authors: PowerOfWill Tags: Pre-Medical - MD Source Type: forums
Prescribing Propanolol for anxiety/insomnia with stimulants?
I have a teenage patient with a history of ADHD that I'm seeing who was prescribed low dose of Propanolol (20 mg) and Adderall XR 20 mg by his previous provider. He says he is only taking the Propanolol as needed for sleep but I worry about him getting unopposed Beta Blockade blockade if he takes the Adderall and Propanolol together. I know he is on a low dose of Propanolol but I wish to avoid any type of blood pressure fluctuations if possible especially with him taking it as needed. I...
Prescribing Propanolol for anxiety/insomnia with stimulants? (Source: Student Doctor Network)
Source: Student Doctor Network - September 11, 2019 Category: Universities & Medical Training Authors: shahseh22 Tags: Psychiatry Source Type: forums
Why isn't Fisher Wallace Cranial Simulator and similar devices prescribed/discussed more?
Forgive me if I am posting in an inappropriate forum for this topic; I presume my question would be most relevant here.
I receive psychiatric care myself and I've observed others receive the same treament. Not once have I ever heard of a mental health care professional prescribing a device such as Fisher Wallace Cranial Simulator/similar devices nor discussed this with his/her patients. It is used to treat anxiety, depression, insomnia, and chronic pain such as arthritis by promoting the...
Why isn't Fisher Wallace Cranial Simulator and similar devices prescribed/discussed more? (Source: Student Doctor Network)
Source: Student Doctor Network - April 12, 2018 Category: Universities & Medical Training Authors: AlfonsTheGuru Source Type: forums
Tips to Deal with Low Back Pain
Has back pain been giving you sleepless nights? Did you know that 7 out of 10 people will experience lower back pain at some time during their life? Back pain is more common than you think. People are constantly looking for lower back pain remedies. Along with low back pain, sciatica is another common problem found now-a-days. It is a condition where pain from your lower back goes down to the leg. It is basically the pain along sciatica nerve. Stretching and other exercises can...
Tips to Deal with Low Back Pain (Source: Student Doctor Network)
Source: Student Doctor Network - April 7, 2018 Category: Universities & Medical Training Authors: gpphysiotherapy Source Type: forums
safa
When the thyroid isn't working appropriately it presents itself through different physical signs and symptoms. A few symptoms of a low performing thyroid incorporate anxiety, hair loss, depression, constant fatigue, insomnia, drowsiness, and obesity. Experts say that hair loss in women is a major symptom of thyroid problem in a woman. Another reason for baldness in females includes how one manages stress and severe depression. (Source: Student Doctor Network)
Source: Student Doctor Network - February 23, 2018 Category: Universities & Medical Training Authors: kenataxi Source Type: forums
Specific question regarding adversity form?
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Specific question regarding adversity form?
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Source: The Student Room - October 22, 2017 Category: Universities & Medical Training Authors: Waterlily99 Tags: Medicine Source Type: forums
Billing for Med management & Psychotherapy - 99214 + 90833
I see my follow-ups for 30-minutes, and I'm having a hard time seeing in my mind how I don't end up billing most of my follow-up visits as level 4 (99214) visits with a psychotherapy add-on code (90833). I am doing psychotherapy for more than 16 minutes with most of my patients, and if you look at the criteria for a level 4, it's hard not to hit that threshold.
Legitimately, any patient with 3 chronic illnesses (e.g, MDD, Anxiety NOS, Insomnia) is a level 4 visit:
E.g.,
3 stable illnesses...
Billing for Med management & Psychotherapy - 99214 + 90833 (Source: Student Doctor Network)
Source: Student Doctor Network - October 17, 2017 Category: Universities & Medical Training Authors: Information Underload Source Type: forums
W in informal post-bacc
I know that taking a W in undergrad is not a big deal, but I'm wondering about a W in informal post-bacc? I decided to take OChem 2 with the lab over a 5 week summer semester. Needless to say, the pace is ****ing brutal. Due to the pace, and a really bad attack of insomnia (which I am seeing a doctor and psychologist for), I fell behind. I feel that I have the time to catch up in either lab, or lecture, but not both. It seems smarter to catch up in lecture and just drop the lab.
Will this...
W in informal post-bacc (Source: Student Doctor Network)
Source: Student Doctor Network - July 23, 2017 Category: Universities & Medical Training Authors: Wahed Source Type: forums
Which job to take?
Posting for a friend:
Hi everyone,
I'm in a difficult situation with 2 job offers and I'm unsure of which to take. It has led to sleepless nights for the past few days and I would really appreciate input.
1. Outpatient pharmacy manager at a medical center. ~$71/hr, great benefits, close to home.
2. Entry level position at pharmaceutical company (industry). ~$55/hr, no benefits ( I applied through recruitor so it is a contract). Far from home, will have to relocate.
So I have been working...
Which job to take? (Source: Student Doctor Network)
Source: Student Doctor Network - July 15, 2017 Category: Universities & Medical Training Authors: kiwon Source Type: forums
Advice needed for a school student with insomnia
Forum: Health
Posted By: ___Sophie___
Post Time: 08-02-2017 at 00:21 (Source: The Student Room)
Source: The Student Room - February 8, 2017 Category: Universities & Medical Training Source Type: forums
