Posts belonging to Category 'Asthma Attack Symptoms'

scary stuff

Question:

mcs wrote; Sara, Your body is telling you, your life is more important then anything else your doing. Its very worthy your effort to do what your doing but if your not concentrating on your health , it will all be for not. Why not go to Dr?

mcs, I just can’t do that right now.. and I know you’re right.  My health is the most important thing, but I have two real important tests this week (yes, I DO realize how trivial that sounds) and my son’s wedding.  I would just hate myself if I missed that wedding, and it turned out to be nothing more than just stress.  If it continues to happen, I guess I will go to the doctor.  This couldn’t possibly happen at a worse time for me.  Right now, I feel fine.  I watched my dad die very suddenly from a heart attack so I know iI’m being stupid not having this checked out.  If I have any more symptoms, I may go in. Thank you for your post.  I’ll think about it. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Sara, Don’t you think the wedding could be causing you more stress than you realize along with your school load.  Do you take a benzo or anything for anxiety?  If you take Xanax, maybe you should up it for a few days to get through the weekend??? smiles, Elise

– Hide quoted text — Show quoted text – hey guys, I had a scary thing happen tonight. I had chest pains. That may sound normal in an anxiety/panic group but it ISN’T normal for me.  I don’t get chest pains. And I wasn’t having any other symptom of panic either.  Just a pressure on my chest and down my left arm.  It lasted about an hour.  I laid down and after awhile it subsided. I know I should go get this checked out.. but I simply don’t have the time for that right now.  I had similar symptoms several years ago, and they started when I was working in a VERY stressful clinic.  Anyway, at that time, I went in the hospital for 3 days and they did all kinds of tests and on the stress test they found something like MVP — only it was my Atrial valve and not my mitral valve.  Long story short.. I quit the job, the pains went away. I worry because I’m overweight and get out of breath easily from the weight. I need to exercise, and I WILL if I can only get my son to put my treadmill together.  I am afraid if I put it together and get on it, it will fly apart on me LOL.  Anyway..  I think maybe my symptoms are just from the stress of this week.  I hope so.  It would be a terrible time to go in the hospital and/or keel over from a heart attack. I’ll let you all know if it happens again… or if something really bad happens, I’ll have my son post.  I simply don’t have the time right now to take care of this.  Too many important things going on.  It’s probably just stress from all that is going on, at least I hope so. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Sara, Don’t you think the wedding could be causing you more stress than you realize along with your school load.  Do you take a benzo or anything for anxiety?  If you take Xanax, maybe you should up it for a few days to get through the weekend??? smiles, Elise

Elise, That’s a good idea.  I’ll take a Xanax.  I forgot to mention this.. when I was having this pressure, I was also kind of light headed.  I don’t think that goes along with a heart attack, does it?  I don’t remember that being a symptom. Maybe the light headedness was just me being scared of the chest thingy. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Sara, It truly sounds like stress to me.  But when in doubt always see your doctor.  I have never heard of lightheadedness being a symptom of a heart attack. Maybe you NEED to make 15 minutes tonight to sit back in a quiet place and just let your body relax.  I know you’re busy but 15 minutes isn’t a lot of time to take from your schedule and give yourself a pinch of down time.  You do serve this… smiles, Elise

– Hide quoted text — Show quoted text – Sara, Don’t you think the wedding could be causing you more stress than you realize along with your school load.  Do you take a benzo or anything for anxiety?  If you take Xanax, maybe you should up it for a few days to get through the weekend??? smiles, Elise Elise, That’s a good idea.  I’ll take a Xanax.  I forgot to mention this.. when I was having this pressure, I was also kind of light headed.  I don’t think that goes along with a heart attack, does it?  I don’t remember that being a symptom. Maybe the light headedness was just me being scared of the chest thingy. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Sara, It truly sounds like stress to me.  But when in doubt always see your doctor.  I have never heard of lightheadedness being a symptom of a heart attack. Maybe you NEED to make 15 minutes tonight to sit back in a quiet place and just let your body relax.  I know you’re busy but 15 minutes isn’t a lot of time to take from your schedule and give yourself a pinch of down time.  You do serve this… smiles, Elise

Elise, I’m about to turn in for the night, soon as the Xanax kicks in, so I will get some down time.  Today was actually pretty good, I got SO MUCH done and I was so happy with myself then I sat down to watch American Idol and it started. I WAS relaxed when it happened.  I figure it’s just stress. Oh man, I hope so. I THINK.. if I remember correctly from working in doctor’s offices that if you have pain and lay down and it subsides it’s just angina and not a real heart attack.  Anyway, I think if this happens again, I’ll go in.  I hate that this happened now.  It couldn’t be worse timing. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Heart attack symptoms vary. Lightheadedness is one of them.  I know. "Been there, done that." A simple EKG and some blood work would be a good starting point.  Maybe then a stress test.  It is truly foolish to wait. – Hide quoted text — Show quoted text – Sara, It truly sounds like stress to me.  But when in doubt always see your doctor.  I have never heard of lightheadedness being a symptom of a heart attack. Maybe you NEED to make 15 minutes tonight to sit back in a quiet place and just let your body relax.  I know you’re busy but 15 minutes isn’t a lot of time to take from your schedule and give yourself a pinch of down time.  You do serve this… smiles, Elise Sara, Don’t you think the wedding could be causing you more stress than you realize along with your school load.  Do you take a benzo or anything for anxiety?  If you take Xanax, maybe you should up it for a few days to get through the weekend??? smiles, Elise Elise, That’s a good idea.  I’ll take a Xanax.  I forgot to mention this.. when I was having this pressure, I was also kind of light headed.  I don’t think that goes along with a heart attack, does it?  I don’t remember that being a symptom. Maybe the light headedness was just me being scared of the chest thingy. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Hey guys, It’s Wednesday morning and I’m feeling fine today. I slept well, (which is kind of rare for me) and I don’t feel anything weird.  I know I’m being stupid about this.  I started to write my older son a letter last night to tell him how I was feeling and that I might have to go have this checked out, and I just couldn’t do it.  I deleted the letter.  I just can’t mess up his wedding for something that is probably just me stressing out.  If this happens to me again, I’ll have it checked out.  I’m going to up the Xanax and try and get my studying done so I can get through the rehearsal tomorrow and the wedding on Friday. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Sara, Glad to hear you are feeling better and slept well.  Just keep taking deep breaths and "one thing at a time" for the rest of the week… smiles, Elise

– Hide quoted text — Show quoted text – Hey guys, It’s Wednesday morning and I’m feeling fine today. I slept well, (which is kind of rare for me) and I don’t feel anything weird.  I know I’m being stupid about this.  I started to write my older son a letter last night to tell him how I was feeling and that I might have to go have this checked out, and I just couldn’t do it.  I deleted the letter.  I just can’t mess up his wedding for something that is probably just me stressing out.  If this happens to me again, I’ll have it checked out.  I’m going to up the Xanax and try and get my studying done so I can get through the rehearsal tomorrow and the wedding on Friday. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Hi Sara I am so sorry you had to go through that last night. How scary it must have been for you. I am so glad you are feeling better this morning. It could be just stress since you really have a lot going on now but since you have never had chest pain before and its a new symptom you really should have it checked out. If it happens again please dont hesitate to go and have the bloodwork and EKG done like Mr. A. suggested. A very wise friend gave me some good advice about needing to take care of myself and putting myself first sometimes. I know how hard it is for you to do that right now but you really do need to try to do that Deb – Hide quoted text — Show quoted text – Hey guys, It’s Wednesday morning and I’m feeling fine today. I slept well, (which is kind of rare for me) and I don’t feel anything weird.  I know I’m being stupid about this.  I started to write my older son a letter last night to tell him how I was feeling and that I might have to go have this checked out, and I just couldn’t do it.  I deleted the letter.  I just can’t mess up his wedding for something that is probably just me stressing out.  If this happens to me again, I’ll have it checked out.  I’m going to up the Xanax and try and get my studying done so I can get through the rehearsal tomorrow and the wedding on Friday. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

Sara, I know you are having a stressful week, but if there is something wrong with your heart you may not be worrying about all the other things that "need" to be done.  These are serious symptoms that a "normie" would not ignore not being able to blame them on anxiety.  My aunt ignored symptoms and warning signs, she didn’t have the time to go to the doctor didn’t have insurance, any excuse possible, I wish she had taken the time out of her schedule asked someone to help her with the money, anything, instead she went to bed one night and never woke up, massive coronary at 36.  My grandmother had heart attack symptoms and ignored them, later on she found out that she had experienced a mild heart attack, she chalked the symptoms up to agorophobia. Your health can’t wait.  At least call and make an appointment to get things checked out, it isn’t going to take that much time out of your life.  If you have to go to the ER chances are very good that it’ll take more time away from you because they’ll want to keep you for tests and observation. It very well may be *just* the stress of the wedding and school but I know you are going to rest easier knowing one way or the other. Jess

– Hide quoted text — Show quoted text – Hi Sara I am so sorry you had to go through that last night. How scary it must have been for you. I am so glad you are feeling better this morning. It could be just stress since you really have a lot going on now but since you have never had chest pain before and its a new symptom you really should have it checked out. If it happens again please dont hesitate to go and have the bloodwork and EKG done like Mr. A. suggested. A very wise friend gave me some good advice about needing to take care of myself and putting myself first sometimes. I know how hard it is for you to do that right now but you really do need to try to do that Deb Hey guys, It’s Wednesday morning and I’m feeling fine today. I slept well, (which is kind of rare for me) and I don’t feel anything weird.  I know I’m being stupid about this.  I started to write my older son a letter last night to tell him how I was feeling and that I might have to go have this checked out, and I just couldn’t do it.  I deleted the letter.  I just can’t mess up his wedding for something that is probably just me stressing out.  If this happens to me again, I’ll have it checked out.  I’m going to up the Xanax and try and get my studying done so I can get through the rehearsal tomorrow and the wedding on Friday. Sara    ^..^< Anxiety, I can’t get nothin done Anxiety destroys all the fun – Pat Benetar

Response:

hey guys, I had a scary thing happen tonight. I had chest pains. That may sound normal in an anxiety/panic group but it ISN’T normal for me.  I don’t get chest pains. And I wasn’t having any other symptom of panic either.  Just a pressure on my chest and down my left arm.  It lasted about an hour.  I laid down and after awhile it subsided.

Oh my God, Sara!!  I am sorry I am just getting to this post right now.  No wonder why you were so frightened when you wrote me last night!!!  Did you tell anyone else in the house what was happening??  Please don’t tell me you laid there and went through this by yourself!! I know I should go get this checked out.. but I simply don’t have the time for that right now.  I had similar symptoms several years ago, and they started when I was working in a VERY stressful clinic.  Anyway, at that time, I went in the hospital for 3 days and they did all kinds of tests and on the stress test they found something like MVP — only it was my Atrial valve and not my mitral valve.  Long story short.. I quit the job, the pains went away.

Well, you ARE under a lot of stress.  Your life is especially busy in the next few days.  I do wish that you had time to pop into the doc’s, but if you don’t, please try and rely on your Xanax to keep you as calm as possible. I worry because I’m overweight and get out of breath easily from the weight. I need to exercise, and I WILL if I can only get my son to put my treadmill together.  I am afraid if I put it together and get on it, it will fly apart on me LOL.  Anyway..  I think maybe my symptoms are just from the stress of this week.  I hope so.  It would be a terrible time to go in the hospital and/or keel over from a heart attack.

Tell your son you will get him a Hawaiian shirt if he puts the treadmill together.  But, the first thing you had to do is quit smoking, which you did!!  <<SO proud of you for that!  And don’t think that you’ll keel over at the wedding!!  That’s just the nerves doing what they do to us all of the time.  Getting the very best of us!!  (Unfortunately). I’ll let you all know if it happens again… or if something really bad happens, I’ll have my son post.  I simply don’t have the time right now to take care of this.  Too many important things going on.  It’s probably just stress from all that is going on, at least I hope so.

My gosh, if I hadn’t heard from you this evening, I’d be worried sick right now.  Just try, try, try to take it as easy as possible when you have a little down time.  Get on the Internet long enough to say "hi" and "bye". Then we’ll know you’re okay, but just busy!! Love ya, gal!!!  xo —  

Question for highway patrol officers about bridge phobia

Question:

I had a panic attack driving across that bridge about 25 years ago. I would think even "normies" would panic on that thing. It must have been designed by a sadist!

Actually, it was designed by an engineer who worked at a nearby amusement park. (and yes, he was a sadist…I could tell by the black leather hood and whip….and he was wearing a pair of "cruel shoes") I was afraid I might loose my mind and go crazy!". That would explain a lot! LOL — just kidding, Chip.

Sure you are! You’ve thought I am going to flip my lid for a long time now! xxoo Anne

Chip   :^) — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

I thought you played the "Rocky" theme song when approaching bridges

Tony, Tony, Tony.  The "Rocky" song is a regional (i.e., "Phiwwy") preference! I’m thinking more along the lines of "Take You Higher" by Sly and the Family Stone.   <eek ;-) xo Anne boom-shaka-laka-laka — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

I had a panic attack driving across that bridge about 25 years ago.

I would think even "normies" would panic on that thing. It must have been designed by a sadist! The curve at the top of the first big slope would knock me unconscious all by itself, never mind the rest of the bridge. I was afraid I might loose my mind and go crazy!".

That would explain a lot! LOL — just kidding, Chip. xxoo Anne — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

You are indeed referring to the Richmond-San Rafael bridge. From a distance it looks like a roller coaster. It actually has a couple big humps as I recall. Yes. It’s a monster! I am absolutely amazed that you can drive over it. <applause Here it is:   http://www.mtc.ca.gov/bata/richmond-sr.htm Look at it and weep!

EEEEEEK! It’s an acrophobe’s absolute nightmare! P. – Hide quoted text — Show quoted text -For me the Richmond-San Rafael bridge is the worst one both because of its roller coaster like profile and the fact it is the narrowest one with just two lanes on the top deck and two on the bottom Oh, lord — this is even worse! Narrow high humpy bridges are literally the stuff of my nightmares! A psychologist once hypnotized me and had me go back to the earliest terrifying experience I could remember. It turned out to be a roller coaster that my dad took me on at a fair in the midwest, when I was only 4. I "re-lived" that ride under hypnosis and, afterward, could understand more about the roots of my bridge phobia… that "up we go" out-of-control sensation, knowing the plunge downward was coming. If anyone can recommend a good CBT therapist in the bay area that they think has what it takes to deal with the problems I’ve mentioned I would like a referral. I’m sure some people will have good recommendations. Good luck, and thanks for sharing your experiences! xxoo Anne — The charter is available at:  http://readystump.algebra.com/~asapm

– The charter is available at:  http://readystump.algebra.com/~asapm

Response:

I have found it most effective when working with a qualified psychotherapist (i.e., psychologist). You expose yourself gradually and systematically to feared situations, while also working on relaxation techniques. That’s way oversimplified but the gist of it.

Thanks. I have heard of that technique, just didn’t know the name. One idea I’ve had is to go out one day and repeatedly drive across the bridge until it became mundane. I think there is a place at the toll booth end of the Richmond-San Rafael Bridge where one can do a U-turn before reaching the toll booths to avoid repeatedly having to pay the $2 toll if doing this. I’m afraid that might be a waste of time and fuel though and only have temporary results. I am just curious why you drive in the far-right lane? Is it so you don’t feel trapped and can pull over quickly if need be? I guess so. I don’t like having any vehicle between me and the breakdown lane and/or exit lane. I get dizzy when surrounded by vehicles on both sides. It triggers a fullblown panic attack. So I stay to the right. Occasionally I can pass if a vehicle is going *really* slow. When I do this, I have to consciously breathe in, breathe out, and sometimes sing out loud or pretend to laugh out loud — anything to keep breathing. I tend to unconsciously stop breathing, or breathe too shallowly, when I’m panicking and that just makes it worse — dizziness.

I understand. I find it amazing how the panic attack symptoms seem so universal. I never really studied panic attacks and had hardly heard of them before I started having mine yet the more I read about other people’s experiences the more I see common themes and symptoms. This seems like a taboo subject people don’t talk about in real life but I understand panic disorders are increasingly common. I tend to get a sort of agoraphobia when surrounded by the blackness of night and driving at a high speed on the highway. Then there are the red tail lights ahead of me and the white lights coming toward me… it’s very difficult for me to block all this out and try to remember that I’m on a regular old road. I feel as if I’m airborne, and I *hate* flying!

Yup, I hate flying also. See my other post from yesterday. I am glad that at least I don’t have a problem on the roads at night. You are indeed referring to the Richmond-San Rafael bridge. From a distance it looks like a roller coaster. It actually has a couple big humps as I recall. Yes. It’s a monster! I am absolutely amazed that you can drive over it. <applause Here it is:   http://www.mtc.ca.gov/bata/richmond-sr.htm Look at it and weep!

Looking at that photo of it I am amazed also. I found some other really scary photos of it at that site: http://www.mtc.ca.gov/bata/images/gallery/rich01.jpg http://www.mtc.ca.gov/bata/images/gallery/rich02.jpg http://www.mtc.ca.gov/bata/images/gallery/rich03.jpg For me the Richmond-San Rafael bridge is the worst one both because of its roller coaster like profile and the fact it is the narrowest one with just two lanes on the top deck and two on the bottom Oh, lord — this is even worse! Narrow high humpy bridges are literally the stuff of my nightmares!

Same here! I have had nightmares involving this type of bridge including being trapped on them and having part of the bridge come down in an earthquake. A psychologist once hypnotized me and had me go back to the earliest terrifying experience I could remember. It turned out to be a roller coaster that my dad took me on at a fair in the midwest, when I was only 4. I "re-lived" that ride under hypnosis and, afterward, could understand more about the roots of my bridge phobia… that "up we go" out-of-control sensation, knowing the plunge downward was coming.

Interesting. When I was about 10 years old I went on a roller coaster with a friend of my dad. It was the roller coaster at the Santa Cruz beach boardwalk, an old wooden roller coaster that is nothing by today’s standards in terms of high G force drops and no upside down or other crazy stuff, just a good old conventional roller coaster. Anyways I remember it being simultaneously a terrifying and fun experience. I felt totally out of control on the twisty descents. My dad’s friend later remarked to him that he didn’t know I had such a vocabulary for 4 letter words. I guess I was just really scared and those were the words I was yelling. I think my first traumatic experience with being trapped in a seemingly out of control situation at an amusement park happened when I was more like 6 years or 7 years old. I’m not sure where it was, may have been a school field trip but I basically had run of the place and could get on any ride. I saw a big circular platform with a fence of sorts at the perimeter. Against this perimeter fence where numerous narrow booths which some people had already loaded into. So everyone on this ride was standing up at the edges of the big disc facing the middle. It looked pretty benign, I didn’t know any better and thought it might just shake around a little or something. So I got on, stood in one of the booths and someone came round and closed a cage door type thing in front of me. Stood there for a while while everone loaded in. Then the big disc we were standing on started rotating, first slowly but it gradually got faster, so fast I was getting pushed to the back of the booth by centrifugal force. Then the whole thing tilted up on its side. I’m not sure if the angle was completely vertical like a windmill or a diagonal angle but in any case it was tilted up enough that when I reached the high part of its rotation I was looking down at the people quite a ways below yet my back was pressed firmly against the fence by centrifugal force. Needless to say this was a terrifying experience and may have planted some early seeds for my issues with control, fear of being trapped and fear of heights. It was partly my fault for not first observing this ride in action but I wished someone had told me what it was going to do and how long it would last before I got on. Anxious Virgin — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

AV:  I am late jumping on this thread but just want to say how much I admire your ability to continue driving over those godawful bridges in the Bay Area, despite your phobia.

Thank you for the admiration. Yes, the Bay Area if full of those horrible bridges, one of which is world famous and actually gets millions of tourists walking across it as well as over 1000 people who have committed suicide off of it (possibly adding to the fear factor on that one). I have had a debilitating bridge *and* highway phobia for more than 25 years (I’m 52 now). Occasionally, after much desensitization in therapy, plus meds like Xanax and/or an SSRI antidepressant, I’ve been able to drive over *one* high bridge… but no others. (i.e., my desensitization doesn’t generalize to more than that one bridge!)

What does desentsitization therapy consist of? Is it something you can do yourself or do you need to have sessions with a therapist to do it? Also: I always drive in the far-right lane of highways, no matter how slow the car in front of me is going. This is an improvement, however, because for years I was unable to get on a highway at all. At least now I can

Interesting as I try to be in the far-right or more often the lane next to the far-right. I find the lane next to the far-right a bit less stressful in more built up areas because I don’t have to deal with frequent traffic merging from onramps. In this second lane I feel I can still pull over in a hurry if I need to. I am just curious why you drive in the far-right lane? Is it so you don’t feel trapped and can pull over quickly if need be? navigate for about a 10 or 15-mile radius of where I live. I still get anxiety and often have to take a Xanax or two before doing the highway thang, especially at night, when the various lights disorient me and trigger panic.

I don’t have any driving problems to speak of at night. The contrast and overstimulation problems are greatly reduced for me at night. I rather like driving late at night and choose that over daytime whenever possible. There is also generally less traffic at night. I think you’ve come up with some excellent coping techniques, considering that you have to live and navigate in a region with so many really high and (to me) terrifying bridges! I’ve been out there twice, and just the sight of some of those bridges (the San Rafael one, I think) from a distance gave me a panic attack!  The Golden Gate wasn’t as bad, though… it seemed more level, not a big "hump" in the middle.

You are indeed referring to the Richmond-San Rafael bridge. From a distance it looks like a roller coaster. It actually has a couple big humps as I recall. I try not to remember what it looks like exactly as it is so scary looking. Seeing it from a distance makes me feel uneasy in the same way seeing a sky scraper or other tall man made structure like a TV transmission tower makes me feel uneasy. Just the distant sight of it doesn’t bring on a panic attack. Luckily on the approach to the Richmond-San Rafael bridge there are hills at each end so there is no way to really view it from the freeway until you are on it. You can see it quite clearly from numerous other roads around the bay though. For me the Richmond-San Rafael bridge is the worst one both because of its roller coaster like profile and the fact it is the narrowest one with just two lanes on the top deck and two on the bottom (with a shoulder to the right of the right lane on each one but this shoulder has been blocked off by temporary fences and construction equipment for the past couple years while they do siesmic retrofitting so it is effectively two narrow lanes with no shoulder right now. Also the Richmond-San Rafael bridge is where I had my first bridge panic attack in 1998 while I was a passenger in a friends car and that panic attack came out of the blue at a time when my overall anxiety level was much lower than it has been post-2000. Congrats, and keep up the good work. There’s no shame in using an anti-anxiety med, as you do in emergencies. Please don’t hesitate to see a psychiatrist *who specializes in anxiety and panic disorder*  (the qualification is really important; many psychiatrists don’t know bat guano about panic)  if you find yourself feeling overwhelmed by your fears and anxiety.  The combination of meds that helped me the most was an SSRI antidepressant (Paxil or Celexa in my case) plus a benzodiazepine anti-anxiety drug (Xanax in my case). Cognitive behavioral therapy (CBT) also helps *a lot*.

Thank you for the support and advice. Please see the long post I wrote just before this where I mention the psychiatrist I went to and the Celexa I took. I don’t t know if this psychiatrist was an anxiety and panic disorder specialist. I could probably contact him again to find out but would rather start off with someone new as I think I left him on bad terms by simply cancelling an appointment and leaving a message with his receptionist saying I decided to go off Celexa and no longer need his services. CBT sounds like what I’m looking for. If anyone can recommend a good CBT therapist in the bay area that they think has what it takes to deal with the problems I’ve mentioned I would like a referral. A good pschiatrist for dealing with this would also be appreciated. For now, Anxious Virgin — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

You are indeed referring to the Richmond-San Rafael bridge. From a distance it looks like a roller coaster. It actually has a couple big humps as I recall. Yes. It’s a monster! I am absolutely amazed that you can drive over it. <applause Here it is: http://www.mtc.ca.gov/bata/richmond-sr.htm Look at it and weep!

I had a panic attack driving across that bridge about 25 years ago. I was trying to desensitize myself to bridges and had a lady friend along with me. After I finished crossing the bridge, I asked her if she knew I had a PA, and she said "yes". She could see me tense up. I asked her what did she think might have happened to me because of the PA. And she said "I thought you might try to kill me".  And I said "Heck no. Killing you never crossed my mind. I was afraid I might loose my mind and go crazy!". Chip — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

There are tapes that can help you do this on your own. I used to play one in my car tape deck sometimes, but it was one a psychologist made for his own private patients and I no longer have it. Someone on the old ASAP sent me a wonderful driving tape, too; it’s in my house somewhere. Gee, I should dig that out. <scratches head, wondering where I put it

I thought you played the "Rocky" theme song when approaching bridges :o D Tony ~ Avid license plate fan while driving over bridges. — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – line of sight is the greatest and there is the most contrast. I think this is why I find bridge crossings much easier at night and also easier on foggy/overcast days. I notice that when I’m crossing the Golden Gate Bridge it’s easier at night and in the fog. When you can’t see for miles and miles and miles. (just like the Who’s song!) Great, I don’t feel so alone. Someone else has the same situation of finding it easier to cross bridges at night and in the fog! I wonder how common bridge phobia is and how common it is to have less of a problem with it at night and/or in the fog. Telling them also relieves anxiety about having to tell people in the middle of an anxious spell. Yes it seems to. Now that I think back I’ve never had more than some minor hand sweating and white knuckles after previously telling a passenger about the potential problem. With the one exception of the time I didn’t tell the person first because I hadn’t had a panic attack crossing the bridge for months all my panic attacks on the bridges have been by myself. If I’m feeling especially anxious before crossing the GG Bridge I take Xanax 1 mg about 15 to 30 minutes before crossing the bridge. I am not familiar with Xanax.  I just checked the pill bottle I’ve been carrying for emergency use. The prescription was given to me by a psychiatrist in 2000, I never used it much and haven’t had any since 2001. The label is faded out but from what I can make it it says "take 1 tablet as needed for anxiety up to 3 per day (valium equiv) dlazepam 2mg tablet". The tablets are white and about the size of aspirin tablets. On one side they say "barr" and on the other side it says "555" there is a line below that for splitting the tablet and below that it reads "163". I wonder if these have an expiration date, if it had one it has worn off. There is a faded sticker on the side saying it could cause drowsiness and caution when operating a car. I don’t recall it causing any significant drowsiness or other problems when I took it while driving in 2001. One idea I’ve had is to just before the bridge entrance get out and run around to work off nervous energy. I used to bicycle across the GG Bridge to desensitize myself about 15 years ago. I bicycled across the GG Bridge many times in the 1990’s in all light and weather conditions and never really had a problem though I recall sometimes getting an odd feeling from the flashing shadow pattern created by the fence when the sun was low and there weren’t any clouds. Then around 2000 I turned 30 and moved and started having increasing general anxiety problems and thoughts about death and overstimulation problems on sunny days. The anxiety problem started low grade and gradually got worse and worse. In May of 2000 while bicycling down hill fast I had a blow out and nearly crashed and that didn’t help matters. One sunny day in June I rode to the south end of the Golden Gate bridge with plans to cross it. Just before getting on the bridge I got very nervous and this was confirmed with a 130-140 bpm reading on the heart rate monitor while I waited at the bridge entrance for 10-15 minutes. I saw a bicycle mounted policeman enter the bridge and I thought about asking him for an escort but it felt too awkward to approach him for that and he was already on the bridge before I could really do anything. So I rode to the bridge office and there was a line of people waiting to talk to the officer behind the window. I let people behind me in line get ahead of me and finally when there was no one else there I walked up to the window and when the officer asked if he could help me I told him I’m trying to ride my bike across the bridge but am experiencing a bridge phobia problem and wondered if I could talk to a counselor about it. I figured they had counselors on hand to deal with all those suicide attempts. He told me to hold on a moment. A woman came out who turned out to be some sort of bridge maintenance worker. She told me she’d drive me across the bridge. We put the bike into the back of the pickup and she drove me across the bridge. I had my eyes closed just about the whole way across. I told her that I felt so odd about being driven across as I’ve cycled across many times inthe past. She told me this is very common and if I recall correctly she said that several times per day they get calls from people who are having difficulty crossing the bridge and the bridge workers drive the person’s car across the bridge for them while the person closes their eyes or looks down at the floor or whatever it takes to get across the bridge. I had to ride back to San Franscisco at the end of the day and was told to just call the bridge office on the emergency call box and they would send someone out to pick me up. This was very demoralizing. I felt like some sort of disabled person. I heard of people with bridge phobias but couldn’t believe I had become one. When I approached the north entrance of the bridge for the ride back the sun had almost set and it was extremely foggy, couldn’t see the water at all and no shadows from the fences. I felt much more at ease, none of that anxiety I had on the other side of the bridge earlier in the day. So I said to myself I’ll go for it and can always call them from an emergency call box along the way if need be. I made it across with no problems and no view of the water. Probably not more than a couple weeks after that I had a massive panic attack in a public location. It was the worst panic attack I’ve ever had and I had just about every single possible classic symptom of a panic attack. It was really bad, I felt like I was gonna die. Looking back I can say this panic attack was brought on by several things: not eating enough that morning and being low on blood sugar, just having been given a ride in an old car that had some sort of exhaust or gas leak that was making me feel light headed and fear of a crowd that I was just about to encounter at a public market. After several minutes I was able to get it together but not after making quite a scene yelling that I was dying and repeatedly yelling help and throwing myself down in some bushes by the edge of the sidewalk. Believe me I wasn’t doing this to get attention and it wasn’t pre-meditated. I honestly felt I was dying. Everything felt so unreal, I was light headed, my heart was beating fast, felt like something was constricting around my neck making breathing difficult, I was trembling, when I felt my face it felt like it was made of rubber and didn’t have nerves like I was feeling some rubber object not my own face and as I walked it felt like my feet weren’t touching the ground, like I was floating a ways above the ground. I felt like I was in the process of losing consciousness and was about ready to rise up and leave my body at any moment. After some talking though I came to my senses and calmed down, had something to eat and felt much better. The feeling of relief and relaxiation that followed this panic attack was amazing. Basically it was the same sort of thing that happens to me on bridges but on a much larger scale. After that experience I had difficulty going outside. I became pretty non-functional, indoors most of the time. I could only really go out at night and on cloudy days when the contrast was lower. I couldn’t stray too far from home. Several times I tried to go further places and suddenly had to turn back. One big fear was having another public panic attack. I was also pre-occupied with death. Spent lots of time on the internet looking at websites about death, autopsy photos, accident photos, doing research on embalming and how crematoriums work and all sorts of other morbid stuff. That wasn’t helping anything. I was often thinking about when I would die and how I would die. I felt trapped in life because the only way out was death (well still feel that way but am not dwelling on it so much). It is not so much death I fear but the infinite nothingness. The concept of something with no beginning and no end just blows my mind and I can’t think about it for more than a minute before a panic attack starts to come on, sometimes less. Just thinking that I had no idea what was going on 5 billion years ago and won’t know what is going on 5 billion years from now just blows me away. Knowing that there is something really powerful out there with no limits, no beginning and no end is something my stupid human brain just can’t comprehend. I mean really when did the universe start and when does it stop. That is an unanswerable question that haunts me. It is in the same family as my good ole favourite what happens after death question. I try to tell myself it is just like what happened before I was born, no concern to me, simply wasn’t around then. I don’t fear the  pre-birth days I can’t remember so why should I fear death? When I get off track on these rapidly escalating postive feedback loops involving death and infinity the only way I can bring myself down and prevent from going crazy and totally flipping out is by thinking about mundane things, like really superficial day to day things, what I want to do the next day and crap like that. When I had my massive panic attack in June of 2000 I was thinking about death in a pretty big way and being low on food caused the adrenalin to start running a bit, combine that with the fumes from the car and some anxiety about the

… read more »

Response:

– Hide quoted text — Show quoted text – Pilots landing into the sun with propeller driven aircraft face this problem of flicker. They call it vertigo and it can be very disabling and dangerous for obvious reasons. Pilots get around it by not looking directly into the flicker but to the side of the propeller arc or increasing the rpm of the engine. If the problem isn’t solved by this they do an overshoot and ask for a different runway for landing. Former pilot Ron Interesting. Although beyond the scope of this thread I also have a severe airplane phobia. My last time on a plane was an international flight in 1999 and that was a really stressful experience. I didn’t used to have a fear of flying but started getting one in the late 1980’s and it has gradually gotten worse and worse each time I’ve flown. After the flight in 1999 I decided I didn’t want to fly for a long time. In 2000 there were a couple horrific passenger get crashes which further cemented this and the final blow was on 9-11-2001. I don’t ever want to go on an airplane again. They combine all my worst fears: heights, falling into water and drowning, being trapped, being in an environment I am not in control of, claustrophobia, germs circulated by the air conditioning and radiation exposure by having less atmosphere to filter out the cosmic rays. I also think flying at high altitude and high speed like commercial aircraft do is unnatural and unhealthy for the planet. It burns enormous amounts of fuel, puts pullution into the upper atmosphere and it just seems wrong to be going that fast that high above earth.

I had two experiences while learning to fly that really shook me up for a while though they never turned me off of flying. The first was nearly being hit by a T-33 while in the landing pattern. This came about because a rookie air traffic controller cleared the T-33 for take-off when the take-off path was right across my flight path. Luckily, the military pilot saw me just in time. The second incident was the crash of a DC8 on at the airport where I was training. I was in the air at the time, practicing landings, when the DC8 went down. I can however relate to your fear of flying to some degree. No matter what the vehicle, if I am just a passenger, I am very uncomfortable to say the least. The only commercial aircraft that I have ridden in was a small propeller driven one, the name of which I have forgotten. It was a most uncomfortable experience, especially the return trip at night. I was far more comfortable while learning how to recover from stalls and spins in my flight training. The day that I will have to take a commercial jet will not be a banner one I’m totally convinced. I have been in one on the ground and the feeling was that I was the stuffing of a rather large sausage and nothing more. I would still like to own my own plane but unless I win the lottery, that will never happen. The human emu  Ron — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

What does desentsitization therapy consist of? Is it something you can do yourself or do you need to have sessions with a therapist to do it?

I have found it most effective when working with a qualified psychotherapist (i.e., psychologist). You expose yourself gradually and systematically to feared situations, while also working on relaxation techniques. That’s way oversimplified but the gist of it. There are tapes that can help you do this on your own. I used to play one in my car tape deck sometimes, but it was one a psychologist made for his own private patients and I no longer have it. Someone on the old ASAP sent me a wonderful driving tape, too; it’s in my house somewhere. Gee, I should dig that out. <scratches head, wondering where I put it I am just curious why you drive in the far-right lane? Is it so you don’t feel trapped and can pull over quickly if need be?

I guess so. I don’t like having any vehicle between me and the breakdown lane and/or exit lane. I get dizzy when surrounded by vehicles on both sides. It triggers a fullblown panic attack. So I stay to the right. Occasionally I can pass if a vehicle is going *really* slow. When I do this, I have to consciously breathe in, breathe out, and sometimes sing out loud or pretend to laugh out loud — anything to keep breathing. I tend to unconsciously stop breathing, or breathe too shallowly, when I’m panicking and that just makes it worse — dizziness. The contrast and overstimulation problems are greatly reduced for me at night.

I tend to get a sort of agoraphobia when surrounded by the blackness of night and driving at a high speed on the highway. Then there are the red tail lights ahead of me and the white lights coming toward me… it’s very difficult for me to block all this out and try to remember that I’m on a regular old road. I feel as if I’m airborne, and I *hate* flying! You are indeed referring to the Richmond-San Rafael bridge. From a distance it looks like a roller coaster. It actually has a couple big humps as I recall.

Yes. It’s a monster! I am absolutely amazed that you can drive over it. <applause Here it is:   http://www.mtc.ca.gov/bata/richmond-sr.htm Look at it and weep! For me the Richmond-San Rafael bridge is the worst one both because of its roller coaster like profile and the fact it is the narrowest one with just two lanes on the top deck and two on the bottom

Oh, lord — this is even worse! Narrow high humpy bridges are literally the stuff of my nightmares! A psychologist once hypnotized me and had me go back to the earliest terrifying experience I could remember. It turned out to be a roller coaster that my dad took me on at a fair in the midwest, when I was only 4. I "re-lived" that ride under hypnosis and, afterward, could understand more about the roots of my bridge phobia… that "up we go" out-of-control sensation, knowing the plunge downward was coming. If anyone can recommend a good CBT therapist in the bay area that they think has what it takes to deal with the problems I’ve mentioned I would like a referral.

I’m sure some people will have good recommendations. Good luck, and thanks for sharing your experiences! xxoo Anne — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

AV:  I am late jumping on this thread but just want to say how much I admire your ability to continue driving over those godawful bridges in the Bay Area, despite your phobia. I have had a debilitating bridge *and* highway phobia for more than 25 years (I’m 52 now). Occasionally, after much desensitization in therapy, plus meds like Xanax and/or an SSRI antidepressant, I’ve been able to drive over *one* high bridge… but no others. (i.e., my desensitization doesn’t generalize to more than that one bridge!) Also: I always drive in the far-right lane of highways, no matter how slow the car in front of me is going. This is an improvement, however, because for years I was unable to get on a highway at all. At least now I can navigate for about a 10 or 15-mile radius of where I live. I still get anxiety and often have to take a Xanax or two before doing the highway thang, especially at night, when the various lights disorient me and trigger panic. I think you’ve come up with some excellent coping techniques, considering that you have to live and navigate in a region with so many really high and (to me) terrifying bridges! I’ve been out there twice, and just the sight of some of those bridges (the San Rafael one, I think) from a distance gave me a panic attack!  The Golden Gate wasn’t as bad, though… it seemed more level, not a big "hump" in the middle. Congrats, and keep up the good work. There’s no shame in using an anti-anxiety med, as you do in emergencies. Please don’t hesitate to see a psychiatrist *who specializes in anxiety and panic disorder*  (the qualification is really important; many psychiatrists don’t know bat guano about panic)  if you find yourself feeling overwhelmed by your fears and anxiety.  The combination of meds that helped me the most was an SSRI antidepressant (Paxil or Celexa in my case) plus a benzodiazepine anti-anxiety drug (Xanax in my case). Cognitive behavioral therapy (CBT) also helps *a lot*. xxoo Anne — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

line of sight is the greatest and there is the most contrast. I think this is why I find bridge crossings much easier at night and also easier on foggy/overcast days. I notice that when I’m crossing the Golden Gate Bridge it’s easier at night and in the fog. When you can’t see for miles and miles and miles. (just like the Who’s song!)

Great, I don’t feel so alone. Someone else has the same situation of finding it easier to cross bridges at night and in the fog! I wonder how common bridge phobia is and how common it is to have less of a problem with it at night and/or in the fog. Telling them also relieves anxiety about having to tell people in the middle of an anxious spell.

Yes it seems to. Now that I think back I’ve never had more than some minor hand sweating and white knuckles after previously telling a passenger about the potential problem. With the one exception of the time I didn’t tell the person first because I hadn’t had a panic attack crossing the bridge for months all my panic attacks on the bridges have been by myself. If I’m feeling especially anxious before crossing the GG Bridge I take Xanax 1 mg about 15 to 30 minutes before crossing the bridge.

I am not familiar with Xanax.  I just checked the pill bottle I’ve been carrying for emergency use. The prescription was given to me by a psychiatrist in 2000, I never used it much and haven’t had any since 2001. The label is faded out but from what I can make it it says "take 1 tablet as needed for anxiety up to 3 per day (valium equiv) dlazepam 2mg tablet". The tablets are white and about the size of aspirin tablets. On one side they say "barr" and on the other side it says "555" there is a line below that for splitting the tablet and below that it reads "163". I wonder if these have an expiration date, if it had one it has worn off. There is a faded sticker on the side saying it could cause drowsiness and caution when operating a car. I don’t recall it causing any significant drowsiness or other problems when I took it while driving in 2001. One idea I’ve had is to just before the bridge entrance get out and run around to work off nervous energy. I used to bicycle across the GG Bridge to desensitize myself about 15 years ago.

I bicycled across the GG Bridge many times in the 1990’s in all light and weather conditions and never really had a problem though I recall sometimes getting an odd feeling from the flashing shadow pattern created by the fence when the sun was low and there weren’t any clouds. Then around 2000 I turned 30 and moved and started having increasing general anxiety problems and thoughts about death and overstimulation problems on sunny days. The anxiety problem started low grade and gradually got worse and worse. In May of 2000 while bicycling down hill fast I had a blow out and nearly crashed and that didn’t help matters. One sunny day in June I rode to the south end of the Golden Gate bridge with plans to cross it. Just before getting on the bridge I got very nervous and this was confirmed with a 130-140 bpm reading on the heart rate monitor while I waited at the bridge entrance for 10-15 minutes. I saw a bicycle mounted policeman enter the bridge and I thought about asking him for an escort but it felt too awkward to approach him for that and he was already on the bridge before I could really do anything. So I rode to the bridge office and there was a line of people waiting to talk to the officer behind the window. I let people behind me in line get ahead of me and finally when there was no one else there I walked up to the window and when the officer asked if he could help me I told him I’m trying to ride my bike across the bridge but am experiencing a bridge phobia problem and wondered if I could talk to a counselor about it. I figured they had counselors on hand to deal with all those suicide attempts. He told me to hold on a moment. A woman came out who turned out to be some sort of bridge maintenance worker. She told me she’d drive me across the bridge. We put the bike into the back of the pickup and she drove me across the bridge. I had my eyes closed just about the whole way across. I told her that I felt so odd about being driven across as I’ve cycled across many times inthe past. She told me this is very common and if I recall correctly she said that several times per day they get calls from people who are having difficulty crossing the bridge and the bridge workers drive the person’s car across the bridge for them while the person closes their eyes or looks down at the floor or whatever it takes to get across the bridge. I had to ride back to San Franscisco at the end of the day and was told to just call the bridge office on the emergency call box and they would send someone out to pick me up. This was very demoralizing. I felt like some sort of disabled person. I heard of people with bridge phobias but couldn’t believe I had become one. When I approached the north entrance of the bridge for the ride back the sun had almost set and it was extremely foggy, couldn’t see the water at all and no shadows from the fences. I felt much more at ease, none of that anxiety I had on the other side of the bridge earlier in the day. So I said to myself I’ll go for it and can always call them from an emergency call box along the way if need be. I made it across with no problems and no view of the water. Probably not more than a couple weeks after that I had a massive panic attack in a public location. It was the worst panic attack I’ve ever had and I had just about every single possible classic symptom of a panic attack. It was really bad, I felt like I was gonna die. Looking back I can say this panic attack was brought on by several things: not eating enough that morning and being low on blood sugar, just having been given a ride in an old car that had some sort of exhaust or gas leak that was making me feel light headed and fear of a crowd that I was just about to encounter at a public market. After several minutes I was able to get it together but not after making quite a scene yelling that I was dying and repeatedly yelling help and throwing myself down in some bushes by the edge of the sidewalk. Believe me I wasn’t doing this to get attention and it wasn’t pre-meditated. I honestly felt I was dying. Everything felt so unreal, I was light headed, my heart was beating fast, felt like something was constricting around my neck making breathing difficult, I was trembling, when I felt my face it felt like it was made of rubber and didn’t have nerves like I was feeling some rubber object not my own face and as I walked it felt like my feet weren’t touching the ground, like I was floating a ways above the ground. I felt like I was in the process of losing consciousness and was about ready to rise up and leave my body at any moment. After some talking though I came to my senses and calmed down, had something to eat and felt much better. The feeling of relief and relaxiation that followed this panic attack was amazing. Basically it was the same sort of thing that happens to me on bridges but on a much larger scale. After that experience I had difficulty going outside. I became pretty non-functional, indoors most of the time. I could only really go out at night and on cloudy days when the contrast was lower. I couldn’t stray too far from home. Several times I tried to go further places and suddenly had to turn back. One big fear was having another public panic attack. I was also pre-occupied with death. Spent lots of time on the internet looking at websites about death, autopsy photos, accident photos, doing research on embalming and how crematoriums work and all sorts of other morbid stuff. That wasn’t helping anything. I was often thinking about when I would die and how I would die. I felt trapped in life because the only way out was death (well still feel that way but am not dwelling on it so much). It is not so much death I fear but the infinite nothingness. The concept of something with no beginning and no end just blows my mind and I can’t think about it for more than a minute before a panic attack starts to come on, sometimes less. Just thinking that I had no idea what was going on 5 billion years ago and won’t know what is going on 5 billion years from now just blows me away. Knowing that there is something really powerful out there with no limits, no beginning and no end is something my stupid human brain just can’t comprehend. I mean really when did the universe start and when does it stop. That is an unanswerable question that haunts me. It is in the same family as my good ole favourite what happens after death question. I try to tell myself it is just like what happened before I was born, no concern to me, simply wasn’t around then. I don’t fear the  pre-birth days I can’t remember so why should I fear death? When I get off track on these rapidly escalating postive feedback loops involving death and infinity the only way I can bring myself down and prevent from going crazy and totally flipping out is by thinking about mundane things, like really superficial day to day things, what I want to do the next day and crap like that. When I had my massive panic attack in June of 2000 I was thinking about death in a pretty big way and being low on food caused the adrenalin to start running a bit, combine that with the fumes from the car and some anxiety about the crowd (was told I have social anxiety disorder) and you have the makings of a massive panic attack. The panic attacks I have on bridges are also probably not due to simply one factor but a combination of factors including: being high above the water with the possibility of plunging into the water reminds me of my own mortality, tall man made structure feels artificial like it could just fail like other man made things and … read more »

Response:

line of sight is the greatest and there is the most contrast. I think this is why I find bridge crossings much easier at night and also easier on foggy/overcast days.

I notice that when I’m crossing the Golden Gate Bridge it’s easier at night and in the fog. When you can’t see for miles and miles and miles. (just like the Who’s song!) of course I had the music on.

Familiar music on the car CD player or radio helps to relax me when on the freeway or crossing a bridge. Yes, it was very embarrassing. This was someone who didn’t know about my bridge phobia so I quickly had to do a lot of explaining. He seemed to understand it and I don’t think he thinks any less of me for having that incident.

Everyone has their own problems. As a result of that I now tell passengers in advance, generally about 15 minutes before reaching the bridge when I turn the music on that I need to turn the music on to cross the bridge because I have a bridge phobia. I always feel awkward about telling them that but I figure it is better to tell them and have nothing happen than to suddenly catch them by surprise if it happens.

Telling them also relieves anxiety about having to tell people in the middle of an anxious spell. Another thing I’ll sometimes do when crossing a bridge is to telephone a friend. The conversation with them helps take my mind off the bridge and I try to make a visual image of them and what they are saying while taking in just enough visual traffic information to stay in the lane with adequate following distance.

That sounds like a good idea. Sometimes I daydream about something and cross the bridge without even knowing I’m on it. That would be a miracle drug. Something like that would be perfect for me. I do carry in an unused ashtray a container of some valium like pills which were prescribed to me in 2000 when I was having the major anxiety problems. They are a very low dose and are to be taken only as needed. They take a few minutes to kick in, probably too short to be worth anything if taken on the bridge itself but could be taken 10 minutes or so before getting on the bridge. I’ve only taken these twice while driving and haven’t taken any since 2001.

If I’m feeling especially anxious before crossing the GG Bridge I take Xanax 1 mg about 15 to 30 minutes before crossing the bridge. One idea I’ve had is to just before the bridge entrance get out and run around to work off nervous energy.

I used to bicycle across the GG Bridge to desensitize myself about 15 years ago. AV

Good luck, AV. Chip — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Pilots landing into the sun with propeller driven aircraft face this problem of flicker. They call it vertigo and it can be very disabling and dangerous for obvious reasons. Pilots get around it by not looking directly into the flicker but to the side of the propeller arc or increasing the rpm of the engine. If the problem isn’t solved by this they do an overshoot and ask for a different runway for landing. Former pilot Ron

Interesting. Although beyond the scope of this thread I also have a severe airplane phobia. My last time on a plane was an international flight in 1999 and that was a really stressful experience. I didn’t used to have a fear of flying but started getting one in the late 1980’s and it has gradually gotten worse and worse each time I’ve flown. After the flight in 1999 I decided I didn’t want to fly for a long time. In 2000 there were a couple horrific passenger get crashes which further cemented this and the final blow was on 9-11-2001. I don’t ever want to go on an airplane again. They combine all my worst fears: heights, falling into water and drowning, being trapped, being in an environment I am not in control of, claustrophobia, germs circulated by the air conditioning and radiation exposure by having less atmosphere to filter out the cosmic rays. I also think flying at high altitude and high speed like commercial aircraft do is unnatural and unhealthy for the planet. It burns enormous amounts of fuel, puts pullution into the upper atmosphere and it just seems wrong to be going that fast that high above earth. I do have a lot of respect for pilots though because they have to be so skilled, have such good judgement and be responsible for the lives of so many people. Really anyone who can competently operate complex, heavy, high speed machinery has my respect. I know commercial flying is safer per distance travelled than driving but aside from bridges I feel much more comfortable driving. Car crashes are something I can relate to. Although they are much more frequent than airplane crashes there is a good chance of surviving. As long as the speeds are kept reasonable there is a good chance the car’s structure will remain basically intact and the driver can climb out unlike an airplane falling from great heights where there ends up being nothing but little pieces scattered over a large area. Also at least with a car crash you can see it coming and try to avoid it and make plans for making the impact less severe. With an airplane crash there would be that relatively long period of time when you are sitting there as a passenger knowing  the plane is going down but there is nothing you can do about it. I have a pretty active imagination and have visualized various situations of airplanes going down. What happened in NYC on 9-11 was my worst nightmare as it combined my fears of tall man made structures and jet airplanes. In fact about a week before 9-11 I had a nightmare involving an airplane trying to land on top of a tall building. AV — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

or the mechanics of the bridge so I focus on the traffic lanes but sometimes just can’t avoid getting a glance at the water way down below and immediately start thinking about my mortality. I have noticed I hardly ever have any nervousness on the bridge at night, probably because I can’t see the water or the bridge so it feels more like driving on a normal road on land. I’ve also noticed during the day the problem is much less accute if it is very overcast or foggy. Bright sunny days are the worst as the water all around is most visible then and also there is more contrast and the flashing pattern of shadows from bridge supports can set off a reaction.

Pilots landing into the sun with propeller driven aircraft face this problem of flicker. They call it vertigo and it can be very disabling and dangerous for obvious reasons. Pilots get around it by not looking directly into the flicker but to the side of the propeller arc or increasing the rpm of the engine. If the problem isn’t solved by this they do an overshoot and ask for a different runway for landing. Former pilot Ron — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

I know what you are saying!  It’s pretty hard to ignore the water, isn’t it? It’s EVERYWHERE!

Yes, it sure is hard to ignore! Especially on a sunny day when the line of sight is the greatest and there is the most contrast. I think this is why I find bridge crossings much easier at night and also easier on foggy/overcast days. Speaking of things being different at night, there is one situation on the Richmond-San Rafael bridge I am very proud of. In the summer they were doing some construction (seismic retrofitting) late at night and the entire upper deck of the bridge was closed so they had both directions of traffic sharing the two lanes of the lower deck with nothing but the lane line between them. As it is there aren’t any shoulders and the lanes are relatively narrow. I had to cross the bridge one of those nights and was surprised to find both directions of traffic diverted to one deck. I was in a long stream of traffic on this one lane following a pilot car at 35 mph and there was oncoming traffic! I knew there would be no quick way off, no option of speeding to get off quickly as I was locked in behind the slow moving pilot car and there was oncoming traffic. However it was at  night so I couldn’t see the water and I was tired also which probably helped calm me down and of course I had the music on. Amazingly it was no big deal, one of my least stressful bridge crossings in recent years. I think the novelty of driving the wrong way on the lower deck of the bridge helped keep my mind off the normal phobias I have with regards to this bridge. attack came on and I was having to fumble with the CD player while suddenly accelerating to try to get things under control. I understand that it’s embarrassing!   My friend was with me when I freaked on the bridge.  :-(

Yes, it was very embarrassing. This was someone who didn’t know about my bridge phobia so I quickly had to do a lot of explaining. He seemed to understand it and I don’t think he thinks any less of me for having that incident. As a result of that I now tell passengers in advance, generally about 15 minutes before reaching the bridge when I turn the music on that I need to turn the music on to cross the bridge because I have a bridge phobia. I always feel awkward about telling them that but I figure it is better to tell them and have nothing happen than to suddenly catch them by surprise if it happens. I try not to take passengers across bridges though as I feel I can be more myself if I’m alone and work though it by yelling stuff about it just being a stupid bridge and sometimes yelling about other things I’m mildly upset with just to take my mind off the bridge. Another thing I’ll sometimes do when crossing a bridge is to telephone a friend. The conversation with them helps take my mind off the bridge and I try to make a visual image of them and what they are saying while taking in just enough visual traffic information to stay in the lane with adequate following distance. My concern is for the times I’m not able to get it together and end up having to speed to get off the bridge sooner. They should make something we INHALE for emergency purposes! Anxiety nose spray?

That would be a miracle drug. Something like that would be perfect for me. I do carry in an unused ashtray a container of some valium like pills which were prescribed to me in 2000 when I was having the major anxiety problems. They are a very low dose and are to be taken only as needed. They take a few minutes to kick in, probably too short to be worth anything if taken on the bridge itself but could be taken 10 minutes or so before getting on the bridge. I’ve only taken these twice while driving and haven’t taken any since 2001. Both times while driving I took them when I was stuck in massive traffic in the 2nd from the left lane on the freeway and felt trapped like I couldn’t quickly pull over to the side if I wanted to. I normally like to stick to the right or second to the right lane so there is always an easy way off. A couple times in 2000 I had to pull over onto the right shoulder and calm down for a moment. There is a certain bridge I haven’t driven across for about 6 weeks, the one I’ve had my worst problems with and I have to drive across it tomorrow afternoon. I just woke up in the middle of the night nervous thinking about it. If I have to I can do a long detour to avoid it or put off the crossing until dusk. AV I’m sorry for you :-( I hope things went well, and you made it across by the time you see this. Hang in there, OK?

Thanks. Well I ended up not having to cross the bridge Saturday. The friend I was going to meet with happens to be coming to my area today so will come here instead of me having to go there. Now it looks like I won’t have to cross the bridge for about another week. Hopefully I can come up with a better plan of attack by then. One idea I’ve had is to just before the bridge entrance get out and run around to work off nervous energy. AV — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Look at anything but the water and the mechanics of the bridge!  I focused straight ahead (on cars or people IN the cars).  Start making up names from license plates…anything! I went through this while out there, and really struggled!! It’s all about focus.  The radio was also a great distraction…or a good CD if you have a player in your car! Sing LOUDLY (even if…like with me…people give you funny looks!!)  hehehe Good luck!

Thanks for the advice. I already figured out that it is best not to look at the water or the mechanics of the bridge so I focus on the traffic lanes but sometimes just can’t avoid getting a glance at the water way down below and immediately start thinking about my mortality. I have noticed I hardly ever have any nervousness on the bridge at night, probably because I can’t see the water or the bridge so it feels more like driving on a normal road on land. I’ve also noticed during the day the problem is much less accute if it is very overcast or foggy. Bright sunny days are the worst as the water all around is most visible then and also there is more contrast and the flashing pattern of shadows from bridge supports can set off a reaction. I also figured out a while back that music helps greatly so there is a certain CD I start to listen to about 15 minutes before getting on to the bridge to help relax. Occassionally I have had a passenger and have told them I’ve got to turn this certain music on here because I have a bridge phobia and the music helps. I hate having to tell people this but one time after going months with no problems on the bridge I had a passenger and suddenly midway across the span a panic attack came on and I was having to fumble with the CD player while suddenly accelerating to try to get things under control. Sometimes when I am by myself if it starts coming on midway across the bridge I start yelling to myself  "it is just a stupid bridge!". My concern is for the times I’m not able to get it together and end up having to speed to get off the bridge sooner. There is a certain bridge I haven’t driven across for about 6 weeks, the one I’ve had my worst problems with and I have to drive across it tomorrow afternoon. I just woke up in the middle of the night nervous thinking about it. If I have to I can do a long detour to avoid it or put off the crossing until dusk. AV — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

" I also figured out a while back that music helps greatly so there is a certain CD I start to listen to about 15 minutes before getting on to the bridge to help relax.

this is wonderful use it and build on it Occassionally I have had a passenger and have told them I’ve got to turn this certain music on here because I have a bridge phobia and the music helps. I hate having to tell people this but one time after going months with no problems on the bridge I had a passenger and suddenly midway across the span a panic attack came on and I was having to fumble with the CD player while suddenly accelerating to try to get things under control.

I almost never had a panic attack with someone in the car for the simple reason I car pooled for many years and it wasn’t until I lost the passengers that I noticed the panic atttacks building up as I approached the bridge, so after suffering the panic attacks alone and then not having them when a passenger was in the car I associated the panic with being alone in the car going over the bridge, but eventually there was some times when the panic built when someone was in the car, I automatically would start a conversation and my mind not being able to occupy two thoughts at once would ease the panic Sometimes when I am by myself if it starts coming on midway across the bridge I start yelling to myself  "it is just a stupid bridge!".

I know what you mean there I came up with "I’m tired of this stupid game" and it help me focus in some ways to feel better sometimes My concern is for the times I’m not able to get it together and end up having to speed to get off the bridge sooner.

It right that you have some concern about this because it can be dangerous to drive to fast, my concern was for loss of control as my mind would be all over the place and my body was shaking and I didn’t feel I had control of my actions but your thoughts should be centered around the time you where OK, you need to heighten those feelings in you and diminish the times when you where less successfull crossing the bridge There is a certain bridge I haven’t driven across for about 6 weeks, the one I’ve had my worst problems with and I have to drive across it tomorrow afternoon. I just woke up in the middle of the night nervous thinking about it. If I have to I can do a long detour to avoid it or put off the crossing until dusk.

night time anxiety I think is caused by the continuation of the daytime worry we have about something we have a hard time deciding what to do, if that helps any, I know it became a bigger problem for me until I accepted it for what it is instead of making it out to be more than just that, so when you decide what you are going to do or decide that you will be able to make a decision on what to do, it can go away there are times and ways I can cross the bridge that causes me problem I do it twice a day for work a doctor could prescibe you a benzodrine like xanax on a as needed basis but I think you should use it as little as possible, but just to know something is as effective is at you disposal can help, and it has helped me alot over the years  when you feel ready just to do it and know you will be OK is all it will take to overcome this panic and there is no timetable,  or failures there is just a steady movement forward Jim AV — The charter is available at:  http://readystump.algebra.com/~asapm

– The charter is available at:  http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – I live in the San Francisco Bay Area which has many tall highway bridges over bodies of water. Most of these bridges such as the Golden Gate Bridge and Richmond-San Rafael Bridge have 45 mph speed limits. The normal flow of traffic on these bridges seems to be 50-60 mph. Signs are posted at the entrances to these bridges stating that they are double fine zones so a speeding ticket received on one of these bridges would presumably have a fine twice as high as for breaking the speed limit by the same amount on a conventional highway. I never used to have any problem with bridges but in 1998 while sitting in the front passenger seat of a friend’s car on the Richmond-San Rafael bridge I had a panic attack. Everything was going normally and then suddenly I had this extreme fear. Being way up high in this bridge, mid-span with no quick way off I had this trapped feeling as I saw the bridge girders rapidly go by creating a flashing shadow effect. I started thinking about death, wondering what would happen if there was an earthquake and the bridge fell down or my friend’s car went out of control and went off the bridge. Being on this tall structure high over the water made me feel so small, reminded me of my own mortality. I just had this horrible helpless feeling. My adrenalin kicked in and my heart rate went up and I started breathing heavily and sweating. I think I yelled out "help!" to my friend and he helped me calm down. Ever since then I get anywhere from mildly to severely nervous when crossing high bridges, generally thinking about the possibility of death. Sometimes the low grade feeling of nervousness develops into a panic attack generally about half way across the bridge when I feel totally trapped on the bridge. I get the increased heart rate, sweaty hands and a fight or flight feeling as the adrenalin kicks in. Normally I obey all traffic laws and always stick to the posted speed limits to save fuel. After accelerating from the toll both at one of these bridges I set the cruise control to  the posted speed limit of 45 mph. However if I have a panic attack about half way across the bridge I find myself suddenly flooring the accelerator pedal as the extreme feeling of fear and adrenalin kicks in. Once it hits about 70 mph I’ll back off but sometimes I will then floor it again, bring it back up to 60 or 70 and then back off again as I try to overcome the panic attack. On one occassion I kept it at 65-70 mph until I was almost off the bridge just to get off the bridge as soon as possible. There is no shoulder to pull over on should one be stopped for speeding on one of these bridges so one would have to drive to the end of the bridge and then pull over. My question to highway patrol officers is if you found someone driving 65 or 70 mph in a 45 mph zone on one of these bridges and activated your flashing lights to pull them over and when they were able to pull over at the other end of the bridge would you write them a speeding ticket if they were obviously very shaken up and told you they were having a panic attack and had to get off the bridge as soon as possible? Or would you let them off with a warning realising they were not deliberately breaking the speed limit but were just trying to get off the bridge as soon as possible because they were having a medical emergency and where afraid they might pass out or go out of control and cause a crash if they stayed on the bridge for as long as they would have had to if doing the 45 mph speed limit? My other question is if the officer activates the lights while the car they are pulling over is doing 65-70 mph in the 45 zone should the driver immediately reduce their speed to 45 mph for the rest of the drive across the bridge to where they can pull over or since they have already been clocked doing 65-70 mph would it not make the ticket fine any higher or upset the officer any more if the driver continued at 65-70 mph until they could pull over at the end of the bridge. Any tips on dealing with bridge phobia would also be appreciated as I’d much rather not experience stress crossing bridges and keep the speed to 45 mph to save fuel. I don’t like being in an out of control situation which forces me to speed. As  it is I try to avoid crossing these bridges as little as possible for obvious reasons. I’m thinking a good compromise for now might be to go 55 mph on the bridge right from the start as that is within the normal flow of traffic speed and would get me off the bridge sooner than going 45 mph and thus I might be able to keep a full blown panic attack from occuring and wouldn’t  have to exceed 55 mph so would be unlikely to get cited. Thanks in advance, AV — The charter is available at:  http://readystump.algebra.com/~asapm

I can deal with them just fine, if I feel they are constructed well. I am an engineer, so when I see big honkin’ structures, I am comfortable, whatever the height. I cross over to Canada from time to time in I-81.  The bridge scares the crap out of me.  On the down side the "guard rails" look to be 1 1/4" handrails.  Oh my god!  I have to use all of my concentration power to focus straight ahead and ignore the sides.  Funny, when I am on the top of the bridge, the side rails are beefy and I can admire the 1000 Islands. gt — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

– Hide quoted text — Show quoted text – Look at anything but the water and the mechanics of the bridge!  I focused straight ahead (on cars or people IN the cars).  Start making up names from license plates…anything! I went through this while out there, and really struggled!! It’s all about focus.  The radio was also a great distraction…or a good CD if you have a player in your car! Sing LOUDLY (even if…like with me…people give you funny looks!!) hehehe Good luck! Thanks for the advice. I already figured out that it is best not to look at the water or the mechanics of the bridge so I focus on the traffic lanes but sometimes just can’t avoid getting a glance at the water way down below and immediately start thinking about my mortality. I have noticed I hardly ever have any nervousness on the bridge at night, probably because I can’t see the water or the bridge so it feels more like driving on a normal road on land. I’ve also noticed during the day the problem is much less accute if it is very overcast or foggy. Bright sunny days are the worst as the water all around is most visible then and also there is more contrast and the flashing pattern of shadows from bridge supports can set off a reaction.

I know what you are saying!  It’s pretty hard to ignore the water, isn’t it? It’s EVERYWHERE! I also figured out a while back that music helps greatly so there is a certain CD I start to listen to about 15 minutes before getting on to the bridge to help relax. Occassionally I have had a passenger and have told them I’ve got to turn this certain music on here because I have a bridge phobia and the music helps. I hate having to tell people this but one time after going months with no problems on the bridge I had a passenger and suddenly midway across the span a panic attack came on and I was having to fumble with the CD player while suddenly accelerating to try to get things under control.

I understand that it’s embarrassing!   My friend was with me when I freaked on the bridge.  :-( Sometimes when I am by myself if it starts coming on midway across the bridge I start yelling to myself  "it is just a stupid bridge!".

Good for you! My concern is for the times I’m not able to get it together and end up having to speed to get off the bridge sooner.

They should make something we INHALE for emergency purposes! Anxiety nose spray? There is a certain bridge I haven’t driven across for about 6 weeks, the one I’ve had my worst problems with and I have to drive across it tomorrow afternoon. I just woke up in the middle of the night nervous thinking about it. If I have to I can do a long detour to avoid it or put off the crossing until dusk. AV

I’m sorry for you :-( I hope things went well, and you made it across by the time you see this. Hang in there, OK? Hugs, Gigglz — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

I live in the San Francisco Bay Area which has many tall highway bridges over bodies of water. Most of these bridges such as the Golden Gate Bridge and Richmond-San Rafael Bridge have 45 mph speed limits. The normal flow of traffic on these bridges seems to be 50-60 mph. Signs are posted at the entrances to these bridges stating that they are double fine zones so a speeding ticket received on one of these bridges would presumably have a fine twice as high as for breaking the speed limit by the same amount on a conventional highway. I never used to have any problem with bridges but in 1998 while sitting in the front passenger seat of a friend’s car on the Richmond-San Rafael bridge I had a panic attack. Everything was going normally and then suddenly I had this extreme fear. Being way up high in this bridge, mid-span with no quick way off I had this trapped feeling as I saw the bridge girders rapidly go by creating a flashing shadow effect. I started thinking about death, wondering what would happen if there was an earthquake and the bridge fell down or my friend’s car went out of control and went off the bridge. Being on this tall structure high over the water made me feel so small, reminded me of my own mortality. I just had this horrible helpless feeling. My adrenalin kicked in and my heart rate went up and I started breathing heavily and sweating. I think I yelled out "help!" to my friend and he helped me calm down. Ever since then I get anywhere from mildly to severely nervous when crossing high bridges, generally thinking about the possibility of death. Sometimes the low grade feeling of nervousness develops into a panic attack generally about half way across the bridge when I feel totally trapped on the bridge. I get the increased heart rate, sweaty hands and a fight or flight feeling as the adrenalin kicks in. Normally I obey all traffic laws and always stick to the posted speed limits to save fuel. After accelerating from the toll both at one of these bridges I set the cruise control to  the posted speed limit of 45 mph. However if I have a panic attack about half way across the bridge I find myself suddenly flooring the accelerator pedal as the extreme feeling of fear and adrenalin kicks in. Once it hits about 70 mph I’ll back off but sometimes I will then floor it again, bring it back up to 60 or 70 and then back off again as I try to overcome the panic attack. On one occassion I kept it at 65-70 mph until I was almost off the bridge just to get off the bridge as soon as possible. There is no shoulder to pull over on should one be stopped for speeding on one of these bridges so one would have to drive to the end of the bridge and then pull over. My question to highway patrol officers is if you found someone driving 65 or 70 mph in a 45 mph zone on one of these bridges and activated your flashing lights to pull them over and when they were able to pull over at the other end of the bridge would you write them a speeding ticket if they were obviously very shaken up and told you they were having a panic attack and had to get off the bridge as soon as possible? Or would you let them off with a warning realising they were not deliberately breaking the speed limit but were just trying to get off the bridge as soon as possible because they were having a medical emergency and where afraid they might pass out or go out of control and cause a crash if they stayed on the bridge for as long as they would have had to if doing the 45 mph speed limit? My other question is if the officer activates the lights while the car they are pulling over is doing 65-70 mph in the 45 zone should the driver immediately reduce their speed to 45 mph for the rest of the drive across the bridge to where they can pull over or since they have already been clocked doing 65-70 mph would it not make the ticket fine any higher or upset the officer any more if the driver continued at 65-70 mph until they could pull over at the end of the bridge. Any tips on dealing with bridge phobia would also be appreciated as I’d much rather not experience stress crossing bridges and keep the speed to 45 mph to save fuel. I don’t like being in an out of control situation which forces me to speed. As  it is I try to avoid crossing these bridges as little as possible for obvious reasons. I’m thinking a good compromise for now might be to go 55 mph on the bridge right from the start as that is within the normal flow of traffic speed and would get me off the bridge sooner than going 45 mph and thus I might be able to keep a full blown panic attack from occuring and wouldn’t  have to exceed 55 mph so would be unlikely to get cited. Thanks in advance, AV — The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Look at anything but the water and the mechanics of the bridge!  I focused straight ahead (on cars or people IN the cars).  Start making up names from license plates…anything! I went through this while out there, and really struggled!! It’s all about focus.  The radio was also a great distraction…or a good CD if you have a player in your car! Sing LOUDLY (even if…like with me…people give you funny looks!!)  hehehe Good luck! Hugs, Gigglz

– Hide quoted text — Show quoted text – I live in the San Francisco Bay Area which has many tall highway bridges over bodies of water. Most of these bridges such as the Golden Gate Bridge and Richmond-San Rafael Bridge have 45 mph speed limits. The normal flow of traffic on these bridges seems to be 50-60 mph. Signs are posted at the entrances to these bridges stating that they are double fine zones so a speeding ticket received on one of these bridges would presumably have a fine twice as high as for breaking the speed limit by the same amount on a conventional highway. I never used to have any problem with bridges but in 1998 while sitting in the front passenger seat of a friend’s car on the Richmond-San Rafael bridge I had a panic attack. Everything was going normally and then suddenly I had this extreme fear. Being way up high in this bridge, mid-span with no quick way off I had this trapped feeling as I saw the bridge girders rapidly go by creating a flashing shadow effect. I started thinking about death, wondering what would happen if there was an earthquake and the bridge fell down or my friend’s car went out of control and went off the bridge. Being on this tall structure high over the water made me feel so small, reminded me of my own mortality. I just had this horrible helpless feeling. My adrenalin kicked in and my heart rate went up and I started breathing heavily and sweating. I think I yelled out "help!" to my friend and he helped me calm down. Ever since then I get anywhere from mildly to severely nervous when crossing high bridges, generally thinking about the possibility of death. Sometimes the low grade feeling of nervousness develops into a panic attack generally about half way across the bridge when I feel totally trapped on the bridge. I get the increased heart rate, sweaty hands and a fight or flight feeling as the adrenalin kicks in. Normally I obey all traffic laws and always stick to the posted speed limits to save fuel. After accelerating from the toll both at one of these bridges I set the cruise control to  the posted speed limit of 45 mph. However if I have a panic attack about half way across the bridge I find myself suddenly flooring the accelerator pedal as the extreme feeling of fear and adrenalin kicks in. Once it hits about 70 mph I’ll back off but sometimes I will then floor it again, bring it back up to 60 or 70 and then back off again as I try to overcome the panic attack. On one occassion I kept it at 65-70 mph until I was almost off the bridge just to get off the bridge as soon as possible. There is no shoulder to pull over on should one be stopped for speeding on one of these bridges so one would have to drive to the end of the bridge and then pull over. My question to highway patrol officers is if you found someone driving 65 or 70 mph in a 45 mph zone on one of these bridges and activated your flashing lights to pull them over and when they were able to pull over at the other end of the bridge would you write them a speeding ticket if they were obviously very shaken up and told you they were having a panic attack and had to get off the bridge as soon as possible? Or would you let them off with a warning realising they were not deliberately breaking the speed limit but were just trying to get off the bridge as soon as possible because they were having a medical emergency and where afraid they might pass out or go out of control and cause a crash if they stayed on the bridge for as long as they would have had to if doing the 45 mph speed limit? My other question is if the officer activates the lights while the car they are pulling over is doing 65-70 mph in the 45 zone should the driver immediately reduce their speed to 45 mph for the rest of the drive across the bridge to where they can pull over or since they have already been clocked doing 65-70 mph would it not make the ticket fine any higher or upset the officer any more if the driver continued at 65-70 mph until they could pull over at the end of the bridge. Any tips on dealing with bridge phobia would also be appreciated as I’d much rather not experience stress crossing bridges and keep the speed to 45 mph to save fuel. I don’t like being in an out of control situation which forces me to speed. As  it is I try to avoid crossing these bridges as little as possible for obvious reasons. I’m thinking a good compromise for now might be to go 55 mph on the bridge right from the start as that is within the normal flow of traffic speed and would get me off the bridge sooner than going 45 mph and thus I might be able to keep a full blown panic attack from occuring and wouldn’t  have to exceed 55 mph so would be unlikely to get cited. Thanks in advance, AV — The charter is available at:  http://readystump.algebra.com/~asapm

– The charter is available at:  http://readystump.algebra.com/~asapm

Response:

First you should feel good about yourself that you continue to cross those bridges it what you need to do evetually get over the panic of the panic attack and it might help to know that the bridge isn’t as much a problems as the fear of having another attack you just associate the bridge to the attack .  I will start adding up the numbers in the license plates of vehicles around me before I get to bridges and it occupies and distracts my thoughts yet keeps me aware of the traffic  try to slow down little bit at a time finding a way to distract your thoughts from panicing Jim

– Hide quoted text — Show quoted text – Go with the flow. If you are concentrating very hard on the car in front of you and not actually looking to the sides it will be over real quick. Secondly, if you keep the speed up once they put on the lights, well then that will piss them off. merge right and keep a normal speed and pull over. if you pulled over on the bridge they will tell you over the speaker to either go forward or pull over in a non active lane. Find something to distract you but not your driving and you will feel fine. If you think about it long and hard before or during then it will set off your trigger. brian s. I live in the San Francisco Bay Area which has many tall highway bridges over bodies of water. Most of these bridges such as the Golden Gate Bridge and Richmond-San Rafael Bridge have 45 mph speed limits. The normal flow of traffic on these bridges seems to be 50-60 mph. Signs are posted at the entrances to these bridges stating that they are double fine zones so a speeding ticket received on one of these bridges would presumably have a fine twice as high as for breaking the speed limit by the same amount on a conventional highway. I never used to have any problem with bridges but in 1998 while sitting in the front passenger seat of a friend’s car on the Richmond-San Rafael bridge I had a panic attack. Everything was going normally and then suddenly I had this extreme fear. Being way up high in this bridge, mid-span with no quick way off I had this trapped feeling as I saw the bridge girders rapidly go by creating a flashing shadow effect. I started thinking about death, wondering what would happen if there was an earthquake and the bridge fell down or my friend’s car went out of control and went off the bridge. Being on this tall structure high over the water made me feel so small, reminded me of my own mortality. I just had this horrible helpless feeling. My adrenalin kicked in and my heart rate went up and I started breathing heavily and sweating. I think I yelled out "help!" to my friend and he helped me calm down. Ever since then I get anywhere from mildly to severely nervous when crossing high bridges, generally thinking about the possibility of death. Sometimes the low grade feeling of nervousness develops into a panic attack generally about half way across the bridge when I feel totally trapped on the bridge. I get the increased heart rate, sweaty hands and a fight or flight feeling as the adrenalin kicks in. Normally I obey all traffic laws and always stick to the posted speed limits to save fuel. After accelerating from the toll both at one of these bridges I set the cruise control to  the posted speed limit of 45 mph. However if I have a panic attack about half way across the bridge I find myself suddenly flooring the accelerator pedal as the extreme feeling of fear and adrenalin kicks in. Once it hits about 70 mph I’ll back off but sometimes I will then floor it again, bring it back up to 60 or 70 and then back off again as I try to overcome the panic attack. On one occassion I kept it at 65-70 mph until I was almost off the bridge just to get off the bridge as soon as possible. There is no shoulder to pull over on should one be stopped for speeding on one of these bridges so one would have to drive to the end of the bridge and then pull over. My question to highway patrol officers is if you found someone driving 65 or 70 mph in a 45 mph zone on one of these bridges and activated your flashing lights to pull them over and when they were able to pull over at the other end of the bridge would you write them a speeding ticket if they were obviously very shaken up and told you they were having a panic attack and had to get off the bridge as soon as possible? Or would you let them off with a warning realising they were not deliberately breaking the speed limit but were just trying to get off the bridge as soon as possible because they were having a medical emergency and where afraid they might pass out or go out of control and cause a crash if they stayed on the bridge for as long as they would have had to if doing the 45 mph speed limit? My other question is if the officer activates the lights while the car they are pulling over is doing 65-70 mph in the 45 zone should the driver immediately reduce their speed to 45 mph for the rest of the drive across the bridge to where they can pull over or since they have already been clocked doing 65-70 mph would it not make the ticket fine any higher or upset the officer any more if the driver continued at 65-70 mph until they could pull over at the end of the bridge. Any tips on dealing with bridge phobia would also be appreciated as I’d much rather not experience stress crossing bridges and keep the speed to 45 mph to save fuel. I don’t like being in an out of control situation which forces me to speed. As  it is I try to avoid crossing these bridges as little as possible for obvious reasons. I’m thinking a good compromise for now might be to go 55 mph on the bridge right from the start as that is within the normal flow of traffic speed and would get me off the bridge sooner than going 45 mph and thus I might be able to keep a full blown panic attack from occuring and wouldn’t  have to exceed 55 mph so would be unlikely to get cited. Thanks in advance, AV — The charter is available at:  http://readystump.algebra.com/~asapm — The charter is available at:  http://readystump.algebra.com/~asapm

– The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Go with the flow. If you are concentrating very hard on the car in front of you and not actually looking to the sides it will be over real quick. Secondly, if you keep the speed up once they put on the lights, well then that will piss them off. merge right and keep a normal speed and pull over. if you pulled over on the bridge they will tell you over the speaker to either go forward or pull over in a non active lane. Find something to distract you but not your driving and you will feel fine. If you think about it long and hard before or during then it will set off your trigger. brian s.

– Hide quoted text — Show quoted text – I live in the San Francisco Bay Area which has many tall highway bridges over bodies of water. Most of these bridges such as the Golden Gate Bridge and Richmond-San Rafael Bridge have 45 mph speed limits. The normal flow of traffic on these bridges seems to be 50-60 mph. Signs are posted at the entrances to these bridges stating that they are double fine zones so a speeding ticket received on one of these bridges would presumably have a fine twice as high as for breaking the speed limit by the same amount on a conventional highway. I never used to have any problem with bridges but in 1998 while sitting in the front passenger seat of a friend’s car on the Richmond-San Rafael bridge I had a panic attack. Everything was going normally and then suddenly I had this extreme fear. Being way up high in this bridge, mid-span with no quick way off I had this trapped feeling as I saw the bridge girders rapidly go by creating a flashing shadow effect. I started thinking about death, wondering what would happen if there was an earthquake and the bridge fell down or my friend’s car went out of control and went off the bridge. Being on this tall structure high over the water made me feel so small, reminded me of my own mortality. I just had this horrible helpless feeling. My adrenalin kicked in and my heart rate went up and I started breathing heavily and sweating. I think I yelled out "help!" to my friend and he helped me calm down. Ever since then I get anywhere from mildly to severely nervous when crossing high bridges, generally thinking about the possibility of death. Sometimes the low grade feeling of nervousness develops into a panic attack generally about half way across the bridge when I feel totally trapped on the bridge. I get the increased heart rate, sweaty hands and a fight or flight feeling as the adrenalin kicks in. Normally I obey all traffic laws and always stick to the posted speed limits to save fuel. After accelerating from the toll both at one of these bridges I set the cruise control to  the posted speed limit of 45 mph. However if I have a panic attack about half way across the bridge I find myself suddenly flooring the accelerator pedal as the extreme feeling of fear and adrenalin kicks in. Once it hits about 70 mph I’ll back off but sometimes I will then floor it again, bring it back up to 60 or 70 and then back off again as I try to overcome the panic attack. On one occassion I kept it at 65-70 mph until I was almost off the bridge just to get off the bridge as soon as possible. There is no shoulder to pull over on should one be stopped for speeding on one of these bridges so one would have to drive to the end of the bridge and then pull over. My question to highway patrol officers is if you found someone driving 65 or 70 mph in a 45 mph zone on one of these bridges and activated your flashing lights to pull them over and when they were able to pull over at the other end of the bridge would you write them a speeding ticket if they were obviously very shaken up and told you they were having a panic attack and had to get off the bridge as soon as possible? Or would you let them off with a warning realising they were not deliberately breaking the speed limit but were just trying to get off the bridge as soon as possible because they were having a medical emergency and where afraid they might pass out or go out of control and cause a crash if they stayed on the bridge for as long as they would have had to if doing the 45 mph speed limit? My other question is if the officer activates the lights while the car they are pulling over is doing 65-70 mph in the 45 zone should the driver immediately reduce their speed to 45 mph for the rest of the drive across the bridge to where they can pull over or since they have already been clocked doing 65-70 mph would it not make the ticket fine any higher or upset the officer any more if the driver continued at 65-70 mph until they could pull over at the end of the bridge. Any tips on dealing with bridge phobia would also be appreciated as I’d much rather not experience stress crossing bridges and keep the speed to 45 mph to save fuel. I don’t like being in an out of control situation which forces me to speed. As  it is I try to avoid crossing these bridges as little as possible for obvious reasons. I’m thinking a good compromise for now might be to go 55 mph on the bridge right from the start as that is within the normal flow of traffic speed and would get me off the bridge sooner than going 45 mph and thus I might be able to keep a full blown panic attack from occuring and wouldn’t  have to exceed 55 mph so would be unlikely to get cited. Thanks in advance, AV — The charter is available at:  http://readystump.algebra.com/~asapm

– The charter is available at:  http://readystump.algebra.com/~asapm

Response:

Trouble Speaking

Question:

On 30 Aug 2003 00:52:37 -0700, anne_dud…@yahoo.com (Anelle) wrote: – Hide quoted text — Show quoted text -

Hi Doug, I was wondering if you could go a little deeper into detail regarding this symptom? Does it happen with any person, or is there specific people who trigger it? How is the tone of your voice when it is not "normal" ? How loud or low is it? Can you describe a specific situation when it happened? I remember when I was in high school, in very few occasions this took place. It happened in very brief encounters with people who triggered anxiety in me, i.e. popular girls from school, or guys.. mostly in exchanges such as "hi, what’s up"? Or just saying "hello", etc. For example, when a girl from the popular clique in high school would say "hi" to me, I would say "hi" back, and although I wasn’t nervous because I was just walking through the corridors in school, the moment of exposure was difficult to me and my voice at that very moment came out weird and totally unnatural. I would be walking and would see the person walking towards me, so I would be already self-conscious.. then I would be afraid that they noticed that I felt self-conscious, and then I didn’t know how to appear at ease.. and it all triggered the akward tone of voice, look, etc. It hasn’t happened to me in a long time because I have improved a lot with the anti-depressants, but I remember that at that point in my life I felt very uncomfortable in the setting where I was (high school), which really sucked, in my opinion. This particular symptom in me, was definitely due to anxiety, depression and self-esteem issues.

HI Anelle, I’m not sure I can explain it much better, but I’ll give it a go. First off, it isn’t triggered by anything that I’m aware of.  It can happen, for example, if I’m talking to a neighbor who I see outside and a conversation starts, or at a check out counter in a store when saying a few words to the clerk.  Both of these situations are low key anxiety-wise for me so I’m not on guard nor has a trigger event occurred, as I mentioned above.  It feels like I have phlegm in my throat, but there’s little if any really there.  I couldn’t cough anything up if I wanted to. I’ve been thinking about it more since I wrote the first post and received some helpful replies which I intend to pursue.  There could be an anxiety link, but there may also be a physical basis that works in conjunction with anxiety – even if I don’t perceive the anxiety. It’s hard to describe how my voice sounds when this happens, but it does take an effort to get the words out, almost as if my throat were somewhat constricted.  Best I can do for a further description is to say that I have trouble talking at a normal volume level and the words seem strained, not raspy but labored, and at a slightly different pitch than my normal speech.  I don’t know if the pitch is higher, but it’s definitely different.  I also can feel a sensation in my throat that something seems not quite right.  I don’t know what else to say about it for now. I intend to discuss it with my GP, who I hope will refer me to a specialist.  Can’t go to a specialist on my own or my group insurance won’t pay.   I also plan to go over it with my shrink.   One thing I know for sure.  Over all the years I’ve had an anxiety disorder, there have been so many physical symptoms that had no true physical basis that nothing surprises me anymore.  Most of the time I don’t even get these physical symptoms checked out, but I finally decided that in this instance there could be something not quite right.  So I’m going to try to find out.   BTW, if you haven’t already, you might want to read the links in the other posts.  Pretty interesting I thought.  Take care. Doug D. – Hide quoted text — Show quoted text -

Doug D <gdd…@se.rr.com wrote in message Thanks for all who took the time to answer and offer opinions.  For those who left links, I’ll be checking them out.  Also, I’ll speak to my doctor in the near future about this.  This has been ongoing for years, but it never hurts to rule out any potential physical causes. Unfortunately, my gut feel is that it’s somehow related to anxiety. Thank you all again.

Response:

- Hide quoted text — Show quoted text -

I remember when I was in high school, in very few occasions this took place. It happened in very brief encounters with people who triggered anxiety in me, i.e. popular girls from school, or guys.. mostly in exchanges such as "hi, what’s up"? Or just saying "hello", etc. For example, when a girl from the popular clique in high school would say "hi" to me, I would say "hi" back, and although I wasn’t nervous because I was just walking through the corridors in school, the moment of exposure was difficult to me and my voice at that very moment came out weird and totally unnatural. I would be walking and would see the person walking towards me, so I would be already self-conscious.. then I would be afraid that they noticed that I felt self-conscious, and then I didn’t know how to appear at ease.. and it all triggered the akward tone of voice, look, etc. It hasn’t happened to me in a long time because I have improved a lot with the anti-depressants, but I remember that at that point in my life I felt very uncomfortable in the setting where I was (high school), which really sucked, in my opinion. This particular symptom in me, was definitely due to anxiety, depression and self-esteem issues.

   I’m sure that a lot of SP’s know the symptoms you describe. When I first    left home and got my own apartment. Some of my parents friends visited    me. At my parents flat I felt quite confident with these people. I could lead    a relaxed conversation, but when they visited me, and I had to be their host,    I just felt so awkward. I couldn’t lead a conversation at all, everything I said    came out strange, I felt examind, (without a reason) and just hoped them to    leave soon!  I’m sure that many a stuttering person know what I’m talking about!

Response:

Hi Doug, I was wondering if you could go a little deeper into detail regarding this symptom? Does it happen with any person, or is there specific people who trigger it? How is the tone of your voice when it is not "normal" ? How loud or low is it? Can you describe a specific situation when it happened? I remember when I was in high school, in very few occasions this took place. It happened in very brief encounters with people who triggered anxiety in me, i.e. popular girls from school, or guys.. mostly in exchanges such as "hi, what’s up"? Or just saying "hello", etc. For example, when a girl from the popular clique in high school would say "hi" to me, I would say "hi" back, and although I wasn’t nervous because I was just walking through the corridors in school, the moment of exposure was difficult to me and my voice at that very moment came out weird and totally unnatural. I would be walking and would see the person walking towards me, so I would be already self-conscious.. then I would be afraid that they noticed that I felt self-conscious, and then I didn’t know how to appear at ease.. and it all triggered the akward tone of voice, look, etc. It hasn’t happened to me in a long time because I have improved a lot with the anti-depressants, but I remember that at that point in my life I felt very uncomfortable in the setting where I was (high school), which really sucked, in my opinion. This particular symptom in me, was definitely due to anxiety, depression and self-esteem issues. – Hide quoted text — Show quoted text -Doug D <gdd…@se.rr.com

wrote in message Thanks for all who took the time to answer and offer opinions.  For those who left links, I’ll be checking them out.  Also, I’ll speak to my doctor in the near future about this.  This has been ongoing for years, but it never hurts to rule out any potential physical causes. Unfortunately, my gut feel is that it’s somehow related to anxiety. Thank you all again.

Response:

Thanks for all who took the time to answer and offer opinions.  For those who left links, I’ll be checking them out.  Also, I’ll speak to my doctor in the near future about this.  This has been ongoing for years, but it never hurts to rule out any potential physical causes. Unfortunately, my gut feel is that it’s somehow related to anxiety. Thank you all again. Doug D. – Hide quoted text — Show quoted text -On Thu, 28 Aug 2003 14:42:47 GMT, Doug D <gdd…@se.rr.com

wrote: Hi, I’ve been a little reluctant to mention this before, but I figured it wouldn’t hurt to bring it up and see if anyone else experiences this physical symptom.  I’ve never seen anyone else mention it in the group so far.  A lot of the time when I’m talking to someone, it’s literally physically difficult to get the words to come out so they sound normal (volume and tone).  I’m not speaking of a situation where I’m having high anxiety or panic attack symptoms where I might literally freeze up and barely be able to speak at all, or have a voice that quakes so badly that it tends to match my trembling body. Instead, this symptom, or whatever it is, seems to occur at random, when I don’t feel particularly anxious.  It just becomes a strain to speak.  I’m thinking clearly, feel fine otherwise, but it takes a lot of effort to talk.  Of course when this occurs, I’m immediately aware of it and that realization tends to make me feel pretty uncomfortable, but not necessarily to begin experiencing high anxiety.  The symptom is intermittent, i.e., it may not occur over a few days, but it always returns for one or more days in a row, then stops again, then repeats, etc. I’ve tried things like clearing my throat, trying to have a glass of water nearby to take frequent drinks, but nothing stops it.  BTW, I don’t smoke though I was a heavy smoker until 1989.  Also, I don’t drink.  I’ve had a recent upper body x-ray and my lungs are clear, but as far as I know, I’ve not been examined for any possible problem with my throat or vocal cords.  The only true physical condition that I know of is that I seem to have a small amount of phlegm in my throat frequently, yet I don’t have sinus problems or any other condition I’m aware of that might cause this.  I do take Benedryl daily for burning, itching eyes, evidently some slight allergic reaction to I don’t know what, but that’s it. Anyone else have this occur to them?  Any thoughts? Doug D.

Response:

- Hide quoted text — Show quoted text -

Hi, I’ve been a little reluctant to mention this before, but I figured it wouldn’t hurt to bring it up and see if anyone else experiences this physical symptom.  I’ve never seen anyone else mention it in the group so far.  A lot of the time when I’m talking to someone, it’s literally physically difficult to get the words to come out so they sound normal (volume and tone).  I’m not speaking of a situation where I’m having high anxiety or panic attack symptoms where I might literally freeze up and barely be able to speak at all, or have a voice that quakes so badly that it tends to match my trembling body. Instead, this symptom, or whatever it is, seems to occur at random, when I don’t feel particularly anxious.  It just becomes a strain to speak.  I’m thinking clearly, feel fine otherwise, but it takes a lot of effort to talk.  Of course when this occurs, I’m immediately aware of it and that realization tends to make me feel pretty uncomfortable, but not necessarily to begin experiencing high anxiety.  The symptom is intermittent, i.e., it may not occur over a few days, but it always returns for one or more days in a row, then stops again, then repeats, etc. I’ve tried things like clearing my throat, trying to have a glass of water nearby to take frequent drinks, but nothing stops it.  BTW, I don’t smoke though I was a heavy smoker until 1989.  Also, I don’t drink.  I’ve had a recent upper body x-ray and my lungs are clear, but as far as I know, I’ve not been examined for any possible problem with my throat or vocal cords.  The only true physical condition that I know of is that I seem to have a small amount of phlegm in my throat frequently, yet I don’t have sinus problems or any other condition I’m aware of that might cause this.  I do take Benedryl daily for burning, itching eyes, evidently some slight allergic reaction to I don’t know what, but that’s it. Anyone else have this occur to them?  Any thoughts? Doug D.

Doug, since you are mentioning this in the context of social anxiety, maybe checking the internet for "Psychogenic voice disorder" will help with some answers. The link below may be useful. www.psy.dmu.ac.uk/brown/teaching/psy3055/abclin11.htm Best wishes CC

Response:

- Hide quoted text — Show quoted text -

Subject: Trouble Speaking From: Doug D gdd…@se.rr.com Date: 8/28/2003 10:42 AM Eastern Standard Time Message-id: <384skvsc7oa2ncr2e95d5nro501h3ht…@4ax.com Hi, I’ve been a little reluctant to mention this before, but I figured it wouldn’t hurt to bring it up and see if anyone else experiences this physical symptom.  I’ve never seen anyone else mention it in the group so far.  A lot of the time when I’m talking to someone, it’s literally physically difficult to get the words to come out so they sound normal (volume and tone).  I’m not speaking of a situation where I’m having high anxiety or panic attack symptoms where I might literally freeze up and barely be able to speak at all, or have a voice that quakes so badly that it tends to match my trembling body. Instead, this symptom, or whatever it is, seems to occur at random, when I don’t feel particularly anxious.  It just becomes a strain to speak.  I’m thinking clearly, feel fine otherwise, but it takes a lot of effort to talk.  Of course when this occurs, I’m immediately aware of it and that realization tends to make me feel pretty uncomfortable, but not necessarily to begin experiencing high anxiety.  The symptom is intermittent, i.e., it may not occur over a few days, but it always returns for one or more days in a row, then stops again, then repeats, etc. I’ve tried things like clearing my throat, trying to have a glass of water nearby to take frequent drinks, but nothing stops it.  BTW, I don’t smoke though I was a heavy smoker until 1989.  Also, I don’t drink.  I’ve had a recent upper body x-ray and my lungs are clear, but as far as I know, I’ve not been examined for any possible problem with my throat or vocal cords.  The only true physical condition that I know of is that I seem to have a small amount of phlegm in my throat frequently, yet I don’t have sinus problems or any other condition I’m aware of that might cause this.  I do take Benedryl daily for burning, itching eyes, evidently some slight allergic reaction to I don’t know what, but that’s it. Anyone else have this occur to them?  Any thoughts? Doug D.

 This could be scar tissue from infections or even erosions from stomach acid (which can make your voice really raspy.) I would make an appointment with an ear eye nose and throat doctor. They can easily and painlessly take a quick look to see what the problem is.   Lil

Response:

Hi, I’ve been a little reluctant to mention this before, but I figured it wouldn’t hurt to bring it up and see if anyone else experiences this physical symptom.  I’ve never seen anyone else mention it in the group so far.  A lot of the time when I’m talking to someone, it’s literally physically difficult to get the words to come out so they sound normal (volume and tone).  I’m not speaking of a situation where I’m having high anxiety or panic attack symptoms where I might literally freeze up and barely be able to speak at all, or have a voice that quakes so badly that it tends to match my trembling body. Instead, this symptom, or whatever it is, seems to occur at random, when I don’t feel particularly anxious.  It just becomes a strain to speak.  I’m thinking clearly, feel fine otherwise, but it takes a lot of effort to talk.  Of course when this occurs, I’m immediately aware of it and that realization tends to make me feel pretty uncomfortable, but not necessarily to begin experiencing high anxiety.  The symptom is intermittent, i.e., it may not occur over a few days, but it always returns for one or more days in a row, then stops again, then repeats, etc. I’ve tried things like clearing my throat, trying to have a glass of water nearby to take frequent drinks, but nothing stops it.  BTW, I don’t smoke though I was a heavy smoker until 1989.  Also, I don’t drink.  I’ve had a recent upper body x-ray and my lungs are clear, but as far as I know, I’ve not been examined for any possible problem with my throat or vocal cords.  The only true physical condition that I know of is that I seem to have a small amount of phlegm in my throat frequently, yet I don’t have sinus problems or any other condition I’m aware of that might cause this.  I do take Benedryl daily for burning, itching eyes, evidently some slight allergic reaction to I don’t know what, but that’s it. Anyone else have this occur to them?  Any thoughts? Doug D.

Response:

Husband recently diagnosed

Question:

Joey, They did an RP with a Gleason of 8?  How old were you?  What was your stage? — Steve Kramer Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA  .1  .1  .1  .3  .4  .8 PSA  .3 .2  .2  .2 .3

– Hide quoted text — Show quoted text – Sandy, just to add some hope to your situation, I want to share my story.  I had a PSA of 9, Gleason 8 (4+4) and, after much rumenation with my wife and Doctors, decided to go with the operation.  I was young (55) in pretty good health and the Doc I was dealing with had tons of experience under his belt.  I came out of the operation with both nervs spared and in less than two months had no incontinence or impotence.  As a note, I did a one month Lupron treatment prior to the operation just to "settle everything down" as the doctor put it.  Good luck to you both and congratulations to you for helping yhour husband as you are.  I cold not have gone through what I did without my wife’s support and love.

Response:

Adrian, I hope your success w/ the sural nerve graft will be "uplifting" info for many men facing RP. My uro never even mentioned it but he spared both anyway. Bill Denton RP 2/12/02 Memphis

Response:

    One thing I do not understand is the sparing of one nerve bundle. Doesn’t the presence or absence of the cancer determine whether they spare one or both, or is there more to it than that?  I never asked if they saved only one or if both were saved.  Because mine was organ contained disease I just assumed both nerves were spared.     On one of the other posts someone mentioned the discomfort with the catheter when the penis was becoming erect.  That one blew me away.  Did any of you actually have an erection while the catheter was still in?  Is that really recommended?     Thank you. David S.

Response:

hi sandy – i can not overemphasize to pick your surgeon wisely.  i don’t trust doctors and they must ‘prove’ themselves that they are worthy. two of them did and they both worked on me.  i pushed the nerve sparing button long and hard and i wouldn’t let up.  i know they can do it.   i had a gleason of 6 (3+3) and a psa  (6.35) going into surgery.   what i’m trying to tell you that some surgeons just don’t want to take the time to do it.  how do i know?   when i was over at the VA hospital and i asked.  i was told that they were there to get the cancer out, not worry about the nerves.  they do not do nerve sparing.  boy, how’s that for a blow to the ego? yet, i did get nerve sparing at scott’s air force base.   the surgeon won’t know what he’s got to do until he gets in there. until then, it’s anybody’s guess.  when he call the shot as he sees it with your input before hand.   does not taking no for an answer work.  i think it does.  i was able to use the erection 4 weeks post op.   my wife has had two heart attacks, open heart surgery with a triple bypass, and up to that time she also had a double angieoplasy.  when she developed heart attack symptoms again, i took her into the emergency. after being examined, she was told that she was inoperable.  i ask her if she knew what that meant and she said, "yes, i’m going to die!!!" well, we didn’t no for an answer and found the right surgeon who did the third angieoplasy and she has her life back and is pain free again.  if we would have settled for what the doctors originally wanted,  i would be limp and my wife would be dead.   so, my words of encouragement is keep beating on those doors until you find the right doctor that cares. best of luck. ~ curtis knowledge is power – growing old is mandatory – growing wise is optional

Response:

Hi Sandi.  Very important to choose a doctor with whom you can communicate.  This guy sounds like he is going to be a pain in the ass.  There are other docs out there who are genuinely interested in their patient’s.  Look around, you will find one.  Many time the university hospitals are a good place to look.  There are members in this NG who have good information to offer based on their own experiences.  I wish you and your husband the best of luck. Chuck H.

Response:

Here’s my 2 cents.  I went to the number 2 or 3 center in the USA …the Cleveland Clinic.  I was Gleason 7  psa  4.9  and 48 yrs.  My surgeon said ‘thank God’ when I said I had not taken hormones . He was definite that it causes a kind of fusing of the nerve bundles to the capsule and makes nerve sparing much more difficult.  I was told in Canada exactly the same thing as you…that is that the nerves could not be spared….too risky. They begged to differ in Cleveland.  He decided to spare one side and do a nerve graft on the other to give the best shot at function plus negative margins. It worked !!!!!!  I was functioning only 2 weeks after surgery with just one nerve. ( the sural nerve graft takes at least 6 months to kick in) How could this be??  Well the surgeon explained to me that they took the most care ever in the surgery to do the one nerve sparing…it took forever. I was in surgery from 10 AM til 5 PM. I had an LRP from 10-2 and a nerve graft from 2-5. In recovery til 9 PM. Worth it?  YES. From the depths of being in my 40’s and being told that I would have no function to  being erect after 11 days…well just amazing. Not sure where you are but  the Cleveland Clinic and Dr. Jihad Kaouk.. highly recommended !! In fact the LRP was done by a robot called ‘Da Vinci ‘ . There must be something to my story since I had just one nerve spared and had function like that after just 11 days. Was the catheter bad.. well yes and no..the biggest problem was the damn erections struggling up the catheter tube. Yes I am fortunate indeed. I want you to be as well. Do try for the very best since your sex life is vital to you.   Adrian

Response:

Sandy, just to add some hope to your situation, I want to share my story.  I had a PSA of 9, Gleason 8 (4+4) and, after much rumenation with my wife and Doctors, decided to go with the operation.  I was young (55) in pretty good health and the Doc I was dealing with had tons of experience under his belt.  I came out of the operation with both nervs spared and in less than two months had no incontinence or impotence.  As a note, I did a one month Lupron treatment prior to the operation just to "settle everything down" as the doctor put it.  Good luck to you both and congratulations to you for helping yhour husband as you are.  I cold not have gone through what I did without my wife’s support and love.

Response:

Sandy, just to add some hope to your situation, I want to share my story.  I had a PSA of 9, Gleason 8 (4+4) and, after much rumenation with my wife and Doctors, decided to go with the operation.  I was young (55) in pretty good health and the Doc I was dealing with had tons of experience under his belt.  I came out of the operation with both nervs spared and in less than two months had no incontinence or impotence.  As a note, I did a one month Lupron treatment prior to the operation just to "settle everything down" as the doctor put it.  Good luck to you both and congratulations to you for helping yhour husband as you are.  I cold not have gone through what I did without my wife’s support and love.

Thank you so much for your input.  You all have definitely given me hope! Just to update you, we went back to the second dr. who said "both nerves must go" and when we confronted him about it, he said "maybe one nerve can be spared but one will not do us any good".  So I asked about sural nerve grafting and as I expected, he said that it was just experimental and in his view, they don’t work anyway.  Also, much to my amazement, he got very defensive and said that maybe we should go somewhere else where they can offer us the services we desire.  I thought he was going to throw me out of the office!  Gosh, I thought my questions were pretty reasonable considering what my husband and I are going through.  This has been such an ordeal trying to find a doctor – we are going this Wednesday for a third opinion.  My poor husband is really getting anxious!! US News & World Report listed the top centers which treat prostrate cancer while preserving sexual function and the physician we are going to see in a few days is affiliated with one of those hospitals on the list so we can only hope that they can offer us more.  Thanks for your ongoing support!! Sandi

Response:

My 2 cents:  I am 57, 20 months post RRP with one nerve spared.  I had Gleason score of 3+4 at bx which was upgraded to 4+3 after the surgery.  My PSA remains undetectable.  At 20 months I am able to get a good erection with Cialis (imported generic) and a loose, flexible rubber constriction ring (around both penis and scrotum).  At a year I was discouraged, but potency continues to improve even at close to 2 years.  I don’t believe that a Gleason score of 7 would discourage most urologists from trying to spare one or both nerves.  I would have had both nerves spared, I believe, if I had chosen a laparoscopic procedure.  Chalk that up to lack of adequate research prior to surgery.  My Ca was organ-confined; no invasion outside the capsule and negative lymph nodes.  I do not know if a GS of 7 precludes laparoscopic RP.  Maybe someone else here will have that answer. – Hide quoted text — Show quoted text -My husband was diagnosed with prostate cancer 3 weeks ago with a PSA of 5.1 and biopsy results of Gleason 7 (4+3).  He has already decided that he wants the radical prostatectomy procedure.  The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left.  We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do?? My husband wants to go with the second doctor only because he is willing to remove the prostate within the next 3 weeks  - he wants it out and now!!  I am dealing with this by absorbing as much information as I can and my husband has only read enough to know that his findings are not great and he doesn’t want to read anymore.  Is it true that with a gleason 7 both nerves must be removed?  I’m not so sure based upon Dr. Walsh’s book and other resources I have read.  I want my husband to have the best chance for survival  - I don’t want to sacrifice that and if it means removing both nerves, so be it.  My husband is 59 years old and I am 42.  We have been happily married for 21 years.  I think it’s fair to say that the impotence is causing me more concern than my husband.

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Hi, anon….. There are others of us out here at not yet a year who are still waiting and hoping for signs of life down there….. Hearing that you have experienced some success way beyond that time frame really gives hope! Thanks! MikeH :)

– Hide quoted text — Show quoted text – My 2 cents:  I am 57, 20 months post RRP with one nerve spared.  I had Gleason score of 3+4 at bx which was upgraded to 4+3 after the surgery.  My PSA remains undetectable.  At 20 months I am able to get a good erection with Cialis (imported generic) and a loose, flexible rubber constriction ring (around both penis and scrotum).  At a year I was discouraged, but potency continues to improve even at close to 2 years.  I don’t believe that a Gleason score of 7 would discourage most urologists from trying to spare one or both nerves.  I would have had both nerves spared, I believe, if I had chosen a laparoscopic procedure.  Chalk that up to lack of adequate research prior to surgery.  My Ca was organ-confined; no invasion outside the capsule and negative lymph nodes.  I do not know if a GS of 7 precludes laparoscopic RP.  Maybe someone else here will have that answer. My husband was diagnosed with prostate cancer 3 weeks ago with a PSA of 5.1 and biopsy results of Gleason 7 (4+3).  He has already decided that he wants the radical prostatectomy procedure.  The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left.  We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do?? My husband wants to go with the second doctor only because he is willing to remove the prostate within the next 3 weeks  - he wants it out and now!!  I am dealing with this by absorbing as much information as I can and my husband has only read enough to know that his findings are not great and he doesn’t want to read anymore.  Is it true that with a gleason 7 both nerves must be removed?  I’m not so sure based upon Dr. Walsh’s book and other resources I have read.  I want my husband to have the best chance for survival  - I don’t want to sacrifice that and if it means removing both nerves, so be it.  My husband is 59 years old and I am 42.  We have been happily married for 21 years.  I think it’s fair to say that the impotence is causing me more concern than my husband.

Response:

we will keep looking. The physician does have a very good reputation but unfortunately not the best bed side manner.  I will take skill over personality any day!

Skill is incredibly important, especially when dealing with a pea-sized tumor in a walnut-sized prostate down in the bowels of a man that can only be reached from his belly.  However, like it or not, you’ll be having a very long relationship with this man and bedside manner is probably a consideration. — Steve Kramer Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA  .1  .1  .1  .3  .4  .8 PSA  .3 .2  .2  .2 .3

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Bedside manner, exactly.  This is why I like Dr. Robert Smith at UCLA. Phone calls returned within five or 10 minutes any day of the week. Also has a sense of humor. Chuck H.

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Can’t say the same about phone calls to Dr. Reed A. Shank in Cincinnati, but his assistant (somewhat more than a nurse), Tonya, does answer questions right then and there or within a few minutes calls you back. Dr. Shank, on the other hand has a fantastic sense of humor.  For example, the CINCINNATI MAGAZINE annually picks the best doctors in the city.  Shank, 2 of the last 3 years was selected as the best urosurgeon.  Naturally, part of his practice is kidney stones.  His picture in the magazine shows him holding just a huge mass in his right hand.  It’s easily the size of on of those cube-shaped tissue boxes.  When I asked him about it, he said, "oh, it was a rock I got out of my garden." — Steve Kramer Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA  .1  .1  .1  .3  .4  .8 PSA  .3 .2  .2  .2 .3

– Hide quoted text — Show quoted text – Bedside manner, exactly.  This is why I like Dr. Robert Smith at UCLA. Phone calls returned within five or 10 minutes any day of the week. Also has a sense of humor. Chuck H.

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Sandy, I hope you’ve taken the advise given here – take that deep breath and slowly exhale.  DO NOT go with the first surgeon just because he can do the operation in three weeks.  Get a third or fourth opinion if necessary.  Do consider other options. I was diagnosed with a PSA of 5.81 GS 7 (3+4); I was downgraded to a GS 6 using the operational pathology.  Both nerves spared.  There should always be hope! I don’t know where you live or what options you have with regards insurance – others here can make some suggestions with that type of information. We all here offer our prayers and hope. DanR

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- Hide quoted text — Show quoted text – Sandy, I hope you’ve taken the advise given here – take that deep breath and slowly exhale.  DO NOT go with the first surgeon just because he can do the operation in three weeks.  Get a third or fourth opinion if necessary.  Do consider other options. I was diagnosed with a PSA of 5.81 GS 7 (3+4); I was downgraded to a GS 6 using the operational pathology.  Both nerves spared.  There should always be hope! I don’t know where you live or what options you have with regards insurance – others here can make some suggestions with that type of information. We all here offer our prayers and hope. DanR

I just wanted to thank every one for the wonderful posts/emails sent our way.  Not only was it great information, I think it was very therapeutic for my husband to read them.  Suddenly, we don’t feel so alone in this complicated issue.  My husband wants to go back and talk to the second doctor next week and if he still is not happy with him, we will keep looking. The physician does have a very good reputation but unfortunately not the best bed side manner.  I will take skill over personality any day! We are now at 6 weeks post biopsy.  We had to wait 3 weeks just to get the biopsy results back so that is partly why my husband is getting very anxious. Once again, thank you. Sandy

Response:

Sandy, we’re not docs and somebody probably already told you that.  That’s an important consideration when dealing with what I’m about to tell you. Using hormone treatment (HT) prior to RRP is a relatively new convention. It is not always indicated, but it is my understanding that it is liked by uros with patients that have higher ( 7) Gleasons.  I’ve never heard nerve sparing to be a problem with < 8 Gleasons.  The reason, proably, your first uro wants to wait 4 months is to get some shrinkage of the tumor(s) in order to do the nerve sparing.  If I had a young wife (which I did at 44) and the above choices (which I did), and not other criteria, I’d choose uro #1. Unfortunately, my PSA was 16 and my prostate was 85% infected.  No nerve sparing for me. However, it is much more important to select a uro who knows how to do an RRP.  Find out from each how many they have done and if one hasn’t done hundreds and one has, you choice is the one who has. — Steve Kramer Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA  .1  .1  .1  .3  .4  .8 PSA  .3 .2  .2  .2 .3

– Hide quoted text — Show quoted text – My husband was diagnosed with prostate cancer 3 weeks ago with a PSA of 5.1 and biopsy results of Gleason 7 (4+3).  He has already decided that he wants the radical prostatectomy procedure.  The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left.  We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do?? My husband wants to go with the second doctor only because he is willing to remove the prostate within the next 3 weeks  - he wants it out and now!!  I am dealing with this by absorbing as much information as I can and my husband has only read enough to know that his findings are not great and he doesn’t want to read anymore.  Is it true that with a gleason 7 both nerves must be removed?  I’m not so sure based upon Dr. Walsh’s book and other resources I have read.  I want my husband to have the best chance for survival  - I don’t want to sacrifice that and if it means removing both nerves, so be it.  My husband is 59 years old and I am 42.  We have been happily married for 21 years.  I think it’s fair to say that the impotence is causing me more concern than my husband.

Response:

    Two months waiting for phone calls to be returned for me, but I was asking for a letter for my leave of absence request from work, not a "clinical" issue.  Some of you may remember the fiasco on the confusion over the date of surgery, was it the 1st, the 5th, or the 7th???  On first meeting my doc was very straight, professional, and somewhat abrupt.  Did not score high on bedside manner, but I admit he was much better during the biopsy procedure.     None of that mattered one bit to me.  I had done my homework and this was a "Walsh trained guy" who does lots of these. Also, someone who I have known for ten years, who is a director at that hospital, told me he was the best, and that if he was having the surgery this is the doctor he would go to.  Similar kudos from my personal physician.  Period.  No regrets.  Don’t care if I never get a Christmas card.     God bless you both.  Best wishes for the challenges you face. David S.

– Hide quoted text — Show quoted text – Can’t say the same about phone calls to Dr. Reed A. Shank in Cincinnati, but his assistant (somewhat more than a nurse), Tonya, does answer questions right then and there or within a few minutes calls you back. Dr. Shank, on the other hand has a fantastic sense of humor.  For example, the CINCINNATI MAGAZINE annually picks the best doctors in the city. Shank, 2 of the last 3 years was selected as the best urosurgeon.  Naturally, part of his practice is kidney stones.  His picture in the magazine shows him holding just a huge mass in his right hand.  It’s easily the size of on of those cube-shaped tissue boxes.  When I asked him about it, he said, "oh, it was a rock I got out of my garden." — Steve Kramer Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA  .1  .1  .1  .3  .4  .8 PSA  .3 .2  .2  .2 .3 Bedside manner, exactly.  This is why I like Dr. Robert Smith at UCLA. Phone calls returned within five or 10 minutes any day of the week. Also has a sense of humor. Chuck H.

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I recently learned of the Proton Beam Treatment. It looks very interesting and way less harmful from side effects. Can you tell more about your experience? Ray Jennings Diagnosed 6/26 PSA 12.4

– Hide quoted text — Show quoted text – Hello Sandy!!!….just to add one source for you to take a look at during your PCa education process, go to www.prostate-help.net and read the pages which will take you from diagnoses to treatment…..Palmer and Chris did an excellent job in their presentation of the information…..although your husbands GL 4+3=7 is more agressive than mine of 3+4=7 was, both of you have time to become informed, consult with other doctors and make the best choice for his situation…..at the above mentioned web site you will find studies on "can RP be performed after failed radiation."……Good Luck!!! Keith Lundy/So. California 40 Proton Beam Radiation Treatments Loma Linda  Univ.Med Ctr..3/03-5/03

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Sandy, You’ve already got a lot of info from everyone here. I’m chiming in as a young wife. I know right where you are. My husband was diagnosed in May, Gleason 6, and had the RRP June 23. He’s 42 and I’m 35. Not something we ever expected to go through at our ages. Anyway, we were told by 3 out of 5 surgeons that they would take at least his right nerve because of evidence of perineural invasion. The other 2 said they would try to spare both but would be prepared to do a sural nerve graft if necessary. In the end they managed to spared both nerves and he was fully functioning within 16 days post-op, a little different but still good. Still improving every day. Of course, we don’t have a post-op psa back, but he unfortunately had positive margins, so we still don’t have any guarantees. But there are no guarantees with PCa, ever. Just make some happy memories now and know there will be some kind of sex life after…it just may not involve penetration. And also know that it’s normal to be a little sad during lovemaking right now. The last time Chris and I had sex before his surgery we both cried, knowing it could have been the last time in the "normal" way. One book that I liked is "In Sickness and in Health" written from the wife’s perspective. I appreciated it because she’s also much younger than the norm. She also had a small child at the time which I also identified with as I have a 4 and a 7 year old. Walsh’s book is also going to be your new bible, not to mention this group. If you want, feel free to email me privately. ANd hang in there…you will both get through this. — Rebecca Ford

– Hide quoted text — Show quoted text – My husband was diagnosed with prostate cancer 3 weeks ago with a PSA of 5.1 and biopsy results of Gleason 7 (4+3).  He has already decided that he wants the radical prostatectomy procedure.  The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left.  We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do?? My husband wants to go with the second doctor only because he is willing to remove the prostate within the next 3 weeks  - he wants it out and now!!  I am dealing with this by absorbing as much information as I can and my husband has only read enough to know that his findings are not great and he doesn’t want to read anymore.  Is it true that with a gleason 7 both nerves must be removed?  I’m not so sure based upon Dr. Walsh’s book and other resources I have read.  I want my husband to have the best chance for survival  - I don’t want to sacrifice that and if it means removing both nerves, so be it.  My husband is 59 years old and I am 42.  We have been happily married for 21 years.  I think it’s fair to say that the impotence is causing me more concern than my husband.

Response:

Hello Sandy!!!….just to add one source for you to take a look at during your PCa education process, go to www.prostate-help.net and read the pages which will take you from diagnoses to treatment…..Palmer and Chris did an excellent job in their presentation of the information…..although your husbands GL 4+3=7 is more agressive than mine of 3+4=7 was, both of you have time to become informed, consult with other doctors and make the best choice for his situation…..at the above mentioned web site you will find studies on "can RP be performed after failed radiation."……Good Luck!!! Keith Lundy/So. California 40 Proton Beam Radiation Treatments Loma Linda  Univ.Med Ctr..3/03-5/03

Response:

"The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left. We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do??" Unfortunately, each of them has a good point and a not-so-good one. My uro absolutely does not do HT first because, as he stated it, he wants to see the cancer "in all its ‘glory’" so he can visually and by feel evaluate the extent of it (they will not have the full pathology report during the surgery – they only get a quickie "frozen section" of the lymph nodes). I had clinical G.S. 5 w/ right-side PCa only and PSA of 33 and my uro had said going in that he might be able to save the left nerve bundle. Turned out he liked what he saw and saved both. Even though I turned out to be a G.S. 7 (3+4) w/ seminal vesicle involvement, he maintains that the PCa had not escaped the capsule and should not have been in the nerves. Realize that those nerves, unlike the seminal vesicles, are not internally connected to the prostate – they are just along side of it – and if there is no PCa outside the capsule, they should be clean. The second guy may just be a very conservative, take absolutely no chances, surgeon. On the other hand maybe he recommends against nerve-sparing because he isn’t so good at it. Make sure he has done lots of them and has had good success. The first guy may be the better surgeon but challenge him re the HT. This needs to be said loud and clear – in the old days when people knew their doctors and their doctors took care of them throughout their lives, and there was mutual trust, we tended to just "do what the doctor says." Not anymore. With HMO’s and PPO’s and corporate medicine only fools blindly do what the doctor says. Do not be shy about asking tough questions, challenging conclusions, and taking a measure of control over your treatment. An example: My uro has left town and his practice group has decided to transfer me to an associated clinic. I went in yesterday to have some blood drawn for a PSA and I found out they were going to send it to a different lab than the one we had been using previously. The snotty administrator told me "it doesn’t matter where it is done." Knowing otherwise, I did not just go along; I had to intervene and basically order them to send it to the same lab. Bill Denton RP 2/12/02 Memphis

Response:

My husband was diagnosed with prostate cancer 3 weeks ago with a PSA of 5.1 and biopsy results of Gleason 7 (4+3).  He has already decided that he wants the radical prostatectomy procedure.  The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left.  We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do??

You are right to be confused.   It might help to read Patrick Walsh’s "Guide to Surviving Prostate Cancer".   I think your second urologist is in the majority in thinking that hormone therapy before surgery doesn’t make any sense and could have some negative consequences, and Walsh explains why most urologists think that.   But just to confuse matter, you will find that he also thinks in the vast majority of cases nerve sparing surgery is possible even for Gleason 7 cases. I have a Gleason 7=3+4, PSA 4.5, and my surgeon performed nerve sparing surgery.  I was 67 at the time, so the odds, with my surgeon doing the operation, of my not being permanently impotent were only 50 percent. I was in fact impotent for about 18 months, but now I’ve regained most of my function in that regard.  I can sometimes get an adequate erection without any help, and with Viagra I do almost as well as before surgery. But note that 7=4+3 is more aggressive than 7=3+4, and of course the surgeon can never be sure of what he can do until he gets in there. Also, there may be other individual aspects of the diagnosis which may make a difference.  For example, a man past 70 has only a 25 percent chance of not being impotent after surgery anyway, so there would be little point in worrying about nerve sparing surgery.  In a man under 60, nerve sparing surgery makes much more sense, and you might try seeking yet another opinion.   Depending on where you live, some of the men here may be able to recommend specific surgeons. Even with a case like your husband’s, it is probably not urgent to have the surgery done in the next three weeks.   Usually surgeons want to wait at least 6 weeks after biopsy for the rectal wall to recover. Whatever happens, remember that impotence doesn’t mean the end of an active sex life.  There are a variety of methods of treating it.  In my case, my wife and I did reasonably well using a pump, and we still had sex about as often as we did before surgery. My husband wants to go with the second doctor only because he is willing to remove the prostate within the next 3 weeks  - he wants it out and now!!  I am dealing with this by absorbing as much information as I can and my husband has only read enough to know that his findings are not great and he doesn’t want to read anymore.  Is it true that with a gleason 7 both nerves must be removed?  I’m not so sure based upon Dr. Walsh’s book and other resources I have read.  I want my husband to have the best chance for survival  - I don’t want to sacrifice that and if it means removing both nerves, so be it.  My husband is 59 years old and I am 42.  We have been happily married for 21 years.  I think it’s fair to say that the impotence is causing me more concern than my husband.

As they say, where there is a will there is a way.  Your husband should be able to experience pleasure and orgasm without having an erection, and desire should be unaffected.   There may be some period after surgery for these things to come back, but they will.  That seems to be by far the common experience men report.   Using either a pump or injections should take care of erections.   In extreme cases, a penile implant will work.  With a pump, I was able to induce multiple orgasms in my wife from the start.  It is likely that your husband will have more problems in that regard than you will, but a positive attitude and willingness to experiment should help a lot in that regard.   As has been repeatedly pointed out, women experience orgasms without erections and lesbians do it without either partner having an erection. — Dept. of Mathematics, Northwestern Univ., Evanston, IL 60208

Response:

hi sandy – first off and far most important – take a big, long, deep breath and relax.  it’s NOT the end of the world.  tell your husband to read our posts also. chris has done an excellent job with what he has told you.   i’m going to tell you the steps what you are up against. 1. the normal range of gleason scores is 4 to 6, so a 7 is more aggressive and should be address as so when considering your treatment. 2.  the psa reading is still quite low, for a gleason 7 and indicates that in all probability that it is still somewhat contained within the gland.  how a doctor can tell that he can only spare one nerve because 2 cores can out positive is beyond me.  find out what % of the core was involved.   3. an RP is considered the "gold standard" and i can picture the doctor recommending that, but there are other types of treatments out there also.  research them all,  you still may want the RP, and that’s fine, but at least you will know ALL your options. 4.  allow at least 6 weeks between the biopsy and treatment.  two reasons.    a.  this gives you time to think more clearly,  the cancer isn’t going to grow much during that time frame.  look how long he’s had it so far and didn’t know it.   b. this gives the colon a chance to heal.   remember,  he’s got holes poked in his colon.  the last thing he wants to do is stir things up and may cause a complication that he doesn’t need. 5.  remember, it is HIS choice of treatment and it is HIS life that is going to be change and he should have total say with what HE feels comfortable with.   6.  you mention a love life.  yes, there is a love life after an RP. ask the many men here.  it didn’t just stop.  maybe it isn’t as you know it now, but i guess the beauty of being human is how much we can adapt to our situations and still come out on top. 7.  remember, you still have time.  the clock is ticking – yes.  but it’s like a pot on the stove that is on simmer.  if he waits until next year, for example,  the stove may be turned up to med.  and it will continue to get turned up till it hits boiling hot and then it’s over. again,  right now, try to get over the shock factor.   8.  get ahold of a book called, making love again.  it is about a couple who went through prostate cancer and how they both felt with entries from both and how they overcame the problems that faced them.   feel free to ask questions.  we’re not doctors, but we have been through it. best of luck, ~ curtis knowledge is power – growing old is mandatory – growing wise is optional

Response:

Hi Sandy – I know this is a major curve-ball in your life, and my heart goes out to you both as you work through these decisions. I sincerely understand the desire to get that thing out ASAP, but you want to take enough time to make a choice that you will live with for the rest of your lives. Unfortunately, treatment choices are rarely clear-cut for prostate cancer, which can easily seem overwhelming. Fortunately, prostate cancer is relatively slow growing, so take your time, find someone you both really trust, and don’t look back. 2-3 months from diagnosis to treatment is quite common. 6 weeks is the absolute minimum (so the prostate can heal from the biopsy). In my case I was diagnosed in April and had surgery in July. Regarding the use of hormone therapy prior to surgery, Walsh addresses this directly in Chapter 7 – "What Are My Options?" under the heading "Why Not Have Both Treatments? A Word on Combined Approaches." He discusses this at some length, but basically the problem is that using HT prior to surgery artificially shrinks the tumor and gives the surgeon an innaccurate picture of the cancer’s extent. This is *not* a Good Thing(tm). Regarding whether nerves can be spared or not, Walsh states unambiguously: "There is no way for the surgeon to know for certain before the actual operation whether or not the bundles can be spared. Only during surgery is it truly possible to see where the cancer is." (Chapter 8 – Radical Prostatectomy). Gleason 4+3 is more of a problem than 3+3 or 3+4 but the statistics under the care of a skilled specialist are still excellent. In my case (Gleason 3+3) my surgeon was quite clear that – although he would try his very best – there was no guarantee that either or both nerves would be intact after the procedure. Picking a surgeon was easily the hardest part of my decision process. In my case I spoke with three well-respected surgeons before making a choice. You want someone who does this procedure a *LOT* (preferably twice/week) and who also gives you confidence that they know how to handle complications during and after surgery. They also should be quite conversant about the statistics on *their* patients for incontinence and impotence – this means that they track that information, and gives you confidence that they work to improve outcomes. In addition to Walsh’s book, *every* medical professional I’ve spoken with about Radical Prostatectomy (including radiologists and surgeons from other specialties) emphasizes that operator skill is the prime determinant of success. Based on the little bit of info in your message, I think you probably want to look around for some other PC specialists. I certainly would. Take care, Chris

– Hide quoted text — Show quoted text – My husband was diagnosed with prostate cancer 3 weeks ago with a PSA of 5.1 and biopsy results of Gleason 7 (4+3).  He has already decided that he wants the radical prostatectomy procedure.  The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left.  We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do?? My husband wants to go with the second doctor only because he is willing to remove the prostate within the next 3 weeks  - he wants it out and now!!  I am dealing with this by absorbing as much information as I can and my husband has only read enough to know that his findings are not great and he doesn’t want to read anymore.  Is it true that with a gleason 7 both nerves must be removed?  I’m not so sure based upon Dr. Walsh’s book and other resources I have read.  I want my husband to have the best chance for survival  - I don’t want to sacrifice that and if it means removing both nerves, so be it.  My husband is 59 years old and I am 42.  We have been happily married for 21 years.  I think it’s fair to say that the impotence is causing me more concern than my husband.

Response:

My husband was diagnosed with prostate cancer 3 weeks ago with a PSA of 5.1 and biopsy results of Gleason 7 (4+3).  He has already decided that he wants the radical prostatectomy procedure.  The physician who did the biopsy wanted to do four months of hormone therapy prior to surgery and felt that nerve sparing was feasible on the right side of prostate since the two positive results were confined only to the left.  We decided to get a second opinion with another urologist.  He feels that data does not substantiate the benefits of tumor shrinking with hormones prior to surgery and when questioned about nerve sparing, he definitely said that with a gleason score of 7, both nerves must go.  I am so confused.  who to believe, what to do?? My husband wants to go with the second doctor only because he is willing to remove the prostate within the next 3 weeks  - he wants it out and now!!  I am dealing with this by absorbing as much information as I can and my husband has only read enough to know that his findings are not great and he doesn’t want to read anymore.  Is it true that with a gleason 7 both nerves must be removed?  I’m not so sure based upon Dr. Walsh’s book and other resources I have read.  I want my husband to have the best chance for survival  - I don’t want to sacrifice that and if it means removing both nerves, so be it.  My husband is 59 years old and I am 42.  We have been happily married for 21 years.  I think it’s fair to say that the impotence is causing me more concern than my husband.

Response:

Diabetes and fatigue

Question:

I’m not asking for medical advice, but wonder if anyone has similar symptoms and may have found the cause, or better yet, a solution. I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything. If I fight through it, I do an energy crash in the evening, but essentially seem to lose about 2-4 hours of usefulness every day. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash. I’ve tried fasting during the day and only eating one meal in the evening (before bed) and the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). Any feedback would be very welcome. Steve

Response:

Have you had a complete checkup? Maybe your problem is nothing to do with diabetes! For example — how’s your thyroid? (one common symptom of hypothyroid is fatigue. google for others) Are you sure you don’t have some infection that isn’t showing up in your bg? (my bg doesn’t go up when I’ve gotten sick, but my white blood count reflected my status) bj

– Hide quoted text — Show quoted text – ….I experience extreme fatigue almost every day, ….

Response:

I’ve been to the doctor’s several times in the past two years, and even was in the hospital a couple of times.  I’ve had a lot of classic heart attack symptoms (chest pain and shortness of breath, though not at the same time; GERD is the cause of the chest pain.).  Due to these false alarms, I’ve had all kinds of tests. I don’t know that I’ve been tested for anything wrong with my thyroid, but I do have printout of my blood tests.  What should I look for?  Unless it’s an infection that would last more than six months, I think that can be ruled out. During the last two doctor visits, I’ve mentioned it to the doctor, but there always seems to be something more important to address. Steve

– Hide quoted text — Show quoted text – Have you had a complete checkup? Maybe your problem is nothing to do with diabetes! For example — how’s your thyroid? (one common symptom of hypothyroid is fatigue. google for others) Are you sure you don’t have some infection that isn’t showing up in your bg? (my bg doesn’t go up when I’ve gotten sick, but my white blood count reflected my status) bj ….I experience extreme fatigue almost every day, ….

Response:

I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything.

                Fatigue and sleepiness are symptoms of high blood sugar.  Do you test your blood during these periods?  What readings do you get? Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash.

        Well, tell us about your diet.  How low carb is your diet?  Bernstein?   Atkins?   The Exchange Diet?         Typically, what are your BGs 2 hours after meals?  How high do they go? I’ve tried fasting during the day and only eating one meal in the evening (before bed) and the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes.

        Fasting is a bad idea.  Would cause a liver dump, which would increase your bgs.  It’s important not to skip meals, especially breakfast. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180).

                130 is actually a bit high by this groups standards.  110 would be better.  and if you’re ranging up to 180, then it really sounds like your control isn’t as good as it needs to be.  Your fatigue symptoms attest to that.                                 E

Response:

– Hide quoted text — Show quoted text – I’m not asking for medical advice, but wonder if anyone has similar symptoms and may have found the cause, or better yet, a solution. I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything. If I fight through it, I do an energy crash in the evening, but essentially seem to lose about 2-4 hours of usefulness every day. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash. I’ve tried fasting during the day and only eating one meal in the evening (before bed) and the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). Any feedback would be very welcome.

First, those number you cite are not what I’d call in control.  I aim for <110 fasting, and <140 at two hours after eating.  I find if my BG goes 150,  I don’t feel well in all sorts of ways.  Second, your symptoms could

be something else.  How’s your thyroid?  Might you have anemia? — Type 2 http://users.bestweb.net/~jbove/

Response:

I’ve been to the doctor’s several times in the past two years, and even was in the hospital a couple of times.  I’ve had a lot of classic heart attack symptoms (chest pain and shortness of breath, though not at the same time; GERD is the cause of the chest pain.).  Due to these false alarms, I’ve had all kinds of tests. I don’t know that I’ve been tested for anything wrong with my thyroid, but I do have printout of my blood tests.  What should I look for?  

Look for tests called TSH or T3 or T4. Jim — Join us in the Diabetic-Talk Chatroom on UnderNet /server irc.undernet.org — /join #Diabetic-Talk More info: http://www.diabetic-talk.org/

Response:

– Hide quoted text — Show quoted text – I’m not asking for medical advice, but wonder if anyone has similar symptoms and may have found the cause, or better yet, a solution. I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything. If I fight through it, I do an energy crash in the evening, but essentially seem to lose about 2-4 hours of usefulness every day. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash. I’ve tried fasting during the day and only eating one meal in the evening (before bed) and the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). Any feedback would be very welcome. Steve

Hi there Steve, I have the same thing re fatigue that you seem to be experiencing. In fact I’ve been like that for many years.  It was a real strain when I was working, to get through that crash in the afternoons. (I’m now retired).  Although it can be related to the bg levels, and gets much worse if mine go over 125, I still have the same pattern when my bg is fine, just not as severe. I’ve looked for answers, but have never found one.  My thyroid function is fine, and I’ve never been able to define what causes it. Perhaps it’s just our bio-rythms? Just as  a matter of curiousity, are you a night owl?  I know I seem to be alert and wide awake when others are ready for bed (the early birds).  I have my own theories re this,  but am interested in other’s experience re patterns of sleep and wakefulness. Annette — Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com).

Response:

Just as  a matter of curiousity, are you a night owl?  I know I seem to be alert and wide awake when others are ready for bed (the early birds).  I have my own theories re this,  but am interested in other’s experience re patterns of sleep and wakefulness.

I am a night owl. My BG is under 100 for my wake-up fasting test and under 120  2hrs PP…unless I eat something stupid…. like good food for example. However…I have extreme tired spells almost every day…when I feel this way I check my BG and it’s never been high. I get so tired I can barely get out of the chair. When I eat something like pizza and my bg goes towards 200…I don’t have the tired feeling… although sometimes I do feel intoxicated. I don’t think my tiredness is diabetes related…but I don’t know what does cause it. I have been tested for many things, including lung and heart problems and nothing shows up. Maybe it’s just old age. — John Inzer return e-mail disabled

Response:

I’m not asking for medical advice, but wonder if anyone has similar symptoms and may have found the cause, or better yet, a solution.

Yes. I have experienced exactly the symptoms you describe. Frequently. Particularly before I was on medication but occasionally since when I am not keeping to my routine. I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything.

Before I became established on a routine, my body was used to a certain level of Glucose [high]. As soon as that level fell below the point at which the ‘trigger’ set by my ‘addiction’ to high glucose levels, then my body would protest and send a message telling me the problem. The message was confused because the glucose level was NOT insufficient to support me but my body mistakenly thought it was. This would occur specifically after a period of medium but sustained exercise, say mowing the lawn or washing the car. I would run out of energy, feel very tired, poor concentration, irratability and short tempered. Also a bit of a headache with the type of pain similar to that which you get with real bad eye strain, located on the lft side and seemingly deep. I tried threee different ways of dealing with it, understand that i did not realise what was going on. 1] Just sit in the chair and ‘nod off’ = well I would’nt go into a sleep, more like dozing but I would loose track off time. No dreaming and to all intents and purposed I’d be asleep. The wife would think so. After an hour I would wake with no headache and feeling ok but still poor concentration and bad tempered. 2] Sucked on a boiled sweet or two and rested. = 30 mins later start to feel better but still no energy. 3] Ignore and rest  = felt shitty for ages untill after my next meal. Now I should explainthat at the time I was on Diet and exercise and my carbohydrate intake was virtually nothing. What was happening to me is simple enough. My diet was restricted and only a limited amount of carbohydrate intake. I was running out of ‘fuel’ dependant upon physical work load. My liver was dumping but that was being used up quickly and I got to the point where the liver was running out of resource. At that point I was burning fatty tissue. After that then muscle tissue was being used. I restricted my carbo intake irrespective of calorie intake and the exercise was using everything I took in very quickly. I lost 2 stone in a little over two months and not deliberately as quickly as that. I used restricted diet to control BG and exercised to control BG but neither could I reduce my BG or take in enough to prevent weight loss without a BG penalty. If I fight through it, I do an energy crash in the evening, but essentially seem to lose about 2-4 hours of usefulness every day.

This was my problem. So I got on to a medication to help me take in more food so I could work for my living. I now take 1 x metformin, and resrtic my diet. I control my BG primarily by diet and if I can afford it – eat some more. If not and the BG is too high I do more exercise. It’s a balance and control thing I guess. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash.

I think you are getting understandably confused about the reaction you are having. High sugar will overload your system to the point where it cannot cope. You feel this without exercise. Too little and you have no energy to work etc. Again you feel this. I do not think you are able to feel and tell the difference between the two. You need to be able to do so so that in the future you can ‘feel’ what is happening to your body and automatically make the right choices on action to reslove the problem. I’ve tried fasting during the day

That will not work. All you will do is use up the available energy in your blood and cause a liver dump if you persist in exercise. and only eating one meal in the evening (before bed)

Main meal at night is not the best thing to do because you are loading your system with glucose that it cannot handle and are not exerciseing to work it off. nd the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes.

You are correct. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180).

Very close to getting there but the effects you are feeling are caused by mis managing the fine points of your control. You seem to have the gross adjustments made – now to tweek the little ones. Any feedback would be very welcome.

I think you need to learn to feel what is happening to your body. The only way to do this is to try and isolate individual effects so that you can pay attention to one set of effects at a time. Then you might be able to distingush between lack of glucose sufficient for the exercise you are doing and too much for your system to cope with. You do not say if you are on any medication. If not you might consider some benefit from a ’starter’ dose to help you take in enough energy food to survive the day without massively raising your BG. That is another issue. My advice – 4] You need to examine your diet more closely. DO NOT miss meals. Routine is everything. If you keep mucking about with meal times your body cannot adjust itself to ever changing input data quickly enough to benefit you.  Have breakfast, lunch and evening meal at fairly fixed times and have small snacks inbetween. Small meals and small snacks. What you do not need is to overload your system in one fell swoop which is what you are doing at the moment. Spread the total daily intake over the whole day. Not all in one go. 5] Calculate the calorie intake you need for the day. Others here can advise you better on this than I. I am realy bad at it. After doing so decide on what each meal will consist of and don’t forget that you have to count the calories and more importantly the carbohydrates. Too many carbs and you will probably have a high BG. 6] You probably need to do some rythmic exercise, by that I mean a constant activity, repetative and at the same rate for about twenty minutes. Some people walk etc. Set a time aside for this and make sure you do it. Do not make the mistake of thinking that you can get by with your normal daily routine. This has to be in addition. Your readings are not excessive, your FBG is the same as mine but the pp is a bit high for me. I set of at 130 and am usually down to 85 by late afternoon and pp BG after my evening meal of usually 130 ish. I strongly suspect that your problem is being caused by missing meals, too much carb in one go, too little calories overal and lack of exercise. [Choose appropriate]. I think that you are feeling tired etc because you have been running too low and your liver is dumping. As your liver runs out of weight? are you loosing weight. I think you must be. I still get the odd episode like this but only when I cannot keep to my routine. I now suck a sweet to get me by it untill my next meal time. If you get another episode like this try this – immediately do a BG reading. If it is say above 130 and your last meal was over 4 hours previous, then there is a good chance it is a liver dump. Rest for an hour and check again. If the BG has gone down say to about 73 ish then you are using the energy your liver dumped.  Try walking for a while and then check again  if your BG has gone up then I think it is safe to say that you are LV ing. Same routine the next time but instead of walking  about have a decent meal. Then check pp if it is lower than FBG that day check again an hour later. If it is lower then you were LV ing. If it is higher then go fo a walk. You can only accept LV ing for a certain time after which the liver cannot perform. In my case, a constant BG virtually all day showed me a Liver dump. It wern’t no control on my part because I was working hard and there was nothing much going in. My BG’s stayed good and constant and I felt like shit!!! HTH Pete Steve

Diagnosed 20/03/03 Type II D&E + Metformin

Response:

– Hide quoted text — Show quoted text – Just as  a matter of curiousity, are you a night owl?  I know I seem to be alert and wide awake when others are ready for bed (the early birds).  I have my own theories re this,  but am interested in other’s experience re patterns of sleep and wakefulness. I am a night owl. My BG is under 100 for my wake-up fasting test and under 120  2hrs PP…unless I eat something stupid…. like good food for example. However…I have extreme tired spells almost every day…when I feel this way I check my BG and it’s never been high. I get so tired I can barely get out of the chair. When I eat something like pizza and my bg goes towards 200…I don’t have the tired feeling… although sometimes I do feel intoxicated. I don’t think my tiredness is diabetes related…but I don’t know what does cause it. I have been tested for many things, including lung and heart problems and nothing shows up. Maybe it’s just old age. — John Inzer return e-mail disabled

Hi there John, Nowdays I *could* put it down to old age, but this pattern has been there long before what anyone would consider "old".   The effect of a spike can sometimes give me a boost of energy, but mostly just makes the falling asleep more certain.  My fbg is usually between 90 to 100, with PP readings no higher than 110 normally.  More often they are even closer to the 100 mark. Here’s my theory.  For some of us, our bio-rythms are set towards being alert at night.  Consequently we can feel sleepy through the day.  I had two children of each kind of sleep pattern (and early bird and a night owl).  From a very early age, as tiny infants, the differences were notable.  I had trouble getting the night owl to sleep at night, but he would even sleep right through his 6 o’clock feed in the morning.  The daughter would go to sleep easily at night, and awaken around 5 to 5.30 am.  As they grew older, the girl would even put herself to bed at night without any prompting or urging, whereas the boy would be bright eyed and bushy-tailed even till midnight.  Getting him to go to bed always involved something of a battle, and he’d still lie awake in bed. My husband is an early bird.  He is very alert and very active first thing in the mornings.  I don’t even seem to come alive till at around 10 am. When we were both working and had to drive some distance to get to our places of employment, he used to drive in the mornings, and I used to drive us both home at night – he had a tendency to fall asleep at the wheel after 7 pm! I suspect that genetics play a part in this.  I may ultimately be descended from the ones who kept watch and kept the fire going all night in the days when humans lived in caves.  Hey, its as good a theory as any other! Have you ever noticed though, how early birds and night owls seem to marry one another? And if anyone calls me a sleepyhead, I call them party poopers.  ;-)  Right now it’s 11 pm, my hubby has been asleep for some time,  and I’m feeling pretty good! Annette — Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com).

Response:

I don’t know that I’ve been tested for anything wrong with my thyroid, but I do have printout of my blood tests.  What should I look for? Look for tests called TSH or T3 or T4.

Thanks.  I looked through my record but don’t see these codes in any of the lab reports.  It could be I’ve never been checked. Steve

Response:

Steve, look under Tsh for thyroid results. I hope I am right about that. Loretta — In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.

Response:

Yes.  Steve.  I get the tiredness, too.  In the aftern about 2:00..  It eventually goes away  a little after that.  I, feel as Pete.. it has something to do with not getting enough fuel….food to eat.  It is only a thought…(altho a recurrent one..) :)        It may also be due to lower BGs–not the hypos  but for me in the   low 70’s  the only feelings I have experienced  is tiredness and irritability.. A couple of 50’s and a few more 60’s (BGS) and the tiredness is pretty severe..and as my husband said…so is the "bitchiness"  I display…  I never have high FBGs in the morn…usually in the 70’s, 80’s.  I have come to accept it/tiredness .  Did the big thyroid test and I am fine…   (I still think it has to do with lack of food:)  I’m the one who thinks it is great to get a prescript that says "take with food"   Memory

Response:

I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything. Fatigue and sleepiness are symptoms of high blood sugar.  Do you test your blood during these periods?  What readings do you get?

I thought that at first, but often when I check, I’m between 110 and 120 during the energy crash. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash. Well, tell us about your diet.  How low carb is your diet?  Bernstein?   Atkins?   The Exchange Diet?

I count carbs and try to keep them under 120 per day though I often have days that they’re over 200, usually due to cravings in the evening. Typically, what are your BGs 2 hours after meals?  How high do they go?

I haven’t tracked this consistently.  Sometimes I check after my evening meal and it goes between 150 and 180.   What should this be? – Hide quoted text — Show quoted text – I’ve tried fasting during the day and only eating one meal in the evening (before bed) and the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes. Fasting is a bad idea.  Would cause a liver dump, which would increase your bgs.  It’s important not to skip meals, especially breakfast. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). 130 is actually a bit high by this groups standards.  110 would be better.  and if you’re ranging up to 180, then it really sounds like your control isn’t as good as it needs to be.  Your fatigue symptoms attest to that.

Response:

Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). First, those number you cite are not what I’d call in control.  I aim for <110 fasting, and <140 at two hours after eating.  I find if my BG goes 150,  I don’t feel well in all sorts of ways.  Second, your symptoms could be something else.  How’s your thyroid?  Might you have anemia?

Thanks.  I haven’t really set a target for bg after eating.  After being diagnosed, I went through a long period where I was sure they made a mistake but ultimately the bg readings convinced me otherwise.  I have primarily concentrated on getting my pre-meal bg readings within range.  My morning reading is always high (I’ve read a lot about that on this board) but after a 20-30 minute walk with my faithful walking partners (my two dogs), they always come down. Steve

Response:

– Hide quoted text — Show quoted text – Hi there Steve, I have the same thing re fatigue that you seem to be experiencing. In fact I’ve been like that for many years.  It was a real strain when I was working, to get through that crash in the afternoons. (I’m now retired).  Although it can be related to the bg levels, and gets much worse if mine go over 125, I still have the same pattern when my bg is fine, just not as severe. I’ve looked for answers, but have never found one.  My thyroid function is fine, and I’ve never been able to define what causes it. Perhaps it’s just our bio-rythms? Just as  a matter of curiousity, are you a night owl?  I know I seem to be alert and wide awake when others are ready for bed (the early birds).  I have my own theories re this,  but am interested in other’s experience re patterns of sleep and wakefulness. Annette

Thanks.  I’m not really a night owl.  For a long time, I would go to bed at about 9 and get up at about 6.  Due to my current job (teaching in the evenings), I typically go to bed about 11 and get up about 8. I do notice a worsening of the fatigue when my diet choices cause my bg levels to go up. It sounds like you’ve just had to live with it.  No real solution available. That doesn’t sound very promising. Steve

Response:

Pete, Thanks for all you wrote.  You gave me a lot to think about. Steve

– Hide quoted text — Show quoted text – I’m not asking for medical advice, but wonder if anyone has similar symptoms and may have found the cause, or better yet, a solution. Yes. I have experienced exactly the symptoms you describe. Frequently. Particularly before I was on medication but occasionally since when I am not keeping to my routine. I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything. Before I became established on a routine, my body was used to a certain level of Glucose [high]. As soon as that level fell below the point at which the ‘trigger’ set by my ‘addiction’ to high glucose levels, then my body would protest and send a message telling me the problem. The message was confused because the glucose level was NOT insufficient to support me but my body mistakenly thought it was. This would occur specifically after a period of medium but sustained exercise, say mowing the lawn or washing the car. I would run out of energy, feel very tired, poor concentration, irratability and short tempered. Also a bit of a headache with the type of pain similar to that which you get with real bad eye strain, located on the lft side and seemingly deep. I tried threee different ways of dealing with it, understand that i did not realise what was going on. 1] Just sit in the chair and ‘nod off’ = well I would’nt go into a sleep, more like dozing but I would loose track off time. No dreaming and to all intents and purposed I’d be asleep. The wife would think so. After an hour I would wake with no headache and feeling ok but still poor concentration and bad tempered. 2] Sucked on a boiled sweet or two and rested. = 30 mins later start to feel better but still no energy. 3] Ignore and rest  = felt shitty for ages untill after my next meal. Now I should explainthat at the time I was on Diet and exercise and my carbohydrate intake was virtually nothing. What was happening to me is simple enough. My diet was restricted and only a limited amount of carbohydrate intake. I was running out of ‘fuel’ dependant upon physical work load. My liver was dumping but that was being used up quickly and I got to the point where the liver was running out of resource. At that point I was burning fatty tissue. After that then muscle tissue was being used. I restricted my carbo intake irrespective of calorie intake and the exercise was using everything I took in very quickly. I lost 2 stone in a little over two months and not deliberately as quickly as that. I used restricted diet to control BG and exercised to control BG but neither could I reduce my BG or take in enough to prevent weight loss without a BG penalty. If I fight through it, I do an energy crash in the evening, but essentially seem to lose about 2-4 hours of usefulness every day. This was my problem. So I got on to a medication to help me take in more food so I could work for my living. I now take 1 x metformin, and resrtic my diet. I control my BG primarily by diet and if I can afford it – eat some more. If not and the BG is too high I do more exercise. It’s a balance and control thing I guess. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash. I think you are getting understandably confused about the reaction you are having. High sugar will overload your system to the point where it cannot cope. You feel this without exercise. Too little and you have no energy to work etc. Again you feel this. I do not think you are able to feel and tell the difference between the two. You need to be able to do so so that in the future you can ‘feel’ what is happening to your body and automatically make the right choices on action to reslove the problem. I’ve tried fasting during the day That will not work. All you will do is use up the available energy in your blood and cause a liver dump if you persist in exercise. and only eating one meal in the evening (before bed) Main meal at night is not the best thing to do because you are loading your system with glucose that it cannot handle and are not exerciseing to work it off. nd the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes. You are correct. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). Very close to getting there but the effects you are feeling are caused by mis managing the fine points of your control. You seem to have the gross adjustments made – now to tweek the little ones. Any feedback would be very welcome. I think you need to learn to feel what is happening to your body. The only way to do this is to try and isolate individual effects so that you can pay attention to one set of effects at a time. Then you might be able to distingush between lack of glucose sufficient for the exercise you are doing and too much for your system to cope with. You do not say if you are on any medication. If not you might consider some benefit from a ’starter’ dose to help you take in enough energy food to survive the day without massively raising your BG. That is another issue. My advice – 4] You need to examine your diet more closely. DO NOT miss meals. Routine is everything. If you keep mucking about with meal times your body cannot adjust itself to ever changing input data quickly enough to benefit you.  Have breakfast, lunch and evening meal at fairly fixed times and have small snacks inbetween. Small meals and small snacks. What you do not need is to overload your system in one fell swoop which is what you are doing at the moment. Spread the total daily intake over the whole day. Not all in one go. 5] Calculate the calorie intake you need for the day. Others here can advise you better on this than I. I am realy bad at it. After doing so decide on what each meal will consist of and don’t forget that you have to count the calories and more importantly the carbohydrates. Too many carbs and you will probably have a high BG. 6] You probably need to do some rythmic exercise, by that I mean a constant activity, repetative and at the same rate for about twenty minutes. Some people walk etc. Set a time aside for this and make sure you do it. Do not make the mistake of thinking that you can get by with your normal daily routine. This has to be in addition. Your readings are not excessive, your FBG is the same as mine but the pp is a bit high for me. I set of at 130 and am usually down to 85 by late afternoon and pp BG after my evening meal of usually 130 ish. I strongly suspect that your problem is being caused by missing meals, too much carb in one go, too little calories overal and lack of exercise. [Choose appropriate]. I think that you are feeling tired etc because you have been running too low and your liver is dumping. As your liver runs out of weight? are you loosing weight. I think you must be. I still get the odd episode like this but only when I cannot keep to my routine. I now suck a sweet to get me by it untill my next meal time. If you get another episode like this try this – immediately do a BG reading. If it is say above 130 and your last meal was over 4 hours previous, then there is a good chance it is a liver dump. Rest for an hour and check again. If the BG has gone down say to about 73 ish then you are using the energy your liver dumped.  Try walking for a while and then check again  if your BG has gone up then I think it is safe to say that you are LV ing. Same routine the next time but instead of walking  about have a decent meal. Then check pp if it is lower than FBG that day check again an hour later. If it is lower then you were LV ing. If it is higher then go fo a walk. You can only accept LV ing for a certain time after which the liver cannot perform. In my case, a constant BG virtually all day showed me a Liver dump. It wern’t no control on my part because I was working hard and there was nothing much going in. My BG’s stayed good and constant and I felt like shit!!! HTH Pete Steve Diagnosed 20/03/03 Type II D&E + Metformin

Response:

– Hide quoted text — Show quoted text – Just as  a matter of curiousity, are you a night owl?  I know I seem to be alert and wide awake when others are ready for bed (the early birds).  I have my own theories re this,  but am interested in other’s experience re patterns of sleep and wakefulness. I am a night owl. My BG is under 100 for my wake-up fasting test and under 120  2hrs PP…unless I eat something stupid…. like good food for example. However…I have extreme tired spells almost every day…when I feel this way I check my BG and it’s never been high. I get so tired I can barely get out of the chair. When I eat something like pizza and my bg goes towards 200…I don’t have the tired feeling… although sometimes I do feel intoxicated. I don’t think my tiredness is diabetes related…but I don’t know what does cause it. I have been tested for many things, including lung and heart problems and nothing shows up. Maybe it’s just old age. John Inzer return e-mail disabled Hi there John, Nowdays I *could* put it down to old age, but this pattern has been there long before what anyone would consider "old".   The effect of a spike can sometimes give me a boost of energy, but mostly just makes the falling asleep more certain.  My fbg is usually between 90 to 100, with PP readings no higher than 110 normally.  More often they are even closer to the 100 mark. Here’s my theory.  For some of us, our bio-rythms are set towards being alert at night.  Consequently we can feel sleepy through the day.  I had two children of each kind of sleep pattern (and early bird and a night owl).  From a very early age, as tiny infants, the differences were notable.  I had trouble getting the night owl to sleep at night, but he would even sleep right through his 6 o’clock feed in the morning.  The daughter would go to sleep easily at night, and awaken around 5 to 5.30 am.  As they grew older, the girl would even put herself to bed at night without any prompting or urging, whereas the boy would be bright eyed and bushy-tailed even till midnight.  Getting him to go to bed always involved something of a battle, and he’d still lie awake in bed. My husband is an early bird.  He is very alert and very active first thing in the mornings.  I don’t even seem to come alive till at around 10 am. When we were both working and had to drive some distance to get to our places of employment, he used to drive in the mornings, and I used to drive us both home at night – he had a tendency to fall asleep at the wheel after 7 pm! I suspect that genetics play a part in this.  I may ultimately be descended from the ones who kept watch and kept the fire going all night in the days when humans lived in caves.  Hey, its as good a theory as any other! Have you ever noticed though, how early birds and night owls seem to marry one another? And if anyone calls me a sleepyhead, I call them party poopers.  ;-)  Right now it’s 11 pm, my hubby has been asleep for some time,  and I’m feeling pretty good! Annette

I usually need about 6 hours uninterupted sleep to function. I rarely fail to ‘go off’ within a fe minutes and rise with no sluggishness. If I spend more than 8 hours in bed I have to get up because of aches and pains. I tried going to bed early – say – 10pm but all that happens is I awake at 4 am and if I nod off again I end up over sleeping. If I go to bed too late – say – 2 am then I sleep till 7 and have a shit day. I never catch up. I have found that since being dx’d it is best for me to keep a routine so my body knows what to expect. So I go to bed at 0000 and rise at 0600. [I try to keep to this but do vary slightly] I find that this works for me ok. Pete Diagnosed 20/03/03 Type II D&E + Metformin

Response:

[snip] It sounds like you’ve just had to live with it.  No real solution available. That doesn’t sound very promising. Steve

don’t be despondant, there is something you can do about it. Control. Listen to the signals your body gives and learn to interpret. I was getting these reactions frequently but now they are becoming rarer. Less than one a week or more. Do all the right things and you will see a result. Loose weight Ecercise daily Count Carbs & Calories No cheating Meds if advised Learn more about your body and its language. Don’t give up. Many have had quite excellent results from hard work at this. Many worse of than I have done better than I by sticking to a regime. I am sure you can solve your problem. Anyone here will help if they can so don’t go thinking that there aint no solution. Pete Diagnosed 20/03/03 Type II D&E + Metformin

Response:

Pete, Thanks for all you wrote.  You gave me a lot to think about. Steve

[snip] Steve, When I first had these bouts It was a nightmare. I was only D&E and to control my BG I was eating almost nothing. The weight dropped off, the BG’s stayed pretty much as they were and I exercised like a man posessed! During that time my body was using fat to live off but when the fat was all but gone then there was nothing else but muscle. I lost some off of my thighs and shoulders as a result. Then I went onto meds. The muscle loss stopped but the weight is still going down but I have managed to slow it a little. Because my diet is tight on carbs I can get these episodes frequently if I allow it. But if I were to do so then I would be having LD’s all the time and that will eventually cause me liver damage. I try to prevent LD’s by following advice I got in here – eat a little and often.  I plan my day and decide how much fuel I need to get by. So far I am doing ok. When you get this sorted out – I promise you – you will feel just GREAT!!! no realy, you will feel better than you have for ages. G’d luckpal HTH Pete Diagnosed 20/03/03 Type II D&E + Metformin

Response:

– Hide quoted text — Show quoted text – Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). First, those number you cite are not what I’d call in control.  I aim for <110 fasting, and <140 at two hours after eating.  I find if my BG goes 150,  I don’t feel well in all sorts of ways.  Second, your symptoms could be something else.  How’s your thyroid?  Might you have anemia? Thanks.  I haven’t really set a target for bg after eating.  After being diagnosed, I went through a long period where I was sure they made a mistake but ultimately the bg readings convinced me otherwise.  I have primarily concentrated on getting my pre-meal bg readings within range.  My morning reading is always high (I’ve read a lot about that on this board) but after a 20-30 minute walk with my faithful walking partners (my two dogs), they always come down. Steve

Steve….there will be many theories.  The bottom line is to NOT let your BG’s get high in the first place.  Every spike takes a little from — Waro

Response:

You sound like you need a thyroid check-up. I had a problem with a feeling of something hanging in my throat, doc did a thyroid scan and found a goiter, but my thyroid test were not much out of the norm, He started me on thyroid meds and about 2 months later  —-  I didn’t sleep all day, had energy to do things, lost the ‘cold all the time’ feeling.  Plus I reduced my insulin dose down about 10 units. don

– Hide quoted text — Show quoted text – I’m not asking for medical advice, but wonder if anyone has similar symptoms and may have found the cause, or better yet, a solution. I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything. If I fight through it, I do an energy crash in the evening, but essentially seem to lose about 2-4 hours of usefulness every day. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash. I’ve tried fasting during the day and only eating one meal in the evening (before bed) and the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). Any feedback would be very welcome. Steve

Response:

Yes.  Steve.  I get the tiredness, too.  In the aftern about 2:00..  It eventually goes away  a little after that.  

Actually this is perfectly normal.  Science has been known for decades that body temperature and our alertness, in normal healthy individuals, have *two* minimums each day.  One is early in the morning when we are normally sleeping.  The other is early in the afternoon.  Nature designed us to take a nap early in the afternoon!  In africa where we evolved this was the extreme heat of the day when only "mad dogs and englishmen" did anything active. Any truly civilized society would know this and make provisions for an afternoon siesta.  We’d be much more productive and happy if we did this, in my opinion. I predict that in the reasonably near term future, say a thousand years or so from now, the fact that we attempted to override our natural body cycles in this crazy way will be seen as evidence that the 20th and 21st centuries were still very much part of the "dark ages".  :-)

Response:

Hi Don and Steve Hmmm.  Just last month I had a neuro (a new one) send me for a sleep analysis.  At the time he said it, I figured it was another one of those ’someone is gonna get rich quick’ but it isn’t gonna be me kind of schemes. But I have been like a zombie for 8 years now.  No energy, naps every day, can’t think, can’t get the right words out of my head, depressed, grouchy – just a real pain to live with.  (Thank gawd that my Dave has much more patience than I do) So I did the sleep study.  Find out that I have "restless leg syndrome" and also sleep apnea.  Both of which causes lack of sleep.  I have not yet gone the whole route with getting on track, but I have to admit I may feel just a little bit better. The effects of sleep apnea include:  metabolism slow down (body is saving what strength it has apparently), weight gain, confusion, depression, inability to concentrate for long periods of time, gerd, and on and on. I took the thyroid advice and have been taking varying doses of different thyroid meds for about 5 years now.  Don’t seem to help me like they should. But I did have high TSH.  But, again, the sleep disorder affects the metabolism, and insulin requirements in diabetics.  Apparently, I read this, diabetics are more prone to sleep disorders than those who are not diabetic. Just a thought. Judy Type 1, 25+ years

– Hide quoted text — Show quoted text – You sound like you need a thyroid check-up. I had a problem with a feeling of something hanging in my throat, doc did a thyroid scan and found a goiter, but my thyroid test were not much out of the norm, He started me on thyroid meds and about 2 months later  —-  I didn’t sleep all day, had energy to do things, lost the ‘cold all the time’ feeling.  Plus I reduced my insulin dose down about 10 units. don I’m not asking for medical advice, but wonder if anyone has similar symptoms and may have found the cause, or better yet, a solution. I experience extreme fatigue almost every day, usually in the afternoon. I lay down and take a nap for 30-60 minutes and after a while, I’m back to normal. I get tired, foggy-headed and lose the desire/initiative to do anything. If I fight through it, I do an energy crash in the evening, but essentially seem to lose about 2-4 hours of usefulness every day. Since I’m diabetic (type II) food is a logical source. When I eat the wrong foods (heavy carbs or sugary foods) the fatigue is horribly worse. However, when I eat low carb or non-carb meals, I still have the energy crash. I’ve tried fasting during the day and only eating one meal in the evening (before bed) and the fatigue is more manageable, but one meal in the evening doesn’t seem like the right thing to do for someone with diabetes. Overall, my BG is in control.  Not perfect, but low (fasting less than 130 and ppnever above 180). Any feedback would be very welcome. Steve

Response:

– Hide quoted text — Show quoted text – [snip] It sounds like you’ve just had to live with it.  No real solution available. That doesn’t sound very promising. Steve don’t be despondant, there is something you can do about it. Control. Listen to the signals your body gives and learn to interpret. I was getting these reactions frequently but now they are becoming rarer. Less than one a week or more. Do all the right things and you will see a result. Loose weight Ecercise daily Count Carbs & Calories No cheating Meds if advised Learn more about your body and its language. Don’t give up. Many have had quite excellent results from hard work at this. Many worse of than I have done better than I by sticking to a regime. I am sure you can solve your problem. Anyone here will help if they can so don’t go thinking that there aint no solution. Pete Diagnosed 20/03/03 Type II D&E + Metformin

Hi Pete, You give good advice. I also experience crushing fatigue, though not as bad as it was before I was dx’d.   Exercise is hard when you feel like hell and are overweight and have bad back and bad knees.    I’ve been counting carbs but not calories…. sounds like I ought to do that.  The last one is important… not giving up. — Evelyn "Be wise.  Treat yourself, your mind, sympathetically, with  loving kindness.  If you are gentle with yourself, you will  become gentle with others."  – Lama Thubten Yeshe (To reply to me personally, remove sox)

Response:

C-Reactive Protein

Question:

When I was doing Atkins last year my c-reactive protein was okay, then I went off and now it is very high. I dont remember the numbers but the Dr said it was way too high. I am back on Atkins.

And you know for a fact that these are inextricably tied?

Response:

CRP is a test for inflammation also, perhaps you have an underlying condition, or something such as rheumatoid arthritis. — Tara 264.5/161/154 Atkins since 10 July 2001 – New Zealand www.dazzled.com/lowcarb – my homepage – Hide quoted text — Show quoted text – Hi, Have not posted here for awhile.  Went and had bloodwork done – cholesterol / HDL ratio not good, though cholesterol was 188.  What was scary was the fact that my C-Reactive Protein – a test which recently has been approved by the FDA as being more reliable for prediction of heart attacks – was 1.0 – in the "first quartile" – not good . .  . Anyhow, has anyone been tested for C-Reactive Protein in their screenings, and seen changes based on low carbing?  It would be interesting to find out. Thanks!

Response:

I picked up a nasty case of echovirus 7 last November. After 2 days of the worst stomach flu systems I’ve ever had, I went to the emergency room because I was having heart attack symptoms – pain in running down arm and up to chin, "heartburn" in chest, etc. Turned out to be a full on miochardial infarction. At the time, my blood test showed a c-reactive protein level around either 200 or 2000 – can’t remember for sure. I didn’t know the significance of it at the time until I went to see my cardiologist several weeks later for a follow-up. – Hide quoted text — Show quoted text – CRP is a test for inflammation also, perhaps you have an underlying condition, or something such as rheumatoid arthritis. — Tara 264.5/161/154 Atkins since 10 July 2001 – New Zealand www.dazzled.com/lowcarb – my homepage Hi, Have not posted here for awhile.  Went and had bloodwork done – cholesterol / HDL ratio not good, though cholesterol was 188.  What was scary was the fact that my C-Reactive Protein – a test which recently has been approved by the FDA as being more reliable for prediction of heart attacks – was 1.0 – in the "first quartile" – not good . .  . Anyhow, has anyone been tested for C-Reactive Protein in their screenings, and seen changes based on low carbing?  It would be interesting to find out. Thanks!

Response:

First, thanks to the person posting the links. My CRP is 1.0 I think – enough to cause my nurse practitioner to route me to a cardiologist.  Family history is indicative of heart disease – my father had bypass and died at 62 because of heart disease.  My 43 year old brother is reporting problems.  I am 50, and have PCOS, so that exacerbates it, so I am being on the cautious side.   Also, I may have had rheumatic fever as a child as I had strep at least twice a year for a 5 year period – once so badly they thought I had whooping cough and quarantined the house from what I understand . . . More later! – Hide quoted text — Show quoted text – Hi Sami, Was your CRP in MG/L or MG/DL? Values reported in MG/L are 10 times what MG/DL are. As a nurse, I find that MG/L is the more common reporting method. Perhaps your CRP is actually .1 instead of 1.0? I hope this is the case! Lesa Hi, Have not posted here for awhile.  Went and had bloodwork done – cholesterol / HDL ratio not good, though cholesterol was 188.  What was scary was the fact that my C-Reactive Protein – a test which recently has been approved by the FDA as being more reliable for prediction of heart attacks – was 1.0 – in the "first quartile" – not good . .  . Anyhow, has anyone been tested for C-Reactive Protein in their screenings, and seen changes based on low carbing?  It would be interesting to find out. Thanks!

Response:

Hi Sami, Was your CRP in MG/L or MG/DL? Values reported in MG/L are 10 times what MG/DL are. As a nurse, I find that MG/L is the more common reporting method. Perhaps your CRP is actually .1 instead of 1.0? I hope this is the case! Lesa – Hide quoted text — Show quoted text – Hi, Have not posted here for awhile.  Went and had bloodwork done – cholesterol / HDL ratio not good, though cholesterol was 188.  What was scary was the fact that my C-Reactive Protein – a test which recently has been approved by the FDA as being more reliable for prediction of heart attacks – was 1.0 – in the "first quartile" – not good . .  . Anyhow, has anyone been tested for C-Reactive Protein in their screenings, and seen changes based on low carbing?  It would be interesting to find out. Thanks!

Response:

Hi, Have not posted here for awhile.  Went and had bloodwork done – cholesterol / HDL ratio not good, though cholesterol was 188.  What was scary was the fact that my C-Reactive Protein – a test which recently has been approved by the FDA as being more reliable for prediction of heart attacks – was 1.0 – in the "first quartile" – not good . .  . Anyhow, has anyone been tested for C-Reactive Protein in their screenings, and seen changes based on low carbing?  It would be interesting to find out. Thanks!

Response:

When I was doing Atkins last year my c-reactive protein was okay, then I went off and now it is very high. I dont remember the numbers but the Dr said it was way too high. I am back on Atkins. deb – Hide quoted text — Show quoted text – Hi, Have not posted here for awhile.  Went and had bloodwork done – cholesterol / HDL ratio not good, though cholesterol was 188.  What was scary was the fact that my C-Reactive Protein – a test which recently has been approved by the FDA as being more reliable for prediction of heart attacks – was 1.0 – in the "first quartile" – not good . .  . Anyhow, has anyone been tested for C-Reactive Protein in their screenings, and seen changes based on low carbing?  It would be interesting to find out. Thanks!

Response:

My C-reactive protein is also high, but I never had it tested before LC, and will not have it tested for another year or so.  By then, I hope to be down about 60 pounds from my starting point (I’m currently down about 33 pounds). — Bob ctviggen at rcn dot com

– Hide quoted text — Show quoted text – When I was doing Atkins last year my c-reactive protein was okay, then I went off and now it is very high. I dont remember the numbers but the Dr said it was way too high. I am back on Atkins. deb Hi, Have not posted here for awhile.  Went and had bloodwork done – cholesterol / HDL ratio not good, though cholesterol was 188.  What was scary was the fact that my C-Reactive Protein – a test which recently has been approved by the FDA as being more reliable for prediction of heart attacks – was 1.0 – in the "first quartile" – not good . .  . Anyhow, has anyone been tested for C-Reactive Protein in their screenings, and seen changes based on low carbing?  It would be interesting to find out. Thanks!

Response:

From MedLine: C-reactive protein is a special type of protein produced by the liver that is only present during episodes of acute inflammation. The most important role of CRP is its interaction with the complement system, which is one of the body’s immunologic defense mechanisms. While this is not a specific test, it does give a general indication of acute inflammation. Your health care provider might use this test to check for rheumatoid arthritis or rheumatic fever exacerbations. The test might also be useful to monitor response to therapy. Normal Values    Return to top Normally there is no CRP in the blood serum. What abnormal results mean    Return to top Since the CRP is a general test, a positive CRP may indicate any of a number of things:   a.. Rheumatoid arthritis   b.. Rheumatic fever   c.. Cancer   d.. Tuberculosis   e.. Pneumococcal pneumonia   f.. Myocardial infarction   g.. SLE Positive CRP results also occur during the last half of pregnancy or with the use of oral contraceptives. here is the whole link: http://www.nlm.nih.gov/medlineplus/ency/article/003356.htm Here is another: http://www.riversidecardiology.com/archive/10201999.htm#whatis This one talks about cholesterol and cardiovascular disease http://www.brighamandwomens.org/publicaffairs/news/crp.asp a little more info: The normal range is 0-1 mg/dl. A level between 1 and 10 mg/dl are considered a moderate elevation and above 10 mg/dl is a marked elevation. Elevations are seen in infectious, inflammatory, and malignant diseases but also with pregnancy, and trauma but there is little effect of factors such as age, gender, anemia, red cell shape etc… so that there may be a lower false positive rate than with the ESR (? http://uwcme.org/courses/rheumatology/rheumlab/crp.html We use C-RP in children to see if they have an acute inflammation and whether or not our treatment is lowering the value.

Response:

SSRI question

Question:

OK, Now I understand my wifes lack of interest. DR

– Hide quoted text — Show quoted text – The only problem I have with antidepressants (and I’ve tried 6 or 7 different ones) is that they have some side effects that I just can’t tolerate…sex drive for one.  Who wants to go through life never wanting sex again? Ok, maybe too much information, but that was the reason I stopped taking mine. Susan Hi Robert, In reference to weaning off of meds… I don’t have much to say about that, except… Approximately 3 years ago, the following suddenly occurred to me: I thought, "Hrm…. when I take my meds, I’m generally fairly happy, I cope well with life as it is, and I’m never suicidal. But when I don’t take my meds, I’m constantly suffering intrusive visualizations of suicide, and I’m absolutely miserable. So perhaps… maybe… I should STOP quitting my meds! Doh!" I’ve taken them religiously ever since, and my general affect has completely stablized.  I can still be sad, when life warrants it, but I never suffer to the degree I did when I wasn’t taking my meds regularly. T’was a major ephiphany for me, and if my meds were the reason I became obese, I would continue them now anyhow.  Most of my obesity happened when I quit smoking and there’s no way I’d start smoking again.  I’m just not interested in being unhappy or unhealthy anymore when I can control it.  If I’m able to get to a normal weight again, I’m certainly not going to return to my high-carb high-sugar diet.  Hell, I don’t think I wanna do that even if I can’t take off the weight.  I really didn’t enjoy my body’s reaction to my insane overdose of Easter Sunday. (I even started making my own mayonnaise because I couldn’t find any without sugar as an ingredient.) Someone here suggested Duke’s Mayonnaise.  So far as I can tell, it’s the only mayo on the market with no sweetner at all in it.  The problem is, it’s only sold in the Southern States of the USA.  Fortunately, I have a sister in North Carolina.  She’s shipping me a dozen jars this week. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                      -Will Rogers Susan 172/163/135 Atkins since January 2003

Response:

Overpriced…Yes

– Hide quoted text — Show quoted text – I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Can I ask a question? How many people in here have really gotten relief off of SSRIs? I think they are horrible things! OVER PRICED! — My Personal Site http://mywebpages.comcast.net/preesi/Begin.html (Hear me Bitch, Moan and Complain, Cook One of My Recipes, Play One of My Games, Peruse My Links THEN Sign My Guestbook Dagnammit!) My "Other" Site: http://mywebpages.comcast.net/sirlinkzalot/Start.html (Soon to undergo a HUGE overhaul) My "Other-Other" Site: http://mywebpages.comcast.net/TheLinkSource/Index.htm (Select Links.. Precise, and Direct. No Monkey Business)

Response:

*** post for FREE via your newsreader at post.newsfeed.com *** – Hide quoted text — Show quoted text – Not enough relief to make up for the side-effects.  Effexor made me really tired so the doctor told me to double the dose.  Nice advice.  Also it cut the sex drive, as did Paxil a few years ago.  Prozac made everything seem like it was far away – nothing was really funny, nothing was really sad, nothing really angered me, nothing really pleasured me.  That’s no way to live. — Robin in Michigan 252/222/150 Modified Atkins – Jan 7, 2003

That describes exactly what Paxil did to me.  I felt as if I were watching life go on around me through a glass, and was not really part of it.  It was the worst feeling in the world.  And when I told my doctor, he also kept upping the dose.  I was up to 50mg a day – and that’s a lot!  Panic or depression would be better than how I felt on Paxil!  I finally weaned myself off it very gradually over a period of six weeks, then flushed what I had left down the toilet. — Peter Website:  http://users.thelink.net/marengo  —–= Posted via Newsfeed.Com, Uncensored Usenet News =—– http://www.newsfeed.com – The #1 Newsgroup Service in the World! —–== 100,000 Groups! – 19 Servers! – Unlimited Download! =—–

Response:

I must say Paxil did "level me out" emotionally, but if I don’t take it for a day or two I get headaches ringing, etc. and I certainly did not appreciate the 15 or 20 extra pounds. They’re pretty cheap up here in Canada too, with my health plan I only pay a few bucks dispensing fee.

You can’t just stop taking an SSRI suddenly (cold turkey); that’s why you’re having problems stopping it.  You have to wean yourself off if very gradually over a period of several weeks.  Cut your dosage down very gradually, reducing it each week.  I had no bad side effects from quitting it when I did this. — Peter Website:  http://users.thelink.net/marengo    http://www.newsfeed.com       The #1 Newsgroup Service in the World! —–= Over 100,000 Newsgroups – Unlimited Fast Downloads – 19 Servers =—–

Response:

From the article: I got these electrical zaps if I turned my head, or even just from eye movement.

I was on Paxil over a year ago, on the lowest dose, and for only 3 weeks–not even long enough to experience any of its good effects–when I started feeling like I had a brain cloud, so I just stopped taking it.  (Bad idea, perhaps, but I hated the way it made me feel.) Within a day, I started having the "zaps" the person in this article describes.  They are very unpleasant and disruptive.  It felt like my brain was sloshing around inside my head, and anytime I moved my head–zap!  I also had severe adrenaline rushes where my body would go into a panic mode for a few seconds for no reason–I’d literally gasp it was so acute.  These symptoms continued for over a week and then started to taper off over the next month or so until it stopped. -Jon – Hide quoted text — Show quoted text – I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Thanks. Rob Do Not Wean Yourself of Paxil! you must do that with your physician. Here is a good article on Paxil http://www.citypages.com/databank/23/1141/article10788.asp Please read it before you make any decisions about stopping. My first husband committed suicide at age 25 from untreated depression. Lori

Response:

I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Can I ask a question? How many people in here have really gotten relief off of SSRIs? I think they are horrible things! OVER PRICED!

Not enough relief to make up for the side-effects.  Effexor made me really tired so the doctor told me to double the dose.  Nice advice.  Also it cut the sex drive, as did Paxil a few years ago.  Prozac made everything seem like it was far away – nothing was really funny, nothing was really sad, nothing really angered me, nothing really pleasured me.  That’s no way to live. — Robin in Michigan 252/222/150 Modified Atkins – Jan 7, 2003

Response:

Hi Robin, Eventually, we found one that didn’t have any side effects and actually worked. I’ve been on three such medications and never found one without "any side effects". Can you share what one that is?

No. I can tell you that I went through three before we found one that worked for me. I get no side effects from Wellbutrin at all. But many people do.  My husband tried it and it affected him like bad speed. That’s apparently not uncommon. My husband went through five or six different medications before he and his doctor found fluvoxamine. That one doesn’t have any noticable side effects for him at all. If you need some form of anti-depressant, the only advice I can give you is to keep trying, and make your doctor keep trying. Eventually, the two of you will find one that works for you and doesn’t affect you negatively. I know that some people have had to go through as many as ten different drugs before they found the right one, or the right combination. And once you find the right one, you may have to go through a number of months discovering the right dosage. It was worth it to me. It’s awfully nice to be okay with living in my own skin. I had forgotten what that felt like. Hell, I don’t remember *ever* knowing what it felt like before. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                       -Will Rogers — Nobody ever helps a gravedigger.                       -Heard on an antique "Outer Limits" show.

Response:

Has anyone had trouble losing while on SSRI’s? I’m on paxil and have been on Atkins for over 4 months now and haven’t been able to lose even 10 pounds. <snip I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Thanks. Rob

Paxil has a side effect of weight gain listed with the contraindications. Over a year ago I weaned myself off of Paxil very gradually with no problems. I was taking it for panic attacks.  I HATED Paxil!  It made me gain weight, killed my libido and robbed me of all emotions – basically turning me into an unfeeling zombie.  After I had tapered off and quit taking the Paxil altogether, I was pleasantly surprised to find that I no longer needed it!  Turned out that another benefit of low-carb eating is that it is a natural cure for panic attack symptoms.  Several others have said this also.  I don’t understand why, but I don’t care.  I have been symptom-free for nearly two years now! If, however, you are taking the Paxil for depression, why not ask your doctor if he could switch you to welbutrin?  Wellbutrin is a different class of drug (works on dopamine rather than serotonin), and has the exact opposite side effects of Paxil.  It encourages weight loss and enhances libido. — Peter Website:  http://users.thelink.net/marengo    http://www.newsfeed.com       The #1 Newsgroup Service in the World! —–= Over 100,000 Newsgroups – Unlimited Fast Downloads – 19 Servers =—–

Response:

Thanks for your comments Carmen and Lorelei I am 35 and currently weigh 203, I’m 5′6" and was 210 just before X-mas. I don’t have any other medical conditions, and I’m in completely good health aside from depression. I eat between 1200-2000 calories per day and I count my carbs quite thoroughly (I even started making my own mayonnaise because I couldn’t find any without sugar as an ingredient.) I would say I have a low level of depression as I have never been close to suicidal thoughts, I was just over emotional and I had physical symptoms as well. I had talked to my doctor previously about weaning, and he agreed, but it was during the winter and I felt I needed the meds (I am generally more depressed in the winter), so I decided to continue medication after weaning down for a couple of weeks. I will see my doctor before doing so, but I am going to stick with atkins during that time but I’ll continue to take it easy on the cheese and try to drink more water. I will definitely stay on this diet for the rest of my life, since I have not experienced any of the frequent heartburn I had before atkins. Any further thoughts or ideas would be appreciated! Thanks, Rob – Hide quoted text — Show quoted text – Hi Rob, Has anyone had trouble losing while on SSRI’s? I’m on paxil and have been on Atkins for over 4 months now and haven’t been able to lose even 10 pounds. I have followed the diet to the letter, and have even cut down the amount of cheese I eat (which wasn’t that much to begin with) I am so commited I even have nightmares about eating a chocolate bar by accident! I exercise by lifting weights and walking briskly on the treadmill (I am following the body for life exercise program). I have about 30 pounds to lose (but I wouldn’t mind just replacing that with muscle). How many calories are you eating, how much do you currently weigh, how old are you, what (if any) other meds or medical conditions do you have…. There are a lot of variables that go into the equation. I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Ask your p-doc what the best way to do this is, and whether he/she advises it.  They may suggest another SSRI or perhaps Wellbutrin if they don’t feel you’re stable enough to stop meds right now.  Depression is nothing to take lightly.  After all isn’t your goal to become healthier, not just smaller? Take care, Carmen

Response:

Hi Gary, Paxil worked for me, but it made me disorgasmic, and that made it not worth it to me. disorgasmic?…I feel stupid…And what exactly does this mean?

Disorgasmic means not being capable of having an orgasm.  I still had some sexual desire on paxil, but I couldn’t have an orgasm no matter how long or how hard my partner and I tried. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                       -Will Rogers — Nobody ever helps a gravedigger.                       -Heard on an antique "Outer Limits" show.

Response:

The only problem I have with antidepressants (and I’ve tried 6 or 7 different ones) is that they have some side effects that I just can’t tolerate…sex drive for one.  Who wants to go through life never wanting sex again? I had the same problem with paxil, and even though it worked for my depression, I went off it and refused to go back on it.  I insisted that my doctor go through the hassle of finding a drug that worked for me and didn’t make me disorgasmic.  Eventually, we found one that didn’t have any side effects and actually worked.

I’ve been on three such medications and never found one without "any side effects".  Can you share what one that is? — Robin in Michigan 252/222/150 Modified Atkins – Jan 7, 2003

Response:

disorgasmic?…I feel stupid…And what exactly does this mean?…GG — For anti-spam purposes my email address is not the one you see above…To respond remove the noodles…Please understand spam is out of hand and we can’t take it anymore… Outgoing mail is certified Virus Free…scanned by NAV 2003…Version 9.05.15

– Hide quoted text — Show quoted text – Hi Preesi, How many people in here have really gotten relief off of SSRIs? I did.  Paxil worked for me, but it made me disorgasmic, and that made it not worth it to me.  Wellbutrin isn’t an SSRI, and a lot of people who get relief from SSRIs don’t get it from Wellbutrin, but I was one of the lucky ones.  Wellbutrin worked as well as Paxil, and I get no side effects from it at all. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                       -Will Rogers — Nobody ever helps a gravedigger.                       -Heard on an antique "Outer Limits" show.

Response:

I must say Paxil did "level me out" emotionally, but if I don’t take it for a day or two I get headaches ringing, etc. and I certainly did not appreciate the 15 or 20 extra pounds. They’re pretty cheap up here in Canada too, with my health plan I only pay a few bucks dispensing fee. What I’d really like to know is if anyone was on an SSRI, started a lo carb diet, then went off the meds, and if so was there a difference? I hear all these stories of the pounds melting off and I feel like something is wrong after losing only 7 pounds after 4 months! – Hide quoted text — Show quoted text – I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Can I ask a question? How many people in here have really gotten relief off of SSRIs? I think they are horrible things! OVER PRICED! — My Personal Site http://mywebpages.comcast.net/preesi/Begin.html (Hear me Bitch, Moan and Complain, Cook One of My Recipes, Play One of My Games, Peruse My Links THEN Sign My Guestbook Dagnammit!) My "Other" Site: http://mywebpages.comcast.net/sirlinkzalot/Start.html (Soon to undergo a HUGE overhaul) My "Other-Other" Site: http://mywebpages.comcast.net/TheLinkSource/Index.htm (Select Links.. Precise, and Direct. No Monkey Business)

Response:

Hi Susan, The only problem I have with antidepressants (and I’ve tried 6 or 7 different ones) is that they have some side effects that I just can’t tolerate…sex drive for one.  Who wants to go through life never wanting sex again?

I had the same problem with paxil, and even though it worked for my depression, I went off it and refused to go back on it.  I insisted that my doctor go through the hassle of finding a drug that worked for me and didn’t make me disorgasmic.  Eventually, we found one that didn’t have any side effects and actually worked. Sometimes we have to Top our Docs.  Otherwise, we won’t get decent treatment.  They’re human, and sometimes they get lazy too. Ok, maybe too much information, but that was the reason I stopped taking mine.

I don’t believe in TMI when we’re sharing information and personal experience. That’s what support newsgroups are for. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                       -Will Rogers — Nobody ever helps a gravedigger.                       -Heard on an antique "Outer Limits" show.

Response:

Hi Preesi, How many people in here have really gotten relief off of SSRIs?

I did.  Paxil worked for me, but it made me disorgasmic, and that made it not worth it to me.  Wellbutrin isn’t an SSRI, and a lot of people who get relief from SSRIs don’t get it from Wellbutrin, but I was one of the lucky ones.  Wellbutrin worked as well as Paxil, and I get no side effects from it at all. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                       -Will Rogers — Nobody ever helps a gravedigger.                       -Heard on an antique "Outer Limits" show.

Response:

I have fibromyalgia, and they relieved my pain.  I just didn’t like not feeling like myself. I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Can I ask a question? How many people in here have really gotten relief off of SSRIs? I think they are horrible things! OVER PRICED!

Susan 172/163/135 Atkins since January 2003

Response:

Can I ask a question? How many people in here have really gotten relief off of SSRIs? I think they are horrible things!

Is Celexa an SSRI?  If so, I have been helped by it. Carol — 226/204/150 Atkins since 1-26-2003 Type 2 Diabetic since 5-15-2001

Response:

I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it!

Can I ask a question? How many people in here have really gotten relief off of SSRIs? I think they are horrible things! OVER PRICED! — My Personal Site http://mywebpages.comcast.net/preesi/Begin.html (Hear me Bitch, Moan and Complain, Cook One of My Recipes, Play One of My Games, Peruse My Links THEN Sign My Guestbook Dagnammit!) My "Other" Site: http://mywebpages.comcast.net/sirlinkzalot/Start.html (Soon to undergo a HUGE overhaul) My "Other-Other" Site: http://mywebpages.comcast.net/TheLinkSource/Index.htm (Select Links.. Precise, and Direct. No Monkey Business)

Response:

The only problem I have with antidepressants (and I’ve tried 6 or 7 different ones) is that they have some side effects that I just can’t tolerate…sex drive for one.  Who wants to go through life never wanting sex again? Ok, maybe too much information, but that was the reason I stopped taking mine. Susan – Hide quoted text — Show quoted text -Hi Robert, In reference to weaning off of meds… I don’t have much to say about that, except… Approximately 3 years ago, the following suddenly occurred to me: I thought, "Hrm…. when I take my meds, I’m generally fairly happy, I cope well with life as it is, and I’m never suicidal. But when I don’t take my meds, I’m constantly suffering intrusive visualizations of suicide, and I’m absolutely miserable. So perhaps… maybe… I should STOP quitting my meds! Doh!" I’ve taken them religiously ever since, and my general affect has completely stablized.  I can still be sad, when life warrants it, but I never suffer to the degree I did when I wasn’t taking my meds regularly. T’was a major ephiphany for me, and if my meds were the reason I became obese, I would continue them now anyhow.  Most of my obesity happened when I quit smoking and there’s no way I’d start smoking again.  I’m just not interested in being unhappy or unhealthy anymore when I can control it.  If I’m able to get to a normal weight again, I’m certainly not going to return to my high-carb high-sugar diet.  Hell, I don’t think I wanna do that even if I can’t take off the weight.  I really didn’t enjoy my body’s reaction to my insane overdose of Easter Sunday. (I even started making my own mayonnaise because I couldn’t find any without sugar as an ingredient.) Someone here suggested Duke’s Mayonnaise.  So far as I can tell, it’s the only mayo on the market with no sweetner at all in it.  The problem is, it’s only sold in the Southern States of the USA.  Fortunately, I have a sister in North Carolina.  She’s shipping me a dozen jars this week. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                      -Will Rogers

Susan 172/163/135 Atkins since January 2003

Response:

Do Not Wean Yourself of Paxil! you must do that with your physician. Here is a good article on Paxil http://www.citypages.com/databank/23/1141/article10788.asp Please read it before you make any decisions about stopping. My first husband committed suicide at age 25 from untreated depression.

I’m very, very sorry for what you’ve gone through.  There are no words. Carol — 226/204/150 Atkins since 1-26-2003 Type 2 Diabetic since 5-15-2001

Response:

– Hide quoted text — Show quoted text – I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Thanks. Rob Do Not Wean Yourself of Paxil! you must do that with your physician. Here is a good article on Paxil http://www.citypages.com/databank/23/1141/article10788.asp Please read it before you make any decisions about stopping. My first husband committed suicide at age 25 from untreated depression. Lori

Did the people in this article ever consider that their daughter had a disorder and needed a drug? Maybe a different one? Sounds like they were just trying to take her off completely.

Response:

Hi Robert, In reference to weaning off of meds… I don’t have much to say about that, except… Approximately 3 years ago, the following suddenly occurred to me: I thought, "Hrm…. when I take my meds, I’m generally fairly happy, I cope well with life as it is, and I’m never suicidal. But when I don’t take my meds, I’m constantly suffering intrusive visualizations of suicide, and I’m absolutely miserable. So perhaps… maybe… I should STOP quitting my meds! Doh!" I’ve taken them religiously ever since, and my general affect has completely stablized.  I can still be sad, when life warrants it, but I never suffer to the degree I did when I wasn’t taking my meds regularly. T’was a major ephiphany for me, and if my meds were the reason I became obese, I would continue them now anyhow.  Most of my obesity happened when I quit smoking and there’s no way I’d start smoking again.  I’m just not interested in being unhappy or unhealthy anymore when I can control it.  If I’m able to get to a normal weight again, I’m certainly not going to return to my high-carb high-sugar diet.  Hell, I don’t think I wanna do that even if I can’t take off the weight.  I really didn’t enjoy my body’s reaction to my insane overdose of Easter Sunday. (I even started making my own mayonnaise because I couldn’t find any without sugar as an ingredient.)

Someone here suggested Duke’s Mayonnaise.  So far as I can tell, it’s the only mayo on the market with no sweetner at all in it.  The problem is, it’s only sold in the Southern States of the USA.  Fortunately, I have a sister in North Carolina.  She’s shipping me a dozen jars this week. RozeMari 254/242/140 — If you find yourself in a hole, the first thing to do is stop digging.                       -Will Rogers — Nobody ever helps a gravedigger.                       -Heard on an antique "Outer Limits" show.

Response:

I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Thanks. Rob

Do Not Wean Yourself of Paxil! you must do that with your physician. Here is a good article on Paxil http://www.citypages.com/databank/23/1141/article10788.asp Please read it before you make any decisions about stopping. My first husband committed suicide at age 25 from untreated depression. Lori

Response:

Has anyone had trouble losing while on SSRI’s? I’m on paxil and have been on Atkins for over 4 months now and haven’t been able to lose even 10 pounds. I have followed the diet to the letter, and have even cut down the amount of cheese I eat (which wasn’t that much to begin with) I am so commited I even have nightmares about eating a chocolate bar by accident! I exercise by lifting weights and walking briskly on the treadmill (I am following the body for life exercise program). I have about 30 pounds to lose (but I wouldn’t mind just replacing that with muscle). I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it! Thanks. Rob

Response:

Hi Rob, Has anyone had trouble losing while on SSRI’s? I’m on paxil and have been on Atkins for over 4 months now and haven’t been able to lose even 10 pounds. I have followed the diet to the letter, and have even cut down the amount of cheese I eat (which wasn’t that much to begin with) I am so commited I even have nightmares about eating a chocolate bar by accident! I exercise by lifting weights and walking briskly on the treadmill (I am following the body for life exercise program). I have about 30 pounds to lose (but I wouldn’t mind just replacing that with muscle).

How many calories are you eating, how much do you currently weigh, how old are you, what (if any) other meds or medical conditions do you have…. There are a lot of variables that go into the equation. I am going to wean myself off the meds, although it is very difficult as there are wicked side effects (ringing in the ears, dizziness etc.) I have tried before, but found that I needed the the drugs (feeling weepy etc.) Please let me know if you have had this problem, and how you solved it!

Ask your p-doc what the best way to do this is, and whether he/she advises it.  They may suggest another SSRI or perhaps Wellbutrin if they don’t feel you’re stable enough to stop meds right now.  Depression is nothing to take lightly.  After all isn’t your goal to become healthier, not just smaller? Take care, Carmen

Response:

PANIC ATTACKS ARE PARALYZING ME!!

Question:

I am looking for any advice out there, support, etc.  I have been having crippling panic attacks (all of the heart attack symptoms, feelings of intense fear that come in waves, etc.) for the past 6 weeks.  It is so scary; I don’t even know how to put it into words.  I have had an EKG, holter monitor test to rule out heart problems; my doctor said it looks like my heart is in great shape! I also had full blood scans done to rule out thyroid problems, etc. I take really good care of myself as far as exercise, diet goes, but I work in the IT business and it’s extremely stressful.  Have had a lot of changes this year also:  husband out of work for 8 months, bought a new house, bought an investment property, received a promotion and now have 8 people working under me, etc.  I really can’t jive with a lot of the corporate party line and I think that may have something to do with it, too.  I’m wondering if all the stress is finally taking its toll on me.  I’ve been feeling so bad that I feel like I’m about to throw in the towel and tell everybody to "shove it"–the long hours, the pressure, etc.–because I just can’t imagine living with these horrible panic attacks like this for any extended period of time. Xanax .5 mg totally knocks out the attacks and makes me feel "normal", but it takes a little while.  Just started Paxil today–hope it kicks in FAST!!  Anyone out there with similar background/experiences?

Response:

STARRGRRL I am looking for any advice out there, support, etc.  I have been having crippling panic attacks Xanax .5 mg totally knocks out the attacks and makes me feel "normal", but it takes a little while.  Just started Paxil today–hope it kicks in FAST!!  Anyone out there with similar background/experiences?

Hello, take the .5mg xanax as directed and ramp slowley on the paxil. Paxil usually takes a few weeks to work and can make the anxiety seem higher at the start. Use the xanax while weening on the paxil. Others here can give advice as to the amount of increase. Welcome to ASAP – it has helped many in both infornation and support. – K

Response:

:I’m wondering if all the stress is finally taking its :toll on me.  I’ve been feeling so bad that I feel like I’m about to :throw in the towel and tell everybody to "shove it"–the long hours, :the pressure, etc.–because I just can’t imagine living with these :horrible panic attacks like this for any extended period of time. : :Xanax .5 mg totally knocks out the attacks and makes me feel "normal", :but it takes a little while.  Just started Paxil today–hope it kicks :in FAST!!  Anyone out there with similar background/experiences? Dear Starr, Welcome to ASAP! Sorry you are having such a tough time with panic attacks. I have panic disorder so I understand what you are going through. It`s quite common to develop a anxiety disorder after a period of high stress, something you quite obviously have been going through. It`s important to exam what in your life is contributing to your anxiety and panic, then decide what you can do to alleviate some of it. If you are miserable in your job, is there anyway to find a new one or make the current one less stressful? Also……what doctor is treating your anxiety and do you even have a diagnosis? It would be in your best interest to have a psych doctor, one that specializes in anxiety disorder diagnosis and treat you. Medications can be great for getting us back on our feet, but sometimes they aren`t enough. Have you ever considered therapy? The most effective therapy for anxiety disorders is cognitive behavioral therapy. http://www.cognitivetherapy.com/ weeks. Hopefully you are being made to start at a low dose, like 5mgs, and so. Doing otherwise might cause very uncomfortable side-effects. People with anxiety disorders can be sensitive to the side-effects of antidepressants. This can be minimized with a low starting dose and slow wean. I`ve been on paxil since March of 98 with very good results. I started at 5mgs and took 6 weeks to wean to 20mgs. Here is a very informative link on anxiety and panic disorder. http://panicdisorder.about.com/index.htm?once=true&COB=home&PID=2791 Take care and good luck with paxil :) Jackie ~*~The bad things of life were very transitory.It was the good things , the ribbed sand, the wind blowing over the white capped waves , the sunshine and the stars, that were so tough and durable~*~

Response:

I am looking for any advice out there, support, etc.  I have been having crippling panic attacks (all of the heart attack symptoms, feelings of intense fear that come in waves, etc.) for the past 6 weeks.  It is so scary; I don’t even know how to put it into words.  I have had an EKG, holter monitor test to rule out heart problems; my doctor said it looks like my heart is in great shape! I also had full blood scans done to rule out thyroid problems, etc.

Please, take some comfort in knowing that I’ve been living with the same horrible symptoms for more than ten years and I’m still alive enough to make my doctors almost wish I were not (grin). I take really good care of myself as far as exercise, diet goes, but I work in the IT business and it’s extremely stressful.  

I used to eat well, run ten miles a week, and did software and operations support for DOD and NASA. Have had a lot of changes this year also:  husband out of work for 8 months, bought a new house, bought an investment property, received a promotion and now have 8 people working under me, etc.  

Ouch. Lots of extra stress there. Especially with the property and supervisor stress. I really can’t jive with a lot of the corporate party line and I think that may have something to do with it, too.  

Almost surely. The interests of a corporation will be rather different than your own interests. Never trust what the company tells you entirely. Even the best companies sometimes lie to employees to keep things stable in unstable times. I’m wondering if all the stress is finally taking its toll on me.  I’ve been feeling so bad that I feel like I’m about to throw in the towel and tell everybody to "shove it"–the long hours, the pressure, etc.–because I just can’t imagine living with these horrible panic attacks like this for any extended period of time.

Such stress cannot be endured indefinitely. This is what so-called "nervous break-downs" are about, and why people make career changes (within or outside a company). Xanax .5 mg totally knocks out the attacks and makes me feel "normal", but it takes a little while.  

Same with me. Xanax isn’t perfect, but it can be a life-saver. Yet, if we can make life changes that reduce our dependence on medications, we really should do so. A career shouldn’t be dependent on medication. Just started Paxil today–hope it kicks in FAST!!  

Unlike Xanax, Paxil is certainly NOT FAST; very different medications operating on very different nervous system receptors. Furthermore, their effectiveness varies a lot depending on the underlying medical causes of anxiety conditions. Anyone out there with similar background/experiences?

Yes. Best Wishes, Arthur

Response:

:.  So far no bad side effects :from the Paxil except for a little nausea about an hour after I take :it (I suppose taking it with food might help).   Dear Starr, Yes, taking paxil with food or lots of water could really help, it helps cut down on the stomach irritation paxil can cause. Take care :) Jackie ~*~The journey in between what you once were and who you are now becoming is where the dance of life really takes place~*~

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– Hide quoted text — Show quoted text – I am looking for any advice out there, support, etc.  I have been having crippling panic attacks (all of the heart attack symptoms, feelings of intense fear that come in waves, etc.) for the past 6 weeks.  It is so scary; I don’t even know how to put it into words.  I have had an EKG, holter monitor test to rule out heart problems; my doctor said it looks like my heart is in great shape! I also had full blood scans done to rule out thyroid problems, etc. I take really good care of myself as far as exercise, diet goes, but I work in the IT business and it’s extremely stressful.  Have had a lot of changes this year also:  husband out of work for 8 months, bought a new house, bought an investment property, received a promotion and now have 8 people working under me, etc.  I really can’t jive with a lot of the corporate party line and I think that may have something to do with it, too.  I’m wondering if all the stress is finally taking its toll on me.  I’ve been feeling so bad that I feel like I’m about to throw in the towel and tell everybody to "shove it"–the long hours, the pressure, etc.–because I just can’t imagine living with these horrible panic attacks like this for any extended period of time. Xanax .5 mg totally knocks out the attacks and makes me feel "normal", but it takes a little while.  Just started Paxil today–hope it kicks in FAST!!  Anyone out there with similar background/experiences?

hi friend i call u friend because it seems we have a coomon thing….:) many of the people are posting here have this problem, and anyone of us know how scarry is, don’t worry, i had the same problem, and all the time i had a pa i vomit for the tension, i had a lot of changes throughthese last months, i changed the house where i live, leave the job and stayed unemployed for a year, and a lot of different things changed my whole life, so our brain or body, have his own strategies to push out all these tensions, don’t be angered, don’t be ashemed about the pa, the strong of the attacks will flow down, have faith, now i’m on xanax too but i take 0,50 mg per day and have a pdoc theraphy that help me a lot, are u talking with a pdoc? is really usefull, but don’t be afraid and not too scared, i mean try to focus your attention on the fact that re only body symptoms, and they cannot kill you, ok it’s hard but listen ur body….and have faith take it easy and hope to hear from you soon if you need mail me directly ciao marco

Response:

Thanks, Jackie and everyone for all of the much-needed advice.  I did get a diagnosis of panic disorder from my primary care physician. Sounds like I am on the right track as far as treatment goes.  My doctor is weaning me onto the Paxil in 5 mg increments and has prescribed Xanax for when I have an attack (just until the Paxil kicks in–the Xanax is great, which means it’s probably not a good idea to take it for any longer than I have to!).  So far no bad side effects from the Paxil except for a little nausea about an hour after I take it (I suppose taking it with food might help).  My health care is provided by an HMO, and as you know it’s really difficult to get a referral unless you’re in crisis.  So, I’m not getting referred to a psychiatrist.  My primary physician did, however, refer me to the HMO’s counseling services, and he told me to let them know I need treatment for panic disorder so they can place me with the appropriate type of therapist.  Never been to therapy, but I am willing to take every necessary step to treat this.  My mom has panic disorder, but I never really realized how disabling it is! I would like to keep my job.  I actually like what I do, I am just working under a lot (o.k., tons) of pressure right now.  My goal is to change the way I react to or feel about the pressure–somehow change my perspective–so I can keep the job.  I’m hoping I can work this out with the help of my therapist. Thanks everyone for the help! – Hide quoted text — Show quoted text – Dear Starr, Welcome to ASAP! Sorry you are having such a tough time with panic attacks. I have panic disorder so I understand what you are going through. It`s quite common to develop a anxiety disorder after a period of high stress, something you quite obviously have been going through. It`s important to exam what in your life is contributing to your anxiety and panic, then decide what you can do to alleviate some of it. If you are miserable in your job, is there anyway to find a new one or make the current one less stressful? Also……what doctor is treating your anxiety and do you even have a diagnosis? It would be in your best interest to have a psych doctor, one that specializes in anxiety disorder diagnosis and treat you. Medications can be great for getting us back on our feet, but sometimes they aren`t enough. Have you ever considered therapy? The most effective therapy for anxiety disorders is cognitive behavioral therapy. http://www.cognitivetherapy.com/ weeks. Hopefully you are being made to start at a low dose, like 5mgs, and so. Doing otherwise might cause very uncomfortable side-effects. People with anxiety disorders can be sensitive to the side-effects of antidepressants. This can be minimized with a low starting dose and slow wean. I`ve been on paxil since March of 98 with very good results. I started at 5mgs and took 6 weeks to wean to 20mgs. Here is a very informative link on anxiety and panic disorder. http://panicdisorder.about.com/index.htm?once=true&COB=home&PID=2791 Take care and good luck with paxil :) Jackie ~*~The bad things of life were very transitory.It was the good things , the ribbed sand, the wind blowing over the white capped waves , the sunshine and the stars, that were so tough and durable~*~

Response:

Welcome.  For some people, the Paxil actually raises anxiety for a time, so it is good to keep the doses low and wean on slowly.  Most good psychiatrists will give their patients Xanax or something similar to help them while the Paxil side effects are going on.  After around six weeks, most people seem to be able to wean from the Xanax once the Paxil is working.  We are all a little different.  Some people feel better right off, and others take weeks. Once you feel stabilized, it is a wonderful feeling. Take care, Liz – Hide quoted text — Show quoted text – I am looking for any advice out there, support, etc.  I have been having crippling panic attacks (all of the heart attack symptoms, feelings of intense fear that come in waves, etc.) for the past 6 weeks.  It is so scary; I don’t even know how to put it into words.  I have had an EKG, holter monitor test to rule out heart problems; my doctor said it looks like my heart is in great shape! I also had full blood scans done to rule out thyroid problems, etc. I take really good care of myself as far as exercise, diet goes, but I work in the IT business and it’s extremely stressful.  Have had a lot of changes this year also:  husband out of work for 8 months, bought a new house, bought an investment property, received a promotion and now have 8 people working under me, etc.  I really can’t jive with a lot of the corporate party line and I think that may have something to do with it, too.  I’m wondering if all the stress is finally taking its toll on me.  I’ve been feeling so bad that I feel like I’m about to throw in the towel and tell everybody to "shove it"–the long hours, the pressure, etc.–because I just can’t imagine living with these horrible panic attacks like this for any extended period of time. Xanax .5 mg totally knocks out the attacks and makes me feel "normal", but it takes a little while.  Just started Paxil today–hope it kicks in FAST!!  Anyone out there with similar background/experiences?

Response:

Food Allergies and Asthma

Question:

People eat fish fried because they like it, not because it’s the only option on the menu.

Do try it in the microwave!  Place the fish in a glass or other microwavable dish, cover with cling wrap and zap for x minutes.  Let it rest for 5 minutes, turn it over and zap for another x minutes.  x will depend on your microwave and the size of the portion.  A piece of thawed frozen salmon sufficient for my wife and I takes x=5 in our microwave. This method preserves the juices and flavour better than any cooking method we have tried.  Since there is no fat involved except the w3 rich fat of the fish itself and temperatures are always well below the trans-fatty acid transition point, this is a nutritionally excellent way to cook fish. Ted

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Thanx for the article.  "Science" is not a peer-reviewed scientific journal; it’s a popular-science magazine.  Mr. Taubes is a journalist, not a scientist–and I would still like to know the consensus of the scientific-nutrition community on this issue.  I tend to be very skeptical of how well journalists do in understanding science.

Steven, do get a hold of the book I mantioned previously "Fats that Heal, Fats that Kill" by Udo Erasmus, ISBN 0-920470-38-6. He is a scientist and the book presents a very readable but factual account of the nature of fats, our requirements and the degree to which these issues are well understood. Ted

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Colin Campbell wrote, sensibly: With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories. Steven Litvintchouk states the conventional wisdom: And too much saturated fat too. Even this commonly stated opinion is not obviously correct.  Consider this article that I have downloaded from _Science_ magazine, a publication that all technical people should subscribe to:         http://www.wsrcc.com/alison/fat/lowfatmyth.html

Thanx for the article.  "Science" is not a peer-reviewed scientific journal; it’s a popular-science magazine.  Mr. Taubes is a journalist, not a scientist–and I would still like to know the consensus of the scientific-nutrition community on this issue.  I tend to be very skeptical of how well journalists do in understanding science. Dietary science is in a shockingly poor state.  A few years ago, _Science_ ran another article about the weakness of the link between dietary sodium and high blood pressure.  

This weakness is widely known. It’s my overall impression that nearly nothing solid is known about connections between diet and health, for asthma as well as nearly any other disease.

We do know a few things.  We know the nutrient-deficiency diseases that failing to eat enough nutrients can cause:  scurvy, pellagra, kwashiorkor, and the like.  (That’s a non-issue for us Americans because we get all those nutrients.) If you eat more calories than you expend, you will gain weight. And obesity is a risk factor for a number of diseases. I think science has pretty much agreed on those. — Steven D. Litvintchouk                  

Response:

Colin Campbell wrote, sensibly: With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories.

Steven Litvintchouk states the conventional wisdom: And too much saturated fat too.

Even this commonly stated opinion is not obviously correct.  Consider this article that I have downloaded from _Science_ magazine, a publication that all technical people should subscribe to:         http://www.wsrcc.com/alison/fat/lowfatmyth.html Dietary science is in a shockingly poor state.  A few years ago, _Science_ ran another article about the weakness of the link between dietary sodium and high blood pressure.  It’s my overall impression that nearly nothing solid is known about connections between diet and health, for asthma as well as nearly any other disease. — (650) 236-2231 [daytime]        http://www.wsrcc.com/alison/ There are important differences between Milosevic and Sharon.  For example, Sharon has better hair.

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No longer is eating considered a necessary fact of life for survival. Now, eating is just another recreational experience, considered to be adequate by the authorities.  It should be much more of a concern than it is, IMHO.

Since I am a professional chef, I thought I would post my opinion here. Eating is a part of our culture, not just something we do to live.  It is one of the BEST parts of our culture. I’m American-Italian, and it is indeed a major part of my culture and why I got into the food biz in the first place. Besides the eating, there is meaning in the preparation, the passing down of recipes and techniques to the next generation, explaining why we have Pizza Rustica at Easter and Lasagne at Christmas. That being said, there is no reason why food can’t be healthy and be enjoyed. I think you would be very surprised at how many people are eating healthier than they did before. Other than special occasions, the food I prepare at home is fresh, healthy and damn good.  Why eat it if it sucks??  If you’re on Survivor maybe. The only thing that affects me healthwise is shellfish, otherwise I have no other food allergies.  I had believed for a long time that I couldn’t drink milk if I was wheezing, but this newsgroup and the doc made me see that was false. What Im saying is this.  There IS a balance between enjoying food and being healthy.  Im steroid-dependent so I make sure that what Im eating is good, most of the time calcium-rich, and healthy for me, especially since the steroids take so much out of you.  If anyone is looking for some inspiration, try Cooking Light magazine or CookingLight.com.  They are great at teaching you how to make your favorite foods without excess fat and calories. And FYI – the single most healthy food you can eat is blueberries.  Just read that in Prevention mag. Life is uncertain – eat dessert first. Nancy 8=: )

Response:

Eating is a part of our culture, not just something we do to live.  It is one of the BEST parts of our culture. I’m American-Italian, and it is indeed a major part of my culture and why I got into the food biz in the first place. Besides the eating, there is meaning in the preparation, the passing down of recipes and techniques to the next generation, explaining why we have Pizza Rustica at Easter and Lasagne at Christmas.

That is an excellent point.   That being said, there is no reason why food can’t be healthy and be enjoyed. I think you would be very surprised at how many people are eating healthier than they did before. Other than special occasions, the food I prepare at home is fresh, healthy and damn good.  Why eat it if it sucks??  If you’re on Survivor maybe.

Slowly, people are changing their eating habits.  I think it’s best to catch kids when they are young, to help them understand the importance of good food choices.  Then they can go home and tell their parents. The only thing that affects me healthwise is shellfish, otherwise I have no other food allergies.  I had believed for a long time that I couldn’t drink milk if I was wheezing, but this newsgroup and the doc made me see that was false.

We each have our own health challenges, and a good part of living a successful life has much to do with finding out how to best manage one’s own health.  There are no cures.  We continually need to manage our health, as conditions can change, and our responses to them can change. What Im saying is this.  There IS a balance between enjoying food and being healthy.  Im steroid-dependent so I make sure that what Im eating is good, most of the time calcium-rich, and healthy for me, especially since the steroids take so much out of you.  If anyone is looking for some inspiration, try Cooking Light magazine or CookingLight.com.  They are great at teaching you how to make your favorite foods without excess fat and calories.

Perfect examples.  Thanks. And FYI – the single most healthy food you can eat is blueberries.  Just read that in Prevention mag.

Unless you are allergic to blueberries. Bob

Response:

Colin Campbell wrote, sensibly: With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories. Steven Litvintchouk states the conventional wisdom: And too much saturated fat too. Even this commonly stated opinion is not obviously correct.  Consider this article that I have downloaded from _Science_ magazine, a publication that all technical people should subscribe to:         http://www.wsrcc.com/alison/fat/lowfatmyth.html Dietary science is in a shockingly poor state.

An excellent book of fats is "Fats that Heal, Fats that Kill" by Udo Erasmus, ISBN 0-920470-38-6.  A little of his politics and he does have some products but the vast majority of the book is good solid biochemistry.  BTW, just one topic he treats very well is trans-fatty acids, how they are produced and how to avoid them. Ted

Response:

Far more of us are eating fresh food today than in past centuries. That’s due to advances in refrigeration and fresh-freezing. Thanx to air travel, you can purchase fresh seafood in Boston and fly it to many other U.S. cities–still fresh. Yes, but most people eat their seafood at the Red Lobster, deep fried in trans-fatty acid-laden vegetable oil.

Red Lobster doesn’t force you to order your fish fried.  They have broiled items on the menu. Any good seafood restaurant will prepare your fish baked or broiled–just ask. People eat fish fried because they like it, not because it’s the only option on the menu. Although it would be optimum to do so, most people don’t buy their fish fresh and prepare it themselves.  

If they did, many would probably still fry it because many folks like it that way. When I was a child, my mom often bought fresh fish to prepare at home. She always fried it. Most people eat out of a box, like the Jack-in-the-Box, rather than from the produce department of their food store.

Does Jack-in-the-Box employ booted storm troopers to drag people out of their homes and make them eat there? People eat there because cooking is a chore. Most of us aren’t vegans, and we want a meat dish for our dinner as well as veggies, which means the effort of preparing more than one course. America will continue to be a country in which only a tiny minority of its citizens are actively involved in agriculture and fishing.  The rest of us depend on food technology and transport technology to get the fresh food we want. Precisely.  And this is where we as a culture have become the most challenged and vulnerable.  There are forces in the food industry to resist taking out the sugar, the fat, and the colors, the salt, etc, which might make their product less palatable, and less popular.

The only "force" operating here is supply and demand. You can cook meals that taste fresher (and more delicious) than anything that comes prepared. If you can stand to cook it. If it weren’t for the microwave oven, I (and lots of other busy folks) wouldn’t cook at home at all. I microwave nearly all the food I eat. Since most people have been told that they get all the nutrients they need in their diet, they figure, heck, Dr.Pepper is on sale, let’s get 2 cases this week. (Dr. Pepper is just an example). So from the time we are very young, the food industry does their best to sell us their great tasting products, which usually means excess sugar, salt and fat.  We like the taste, so we become accustomed to them.

I agree. The obvious answer to this, is that the schools need to do a much better job of teaching kids the facts about nutrition.  It should be part of every science course.  In addition, some general instruction to kids (either from parents and/or teachers) as to how to be skeptical about TV advertisements, would be useful. No longer is eating considered a necessary fact of life for survival. Now, eating is just another recreational experience, considered to be adequate by the authorities.  

For the wealthy, eating was always a recreational experience.  It was only the poor who had to scrounge to get enough food to survive. In today’s America, we’re affluent enough that everybody can consider it so. — Steven D. Litvintchouk                  

Response:

Far more of us are eating fresh food today than in past centuries. That’s due to advances in refrigeration and fresh-freezing. Thanx to air travel, you can purchase fresh seafood in Boston and fly it to many other U.S. cities–still fresh.

Yes, but most people eat their seafood at the Red Lobster, deep fried in trans-fatty acid-laden vegetable oil.  Although it would be optimum to do so, most people don’t buy their fish fresh and prepare it themselves.  Most people eat out of a box, like the Jack-in-the-Box, rather than from the produce department of their food store. I agree with your notion that we have it alot better today than we used to.  We used to suffer worse from nutritional deficiencies, much worse.  And the life expectancy was roughly 20 years younger than it is now. America will continue to be a country in which only a tiny minority of its citizens are actively involved in agriculture and fishing.  The rest of us depend on food technology and transport technology to get the fresh food we want.

Precisely.  And this is where we as a culture have become the most challenged and vulnerable.  There are forces in the food industry to resist taking out the sugar, the fat, and the colors, the salt, etc, which might make their product less palatable, and less popular. Since most people have been told that they get all the nutrients they need in their diet, they figure, heck, Dr.Pepper is on sale, let’s get 2 cases this week. (Dr. Pepper is just an example). So from the time we are very young, the food industry does their best to sell us their great tasting products, which usually means excess sugar, salt and fat.  We like the taste, so we become accustomed to them.   No longer is eating considered a necessary fact of life for survival. Now, eating is just another recreational experience, considered to be adequate by the authorities.  It should be much more of a concern than it is, IMHO. Bob

Response:

But it is prudent to eat food as fresh and as alive as possible, is it not?  And how many of us are doing that?

Far more of us are eating fresh food today than in past centuries. That’s due to advances in refrigeration and fresh-freezing. Thanx to air travel, you can purchase fresh seafood in Boston and fly it to many other U.S. cities–still fresh. In past centuries, city-dwellers had far more difficulty obtaining fresh meat and fresh fish (especially if the city was located inland far from the coasts). So in past centuries, the bulk of the populace were fishermen and farmers, who of course could eat their own produce. We don’t have those kinds of societies anymore. And we’re not going back to them either. America will continue to be a country in which only a tiny minority of its citizens are actively involved in agriculture and fishing.  The rest of us depend on food technology and transport technology to get the fresh food we want. — Steven D. Litvintchouk                  

Response:

    You must be referring to cattle raised for slaughter in feed lots. I much prefer range fed cattle myself, but then adequate range land is getting scarce these days. What to do? Stop eating beef? – Hide quoted text — Show quoted text – And that would include evangelistic chiropractors, stubborn medical doctors, and well-meaning folks who believe that the crap we eat in this culture even remotely resembles a natural, healthy diet. With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories. We must have different definitions of the word "healthy."  I don’t think anyone who read the piece in the NY Times Magazine section a few weeks ago about how beef cattle are raised would make that statement.  It removed any doubts I ever had about buying organic food. -S-

– Cry havoc! and let loose the dogs of war, That this foul deed shall smell above the earth. With carrion men, groaning for burial. – William Shakespeare (1564-1616), British dramatist, poet. Antony, in Julius Caesar, act 3, sc. 1.

Response:

- Hide quoted text — Show quoted text – And that would include evangelistic chiropractors, stubborn medical doctors, and well-meaning folks who believe that the crap we eat in this culture even remotely resembles a natural, healthy diet. With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories. We must have different definitions of the word "healthy."  I don’t think anyone who read the piece in the NY Times Magazine section a few weeks ago about how beef cattle are raised would make that statement.  It removed any doubts I ever had about buying organic food.

There was a recent conference on newly emerging infectious diseases.  It was stated (and most scientists agree) that organic food is particularly susceptible to pathogens (which may cause food poisoning), because it is frequently fertilized with manure, which is full of bacteria. As for how beef cattle are raised, what counts is the quality of the meat that is produced. Unless you belong to PETA, you shouldn’t care whether the cattle are tortured to death, so long as the meat is good. — Steven D. Litvintchouk                  

Response:

That’s why we have this thing called "science," which helps us sort out the real knowledge from the popularly-believed nonsense.

You are correct. This may come as a shock to the food faddists and the purveyors of dietary supplements, but nutrition is a SCIENCE.  It’s a part of medical SCIENCE.  It involves well-formed hypotheses, controlled experiments, etc.

Yes, in time and in turn,  nutritional "discoveries" will be made. Right now, vitamin A is in the news.  Who’da thunk it? By the way, there’s no such thing as a "natural" diet. Our primitive ancestors learned how to cook with fire, and how to hunt for meat.  They learned how to do agriculture, and from that, learned how to breed new strains of crops.  They learned how to milk animals.

And then man became the only animal that drinks the milk of another mammal species, into adulthood.  A good source of protein for many, but also a not-so-good choice for those who have not adapted well to it. Don’t get me wrong.  I don’t want to go back to the days of rooting grubworms and eating the lizards I can catch. But it is prudent to eat food as fresh and as alive as possible, is it not?  And how many of us are doing that? That_is_a_sensible_diet. Bob

Response:

With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories.

1.  You are what you eat. Bob

Response:

And that would include evangelistic chiropractors, stubborn medical doctors, and well-meaning folks who believe that the crap we eat in this culture even remotely resembles a natural, healthy diet. With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories.

We must have different definitions of the word "healthy."  I don’t think anyone who read the piece in the NY Times Magazine section a few weeks ago about how beef cattle are raised would make that statement.  It removed any doubts I ever had about buying organic food. -S-

Response:

And that would include evangelistic chiropractors, stubborn medical doctors, and well-meaning folks who believe that the crap we eat in this culture even remotely resembles a natural, healthy diet. With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories.

And too much saturated fat too. The Atkins diet is lower in calories, but still contains quite a bit of saturated fat.  It’s highly controversial for that reason. — Steven D. Litvintchouk                  

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The issue I’m trying to understand here is that, at least according to the previous message, some people have food allergies with symptoms mild enough that they don’t wretch every time they eat something they’re "allergic" to.  I know very little about this kind of allergy which, if I understand what you’re saying, doesn’t exist in very many people, but I’d like to know more about it.  In particular, I’d love to know if any studies exist on the subject.

I don’t know. Mainstream allergists don’t tend to believe that food allergies cause that many problems in adults. People may spend too much time obesessing over diet, but most Americans pay far too little attention to how they eat and are overweight as a result.  A little dietary obsession, if it results in an improvment in health, could be a good thing for some.

You have to start with knowledge. We have a pretty good idea what the average American diet is. Like I said, it’s high in calories and saturated fat, probably high in sodium. But as far as *nutrients* (vitamins, minerals, protein) are concerned, Americans are getting far more than enough nutrients. That’s why most physicians in America have never seen a case of nutrient-deficiency disease like scurvy or pellagra or kwashiorkor. I believe most of us have lost touch with whatever natural sense we may have had about how to eat for good health.

If we lost our "natural sense," then that happened tens of thousands of years ago, when primitive man invented hunting and agriculture and cooking with fire. Today, only animals follow their natural instincts as to what to eat. — Steven D. Litvintchouk                  

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Only food faddists and diet fanatics think that diet is the total solution to good health. Yes, and let’s take it even further.  Any group, any treatment that claims to have the total solution to good health can be thrown in with the rest of the fanatics. And that would include evangelistic chiropractors, stubborn medical doctors, and well-meaning folks who believe that the crap we eat in this culture even remotely resembles a natural, healthy diet.

That’s why we have this thing called "science," which helps us sort out the real knowledge from the popularly-believed nonsense. This may come as a shock to the food faddists and the purveyors of dietary supplements, but nutrition is a SCIENCE.  It’s a part of medical SCIENCE.  It involves well-formed hypotheses, controlled experiments, etc. By the way, there’s no such thing as a "natural" diet. Our primitive ancestors learned how to cook with fire, and how to hunt for meat.  They learned how to do agriculture, and from that, learned how to breed new strains of crops.  They learned how to milk animals. Only apes still eat raw food that grows in the wild. — Steven D. Litvintchouk                  

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Someone just told me that they stopped eating wheat, barley, etc., and had their asthma ‘disappear.’  Is this possible?  Is this common?  Is this something that one can be tested for?

Asthma never "disappears."  It needs to be actively managed to prevent the onset of acute attack symptoms. THERE ARE NO MAGIC CURES FOR ASTHMA.  It is incurable, and permanent. Didn’t you and I discuss that once before? The connection between asthma and diet is way overblown. Some folks have a true allergy to wheat, or other foods, and of course they should avoid those. Some folks have problems with certain food additives, and of course they should avoid those. But most folks aren’t in those categories. A sizable minority of folks have asthma with no allergies whatsoever. People (and the mass media) spend far too much time obsessing over diet. If you eat a balanced diet, watch your intake of saturated fats, and your physician is satisfied with what you’re eating, then you can put that issue aside and get on with the rest of your life. I have found no connection between food and my asthma symptoms to date but neither have I looked very hard.

You can consult with an allergist who is skilled in diagnosing food allergies.  But the likelihood is that will be a dead end. Only food faddists and diet fanatics think that diet is the total solution to good health.  With our modern American diet, which has virtually eliminated vitamin-deficiency disease, diet is no longer that big a deal.  Believe me. — Steven D. Litvintchouk                  

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Someone just told me that they stopped eating wheat, barley, etc., and had their asthma ‘disappear.’  Is this possible?  Is this common?  Is this something that one can be tested for? Asthma never "disappears."  It needs to be actively managed to prevent the onset of acute attack symptoms. THERE ARE NO MAGIC CURES FOR ASTHMA.  It is incurable, and permanent. Didn’t you and I discuss that once before?

Yes, but don’t get all riled up.  I put "disappear" in quotes for a reason, you know.  The message I received was sent to me privately but I don’t doubt it’s honesty of intention. The connection between asthma and diet is way overblown. Some folks have a true allergy to wheat, or other foods, and of course they should avoid those. Some folks have problems with certain food additives, and of course they should avoid those. But most folks aren’t in those categories. A sizable minority of folks have asthma with no allergies whatsoever.

The issue I’m trying to understand here is that, at least according to the previous message, some people have food allergies with symptoms mild enough that they don’t wretch every time they eat something they’re "allergic" to.  I know very little about this kind of allergy which, if I understand what you’re saying, doesn’t exist in very many people, but I’d like to know more about it.  In particular, I’d love to know if any studies exist on the subject. People (and the mass media) spend far too much time obsessing over diet. If you eat a balanced diet, watch your intake of saturated fats, and your physician is satisfied with what you’re eating, then you can put that issue aside and get on with the rest of your life.

People may spend too much time obesessing over diet, but most Americans pay far too little attention to how they eat and are overweight as a result.  A little dietary obsession, if it results in an improvment in health, could be a good thing for some. I have found no connection between food and my asthma symptoms to date but neither have I looked very hard. You can consult with an allergist who is skilled in diagnosing food allergies.  But the likelihood is that will be a dead end. Only food faddists and diet fanatics think that diet is the total solution to good health.  With our modern American diet, which has virtually eliminated vitamin-deficiency disease, diet is no longer that big a deal.  Believe me.

I believe most of us have lost touch with whatever natural sense we may have had about how to eat for good health.  Being overweight is better than being malnourished but that’s about all the good one can say about it. -S- – Hide quoted text — Show quoted text – — Steven D. Litvintchouk

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Only food faddists and diet fanatics think that diet is the total solution to good health.  

Yes, and let’s take it even further.  Any group, any treatment that claims to have the total solution to good health can be thrown in with the rest of the fanatics.   And that would include evangelistic chiropractors, stubborn medical doctors, and well-meaning folks who believe that the crap we eat in this culture even remotely resembles a natural, healthy diet. It’s truly amazing, isn’t it, that our bodies to as well as they do with the garbage that we give them to work with?  We are fortunate to be as adaptable as we are, as a species.  But are we healthy? Each generation has it’s health challenges.  For a long time, infectious disease and trauma were the leading causes of death. Thanks to the medical profession and discoveries in pharmaceuticals, much of this has been ameliorated.   However, now we have increasing numbers of people suffering from chronic, degenerative diseases.  Perhaps nutritional therapies will become more popular among the disbelievers in the times ahead. Perhaps not. Bob

Response:

And that would include evangelistic chiropractors, stubborn medical doctors, and well-meaning folks who believe that the crap we eat in this culture even remotely resembles a natural, healthy diet.

With a little bit of common sense – the ‘crap’ we eat _is_ a healthy diet.  The only common _real_ dietary problem is too many calories. — "We are fighting today for security, for progress, and for peace, not only for ourselves but for all men, not only for one generation but for all generations. We are fighting to cleanse the world of ancient evils, ancient ills." Franklin Delano Rosevelt State of the Union Address – 1942

Response:

Someone just told me that they stopped eating wheat, barley, etc., and had their asthma ‘disappear.’  Is this possible?  Is this common?  Is this something that one can be tested for?

It is possible, if the person had food allergies ONLY and eliminated all the foods that they were allergic to. I have found no connection between food and my asthma symptoms to date but neither have I looked very hard.

I have a lot of food allergies and do not eat the foods I am allergic to. It has helped my asthma, but not cured it because I am also allergic to other things. People who are allegic to ragweed, will sometimes be alleric to melons etc and there are other food/allergy connections. But except for this type of thing, you would not find foods bothering your asthma, unless you have food allergies. Sue

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if a person has allergies (food or otherwise) the added stress to body will make any other ailment worse.  wheat is said to be a very common food allergy.  my mother can’t eat it. only sure way to determine food allergies is rotation diet.

– Hide quoted text — Show quoted text – Someone just told me that they stopped eating wheat, barley, etc., and had their asthma ‘disappear.’  Is this possible?  Is this common?  Is this something that one can be tested for? I’m just curious – a friend’s child has cyliac (sp?) disease and it sounds like all the things this person did to ‘get rid’ of their asthma are the same foods my friend’s child cannot eat. I have found no connection between food and my asthma symptoms to date but neither have I looked very hard. -S-

Response:

Someone just told me that they stopped eating wheat, barley, etc., and had their asthma ‘disappear.’  Is this possible?  Is this common?  Is this something that one can be tested for? I’m just curious – a friend’s child has cyliac (sp?) disease and it sounds like all the things this person did to ‘get rid’ of their asthma are the same foods my friend’s child cannot eat. I have found no connection between food and my asthma symptoms to date but neither have I looked very hard. -S-

Response:

Warning about assuming hypoglycemia

Question:

Further to the story is that I was going to mow my lawn that afternoon, but my wife insisted that I should see the doctor.  Probably saved my life. Regarding  symptoms of a heart attack:  when they placed the stent, they temporarily have to block off the blood supply to the heart by inflating the balloon, this caused some (I’d say mild ) burning sensation from my throat down to the abdominum.  I was told by the doctor "that’s what a heart attack feels like."  I’d never have thought of that, because I’m so conditioned to seeing motion pictures showing people clutching their chest and falling over. Additionally, my regular doctor tells me that some diabetics just don’t experience any of the classic attack symptoms.

– Hide quoted text — Show quoted text – A while ago, I posted a question concerning if a BG of 90, down from a BG of 130, could be hypoglycemic. . Moral:  don’t take chances, it could be an impending heart attack. Wow!  That is scary!  And from what I’ve read, heart attacks in women can have even less symptoms than those in men. — Type 2 http://www.redshift.com/~juliebove/

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A while ago, I posted a question concerning if a BG of 90, down from a BG of 130, could be hypoglycemic. The reasonfor the question was: I was shopping and rather suddenly felt a bit dizzy and just "not quite right". Since it cleared up after eating something, it was sort of assumed that "that’s just the way it works for me, even though that level isn’t hypoglycemic." Well it turns out that I had a 75% blockage in the right coronary artery. Subsequent to the stent placement, while in the hospital my BG got all the way down to 74 with NO symptoms. Moral:  don’t take chances, it could be an impending heart attack.

or it could have simply been a rapid drop to 90.  If the BG falls quickly you can have hypo symptoms that will clear after eating.  And it is very easy to experience hypo symptoms at different levels and not have symptoms at even lower levels than those causing symptoms. hypo symptoms are different from cardiac symptoms. Derek Type 1 since 1975 Minimed 508 Insulin Pump http://sweetblood.org http://www.insulin-pumpers.org http://www.diabetesinterview.com http://www.zerolimit.net (irc server webpage for our chat room) #diabeticnet is the name of our IRC chat on zerolimit.net http://www.zerolimit.net/files/zl-mirc.exe  http://www.irchelp.org/irchelp/misc/webtv.html http://www.xs4all.nl/~ircle/  <–Ircle Mac IRC software http://www.ftc.gov/opa/2001/06/cureall.htm

Response:

A while ago, I posted a question concerning if a BG of 90, down from a BG of 130, could be hypoglycemic. The reasonfor the question was: I was shopping and rather suddenly felt a bit dizzy and just "not quite right". Since it cleared up after eating something, it was sort of assumed that "that’s just the way it works for me, even though that level isn’t hypoglycemic." Well it turns out that I had a 75% blockage in the right coronary artery. Subsequent to the stent placement, while in the hospital my BG got all the way down to 74 with NO symptoms. Moral:  don’t take chances, it could be an impending heart attack.

Wow!  That is scary!  And from what I’ve read, heart attacks in women can have even less symptoms than those in men. — Type 2 http://www.redshift.com/~juliebove/

Response:

A while ago, I posted a question concerning if a BG of 90, down from a BG of 130, could be hypoglycemic. The reasonfor the question was: I was shopping and rather suddenly felt a bit dizzy and just "not quite right". Since it cleared up after eating something, it was sort of assumed that "that’s just the way it works for me, even though that level isn’t hypoglycemic." Well it turns out that I had a 75% blockage in the right coronary artery. Subsequent to the stent placement, while in the hospital my BG got all the way down to 74 with NO symptoms. Moral:  don’t take chances, it could be an impending heart attack.

Response:

Well I thank God you , yourself didn’t take chances. I am glad you got it taken care of. Di — ~~~Strike your opponent with wisdom; stun him with patience; destroy him with charity.~~~

– Hide quoted text — Show quoted text – A while ago, I posted a question concerning if a BG of 90, down from a BG of 130, could be hypoglycemic. The reasonfor the question was: I was shopping and rather suddenly felt a bit dizzy and just "not quite right". Since it cleared up after eating something, it was sort of assumed that "that’s just the way it works for me, even though that level isn’t hypoglycemic." Well it turns out that I had a 75% blockage in the right coronary artery. Subsequent to the stent placement, while in the hospital my BG got all the way down to 74 with NO symptoms. Moral:  don’t take chances, it could be an impending heart attack.

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