For physiology studs only..

Specialties CRNA

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Allright guys. All you physiology masters pay attention. I need an explanation of what happened to me when I was in my early 20s.

DISCLAIMER: To the moderators, please don't can this thread. I am not seeking medical advice as this was a one-time occurence and I got a checkup soon after. All checked out OK. I AM NOT SEEKING MEDICAL ADVICE, just a physiological explanation.

Early 20s, better than average shape and build, but certainly not marathon runner shape (I guess as you will soon see). There is a place in Georgia called Kennesaw Mountain. It has a hiking trail up the mountain and then a paved road that circles the mountain all the way up, about 2 miles in distance. It is quite a steep road. I put on a very quality heart monitor and basically ran down the paved road as fast as I could. For 2 miles. Suprisingly it was not that hard, just put you feet in front of you. During this, I passed a car traveling down the road. No lie.

My HR peaked at 209 BPM which violates the 220 - your age formula.

Sustained HR in 180-195 range the trip down.

Afterwards for 3 days, anytime I took a more than normal, resting tidal volume breath an inspiratory wheeze developed and I had an irrestible urge to cough. Needless to say, this was worse than my nagging GF ever was.

I would assume I gave my self a stress test at that time. Never did I feel any CP or discomfort. I probably created a very large consumption / supply deficit because I was not breathing that hard (running down a hill ain't rocket science, just go with gravity) with such a high HR. But like I said, never any CP or discomfort.

Any takers on the cough and wheeze?

Nehro,

I am not get to let you get off that easily. As professionals we are obligated to use proper terms. In my practice we call procedures the correct name, such as rhinoplasty, instead of "nose job", breast augmentation, instead of "boob job", etc. An allergy is an allergy, not a dislike. Pure and simple. If you choose to be unprofessional, that is your choice, but please don't put yourself in the same category as the rest of us. Also, a true allery is not a joke.

You may think I am too hard on you, but my hands have been tied more than once in anesthesia because patients insisted that they were "allergic" to things such as oxygen, gas, pentothal, etc. When it goes on the medical record, we are placed in an untenable legal situation if we then give them life saving oxygen, for an example.

I have spent many years supporting the professional practice of nursing in legal, legislative and regulatory settings to have us brought down by people who just don't get it.

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my hands have been tied more than once in anesthesia because patients insisted that they were "allergic" to things such as oxygen

I would love to see that one.

As an aside: When I grow up, I hope I'm half the practitioner/provider you are yoga.

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Nehro,

I am not get to let you get off that easily. As professionals we are obligated to use proper terms. In my practice we call procedures the correct name, such as rhinoplasty, instead of "nose job", breast augmentation, instead of "boob job", etc. An allergy is an allergy, not a dislike. Pure and simple. If you choose to be unprofessional, that is your choice, but please don't put yourself in the same category as the rest of us. Also, a true allery is not a joke.

You may think I am too hard on you, but my hands have been tied more than once in anesthesia because patients insisted that they were "allergic" to things such as oxygen, gas, pentothal, etc. When it goes on the medical record, we are placed in an untenable legal situation if we then give them life saving oxygen, for an example.

I have spent many years supporting the professional practice of nursing in legal, legislative and regulatory settings to have us brought down by people who just don't get it.

OMG Report me to CNN and get it over with..

Have you read the original post. It's not in this thread???????

Remember your early trainging.. ASS U ME....

Get this LIDOCAINE is not listed in my allergies. OK?? Percocet is. Because it made me nauseated and caused hallucinations. I really don't want that to happen again.

If it will make you happy I'll list YOGA as an allergy so you don't have to take care of me.. How's that?

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Specializes in Anesthesia.
I know you guys are enjoying a good semantic discussion over the term "allergy", but here's another question for physiology studs:

A friend of mine bought a dozen Krispy Kreme donuts for a charitable fundraiser. He didn't want to throw them away, so he wound up eating a whole dozen donuts all by himself. He never eats junk food like that.

The very same day, his thumb swelled up to twice the size.

His thumb had never swollen up before. He had never eaten a dozen Krispy Kreme donuts in a single day before. He is a young, healthy adult male who has had recent checkups.

Coincidence? If not, explain. :idea:

Okay, here's my expert opinion.....

Your friend had a cut on his thumb, unbeknownst to him....

After eating the dozen Krispy Kremes, his blood sugar skyrocketed to >500, which caused his already lacerated thumb to become prone to infection....

Once the infection set in his already weakened immune system (from eating a diet of only healthy foods, which we all know is detrimental to your health), couldn't handle the stress.....therefore, his thumb swelled to twice it's original size....

I'm a genius!!! :w00t:

DISCLAIMER: So I don't know if the above post was supposed to be sarcastic or serious, but obviously my post was not serious.....just wanted to lighten things up!!

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.... By doing that you make all of us look._______________ you can fill in the blank.

No, by doing that we called you out on your slight of language - and of course you didn't like it.

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No, by doing that we called you out on your slight of language - and of course you didn't like it.

What you did, that you don't want to admit, was take a comment out of context and bring it into another thread where it didn't belong.

You could have PM'd me if it truely bothered you this much.

If you'll kindly go to the thread Lido Prior To IV START in this section and then on to post #31 you'll see that I put allergy in " ".. That means it wasn't meant to be taken literally.

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OMG will you please read for content. And not jump to conclusions.

And so I did. See below.

I was a surgical patient twice in that hospital and both times I told the ACU nurse I was allergic to lidocaine.

My 'allergy' to lido is that I hate it.

So am I to understand that hating something makes it an allergy? Or am I missing something here? Nevermind there is no physical reaction to the medication, no histamine release, no edema, no difficulty breathing, just hating it right?

It makes it an allergy if I say it does

The grand poopah:

The way to get around (lido) was to say I am allergic to it.

So a RN was about to give you lido for an IV stick. You told her you were allergic to it. You also say that an 'allergy' is something you hate. Nevermind the fact that there is no true allergy, but it is something you define as not liking..Then you tell people (as in your last post) that you can circumvent the whole ordeal by simply telling people you are allergic to it.

What did I miss?

I am not advocating false allegies..I don't know how you are even attempting to come to that conclusion.

See above.

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And so I did. See below.

So am I to understand that hating something makes it an allergy? Or am I missing something here? Nevermind there is no physical reaction to the medication, no histamine release, no edema, no difficulty breathing, just hating it right?

The grand poopah:

So a RN was about to give you lido for an IV stick. You told her you were allergic to it. You also say that an 'allergy' is something you hate. Nevermind the fact that there is no true allergy, but it is something you define as not liking..Then you tell people (as in your last post) that you can circumvent the whole ordeal by simply telling people you are allergic to it.

What did I miss?

See above.

Nothing in your mind...

And I do hate lidocaine. I didn't have to tell you why. I hate it because it causes anxiety. It's the chicken and the egg syndrome. I don't know which came first the fear of pain from TWO needles or the lido.. Does it make a difference?

P.S. as you like to bring things from another thread, I will tell you I am not allegic to novocaine

Lidocaine is an amide and novocaine is an ester.

But of course you knew that right?

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And I do hate lidocaine. I didn't have to tell you why. I hate it because it causes anxiety. Does it make a difference?

But it is still not an allergy.

I will tell you I am not allegic to novocaine.

Whatever you say.

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But it is still not an allergy.

Whatever you say.

I put allergy in " " do you know what that signifies.. Sorta like your JOKE about the juniors. Right??????????????

Do you understand that a Registered Nurse was gonna give me a medicine I didnt' want????????????????? I had to tell her it was an allergy in order to put some sense into her.

And again care to tell me why the RED CROSS doesn't use lidocaine for their IV sticks??????????????

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I put allergy in " " do you know what that signifies.. Sorta like your JOKE about the juniors. Right??????????????

Not really the same issue. I enjoy my classmates and the ones a year behind me. You tell people things that aren't true for the sake of convenience. So your instance is not really like the joke about junior students.

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Do you understand that a Registered Nurse was gonna give me a medicine I didnt' want?????????????????

And again care to tell me why the RED CROSS doesn't use lidocaine for their IV sticks??????????????

Call me slow to catch on as I'm from the South and all, but what I understand thus far is that your ? key is about to call it quits. He said he was tired of being pushed around. :rotfl:

I really don't have a care in the world what the Red Cross does. People go there out of a feeling of contributing to their fellow man and society. If it hurts a little, then that is something to be proud of. I know what we in anesthesia try and do, and that is to make MOST people comfortable when facing surgery. I am sorry that RN didn't listen to you. Maybe she was a moron. Who knows? A patient of mine wants no lido, fine with me. But a greater overwhelming majority of pts will say they like lido.

Maybe the ARC should take notice.

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