Got some symptoms? I will diagnose your illness

Thats is your a fucking cunt.

 

Sharp or dull. How long do they last? Is it worse after eating a meal or an especially fatty meal? Any nausea accompany the pains. Does it radiate anywhere like behind the shoulder blade?

 

The pain is bad. Occasional nausea, but not daily. It usually happens about a minute after I read something you write. I start laughing hysterically, and then fall down. I can't stop laughing, and I can't catch my breath. Sometimes I even wet myself.

Like Friday, when you wrote that a 8 year old was laughing at you for having a small penis, I laughed so hard that I hurt for hours.

Oh God...."but you can call me Danger" .....here it comes again.....
http://fugly.com/forums/viewtopic.php?p=88150&highlight=#88150

HAHAHAHHAHAHAHAHHAHHAHAHAHAH
HAHAHAHAHAHHAHHAHAHHAHAHAHHAHAHA
HAHHAHAHAAAAHAHHAHHAHHAHHAHHHAHHAHHAHHHAAH
HHAHHAHHAHA!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Oh, it hurts now. Please stop Dan. You are killing me.


Barry

 

You have gall bladder disease predisposing factors are fat, female, fertile and forty like your ugly ass wife.

 

HAHAHAHHAHAHAHAHHAHHAHAHAHAH
HAHAHAHAHAHHAHHAHAHHAHAHAHHAHAHA
HAHHAHAHAAAAHAHHAHHAHHAHHAHHHAHHAHHAHHHAAH
HHAHHAHHAHA!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Stop!!!

I........can't.........take.........much...............more ................


Barry

 

HOly Fuck man you tricked me, I thought you were serious.








oh btw, ZING!!!!

 

Your diagnosis is dyslexia.

 

Ok Dan, that was pretty good. I actually laughed.

I guess that makes the score about 23-2 my way.

Care to take a half time break? I really need to pee.

Barry

 

Seeing as how I haven't laughed at any of your jokes that makes it 2-0 my way dipshit.

 

Are you calling me or Barry Dyslexic?

 

See how you are? I offer you a peace pipe, and you beat me with it.

How do you expect to get along with your fellow professionals with manners like that?

Barry

 

I have one for you Dan. This one is real, I promise.

We had a kid today, in the lockup that appeared to have a seizure. He was outside running 96 degrees, but he only had to run two hundred yards once, then back inside.

He ran one way, and walked back. The staff started yelling at him for his lack of effort, and he started complaining of pains in his stomach first and then in his chest. The next thing you know, he is hyperventilating. He is down on the floor supine position, eyes fixed open, rigid extremities, and is panting like a dog gasping something about "not wanting to die."

After about a minute of this he just stops breathing. Eyes open and fixed. He looked dead as a doornail. Staff starts CPR, does two rescue breaths, and he starts hyperventilating again. He is non responsive to verbal commands, is clammy feeling, and never blinks.

EMS arrives after about 20 minutes. Kid still hyperventilating, eyes fixed, fingers curled like claws, etc. They take a blood pressure and pulse, start a oxygen mask with a glove on it, and transport him.


Heres the info -
14 y/o AA male. 5"9, 147 lbs. Adjudicated to program for truancy, vandalism, and ungovernable behavior.
No history of seizures reported.
6 weeks post op for appendectomy.
Cleared previous day by Doctor for physical activity.
BP 120/80, Pulse 72 according to the EMS guys.
Eyes fixed but not dilated.
Non responsive to verbal commands.
Hyperventilating for over 25 minutes.
History of physical abuse and neglect.
Refused to eat or drink for the past two days. Required to drink 32 oz of water every day. Also observed eating small amounts of snacks after lights out.


What do you think?

Barry

 

i hope he didn't bite you barry

 

Hyperventilation can cause spasm of the hands and feet "carpopedal spasm" due to blowing off all the carbon dioxide "hypocarbia" causing a reduction in the ionized calcium and phosphate levels in the blood. Hypocarbia can also cause bronchospasm of the lungs. With dehydration you would expect and a slight increase in heart rate with mild dehydration, a significant increase with moderate dehydration and a great increase with severe dehydration. Tachycardia or a heart rate that is considered abnormally elevated is 100 bpm. Bradycardia or too slow is less than 60 bpm exept in athletes in which it can be normal. Can't rule out a mild dehydration based upon the heart rate because don't know the baseline but it seems normal unless he had been running in the previous few minutes in which case you would expect it to be higher.. BP looks to be okay as it is not high or low. With heat stroke or heat exhaustion you would expect the temperature to be elevated (also with possible lingering systemic bacterial infection from surgery) . You didn't give a body temperture recording. Anemia from a slow GI bleed following surgery could be possible which could result in hyperventilation but I would also expect a rapid heart beat. It is possible that if the carbon dioxide levels got so low and the oxygen levels so high that the brain temporarily shut off the inspiratory drive until the body could use up more of the oxygen and make more carbon dioxide to stabilize the acid base chemistry. However, you wouldn't want to make that assumption and withhold oxygen or make them breathe in a paper bag ect because if it were due to something like hypoxia rather than something like panic attack you could do something like induce a myocardial infarction. Hyperventilation could also be explained by exercise induced asthma. Additionally, he could have hyperventilation syndrome http://www.emedicine.com/emerg/topic270.htm which is fairly common. That could explain the chest pain and hyperventilation as could panic attack.

A pulse oximeter would be helpful in determinging the oxygen content of the blood. A urine specific gravity test could detect dehydration. A blood sample could give the levels of electrolytes which could also be helpful in saming something about his hydration status. A complete blood count could be helpful in seeing if he is anemic due to GI bleed following the surgery and seeing if his immune system is kicked into high gear producing alot of white blood cells for fighting bacteria. The eosinophil white blood cells would be expected to be elevated if he were an asthmatic. A pulmonary function test could also be helpful in diagnosing asthma or some kind of obstructive disease. If he were suffering from an asthmatic attack you would have expected to hear wheezes when listening to his breath sounds during the attack.

Hard to say without being able to perform any tests or question the kid.

 

Also I would be interested to where you got that 32 oz of water. It is recommended that a typical 14 yr old boy recieve on average 3.2 liters of water/day which included water that he drinks and water he gets that is in his food as well as the small amount that is obained by metabolizing his food.

 

http://www.who.int/water_sanitation_health/dwq/en/nutwaterrequir.pdf


Here is a site that recommends adequate water intake levels for differnet age groups.

 

deangerous dan I HATE YOU. GO SHUV URE MEDICAL DEGREE UP YOUR LOOSE PRISON C*@K FILLED ANUS!!!!!.
L - L -L - L - LOOOOOOOSERRRRRRRR!!!!!!!!!!!!!!
IF I HAVE A PROBLEM I LET MY OWN DOCTOR CHEK ME AND MOLEST ME, DONT NEED URE FAGGOTTY EXAMINING ASS TO DO IT

 

See? That wasn't too difficult, was it?

 

Sorry but your diagnosis is retarded cocksucking homo trailer trash.

 

We had the kid isolated (non punishment) last night, and he did the same thing again. Ended up in the ER, where they had to sedate him to stop the hyperventilation.

Current diagnosis

Axis I - 300.11 Conversion Disorder

Axis II - 799.9

Axis III - R/O organic brain disorder


Interesting that you would mention a post surgery bacterial infection. I haven't heard anyone consider that yet. I'll pass it along.

Oh, and I agree with your diagnosis of Pdillo. Good call.

Barry