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re: OT Doctors/EMTs a few questions

Posted on 1/9/22 at 8:14 am to
Posted by kisatchie53
Member since Jul 2011
1964 posts
Posted on 1/9/22 at 8:14 am to
quote:

Is this when you are taking a dump and get real lightheaded for a bit and then you are fine again?


Pushing out a shite can vagal you (lower BP) down.

quote:

Is this dangerous?


If you pass out it is
Posted by Eye dentist
Member since Oct 2013
697 posts
Posted on 1/9/22 at 8:35 am to
Same thing happened to a guy sitting next to us (4 MDs) at a restaurant 2 years ago. He slumped over in his chair, was unresponsive, and we noticed him when his buddies were pulling him out of his chair and laid him on the floor. Wasn’t choking, they said. He had a faint pulse and wasn’t passing any air from his mouth. So, heart was beating; CPR not necessary. My buddy (anesthesiologist) did a jaw thrust to rectify his occluded airway; he took a huge gasp, and started breathing on his own. His pulse got stronger, and he regained consciousness, and was fine. Evidently, they had played golf all day, he was dehydrated, started drinking, and he passed out and occluded his airway.

The jaw thrust is often used to wake people up in the OR after too much dipervan.
Posted by Jake88
Member since Apr 2005
77692 posts
Posted on 1/9/22 at 8:43 am to
That's near syncope or presyncope.
quote:

Though it may be scary to pass out while on the toilet, overstraining and pain, rather than underlying heart disease, are by far the most common reasons for fainting on the toilet according to Dr. Chris Simpson, a syncope expert and acting dean of health sciences at Queen's University.
Simpson says that he has never uncovered a potentially life-threatening, hidden condition in someone who complained of defecation syncope

Canadian news

But, I'd still mention it to my doctor.
This post was edited on 1/9/22 at 8:46 am
Posted by Warfox
B.R. Native (now in MA)
Member since Apr 2017
3743 posts
Posted on 1/9/22 at 8:59 am to
It could have been a number of things absence seizure, cardiac issue, etc.

Off the top of my head need an EEG to check for recent seizure activity, a holter monitor to monitor for cardiac arrhythmia’s, and a full suite of labs, and probably a head CT to rule out anything up there including stroke etc. oh and a tox screen.
This post was edited on 1/9/22 at 9:01 am
Posted by Ghost Hog
Earth
Member since May 2015
462 posts
Posted on 1/9/22 at 9:12 am to
I agree and me and my other friend urged him to go to the hospital but he refused.

We were at a restaurant. When he regained consciousness, the EMTs had just arrived. They asked him some questions, took some vitals and gave him a finger jab for some blood then let him go.
Posted by Jake88
Member since Apr 2005
77692 posts
Posted on 1/9/22 at 9:15 am to
What does he say today? That was not a minor event. He's lucky he got a sign that ended with him alive. Will he stupidly ignore it?
Posted by Ghost Hog
Earth
Member since May 2015
462 posts
Posted on 1/9/22 at 9:17 am to
The odds he was actually in cardiac arrest are pretty low I’d say. Also, odds someone coming over and doing chest compressions and him being brought back quickly, to where he’s talking and all that is fairly low. Sounds like he bottomed out, seizure, or simply passed out. Could be a cardiac event but him being pulseless is unlikely given your story, I obviously cannot say 100%. I’m a paramedic, the amount of people doing cpr on someone breathing and has a pulse is high

I personally agree with you. I just think the girl that took over couldn't find a pulse and therefore began chest compression. I think it's unlikely that his heart stopped and they brought him back and was just fine all of a sudden
Posted by Ghost Hog
Earth
Member since May 2015
462 posts
Posted on 1/9/22 at 9:22 am to
He text us this morning and is OK. Says he feels fine and he thinks it was a blood sugar issue. I still told him that he needs to go to the doctor today to get checked out. I think if it were just him there is a 50/50 shot he would ignore it, but we informed his brother and parents about the incident so I think that they will likely push him enough to get him to the doctor.

He doesn't realize how scary the incident was. To him he thinks he just fainted, but there was much more to it than that.
Posted by BigWillyMetry
Member since Dec 2021
1548 posts
Posted on 1/9/22 at 9:27 am to
Was this person on blood thinners by any chance? Def needs full workup, could be susceptible to clots
Posted by Jake88
Member since Apr 2005
77692 posts
Posted on 1/9/22 at 9:27 am to
He needs a Holter monitor at the very least.
Posted by Ghost Hog
Earth
Member since May 2015
462 posts
Posted on 1/9/22 at 9:30 am to
No I don't think so.
Posted by kj993
Georgia
Member since Mar 2018
529 posts
Posted on 1/9/22 at 10:13 am to
My sister (no pics) is pretty severely non-diabetic hypoglycemic and it sounds like it could have been a hypoglycemic episode. If she doesn’t eat all day, she normally gets pale, lightheaded and will pass out. Combine the fasting with alcohol (hypoglycemics aren’t supposed to drink) & that could have sent him over the edge.

I know my sister had a fasting glucose test ran when we were young, it was like a whole day event. She now carries glucose pills with her everywhere because she’s passed out driving before. Good luck to your friend and hope you find answers!
Posted by jose
Houma
Member since Feb 2009
29644 posts
Posted on 1/9/22 at 10:28 am to
Vagal response

Happened to my dad a few years back at a restaurant. Just slumped in his chair at dinner and got pale. We laid him on the floor with his legs elevated and he woke right up. They took him to the hospital and ran blood work and such and all was fine.
Posted by PillPusher
Gulf Coast
Member since Oct 2009
5920 posts
Posted on 1/9/22 at 10:31 am to
Vagal syncopy. It has happened to people drinking water driving down the road who suddenly pass out and crash.
Posted by Lithium
Member since Dec 2004
63932 posts
Posted on 1/9/22 at 10:33 am to
Well y’all seem to be experts on the Subject. Like I said I’m a JAFERD.
Just A frickin’ ER Doctor

Posted by IAmNERD
Member since May 2017
23560 posts
Posted on 1/9/22 at 10:39 am to
quote:

How long can a doctor keep a hold or restriction on his license like that if he hasn't had anymore issues?

It's probably different from state to state. But I have a good friend who has epilepsy and he had a seizure driving when he was younger. This has been 15-20 years ago too, so I'm sure things could be different and he has since lost his license for good I believe. But he had to be seizure-free for six months the first time before his doctor could clear him to reapply.

After his initial accident, he got his license back after like 18 months or so. But he had more seizures (at home, not while driving) and his Dr got his license suspended again. He was understandably pissed off but has come to realize that it was for his and others safety. He now lives at home with his aging parents and is on disability. It was wild watching the depression he went through by basically losing his freedom to go anywhere on his own. I go by and visit him every now and then and he is a shell of his former self. I hate it for the guy.
Posted by cajunangelle
Member since Oct 2012
162022 posts
Posted on 1/9/22 at 10:45 am to
Posted by Spankum
Miss-sippi
Member since Jan 2007
60321 posts
Posted on 1/9/22 at 10:46 am to
quote:

Just A frickin’ ER Doctor


All forms of plumbers, mechanics, etc. weighing in on this, Lith!
Posted by kisatchie53
Member since Jul 2011
1964 posts
Posted on 1/9/22 at 10:48 am to
quote:

Can’t rule out a cardiac event


Not sure if you were replying to me or just simply replying. I wasn’t ruling out a cardiac event, I was in a roundabout way ruling out cardiac arrest though.
Posted by Lithium
Member since Dec 2004
63932 posts
Posted on 1/9/22 at 10:55 am to
You forgot about the guys living in their parents basement and those dating an OT 4 who makes them watch greys anatomy and scrubs
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