Telehealth, gear, and my career

[Ominous]

Glad they found nothing. ( kinda) …
Hope they can figure it out

 

[TBU]

Are you still taking orals? Sorry to hear about your BP. You sound like me if I take ABOMBS at my age now. Anadrol destroys my BP. Massive headaches. Etc. can’t touch it anymore. I know you said Dbol. Ever have issues with that before?

 

[Sig516]

Nope. I believe its been to long since I’ve ran dbol, based on half life. Getting bloods now. But I work in some toxic chems. I dunno. Hows miss rona?

 

[TBU]

I’m good. Just want to shake this cough. It’s brutal. Other than that I feel pretty good. Every day is a bit better. It really is. I couldn’t imagine having this cough in my 70s or 80s. It literally hurts my chest and I get really short of breath. Wish I would cough out something. Phlegm or a part of my lung. IDK… Keep us up to date on your BP. Hope things clear up for you.

 

[Outlawthing]

Damn bro that bp is kicking I finally had to start taking bp meds at 39 first one doc gave me made me feel worse than the bp I quit taking them after about 6 months and felt like a champ for bout two weeks then my bp spiked up to 195/ 105 that I was gonna croak i literally was down for a few days till I got back on meds and took couple of weeks to come back to normal what’s yours usually run

 

[John]

Don’t apologize @NeuroRN

 

[Bigmurph6]

Your not going to die your to strong to die brother

 

[Bigmurph6]

I can’t take dbol or adrol either because my bp goes way up

 

[Bigmurph6]

Damn im glad that you are still with us brother

 

[NeuroRN]

What did the doc say this morning?

 

[Sig516]

Nothing helpful really. Waiting on bloods to get back from labs. Ct shows I’m neurologically sound, just this bp. Trying now to tease this apart and c if it’s caused by crazy bp. Or the pain causing the bp.

 

[NeuroRN]

Interesting. Typically with migraines we see both, unfortunately. That’s not helpful. I would suggest keeping a bp log. Take it every hour if you can. Especially with onset of migraine pain. Keep it written down so you can show your doctor. Would be the easiest way to determine if it’s the chicken or the egg. (Pain/BP)

 

[John]

Hey @NeuroRN do you know the uses for gabapentin? And since your in the loop, what other uses have they found for it

 

[NeuroRN]

I believe it was initially marketed as an anticonvulsant, however through the clinical trials it showed tremendous relief of nerve pain. I regularly see it used for diabetic neuropathy, restless leg syndrome, honestly all the nerve pains (sciatica, trigeminal neuralgia, peripheral nerve pain, etc) when I worked in open heart ICU we used a combo of Tylenol and Gabapentin to drastically reduce the amount of time people spent on narcotics after surgery. I believe it’s being used to treat chronic pain with a pretty high success rate. Any use in particular you are interested in?

 

[John]

The VA prescribed it to me for bad headaches

 

[NeuroRN]

Most anticonvulsants have off label use for migraines for one reason or another. Lemme check some of my clinical websites and I can try to find the mechanism of action for migraines and headaches. No promises… most of my time in neuro research has ended with - we don’t know why it does that.

 

[John]

Ha ha yeah my wife has done research to, I don’t take it anymore but the VA thinks I do

 

[NeuroRN]

Summary “ Although its exact mode of action is not known, gabapentin appears to have a unique effect on voltage‐dependent calcium ion channels at the postsynaptic dorsal horns and may, therefore, interrupt the series of events that possibly leads to the experience of a neuropathic pain sensation.“

Haha told you. The brain is beyond frustrating because we know so little about it. Basically it lowers action potential and decreases spasm in the neurons which potentially has some carry over to headaches. On “uptodate” website (where all the docs and NP’s go when they don’t know the answer, it seemed to have a 50/50 split in effectiveness of headache treatment. Made it to stage two trials for headaches but the data was statistically insignificant.

The good news: if you want to try it again it shows no interactions with any medications we know of, and it looks like antacids specifically H2 receptor blockers (Zantac, Tagamet) cause it to stay in the body longer. So if you want to try it again, you got a 50/50 shot with minimal drug interaction.

But from what I’ve seen it either works for folks or it doesn’t for headaches.

 

[NeuroRN]

@Sig516 any updates? How’s the noggin?

 

[John]

Thanks buddy, now I’m gonna go talk to my regular doc and tell him the Va prescribed my that for headaches and see what he says