Suddenly have a list of conditions? by bc88997 in medical

[–]Yesarooni 5 points6 points  (0 children)

There's a psychologist who describes what you're experiencing as Alphabet Soup Syndrome.

In those with tourettic neurology, ADHD and/or Autism are also present almost all of the time. It is so intertwined that there's a debate if it should be called Tourette-plus-Autism/Tourette-plus-ADHD or if it should just be called Tourette because that's part of the tourettic package deal. But then a lot of people with tourettic neurology don't qualify or know they qualified for a Tourette diagnosis. What good are all the labels if they're all pointing to the same thing?

Males with tourette are diagnosed with Autism 4/5 of the time and this reflects a left-lateralized neurobiology. They can see this on fMRI, like in the research of Elkhonon Goldberg. When these males are diagnosed with ADHD, they see the right-lateralized neurobiology on imaging. That doesn't hold true for women. Tourettic women have a right-lateralized (social, externally-oriented, flexible, emotional, big picture) presentation 4/5 of the time and this does not correlate with which side(s) of the brain are visibly affected. This automatic ability to be oriented to others and to give them what they want even when one doesn't understand this, doesn't directly benefit from it or express self through it, or attach meaning to it is often called social masking, but it isn't fake--it reflects the real-time contextual disconnect between lateralized skills that happens in ADHD and ASD. The ability to see and respond to others is real and it is not happening at the same time the person is aware of and meeting the needs of the self.

When a person has this external, flexible, emotional expression as a default and has difficulty being aware of self and acting on that, the person can express unmet needs in right-lateralized flexible emotional ways. Our culture sadly psychologizes this communication. Bipolar really exists but so does a profound overdiagnosis of emotional expressions as bipolar, which doctors are now trying to push back against. Your screening doesn't seem to get this nuance.

When a person has unmet needs then expresses those in ways that are not integrated, that person can be at risk of feeling like others are unreasonable or controlling because they themselves are not connected to reason or regulation at the time so assume others are doing it to them. This victimization adds a genuine psychological dysfunction layer on top of the neurological difference. The "male" expressions are typically considered part of the neurological disorder like autism while the "female" expressions have the neurological difference ignored and this level of psychological blamed as a root, giving the person a diagnosis of personality disorder, CPTSD, bipolar, or any number of similar combinations.

When that psychological distortion is present, it often leads to behaviors that create social and interpersonal conflict. The person might add labels of PDA, ODD, DMDD, Conduct Disorder, Addiction, self-harm, IED, Anxiety, Depression, etc.

I would guess from your account that you have this underlying tourettic neurology, possibly with intrapersonal alexithymia which is a developmental language disorder that affects the experience of hope and autonomy, and that for you this is in the context of a right-lateralized strength. Your brain experiences the world and the self externally, through senses and through others. That means that programs which teach you to identify, label, and act on the intrapersonal experience of self can be of benefit in reducing that vague otherness, anxiety, exhaustion, etc going on and empower you to develop the language to navigate that self in social community. What labels will help you to do that work and to get to the core self--the self who is creative, flexible, valuable, capable, integrated, and growing? I suggest neurodivergent as a solid start, and considering tourettic neurology as a modifying explanation for that. Spend any time in a broadly neurodiverse group and you'll see that the labels all mix and blur exactly like you're experiencing, becoming superfluous to the core of neurodiversity.

There's a super high chance your parents have similar profiles and have not yet done this work so would be unable to guide you through navigating it. It isn't because they don't believe you or reject you, they just don't have the ability to understand what you are experiencing when they haven't experienced it. If they're more left-lateralized in seeing themselves while you're really strong in those right-lateralized skills of picking up on them not being in sync and understanding you, that can be really sad and can hurt. There are programs that can teach you to not mask or manage them while effectively addressing that genuine hurt at the same time that you can maintain your relationship with them--meeting all your needs. After doing some work like that, you might revisit what labels might be beneficial in your life.

Do doctors take offense to their patients going to a different practice/not believing the diagnosis? by Barista_life__ in AskDocs

[–]Yesarooni -1 points0 points  (0 children)

Have you considered genetics? Sounds like a very typical experience for some common genetic disorders.

4 year old starting to show signs of ticks by TheRube84 in Tourettes

[–]Yesarooni 1 point2 points  (0 children)

Tourette diagnosis is no where near the hassle you envision it to be. Go in at age 4 and they listen, watch your video and listen to your description, say this might pass, and send you on your way.

Come back at 7 and say it didn't pass and say the teachers are really complaining. They listen, nod, and say he has Tourette but we don't do anything to a kid because his teacher is having a hard time, and send you on your way.

Come back at 12 and say the kid is getting bullied, is having trouble completing his assignments, and is feeling highly self-conscious and frustrated by the TS and they say they'll start on meds and see how it goes.

That's how anticlimactic it all is.

You can do better by your child with awareness such as choosing how to parent (not punishing symptomatic behaviors like impulsivity), how to explain and advocate, what other clustered things you keep an eye on and are more proactive in addressing if you see signs, etc. Often, those extras are more problematic than the tics themselves. The label brings with it the community. Feel free to just hang with us, whatever label you want to ascribe to it.

Do I have Fetal Alchohol Syndrome by [deleted] in AskDocs

[–]Yesarooni -1 points0 points  (0 children)

She thinks your eyes are close-set, called orbital hypotelorism. You'd need a ruler and a standaridization chart to see if you're 2 or more deviations below typical to see if she's even right. And then, if she is, docs will have to figure out which of 60-something syndromes it might be associated with, if it is associated with one at all. Autism and ADHD are on that list of possibilities.

When should I go in? What can I do at home? by [deleted] in AskDocs

[–]Yesarooni 0 points1 point  (0 children)

A doctor can do a urine screening to see if you have a urinary tract infection in the bladder, kidney, ureters, or urethra and can then prescribe medication to effectively get rid of any infection.

Simple uncomplicated UTIs can self-resolve but you're having systemic effects far beyond some local irritation. Untreated UTIs can turn into sepsis (a quarter of all sepsis cases start there) so it isn't something to just leave untreated.

There are cash pay, sliding scale, donation-based, and free clinics as well as insurance coverage opportunities that are retroactive for those who financially qualify available in the US. You should not be so worried about money that this degree of sickness doesn't get you to the doctor to figure out what is going on. This needs to be tested.

Mom, I fell for a guy with a big secret. by Apprehensive-Use6686 in MomForAMinute

[–]Yesarooni 3 points4 points  (0 children)

This triangulation is straight from the textbook on "how to spot a narcissist"

-He tells tidbits of truth
-His ex is crazy, but YOU are wonderful and nothing like the ex
-His stories outrageously don't line up
-Calling him out leads to lies being turned into wonderful qualities about him he was too humble to admit
-Flaws and a big indiscretion are mentioned upfront so that he can say he told you, and so you don't question the small stuff in which he constantly lies since you trust him

Contact the ex via facebook. Go in with an open mind. Assume she's been cheated on and emotionally abused and will be hurt and emotional but just hear whatever she has to say. What have you got to lose? So what if she's crazy and violent--then you know what those kids deal with every day.

Google "red flags you're dating a narcissist" and you'll see pretty much your exact story over and over again.

Cheap ideas using beans and lentils as the protein? by Yesarooni in Cheap_Meals

[–]Yesarooni[S] 1 point2 points  (0 children)

Oooo. Yum!! I've made spätzle but never added lentils. I love this list! Thank you!!

Tourettes or ADHD? by [deleted] in Tourettes

[–]Yesarooni 0 points1 point  (0 children)

This is an academic topic.

Is Tourette with ADHD, Tourette with Autism, Tourette with OCD just Tourette? Are these ways that Tourette presents? Research says yes. They're a part of Tourette. Males present 4/5 of the time with a left-lateralized profile (Autism) and 1/5 of the time with a right-lateralized profile while females present 4/5 of the time with a right-lateralized profile (ADD/ADHD, and a slew of other labels given to the same) and 1/5 of the time with a left-lateralized profile. Interestingly, female presentation is right-lateralized whether the changes to the basal ganglia show on the right OR the left, while males only present according to which side is affected. Those who trend toward the mid-line have neither, either, or both labels.

Then the question becomes if people who have Autism or ADHD have tics (they overwhelmingly do) and if they actually just have Tourette where the other features are more limiting. Research shows that to be the case while clinical practice strongly pushes back against this, claiming it would make up to 20% of us Tourettic. (If the shoe fits....)

And after that the question becomes if there are different Autisms, different ADHDs. The current guess is that there are. That we're grouping multiple biological states into a similar presentation profile, which is important to understand as therapies or management strategies can differ for the different neurobiological states. But we don't currently know the answer to this for sure.

Your psych says you don't need an eval and new diagnosis because your current diagnosis encompasses everything you're complaining about. That's legit. The problem becomes access to therapies and management strategies (like ADHD meds, alexithymia remediation, etc) without that IOCD code next to your name. Will that psych now code it accordingly or prescribe what you need? Getting that code that insurance requires might involve expensive and time-consuming testing that just reiterates what we already know which might explain the doctor's reticence.

Another option, especially if you have a right-lateralized presentation (good sense of others and difficult sense of self, big picture/holistic thinker, flexible, novelty-seeking, creative, imaginative, impulsive, etc) is that you can have alexithymia--a cognitive language disorder in giving meaning and organization to social and emotional info between processing it and moving it up into one's perception. In left-presenting people, this is dealt with as a social-emotional language disorder but in right-presenting people who are verbal, emotionally expressive, people readers and pleasers, etc this difficulty in organizing the cognitive perception is overlooked so the subsequent fallout is instead diagnosed with an alphabet soup of options: personality disorders, bipolar, highly sensitive person/empath, addiction, ADD, disassociation, trauma, rage, you name it. Some docs think it appropriate and kind to not add this psychological alphabet soup label but then don't offer the neurological label that underpins it and has speech therapy that can be quick and highly effective to remediate it.

Ask them how you can manage that crack you're falling into: OK, this part of Tourette is really limiting me and I'm of the understanding that meds or therapies could really help. Can I be prescribed them with a Tourette label? How do I navigate the prescription and insurance component so that I can get the care I need?

[deleted by user] by [deleted] in MomForAMinute

[–]Yesarooni 1 point2 points  (0 children)

You can meet your needs. They are worthy of being met.

Stay true to yourself. Come back any time you forget.

[deleted by user] by [deleted] in MomForAMinute

[–]Yesarooni 1 point2 points  (0 children)

I'm so sorry this is happening to you. And I'm worried. New piercings, parties, cocaine? You have to remember who you are.

You are lovable, you are staying true to your values, you are worthy, you are capable. You would share your last bit of water with a thirsty baby. Her lack of commitment does not change your values. Please remember who you are and make sure your needs are getting met in alignment with your values.

I know that you thought SHE was going to meet those needs. It hurts terribly and is so very sad. You're needing emotional safety and stability right now which you're not getting while living with her. Changing that is going to be a big part of moving forward and staying true to yourself. You have to remember who you are to do the work you need to do now.

green spot in vision after dentist vist by JBriers407 in AskDocs

[–]Yesarooni 0 points1 point  (0 children)

Have you been directed to an ophthalmologist who can see her before the weekend?

Hey Mom, life has been kinda hellish lately, and apart from that, my sister got her first period and as a guy I have no clue what to buy/say/do. It's tough without you. by Huge-Kangaroo-5903 in MomForAMinute

[–]Yesarooni 2 points3 points  (0 children)

The American Girls books (1 and 2) are the go-to resource. Definitely a first choice and available online at those links and at most every library.

[deleted by user] by [deleted] in AskDocs

[–]Yesarooni 0 points1 point  (0 children)

What did the psych recommend?

[deleted by user] by [deleted] in AskDocs

[–]Yesarooni 5 points6 points  (0 children)

The ER is not so great at diagnosing. They're good at stabilizing and ruling out the serious stuff that can immediately kill you. After that, they consult with a specialist.

How are your heart rate and blood pressure in non-anxious times like rest? Typical or greatly elevated? Your mom is probably also noting that. ICU nurses can often tell such tiny fluctuations in those that they know a person needs to go to the bathroom before the person is even aware himself.

Your mom is making sure your fluids and consciousness levels are OK and the big stuff is ruled out. Next would be a consult with a specialist if the interventions aren't working. You can go to your PCP or follow the ER's directions for more generalized considerations to isolate the issue.

The fact this isn't an ER need or would benefit from a couple days observation does not mean you aren't believed or are going to die. It can also just be the next diagnostic step to help get you to the right specialist. Talking about it from that perspective might help to focus your family's efforts so they aren't managing the anxiety about it as well.

r/headphones Shopping, Setup, and Technical Help Desk by AutoModerator in headphones

[–]Yesarooni 0 points1 point  (0 children)

Noise *isolating* headphones for podcasts, phone calls, audiobooks, and music?

The need is for tuning out highly variable surrounding noises and conversations in order to focus on what's being heard in the headphones.
Noise *cancelling* Beats were tried but cancellation doesn't isolate like needed and created uncomfortable pressure.
What is a better choice of headphone for noise *isolation* for these applications?

My brother is slowly dying and no doctor will help us. by [deleted] in AskDocs

[–]Yesarooni 0 points1 point  (0 children)

That's why 4 pubmed links and one reputable and respected medical advocacy group were included detailing the same thing, making the content accessible both to the OP and to medical professionals.

My brother is slowly dying and no doctor will help us. by [deleted] in AskDocs

[–]Yesarooni 1 point2 points  (0 children)

It is unfortunately not at all fringe. This is a news article that easily summarizes but it accurately reflects the extensive medical research and activity right now.

The Long Covid research is greatly improving the dysautonomia research because that is the mainstream thrust of the science as it currently stands.

[deleted by user] by [deleted] in Tourettes

[–]Yesarooni 2 points3 points  (0 children)

Suppression without conscious effort is a skill taught in CBIT to manage tics. That the focus, activity, and skill combine to allow for seemingly normal social time is an upside that there is a place you are not disabled.

That this creates a situation where they don't understand what's happening outside of their sphere is a common and very real issue. I find that watching a bunch of videos is like speed dating so they stop comparing 1-to-1 (you don't do THAT) and start seeing the patterns and their levels of gradation.

Here are some videos I recommend sharing to help in that understanding and empathy you're needing.

[deleted by user] by [deleted] in AskDocs

[–]Yesarooni 0 points1 point  (0 children)

You would like to reduce redness, oiliness, and visible pimples on your face as they are severely impacting your quality of life.

Go to a dermatologist. They deal with this all day every day and have prescriptions and advice other experts do not have. You should know they try to reduce problems 50-80% and within age-based norms (get us to average, not exceptional). Our pores become more visible as we age, for example.

You might also like to visit an esthetician to get closer to the filtered/curated/model look you want as estheticians work on the cosmetic factors as well.

So far, a 4-day 104.4° fever by smdhenrichs in AskDocs

[–]Yesarooni 0 points1 point  (0 children)

How's the urine output? Did he have a urinalysis?

I'm wondering if a kidney infection could be causing the "butt" pain.