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Link Posted: 3/3/2019 8:51:36 PM EST
[#1]
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Quoted:
Same-same.  Crepitus is a description of what you see/hear/feel.  Subcutaneous emphysema is what the air under the skin is called--a diagnosis.  For example: The physical finding of crepitus is often observed in the case of subcutaneous emphysema.
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Similar to subcutaneous emphysema?
Same-same.  Crepitus is a description of what you see/hear/feel.  Subcutaneous emphysema is what the air under the skin is called--a diagnosis.  For example: The physical finding of crepitus is often observed in the case of subcutaneous emphysema.
I'd only heard crepitus only used in reference to closed fractures.  Thanks for the info!

ETA corrected smiley face
Link Posted: 3/3/2019 8:52:51 PM EST
[#2]
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This.  Being in a relationship with someone with BPD is an emotional minefield that you will be lucky to survive with your life, much less your sanity.
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Imagine being a kid with a BP mom.
Link Posted: 3/3/2019 8:57:01 PM EST
[#3]
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I think if we thought about it, especially we old-timers, we all have been there in one form or another.
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Most definitely. Mental illness of some sorts affects what, 1 in 5 individuals?

My ex has bipolar with psychotic features and a delusional disorder.  Talking about a nightmare.
Link Posted: 3/3/2019 8:59:10 PM EST
[#4]
Tag
Link Posted: 3/3/2019 8:59:30 PM EST
[#5]
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I'd only heard crepitus only used in reference to closed fractures.  Thanks for the info!

ETA corrected smiley face
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And you are quite correct.  The “snap,crackle, and pop” finding of crepitus is often felt and heard in the case of closed fractures.
Link Posted: 3/3/2019 9:01:13 PM EST
[#6]
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Most definitely. Mental illness of some sorts affects what, 1 in 5 individuals?

My ex has bipolar with psychotic features and a delusional disorder.  Talking about a nightmare.
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I bet she’s well known to the local ER and I bet she could give us a earful about how docs neglect and don’t believe her.  Yes?
Link Posted: 3/3/2019 9:03:31 PM EST
[#7]
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I bet she’s well known to the local ER and I bet she could give us a earful about how docs neglect and don’t believe her.  Yes?
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Reading stuff like this is a reminder of why I'm hesitant to disclose my PD and bipolar type II diagnosis on intake paperwork.
Link Posted: 3/3/2019 9:08:26 PM EST
[#8]
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Imagine being a kid with a BP mom.
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Been there. It was so much fun I married one too. Not a boring day in my life.
Link Posted: 3/3/2019 9:08:35 PM EST
[#9]
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I bet she’s well known to the local ER and I bet she could give us a earful about how docs neglect and don’t believe her.  Yes?
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Quoted:

Most definitely. Mental illness of some sorts affects what, 1 in 5 individuals?

My ex has bipolar with psychotic features and a delusional disorder.  Talking about a nightmare.
I bet she’s well known to the local ER and I bet she could give us a earful about how docs neglect and don’t believe her.  Yes?
No, she refused to seek treatment. Had to seek an involuntary commitment.  It was ugly.  She still denies any mental health issues.
Link Posted: 3/3/2019 9:10:18 PM EST
[#10]
A bunch of (mostly) PhDs trying to define 'normal' in THEIR terms.
So many of them are already off the curve they can barekly finction among a larger crowd.

It takes a differnet drive to get a PhD.
I have one.
In Electric al Engineering.
And like every other Engineer we are 'different.'

The far side of the MD declaring the newly born child "An Engineer" and parents being forsaken is not all that far off.

We are strange and we damn well know it.

There are more lawyers, MBAs, and MDs than Engineers.
Especially ifg you look at Professional Engineers.
Those of us with an actual State License.

Note that MDs kill patients one at a time.
An Engineering failure gets a lot of victims all at once.
Link Posted: 3/3/2019 9:10:33 PM EST
[#11]
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Quoted:
Most definitely. Mental illness of some sorts affects what, 1 in 5 individuals?

My ex has bipolar with psychotic features and a delusional disorder.  Talking about a nightmare.
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Quoted:
Quoted:

I think if we thought about it, especially we old-timers, we all have been there in one form or another.
Most definitely. Mental illness of some sorts affects what, 1 in 5 individuals?

My ex has bipolar with psychotic features and a delusional disorder.  Talking about a nightmare.
I feel your pain. I was told by the last marriage counselor my ex and I went to, to look up Sociopath.

It fit her perfectly

Profile of the Sociopath
Glibness and Superficial Charm.
Manipulative and Conning. They never recognize the rights of others and see their self-serving behaviors as permissible. ...
Grandiose Sense of Self. ...
Pathological Lying. ...
Lack of Remorse, Shame or Guilt. ...
Shallow Emotions. ...
Incapacity for Love.
Need for Stimulation.
Link Posted: 3/3/2019 9:11:08 PM EST
[#12]
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Reading stuff like this is a reminder of why I'm hesitant to disclose my PD and bipolar type II diagnosis on intake paperwork.
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Certainly people are perfectly functional with the diagnosis, especially if treated. The very fact that you both recognize the diagnosis and recognize the issues that come with it puts you head and shoulders ahead of your peers.

Certainly you recognize the fact that certain disorders do come with obvious negative behavior patterns, yes?
Link Posted: 3/3/2019 9:19:25 PM EST
[#13]
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Quoted:

Certainly people are perfectly functional with the diagnosis, especially if treated. The very fact that you both recognize the diagnosis and recognize the issues that come with it puts you head and shoulders ahead of your peers.

Certainly you recognize the fact that certain disorders do come with obvious negative behavior patterns, yes?
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Sure, but it can lead to generalizations that can affect treatment.
Link Posted: 3/3/2019 9:29:05 PM EST
[#14]
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This.  Being in a relationship with someone with BPD is an emotional minefield that you will be lucky to survive with your life, much less your sanity.

Edit: I know it sound like I’m speaking hyperbole, but I’m being dead serious.  They are toxic monsters that once you see behind their mask, their defense is to destroy you in every way.  There’s no bottom to their abuse and no limit to their sadistic control.  They can justify any behavior, even outright murder, and claim they are the victims.  They can also go from a raging monster to a charming waif, to being physically violent, back to rage, then to crying on the floor about how abusive YOU are, then on to coming on to you sexually then raging, all in the space of ten minutes to ten days. This is usually followed up by what would pass as normal behavior until you bring it up and try to reconcile the behavior or you ‘screw up’ and put the forks in the dishwasher tines down and then the cycle starts all over again.
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When a girl mentions she has BPD, or exhibits any if the signs... Run. The. Fuck. Away.

They cannot be fixed.  BPD destroys everything in it's vicinity.

Thanks for the reminder, OP.  Seriously.
This.  Being in a relationship with someone with BPD is an emotional minefield that you will be lucky to survive with your life, much less your sanity.

Edit: I know it sound like I’m speaking hyperbole, but I’m being dead serious.  They are toxic monsters that once you see behind their mask, their defense is to destroy you in every way.  There’s no bottom to their abuse and no limit to their sadistic control.  They can justify any behavior, even outright murder, and claim they are the victims.  They can also go from a raging monster to a charming waif, to being physically violent, back to rage, then to crying on the floor about how abusive YOU are, then on to coming on to you sexually then raging, all in the space of ten minutes to ten days. This is usually followed up by what would pass as normal behavior until you bring it up and try to reconcile the behavior or you ‘screw up’ and put the forks in the dishwasher tines down and then the cycle starts all over again.
Jesus Christ dude, you described my marrige.  I could fill up the entirety of arfcom's servers with my stories, but lets just say that I barely survived.  I quite literally, in the truest sense of the phrase, made it out alive.  I have the scars to prove it, both physical and emotional.

Those who have been through it, know.  Those who haven't, take heed.
Link Posted: 3/3/2019 9:38:35 PM EST
[#15]
Thanks for posting OP
Link Posted: 3/3/2019 9:38:37 PM EST
[#16]
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Quoted:
A bunch of (mostly) PhDs trying to define 'normal' in THEIR terms.
So many of them are already off the curve they can barekly finction among a larger crowd.

It takes a differnet drive to get a PhD.
I have one.
In Electric al Engineering.
And like every other Engineer we are 'different.'

The far side of the MD declaring the newly born child "An Engineer" and parents being forsaken is not all that far off.

We are strange and we damn well know it.

There are more lawyers, MBAs, and MDs than Engineers.
Especially ifg you look at Professional Engineers.
Those of us with an actual State License.

Note that MDs kill patients one at a time.
An Engineering failure gets a lot of victims all at once.
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I'm not quite sure what that has to do with this thread, but thank you for your persnicketiness I guess
Link Posted: 3/3/2019 9:41:47 PM EST
[#17]
I had a friend who was a little off when we were young by his 30 ‘s his swings were severe. He was diagnosed as bi polar, he took meds  for a while that actually made him more or less normal.  Got married had a business, etc.  he decided ine day he didn’t want to take his meds anymore “the made him fat”. Lost his business, wife, and half his retirement.  I had to break ties with him as his bullshit was spilling into my life.  12 years later (this past year) I initiated contact, I miss the friend I used to know.  That man is gone.  He has developed a gambling problem and was defrauding his church’s poor fund.  He looks like a bum that lives under a bridge....they had to shave his head there were so many knots in his hair he hadn’t washed or brushed it for so long.  He threatened suicide (veiled threat so you can’t baker act him).  This is all within the two weeks I made contact and subsequently cut him out of my life forever.  He is a cancer.  It is truly a shame our society decided to close the nut houses where people like hime could get help.  Sorry for the long post, I guess it is more of a vent.  I really wish we could make more headway with treatment of mental illness.
Link Posted: 3/3/2019 9:54:39 PM EST
[#18]
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Jesus Christ dude, you described my marrige.  I could fill up the entirety of arfcom's servers with my stories, but lets just say that I barely survived.  I quite literally, in the truest sense of the phrase, made it out alive.  I have the scars to prove it, both physical and emotional.

Those who have been through it, know.  Those who haven't, take heed.
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Yep. I’ll bet you can now spot them from a mile away too.
Link Posted: 3/3/2019 9:58:40 PM EST
[#19]
Link Posted: 3/3/2019 10:00:56 PM EST
[#20]
Bpd has destroyed a life I worked so hard to build, my children 3 and 6 can’t understand why we aren’t a family anymore, it’s been two years and I haven’t even gone on a single date. They will give you the highest highs you have ever experienced and the absolute lowest lows, I truly loved my ex at the time but had to except her version of love was not love at all.
Link Posted: 3/3/2019 10:01:41 PM EST
[#21]
I have had close, daily experience with both an NPD and a BPD for an extended period in my life.  It has altered what my life could have been had they never been in it.  Mental illness is a bitch.
Link Posted: 3/3/2019 10:05:59 PM EST
[#22]
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+1

That thread was fascinating
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I only posted the PD that seemed Germaine to the thread in question
Link Posted: 3/3/2019 10:13:10 PM EST
[#23]
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Bpd has destroyed a life I worked so hard to build, my children 3 and 6 can’t understand why we aren’t a family anymore, it’s been two years and I haven’t even gone on a single date. They will give you the highest highs you have ever experienced and the absolute lowest lows, I truly loved my ex at the time but had to except her version of love was not love at all.
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In a sense, I almost feel bad for those with BPD.  They'll never know what a baseline "normal" is, short of a lobotomy.

My ex went so far to get help that she volunteered for electronic conclusive therapy.  Yes, they still do that.  No, it wasnt effective.  What sort of mental illness is so powerful that even shocking your brain repeatedly wont work?  BPD.  It's pure fucking evil.
Link Posted: 3/3/2019 10:24:05 PM EST
[#24]
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Bpd has destroyed a life I worked so hard to build, my children 3 and 6 can’t understand why we aren’t a family anymore, it’s been two years and I haven’t even gone on a single date. They will give you the highest highs you have ever experienced and the absolute lowest lows, I truly loved my ex at the time but had to except her version of love was not love at all.
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They are incapable of loving others.  Their internal hatred for themselves doesn’t allow it.
Link Posted: 3/3/2019 10:27:13 PM EST
[#25]
Don't think I've ever met anyone with BPD, or at least knew it. Maybe I'm just lucky?

Hopefully it'll stay that way because it sounds pretty terrible.
Link Posted: 3/3/2019 10:30:17 PM EST
[#26]
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In a sense, I almost feel bad for those with BPD.  They'll never know what a baseline "normal" is, short of a lobotomy.

My ex went so far to get help that she volunteered for electronic conclusive therapy.  Yes, they still do that.  No, it wasnt effective.  What sort of mental illness is so powerful that even shocking your brain repeatedly wont work?  BPD.  It's pure fucking evil.
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Convulsive?

Conclusive electric therapy sounds so...final.
Link Posted: 3/3/2019 10:36:34 PM EST
[#27]
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They didn't add "crepitus."  Crepitus is a "popcorn" sensation (best I can describe it) under the skin and a cracking/popping sound in the lungs or over a joint. When it comes to skin or subcutaneous crepitus, the cause quite often is entrained air under the skin.  I did an exam on a guy once, with chief complaint of low back pain, who had been seen by many other doctors and ER for the same.  As I did the physical exam, I noticed that the skin of his left upper arm was "crackly" like crunching down on Styrofoam or plastic bubble wrap.  Extend the exam down and I find where he was shooting up. Seems that, if he couldn't get a vein, he'd just inject whatever was in the syringe, air and all, sub-Q.  This created a buildup of air under the skin of his upper arm that crackled under palpitation.   When confronted with this, the patient left AMA--if you define "AMA" as pushing past the doc, knocking down the nurse, pushing over the Mayo stand, and running out of the facility.
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The Steve Miller Band did a song called "Gangster of Love".  He sings about the "crepitus of love."  It was a wild time to be alive.

Edit: Or maybe it was "pompatus".  IDK.
Link Posted: 3/4/2019 12:39:04 AM EST
[#28]
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In a sense, I almost feel bad for those with BPD.  They'll never know what a baseline "normal" is, short of a lobotomy.

My ex went so far to get help that she volunteered for electronic conclusive therapy.  Yes, they still do that.  No, it wasnt effective.  What sort of mental illness is so powerful that even shocking your brain repeatedly wont work?  BPD.  It's pure fucking evil.
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Yeah, once you understand the psychology of a BPD and how severely warped they are, it might be easy to feel bad for them.  Of course they exploit this emotion and use it to stab you repeatedly.

Feel as sorry for them as you would a child molester.
Link Posted: 3/4/2019 12:46:47 AM EST
[#29]
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Don't think I've ever met anyone with BPD, or at least knew it. Maybe I'm just lucky?

Hopefully it'll stay that way because it sounds pretty terrible.
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Count yourself lucky, but more than likely you aren’t carrying emotional damage from childhood. BPD’s love to hook up with people as damaged as they are. It’s like the attraction of two powerful magnets.

If you do find yourself in a relationship with a BPD, odds are you have some issues to work on.  Blaming them is easy.  Taking a look in the mirror is hard. Get out of the relationship, get professional help, be honest with yourself, work diligently through your own issues and if you are lucky you will only have one BPD relationship in your life.
Link Posted: 3/4/2019 12:56:28 AM EST
[#30]
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Also consider the whole argument about being ignored and not worked up for the primary complaint and then, when asked how she knew that the fall caused her injury, she said that a pain expert read her MRI and said it was caused by the fall. Well, if she was being ignored, then where did the MRI and Pain expert come from to validate the injury?  It is a befuddlement.
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I found this part of that thread interesting.

I use the words "drop" and "fall" interchangeably, yes. She had me get up and I fell, but I say "dropped" sometimes because it was her responsibility to move me safely and she didn't do that.
Also consider the whole argument about being ignored and not worked up for the primary complaint and then, when asked how she knew that the fall caused her injury, she said that a pain expert read her MRI and said it was caused by the fall. Well, if she was being ignored, then where did the MRI and Pain expert come from to validate the injury?  It is a befuddlement.
Along with the apparent physical manifestations from the incident without any apparent work up.  If someone presents to the ER with a legit nonfunctional limb, that will initiate all sorts of objective exams toot sweet.  Someone presents with a nonfunctional leg, with neurological and musculoskeletal deficiencies they are getting MRI, CT, MRA, etc in short order.  Granted, I am a podiatrist, but that is medicine 101.  We all know to order tests when that is the initial presentation.

I know she said all doctors are incompetent, but even my non-MD ass would be ordering a battery of tests.
Link Posted: 3/4/2019 1:02:17 AM EST
[#31]
She also took a particularly defensive attitude towards @Navydoc1 without knowing his specialty,  and assumed he didn’t know a damn thing.  Knowing his background and double board status, he is literally one of the best people on this site to ascertain her mental status as well as give an opinion with regards to her mental status.   Just saying... he knows his stuff with regards to pain patients.
Link Posted: 3/4/2019 1:19:09 AM EST
[#32]
And Incase anyone doesn’t know@ ISED8U is an anesthesiologist, hence why he couldn’t believe what she was saying about any and all post op procedure.  Literally, anyone having a colonoscopy or endoscopy stays on the same bed the entire time.  There are 2 transfers, before the procedure when the patient is completely coherent, and they change their clothes, and after the procedure when the nurse asks them to sit in a wheelchair.  There is at no point, at any US hospital, where a single, unattended nurse, will ask you to walk to another bed.  It just doesn’t happen.  The possible consequence is millions of dollars.  It just doesn’t happen.

I’ve been on the other side of a malpractice lawsuit for those that think we protect our own.  My grandfather had open heart surgery and coded multiple times on the table.  As mad as my family was, he only had a 20% chance of survival prior to the operation.  He died, yet here I am, a doctor (podiatrist) defending other doctors because stuff happens.  If you want to gripe about medical malpractice and the statistics regarding medical treatment it’s easy, don’t seek medical treatment and see what happens.

Someone said in a different thread that their goal was to never see a surgeon.  That’s my goal as well, but I’m damned sure glad that they exist if I need them, because what is the alternative?
Link Posted: 3/4/2019 1:22:56 AM EST
[#33]
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I saw the title, then OP, immediately knew why.
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+1
Link Posted: 3/4/2019 1:23:16 AM EST
[#34]
Also, not doxing, but Navydoc1 is a badass pain management specialist also board certified in anesthesiology.  So please, don’t assume that the docs of arfcom are tarded.
Link Posted: 3/4/2019 1:42:40 AM EST
[#35]
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She also took a particularly defensive attitude towards @Navydoc1 without knowing his specialty,  and assumed he didn’t know a damn thing.  Knowing his background and double board status, he is literally one of the best people on this site to ascertain her mental status as well as give an opinion with regards to her mental status.   Just saying... he knows his stuff with regards to pain patients.
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I don’t know his expertise but I found it interesting watching him walk her down the path.
Link Posted: 3/4/2019 2:17:37 AM EST
[#36]
Hey Doc what’s the disorder where you are miserably depressed when waking up but are perfectly fine like 10-15minutes after and the rest of the day
Link Posted: 3/4/2019 2:25:58 AM EST
[#37]
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+1

That thread was fascinating
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I saw the title, then OP, immediately knew why.
+1

That thread was fascinating
What thread?? Have a link? Now, I’m curious.
Link Posted: 3/4/2019 2:44:55 AM EST
[#38]
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Quoted:

I only posted the PD that seemed Germaine to the thread in question
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In my med school psych rotation, I recall one of the psych attendings saying, "If you look on tomorrow's schedule and see a particular patient and say, 'Oh crap, there goes my day', and every single person in the clinic says the same thing, there's a good chance that person has a Cluster B personality disorder, BPD until proven otherwise."

It was sage advice.
Link Posted: 3/4/2019 3:18:19 AM EST
[#39]
Interesting stuff, Doc.  I always enjoy your posts.
Link Posted: 3/4/2019 3:26:36 AM EST
[#40]
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What thread?? Have a link? Now, I’m curious.
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Quoted:
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I saw the title, then OP, immediately knew why.
+1

That thread was fascinating
What thread?? Have a link? Now, I’m curious.
Yeah.... link?
Link Posted: 3/4/2019 8:12:42 AM EST
[#41]
Here's something else for you gentlemen to ponder:

WADDELL's SIGNS
 Purpose
Waddell's signs were developed to identify psychogenic, or nonorganic, manifestations of pain in patients that may have heightened emotional effects on their conditions. In order for these signs to be significantly correlated with disability, three of the five signs should be present, Waddell et al. in 1980.4  They have been also associated with detecting malingering in patients with complaints of lower back pain.

Technique
1. Superficial and Widespread tenderness or Nonanatomic tenderness. (Skin discomfort on light palpation or tenderness crossing over non-anatomical boundaries)
2. Stimulation tests: Axial loading and Pain on simulated rotation. (eliciting pain when pressing down on the top of the patient’s head or rotating the shoulders and pelvis together should not be painful)
3. Distracted straight leg raise. (if a patient complains of pain on straight leg raise, but not if the examiner extends the knee with the patient seated at another time during the initial evaluation)

4. Non-anatomic sensory changes: Regional sensory changes and Regional weakness.(sensory loss in an entire extremity or side of the body or weakness that is nonconsistent and jerky, ie "cogwheeling")
5. Overreaction. (Exaggerated painful response to a stimulus, that is not reproduced when the same stimulus is given later)
If there are more than 3 of 5 present then there is high probability that patient has non-organic pain.
Evidence  
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https://www.physio-pedia.com/Waddells_Sign
Link Posted: 3/4/2019 8:24:25 AM EST
[#42]
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https://i.imgur.com/Iu9aeyQ.gif

In my med school psych rotation, I recall one of the psych attendings saying, "If you look on tomorrow's schedule and see a particular patient and say, 'Oh crap, there goes my day', and every single person in the clinic says the same thing, there's a good chance that person has a Cluster B personality disorder, BPD until proven otherwise."

It was sage advice.
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When I was telling my doc the details of my relationship, he shook his head knowingly and muttered, “Cluster B’s are a Cluster F.”

In a weird way I’m glad I married a BPD.  I was carrying a ton of emotional baggage from my childhood that was really screwing up my life.  I had a couple of kids and when I saw their behaviors mimicking mine and my wife’s I loved them too much to allow the cycle to repeat.  I humbled myself, talked to people that I knew would tell me the hard truth and started the long journey of dealing with my past. I sought out professional help, changed my thoughts and behaviors, and at 39 I began to love myself for the first time.

When I suggested to my BPD wife that she too could get help and make a change in her own life, she began a relentless and systematic destruction of everything I love in life.  I tried to stick it out and kept trying to get her to professional help and it seemed to work occasionally, until the therapist asked me to come in too.  When I would tell my side of the story, my wife would have a meltdown and start screaming at the threapist. This happened several times.

We are separating at the end of the month.  I’m getting a 50/50 custody of the kids. She never misses an opportunity to degrade me in front of the kids.  Luckily they are old enough to see what she is doing. She doesn’t even realize she is slowly destroying her relationship with them. But destroying relationships is what BPD’s do best. And it will always be someone else’s fault.
Link Posted: 3/4/2019 8:25:50 AM EST
[#43]
I think my sister has some type of personality disorder.

Either that or just an extremely short fuse. She treats her husband like an asshole for no apparent reason. The other night she took offense to something he said (it wasn't an insult), put on her coat and demanded he drive her home. We were right in the middle o something and couldn't so doing the adult thing shed decided to start walking in the cold.

Poor guy, I'll probably sympathize with him when they split up.
Link Posted: 3/4/2019 8:32:22 AM EST
[#44]
Try being married to a woman who was raised by an NPD mother and she was starting to exhibit the signs herself.
Link Posted: 3/4/2019 8:33:56 AM EST
[#45]
Link Posted: 3/4/2019 8:34:00 AM EST
[#46]
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I think my sister has some type of personality disorder.

Either that or just an extremely short fuse. She treats her husband like an asshole for no apparent reason. The other night she took offense to something he said (it wasn't an insult), put on her coat and demanded he drive her home. We were right in the middle o something and couldn't so doing the adult thing shed decided to start walking in the cold.

Poor guy, I'll probably sympathize with him when they split up.
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Um...I’m not a professional, but if this kind of behavior is common for her, then:
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Link Posted: 3/4/2019 8:41:16 AM EST
[#47]
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Um...I’m not a professional, but if this kind of behavior is common for her, then:
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I think my sister has some type of personality disorder.

Either that or just an extremely short fuse. She treats her husband like an asshole for no apparent reason. The other night she took offense to something he said (it wasn't an insult), put on her coat and demanded he drive her home. We were right in the middle o something and couldn't so doing the adult thing shed decided to start walking in the cold.

Poor guy, I'll probably sympathize with him when they split up.
Um...I’m not a professional, but if this kind of behavior is common for her, then:
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I think it's a bit genetic actually, from my dad's side.

I'm glad it seems to have missed me. Maybe once a year I throw a wrench after smashing my knuckles, but if my wife somehow managed to piss me off in public I wouldn't make a scene of it and then try to walk home like an angsty teenager.
Link Posted: 3/4/2019 8:42:57 AM EST
[#48]
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Hey Doc what’s the disorder where you are miserably depressed when waking up but are perfectly fine like 10-15minutes after and the rest of the day
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Hungover.
Link Posted: 3/4/2019 8:43:06 AM EST
[#49]
And of course, there is good old Munchausen

What are the symptoms of factitious disorder imposed on self (Munchausen syndrome)?
People with this syndrome deliberately produce or exaggerate symptoms in several ways. They might lie about or fake symptoms, hurt themselves to bring on symptoms, or alter diagnostic tests (such as contaminating a urine sample). Possible warning signs of Munchausen syndrome include the following:

Dramatic but inconsistent medical history
Unclear symptoms that are not controllable and that become more severe or change once treatment has begun
Predictable relapses following improvement in the condition
Extensive knowledge of hospitals and/or medical terminology, as well as the textbook descriptions of illnesses
Presence of multiple surgical scars
Appearance of new or additional symptoms following negative test results
Presence of symptoms only when the patient is alone or not being observed (e.g. seizures or passing out)
Willingness or eagerness to have medical tests, operations, or other procedures
History of seeking treatment at numerous hospitals, clinics, and doctors' offices, possibly even in different cities
Reluctance by the patient to allow health care professionals to meet with or talk to family, friends, or prior health care providers
Problems with identity and self-esteem
More comfortable being in the hospital than you might think
Medical knowledge may be quite extensive from many hospitalizations or prior work  
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The Munchausen's by proxy are the really sad cases though: (You saw an example of it in the movie "The Sixth Sense" where the mom incrementally poisoned the daughter's soup to get sympathy/attention.)

  What are the symptoms of factitious disorder imposed on another?
Certain characteristics are common in a person with FDIA:

Often is a parent, usually a mother, but can be the adult child of an elderly patient, spouse or caretaker of a disabled adult
Might be a health care professional
Is very friendly and cooperative with the health care providers
Appears quite concerned (some might seem overly concerned) about the child or designated patient
Might also suffer from factitious disorder imposed on self (This is a related disorder in which the caregiver repeatedly acts as if he or she has a physical or mental illness when he or she has caused the symptoms.)
Other possible warning signs of FDIA in children include the following:

The child has a history of many hospitalizations, often with a strange set of symptoms.
Worsening of the child's symptoms generally is reported by the mother and is not witnessed by the hospital staff.
The child's reported condition and symptoms do not agree with the results of diagnostic tests.
There might be more than one unusual illness or death of children in the family.
The child's condition improves in the hospital, but symptoms recur when the child returns home.
Blood in lab samples might not match the blood of the child.
There might be signs of chemicals in the child's blood, stool, or urine.
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Link Posted: 3/4/2019 8:45:57 AM EST
[#50]
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Reading stuff like this is a reminder of why I'm hesitant to disclose my PD and bipolar type II diagnosis on intake paperwork.
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I bet she’s well known to the local ER and I bet she could give us a earful about how docs neglect and don’t believe her.  Yes?
Reading stuff like this is a reminder of why I'm hesitant to disclose my PD and bipolar type II diagnosis on intake paperwork.
No shit. Pretty sad to see this crap posted by a medical professional.

Do you think we choose to have crippling personality disorders? do you think I enjoy having the emotional stability of a fucking toddler at times? I wouldn't wish living with BPD on my worst enemy. There's a reason so many of us commit suicide.
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