ADH + CRH = ACTH (see vasopression and cortisol regulation)
ACTH = cortisol
low ADH or low CRH leads to low cortisol
CRH essential for crisis response-death of Ccentral adrenal insufficieny during crisis.
ADH coregulates daily secretion of cortisol? coregulation proven but details uncertain.
High (Na)= low ADH. Low (Na)= high ADH
Florinef= High (Na), low ADH
supplement with florinef and cortisol= low ACTH, low CRH, low ADH.
Stop cortisol. higher CRH, but High (Na) due to florinef leaves low ADH.
thus low ACTH and low cortisol. expect lots of irregularity in cortisol secretion, spikes and valleys. BP variations from 120/90 to 70/40 from AM to PM. Delerium and lack of peripheral circulation in PM.
Stop florinef, (Na) drops, ADH spikes, cortisol spikes. symptoms go away.
every visit i have made to europe makes me wonder about those folks. they drink very little compared to us and seem to make less trips to the potty. how do they stay hydrated?
i wonder what the daily urine output of somebody with CFS is?
Saturday, August 02, 2008
well if she had only...
well if she had only...
-wore her seat belt
-hadn't been drinking
-had work a helmet
-had been more careful about car maintenance
-he was really overweight and didnt work out
It's a shame but...
-he had a mental problem
-They were "those" sort of people, you can't expect much more out of them
-he was really white trash
-he had it coming
-you know how (fill in your favorite racial slur) are
All Fs feel empathy. All humans actually have some inkling. However when we see another in pain we often build defense barriers to allow us to dismiss thier pain. It is almost second nature and hapens by default.
Two ways:
1) they deserved thier pain/death or some how caused it
2) they are not part of our "tribe" thus thier suffering is irrelevant.
God bless the USA, but we forgot about the rest of the world. or those folks on the east side of towm. or the black people or the mexican immigrants.
Oh a guy got hit and killed, sad but he was just an illegal... they are everywhere nowdays.
Another I have seen medical professionals guilty of:
When they cannot solve the problem or cannot find data to support the symptoms in test results, then there is not a problem. Ignoring the fact that they have limited biomarkers available and an exceptionally poor understanding of pharmacogenomics and individual varients of complex disorders.
How do they avoid having to feel empathy?
-she has a mental problem
-she's neurotic
-she's seeking attention
-it's psychosomatic (which has been redefined as of late funnily enough)
-it's all in thier head
-they are lazy and looking for attention
-everything becomes depression (gushing blood? your just depressed. eyeball pop out? depression.)
There are several "syndromes" where the docs really have poor answers yet are willing to apply all of the above answers -CFS, fibromyalgia, IBS, yet many docs are profoundly dismissive.
Of course all these folks are just seeking attention. All 10 million. Lots o' lonely folks in the world who propebely deserve it eh?
And they tell themselves when they walk in the room to allow themselves not to feel guilt and pain that they cannot fix the problem.
-wore her seat belt
-hadn't been drinking
-had work a helmet
-had been more careful about car maintenance
-he was really overweight and didnt work out
It's a shame but...
-he had a mental problem
-They were "those" sort of people, you can't expect much more out of them
-he was really white trash
-he had it coming
-you know how (fill in your favorite racial slur) are
All Fs feel empathy. All humans actually have some inkling. However when we see another in pain we often build defense barriers to allow us to dismiss thier pain. It is almost second nature and hapens by default.
Two ways:
1) they deserved thier pain/death or some how caused it
2) they are not part of our "tribe" thus thier suffering is irrelevant.
God bless the USA, but we forgot about the rest of the world. or those folks on the east side of towm. or the black people or the mexican immigrants.
Oh a guy got hit and killed, sad but he was just an illegal... they are everywhere nowdays.
Another I have seen medical professionals guilty of:
When they cannot solve the problem or cannot find data to support the symptoms in test results, then there is not a problem. Ignoring the fact that they have limited biomarkers available and an exceptionally poor understanding of pharmacogenomics and individual varients of complex disorders.
How do they avoid having to feel empathy?
-she has a mental problem
-she's neurotic
-she's seeking attention
-it's psychosomatic (which has been redefined as of late funnily enough)
-it's all in thier head
-they are lazy and looking for attention
-everything becomes depression (gushing blood? your just depressed. eyeball pop out? depression.)
There are several "syndromes" where the docs really have poor answers yet are willing to apply all of the above answers -CFS, fibromyalgia, IBS, yet many docs are profoundly dismissive.
Of course all these folks are just seeking attention. All 10 million. Lots o' lonely folks in the world who propebely deserve it eh?
And they tell themselves when they walk in the room to allow themselves not to feel guilt and pain that they cannot fix the problem.
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