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Medical Forum / General / General / June 2006

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Swelling while on a cruise

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cruiser - 03 Jun 2006 09:14 GMT
When I went on a recent cruise my feet/ankles swelled up quite a bit.
I drank plenty of water, walked a lot and elevated my feet often but
it didn't seem to help.  By the end of the week it almost hurt to
walk.  What can I do to prevent this from happening again on my next
cruise?
Thanks!

Posted via medical forums at http://medical.gr77.com
Jason Johnson - 03 Jun 2006 22:57 GMT
When I went on a recent cruise my feet/ankles swelled up quite a bit.
I drank plenty of water, walked a lot and elevated my feet often but
it didn't seem to help.  By the end of the week it almost hurt to
walk.  What can I do to prevent this from happening again on my next
cruise?
Thanks!


Posted via medical forums at http://medical.gr77.com

It's my guess that you have EDEMA. It's also called:
orthostatic hypotension
postural hypotension

I am not a doctor but have done some research on edema and found out there
are several causes for it so you should ask your doctor to figure out the
cause of your case of edema. I also have edema and in my case, I believe
that it is caused by kidney problems. You may want to do a google search
on the terms mentioned above.
jason
Howard McCollister - 04 Jun 2006 03:38 GMT
> When I went on a recent cruise my feet/ankles swelled up quite a bit.
> I drank plenty of water, walked a lot and elevated my feet often but
[quoted text clipped - 8 lines]
> orthostatic hypotension
> postural hypotension

No, Jason...this is what I'm talking about.

EDEMA is in no way related to orthostatic or postural hypotension.

HMc
Jason Johnson - 04 Jun 2006 17:52 GMT
"Jason Johnson" <jason@nospam.com> wrote in message
news:jason-0306061457480001@66-52-22-63.lsan.pw-dia.impulse.net...
> In article <e5rgcs$v7$1@inews.gazeta.pl>,
> brina4short@hotmail-dot-com.no-spam.invalid (cruiser) wrote:
[quoted text clipped - 11 lines]
> orthostatic hypotension
> postural hypotension


No, Jason...this is what I'm talking about.

EDEMA is in no way related to orthostatic or postural hypotension.

HMc

Howard,
Thanks for your post. Perhaps you could explain the differences so the
poster would be able to figure out the exact cause of the swelled
feet/ankles.
Jason
Howard McCollister - 04 Jun 2006 19:06 GMT
> > In article <e5rgcs$v7$1@inews.gazeta.pl>,
> > brina4short@hotmail-dot-com.no-spam.invalid (cruiser) wrote:
[quoted text clipped - 23 lines]
> feet/ankles.
> Jason

It could be anything, Jason. Not near enough information for a doctor (let
alone a usenet hobbyist) to even make a responsible guess as to the cause of
feet and ankle swelling in this particluar person. Age of patient,
male/female, congestive heart failure, cardiac history, salt intake,
menstrual cycle, venous insufficiency, surgical history, pitting vs
non-pitting edema, claudication symptoms, parasite exposure - jeez, it's a
long list. The OP is just plain NOT going to "figure out the exact cause of
the swelled feet/ankles" over the internet.

Let me carp on this again--just because someone asks a question on usenet
does not mandate an answer, and to just "take a stab at it" with a totally
inadequate history and physical and an inadequate fund of knowledge is
misleading and potentially dangerous. The ability to use Google is not the
equivalent of  medical training. I grant you that medicine is not as
difficult as previous generations of physicians have tried to make it
appear, but I am certain that it is more complicated than you apparently
think it is. As a case in point, I refer to your statement that EDEMA is
also called orthostatic or postural hypotension. I'm still wiping coffee off
my computer monitor...

The OP is just not going to get his/her question answered accurately here on
Usenet, even if Sir William Osler himself were to log on. In the meantime,
here's some advice from Woodrow Wilson:

"Best to remain silent and thought a fool, than to speak and remove all
doubt"....

HMc
Jason Johnson - 04 Jun 2006 19:39 GMT
"Jason Johnson" <jason@nospam.com> wrote in message
news:jason-0406060952580001@66-52-22-95.lsan.pw-dia.impulse.net...
> In article <44824726$0$74474$bb4e3ad8@newscene.com>, "Howard McCollister"
> <nospam@nospam.net> wrote:
[quoted text clipped - 28 lines]
> feet/ankles.
> Jason

It could be anything, Jason. Not near enough information for a doctor (let
alone a usenet hobbyist) to even make a responsible guess as to the cause of
feet and ankle swelling in this particluar person. Age of patient,
male/female, congestive heart failure, cardiac history, salt intake,
menstrual cycle, venous insufficiency, surgical history, pitting vs
non-pitting edema, claudication symptoms, parasite exposure - jeez, it's a
long list. The OP is just plain NOT going to "figure out the exact cause of
the swelled feet/ankles" over the internet.

Let me carp on this again--just because someone asks a question on usenet
does not mandate an answer, and to just "take a stab at it" with a totally
inadequate history and physical and an inadequate fund of knowledge is
misleading and potentially dangerous. The ability to use Google is not the
equivalent of  medical training. I grant you that medicine is not as
difficult as previous generations of physicians have tried to make it
appear, but I am certain that it is more complicated than you apparently
think it is. As a case in point, I refer to your statement that EDEMA is
also called orthostatic or postural hypotension. I'm still wiping coffee off
my computer monitor...

The OP is just not going to get his/her question answered accurately here on
Usenet, even if Sir William Osler himself were to log on. In the meantime,
here's some advice from Woodrow Wilson:

"Best to remain silent and thought a fool, than to speak and remove all
doubt"....

HMc

HMc,
I noticed that you clipped the part of my post where I suggested that the
poster visit their doctor to figure out the cause of the edema. Other
posters use that same trick to make their points--I was shocked when I
noted that you done the same thing. I did refer the poster to a doctor. A
doctor recently told me that I should not waste my time finding out about
my medical problems on the internet but instead depend upon him to answer
my questions. Would you agree with that doctor? I see nothing wrong with
people finding out as much information as possible about their medical
problems on the internet and from books.
Jason
Pete - 04 Jun 2006 20:55 GMT
>> In article <44824726$0$74474$bb4e3ad8@newscene.com>, "Howard
>> McCollister" <nospam@nospam.net> wrote:
[quoted text clipped - 72 lines]
> and from books.
> Jason

My, my...here we go again.  Let me repeat what I have said in the past many
times in different medical ng's.  There is nothing wrong with doing research
on the Internet and/or using library books, etc.  However, one has to be
very careful of what he is reading on the Internet and be intelligent enough
to distinguish what is credible and what is non credible, and also not to
make snap judgments based on insufficient information, or not to
misinterpret something they read and think that is something else, etc, etc.

The Internet can be an invaluable tool, but it can also be a double edged
sword, if not used properly.  Sorry Jason, but Howard is basically right
about this, like I have said before.

Pete
Jason Johnson - 04 Jun 2006 21:28 GMT
Jason Johnson wrote:
> In article <448320c9$0$74441$bb4e3ad8@newscene.com>, "Howard
> McCollister" <nospam@nospam.net> wrote:
[quoted text clipped - 75 lines]
> and from books.
> Jason

My, my...here we go again.  Let me repeat what I have said in the past many
times in different medical ng's.  There is nothing wrong with doing research
on the Internet and/or using library books, etc.  However, one has to be
very careful of what he is reading on the Internet and be intelligent enough
to distinguish what is credible and what is non credible, and also not to
make snap judgments based on insufficient information, or not to
misinterpret something they read and think that is something else, etc, etc.

The Internet can be an invaluable tool, but it can also be a double edged
sword, if not used properly.  Sorry Jason, but Howard is basically right
about this, like I have said before.

Pete

Pete,
Yes, I agree that that the Internet can be an invaluable tool, but it can
also be a double edge sword. Howard was correct about many of the things
that he stated in his post. He failed to mention in his post that I
referred the poster to their doctor.
Jason
Howard McCollister - 05 Jun 2006 05:15 GMT
> HMc,
> I noticed that you clipped the part of my post where I suggested that the
[quoted text clipped - 7 lines]
> problems on the internet and from books.
> Jason

Gimme a break, your advice to see a doctor in no way excuses your stupid
(and very wrong) answer. It is NOT alright for you to give stupid advice,
render a stupid opinion, and then try to cover up any potential errors by
saying "oh, and by the way...see your doctor".

No, I think patients should seek as much information about their disease as
possible from qualified and accurate sources, including some areas of  the
internet. The point I'm trying make is that YOU ARE NOT ONE OF THOSE
SOURCES.......despite your desperate efforts. Educated patients are
valuable, and sadly rare. I applaud your efforts to learn about your
disease, but educating yourself about your own disease is different that
trying to educate other usenet poster about theirs. The fact that you don't
see the difference makes me suspect that you have a screw loose, Jason.

The ENTIRE reason I post here at all is because there is so much bad advice,
LIKE YOU, on the internet.

HMc
cruiser - 05 Jun 2006 17:22 GMT
:?  I'm sorry if I started a problem with my post.  I thought I had a
simple question and was hoping to get input, that's it.  If I thought
it was something serious I would consult my doctor before I consulted
a forum online.  

My swelling was an isolated incident that only happened a couple of
days into my cruise and went away when I returned home.  I figured it
was something like salt intake, climate, etc and just wanted to know
if anyone had any suggestions as to how I could avoid this problem on
my next cruise.

Thank you anyway

Posted via medical forums at http://medical.gr77.com
marcia - 05 Jun 2006 17:39 GMT
> :?  I'm sorry if I started a problem with my post.  I thought I had a
> simple question and was hoping to get input, that's it.  If I thought
[quoted text clipped - 10 lines]
>
> Posted via medical forums at http://medical.gr77.com

Cruiser, you didn't start a problem. What you witnessed is a
long-standing interaction between two posters over giving medical
advice, and would (does) occur elsewhere, if not here. You're not
responsible for it, so don't take that on yourself.

I think the valuable information you can glean from this thread is that
there's simply no way for anyone on the internet, including a doctor,
to tell you why your ankles swelled on the cruise. Next time you see
your own doctor, discuss it with him/her because he/she knows your
medical history and would be in the best position to give you some
ideas about what might have caused it, and what you might possibly do
to avoid it in the future (if anything).

It was a good question, just not one anyone here can answer.
Jason Johnson - 05 Jun 2006 18:31 GMT
cruiser wrote:
> :?  I'm sorry if I started a problem with my post.  I thought I had a
> simple question and was hoping to get input, that's it.  If I thought
[quoted text clipped - 10 lines]
>
> Posted via medical forums at http://medical.gr77.com


Cruiser, you didn't start a problem. What you witnessed is a
long-standing interaction between two posters over giving medical
advice, and would (does) occur elsewhere, if not here. You're not
responsible for it, so don't take that on yourself.

I think the valuable information you can glean from this thread is that
there's simply no way for anyone on the internet, including a doctor,
to tell you why your ankles swelled on the cruise. Next time you see
your own doctor, discuss it with him/her because he/she knows your
medical history and would be in the best position to give you some
ideas about what might have caused it, and what you might possibly do
to avoid it in the future (if anything).

It was a good question, just not one anyone here can answer.

Marcia,
Excellent post. You explained the "interaction" very well--much better
than I could have done. Keep up the great work.
Jason
bae@cs.toronto.no-uce.edu - 05 Jun 2006 22:37 GMT
> Cruiser, you didn't start a problem. What you witnessed is a
> long-standing interaction between two posters over giving medical
[quoted text clipped - 15 lines]
>than I could have done. Keep up the great work.
>Jason

Jason, imagine that you are in an unfamiliar city, and can't find an
address you urgently need to get to.  You ask someone on the street
for advice.

Which result would you prefer:

(1) The person gives you detailed instructions that turn out to be so
wrong that you end up much farther away from your destination than when
you started.

(2) The person says "I'm sorry, I don't know where that is. You'll have
to find a map or someone who does know."
Jason Johnson - 05 Jun 2006 23:18 GMT
In article <jason-0506061031020001@66-52-22-47.lsan.pw-dia.impulse.net>,
Jason Johnson <jason@nospam.com> wrote:
>In article <1149525584.092885.301820@h76g2000cwa.googlegroups.com>,
>"marcia" <design1@insight.rr.com> wrote:
[quoted text clipped - 18 lines]
>than I could have done. Keep up the great work.
>Jason

Jason, imagine that you are in an unfamiliar city, and can't find an
address you urgently need to get to.  You ask someone on the street
for advice.

Which result would you prefer:

(1) The person gives you detailed instructions that turn out to be so
wrong that you end up much farther away from your destination than when
you started.

(2) The person says "I'm sorry, I don't know where that is. You'll have
to find a map or someone who does know."

I would choose number 2--that's why I told the poster to go to their
doctor to find out the cause of the edema.
bae@cs.toronto.no-uce.edu - 06 Jun 2006 02:06 GMT
> Jason, imagine that you are in an unfamiliar city, and can't find an
> address you urgently need to get to.  You ask someone on the street
[quoted text clipped - 11 lines]
>I would choose number 2--that's why I told the poster to go to their
>doctor to find out the cause of the edema.

No, what you did was more like (1) followed by "or you could look at a map."
Bad advice is *worse* than no advice.
Jason Johnson - 06 Jun 2006 04:56 GMT
In article <jason-0506061518330001@66-52-22-87.lsan.pw-dia.impulse.net>,
Jason Johnson <jason@nospam.com> wrote:
>In article <2006Jun5.173704.22948@jarvis.cs.toronto.edu>,
>bae@cs.toronto.no-uce.edu wrote:
[quoted text clipped - 14 lines]
>I would choose number 2--that's why I told the poster to go to their
>doctor to find out the cause of the edema.

No, what you did was more like (1) followed by "or you could look at a map."
Bad advice is *worse* than no advice.

I answered your question so please answer my question. In the majority of
your newsgroup posts, do you try to help people or do you criticize
posters?
I feel sorry for people that visit newsgroup just to criticize posters.
I have lots of respect for the members of newsgroups that try to help
people even if they sometimes make mistakes.
Jason
sandrac - 06 Jun 2006 10:14 GMT
>In the majority of
> your newsgroup posts, do you try to help people or do you criticize
> posters?

Jason,

It seems important to rehash the point that, though some people may be
routinely critical of you, it is solely to help those seeking advice
from suffering from the bad and misleading advice you may give them.
Therefore, this poster is trying to help people by criticizing your
posts.  Your case is much more serious than bad street directions...
you're putting a person's health at risk.  Please be careful, even
though you are essentially trying to help you could very easily hurt
someone by leading them astray.

> I answered your question so please answer my question. In the majority of
> your newsgroup posts, do you try to help people or do you criticize
[quoted text clipped - 3 lines]
> people even if they sometimes make mistakes.
> Jason
bae@cs.toronto.no-uce.edu - 06 Jun 2006 13:10 GMT
> In article <jason-0506061518330001@66-52-22-87.lsan.pw-dia.impulse.net>,
> Jason Johnson <jason@nospam.com> wrote:
[quoted text clipped - 23 lines]
>your newsgroup posts, do you try to help people or do you criticize
>posters?

I try to help people, just as I'm trying to help you understand why
so many knowledgable people object to your efforts to do so.

Bad advice, even if motivated by a sincere desire to help someone,
is *worse* than no advice.

>I feel sorry for people that visit newsgroup just to criticize posters.

I'm trying to explain things to you, to help you and advise you.  This
is not criticism.

>I have lots of respect for the members of newsgroups that try to help
>people even if they sometimes make mistakes.

If you keep track of who posts what, you should have plenty of respect
for the people who you say are criticizing you, and take their good advice.
Jason Johnson - 06 Jun 2006 17:42 GMT
In article <jason-0506062056280001@66-52-22-66.lsan.pw-dia.impulse.net>,
Jason Johnson <jason@nospam.com> wrote:
>In article <2006Jun5.210604.28073@jarvis.cs.toronto.edu>,
>bae@cs.toronto.no-uce.edu wrote:
[quoted text clipped - 24 lines]
>your newsgroup posts, do you try to help people or do you criticize
>posters?

I try to help people, just as I'm trying to help you understand why
so many knowledgable people object to your efforts to do so.

Bad advice, even if motivated by a sincere desire to help someone,
is *worse* than no advice.

>I feel sorry for people that visit newsgroup just to criticize posters.
I'm trying to explain things to you, to help you and advise you.  This
is not criticism.

>I have lots of respect for the members of newsgroups that try to help
>people even if they sometimes make mistakes.

If you keep track of who posts what, you should have plenty of respect
for the people who you say are criticizing you, and take their good advice.

If you honestly believe that I am the only person that makes mistakes, i
advise you to do a google search on these terms:
malpractice
medical malpractice
Over the years, I have read newspaper stories related to doctors that have
done some really terrible things such as cutting off the wrong limbs and
prescribing the wrong sorts of medications that had a similar name. One of
my co-workers developed minor chest pains and the boss had his wife pick
him up and take him directly to see his doctor. The doctor did a quick
check (about 10 minutes or less as per his wife) and told him that it was
heartburn. About one week later, my friend had a massive heart attack and
died before the ambulance arrived.  
His wife filed a malpractice lawsuit but is not allowed to tell us how
much money that she received from the doctor's malpractice insurance
company. Doctors make serious mistakes that cause people to die or to be
disabled on a regular basis--that's why the malpractice insurance rates
keep going higher and higher and higher. In every large city, there are
lawyers that specialize in filing malpractice lawsuits against doctors
that cause their patients to die or to become disabled. One of the local
surgeons had so many malpractice lawsuits that he now works in the local
prison since it means he no longer has to have malpractice insurance. If
you want to criticize people, criticize doctors that cause their patients
to die or to become disabled.
Jason
Howard McCollister - 06 Jun 2006 18:09 GMT
> If you honestly believe that I am the only person that makes mistakes, i
> advise you to do a google search on these terms:
[quoted text clipped - 19 lines]
> you want to criticize people, criticize doctors that cause their patients
> to die or to become disabled.

How does that fact that doctors make mistakes make it OK for you to post bad
information and advice here on this newsgroup?

HMc
Pete - 06 Jun 2006 22:13 GMT
> In article
> <jason-0506062056280001@66-52-22-66.lsan.pw-dia.impulse.net>, Jason
[quoted text clipped - 76 lines]
> disabled.
> Jason

Jason...I have tried to help you in the BPH group, and I told you in this ng
that your intentions were good (but misplaced) , but now I clearly see that
you have a problem.

I don't know what else to say right now other than to say you should try to
cut back on some of your medical advice, and try to just present your
personal experiences, but not try to diagnose people, or give them any
medical advice.  Naturally it is okay to say "I recommend you see a doctor"
(which you have done), because that is harmless in itself.  But to go beyond
that (like you have done in the past), is not a good thing to do, and could
be harmful.

I still think your heart is in the right place, but I think you need to
re-evaluate what everyone is trying to tell you.  I am not trying to
criticize you or be a "net cop" as you call it.  I am trying to help.  Take
care :-) ...Pete
Jason Johnson - 06 Jun 2006 23:23 GMT
Jason Johnson wrote:
> In article <2006Jun6.081022.17303@jarvis.cs.toronto.edu>,
> bae@cs.toronto.no-uce.edu wrote:
[quoted text clipped - 79 lines]
> disabled.
> Jason

Jason...I have tried to help you in the BPH group, and I told you in this ng
that your intentions were good (but misplaced) , but now I clearly see that
you have a problem.

I don't know what else to say right now other than to say you should try to
cut back on some of your medical advice, and try to just present your
personal experiences, but not try to diagnose people, or give them any
medical advice.  Naturally it is okay to say "I recommend you see a doctor"
(which you have done), because that is harmless in itself.  But to go beyond
that (like you have done in the past), is not a good thing to do, and could
be harmful.

I still think your heart is in the right place, but I think you need to
re-evaluate what everyone is trying to tell you.  I am not trying to
criticize you or be a "net cop" as you call it.  I am trying to help.  Take
care :-) ...Pete

Pete,
Thanks for your post. Your advice makes sense. I have cut back on my posts
related to providing advice. I don't believe that you are a net cop. I
only call people net cops when I notice that they NEVER use their medical
knowledge to provide advice and help but instead use their medical
knowledge to attack people that do provide advice and help. I have noticed
that you do use your medical knowledge to provide advice and help so
therefore I don't consider you a net cop. Keep up the great work. I only
wish that you and everyone else would also remind other people that
provide bad advice or information to stop it. I saw a post several days
ago where someone stated that there was no disorder that was called
"Iron-Deficiency Anemia" and none of posters reminded him that there was
such a disorder. I see posts in medical related newsgroups on a regular
basis that have incorrect information. I hope that you also start
reminding those people to stop posting incorrect information in their
posts.
Jason
Jason
Robert CLS, MT(ASCP) - 05 Jun 2006 20:12 GMT
> :?  I'm sorry if I started a problem with my post.  I thought I had a
> simple question and was hoping to get input, that's it.  If I thought
> it was something serious I would consult my doctor before I consulted
> a forum online.

We are one big family here all taking a cruise together. LOL.

> My swelling was an isolated incident that only happened a couple of
> days into my cruise and went away when I returned home.

As Marcia stated you provide no medical history or even age. If it was
an isolated incident then how did you know about elevation, salt, and
drinking plenty of water?
Was this one ankle or both? Was it general edema or only lower
extremity? Are you taking blood pessure medication or any medication at
all? Any trauma during the trip?

 I figured it
> was something like salt intake, climate, etc and just wanted to know
> if anyone had any suggestions as to how I could avoid this problem on
> my next cruise.

That would depend on the cause if one can be found. When was the last
time you had a complete physical and everything was alright?

> Thank you anyway
>
> Posted via medical forums at http://medical.gr77.com
cruiser - 07 Jun 2006 03:49 GMT
> Robert CLS, MT(ASCP)wrote:
>
> My swelling was an isolated incident that only happened a couple of
> days into my cruise and went away when I returned home.

As Marcia stated you provide no medical history or even age. If it
was
an isolated incident then how did you know about elevation, salt, and
drinking plenty of water?

Posted via medical forums at
http://medical.gr77.com[/quote:db2a27f01b][/quote:db2a27f01b]

Because it's common knowledge.  I'm not a dumb person I was just a
person with a simple question that obviously led to a bunch of
testosterone enhanced bickering.   The only information I gained by
posting my question here was that I shouldn't use this board again.
Thanks!

Posted via medical forums at http://medical.gr77.com
Robert CLS, MT(ASCP) - 07 Jun 2006 07:58 GMT
> > Robert CLS, MT(ASCP)wrote:
> >
[quoted text clipped - 14 lines]
> posting my question here was that I shouldn't use this board again.
> Thanks!

Sorry about that. Let me bring back your original post here and comment
on it.

When I went on a recent cruise my feet/ankles swelled up quite a bit.
I drank plenty of water, walked a lot and elevated my feet often but
it didn't seem to help.  By the end of the week it almost hurt to
walk.  What can I do to prevent this from happening again on my next
cruise?
Thanks!

I am not picking on you here only trying to get more information that
you didn't want to give. If somebody has edema (water in the ankles),
and drinks plenty of water, where's the water going to go? It seems as
though you might have a problem dealing with a water load. If you had
difficulty breathing or coughing that might indicate water in your
lungs also. The most serious things that need to be looked at are
heart, liver, and kidney.

What can you do to prevent this from happening again? See a doctor and
have it checked out.

> Posted via medical forums at http://medical.gr77.com
 
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