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Periodic panic attacks and kidney failure - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3269 Questions
User :   Hi, My best friend has not been well for a couple of years now. She was cutting at the age of 15 and taking overdoses for years now and now she is 20 and in and out of mental hospitals. All im seeing is her going in and out and in and out, the doctors let her go like its nothing and shes fine, when she is not fine. The other night a incident happened where she had overdosed and had woken up from sleeping and was vomiting and seeing things and screaming and an ambulance was called and now she is in hospital and she says she cant remember anything and is swearing and throwing things at the doctor and her mum. They think both her kidneys are going to fail because of the amount of time she had overdosed and what is really horrible is that in XXXbecause she is over 18 they will not tell her mum anything because she doesn't want them to. She is SICK, she doesn't know who she is and they are listening to her. She could die and they wont do anything because of XXX Help?                    
Doctor :   Hi
Doctor :   I am Dr. XXX here
Doctor :   Let me read your query
User :   Hi..ok thanks
Doctor :   Ok
Doctor :   I can understand
User :   what is there to do?
Doctor :   But what is the condition she is having as of now
Doctor :   Has it been diagnosed?
User :   they dont know, she is hearing voices,seeing people who are not there. No. They put her in a mental hospital and let her out like nothing has happened. Every time she overdoses they let her back out again and she does it again..
Doctor :   Ok
Doctor :   Has she be put on medications on regular basis?
User :   and now both of her kidneys might fail because they dont do anything
User :   Yes and it does nothing, I think its making her worse
Doctor :   Ok
Doctor :   She is having panic attacks i.e.psychiatric emergencies again and again
Doctor :   for that she does need the help of a Psychiatrist
User :   she has been to many psychiatrists
User :   and nothing
Doctor :   Ok
Doctor :   What are the medications she is on as of now?
User :   1 sec
Doctor :   ok
Doctor :   Are you with me?
User :   Yes
Doctor :   ok
User :   Im not sure what medication at the moment I have to ask someone else. But i know she has to get a needle once a week and someone comes to her house and if she refuses to take it they must take her hospital...
Doctor :   Ok
User :   thats was a new option because she stoped taking her medication
Doctor :   Can you get the discharge summary of her previous hospital visits?
User :   not really..she doesnt want anyone going to the hospital, even her mum, doctors wont let us go there or tell us anything, they are listening to her and she is to sick to be listened to
Doctor :   Ok
Doctor :   It is a difficult situation to handle
Doctor :   Is she open to a consultation with us?
User :   do you know of any medical home in XXX
Doctor :   over phone?
User :   who? her parents or her
Doctor :   Her
Doctor :   the patient I mean
User :   she is in hospital, she wont speak with anyone
Doctor :   Ok
Doctor :   Who is the closest attendant?
User :   mother
Doctor :   Ok
Doctor :   Even she can be a helpful source
Doctor :   to get into the details of her condition
User :   she went to see her on monday and she went crazy at her and was throwing things are her..she doesnt even know what to do anymore and the doctors only give her more medication and nothing is helping
Doctor :   Like the discharge summary, medications shall be required for us
Doctor :   to help you
Doctor :   Or a detailed description of her symptoms right from childhood, either by mail/phone, you can consult our Psychiatrist
Doctor :   with that info
Doctor :   so that he shall be able to guide you
User :   does he have an email that maybe i can give to her mother and maybe she can contact him tommorow?
User :   or a phone number
Doctor :   Yes, I shall give you the necessary link
Doctor :   XXX/ XXX/ XXX
User :   thank you
Doctor :   Is there any thing else I can help you with?
User :   no, so i just send him an email and he will get back to me?
User :   is he in XXX?
Doctor :   Yes, he is a qualified and certified Psychiatrist
Doctor :   He shall be able to help you
Doctor :   with the information available
User :   do you have any suggestions with what i have told you so far?
Doctor :   Yes, the parents should speak to the doctor
Doctor :   about her condition
Doctor :   in her absence
Doctor :   because her behaviour if not informed to others
Doctor :   can harm herself as well as others
Doctor :   so for betterment, they can disclose her details I believe
User :   yes i know, they do speak to the doctors but the doctors are not saying anything because the patient is saying dont say anything
Doctor :   Yes, but enquire further
Doctor :   as it shall be harmful to all
User :   the patient is in no condition to suggest anything as she is sick
Doctor :   if not informed
Doctor :   a psychiatric patient cannot take care of oneself
User :   why are the doctors listening to her?
Doctor :   shall need an attendant
Doctor :   I really wonder why is that, I am from India
User :   they are thinking of putting her in a home so she is looked after 24/7
User :   oh ok
Doctor :   Yes, that is a good idea again
Doctor :   but there are better options
User :   but what good is that if her kidneys fail
Doctor :   first being knowing her condition
User :   what other options?
Doctor :   It is difficult to interpret about her kidneys
Doctor :   with the details you have provided
Doctor :   First it is better to treat her
Doctor :   in psychiatric terms
User :   she has taken over 50 pills and has overdosed over the years
User :   that is why they sed her kidneys might fail
Doctor :   Yes, I got that
User :   yeah
Doctor :   but the extent of renal damage cannot be commented upon
Doctor :   Any further queries?
User :   ok well i cannot get in contact with her sister who knows the medication she is taking. is it possible to find out and get back to you as you know the situation?
Doctor :   Sure
User :   i dont want to explain myself to another doctor
Doctor :   You can mail me at XXX
Doctor :   Also I do recommend you to consult our specialist
Doctor :   for better guidance and outcome
User :   Ok no worries, thanks for your help, I will email you when I find out what medication she is on, thanks
Doctor :   Sure
User :   thanks
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.

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