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Suggest Treatment For Chronic Fatigue

Posted on Mon, 11 Jul 2016

Question: Dr. Naval Mendiratta, I should get my gene testing results on Tuesday, May 31st when I go to the hospital for group therapy. You mentioned that medicine can help with 60% of the problem. I"m not sure what that means but I know this: I'm getting 0% help from medicine since I've had this problem. I can't do this by myself. I need that 60% help. I became a grandpa last week but I don't feel well enough to go see him. As you know this never lets up. My children don't completely understand but I can't help that. XXXXXXX

Answered by Dr. Naval Mendiratta (31 hours later)

Brief Answer:
Chronic Fatigue

Detailed Answer:
Good evening XXXXXXX

Hey congrats...That s a good news...

But dont do that...GO meet your grandkid...Hit the fatigue with it...The kid will bring you a new XXXXXXX ...

We are close with the results...SO at least we will know, what medicine suits you according to the psychiatrist...Although I am still unaware of it, will read up on more details once we have the results. I would suggest you relax for now till we have the results and go meet your grandkid. I understand noone understands the trouble you are going through, but somewhere we have to beat it...One way or the other

Await your results

Regards
Dr Naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (32 hours later)

Dr. Mendiratta, your suggestion of going to see my grandson is valid but sometimes there is no one available to pick me up and take me there. I am temporarily living in a group home and I have no car. It is very in convenient at the moment after driving for almost 50 years. I have sent my daughter and son in law steaks through the mail as a gift for their first baby. One thing that I've never mentioned is that a neurologist prescribed midodrine for my light- headedness and dizziness two years ago. I feel this way when I walk. This has not been effective. I'm thinking that it has to do with my fatigue problem. My blood pressure is ok. What do you think about this? XXXXXXX

Answered by Dr. Naval Mendiratta (2 days later)

Brief Answer:
Gene Testing

Detailed Answer:
Good evening XXXXXXX

I was hoping the gene results would be out by now...So I had delayed the reply...Thought will get it all together in one reply

Midodrine is mainly used for orthostatic hypotension...That is a fall in blood pressure when you suddenly sit up from lying down or walk after lying down. It is normally not useful unless you have the orthostatic hypotension. I attribute it more to your fatigue levels. Never the less, you can get your blood pressure checked on standing and lying down if there is any significant difference..

I hope the results are out and we have something to work on

DO update me

Regards
Dr Naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (43 hours later)

Dr. Mendiratta-I hesitated to write because the results HAVE NOT COME IN ALL WEEK. My next hope is Monday. The wait is agonizing because I feel so bad that even you can't imagine. I don't have a quality of life. If I was in your country, I would be on some medication that may help by now. I'm tired of forcing myself to put one foot in front of the other and keep going. If I were in the hospital, people would believe that there's something wrong with me. I hope that your week has gone well. I will write next week. XXXXXXX Thanks for understanding.

Answered by Dr. Naval Mendiratta (24 hours later)

Brief Answer:
GEne Results

Detailed Answer:
Good evening XXXXXXX

I was looking forward to your results...But there has been quite a delay. I can understand the agony and irritation which comes along. Well, we can wait for a couple of days more time. If it still doesnt show anything, I would suggest you go to ER and get admitted. At times, admission does help the due course as lot of people look into the case and form a combined opinion. PAthological or not, it will get sorted out. I hope you are being covered for that part.

Yeah my week has been ok..Stressful with all the work, duties and traffic...and no sunday off as well.. So you can imagine...

Do update me

REgards
Dr Naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (3 days later)

hi Dr. Mendiratta, the results HAVE NOT COME BACK YET but the nurse said that it takes that long for this test. I am feeling very bad but maybe I will get them on Thursday. She will give me a copy of the results. I can barely function during the day. The medical doctor said that he has little experience with gene testing but it will tell me, based on my receptors, which meds my body can utilize best. There are some medications that my body would not respond to. Hope you are doing well. XXXXXXX

hi Dr. Mendiratta, the nurse called me at home this morning and located my test results from ONE MONTH AGO. I will see them when I go to the hospital for group therapy on Monday. I will get a copy of the results. I will write you on Monday evening with the findings. I hope that I can get some relief soon. There is a woman in my Thursday class who has a similar condition. She understands what I am experiencing, but she has pain involved. Have a nice weekend. XXXXXXX

Answered by Dr. Naval Mendiratta (5 days later)

Brief Answer:
Genetic TEsting

Detailed Answer:
Good evening XXXXXXX

Sorry for the delayed reply. Just thought will talk to you once the results are out or else you will be charged again.

It s monday today and I hope they are giving you the results...Cause we are stuck here with no new medicines which have been added...It has been long since the results are pending..

ALrite, thats good you met someone who understands you...She may be having fibromyalgia...

Yeah I am doing good..Thanx for asking..Just been baby sitting and working

Take Care

Will wait for your reply

Regards
Dr Naval

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Naval Mendiratta (5 hours later)

hi Dr. Mendiratta, I have SEVEN PAGES of GENETIC TESTING results and I understand very little of it. Is there some way I could fax the results to you so you could see them? The first three pages have columns as GENE RESULT, THERAPEUTIC IMPLICATIONS, INTERACTION, and CLINICAL IMPACT.The next page has ANTIDEPRESSANTS and/or PSYCHOTROPIC medications with THERAPEUTIC OPTIONS. The next page has PAIN medications. The last page has test methodology and a list of genes. Sorry I can't explain this any better but I have to wait til the psychiatrist/MD explains it to me. Is there some way that I can get these to you? XXXXXXX You said babysit---are you a dad??

Dr. Mendiratta, it looked like you sent me a response when I wrote you about my gene testing results but I wasn't able to pull it up on my computer. Did you get my message? If not I'll be happy to write another message. If you received it, please send me another response. Thank you, XXXXXXX

Answered by Dr. Naval Mendiratta (21 hours later)

Brief Answer:
GEne Results interpretation

Detailed Answer:
DEar XXXXXXX

That s good you have the report in hand. Well if it possible, you can scan the report and attach the documents here...You can do it page by page.. I will go through this and see if it makes any sense...Since I aint an expert on it, will have to figure it out as well...

Yeah, recently became a dad..DAughter is 9 months old now..:)

Do update the results..Waiting for it curiously

Regards
Dr Naval

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Naval Mendiratta (28 hours later)

hi Dr. Mendiratta, do I send the documents to HealthcareMagic.com along with a message? Do I write your name and title on a cover sheet? I think they can help me do this at the hospital. Unfortunately I haven't seen the doctor yet. It depends on when he shows up at the hospital which is very inconvenient for the patient. Yes, I do know someone who understands me. She's had fibromyalgia for 8 years. For me the pain would be debilitating. I hope you get a father's day card on Sunday. I've got 1 boy and 2 girls. XXXXXXX

Answered by Dr. Naval Mendiratta (2 days later)

Brief Answer:
Documents

Detailed Answer:
Good evening XXXXXXX

Well, yes you can contact the customer care service and they will help you upload the documents. You can attach it on this very conversation. Just let them know and they will guide you.

Happy fathers day in advance to you as well...

I have one girl...Taking my day off to spend time with her

Await your results

Regards
Dr Naval

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Above answer was peer-reviewed by : Dr. Priyanka G Raj