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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for loss of focus and short-term memory while having PTSD

Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 2801 Questions

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Posted on Mon, 29 Aug 2016 in Mental Health
Question: Have PTSD- I function but some days focus and short term memory can be challenging. 59 yr old male. History of very long work loads -140 -160 hours per week in emergency vet med and anesthesia. Have a sense of boredom now even though I try to keep busy etc.....I miss anesthesia but is not in the cards.

doctor
Answered by Dr. Saddiq Ulabidin 8 hours later
Brief Answer:
You needs some lifestyle modifications

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through.

Based on the history you have shared, it seems as if you have already been through alot. Staying busy in such circumstances may be good but the working hours you have mentioned are far beyond to be tolerated specially with the history you have regarding PTSD and other hospitalisations, you need to take sometime out for recreations and other activities.

Boredom is explanable in such circumstances. Hanging out with friends, taking out time for travel and exploration by taking off for few days would be another option. Joint groups for discussion and other social activities, may act like group therapy for you. Taking time out for sports can bring more peace in your life.

Since due to some unavoidable circumstances you can't join anesthesia so it doesn't need to be over thought, however keep trying to get a place into your favorite profession where you felt comfortable. Meanwhile keep a close liason with the psychiatrist for medical therapy after careful session with you.

Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Priyanka G Raj
doctor
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Follow up: Dr. Saddiq Ulabidin 1 hour later
I do paint- thanks to some very kind doctors. My first doctor was very less than desirable and just said no bitching.....not interested in listening at all. Other were very kind and I think of them often and wish I could thank them and let them know what they did for me. Same with nurses who worked behind the scenes on behalf of patients.......not all the doctors were so stellar. I have tried to thank the people but the system pretty much just ignores us either way.....a bit frustrating. I work with so called disabled people - good friends. It is good to find a kind doctor- not a universal- and I guess I have been reamed by so many surgeions and others that meeting kind people is extra special so thank you. thank you for listening. I am sure your patients find you very helpful- you have helped me get over part of my fears of doctors.....their power and the initial stages of hospitalization........facing a kind dog or whatever once one has been bitten a number of times............see not all dogs are mean..........you are right....this one is different and you can...........you can talk to him. Mother XXXXXXX would be proud of you so too speak. thank you so much.

I do miss the nurses who were so kind the patients......try to forget but they were very impressive........not saying I have expectations......just wish people knew abut them and of course honor them.......however I know they only wish well for their patients and want no recognition......and not allowed.........somewhat frustration.
doctor
Answered by Dr. Saddiq Ulabidin 7 hours later
Brief Answer:
You are full of optimism and postive energies

Detailed Answer:
Thanks for such encouraging remarks and such a detailed observation. I must tell you, that that is quite a job which you are doing. Working with so called disabled people as people call them, but I would rather say, those are special people and so are you. It is nice that you have quote few friends among them. Your appreciation remarks about doctors and medical professionals is quite encouraging and only an optimistic person can realise the contributions of others in the life around him or her so you have got a kind heart I must say. You just need to keep up the good work and stay busy but take out time for yourself and for recreation always as continuous work may not exhaust you and may not trigger the symptoms of PTSD or bipolar disorder from your gone past. Meanwhile keep close liason with the psychiatrist to discuss any odd symptoms which come up so that those can be dealt with in time. Wishing you a great life ahead. Best regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Saddiq Ulabidin 16 hours later
It is obvious that you are a very kind man unlike some others I have seen in hospitals and gave me "lots of fun" but taught me to be tough and resilient unltimately. Many condemn people or always see them as patients whereas we know not by bragging that we are very capable as we were lucky to have so much experience in life. Still, certain doctors and nurses do get to you and it can be challenging to forget them and how kind they were to vulneralble people. They rub off on you - don't condemn people for challenges etc......and indirectly teach you to watch over special people who yes can be very endearing. It is the attitude of the doctor or nurse or caretaker that makes the person either feel like a clinical specimen or leper versus someone like you who says.......ah please sit down.......care for some cheese- try the bread its fresh from the bakery......and so forth.......that acceptance that is not a game but genuine amongt certain doctors and nurses...........very impressive. They are the unsung heros in our world of course.........and of course we have to move on. You are very different than my first so doctor....a man of geuine compassion and it is reassuring. I now have a new name to go on my wall of honor........Dr. Saddiq Ulabidin......thank you for listening and taking the time out of your busy day to be available to the people. You have an abiitty to discuss things and put people at ease....obviously this has a ripple effect ultimately. I thank you.


doctor
Answered by Dr. Saddiq Ulabidin 19 hours later
Brief Answer:
Keep up the good work and keep taking out time for yourself

Detailed Answer:
Hi! Thanks again for such an overwhelming response. I am deeply humbled the way you have appreciated all the doctors and medical professional. I am also thankful for your encouraging remarks about me. I hope I can live upto that mark allways when it comes to giving time and listening to my patients. These remarks are indeed not only encouraging, but these also impart huge sense of repsonbility to always keep up with the expectations of the patients no matter how the circumstances are. I would just say here that beauty lye in viewers eye. In our clinical practice we come across thousands of patients but only at very few incidences, we come across such people who have a nice sense of observation and ability to appreciate and willing to give due credit to the others. It's no wonder that nature has chosen you for such a sacred job and you are taking care of other special people too. I would urge you to continue and keep up the good work but do take some time out on regular basis for recreation as it will enhance your working abilities and passion for the work and also gives peace of mind and stability. You can allways stay in touch and in case of any more queries you can consult me directly through my profile. Wishing you a great life ahead. Best regards.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Saddiq Ulabidin 4 hours later
25 years ago was my first hospitalization- and for 25 years I have written every agency including the APNA about the quality of the nurses (and some doctors such as yourself and Dr. Nain and Dr. Li) who were so.........amazingly kind to the smashed people whose only crime in life was that they were gentle in a bulldozer world......and only those nurses and people like you would give them the time of day and were.....................so..............unbeilveably............patient and kind.........I remember on nurse spent 4...........................4 .....hours with just one elderly patient .........listening ..........not saying a word..........and holding her hand..........They spent days with people to get them to come out of their room ........in a supportive and non demanding way........Mrs. XXXXXXX crept down the hall with a two nurse and they gave her all...........the .......time.......she needed..........no harassement no anyting...........Of course people like you and those nurses are not recognition oriented.........but there is a good reason all..........all the patients were leaving crying and hugging and missing the nurses...........who probably were the only kindness they had ever experienced. No one knows about it because they work behind the scenes......and seemingly nurses and doctors have to part the red sea to get any recognition...........they may not want it or need it ..........but we patients remember......who treated our friends so kindly............You are very different than my first doctor......who you could not talk to at all..........and again........the system doesn't listen to patients even if you have high praise for them.............I have seen many times where nurses and others save patients behind the scenes...........I wish I had their names. Dr. XXXXXXX and Dr. Li introduced me to paintnigs.........a simple cost effective little kit that...........if you looked at the system.........was brilliant............teaching someone to see shades of colors in a systematic range of colors.......and shading............how to see and think.........brilliant. Of course they are not allowed to receive our thanks. I do not like the one way system of the mental health system........I certainly understand it and why there are rules..........You are so different from my first "doctor" who just jumped down my throat the first time I met him (NO Bitching)......and sent me back to bootcamp so to speak..........He was just a behavioralist and had no feelings ......his prerogative but I feel for his patients..........you are obviously very different.......I sincerely thank you for taking the time out of your busy day, to provide an affordable counseling.....your sound advice and your kindness........I am sure your patients appreciate you significantly. And you are the first person in 25 years to listen about our nurses and doctors.........and even respond.......When you are locked out of the system and people just ignore you..........that's when you know you are a patient.......the medical model. Of course you would be right to say.....you have to give that power back to yourself and carry on.....all true.......but a good counsel can very much help. As you well know its how you are treated that lets you know you are either a man with skills and experience, a black man, or a niger........and if everyone treats you ilke the N word........yes you can get used to it.......but you do appreciate people who are so called color blind or label blind........forget the title or label of the book so to speak and find the qualities buried within........I am sure you do a great deal of good for your patients........I thank you. I wish I could thank Dr. XXXXXXX and Li but they are not allowed to respond.........I get it but it can be frustrating..


trust me when a person is manic or upset..........they may be on four levels but at some level......they can hear a kind patient tone and want to comply and not hurt that person.......versus the angry resident who is just mad at you for wasting her time..........you can hear it all.........I am sure you know that but......patients are not trying to be upset anymore than having a fever......it is just a biochemical state........and the kind paitnet person....with calm tones........you ............do.............remember.............almost forever.......


it okay mr grizzly bear I know you wont hurt me ...come right this way....


where on earth do you find such insightful people


to the ends of the earth and then some.........clone those people........the morphine of the soul....no one wants to be upset.......no one wants to hurt clincians and espe nurses..........I carry an neck band that says.........protect all nurses........hopefully if I ever go south........someone wiil read it......

I personally think we all should sign a non violent pact towards medical people and nurses...........then they need not be in fear........that is just my two cents.........you may be in a better position to get this done than I am. best wishes and thank you.
doctor
Answered by Dr. Saddiq Ulabidin 32 hours later
Brief Answer:
It's their duty and I am thankful than you appreciate that so warmly

Detailed Answer:
Hi! Thanks for such a nice and detailed answer. I must say I am impressed by the way you said..fever can be a biochemical state but being patient is a state of mind and that can only be cured by a kind councelling. Sometimes you learn from the people who meet you for a very short period of time and for me, it was a lesson of a lifetime.

I also appreciate the way you think beyond the stereotypes. Usually people criticise some flaw in a system while ignoring the root cause and state of mind of people working in such tough circumstances and still managing to keep up an retain level of poise.

Being gentle may be part of their duty buy staying that way while managing their own lives and issues, and keeping their own selves aside, when it comes to their patients is indeed a tough ask, and those manage to do so on consistent basis, deserve that little admiration. And people like you who are allways willing to give a handful of that are indeed source of big encouragement and a source to spread these postive energies.

May you be blessed with loads of such energies and to carry on with the same theme about life. I wish you a very healthy and helpful life ahead. You are allways willing to share your problems in future and you can contact me through my profile in targeted queries those I would wish you may not need to consult a doctor that frequently, and you stay as healthy as always, and equally considerate and loving. Best regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Saddiq Ulabidin 16 hours later
I thank you for even bothering to reply. I thank you for listening as we patients do not*** like to bother good doctors and do not*** want our nurses to be in fear. Because I grew up on hard wark I am large and strong but would never want to hurt a medical professional that is genuine. However I can appreciate their point of view......what are they to think when people walk in the door....there is no way of knowing.......I hope someone will read the information I have on me. Secondly the obvious ......stay healthy and stay out of the hospital. You seem very kind and I would guess that it is probably associated with your religion and upbring.......although I don't wihs to intrude........there are good and bad or loving and non loving in all areas, walks of life and religions......unwise to generalize based on extremes either way.........We do ...............remember those people who were kind to us both as associates and patients......the traditional care of the doctor and nurse is now super sophisticated and the white shark lawyers are everywhere........something the AMA will have to solve.....or there will be a time when there will be no practitioners............you are under microscopic focus all the time........as I have seen some of my best surgeons lose cases because of some techinicality........I appreciate your confidence and positive statements......people can see the glass as either half empty or half full.....as you well know......yes I was raised on hard work and it is not that big a deal and far cheaper than open heart surgery......I was lucky to have been brought up with work......I know it is the computer age and this is very helpful but hard work is a beneficial way of getting things done and a good way to get into shape.........as you well know........You have a tough job working with such a diversity of patients and situations.........have to handle it gracefully for lots of reasons......tough job and tough to communicate with a wide range of people and backgrounds......and all the responisiblity of having someone life in your hands.......I used to envy people like you but not any more.......u r right about identifying the root cause - very wise in my opionion/experience.......as you well know it may be that the person is not upset with you but maybe their grandmother just passed away.....you good doctors do get that.......and yes.......I prefer to read the persons eyes.......usually tells me what is going on the rest is helpful but in theatre.......the costumes are just costumes........and the persons character is in there somewhere........in the cases of over looked people..........I value hard workers and have no problems with special needs people........and train and bring up the rest.......I have seen how non white people are such hard workers......some white people are too ............and get little or no credit.......

I am glad certain doctors and hospitals treat the whole patient.......giving them crafts and other things to help them forget about the environment and discomforts and pain.........not leaving people alone with pain........very wise and estute.........helps block things out.........I really admire people who are creative about minimizing pain and getting people involved in activities and groups.........bes wishes in your practice........I am sure your family must be very be.proud of you.....and if not they should be - very kind of you to return my email . I thank you greatly.
doctor
Answered by Dr. Saddiq Ulabidin 42 hours later
Brief Answer:
Extending the gratitude for such reviews

Detailed Answer:
Hi! Thanks for such a detailed answer and sorry for catching you up a little late. I would like to admit here, that more interaction I have with you, more I get to admire you.

I am greatly impressed by your observation skills and the way you assess the things deeply and not superficially. You must have had a very nice and educated backround as is suggestive by your writings and perception of things. Their are only few out their out of general population who are blessed with such talents to perceive things deeper than others and to get into others shoes to understand their point of view and how are they managing the things at their end.

I must admit that, I got to learn this from your writings as at times while dealing with day to day issues one tends to lose a little temper while seeing things gone wrong without even thinking or feeling the frame of mind the other person is going through while dealing with you. One word that encompasses it all is 'empathy' and that is a basic in our field but since most of the medical professionals are over worked and thus often mild disturbances of usual interaction with patients does take place around us buy I am sure none of them is related to their work as almost all professionals grade their work as their prime responsibility but while dealing with the work load at times some patients may feel as if they haven't been given ample time but I am sure that is never intentional.

And you are also very right about the other stressers like strict check and balance and everything and it is almost unavoidable for every doctor to face all these pressures simultaneously and that can be only be accomplished once a person is selfless and always willing to give his full energy, commitment and time to his or her profession with passion as this is virtually impossible to proceed in this all without passion about this profession and passion to help others beyond everything.

Lastly, after reading your reviews and conversatio, I would urge you to utilise this talent of yours I'm writing articles for magazines or for online blogs. This would be a very good use of your talent, and your observation a kills and to help to extend and share your perceptions with others.

Wishing you a superb life ahead. Best regards.


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Saddiq Ulabidin 4 hours later
You are a true doctor of old- kind, genuine and empathetic...but I have no doubt caught in a modern world......sometimes helpful but twenty seconds with your patient before the next one I am sure......don't know how you deal with all the pace, paperwork, insurance, roving lawyers.....and many things. I have written many on behalf of excellent nurses but most of the people just say go away....so the kindness is reflective of yourself dear sir. How you worked through medical school is anyone's guess.......I couldn't. And you kept your humanity....that actually is a huge accomplishment.....I left a veterinary surgical residence because I thought the lead cliniicans were so cruel to the students.....asking questions they didn't even have answers for.....I have met good clinicians such as yourself and they were worthy of my respect and admiration. Your patients will be glad they met you. Of course all clinicians are human and of course things can be frustrating....that is not........in my mind.....anything negative about the clinician..........it reflects his responsibilities and his commitments that are being frustrated..........and you still care............if you did not care .......you wouldn't have emotions and would be dead inside. On behalf of all your patients and myself.....I send my sincere congratulations and regards and respects........a true ....doctor........a challenging life but a true doctor.


kindest and best regard

XXXX

I have worked with many technicians and veterinarians at many hospitals. Some are very unpleasant and challenging and others......transformed the hospital and everyone rightly circled around them and privately tried to support and even protect tbhem against the stupidities of life. I suggest that you are a good and kind doctor very much and it need not that one has to be a pure harmony and love every moment of every day.......that is impossible standard in todays world and work load that you have..........still we people can sense when a clinician gives a moment of consideration although I do know having watched films....you have deal with a very broad range of people and situations..........not easy when people abuse you back when you are kind to start with and I have no doubt get beat up all day.....

I hope your staff respects you and knows you are trying to deal with patients and fairly and kindly as possible..........I do judge people as I work with animals the same way they do.........not by what the person says but by their body English and mannerisms and tone..........I have been fooled before but my guess is that you are very genuine. I am sure your patients or at least some of them appreciate that they can be safe with you........and not yelled at or moralized for common problems many people have ..........you are supposed to be able to open up to your doctor and ask him questions...........but not all doctors are like that as we all know.............hope your day goes well...........I know you have many clients and patients and commitments.............so no worries when or if.........you can write back...........you have many demands in your life.

I never forget kind doctors or nurses. I met a very kind nurse who spend 4 hours with one elderly patient..........and have never forgotten her in 25 years.......I don't bother her but she and her team.........were so very different and very kind...........too bad the nursing association and others don't want to hear about it..........in a word she was the Pieta.......


Same with good clinicians I have known........and a new one (you ) that I will add to my list of very good doctors........


respectfully and regards,

thank you from all your patients and co workers.
doctor
Answered by Dr. Saddiq Ulabidin 2 days later
Brief Answer:
Thanks for the wishes and compliments

Detailed Answer:
Hi,

Thanks again for such a nice reply.

I guess I would soon sound predictable the way I have to praise they way you mention things relating to us. We as health care team, try to provide people with utmost care and support in every medical related queries upto best of our capabilities. Your compliments fill me with more sense of responsibility, as with every expectation the burden to keep up to the mark gets incremented.

Here, I would like to extend my perception about you. Most of the problems you gave faced in past including PTSD, in my opinion, were because you are a very sensitive person and you over think the people and their responses and let me add this thing that unfortunately such people tend to get hurt more easily and more intensely. I would never discourage you to be such tender and sensitive, as that really is a blessing, but I would urge you to guide this to be a guide writer as all good writers or artists has this thing in them that made them peculiar from others.

You can seriously think over the blog writing along with continuation of your basic field, or other options as these will not only help you utilize your capabilities but may also highlight many related issues, relating to social as well as health related which may also help people to get aware of many underlying issue which are usually hidden from their eyes. It may help relieve that sense of pressure which builds in when you perceive anything unique by sharing it with others. Social gatherings and hanging out with people with good hobbies can further refine your abilities.

Wishing you best prospects with your future endeavors. Good day.
Above answer was peer-reviewed by : Dr. Raju A.T
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