[Closed] Feeling wiped out/bite? What to ask Doc to test for?

probably depends where you and the mosquito were hanging out?

Was talking about this with a doctor friend recently. Known as TAT or TATT, tired all the time. Very common and very hard to diagnose. Could be a massive range of things.

Apparently lots of Tiger mosquitoes in that area at the time if that helps?!

Not really. Fever? Rash?

Mossie bites can take a few weeks to heal up, especially if they get slightly infected. Not sure what the GP would do in the absence of other symptoms. Any tick bites this summer?

What area? Country specific would help. From the top of my head Malaria, Dengue or Zika...

Your wound healing speed decreases with age so a slow healing mozzy bite isn't necessarily a sign of anything bad.

Is it infected at all?

Rather than asking the Doctor to test you for 'X' why not make use of their training and experience and just describe your symptoms, let them examine you and then agree a course of actions based on that?

Do you need a new bike 😆

Rather than asking the Doctor to test you for 'X' why not make use of their training and experience and just describe your symptoms, let them examine you and then agree a course of actions based on that?

Yeah, but then we'd have to, you know, listen and think and such..

It's much easier if you say "google told me X" or "STW suggested Y".

It also lowers our insurance premiums if we consult mumsnet/STW at least weekly, to see what's popular..

😉

DrP

I've got a bite that still hasn't healed since my holiday 3 weeks ago. I think it was a Mosquito bite. However I felt wiped out before this.

just describe your symptoms, let them examine you and then agree a course of actions based on that?

DrP - Does that mean hora has cat Aids then ?

Does it sometimes feel like you are [b]HY[/b] ?
Any [b]POCH[/b] marks around the bite ?
Having problems switching [b]ON[/b] in the mornings ?
Skin feel [b]DRI[/b] ?
Do you [b]AC[/b]he ?

If you have all these symptoms, sometimes the answer can be found when you look at them all together.
Or go here [url= http://symptoms.webmd.com/#introView ]Top Internet analysis[/url]

DrP - Does that mean hora has cataids then ?

If you work with this as a given, and then look for reasons why he DOESN'T have Cat AIDS, you can't go far wrong..

DrP

In all seriousness, Wwaswas's suggestion seems the most acceptable..see a professional, tell a story, answer some questions, bend over, blood tests, take it from there...

Was it a family holiday or a drug fuelled week of debauchery in Thailand

Sounds like the first stages of HIV the bite might just be a coincidence

If you work with this as a given, and then look for reasons why he DOESN'T have Cat AIDS, you can't go far wrong..

In all seriousness, Wwaswas's suggestion seems the most acceptable..see a professional, tell a story, answer some questions, bend over, blood tests, take it from there...

This ^^^^^^^^^^^^^^^^^^.

Wish I'd done that several years before I did, might have saved me a whole load of side effects from the crap pancreas I found out about 5 or more years after starting to feel a bit sh!t 🙂

I'm sure on my Docs notes it say 'Google expert'

It's either Zika or bad Cat Aids. Can I have your bike?

Some people are just not made to ride hardtails,it takes too much out of them 😉

Apparently lots of Tiger mosquitoes in that area at the time if that helps?!

In africa?

Yeah, but then we'd have to, you know, listen and think and such..

Shouldn't you be on strike?

I know I look youthful, and am, you know, like, down wid' da kidz.... but alas, junior I am not...

Though, just for support, I might work a bit less harderer than usual..

DrP

@ DrP

Serious question; if i have something up i google the symptoms before going to see the doctor. i don't stride in suggesting I have whatever the answer was, but if on examination and questioning he doesn't have any firm idea what it is, then I'll probably ask whether it could be. Is this likely to have me listed as an internet expert, to be humoured and then dismissed or is this reasonable behaviour.

Got me a proper whooping cough diagnosis after nearly 3 weeks of being told it was just a bronchial cough exacerbated by asthma and cold weather.

And i recently asked whether I could potentially get a thyroid test based on a series of symptoms - which he agreed to and also asked for some others at the same time.

Cremasteric reflex, I think I know what the result might be.

Dr P, should he not get an emergency prostate exam and a second opinion?

[serious mode]
theotherjonv - it's actually really important for a doctor (not just GP) to involve the patient in the consult (!).
Yes, they will ask lots of questions about symptoms etc etc, but what's also really important is to understand the patient's [b]I[/b]deas, [b]c[/b]oncerns, and [b]e[/b]xpectations (ICE (ICE Baby))
Essentially, it will be a crap consultation if you (the Dr) don't elicit this.

Mostly the ICE are reasonable..
"I've got pain in my chest doc"
"hmm, have you thought about what it is"
"I fink it's me 'art doc"
"hmm, yes, probably" etc etc

But unless these ICE conmponents are extracted from teh patient, the consultation will be felt to be useless by the patient, and they are likely to present again.

Sometimes the ICE is crazy. HOWEVER...... unless you address the crazy in front of you, it's bound to come back again (because it won't feel listened to).

So, i always ask and expect patients to have done some research/seen eastenders/read the mail. It's how the Dr deals with it (congratulating you on a correct data search, or calmly steering you away from a bonkers-conkers idea) that often makes patients like or dislike their Dr.

GPs are MUCH better trained in this aspect (consultation skillzzz) hence why they are felt to be more 'touchy feely'. However, hospital doctors would do really well to employ some primary care consultation skills in secondary care, TBH.
It would result on a tonne less investigations the patient never really wanted.
(Expectation component - "what do you want?".."I just want to know what's going on, i don;t want treatment etc")

[/serious mode]

DrP

DrP - are you available for training other GPs? Your approach sounds really good, it isn't patronising and you're in detective mode. Is impressed. 🙂

So you're saying it [i]is[/I] cat AIDS then?

So you're saying it is cat AIDS then?

[img] [/img]

DrP

[i]Known as TAT or TATT, tired all the time.[/i]

But according to Hora, he's feeling totally wiped all the time...

See GP and tell him which countries you visited. Get blood test. My mum picked up a tropical discease without ever leaving UK, assumption was it came from an insecr bite from something in imported fruit & veg

You want to be sure it's not Dengue as you don't want to get that twice

Known as TAT or TATT, tired all the time.

But according to Hora, he's feeling totally wiped all the time...

😀

😆

Tired Wiped All The Time.

and that 😉

I went to my GP earlier this year with a similar issue. I was given a standard blood test which regardless was interesting and useful for a whole range of health indicators.

Upshot of it was that I wasn't getting enough sleep and the GP was quite stern when emphasising it's importance.

Good luck.

"I fink it's me 'art doc"

Fine art or conceptual?

Prostate exam? Do I have to dress up, wear aftershave and make small talk before?

^^^^^ an ass is an ass whatever it's wearing..... 🙂

How much alcohol do you drink a week?
How much exercise do you get a week?
How much sleep do you get each week?
How many hours do you work each week?

Its usually some combination of too much or two little of these things that leave you feeling tired

Alcohol?

How much alcohol do you drink a week?

Best make sure you're at least getting the minimum required and possibly an extra 50% for good measure......

Prostate exam? Do I have to dress up, wear aftershave and make small talk before?

Just to the coursework and revise like everyone else.

Theres probably a joke about working it out with a pencil too

Do I have to dress up,

Do you usually get dressed up for someone to stick their finger up your arris?

I guess if it's what your used to