Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
The CT scan was Monday, and this is what I
heard from the doctor, Hi Tyler, good news. The CT
scan came back and was essentially normal. You have some
mild build up of fat on the liver which does
not cause pain, and otherwise it was a normal study.
(00:20):
Let me know if you have any questions. So it's
it's still in your head.
Speaker 2 (00:25):
Well, so that's inconclusive.
Speaker 1 (00:27):
Well so it actually sounds very conclusive. Then I realized
I could nothing there. I could access the the radiologists
report because that was my gastorentrologist wrote that. So from
the the the radiology office, this is what they wrote.
The liver and spleen. Because I hearing you a fat
in your liver is a little concerning. I figure I
(00:49):
got fat in my liver. The liver and spleen are
normal in size and texture and texture except for mild
fatty infiltration of the liver. The pancreas and biliary tree
are normal appearance. No significant renal abnormality is seen. We're
worried about renal. Why was worried about all the organs
because my stomach hurts? Uh, there is no evidence for
(01:11):
now it looks like acts, but is it is it
a sight's.
Speaker 3 (01:18):
I don't know what the word is like where they
have the sw There's.
Speaker 1 (01:23):
No horses in your stomach? Uh, the guest or intestinal
tract is grossly normal in appearance. No significant abnormality of
the prostate or bladder is seen. No, I'm left with
this question.
Speaker 2 (01:38):
She still has the pain pain?
Speaker 1 (01:39):
You knew this was going to be the case. You
knew this was going to be the case. It's all
in your head, which is well, no, which is what
I wanted to ask about and follow up on this
mild fatty infiltration of the liver, because that that does
not when you read that, and it's not addressed.
Speaker 2 (01:55):
Doesn't everybody have some sort of fatty liver disease?
Speaker 1 (01:58):
I do not. So I wrote him back. I wrote
him back, and this was my favorite part of the exchange.
I wrote my whole thing, and the system kickback this
notification to me. You have exceeded the maximum number of characters.
Oh my god, how much did you write? Shorten your
message or consider scheduling an appointment?
Speaker 2 (02:21):
Karen?
Speaker 1 (02:24):
So then I spent a half hour trying to edit,
which I think you got like five hundred characters. But
I'm now abbreviating words and everything, just trying to and
I had a couple jokes in there just to lighten
the movie.
Speaker 2 (02:35):
And we can elimate those, right.
Speaker 3 (02:37):
And then use a lot of contractions and then take
real concern.
Speaker 2 (02:40):
Tommy still hurts email back please.
Speaker 1 (02:45):
So this is what I shortened it to.
Speaker 3 (02:47):
You could shorten words like collision just down to allisons.
Speaker 1 (02:50):
All right, I wrote thank you.
Speaker 2 (02:53):
Why that's a waste of two words and.
Speaker 3 (02:56):
A space in between them.
Speaker 1 (02:58):
That's a character. So I should just and t y Yeah,
you don't need to do any of my name, like like,
oh this is now Tyler talking.
Speaker 3 (03:04):
No, no, no, But what what are you thanking them for?
Speaker 4 (03:09):
Got?
Speaker 2 (03:10):
He gave him the results he was seeking.
Speaker 1 (03:13):
I wrote, thank you? So is it stressed? That's what
the tech guests at the radiology office ha. As for
the mild fatty infiltration, though I work out six days
a week at least eat what I would call a
well balanced diet and have never smoked.
Speaker 2 (03:28):
What does fatty liver have to do with smoking?
Speaker 1 (03:30):
Now? I drink nothing. Now I drink but only on
Friday and Saturdays. There's a few beers two nights a
week going to cause that kind of build up. I
do get up early for work, so my sleep schedule
isn't the best. But seeing liver get mentioned in the
report just has me wondering thoughts. That was a little casual.
Usually that's a text to your friend, right uh And
this is what he wrote back. I did thank you,
(03:54):
no hi. As we discussed, I suspect it is musculoskeletal
in nature stress. So this is why I had to
do like the tile andol and the heat, because it's
that it's physiological and it's not. So he's saying, head, no, no,
he he doesn't think stress is stressed well, as he
(04:15):
goes on to say stress can lead to abdominal pain
as well. But again, my suspicion is that it's muscular
skeletal and that I should again follow up now with
the PCP, which could get me to another specialist. What
is a primary care physician in terms of the fatty liver?
How about just go on with your life. We just
(04:36):
need to check your liver enzymes to make sure they
are normal. If your liver enzymes are normal, this is
not definitively overly concerning, I would just recommend to have
them monitored once a year. I think you're doing great though,
all the right things for health from your standpoint, and
I and I don't think you would need to cut
back on a beer in tank intake that is pretty
(04:59):
minimal over. I hope this helps. I think you're doing great.
PS try smoking. And it sounds like I know you
guys don't watch Bluie and never have. But it's like
when Chile is worried about being a mother and the
other characters like, you're doing fine. That's my Australian accent,
but you're like, that's what he's essentially, He's my daily affirmation.
(05:21):
I think you're doing OK. Yeah, So I sent him.
Speaker 3 (05:25):
Oh no, why'd you write back? He told you what
to do? Well?
Speaker 1 (05:29):
Because he right back and go, I'm not your PC.
Speaker 2 (05:31):
You're gonna get kicked out of the portal.
Speaker 1 (05:36):
Like schedule an appointment, you just break it up into
five hundred character chunks. No, So I wrote back to
him a message that included because I just did just
on my physical and a blood test that included all
of my liver numbers. He doesn't care. He hasn't written back.
(06:00):
But the portals can screw you because I can see
if he's opened the message. I like doctor Sohall, so
I'm not I'm not criticizing him. He hasn't even opened
the message yet.
Speaker 2 (06:10):
Give a minute.
Speaker 1 (06:11):
No, I know, I know.
Speaker 3 (06:12):
Oh, because maybe he's dealing with people who have real conditions.
Speaker 2 (06:15):
Yeah, he has other patients.
Speaker 1 (06:16):
I know. Oh, I actually have need help. I'm fully aware.
So I just sent him those and I had been
toldal we went through all those numbers at my physical
that I was all good in terms of deliver So
I'm feeling confident, and I was happy to here.
Speaker 3 (06:31):
I loved hearing that he.
Speaker 1 (06:34):
Thinks I'm doing great, Like I'm living life as as
you should in order to stay on a certain trajectory.
What you don't think I am. I mean, sure it's
not enough sleep, but I am not enough drinking. Not
enough drinking, you know, But I mean, you can have
a beer during the week if.
Speaker 3 (06:55):
You wanted to, you could have a you can have
a cocktail during the week.
Speaker 1 (06:59):
I save him for Friday, and hey, I'm owed, if
you right. I didn't drink this week. I don't drink
any week. So this is where I'm at now. I'm
happy to hear that the liver things shouldn't be of
concern because that initial message it was, but I still
I am put it out.
Speaker 3 (07:16):
But you still have Is it less after getting the messages?
Speaker 1 (07:22):
No?
Speaker 3 (07:23):
No, so it still hurts as bad. Yes, yes, but
he says it ain't stress. No, he said it could
be contributing. Remember the technologists thought it was stress.
Speaker 1 (07:35):
Oh yeah, he's like, I've seen this. After I couldn't
figure out how to get my gown on, he diagnosed me.
And because I couldn't put my arms up worthy.
Speaker 3 (07:43):
For the other mead. So we're no further, we're no
closer to knowing what we're eliminating.
Speaker 1 (07:51):
We are eliminating, which is often the case of medicine.
Speaker 3 (07:54):
Like most people find out they have MS by eliminating
things they don't have.
Speaker 1 (07:59):
You think, yeah, MS. I don't that has put that
into his head because that's where everything else is coming from.
Speaker 3 (08:07):
No, no, but don't most people find out they have
multiple sclerosis by eliminating other things.
Speaker 2 (08:13):
I mean, I think a lot of Yeah, different stuff
people eliminate.
Speaker 1 (08:17):
Okay, so Elliott is right, So what's the next step then,
nothing to follow up?
Speaker 2 (08:21):
Just make a big duty on the liver stuff.
Speaker 3 (08:24):
No, no, no, the liver stuff.
Speaker 2 (08:27):
Okay, but but I mean in the next year, he said,
keep that in mind.
Speaker 1 (08:30):
Okay, but the next step before beer, you're in the clear. No,
you go back to go back, and boy, I'm sure
your PCP was thrilled to hear that. Well, I didn't
schedule with them yet, but I did have to access
there portal yesterday to pull those numbers. So I I
(08:53):
just think that this this upcoming holiday break will be
very telling. What does that mean because you get more
sleep so altered? Yeah, so are the daily aspects of
my life normally contributing to it? And do I just
need to find like a permanent vacation. Okay, well that's
(09:15):
going to pay your mortgage. No, No, I'm just saying,
do I need to find that balance where I can mimic?
Speaker 4 (09:21):
What?
Speaker 1 (09:22):
Of course you do? Everybody?
Speaker 2 (09:24):
What did you say earlier?
Speaker 1 (09:25):
That's why I have a cocktail during the week.
Speaker 2 (09:26):
About trying to get closer to six hours?
Speaker 1 (09:29):
Oh yeah, got it last night.
Speaker 3 (09:30):
See you got six hours last night?
Speaker 1 (09:32):
Yeah, nine thirty.
Speaker 3 (09:33):
Three hours and forty five minutes.
Speaker 2 (09:35):
Well you wear it as ray, you'll die first, No,
I won't.
Speaker 1 (09:38):
I bet I live Tyler.
Speaker 3 (09:40):
Well yeah, Tyler's done so.
Speaker 1 (09:44):
Next year, right, So uh, I don't know if I'll
follow up immediately with the PCP of PIA weight TIF
for the holidays, and I want to get full or
take full advantage of the new hundred dollars administrative fee
in that office. It's like, if you're going to charge
me now, you got to take my call.
Speaker 3 (10:04):
Uh.
Speaker 1 (10:04):
But but in terms of how everything looks and blockages,
you kept bringing up blockages, right, I think I'm good
with that. Okay, well then you're good. Well no, I'm
I still am. I'm not. What's your discomfort level on
a one to ten?
Speaker 2 (10:22):
I hate this right now?
Speaker 1 (10:24):
Why why do you hate that? Because I don't like?
Am I uncomfortable?
Speaker 5 (10:29):
Yeah?
Speaker 1 (10:30):
Very okay? Sitting right here, this and this is this
is every waking moment. Yeah, it's terrible. Yeah, dude, I'm
in your boat right now. A fever broken ankle.
Speaker 3 (10:40):
Well I'm not in pain, but it's very like it's uncomfortable,
like I want my cast off, but I'm not like
run into a CT scan.
Speaker 1 (10:49):
I was given an order, thank you. I requested it,
but I was I didn't just show up at the
office hoping to be seen.
Speaker 3 (10:59):
Hey you got opening, please please?
Speaker 1 (11:03):
Is there is there any chance?
Speaker 3 (11:04):
Honestly, the is there any chance that it's hypochondria.
Speaker 1 (11:13):
That has never been addressed? No?
Speaker 3 (11:14):
No, no, but let me let me tell you what
I mean by that. You you, because you've said this before.
You live in that whole thing of like this is
the age where your dad died. Well next year and yeah, no,
but but it's creeping next Next year is a couple
of weeks away.
Speaker 1 (11:28):
No, well, I'm saying when I turned forty three in
April whatever, But that that a date, A date stands
out in my head.
Speaker 3 (11:36):
No, but you're creeping up on that, and so in
your head you're you're a hypochondriac about that.
Speaker 1 (11:43):
Let's it's always been in my head. I have to
explain why.
Speaker 3 (11:46):
But now you're getting closer and close every day is closer.
Speaker 1 (11:50):
Oh yeah, oh yeah, We're all going to die to
some of us sooner. You just said that. No, I
didn't said that. I said I olive you. Yeah, I
said probably.
Speaker 3 (12:01):
No, But do you understand what I mean, Like, it's
not what that sounds like?
Speaker 2 (12:04):
Stress?
Speaker 3 (12:05):
Then no stress people who are hypochondriacs, it's not stress.
Speaker 1 (12:09):
But it's not like.
Speaker 3 (12:10):
I My friend Doug used to stop at the hospital
and they would let him go take his own blood pressure.
Sam walked around with his arm around his neck because
his mom had a tray. He would also walk around.
He walked around for six months holding his nuts because
our friend Todd Fisher got testicular camps.
Speaker 1 (12:27):
But all those people were worried about something, as are you.
I can barely sit straight because so much like I,
I have a symptom, and the problem is it's the
only symptom, so it doesn't lead them down the path
of any other diagnosis other than I guess muscular. You
pointed to your head about musculo skeletal, so are you?
(12:52):
But now you're not going to do anything about it.
But until I left to the holidays. Follow up, but
until there's another breakthrough, I think that I've you've exhausted
my time talking about this on the air.
Speaker 3 (13:01):
No, no, no, But maybe maybe that's just how you're built,
that your stomach hurts.
Speaker 1 (13:07):
I can't live my life this way like it's not.
It is not. I don't want to call it chronic
pain because I know there are people that wake up
and they can't even get out of bed. I obviously
got a bed. I just got out of bed with
stomach ache and some days for like two seconds, I
think maybe today's the day, and it's still there. Yeah,
it's still there.
Speaker 3 (13:27):
I remember.
Speaker 1 (13:28):
It migrates. It's not just my I'm saying stomach like
it's in my tummy. It is on its side, it
is up, it's below, it's it's all over. Yeah, it
moves around, but it's in that torso area.
Speaker 6 (13:38):
Yep, yes, Diane, I'm I'm listening. I'm also puzzled. Yeah,
she's aggravating. She's trying to figure out what her own
liver situation is. Do I have mild fatty infiltration?
Speaker 1 (13:52):
Where am I going? Line three?
Speaker 3 (13:54):
Hi?
Speaker 1 (13:54):
Elliet in the morning?
Speaker 5 (13:57):
Hell?
Speaker 3 (13:58):
Yeah, Hi? Who's that?
Speaker 5 (14:00):
This is from Alexandria.
Speaker 1 (14:02):
Yes, sir.
Speaker 5 (14:04):
I wanted to ask Tyler if he's ever done a
blood test for food sensitivity and allergies.
Speaker 1 (14:11):
I have not.
Speaker 5 (14:12):
No, Oh I did I have pain. It was kind
of under my rib cage. This is when I was
thirty three, and I couldn't figure it out. No normal
doctors could figure it out. How to end offs to
be called out to be the whole nine yards. I
ended up taking a blood test for food sensitivities and
(14:32):
it basically said I was allergic or sensitive to cows dairy.
So I cut cows dairy out of my diet and
it went away.
Speaker 1 (14:45):
There you go that, there you go.
Speaker 3 (14:48):
No, I don't think cows dairy, but maybe it's something.
Speaker 2 (14:51):
Of dairy sensitivity that may be well, no, but it
may not be dairy.
Speaker 3 (14:54):
But have you know what you may have? Honestly, you
may have a nut sensitivity.
Speaker 2 (14:58):
Oh like a tree nut.
Speaker 3 (15:00):
Yeah, you eat a peanut butter sandwich every single morning.
Speaker 1 (15:05):
No, No, I'm being sure.
Speaker 2 (15:06):
What if that's it?
Speaker 1 (15:07):
I just solved it. Maybe an allergist is the next step, now,
I was, I was.
Speaker 3 (15:15):
I hope they tell you to start eating meat again?
Speaker 1 (15:17):
When when I need beef? Amen, get rid of some
of the fat your liver. You're like, when you do
have a fatty liver condition, you are supposed to stay
away from red meat, right, Okay? Well, and sugar bring
it on.
Speaker 3 (15:32):
Oh God, I'd rather die, he really would. No steak
and no Hersey's peanut butter cups. I live.
Speaker 1 (15:40):
When I was prescribed my epiparam, I was given the
name of a local allergist to perhaps follow up with.
And what they say. I never had another moment like
I did that day mowing my lawn, which got me
(16:02):
to the doctor.
Speaker 2 (16:02):
Stop trying to sound so jet setting.
Speaker 1 (16:06):
No, it's just that's what happened. Oh, I hope I
didn't pick up a bug in Miami. So because it
never never struck me again, we never know. It's a
myster it's unsolved. And I never had to use the EpiPen,
Thank god. I never went to that allergist. So I
do have a name. I would just have to get
(16:26):
referred again. Hi Elliott in the morning, he needs another referral,
please please please?
Speaker 3 (16:36):
Hi.
Speaker 1 (16:36):
Who's this?
Speaker 7 (16:39):
Oh, hey Elliott, this is Sarah. I am actually calling
kind of on behalf of my dad. So my dad
wanted me to tell Tyler. He recently had all of
the same reports. He had two CT scans and an
ultarsdown couldn't lay down without it, like basically killing him. Anyway,
his PCP diagnosed him, he has a torn ligament.
Speaker 1 (17:03):
Do you have a torn ligament? Well that would be
the muscular skeletal yeah diagnosis, right, so maybe you have
a torn ligament. So what did he have to do
then to eventually find that out?
Speaker 7 (17:15):
So again, well, he went to the er like twice
within a week because again they didn't know what was happening,
and he like, as far as pain is concerned, my
dad can take pretty much anything, like he is.
Speaker 1 (17:28):
Not all do we have a wist on hold?
Speaker 7 (17:34):
Sorry Tyler, but but yeah. So he went twice in
a week, and it was each time they just kept
sending him home. He went to the PCP, and to
my knowledge, all they've really given him is pain medication
at the time.
Speaker 1 (17:48):
Yes.
Speaker 7 (17:50):
Yeah, If I have any other follow ups, I'll like
send you all a message on Instagram.
Speaker 1 (17:54):
Oh. Perfect, perfect, that's very kind. That's very kind, thank you,
thank you. Okay, so that's another thing. But I guess
I wouldn't. That would be just to follow up with
my regular doctor. I just got very lightheaded too. Did
anyone else have this shrimp?
Speaker 3 (18:10):
Seafood? Wait, no meat, no seafood? Jerry, you got lightheaded?
Speaker 1 (18:20):
Yes, I had the shrimp. I think it's because I
have had the entire break facing this way.
Speaker 3 (18:25):
Did anybody have the mashed potatoes?
Speaker 1 (18:29):
I think honestly, I think it's just I've I've been
angled differently this entire twenty minutes and my side is
really hurting because of it, and I'm gonna pass out
line one.
Speaker 3 (18:43):
I'm gonna turn then.
Speaker 1 (18:45):
I also can't see the expressions and the eye rolling
you do.
Speaker 8 (18:48):
Here we go, Hello, Tyler, have you looked into nutcracker syndrome?
Speaker 1 (18:56):
I hope it's a Christmas joke? Is nut It's not?
Speaker 8 (18:59):
Is that when your left renal vein compresses your other arteries? Waite,
severe abdominal pain in certain positions?
Speaker 1 (19:08):
Wait did you say when you're what?
Speaker 8 (19:11):
Left renal vein is compressed by other arteries and it
causes severe abdominal pain in specific like certain positions.
Speaker 1 (19:20):
I've never even heard of them. How is that diagnosed?
I don't know.
Speaker 3 (19:24):
Isn't the first symptom of that though? As a partial fatty.
Speaker 8 (19:28):
Liver, usually it's the pain from what I know of it.
Speaker 1 (19:33):
But renal is what is renal? Kidneys? Right, Renal failure
is kidneys.
Speaker 8 (19:41):
It's your renal vein that connects to your kidney.
Speaker 1 (19:44):
Hey, what about my main vein?
Speaker 3 (19:46):
Hey man? All right, very good, very good, thank you,
thank you.
Speaker 1 (19:51):
Keffen wants to know if when I walk into the
offices I ever hear them on the internal communication systems
a code tummy.
Speaker 3 (20:04):
Code dummy.
Speaker 8 (20:07):
Line.
Speaker 3 (20:07):
I've never heard of of nutcracker?
Speaker 1 (20:10):
This is this is the problem. And this is what
a former piece makes me think of. John Lander though
a former PCP used to make fun of because now
we've gotten three more diagnoses hold type and uh. A
doctor I used to have who moved out of the area,
he could be takeuse of you. He used to always say,
so what are the listeners thinking? And I would tell
him and there's all about ruling things out. Yeah, exactly.
Speaker 3 (20:35):
Now it's like this is this is probably why.
Speaker 1 (20:37):
This is probably why I got lightheaded, because it's just
too much and it's overwhelming. Because now I'm worried about allergies.
I'm worried about a ligament. I'm worried about the vein.
Speaker 3 (20:49):
Will you? Will you describe what you're worried about, Like
somebody says that it could be nutcracker syndrome, something you've
never heard of, and now you're worried about it.
Speaker 1 (21:00):
That's how I work.
Speaker 3 (21:06):
Line five hie the morning.
Speaker 7 (21:10):
Hi is this mean?
Speaker 5 (21:11):
Yeah?
Speaker 4 (21:11):
Hi?
Speaker 1 (21:12):
What can I do for you?
Speaker 4 (21:14):
My name is Travis. I was going because I had
issues in the past with a thing called colitis, which
is a inflammation of the bowels, and the only way
to figure it out is to take a drink some
nasty stuff and then get a CT of it this morning.
If he had anything like that.
Speaker 3 (21:33):
Done, did they check for colitis?
Speaker 1 (21:36):
I don't know exactly what the pelvic and abdominal CT
scan can tell you if you're not looking for specific things.
But I would like to say that the imaging I
had done could rule out some things that the symptoms
would suggest it may be.
Speaker 3 (21:51):
Isn't colitis from eating like a strawberry seed, that's divers diverticulitis.
What is colitis colitus is?
Speaker 4 (22:00):
It can just be an inflammation of the bowels from
a virus, virus or anything up to even cancer of your.
Speaker 3 (22:10):
U I have to say that you want to be worried.
Speaker 4 (22:15):
But most of the time, most of the time it's
just because of a virus.
Speaker 3 (22:19):
Well just you know what do call of guard crap
in the box and then said.
Speaker 2 (22:22):
He's already had a colonoscopy, right.
Speaker 1 (22:25):
Yeah, but more similar symptoms four years ago. They just
rearing their ugly head again. When it's worse this time
because it hasn't gone away yet. All right, very good,
very good, thank you? All right.
Speaker 3 (22:38):
So I don't know what so nothing through the holidays.
Speaker 1 (22:42):
I just think that I'm not going to be rushed
in unless I pretend it's a sick visit. I'll get
the text tummy, Hey, I was back at the urgent
care again. No. The next the next step for me,
No will be a apologizing to my mom for not
telling her all this ahead of time.
Speaker 2 (23:04):
Is she hearing this on the air?
Speaker 3 (23:05):
Yeah, well no, she.
Speaker 1 (23:06):
Knew that I had gone to a specialist. I just
I hadn't talked about the CT scanner, the results, or
my liver yet with her the way, there's nothing there.
Speaker 3 (23:13):
There are no results, the results are there's nothing otherwise normal.
Speaker 1 (23:16):
That was my grade. Although if I got an otherwise
normal in school, I would have I would have lost
it because that's how I work.
The CT scan was Monday, and this is what I
heard from the doctor, Hi Tyler, good news. The CT
scan came back and was essentially normal. You have some
mild build up of fat on the liver which does
not cause pain, and otherwise it was a normal study.
(00:20):
Let me know if you have any questions. So it's
it's still in your head.
Speaker 2 (00:25):
Well, so that's inconclusive.
Speaker 1 (00:27):
Well so it actually sounds very conclusive. Then I realized
I could nothing there. I could access the the radiologists
report because that was my gastorentrologist wrote that. So from
the the the radiology office, this is what they wrote.
The liver and spleen. Because I hearing you a fat
in your liver is a little concerning. I figure I
(00:49):
got fat in my liver. The liver and spleen are
normal in size and texture and texture except for mild
fatty infiltration of the liver. The pancreas and biliary tree
are normal appearance. No significant renal abnormality is seen. We're
worried about renal. Why was worried about all the organs
because my stomach hurts? Uh, there is no evidence for
(01:11):
now it looks like acts, but is it is it
a sight's.
Speaker 3 (01:18):
I don't know what the word is like where they
have the sw There's.
Speaker 1 (01:23):
No horses in your stomach? Uh, the guest or intestinal
tract is grossly normal in appearance. No significant abnormality of
the prostate or bladder is seen. No, I'm left with
this question.
Speaker 2 (01:38):
She still has the pain pain?
Speaker 1 (01:39):
You knew this was going to be the case. You
knew this was going to be the case. It's all
in your head, which is well, no, which is what
I wanted to ask about and follow up on this
mild fatty infiltration of the liver, because that that does
not when you read that, and it's not addressed.
Speaker 2 (01:55):
Doesn't everybody have some sort of fatty liver disease?
Speaker 1 (01:58):
I do not. So I wrote him back. I wrote
him back, and this was my favorite part of the exchange.
I wrote my whole thing, and the system kickback this
notification to me. You have exceeded the maximum number of characters.
Oh my god, how much did you write? Shorten your
message or consider scheduling an appointment?
Speaker 2 (02:21):
Karen?
Speaker 1 (02:24):
So then I spent a half hour trying to edit,
which I think you got like five hundred characters. But
I'm now abbreviating words and everything, just trying to and
I had a couple jokes in there just to lighten
the movie.
Speaker 2 (02:35):
And we can elimate those, right.
Speaker 3 (02:37):
And then use a lot of contractions and then take
real concern.
Speaker 2 (02:40):
Tommy still hurts email back please.
Speaker 1 (02:45):
So this is what I shortened it to.
Speaker 3 (02:47):
You could shorten words like collision just down to allisons.
Speaker 1 (02:50):
All right, I wrote thank you.
Speaker 2 (02:53):
Why that's a waste of two words and.
Speaker 3 (02:56):
A space in between them.
Speaker 1 (02:58):
That's a character. So I should just and t y Yeah,
you don't need to do any of my name, like like,
oh this is now Tyler talking.
Speaker 3 (03:04):
No, no, no, But what what are you thanking them for?
Speaker 4 (03:09):
Got?
Speaker 2 (03:10):
He gave him the results he was seeking.
Speaker 1 (03:13):
I wrote, thank you? So is it stressed? That's what
the tech guests at the radiology office ha. As for
the mild fatty infiltration, though I work out six days
a week at least eat what I would call a
well balanced diet and have never smoked.
Speaker 2 (03:28):
What does fatty liver have to do with smoking?
Speaker 1 (03:30):
Now? I drink nothing. Now I drink but only on
Friday and Saturdays. There's a few beers two nights a
week going to cause that kind of build up. I
do get up early for work, so my sleep schedule
isn't the best. But seeing liver get mentioned in the
report just has me wondering thoughts. That was a little casual.
Usually that's a text to your friend, right uh And
this is what he wrote back. I did thank you,
(03:54):
no hi. As we discussed, I suspect it is musculoskeletal
in nature stress. So this is why I had to
do like the tile andol and the heat, because it's
that it's physiological and it's not. So he's saying, head, no, no,
he he doesn't think stress is stressed well, as he
(04:15):
goes on to say stress can lead to abdominal pain
as well. But again, my suspicion is that it's muscular
skeletal and that I should again follow up now with
the PCP, which could get me to another specialist. What
is a primary care physician in terms of the fatty liver?
How about just go on with your life. We just
(04:36):
need to check your liver enzymes to make sure they
are normal. If your liver enzymes are normal, this is
not definitively overly concerning, I would just recommend to have
them monitored once a year. I think you're doing great though,
all the right things for health from your standpoint, and
I and I don't think you would need to cut
back on a beer in tank intake that is pretty
(04:59):
minimal over. I hope this helps. I think you're doing great.
PS try smoking. And it sounds like I know you
guys don't watch Bluie and never have. But it's like
when Chile is worried about being a mother and the
other characters like, you're doing fine. That's my Australian accent,
but you're like, that's what he's essentially, He's my daily affirmation.
(05:21):
I think you're doing OK. Yeah, So I sent him.
Speaker 3 (05:25):
Oh no, why'd you write back? He told you what
to do? Well?
Speaker 1 (05:29):
Because he right back and go, I'm not your PC.
Speaker 2 (05:31):
You're gonna get kicked out of the portal.
Speaker 1 (05:36):
Like schedule an appointment, you just break it up into
five hundred character chunks. No, So I wrote back to
him a message that included because I just did just
on my physical and a blood test that included all
of my liver numbers. He doesn't care. He hasn't written back.
(06:00):
But the portals can screw you because I can see
if he's opened the message. I like doctor Sohall, so
I'm not I'm not criticizing him. He hasn't even opened
the message yet.
Speaker 2 (06:10):
Give a minute.
Speaker 1 (06:11):
No, I know, I know.
Speaker 3 (06:12):
Oh, because maybe he's dealing with people who have real conditions.
Speaker 2 (06:15):
Yeah, he has other patients.
Speaker 1 (06:16):
I know. Oh, I actually have need help. I'm fully aware.
So I just sent him those and I had been
toldal we went through all those numbers at my physical
that I was all good in terms of deliver So
I'm feeling confident, and I was happy to here.
Speaker 3 (06:31):
I loved hearing that he.
Speaker 1 (06:34):
Thinks I'm doing great, Like I'm living life as as
you should in order to stay on a certain trajectory.
What you don't think I am. I mean, sure it's
not enough sleep, but I am not enough drinking. Not
enough drinking, you know, But I mean, you can have
a beer during the week if.
Speaker 3 (06:55):
You wanted to, you could have a you can have
a cocktail during the week.
Speaker 1 (06:59):
I save him for Friday, and hey, I'm owed, if
you right. I didn't drink this week. I don't drink
any week. So this is where I'm at now. I'm
happy to hear that the liver things shouldn't be of
concern because that initial message it was, but I still
I am put it out.
Speaker 3 (07:16):
But you still have Is it less after getting the messages?
Speaker 1 (07:22):
No?
Speaker 3 (07:23):
No, so it still hurts as bad. Yes, yes, but
he says it ain't stress. No, he said it could
be contributing. Remember the technologists thought it was stress.
Speaker 1 (07:35):
Oh yeah, he's like, I've seen this. After I couldn't
figure out how to get my gown on, he diagnosed me.
And because I couldn't put my arms up worthy.
Speaker 3 (07:43):
For the other mead. So we're no further, we're no
closer to knowing what we're eliminating.
Speaker 1 (07:51):
We are eliminating, which is often the case of medicine.
Speaker 3 (07:54):
Like most people find out they have MS by eliminating
things they don't have.
Speaker 1 (07:59):
You think, yeah, MS. I don't that has put that
into his head because that's where everything else is coming from.
Speaker 3 (08:07):
No, no, but don't most people find out they have
multiple sclerosis by eliminating other things.
Speaker 2 (08:13):
I mean, I think a lot of Yeah, different stuff
people eliminate.
Speaker 1 (08:17):
Okay, so Elliott is right, So what's the next step then,
nothing to follow up?
Speaker 2 (08:21):
Just make a big duty on the liver stuff.
Speaker 3 (08:24):
No, no, no, the liver stuff.
Speaker 2 (08:27):
Okay, but but I mean in the next year, he said,
keep that in mind.
Speaker 1 (08:30):
Okay, but the next step before beer, you're in the clear. No,
you go back to go back, and boy, I'm sure
your PCP was thrilled to hear that. Well, I didn't
schedule with them yet, but I did have to access
there portal yesterday to pull those numbers. So I I
(08:53):
just think that this this upcoming holiday break will be
very telling. What does that mean because you get more
sleep so altered? Yeah, so are the daily aspects of
my life normally contributing to it? And do I just
need to find like a permanent vacation. Okay, well that's
(09:15):
going to pay your mortgage. No, No, I'm just saying,
do I need to find that balance where I can mimic?
Speaker 4 (09:21):
What?
Speaker 1 (09:22):
Of course you do? Everybody?
Speaker 2 (09:24):
What did you say earlier?
Speaker 1 (09:25):
That's why I have a cocktail during the week.
Speaker 2 (09:26):
About trying to get closer to six hours?
Speaker 1 (09:29):
Oh yeah, got it last night.
Speaker 3 (09:30):
See you got six hours last night?
Speaker 1 (09:32):
Yeah, nine thirty.
Speaker 3 (09:33):
Three hours and forty five minutes.
Speaker 2 (09:35):
Well you wear it as ray, you'll die first, No,
I won't.
Speaker 1 (09:38):
I bet I live Tyler.
Speaker 3 (09:40):
Well yeah, Tyler's done so.
Speaker 1 (09:44):
Next year, right, So uh, I don't know if I'll
follow up immediately with the PCP of PIA weight TIF
for the holidays, and I want to get full or
take full advantage of the new hundred dollars administrative fee
in that office. It's like, if you're going to charge
me now, you got to take my call.
Speaker 3 (10:04):
Uh.
Speaker 1 (10:04):
But but in terms of how everything looks and blockages,
you kept bringing up blockages, right, I think I'm good
with that. Okay, well then you're good. Well no, I'm
I still am. I'm not. What's your discomfort level on
a one to ten?
Speaker 2 (10:22):
I hate this right now?
Speaker 1 (10:24):
Why why do you hate that? Because I don't like?
Am I uncomfortable?
Speaker 5 (10:29):
Yeah?
Speaker 1 (10:30):
Very okay? Sitting right here, this and this is this
is every waking moment. Yeah, it's terrible. Yeah, dude, I'm
in your boat right now. A fever broken ankle.
Speaker 3 (10:40):
Well I'm not in pain, but it's very like it's uncomfortable,
like I want my cast off, but I'm not like
run into a CT scan.
Speaker 1 (10:49):
I was given an order, thank you. I requested it,
but I was I didn't just show up at the
office hoping to be seen.
Speaker 3 (10:59):
Hey you got opening, please please?
Speaker 1 (11:03):
Is there is there any chance?
Speaker 3 (11:04):
Honestly, the is there any chance that it's hypochondria.
Speaker 1 (11:13):
That has never been addressed? No?
Speaker 3 (11:14):
No, no, but let me let me tell you what
I mean by that. You you, because you've said this before.
You live in that whole thing of like this is
the age where your dad died. Well next year and yeah, no,
but but it's creeping next Next year is a couple
of weeks away.
Speaker 1 (11:28):
No, well, I'm saying when I turned forty three in
April whatever, But that that a date, A date stands
out in my head.
Speaker 3 (11:36):
No, but you're creeping up on that, and so in
your head you're you're a hypochondriac about that.
Speaker 1 (11:43):
Let's it's always been in my head. I have to
explain why.
Speaker 3 (11:46):
But now you're getting closer and close every day is closer.
Speaker 1 (11:50):
Oh yeah, oh yeah, We're all going to die to
some of us sooner. You just said that. No, I
didn't said that. I said I olive you. Yeah, I
said probably.
Speaker 3 (12:01):
No, But do you understand what I mean, Like, it's
not what that sounds like?
Speaker 2 (12:04):
Stress?
Speaker 3 (12:05):
Then no stress people who are hypochondriacs, it's not stress.
Speaker 1 (12:09):
But it's not like.
Speaker 3 (12:10):
I My friend Doug used to stop at the hospital
and they would let him go take his own blood pressure.
Sam walked around with his arm around his neck because
his mom had a tray. He would also walk around.
He walked around for six months holding his nuts because
our friend Todd Fisher got testicular camps.
Speaker 1 (12:27):
But all those people were worried about something, as are you.
I can barely sit straight because so much like I,
I have a symptom, and the problem is it's the
only symptom, so it doesn't lead them down the path
of any other diagnosis other than I guess muscular. You
pointed to your head about musculo skeletal, so are you?
(12:52):
But now you're not going to do anything about it.
But until I left to the holidays. Follow up, but
until there's another breakthrough, I think that I've you've exhausted
my time talking about this on the air.
Speaker 3 (13:01):
No, no, no, But maybe maybe that's just how you're built,
that your stomach hurts.
Speaker 1 (13:07):
I can't live my life this way like it's not.
It is not. I don't want to call it chronic
pain because I know there are people that wake up
and they can't even get out of bed. I obviously
got a bed. I just got out of bed with
stomach ache and some days for like two seconds, I
think maybe today's the day, and it's still there. Yeah,
it's still there.
Speaker 3 (13:27):
I remember.
Speaker 1 (13:28):
It migrates. It's not just my I'm saying stomach like
it's in my tummy. It is on its side, it
is up, it's below, it's it's all over. Yeah, it
moves around, but it's in that torso area.
Speaker 6 (13:38):
Yep, yes, Diane, I'm I'm listening. I'm also puzzled. Yeah,
she's aggravating. She's trying to figure out what her own
liver situation is. Do I have mild fatty infiltration?
Speaker 1 (13:52):
Where am I going? Line three?
Speaker 3 (13:54):
Hi?
Speaker 1 (13:54):
Elliet in the morning?
Speaker 5 (13:57):
Hell?
Speaker 3 (13:58):
Yeah, Hi? Who's that?
Speaker 5 (14:00):
This is from Alexandria.
Speaker 1 (14:02):
Yes, sir.
Speaker 5 (14:04):
I wanted to ask Tyler if he's ever done a
blood test for food sensitivity and allergies.
Speaker 1 (14:11):
I have not.
Speaker 5 (14:12):
No, Oh I did I have pain. It was kind
of under my rib cage. This is when I was
thirty three, and I couldn't figure it out. No normal
doctors could figure it out. How to end offs to
be called out to be the whole nine yards. I
ended up taking a blood test for food sensitivities and
(14:32):
it basically said I was allergic or sensitive to cows dairy.
So I cut cows dairy out of my diet and
it went away.
Speaker 1 (14:45):
There you go that, there you go.
Speaker 3 (14:48):
No, I don't think cows dairy, but maybe it's something.
Speaker 2 (14:51):
Of dairy sensitivity that may be well, no, but it
may not be dairy.
Speaker 3 (14:54):
But have you know what you may have? Honestly, you
may have a nut sensitivity.
Speaker 2 (14:58):
Oh like a tree nut.
Speaker 3 (15:00):
Yeah, you eat a peanut butter sandwich every single morning.
Speaker 1 (15:05):
No, No, I'm being sure.
Speaker 2 (15:06):
What if that's it?
Speaker 1 (15:07):
I just solved it. Maybe an allergist is the next step, now,
I was, I was.
Speaker 3 (15:15):
I hope they tell you to start eating meat again?
Speaker 1 (15:17):
When when I need beef? Amen, get rid of some
of the fat your liver. You're like, when you do
have a fatty liver condition, you are supposed to stay
away from red meat, right, Okay? Well, and sugar bring
it on.
Speaker 3 (15:32):
Oh God, I'd rather die, he really would. No steak
and no Hersey's peanut butter cups. I live.
Speaker 1 (15:40):
When I was prescribed my epiparam, I was given the
name of a local allergist to perhaps follow up with.
And what they say. I never had another moment like
I did that day mowing my lawn, which got me
(16:02):
to the doctor.
Speaker 2 (16:02):
Stop trying to sound so jet setting.
Speaker 1 (16:06):
No, it's just that's what happened. Oh, I hope I
didn't pick up a bug in Miami. So because it
never never struck me again, we never know. It's a
myster it's unsolved. And I never had to use the EpiPen,
Thank god. I never went to that allergist. So I
do have a name. I would just have to get
(16:26):
referred again. Hi Elliott in the morning, he needs another referral,
please please please?
Speaker 3 (16:36):
Hi.
Speaker 1 (16:36):
Who's this?
Speaker 7 (16:39):
Oh, hey Elliott, this is Sarah. I am actually calling
kind of on behalf of my dad. So my dad
wanted me to tell Tyler. He recently had all of
the same reports. He had two CT scans and an
ultarsdown couldn't lay down without it, like basically killing him. Anyway,
his PCP diagnosed him, he has a torn ligament.
Speaker 1 (17:03):
Do you have a torn ligament? Well that would be
the muscular skeletal yeah diagnosis, right, so maybe you have
a torn ligament. So what did he have to do
then to eventually find that out?
Speaker 7 (17:15):
So again, well, he went to the er like twice
within a week because again they didn't know what was happening,
and he like, as far as pain is concerned, my
dad can take pretty much anything, like he is.
Speaker 1 (17:28):
Not all do we have a wist on hold?
Speaker 7 (17:34):
Sorry Tyler, but but yeah. So he went twice in
a week, and it was each time they just kept
sending him home. He went to the PCP, and to
my knowledge, all they've really given him is pain medication
at the time.
Speaker 1 (17:48):
Yes.
Speaker 7 (17:50):
Yeah, If I have any other follow ups, I'll like
send you all a message on Instagram.
Speaker 1 (17:54):
Oh. Perfect, perfect, that's very kind. That's very kind, thank you,
thank you. Okay, so that's another thing. But I guess
I wouldn't. That would be just to follow up with
my regular doctor. I just got very lightheaded too. Did
anyone else have this shrimp?
Speaker 3 (18:10):
Seafood? Wait, no meat, no seafood? Jerry, you got lightheaded?
Speaker 1 (18:20):
Yes, I had the shrimp. I think it's because I
have had the entire break facing this way.
Speaker 3 (18:25):
Did anybody have the mashed potatoes?
Speaker 1 (18:29):
I think honestly, I think it's just I've I've been
angled differently this entire twenty minutes and my side is
really hurting because of it, and I'm gonna pass out
line one.
Speaker 3 (18:43):
I'm gonna turn then.
Speaker 1 (18:45):
I also can't see the expressions and the eye rolling
you do.
Speaker 8 (18:48):
Here we go, Hello, Tyler, have you looked into nutcracker syndrome?
Speaker 1 (18:56):
I hope it's a Christmas joke? Is nut It's not?
Speaker 8 (18:59):
Is that when your left renal vein compresses your other arteries? Waite,
severe abdominal pain in certain positions?
Speaker 1 (19:08):
Wait did you say when you're what?
Speaker 8 (19:11):
Left renal vein is compressed by other arteries and it
causes severe abdominal pain in specific like certain positions.
Speaker 1 (19:20):
I've never even heard of them. How is that diagnosed?
I don't know.
Speaker 3 (19:24):
Isn't the first symptom of that though? As a partial fatty.
Speaker 8 (19:28):
Liver, usually it's the pain from what I know of it.
Speaker 1 (19:33):
But renal is what is renal? Kidneys? Right, Renal failure
is kidneys.
Speaker 8 (19:41):
It's your renal vein that connects to your kidney.
Speaker 1 (19:44):
Hey, what about my main vein?
Speaker 3 (19:46):
Hey man? All right, very good, very good, thank you,
thank you.
Speaker 1 (19:51):
Keffen wants to know if when I walk into the
offices I ever hear them on the internal communication systems
a code tummy.
Speaker 3 (20:04):
Code dummy.
Speaker 8 (20:07):
Line.
Speaker 3 (20:07):
I've never heard of of nutcracker?
Speaker 1 (20:10):
This is this is the problem. And this is what
a former piece makes me think of. John Lander though
a former PCP used to make fun of because now
we've gotten three more diagnoses hold type and uh. A
doctor I used to have who moved out of the area,
he could be takeuse of you. He used to always say,
so what are the listeners thinking? And I would tell
him and there's all about ruling things out. Yeah, exactly.
Speaker 3 (20:35):
Now it's like this is this is probably why.
Speaker 1 (20:37):
This is probably why I got lightheaded, because it's just
too much and it's overwhelming. Because now I'm worried about allergies.
I'm worried about a ligament. I'm worried about the vein.
Speaker 3 (20:49):
Will you? Will you describe what you're worried about, Like
somebody says that it could be nutcracker syndrome, something you've
never heard of, and now you're worried about it.
Speaker 1 (21:00):
That's how I work.
Speaker 3 (21:06):
Line five hie the morning.
Speaker 7 (21:10):
Hi is this mean?
Speaker 5 (21:11):
Yeah?
Speaker 4 (21:11):
Hi?
Speaker 1 (21:12):
What can I do for you?
Speaker 4 (21:14):
My name is Travis. I was going because I had
issues in the past with a thing called colitis, which
is a inflammation of the bowels, and the only way
to figure it out is to take a drink some
nasty stuff and then get a CT of it this morning.
If he had anything like that.
Speaker 3 (21:33):
Done, did they check for colitis?
Speaker 1 (21:36):
I don't know exactly what the pelvic and abdominal CT
scan can tell you if you're not looking for specific things.
But I would like to say that the imaging I
had done could rule out some things that the symptoms
would suggest it may be.
Speaker 3 (21:51):
Isn't colitis from eating like a strawberry seed, that's divers diverticulitis.
What is colitis colitus is?
Speaker 4 (22:00):
It can just be an inflammation of the bowels from
a virus, virus or anything up to even cancer of your.
Speaker 3 (22:10):
U I have to say that you want to be worried.
Speaker 4 (22:15):
But most of the time, most of the time it's
just because of a virus.
Speaker 3 (22:19):
Well just you know what do call of guard crap
in the box and then said.
Speaker 2 (22:22):
He's already had a colonoscopy, right.
Speaker 1 (22:25):
Yeah, but more similar symptoms four years ago. They just
rearing their ugly head again. When it's worse this time
because it hasn't gone away yet. All right, very good,
very good, thank you? All right.
Speaker 3 (22:38):
So I don't know what so nothing through the holidays.
Speaker 1 (22:42):
I just think that I'm not going to be rushed
in unless I pretend it's a sick visit. I'll get
the text tummy, Hey, I was back at the urgent
care again. No. The next the next step for me,
No will be a apologizing to my mom for not
telling her all this ahead of time.
Speaker 2 (23:04):
Is she hearing this on the air?
Speaker 3 (23:05):
Yeah, well no, she.
Speaker 1 (23:06):
Knew that I had gone to a specialist. I just
I hadn't talked about the CT scanner, the results, or
my liver yet with her the way, there's nothing there.
Speaker 3 (23:13):
There are no results, the results are there's nothing otherwise normal.
Speaker 1 (23:16):
That was my grade. Although if I got an otherwise
normal in school, I would have I would have lost
it because that's how I work.
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