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Drakeslayer

Drakeslayer

Wet Trail Wheeler
Joined
May 19, 2020
Member Number
257
Messages
186
Loc
Southern Oregon Coast
Mrs D. has med to large hiatal hernia. Surgeon we have met with is an arrogant c unt but that's another story. Her stomach is protruding through the hernia into he lung area. I asked the Dr. if the esophagus is connected to the diaphragm because if not when the diaphragm moves down to draw air into the lungs if the hole (hernia) is present why do the lungs inflate? wouldn't gases or tissue just be drawn into the chest cavity through the hole rather than air being drawn into the lungs. Pressure differential and all. Dr. acted like I was a moron for suggesting anything like this could happen and told me that if I went to medical school for eight years like she did I wouldn't ask such irrelevant questions and waste valuable time during the appointment.
I realize there is no air in the belly and the only opening to the outside air is the lungs but if the chest isn't a closed chamber due to the hernia how can the pressure differential between atmospheric pressure and the chest cavity exist when the diaphragm pulls down.

Please explain like I didn't go to med school cause I fucking didn't.:homer:
 
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I had hiatal hernia surgery done many years ago. I can't answer your question but I'd see a different gastrologist if shes being a bitch. If she's this much of a bitch now, and things don't go 100%, she'll only get worse.

No doctor should act like that over a question.
 
When the diaphragm contracts to increase the volume of the chest cavity, the negative pressure draws the air into the lungs. It’s an issue with a tension pneumo when there is a punctured lung and the air fills the chest cavity when it leaks out of the lungs, not allowing the lungs to expand.

There is no hole for air to pass like you’re describing. Her chest cavity may be a little smaller and that’s about it.
 
Not a doctor myself...........
That said, I think that the stomach IS pulling up into the chest cavity.
The reason it's not pulling up more is that it's reaching an equilibrium. As in, as the diaphragm goes down you get some stomach and gut goop going into the chest cavity, but mostly air because it moves easier. When it relaxes you prolly push some stomach and gut goop back out along with the air. Rinse and repeat. Sounds awful. Also, get a new doctor.
 
Drakeslayer said:
Dr. acted like I was a moron for suggesting anything like this could happen and told me that if I went to medical school for eight years like she did I wouldn't ask such irrelevant questions and waste valuable time during the appointment.
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I don’t believe asking questions because you’re concerned with your wife’s health and well being is a waste of Anybody’s time.
Fuck Dr. Bitch. I’d definitely be looking for another.
 
They get paid based on how many customers they turn over in a day. The medical industrial complex is real and concern for your health isn’t their biggest concern these days. Remember the AMA started life as a trade union.
 
Any time I have a doctor roll their eyes, sigh or otherwise complain about me taking an active participant role in my own health is the last time I see them. I get up, walk out the door right then and there. I find most doctors are not only incompetent but have a god complex as well. It's really hard to find one that doesn't just want to prescribe drugs for the kickbacks they recieve on treating symptoms vs actually sorting out what the root cause of a problem is and fixing it.
 
Russell said:
It's really hard to find one that doesn't just want to prescribe drugs for the kickbacks they recieve on treating symptoms vs actually sorting out what the root cause of a problem is and fixing it.
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Chicken/egg.
How many docs get tired of telling patients "Lose 40lbs, quit smoking, and come back."
How many patients go find a doc to prescribe pills when they hear that?
America's life expectancy is declining while obesity is rising...coincidence?

My cardiologist pissed me off when I asked about the difference between fluffy/regular cholesterol, and he replied "I hate the internet." Best in town, limited options, blah blah.
 
DannyK said:
Any doctor that talked to me like that would no longer be my doctor.
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Agree, but in her defense- that job is piece rate. They don't have time to talk to you anymore. Any kind of technical question that would require more than the 11 second single sentence answer is fucking their day up.

Its an assembly line and you can't just turn one of the parts around backwards because the extra amount of time it takes them to turn it back around before bolting it on slows the whole line down.
 
Russell said:
I find most doctors are not only incompetent but have a god complex as well.
Click to expand...

What do you call someone who passes med. school and the board exam. by only 1 point?
"Doctor"​

Difference between doctors and God?
God doesn't think he's a doctor.​
​
What to doctors and diapers have in common?
They can be changed for the same reason.​
 
subybaja said:
Chicken/egg.
How many docs get tired of telling patients "Lose 40lbs, quit smoking, and come back."
How many patients go find a doc to prescribe pills when they hear that?
Click to expand...

Fuck rationalizing bad behavior on the part of your doctors - if they want to act like they're better, hold them to that standard.

If you're OK being treated like cattle, just go to a goddamned veterinarian :flipoff2:
 
The answer he gave is the one you get when he doesn't know the real answer.

The diaphragm is made of muscle that "wraps around" the structures that pass through, esophagus aorta, nerves...
There is a tissue plane there that seals the passing through organs and thus the thorax and abdomen from each other. It is not terribly robust. Ever cleaned a deer? You know where you can get a finger in the right "plane" and easily separate or pull apart structures or layers of tissue? Like that.

So there is potential for leakage across the diaphragm. But in real life the muscle tone generally keeps it sealed, even if there are changes to what is passing through.
 
greenlion said:
The answer he gave is the one you get when he doesn't know the real answer.

The diaphragm is made of muscle that "wraps around" the structures that pass through, esophagus aorta, nerves...
There is a tissue plane there that seals the passing through organs and thus the thorax and abdomen from each other. It is not terribly robust. Ever cleaned a deer? You know where you can get a finger in the right "plane" and easily separate or pull apart structures or layers of tissue? Like that.

So there is potential for leakage across the diaphragm. But in real life the muscle tone generally keeps it sealed, even if there are changes to what is passing through.
Click to expand...
Thank you, that makes a lot of sense.
 
Quickly asked wife(ICU RN nurse)
Esophagus food and trachea is air. They're separate.
But is a medical emergency,the bulge above diaphram could be pinched and lose blood supply.
 
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