35m Extreme Vasovagal Response
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Info: 35m, 5’6, 201lbs, no smoking, no drinking, no caffeine, currently on Sertraline and Bupropion. Hey, Doc! So, I’ve always had a \*really\* difficult time with needles. It’s always an awful experience, and I’ve tried everything. I had to do a blood test recently, and the Dr on staff was telling the nurses to call 911 because my HR dropped to as low as 21. I don’t remember the entire experience, so I can’t recall if I ever actually passed out. That same Dr told me I should ask my PCP about a referral for a cardiologist, and whether or not I had been examined for Addison’s disease. He told me I had zero color in my face and that my lips were purple. It was an absolutely terrible experience. I became extremely nauseous, I couldn’t keep my head up, had no control over my breathing, was sweating profusely, shaking, and afterwards I had a headache and was extremely exhausted for the rest of the day. It actually took a couple of days till I felt back to normal. When speaking with my PCP about it while going over the results, she acted like it was no big deal and didn’t understand why I was even concerned about what happened. She also didn’t seem to think that the Dr calling 911 was considered an emergency situation. From the results she told me that my cholesterol was just barely a bit too high and that I’m also in the pre-diabetic range. She offered no guidance other than “lifestyle changes,” even after I told her that I eat fairly well and am decently active despite sitting all day for work. She also seemed to think I should know exactly what she was talking about when throwing out certain numbers. There are other things I would like to discuss with her, but she makes me feel very uncomfortable. It also feels like she’s trying to get through the meeting as fast as she possibly can, even though their office is never busy. What are your thoughts, and do you think my PCP is responding appropriately? Thanks in advance for any feedback you can provide!
AI Analysis
- Medication
- sertraline, bupropion
- Condition
- vasovagal response, presyncope/syncope, hypercholesterolemia, prediabetes
- Barrier
- gatekeeping
- Geography
- us likely