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Q: Generalized marginal health - what can I do about it? ( No Answer,   4 Comments )
Question  
Subject: Generalized marginal health - what can I do about it?
Category: Health > Medicine
Asked by: pcventures-ga
List Price: $12.00
Posted: 11 Mar 2003 12:52 PST
Expires: 10 Apr 2003 13:52 PDT
Question ID: 174780
What can I do about just generally not feeling well?  I feel like I
haven't been especially healthy lately.  I haven't had a checkup
lately, but I feel that the checkups given by my doctors have been
rather cursory.  Where else can I go to get a really thorough blood
chemistry workup and physical exam?  And get my insurance to pay for
it?  Also, what can a person do proactively in terms of diet and
habits to deal with a generalized feeling of marginal health?
I don't smoke or drink.

Request for Question Clarification by digsalot-ga on 11 Mar 2003 15:24 PST
Where are you located?  There are various good clinics around the
country and it would be nice if I could find one close to you.

Clarification of Question by pcventures-ga on 12 Mar 2003 06:30 PST
I'm in Westchester County, NY.

Request for Question Clarification by digsalot-ga on 12 Mar 2003 14:02 PST
Since this is an opinion rather than documented fact, I am going to
put it here and leave the question open in case somebody has an answer
they might deem better.  Since you are in the east, I highly recommend
you take a days drive west and visit the Cleveland Clinic.  They are
one of the nation's leading medical centers and your insurance should
be good.  I don't know what insurance you have nor is it any of my
business, but they take most.  You could always call before you go.

From personal and family experience, plus their reputation, I doubt if
you could do much better when it comes to tracking down "mysterious"
illnesses.

Good luck to you.

digsalot
Answer  
There is no answer at this time.

Comments  
Subject: Re: Generalized marginal health - what can I do about it?
From: pinkfreud-ga on 11 Mar 2003 15:48 PST
 
Have your doctors ruled out fibromyalgia or chronic fatigue syndrome?
Subject: Re: Generalized marginal health - what can I do about it?
From: cynthia-ga on 11 Mar 2003 16:19 PST
 
Just peeking in, I'd find a Naturopathic Physician...

--Cynthia
Subject: Re: Generalized marginal health - what can I do about it?
From: pinkfreud-ga on 12 Mar 2003 14:16 PST
 
The Cleveland Clinic, mentioned above by digsalot, is an excellent
suggestion. You might also consider the Mayo Clinic in Rochester,
Minnesota:

http://www.mayoclinic.org/becomingpat-rst/appointments.html

I have been through diagnostic evaluations at both the Cleveland
Clinic and the Mayo Clinic. Although their approach is highly
impersonal (rather like an assembly line or a cafeteria,) both these
facilities are outstanding in diagnosing illnesses that may be missed
by one's family doctor.
Subject: Re: Generalized marginal health - what can I do about it?
From: librariankt-ga on 20 Mar 2003 13:09 PST
 
Hi pcventures -

I can certainly understand feeling generally unhealthy but not being
able to describe why or how.  It's about the most frustrating thing
out there - and having a doctor who doesn't take much time to figure
out what's going on doesn't help.  The first thing I would do, in your
situation, is have a regular checkup with my doctor.  Before I go to
my doctor, I sit down and write out all the health concerns I've had
since my last appointment.  That way I won't forget them (which I tend
to do) and I can prompt my doctor to talk about them.  It's possible
that your doctor just doesn't know that you feel icky all the time.

The comments given here by other researchers are excellent with
regards to the Cleveland and Mayo clinics, and, should you continue to
be unhappy with your doctor's recommendations, you may wish to pursue
those lines of research.  However, it's possible that something simple
and environmental is causing your problems, rather than something big
and scary.  I think you're wise to ask about diet and lifestyle habits
that might be affecting your health.

Smoking and drinking are the obvious "bad habits" that people think of
for health problems.  Other things that can contribute to a general
feeling of "unwellness" that can be hard to diagnose:

- low-grade allergies (including but not limited to pets, mold, dust -
things that are always in your home or at your workplace).  Do you
feel better (physically, not mentally) when you take an extended
vacation?  My husband found out in college that he'd been sick for 18
years because he's allergic to cats, not because he was a sickly kid. 
Check out the fast facts on allergies from the AAAAI:
http://www.aaaai.org/patients/resources/fastfacts/allergies.stm

- dehydration (most people don't drink enough water, which really
plays havoc with your system) - drink water!  if you don't like water,
I'd suggest a sugar-free flavored drink.  Do the sugar-free so that
you aren't adding calories to your day (which will result in weight
gain, and further feelings of illness that accompany that).  Here's an
article on dehydration from the MEDLINEplus encyclopedia:
http://www.nlm.nih.gov/medlineplus/ency/article/000982.htm

- vitamin deficiency (this can include Vitamin D - which is treated
using a sunlamp or exposure to the real sun - vitamin C, or any of the
B vitamins) - go on a multivitamin!  There are a lot of great
resources on the MEDLINEplus health topic for vitamins and
supplements: http://www.nlm.nih.gov/medlineplus/vitaminandmineralsupplements.html

- stress (it's amazing what stress can do to your health) - I've found
yoga twice a week for a half an hour (using a tape at home) really
helps alleviate and even prevent migraines.  Here's a handout from the
National Institute of Occupational Safety and Health:
http://www.cdc.gov/nasd/docs/d001201-d001300/d001245/d001245.html

- lack of sleep - the MEDLINEplus health topic for sleep disorders may
be helpful: http://www.nlm.nih.gov/medlineplus/sleepdisorders.html

- lack of exercise (endorphins, which are released by activities such
as sex, eating chocolate, and exercise, are vital for "feeling good").
Here's the MEDLINEplus health topic for exercise/physical activity:
http://www.nlm.nih.gov/medlineplus/exercisephysicalfitness.html.

- poor working conditions (such as - lighting, noise, air quality,
height of the desk/keyboard if you do a lot of typing, glare from
computer monitors, etc.) - many companies now have a specialist in
ergonomics who can help you figure out if you're "working healthy."
You might find the occupational health links from MEDLINEplus
interesting: http://www.nlm.nih.gov/medlineplus/occupationalhealth.html

- poor diet (you could be lactose intolerant, for example, or eating
too much fatty foods and too little fibrous foods) - check out some of
the nutrition sites on the web or contact a nutritionist for a
consultation.  There's also this handout from the Academy of Family
Physicians: http://familydoctor.org/handouts/369.html

I found these sites using the MEDLINEplus service from the National
Library of Medicine (www.medlineplus.gov).  I am entering this as a
comment, not an answer, because I've only answered half of your
question.  Please note that I am not a physician, so the above is not
to be construed as medical advice or a diagnosis.

Good luck!

librariankt

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