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Suggest Treatment For Swelling, Stiffness And Discomfort In The Legs
Question: Respondent is 85 year-old caucasian male w/history of exceptional fitness & perfect immune resistance...10 days ago, sudden onset of SWELLING, stiffness & discomfit in feet & legs, w/pronounced RED/lavender coloration on tops of feet...no vertigo, emesis, tremor, weakness or change in meds, lifestyle or cardiovascular/pulmonary condition...BP soared into orbit [June 2015], controlled by amlodipine besylate...other symptoms typically post-retirement &/or geriatric--gradually rising fatigue, insomnia, anxiety, despair, confusion, ennui, anhedonism & total isolation owing to 9-year absence of wife & now 16 year-old daughter...broke; all friends/family deceased; no hobbies or recreation; write/edit 12-13 hours on-line per diem to maintain sanity & fulfill reform obligations...plunge to Void imminent.
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
You describe a couple of symptoms. First, swelling and redness in your legs. Second, symptoms consistent with major depression.
For the leg swelling and redness, this is a very concerning symptom which could indicate blood clots. You need to visit either a primary care doctor today or call 911 and visit the ER immediately. This could result in death so needs immediate attention.
For the symptoms of depression, I believe you are currently experiencing a major depressive episode. This needs immediate treatment with an SSRI antidepressant such as escitalopram (bupropion is not enough). You should talk about this with your primary care doctor. If you are having thoughts that you would be better off dead, or thoughts about ending your life, you need to call 911, as treatment will help you feel better.
In short, you need to call 911 for urgent evaluation of your legs, and to be assessed for depression.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Consultation
Detailed Answer:
Hello, and thanks for your question.
You describe a couple of symptoms. First, swelling and redness in your legs. Second, symptoms consistent with major depression.
For the leg swelling and redness, this is a very concerning symptom which could indicate blood clots. You need to visit either a primary care doctor today or call 911 and visit the ER immediately. This could result in death so needs immediate attention.
For the symptoms of depression, I believe you are currently experiencing a major depressive episode. This needs immediate treatment with an SSRI antidepressant such as escitalopram (bupropion is not enough). You should talk about this with your primary care doctor. If you are having thoughts that you would be better off dead, or thoughts about ending your life, you need to call 911, as treatment will help you feel better.
In short, you need to call 911 for urgent evaluation of your legs, and to be assessed for depression.
Please remember to rate and close this answer thread when you are finished and satisfied.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Above answer was peer-reviewed by :
Dr. Prasad
Many thanx...
Will go GW Hospital ER in DC 1st thing XXXXXXX post shower...may aye take metro [subway] or shood aye call 911 for ambulo?
Must leave town 23-26 XXXXXXX for 3 days to visit dying sister; then wil folo thru for surgery, ad inf.
Never been sick one hour in my life, thus feel immortal; waiting 2.5 weeks has been brainless--tho 85, aye have a 16 year-old bio-daughter to educate.
Depressed? yes--have lost all assets via multiple divorces & embezzlements, but cope by writing on-line 12-13 hpd.
Will go GW Hospital ER in DC 1st thing XXXXXXX post shower...may aye take metro [subway] or shood aye call 911 for ambulo?
Must leave town 23-26 XXXXXXX for 3 days to visit dying sister; then wil folo thru for surgery, ad inf.
Never been sick one hour in my life, thus feel immortal; waiting 2.5 weeks has been brainless--tho 85, aye have a 16 year-old bio-daughter to educate.
Depressed? yes--have lost all assets via multiple divorces & embezzlements, but cope by writing on-line 12-13 hpd.
Brief Answer:
Followup
Detailed Answer:
You can take the Metro if you are able, but calling 911 for an ambulance would not be a bad idea.
Please let me know how everything goes, I'd be interested in hearing how things turn out.
For now, please remember to rate and close this answer thread.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
Followup
Detailed Answer:
You can take the Metro if you are able, but calling 911 for an ambulance would not be a bad idea.
Please let me know how everything goes, I'd be interested in hearing how things turn out.
For now, please remember to rate and close this answer thread.
In the future, for continuity of care, I encourage you to contact me directly at my private link below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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