Hello! I have been a doctor for 21 years. My name is Georgy Olegovich Sapego. In this article I will collect some of the questions that are repeated six months later. It seems that they are interesting to many.
Question: My head is spinning after somersaults. The neurologist has forbidden somersaults.
Answer: There are various reasons for dizziness. If it is a benign positional vertigo, then it is useful to provoke vertigo. The more often it is called, the faster it goes away. This does not mean that you have to somersault. Tumbling is not good for the neck. But there are maneuvers that a neurologist does to detect vertigo. They are safe. For example, lie on your back. If this maneuver provokes dizziness, then it is repeated over and over. So the vestibular apparatus gets used to dizziness and then does not notice it.
Question: Are there maneuvers without nausea and dizziness?
Answer: No. It is almost always unpleasant. You need to feel sorry for yourself less and do what the neurologist recommends.
Question: Is Mildronate harmful?
Answer: Yes, it is harmful. It turns off fatty acid oxidation. In some cases, a person does not have enough blood sugar. Then the brain feeds on the breakdown products of fatty acids. If you cut off this last source of energy for him, it will become bad. Mildronate stimulates many. It may well be. It stimulates in much the same way as a plastic bag suddenly thrown over your head. Asphyxiation excites the nervous system. So mildronate removes the last source of nutrition for the brain, and the brain begins to rebel.
Question: Which is better for examining the spine - CT or MRI?
Answer: In different situations it is different. CT is radiation. Usually even the annual radiation rate. CT scans show bones better and MRI shows soft tissues better. CT is done where there is metal, because MRI is not friendly with metal. MRI is a magnetic field. It's safe. This is not radiation.
Question: All the time I want to sit on a chair with my legs. Even at work.
Answer: This is a natural process. People in the wild squat, or on the ground, or pull up their legs in Turkish style. It may well be that this is how excess blood from the legs is drawn to the heart. If we were standing upright, then the heart would have to pump blood from the legs with effort. In this case, the sympathetic nervous system is activated, all sorts of hormones like adrenaline are released. They increase blood pressure. This is not always helpful. It is believed that arterial hypertension, that is, the disease of high blood pressure, is just given to us as payment for upright walking. Or maybe for a sedentary lifestyle. Because if you walk or run, then the blood is squeezed out to the heart by the muscles. And if you just stand, propping up a wall, or sit on a chair with your legs down, then the sympathetic nervous system is activated, and hormones are splashed into the blood. In addition, too many people like to sit with their legs tucked in. So that should definitely make sense.
Question: With what dose of alcohol does alcoholism begin?
Answer: Alcoholism begins not with a daily dose, but with addiction. Here one lady was indignant that she had to drink a small portion of alcohol every day before going to bed. Otherwise he cannot sleep. She is disgusted with alcohol, but she has to. This, I believe, is addiction. The lady was perplexed and outraged.
Question: So half of the country is alcoholics?
Answer: I don’t know. Easier to check. Hold on for a week. If it shakes, then it's alcoholism. I know one uncle. He was deprived of his rights in a drunken case. And he drank only a liter of beer in the evening. Pure thirst to quench Uncle was upset and decided that now he would not spend money on this beer. It costs him too much. The uncle stopped drinking beer, and four days later a squirrel came to him. It turned out that my uncle was addicted. So much for a beer!
How do you like this publication format? I feel sorry for sometimes throwing information that is asked again and again.
