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	<title>Comments on: Not So Fast My Friend</title>
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	<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/</link>
	<description>My experiences as an ER doc</description>
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		<title>By: Doc Lee</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-7728</link>
		<dc:creator>Doc Lee</dc:creator>
		<pubDate>Sat, 29 Nov 2008 03:39:23 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-7728</guid>
		<description>The method of using certain food combinations in order to control digestive problems has been around for a long time. The problem is that so many people get into the habit of eating their foods in specific combinations that they&#039;ve been using for their entire lives that they can&#039;t seem to break out of those habits even when the solution to their digestive problems is easily within their reach. It has been proven over and over that certain types of foods don&#039;t digest well when mixed with other types of foods because it causes a hostile environment in the gut that often ends up releasing certain toxins into the digestive system. When these toxins are absorbed they cause the breakdown or lysis of different tissues over time. This tissue breakdown results in the various digestive conditions that you hear so much about and that cause so much pain and misery. Some of these conditions include diverticulitis, colitis, irritable bowel syndrome, acid reflux,chronic constipation and diarrhea, not to mention ordinary old indigestion. If people would learn to eat the appropriate food combinations, it would mean that their digestive conditions could improve significantly and they could enjoy life again instead of suffering through the digestive symptoms and taking all those pills, powders and often falsely touted &quot;special foods.&quot; It&#039;s not difficult, it&#039;s just a matter of learning the right food combinations and using them. Life will get better if people can just do this.</description>
		<content:encoded><![CDATA[<p>The method of using certain food combinations in order to control digestive problems has been around for a long time. The problem is that so many people get into the habit of eating their foods in specific combinations that they&#8217;ve been using for their entire lives that they can&#8217;t seem to break out of those habits even when the solution to their digestive problems is easily within their reach. It has been proven over and over that certain types of foods don&#8217;t digest well when mixed with other types of foods because it causes a hostile environment in the gut that often ends up releasing certain toxins into the digestive system. When these toxins are absorbed they cause the breakdown or lysis of different tissues over time. This tissue breakdown results in the various digestive conditions that you hear so much about and that cause so much pain and misery. Some of these conditions include diverticulitis, colitis, irritable bowel syndrome, acid reflux,chronic constipation and diarrhea, not to mention ordinary old indigestion. If people would learn to eat the appropriate food combinations, it would mean that their digestive conditions could improve significantly and they could enjoy life again instead of suffering through the digestive symptoms and taking all those pills, powders and often falsely touted &#8220;special foods.&#8221; It&#8217;s not difficult, it&#8217;s just a matter of learning the right food combinations and using them. Life will get better if people can just do this.</p>
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		<title>By: gaz</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5306</link>
		<dc:creator>gaz</dc:creator>
		<pubDate>Tue, 25 Dec 2007 06:41:14 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5306</guid>
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		<content:encoded><![CDATA[<p>&#8212;</p>
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		<title>By: Alasse</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5244</link>
		<dc:creator>Alasse</dc:creator>
		<pubDate>Sun, 23 Dec 2007 18:32:35 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5244</guid>
		<description>Wow, great post! As a medical student, I found it an ideal exercise - hard enough that I wouldn&#039;t guess what it was, but easy enough that I could follow it. But what was the white cells count about, was the spleen releasing them or what?
Oh, and I loved the Lethal Weapon line as well :D</description>
		<content:encoded><![CDATA[<p>Wow, great post! As a medical student, I found it an ideal exercise &#8211; hard enough that I wouldn&#8217;t guess what it was, but easy enough that I could follow it. But what was the white cells count about, was the spleen releasing them or what?<br />
Oh, and I loved the Lethal Weapon line as well <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_biggrin.gif' alt=':D' class='wp-smiley' /> </p>
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		<title>By: RC</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5224</link>
		<dc:creator>RC</dc:creator>
		<pubDate>Sun, 23 Dec 2007 06:29:41 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5224</guid>
		<description>Love the Lethal Weapon reference...</description>
		<content:encoded><![CDATA[<p>Love the Lethal Weapon reference&#8230;</p>
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		<title>By: Sue</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5212</link>
		<dc:creator>Sue</dc:creator>
		<pubDate>Sat, 22 Dec 2007 23:09:53 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5212</guid>
		<description>Initially I was thinking she&#039;s got 2 problems, but then you said  this- &quot;...a misdiagnosed GI bleed &quot;.  Then I though &quot;Man, Ten&#039;s been smokin&#039; too much crack&quot;. But none of the other commenters asked you about it so I started thinking &quot;WTF?&quot;.  I work in a level 1 trauma center. If blood can travel from the spleen to the GI tract this is something I need to know! 
Anyway, thanks and great catch!</description>
		<content:encoded><![CDATA[<p>Initially I was thinking she&#8217;s got 2 problems, but then you said  this- &#8220;&#8230;a misdiagnosed GI bleed &#8220;.  Then I though &#8220;Man, Ten&#8217;s been smokin&#8217; too much crack&#8221;. But none of the other commenters asked you about it so I started thinking &#8220;WTF?&#8221;.  I work in a level 1 trauma center. If blood can travel from the spleen to the GI tract this is something I need to know!<br />
Anyway, thanks and great catch!</p>
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		<title>By: Ten out of Ten</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5211</link>
		<dc:creator>Ten out of Ten</dc:creator>
		<pubDate>Sat, 22 Dec 2007 22:37:44 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5211</guid>
		<description>Sue -- I can see how that&#039;s not clear.  We try to tie up all of a patient&#039;s symptoms with one neat diagnosis, but in this case she had two separate problems, some (probably) minor bleeding coming from somewhere in her intestines which almost caused me to miss the real problem, a lacerated spleen bleeding, like you said, not into the GI tract but into the belly.</description>
		<content:encoded><![CDATA[<p>Sue &#8212; I can see how that&#8217;s not clear.  We try to tie up all of a patient&#8217;s symptoms with one neat diagnosis, but in this case she had two separate problems, some (probably) minor bleeding coming from somewhere in her intestines which almost caused me to miss the real problem, a lacerated spleen bleeding, like you said, not into the GI tract but into the belly.</p>
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		<title>By: Sue</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5209</link>
		<dc:creator>Sue</dc:creator>
		<pubDate>Sat, 22 Dec 2007 22:17:17 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5209</guid>
		<description>It&#039;s been a long time since I took A&amp;P, but I remember the spleen as part of the lymphatic system.  How did the blood get from the spleen to the GI tract?  A ruptured spleen doesn&#039;t just bleed into the peritoneal cavity?
I did at least know what caused the elevated white count, but spleen to GI tract? Not getting it.</description>
		<content:encoded><![CDATA[<p>It&#8217;s been a long time since I took A&amp;P, but I remember the spleen as part of the lymphatic system.  How did the blood get from the spleen to the GI tract?  A ruptured spleen doesn&#8217;t just bleed into the peritoneal cavity?<br />
I did at least know what caused the elevated white count, but spleen to GI tract? Not getting it.</p>
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		<title>By: Ten out of Ten</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5205</link>
		<dc:creator>Ten out of Ten</dc:creator>
		<pubDate>Sat, 22 Dec 2007 18:24:29 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5205</guid>
		<description>Sines -- Just speaking from anecdotal experience, significant trauma results in a stress response that will get your white count up, although the magnitude of her leukocytosis was atypical.  Luckily for her -- if she was around 15,000 or so I doubt I would have ever gone back.</description>
		<content:encoded><![CDATA[<p>Sines &#8212; Just speaking from anecdotal experience, significant trauma results in a stress response that will get your white count up, although the magnitude of her leukocytosis was atypical.  Luckily for her &#8212; if she was around 15,000 or so I doubt I would have ever gone back.</p>
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		<title>By: totaltransformation</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5189</link>
		<dc:creator>totaltransformation</dc:creator>
		<pubDate>Sat, 22 Dec 2007 00:30:54 +0000</pubDate>
		<guid isPermaLink="false">http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5189</guid>
		<description>Wow, it&#039;s like watching House.</description>
		<content:encoded><![CDATA[<p>Wow, it&#8217;s like watching House.</p>
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		<title>By: Sines</title>
		<link>http://trismus1.wordpress.com/2007/12/21/not-so-fast-my-friend/#comment-5185</link>
		<dc:creator>Sines</dc:creator>
		<pubDate>Fri, 21 Dec 2007 20:39:50 +0000</pubDate>
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		<description>Wow! It&#039;s great you were able to make the diagnosis. Why does lacerated spleen give such a high white count...I know I should look it up in Tintinalli&#039;s but I am too lazy.</description>
		<content:encoded><![CDATA[<p>Wow! It&#8217;s great you were able to make the diagnosis. Why does lacerated spleen give such a high white count&#8230;I know I should look it up in Tintinalli&#8217;s but I am too lazy.</p>
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