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As many of you rightly guessed the first case scenario represents a typical syncopal episode while in the second case John had a generalized convulsion seizure. When a patient presents to a neurologist with an episode of loss of consciousnessit is imperative that we try to elucidate the underlying cause. As you can imagine the treatment of both these conditions is very different.

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Recently I was consulted on two patients who presented to the hospital after a syncopal episode. As syncope is relatively common, I thought that is what I should discuss in my next post. So what is syncope?

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I took Ambien for nearly six months. Which I apparently had been doing — entirely in my sleep with no recollection of it. Ambien is scary,scary crap — it beat me down like a one legged man in an ass kicking contest and apparently made me temporarily insane while I slept?!?!

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For those of you who might not know what I'm talking about, let me enlighten you. I first heard about the craze roughly two years ago, when a bunch of my friends suddenly started getting them. Essentially, a doctor puts a T-shaped device made of copper or plastic into your uterus, and through a series of magical powers, it prevents pregnancies up to The other amazing benefits include reduced hormones, birth control for up to seven years and a massive reduction in the number or strength of periods you get a year.

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IT'S easy to do, especially if you are far away from the loo. Now, we aren't suggesting you just let it out wherever you are, but you should make sure you find a toilet as soon as you feel yourself needing to go. In a healthy adult, occasionally holding in your wee shouldn't do any damage, it's when you do it all the time that you could cause yourself some problems.

Syncope is the temporary reflex loss of consciousness due to insufficient oxygen reaching the brain. Recovery is always rapid once the head is lowered and the blood supply to the brain restored, but it can be very traumatic for the sufferer, particularly if they have blacked-out in a public place. In the words of Professor MC Petch, writing about the condition in the British Medical Journal'People who faint need reassurance, and a few may experience continuing morbidity owing to uncertainty about the next faint and its consequences. I fainted in my second pregnancy.

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