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Old 06-09-2014, 12:50 AM   #1
James Khetan
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Rhabdo?

i all

I have had a long layoff from working out and started back in the gym last week. on Thursday my trainer had me do some jumping pullups, along with other things, in an intense circuit style workout.

On Friday I couldn't straighten my arms. And it didn't get any better. I didn't have the crazy dark urine, but it was darker than usual. I didn't have the crazy swelling but they were definitely slightly swollen.

Last night (Sunday), 72hrs post workout, went into ER and my CK levels were 12,000. They gave me 1L of fluids and said that bc I'm a healthy young man, my kidney markers were fine, and the ECG was fine, I could go home. They were hesitant to diagnose rhabdo as the only indicator was the CK.

Did I have rhabdo? Was I released too early? When can I start working out again?

Thanks
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Old 06-09-2014, 08:41 AM   #2
Mark E. Wallace
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Re: Rhabdo?

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Originally Posted by James Khetan View Post
Did I have rhabdo? Was I released too early? When can I start working out again?
Doctors should answer this for you, not strangers on a forum.

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Old 06-09-2014, 08:46 AM   #3
James Khetan
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Re: Rhabdo?

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Originally Posted by Mark E. Wallace View Post
Doctors should answer this for you, not strangers on a forum.

- Mark
They have - I was in the ER yesterday. But I would guess there are quite a few strangers on this forum who have a better understanding of rhabdo than most doctors.
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Old 06-09-2014, 08:26 PM   #4
Tate Dimech
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Re: Rhabdo?

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Originally Posted by James Khetan View Post
They have - I was in the ER yesterday. But I would guess there are quite a few strangers on this forum who have a better understanding of rhabdo than most doctors.
You really believe that?
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Old 06-09-2014, 09:12 PM   #5
James Khetan
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Re: Rhabdo?

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Originally Posted by Tate Dimech View Post
You really believe that?
Yes. Most doctors have very limited experience with rhabdo, if any.
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Old 06-10-2014, 02:31 AM   #6
Tate Dimech
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Re: Rhabdo?

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Originally Posted by James Khetan View Post
Yes. Most doctors have very limited experience with rhabdo, if any.
And every second person who does CF has experience with it, right?
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Old 06-10-2014, 04:55 AM   #7
Dare Vodusek
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Re: Rhabdo?

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Originally Posted by James Khetan View Post
They were hesitant to diagnose rhabdo as the only indicator was the CK.
What was the diagnose then if it wasnt rhadbo?
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Old 06-10-2014, 05:56 AM   #8
James Khetan
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Re: Rhabdo?

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Originally Posted by Tate Dimech View Post
And every second person who does CF has experience with it, right?
I'm not sure what you're getting at but I don't like your tone and would rather you stopped contributing.

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Old 06-10-2014, 05:57 AM   #9
James Khetan
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Re: Rhabdo?

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Originally Posted by Dare Vodusek View Post
What was the diagnose then if it wasnt rhadbo?
There was no official diagnosis, which is why I'm a little confused and asking here. None of the doctors really had a great understanding of it.

Was treated like rhabdo but may not have actually been rhabdo as kidney function was fine (a bit low, but fine) and liver OK.
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Old 06-10-2014, 08:17 AM   #10
Frank Fusco
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Re: Rhabdo?

Rhabdo occurs when breakdown products of damaged muscle cells are released into the bloodstream. One of the released products, the enzyme creatine kinase, is what is often measured to determine whether there has been significant damage to the muscle. However, there is no accepted and definitive CK level at which all doctors will say "above this it's rhabdo and below it is not."

Further, "Individuals who regularly participate in high-volume, intense exercise, tend to have significantly raised base levels of CK compared to sedentary and moderately exercising individuals" see, Creatine-Kinase- and Exercise-Related Muscle Damage Implications for Muscle Performance and Recovery (http://www.hindawi.com/journals/jnme/2012/960363/) (wfs)

Generally, concentrations of CK below 20,000 U/l are unlikely to lead to renal problems, unless there are other contributing risk factors. But that doesn't mean it's still not a problem. You may be someone predisposed to higher CK levels, and this would be something to keep in mind. "Some individuals are found to have high levels of serum CK compared to other similar individuals when exposed to the same exercise protocol (including moderate exercise) even when main comparability factors such as gender, age, and training status are accounted for in data analysis." http://www.hindawi.com/journals/jnme/2012/960363/ (wfs)

So, all this to say, it doesn't really matter whether the doctor called it Rhabdo or not. It's a scale and your levels were definitely higher than what is normal or healthy but below levels that are associated with permanent and serious damage. Had you gone to another hospital, the doctors there might have said it was rhabdo. Maybe they would have admitted you, but the "treatment" is the same, i.e., plenty of fluids.

(Note: I am not a doctor, nor do I play one on tv. However, I did have Rhabdo.)
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