If someone who has been purging 1-3 times/day almost every day for 2 1/2 years got a general checkup and a blood test, would there be any evidence of it? Would the doctor be able to detect it? This individual doesn't want to say anything to the doctor. If the purging stopped for 1 week, would the blood work be more normal? The individual managed to hold down a decent 400 cal/day.    Dr. Pies' Answer

I am a mental health professional working with older adults. I have a female client who I am counseling who complains of music playing constantly in her ears. She states that this is non-stop and has been going on for several years. She is 78 years old, has a childhood history of severe physical abuse, past marital abuse, and raised five children on her own.    Dr. Pies' Answer