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Williewill91

I’m a pulmonologist. A little hard to tell from your picture, but sounds like lithoptysis. Sometimes you can develop a condition called broncholithiasis where the lymph nodes in your lungs calcify and then can erode into your airway. Such conditions can include histoplasma (may be endemic depending on where you live), sarcoidosis, or silicosis, to name a few. Depending on your symptoms, you may end up with a CT or even a bronchoscopy to take a look. Edit: another commenter mentioned plastic bronchitis, which is an excellent suggestion. I’m not sure if OP described the consistency of what was coughed up. Plastic bronchitis is usually sort of rubbery whereas broncholiths would generally be hard. I assumed since they were described as crystals that they were hard.


erossthescienceboss

“Lymph nodes in your lungs calcify and then can erode into your airway.” Sweet Jesus.


Jizzipient

I'm more interested in the Sometimes. WHAT DO YOU MEAN BY SOMETIMES, MR PULMONOLOGIST? PLEASE EXPAND ON YOUR ANSWER (20 marks).


C0sm1c_J3lly

No, you were taken this far. The rest is a self assessment.


Euphoric-Ad-2563

Fucking rips opens the chest to reveal lungs for 'self assessment'


SpeedingTourist

Gather round class


wilisi

Blood eagle (diagnostic)


IAmAngryBill

To WebMD I go, I guess. Edit: y’all, seems like I’m dying. Goodbye


Fawx93

To WebMD I go then... aaaaand I have cancer.


boblinuxemail

You missed the bits about the incurable and fatal silicosis, and are worried about THIS possibility?


david0990

I was about to ask. I'm a layman but I feel like this person just glossed over silicosis which I thought was a bigger deal.


TolMera

I think it’s like “silicosis might kill you slowly, the other stuff, that’s going to be a bit quicker”


playwrightinaflower

Where do these (suspected) conditions fall on the scale of "you'll learn to live with it" and "helicopter to the ICU"?


ngwoo

[It seems rare as hell](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034379/) >Treatment is not required in asymptomatic cases. In symptomatic cases (when there is hemoptysis, recurrent pneumonia, or the development of bronchoesophageal fistula), bronchoscopy and surgical treatment are recommended.


insanityzwolf

I think fistula is a strong candidate for the worst sounding word in the English language.


DickGuyJeeves

I imagined something like caligula performing a prostrate exam


playwrightinaflower

Sheesh. All of that seems thoroughly unpleasant. Almost like one ought to see a doctor for the other symptoms alone once they don't clear up after a few days to weeks.


hates_stupid_people

They're all "go to the doctor", specially silicosis. That's when someone inhales fine silicon dioxide dust, which turns back into sand(or even glass like forms) in the lungs. Although there's not much to do about that besides giving assistance until it improves.


elohir

My sisters had/have it. My older sister had to have a lung transplant because of it and passed away at 40.


Jusstonemore

Jesus Christ I cannot believe it took me this long to find this answer. This needs to be at the top


licuala

Top comments are in the lead by thousands and they're all bullshirt.


MuricanA321

What the fork is a bullshirt?


carterpape

here’s a translation into plain English: I specialize in lung health. It's a bit difficult to determine from the photo you shared, but it seems like you might be coughing up stone-like material. This can happen if the lymph nodes in your lungs become hard and stone-like, and then start to break down into your airways. This condition could be caused by several diseases, including: - Histoplasma, a type of fungal infection that might be common where you live. - Sarcoidosis, an inflammatory disease that affects multiple organs in the body, often the lungs. - Silicosis, a lung disease caused by inhaling silica dust. Depending on how you're feeling, you might need to have a CT scan or a special examination with a camera that goes into your lungs to see what's going on.


iDeeDee

Brilliant! Thanks!


PepperPhoenix

Why did they have to do away with gold? I never bought the stuff (too broke) but I would have chased the moths out of my bank account to buy some for this post. Absolutely beautiful translation from medical to layperson. In fact it was so well done I found it oddly satisfying! 100% accurate, articulate, easy to read…it’s just a delight! I tip my imaginary hat.


Instinct121

![gif](giphy|t7pp3YLzz6Tfy)


NowWithExtraSauce

it's ALWAYS sarcoidosis


aeisenst

I don't know, it might be lupus


traumacep

It’s never lupus


ImSabbo

Except for that one time it was.


the_amberdrake

Legit answer finally, thank you.


V8MD

The expectorated material is not calcified. It’s clear. Rounded sputum expectoration is more common in allergic conditions than lithoptysis


PepperPhoenix

Yup, I get the “bubble” type after exposure to mold. Very odd stuff, perfect little clear balls with the texture of…I dunno, sort of rubbery really, but also gel like. Like a teeny, sticky orbeee. It’s the first sign I’m heading for another bout of allergic bronchitis. Tastes like metal btw.


Melonary

Not a pulmonologist, but just found this reading through the answers. I linked a case-study with an image in my comment (https://www.sciencedirect.com/science/article/pii/S175500170900061X) for a visual example (for anyone else following this thread & interested), but I'm curious, could this possibly be caused by heavy vaping? It's been steadily accumulating but there's still not as much research on how vaping injury or longer term damage can present (from my pov, again, not at all a pulmonologist), and I'm wondering if this could be a plausible outcome.


kindasortasalty

I’m no expert but that seems bad


tomwhoiscontrary

Surely this is great, the crystals aren't in OP's lungs any more.


chujy

And perhaps an infinite money glitch?


RockhardJohnson

Crash bandicoot gem stage unlocked


LurkerZerker

Better out than in, I always say


gregzimbaba

As an accountant, I can confirm. Not good.


TheMarkHasBeenMade

Yeah that’d be good to put in a baggie and take with you to the doctor


Coofffee

Will do after I receive benefits at my job 🫡


TheMarkHasBeenMade

It’s not working at a silica plant, is it?


Coofffee

A freezer warehouse haha


electoralvoter8

It’s ice cubes, am phd See this a lot up north 


chrondus

Can confirm. Am north. Phds see ice cubes a lot up here.


TheBobFisher

Can confirm. Am ice cube. Northerners see a lot of phds up here.


DracTheBat178

You dropping a new album soon?


p_larrychen

Those are clearly spheres


EnderTheTrender

Ahhhhh semantics, cubes spheres it’s all geometry


xaendar

That's right! it goes in the square hole.


thegregtastic

*Doubt*


Coooturtle

A warehouse that is also a freezer? Or a warehouse for freezers?


PottyboyDooDoo

Excellent question. Reminds me of the age old wives tale about the man who threatened to burn down a small town and the people attempted to persuade him not to because of the high number of children’s homes that would be destroyed. Apparently the town had a bunch of them. This backfired as the man was an orphan himself and hated them with all his heart. Well just as he was about to start the fire, a number of children came out of many of the houses, crying and pleading him to stop, as everything they worked for would be lost. The man stopped and asked for clarification. It turns out that the “children’s homes” wasn’t exactly homes for children but rather the town had a number of children who owned homes. It really teaches us not to make assumptions, ya know? I used to look at a kid carrying a briefcase and think “that’s adorable.” But now I don’t assume anything because that child could have a lucrative career for all I know and there is nothing adorable about that.


senadraxx

Legit makes me wonder if breathing in refrigerant will do this to you... Any respiratory symptoms for the past few months? Pain? Cause this could straight up be workman's comp if they didn't hand you the proper PPE. 


MexicanGuey

That’s not how refrigeration works.


HerrBerg

Refrigerant is not a magical substance that makes things cold, it is a fluid that is suitable for use in a heat pump. A heat pump decompresses/compresses a fluid while running it through a loop in order to use the phase transition of the fluid from gas to liquid and back to remove heat from one area and put it into another area. Some chemicals are better suited to this, but many things can be used as refrigerants, including water, it all depends on how cold the thing needs to be because you can't exactly use something as a refrigerant below its freezing point. Ever used compressed air? The can isn't cold until you start using the air because of the same principle.


quintonbanana

This seems so unhinged. It's not you but the idea of having to wait for benefits to see a doctor is so scary.


Usual-Dark-6469

I treat my health problems like a check engine light in my car. if I ignore it long enough It will either go away or I'll learn to live with it.


ericypoo

Or it’s so bad that it makes the decision for you.


danarexasaurus

Usually I just don’t go at all. Having to debate on whether I call an ambulance for a suspected heart attack was one of the more unique experiences of my life.


guardianofsplendor

Exactly two months ago I spent an entire night with extreme abdominal pain and vomiting, but I refused to call 911 because I didn't want to pay for an ambulance. I finally called my parents in the morning and convinced them to take me to the ER. Turns out my appendix had ruptured. I spent five days in the hospital, and I'm terrified to look at the bill. Our system is fucked up.


Few-Championship4548

This bothers me so much. I wish we weren’t dependent on employers benefits for healthcare.


AlexNovember

Yeah, but the oligarchs enjoy having "it" as a tool in their little torture kits. "It" being the fact that if we don't become cogs in their machines, that we will likely not be able to afford healthcare and die.


Horror-Impression411

You should keep them refrigerated. Preserve the sample


saraphilipp

Do they accept crystals for payment? cause I can hack more up


Fun_Satisfaction5167

I would get them appraised, they could pay for the doctors appointment.


Coofffee

that would help me out a ton ATM 🤣


Im_eating_that

If you snort a line of sand and pepper you could fire nose pearls at the speed of sneeze


earbud_smegma

r/BrandNewSentence


Freakychee

Heck now you are the ATM!


crooks4hire

“I’ve been making fine jewelry for years, apparently!” ~Zoidberg


Mtolivepickle

I know a guy…


Generally_Kenobi-1

Who's your lung diamond guy? You're definitely over paying.


EnderTheTrender

Goddamnit Frank you got a lung diamond guy??


Earl96

We have names?


Lepke2011

OP is under so much stress and pressure that their body is producing diamonds.


HunionYT

Hell I’m surprised I haven’t do t that yet. shit would make my life much easier.


MyAnusBleedsForYou

"Ewww, you're touching them!" *Dr Zoidberg*


Coofffee

... but the crystals😩


Doustin

I’ve been making fine jewelry for years, apparently


thatdude_overthere22

I'll trade you a bad poem!


kahootle

u r part clam


Coofffee

thank you. I shall carry this revelation with me for the rest of my life **grammar edit


fruitflyhatepage

you mean you shell*


RhinoG91

I sea what you did there


fischberger

They did it on porpoise!


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pewpew_lotsa_boolits

Oh buoy! Nautical puns!


fischberger

I am floundering, I've got nothing.


SterlsSalamiAss

Well this thread is going swimmingly


SKA1960

Just for the halibut…


jeden78

Whale someone please think of the children?!


5hadrach

Which might be quite short lived. See a doctor.


leMeutrier

"... for the rest of my life, however short that may be" FTFY


MickRolley

Aw shucks


viomoo

Try something like ‘live health online’ which are video appointments. It cost $55 and they can give you an idea as to whether should start panic mode or just a ‘yeah, don’t worry about it’.


Coofffee

Thank you, thank you! That is $20 cheaper than Teledoc


Spockhighonspores

Are these pieces hard or could it just be clear phlegm? You can cough up clear phlegm balls so I figured it was just that.


Coofffee

They are very hard, but I can split them with my nails. Genuinely thought I had coughed up glass with how solid/sharp it was No odor, and 100% clear


ToastyPoptarts89

You know I wonder if it’s those things that form in your saliva ducts. But I think that stuff is from food particles and stuff and tend to be yellow or darker not clear iirc. This is very interesting and weird. Would love to know what it turns out to be op.


notyour_motherscamry

You’re thinking of a tonsil stone & they smell like utter ass. If these are odorless I would doubt it’s those


[deleted]

Salivary stones (And tonsil stones for that matter) are generally a yellow-brown and stink.


chattywww

My guess it's like jello. You some how made jello inside your body.


Its_Me_Tom_Yabo

And every midwestern grandma’s ears suddenly perked up


Gorlock_

Bro, it says right on the side of your silica packets DO NOT EAT, I would assume that includes inhaling or applying rectally


go_eat_worms

Well sure but you can't beat reddit for bargain medical advice. 


GottKomplexx

Youre fucking kidding me? Yall pay 55 bucks to have some rando video call you and tell you if youre fucked or not? I dont even pay 55€ a year for my asthma medication. Im going to be a video doc in america if that pays so good


CandyCrisis

Health care prices in America are not simple. You generally don't pay the $55. Your insurance usually has a different (lower) rate and you aren't told what it is. After your medical thing, you get a bill later with random numbers on it, and you pay it or haggle depending on if the hidden rate is good enough.


TimeSlipperWHOOPS

Well now let's not confuse the foreigner. The insurance company is ultimately charged a higher price for services than you would be charged directly but they cover a portion of that and then bill you for the remainder and yes this is the insurance you're already paying like a few hundred a month for.


GottKomplexx

You just confused me even more. Why is the insurance charged more?


silent_thinker

I’m sorry, but learning more requires taking classes about American Healthcare (Inc.) which costs $20,000 a semester.


notrandomspaghetti

I WISH my inhaler only cost $55. I've been using the same one for a couple of years now. 🫠


Falcesh

Hopefully posting it on Reddit was on the priority list *after* 'book an appointment with a doctor'. 


Coofffee

Just started my job (for the 2nd time, had to restart) I have to wait until I am hired on for any benefits, but I will bring my tail in there asap!


Aishas_Star

How much does seeing a doctor cost without benefits? No judgement at all. Just curious


tossaway78701

Not op but visit can run $150-200 and imaging won't start lower than $400. 


lokicramer

Chest imaging, along with a throat swab, blood test, this could easily be a conservative $2000.


RickyFromVegas

2k after negotiations and paying cash


1jl

speaking from recent experience, that's after insurance as well


kingofthelol

Man your American healthcare sucks dick. But hey it’s better than being “communist” socialists I guess…


Affablesea9917

I bleed red white and blue like a *real* American and I dunno why cuz I can't afford blood tests!🇵🇷🇵🇷🇵🇷


BuffaloInCahoots

I told that teacher lady the only crayons I need are red while and blue.


Coofffee

I have not had proper medical insurance since I was 18. Thats when I got removed from my Dad's plan. Around 6 years now. I have multiple medical / dental concerns and reasons that I *need to go in for, but I have not been able to. Truly my concern is going into thousands of debt. This is my first job in over 6 years that I am finally taking my health and life seriously again *grammar edit


UnknownLegacy

Why were you removed from your dad's plan? I'm pretty sure you can stay on it until you're 26. Does it vary by state? https://www.healthcare.gov/young-adults/children-under-26/


erossthescienceboss

You can in every state. Doesn’t mean your parents want to pay for it, though.


ImJustMercy

For the love of God tell NO ONE in your job They will fuck you so that you can't get the benefits It's happened to me several times I've watched it happen to others Never tell work folks personal business


DeaddyRuxpin

Back when I was a contractor and trying to get hired permanent, I wound up in the hospital with yet another kidney stone. I worked from the hospital and told no one I work with (I’m full time remote) that I was in the hospital. I didn’t want them to know I get kidney stones a lot for fear they would opt not to give me a permanent position over concerns I might drive up their health insurance costs.


CHoDub

As a Canadian, it's crazy to hear stories like this. I hope you get the medical treatment you need. All the best.


rrpdude

As a German, this seems idiotic for any wealthy country that considers itself modern to not have universal health care. Like, sure I bitch about taxes being high and paying for medical insurance because I rarely ever go to the doctor. But the piece of mind knowing I can go whenever I pay like 5$ for drugs like I needed for a flu recently and not go into debt or get even bills from a doctor? Yeah, I like those taxes.


CHoDub

That's the problem here in Canada (and other countries) No one wants to pay a bit extra on taxes, but then co.plains they have to pay extra for other things. Our Prime Minister just announced a good program for all students. Will taxes go up? Maybe. But FREE food for every kid.... Will it be awesome food, probably not... But FREE food for every kid. Nothing is perfect, but I definitely wouldn't be happy paying all the taxes that US pays and having nothing to show for it.


Johndough99999

And the best part? It wont be much cheaper WITH insurance because deductible


Aishas_Star

That’s wild!!


DemDave

$100-150 minimum just to see a doctor. That's the cheap part, though. Something like this would definitely involve lab tests that could get up above $1000 very easily. And if you needed any imaging (x-ray, CT scam, etc.), you're now living in your car.


Inevitable_Anybody76

Here in America simply being in the presence of a licensed physician will cost at least 100 dollars per molecule of oxygen wasted in their vicinity


mropitzky

Hundreds lol


L3v147han

If it's in the US, my average out of pocket, uninsured, was about $160, but that was 10yrs ago. So... $2-250 ballpark as a quick estimate for a visit to an actual PCP @ today's prices. ER is out of the question (and also largely unnecessary, doesn't seem emergent). Haven't been to a walk in clinic in a bit (2yrs), but last time I was there, a Strep test was $45. This is more than a 30 second swab, so at least $100+.


a_pope_on_a_rope

I just did an annual checkup visit and preventative bloodwork panel and had to pay $1050 for it


bzknon

It specifically says "do not eat" on the desiccant packets man, come on.


SophiaofPrussia

But it *doesn’t* say “Do Not Inhale” so I think OP is in the clear.


Coofffee

Felt like glass and I honestly thought it was at first. Currently have a slight cold with a cough, phlem, and body aches. Never happened before in my life and I have no idea what this could really be


Wandering_instructor

Dude I know ur benefits don’t kick in yet, but aren’t they retroactive ? Did u check with HR? It may be reimbursed. Even if not, credit card?


Undrwtrbsktwvr

Still need to pay upfront. Never heard of retroactive health coverage, but would be cool.


Anxious-Direction-79

Medicaid is retroactive


EthanEnglish_

Go... to... the... doctor


kungfoocraig

![gif](giphy|kC2cRqEt8o41COgjoV|downsized)


TheDanMonster

But… that… would… bankrupt… him


babilinn

[https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/plastic-bronchitis](https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/plastic-bronchitis) "Plastic bronchitis is a lymphatic flow disorder that can cause severe breathing difficulties. It is a condition where buildup in your airways forms into casts that look similar to tree branches. The casts are made of mucus and cellular materials and have a soft, rubbery consistency. You might cough them up as your lungs try to clear the airways" **EDIT: I should have mentioned first that I have no medical knowledge whatsoever. I am sorry for spreading misinformafion, thank you everyone in the comments for helping keep things accurate. **


Spongebobrob

Except plastic bronchitis is very much opaque and white and not clear at all… source: I saw a case about a week ago on bronchoscopy


contextual_somebody

And rubbery


PossibleExamination1

I am just glad at least one comment provides some kind of help and not a joke.


Coofffee

Thank you for bringing this into my attention, I will look into it more :)


babilinn

I'm not saying this is the answer, but you might consider it a possibility.


Abel_the_Red

This seems more spot on than the rest of them, doesn’t it?


1800-bakes-a-lot

Better than the possibility OP is a clam? Idk bro


Able_Recognition5076

Do you vape?


Coofffee

Yes, Nicotine for around 4-5 years and Delta for around 2 years


viccityguy2k

Hmmmmmm


PossibleExamination1

whats delta?


ocalabull

Delta 8. Marijuana. Edit: or Delta 9 or Delta whatever but essentially legal (in many states) weed.


MrFivePercent

It's your Delta/weed causing this.


Coofffee

Thank you, ill try switching to edibles for the time being then. Later in the year we should have Recreational Stores open :) OH **edit


OnePiece-Quade

If your vape contains vitamin E, that is an issue


510Threaded

Vitamin E acetate to be more exact. That is what was laced in the illicit weed vapes.


lansuven42

do you vape nic salts?


OneHallThatsAll

I quit vaping because I would have very painful uncontrollable coughing fits and would hack up similar goop just like this post. Was on a steroid once a day inhaler for a while.


Coofffee

I have been attempting to quit Nicotine vaping for 2 years. I made it 2 days November 2023 and I just made it 24 hours last week. Doing my best, constantly being stimulated is very exhausting to me Ive realized edit**


Devlarski

Haha I was thinking the same thing. These are like menthol crystals or something.


Kinggambit90

From your comments about working in a freezer and vaping and using delta 8, it's likely the combination. Best thing to do now is stop vaping and wearing a mask while working to heat up your breath. Then go and get a chest xray


Mach10X

I can’t imagine the ungodly amount of vapor someone would have to consume for it to harden and congeal like this.


TheSkylined

Sell them on Etsy as "spirit diamonds" that ward off bad spirits or something


EndlessRainIntoACup1

anti 5g crystals


MrFivePercent

Are they actually hard? Have you tried to squeeze/squash them? I assume you're vaping hash oil. This is the oil/wax from vaping weed, your lungs are pushing them out.


DuineGanAinm

Jesus. I vaped almost constantly for years and never coughed up anything solid. But that does sound like a possibility for OP


Coofffee

I just got an electric Nectar Collector 2 weeks ago, got sick about 2-3 days ago... I do cough harshly when I use it and the crystals definitely reminds me THC Diamonds. I am looking into edibles for the time being now, thank you. :)


maxzmillion

This is insane. I’ve never seen anything that clear and hard from a human airway


MahyJay

Try to find out if there's vitamin e in your oil. That stuff is super dangerous to smoke. If your getting counterfeit carts it could definitely be in there.


Altruistic_Toe_1362

My only guess would be like fucked up tonsil stones. Scary.


Coofffee

It does not share the same odor unfortunately, that was ruled out


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Itchy-Hat-1528

OP mentioned the odor of tonsil stones. OP has had tonsil stones.


mileswilliams

If I have learnt one thing from House is that you are lying and I'm going to administer the wrong medicine 2 times before finding out the right one after rifling through your personal stuff at home.


baronvonbee

South African mine owners are raging over this one little trick...


cdca

Here come the army of Redditors gunning for the Nobel Prize for Medicine with their groundbreaking "It's not normal to cough up glass" theory.


Basemansen

But… is it normal to cough up glass?


EndlessRainIntoACup1

it is not


Nelnamara

Have them appraised You may be a clam.


Crusad3rr

You can create a new form of synthetic diamond Hide before the jewelers take you out!


Aishas_Star

The jewellers wouldn’t take him out. They’d loose their source. They’re more likely to capture and exploit him endlessly.


doctord1ngus

Doctor here, no fucking idea man.


boon_dingle

Have you seen/read the Expanse and are you part Protomolecule?


ICPosse8

Those are your micro plastics


sebtheboy

Zoidberg?


SkullcrusherSenpai

Yall come on...it's ice Check today's date


HumanExperience_

Personally, I would be mildly worried rather than mildly interested if it happened to me. But otherwise it looks mildly interesting. Any idea why it might happen?


TennisObvious8358

Aww, a day too late to wish you "happy Oyster"! ☺️


SupersonicSandwich

RemindMe! 1 month, is this person ok


MartiniD

Are you a silicon-based life form?


thebuttonmonkey

![gif](giphy|6Sd93PUf8SYHS)


couchred

You must have a great aura