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Monday, 27 February 2017

Cardiology Clinic. February 27, 2017

I do not have great expectations from any medical visits. I do need visits to my endo, She provide me with all what I need, medicine, tests, or answers to any my questions. I do keep all appointments, and there are not too many of them. Also I do have primary doctor, and I do try to keep visits to his clinic. He cover other issues with my health. Cardiologist I do not ssee how beneficial visit can be. Yes, my heart is not good, but what really doctor can do right now? Practically nothing. Still, my endo said I have to see a doctor, so I did go to clinic.
      I used to go to many cardio clinics. usually no one diagnosed any problems with my heart. They usually insist, my heart is OK, and there is nothing wrong with it, just weight, too many pounds, too big body to care for. I used to go from one testing room to another, and ... nothing. So, for now I do not see big reason to go to cardiologist in first place. But I do follow doctor's odred, and I made appointment to clinic. Was be better if I did not.
      In clinic my sugar was over 200 mg/dl. "Did you eat?" - asked nurse. Most stupid question to ask diabetic. I have to answer to this question every time I am in clinic. Really, what is the question about? It was pass 4 pm. Did I eat? I did. But really, what is the question about? That my high blood sugar resulted by my eating. True? False. I am diabetic. I do have very low insulin secretion ability. This is why blood sugar is high, not because of I ate today, and day before today, and many many other days. I do eat every day, not once. So, what is the question nurse asked?
     This is routine question every time I am in clinic I asked. No one in any clinic never asked, did I take medicine today? I was naive in the past when I went to clinic fasting and just taking SU. So, my blood sugar all the time was under 200 mg/dl. Doctor insisted I have to work it lower then it was. He wished it is under 100 mg/dl. Now with every visist level of sugar higher then 200 mg/dl my diabetes high numbers under better control then it was in past when fasting was about 120 mg/dl or 130 mg/dl.

        Then doctor come. He is nice, polite, nice talking. He took a loot at my medicine and .... started to insist there is the problem with it. Well, I take medicine in many names but in small dose. Metoprolo and carvedilol the same family medicine and interchangeable, so lisinopril and losartran, probably some other. No, it is wrong, and it is bad for me. I tried to say that I am good right now with all medicine I take, no any problem, and I do not feel any conflicts in medicine. Who is going to listen to me?
        So, he took off Plavix, and said I have to keep to take Excedrin. Excedrin is not Rx medicine. 4 tablets of Excedrin is not really good idea. But ... it is not Rx so it is OK. Many times another doctor insisted I gave to stop to take Excedrin: "You poison yourself with Excedrin!!!!!!!! Stop to take it!!!!!!!!!!!!!" Now I have to take 4 tablets of it every day. It is easy for doctor. He has no responsibility for Excedrin, but Plavix... no Plavix.
       Next target was  Lisisnopril. I have to stop it. I take Losartran, and Lisinopril is the same family. I do have high blood pressure, very high. Now it is about 140 so it is not so high. It can be higher or normal, still it is far away from 220. No Lisinopril. But he Rx Amlodipine, calcium channel blocker, I cannot take. The question is, why cannot I take two types of medicine for BP such as Losartran and Lisinipril, but two such as Losartran and Amlodipine are good for me? Doctor see me at first time. There is no blood work in file, I am first time in his office. Really I do not see any reason for him to interact into my routine from the first look at the list. Ans really I do not see the reason, why two types of medicine wich are from the same family cannot be taken together at the same time, but two different family medicine is OK? No reason for this.
      Of cause it is reason. Doctor have his own medicine he Rx and his show. I do not interesting to show.

      Right now I do have another set of problem. Why is it? No clue. But I do have so severe edema. My legs watered, and got so wide, and getting wider with every day. I have more shortness of breath. Lungs sound. Water retention. Pounds just go up and up. Of cause it is easy to say, I have to lose weight and stop to eat. Or at least I have to take diuretics. My appetite is not getting up. I do eat as usual. Nether do I take more water then I used to. All is the same. But one day after another there is severe pain in back, so severe that I cannot take breath. It started to be prolonged. Then after that legs get wider, more shortness of breath.
      What I do think, it is clots dissolving. Of cause it is only my speculations. Most important I think I need more time, and I will be fine. I went too low in my health. I almost died. Now it will take longer time to return back to life. Still, it is transition stage, and in this stage better to use the same horse as at the time before transition started. Better do not play with medicine.
       I try to get ready for Summer camping. Hope I will be able to go to Adirondack and take our boat trips on Adirondack beautiful lakes. In past Summer I was good, lost 20 pounds, dose of insulin dropped, and I was able to walk a little bit. When we return home the pounds all returned, water stopped to go out. Day after day walking got more problematic. Dose of insulin returned back to over 300 units daily. If I forget to take medicine I do have severe headache, and then other types of pain in back and in nerves.  So, it is better do not forget routine.
       IN NYC Winter 2016 - 2017 is worm, almost no snow. It is Sunny day today, very Springy.


via Ravenvoron

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