welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Friday, October 29, 2010

three almost heart attacks, giants 2 rangers 0 not good

65 year old man came into the office for routine six
month check for cholesterol and asthma
he smokes (bug him about it every time he
comes in)
have patients fill out a form with questions about
their cholesterol blood pressure side effects to
he had circled chest pain
asked him about it
well you know had pressure in chest that lasted
for about an hour then it went away
well you know did an ekg which showed new changes
well you know he was shipped via ambulance to er
well you know he got angioplasted that day

he is doing fine now is on simvastatin for lipids which
are well controlled and this scared him enough he quit

another 70 year old patient came early for his afternoon
appointment     he had vague complaints when he made
the appointment     he sat in the waiting room during
lunch     when he came back to the  exam room he
finally admitted to having chest pain all night long

hooked him up to an ekg     well he had the tombstone
changes on his ekg (called this because the ekg tracing
line goes up then drops so that it looks like a tombstone
every time the heart beats)(also called tombstone
because of what it means if not treated quickly)

gave him aspirin and nitroglycerin and nitroglycerin
the changes got better
he was transferred to the er and had angiopasty
that day
he has also done well since then

the third patient came in for a physical
he did not admit to any problems until right before
we were finished with the physical
oh my the way he said
had chest pressure when snorkling on vacatiion
wanted it checked out better
he had mild elevated cholesterol, was in great physical
conditioning, maintained his weight where it should be
not some one you would think would have problems

he was sent to cardiology    he flunked a stress test
he had an angiogram which showed significant
arterial disease     he got a 3 vessel by pass that week

saw him recently for annual physical      he had just
came back from a lengthy vacation where he hiked and
snorkled without problems

men pay attention to your symptoms
quit smoking
control your blood pressure
maintain your weight
control your cholesterol
do exercise

think that the cowboys must be rubbing off on the rangers
they need to turn it around this weekend
come on rangers

the organicgreen doctor

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