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Huntn

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Original poster
May 5, 2008
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Yeah, there’s quite a number of options when it comes to blood pressure medications. There are some guidelines on which meds to use where. There’s also considerations based on age, race (ACE-Inhibitors don’t well great in Black people), comorbidities, existing risk factors, drug allergies, other prescribed drugs, side effect sensitivities, interactions with other drugs, genetics/what is effective in your body, etc. At the end of the day there are still a lot of options to choose from even with those considerations in mind.

As a clinical pharmacist part of my job is consulting/educating patients on their condition, meds, lifestyle changes, plus optimizing their drug therapy. Part of promoting food compliance and outcomes in engaging patients in their treatment. I’m not a big fan of the old school model of prescribing without engaging the patient, including them in the decision making process, etc.

I’m not privy to your health status and I’m not your healthcare provider so I can’t really comment on specifics. But I wouldn’t be afraid to consult your doctor further if you have concerns on your mind or perhaps discussing the feasibility of any non-pharmacuetical interventions (though I presume you eat healthy and I know you exercise).

In general I can say the long term effects of hypertension are detrimental and can be serious. The good news is HTN can be managed, you can reduce your risk of cardiovascular events and conditions. Plus the medication is generally very cheap, safe, and well tolerated. If the research reveals treating HTN now at a lower level to profoundly reduce your risk of future CV problems, I think it’s strongly worth considering. The risks associated with. hypertension over time are severe- the cons associated with these drugs is far les severe and if the do present are generally reversible. Emmb iAgain, the guidelines are based off of statistics, so it’s not like they’re just pulling numbers out of their butt.

Since you’re questioning whether or not you should take the meds, maybe you would be more comfortable understanding your prescriber’s decision making process- why he thinks treatment would be beneficial and why he chose the drugs he did. I guess you also have to ask yourself the question why you’re questioning taking the medication and think about the risks and benefits of taking it.

I'll call him and pick his brain...will tell him you told me to, seriously! :p

Related post: https://forums.macrumors.com/threads/eating-healthy-and-exercise.1871030/page-29#post-26018176
 
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Huntn

macrumors Core
Original poster
May 5, 2008
23,972
27,054
The Misty Mountains
Huntn,

Your post above was alarming, with possible causes ranging from mild to serious.

Did you find out what condition you have?

I have an appointment set for 15 May, the soonest available. A different urologist, the first available date was 30 May. Will report back. Thanks for asking!

Update: Saw the urologist today, I had traces of blood in my urine. He told me the flat out goal is to rule out cancer or nip it in the bud. My Dad who is 90 has, “had” bladder cancer, with little growths in his bladder which were scoped (cystoscopyed) and removed. He’s had no reoccurrence in the last two years. I want to say they they are similiar to polyps found in the colon. Remove them before they spread you should be in good shape. I don’t know yet if I have this.

On Friday, I’m scheduled for a CT scan, (check out my kidneys, stones, urinary track) then a Cystoscopy at the end of the month. Stay Tuned! :)

https://www.mayoclinic.org/diseases-conditions/bladder-cancer/diagnosis-treatment/drc-20356109
 
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Scepticalscribe

macrumors Haswell
Jul 29, 2008
65,130
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In a coffee shop.
Good luck with it.
Do you always have an annual check up? I very rarely go to the doctors.

I always have an annual check up; when travelling abroad I usually need to supply a "fitness to travel" note, and use the necessity to obtain that as a good excuse to have an annual medical.

Then, occasionally, other stuff (such as arranging shots for travels abroad, or coming down with flu) also require trips to the doctor.

I have an annual blood test for my thyroid condition and that's about it.

My wife hasn't been in years. She refuses to go.

Why does she refuse to go?

Update: Saw the urologist today, I had traces of blood in my urine. He told me the flat out goal is to rule out cancer or nip it in the bud. My Dad who is 90 has, “had” bladder cancer, with little growths in his bladder which were scoped (cystoscopyed) and removed. He’s had no reoccurrence in the last two years. I want to say they they are similiar to polyps found in the colon. Remove them before they spread you should be in good shape. I don’t know yet if I have this.

On Friday, I’m scheduled for a CT scan, (check out my kidneys, stones, urinary track) then a Cystoscopy at the end of the month. Stay Tuned! :)

https://www.mayoclinic.org/diseases-conditions/bladder-cancer/diagnosis-treatment/drc-20356109

Good luck.

Around two months ago, I was diagnosed with tennis elbow; it was sore for around a month before that. I'm on anti-inflammatories and painkillers, but - despite that - it can be quite sore at times.

When I'm next home (next week) I shall have to look into further treatment.
 
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Huntn

macrumors Core
Original poster
May 5, 2008
23,972
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The Misty Mountains
I always have an annual check up; when travelling abroad I usually need to supply a "fitness to travel" note, and use the necessity to obtain that as a good excuse to have an annual medical.

Then, occasionally, other stuff (such as arranging shots for travels abroad, or coming down with flu) also require trips to the doctor.



Why does she refuse to go?



Good luck.

Around two months ago, I was diagnosed with tennis elbow; it was sore for around a month before that. I'm on anti-inflammatories and painkillers, but - despite that - it can be quite sore at times.

When I'm next home (next week) I shall have to look into further treatment.
Thank you.

I too am experiencing a sore elbow. I do a lot of things with that arm, left arm, left handed, on the computer a lot, type with my left index finger on my iPad, and I swim which can put strain on arms.

I’ll suggest for possible relief which works very well for me, an arm strap, which seems to be very effective for relieving pain, and recovering from a sore shoulder or elbow while still using the arm, along with taking an anti-inflammatory medicine like ibuprofen.

Lately I wear it while swimming where I’ve noticed it the most. For the elbow, place it just above or below the elbow. Both locations help reduce pain, although my impression, is the best way to heal is to stop doing the activity with the arm that caused the condition, which in our lives seems difficult to accomplish. ;)

A strap like this:
https://www.amazon.com/gp/product/B001B146CK/ref=oh_aui_search_detailpage?ie=UTF8&th=1

933BB3CE-4CDE-4996-80BF-91116C2DBD7B.jpeg
[doublepost=1526477674][/doublepost]
Good luck with it.
Do you always have an annual check up? I very rarely go to the doctors.
I’ll reemphasis the ONLY reason I know about this blood in my urine is because I go to the doctor for preventative annual screening. And there are many medical conditions that If caught early can be fairly simple to correct, such as colon polyps (which are very common) or growths on the wall of the bladder. I’ve had the first, my polyps were removed and determined to be pre-cancerous, but if they are allowed to develop, it’s not unusual they turn cancerous. The second condition is yet to be determined. If not caught early, these things might kill you, but I’ll accept that you are willing to take your chances.
 
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Scepticalscribe

macrumors Haswell
Jul 29, 2008
65,130
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In a coffee shop.
Thank you.

I too am experiencing a sore elbow. I do a lot of things with that arm, left arm, left handed, on the computer a lot, type with my left index finger on my iPad, and I swim which can put strain on arms.

I’ll suggest for possible relief which works very well for me, an arm strap, which seems to be very effective for relieving pain, and recovering from a sore shoulder or elbow while still using the arm, along with taking an anti-inflammatory medicine like ibuprofen.

Lately I wear it while swimming where I’ve noticed it the most. For the elbow, place it just above or below the elbow. Both locations help reduce pain, although my impression, is the best way to heal is to stop doing the activity with the arm that caused the condition, which in our lives seems difficult to accomplish. ;)

A strap like this:
https://www.amazon.com/gp/product/B001B146CK/ref=oh_aui_search_detailpage?ie=UTF8&th=1


Very difficult, I fear.

I suspect that stopping "the activity" may well be almost impossible, as my work (as an academic, political analyst, historian - irrespective of what I have done for the past 30 years) has involved a lot of writing - reports, papers, briefing notes (emails, posts! and so on) and even an odd history book.

I don't doubt that my posture is probably atrocious, and the fact that I use laptops (for convenience, and portability) rather than desktops also doesn't help matters re tennis elbow.

In the old days, one got a sort of 'response' from the keys of a type-writer - the nature of pressing the key meant that even quite fast and accurate typists (as my mother was) still got a push back from those keys which does not happen with the keyboard of a computer, especially a laptop, and which was a lot healthier as one typed - or, was compelled to type - more slowly. And the MBA's keyboard is a lot nicer than those of the newer models - the rMB or MBP.

I'll see what my medical people advise; for now, I've been on painkillers for this entire rotation just so that I could do what I need to do.

There was a day earlier this week when I hardly used the computer - as I attended silly meetings, and my arm wasn't sore. It is not just the typing, though; I find that my grip is a lot less powerful - and reaching - say, for salad dressers at the self-service salad bar, and trying to load them on a plate sends shooting pain from elbow to wrist; likewise, lifting things is a challenge.

Oh, well. I've been almost offensively healthy since childhood, so I can't really complain.
 
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Huntn

macrumors Core
Original poster
May 5, 2008
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The Misty Mountains
Very difficult, I fear.

I suspect that stopping "the activity" may well be almost impossible, as my work (as an academic, analyst, historian - irrespective of what I have dine for the past 30 years) has involved a lot of writing - reports, papers, briefing notes (emails, posts! and so on) and even an odd history book.

I don't doubt that my posture is probably atrocious, and the fact that I use laptops (for convenience, and portability) rather than desktops also doesn't help matters re tennis elbow.

In the old days, one got a sort of 'response' from the keys of a type-writer - the nature of pressing the key meant that even cute fast and accurate typists (as my mother was) still got a push back from those keys which does not happen with the keyboard of a computer, especially a laptop, and which was healthier as one typed - was compelled to type - more slowly. And the MBA's keyboard is a lot nicer than those of the newer models - the rMB or MBP.

I'll see what my medical people advise; for now, I've been on painkillers for this entire rotation just so that I could do what I need to do.

There was a day earlier this week when I hardly used the computer - as I attended silly meetings, and my arm wasn't sore. It is not just the typing, though; I find that my grip is a lot less powerful - and reaching - say, for salad dressers at the self-service salad bar, and trying to load them on a plate sends shooting pain from elbow to wrist; likewise, lifting things is a challenge.

Oh, well. I've been almost offensively healthy since childhood, so I can't really complain.
Yes, that too, my grip on my left arm is weak and causes pain in my elbow when I grasp something that is heavish.

I’ve considered myself healthy for the first 55 years, although I’d say the slow path of deteriorating based on aging was first noticed in my late thirties. I’ve been a dedicated runner since my teens, I could eat whatever I wanted, thought I’d be thin for life, but after about 15 years of consistent exercise and body weight (age 18-35) the first symptom was a slow weight gain, based on a slowing metabolism, then awareness of degenerative disk disease, then significantly noticed in my late 40-early 50s with various age related annoyances, rising cholesterol (medication), acid reflux (which I seem to have currently arrested by eliminating coffee), and high blood pressure, working on my diet to assist with that.

Today is the best day of the rest of your life! ;)
 
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Apple fanboy

macrumors Ivy Bridge
Feb 21, 2012
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Well, they can help with physical ailments, and can offer support (perhaps) with the other.

In my case, I would like to have my tennis elbow (not that I ever played the game) looked into.
In our experience doctors don't help with the other. They just make judgments that affect people's lives without knowing what they are talking about.
[doublepost=1526488292][/doublepost]
Yes, that too, my grip on my left arm is weak and causes pain in my elbow when I grasp something that is heavish.

I’ve considered myself healthy for the first 55 years, although I’d say the slow path of deteriorating based on aging was first noticed in my late thirties. I’ve been a dedicated runner since my teens, I could eat whatever I wanted, thought I’d be thin for life, but after about 15 years of consistent exercise and body weight (age 18-35) the first symptom was a slow weight gain, based on a slowing metabolism, then awareness of degenerative disk disease, then significantly noticed in my late 40-early 50s with various age related annoyances, rising cholesterol (medication), acid reflux (which I seem to have currently arrested by eliminating coffee), and high blood pressure, working on my diet to assist with that.

Today is the best day of the rest of your life! ;)
Scoliosis of the neck has been taking its toll these last few years.
Planta faciatas in the feet.

But unlike you I've always been fat! But I've slimmed right down these last two years. I'm sure that is helping offset the age thing.
 
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Huntn

macrumors Core
Original poster
May 5, 2008
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The Misty Mountains
In our experience doctors don't help with the other. They just make judgments that affect people's lives without knowing what they are talking about.
[doublepost=1526488292][/doublepost]
Scoliosis of the neck has been taking its toll these last few years.
Planta faciatas in the feet.

But unlike you I've always been fat! But I've slimmed right down these last two years. I'm sure that is helping offset the age thing.
That sounds great, slimming down.
 

Apple fanboy

macrumors Ivy Bridge
Feb 21, 2012
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Behind the Lens, UK
That sounds great, slimming down.
Well it has its moments. I miss a lot of foods, but I know I have an underactive thyroid so I have to eat a very low calorie diet.
That and the fact my wife has lots of food intolerances means we can't eat a lot of things.
Standard day is
Porridge with skimmed milk for breakfast.
Salad for lunch.
Chicken, lots of vegetables and either a few potatoes, rice or pasta.
Sometimes we swap out the chicken for Quran sausage.

Then maybe once a month we might have a treat.
 
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0388631

Cancelled
Sep 10, 2009
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My right shoulder has been stiff and aching for a week now. I suppose that's what I get for throwing rocks into the sea.

Sometimes we swap out the chicken for Quran sausage.
Must drive the imams mad! :p Have you considered taking a synthetic thyroid drug?
 

Apple fanboy

macrumors Ivy Bridge
Feb 21, 2012
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Behind the Lens, UK
My right shoulder has been stiff and aching for a week now. I suppose that's what I get for throwing rocks into the sea.


Must drive the imams mad! :p Have you considered taking a synthetic thyroid drug?
I do take a thyroid replacement drug daily. If I don't you get a lot of joint pain and tiredness.
 

ProTruckDriver

macrumors 6502
Jul 28, 2016
283
340
Virginia
I've got a laundry list of ailments. After the age of 60 it seemed like everything went down hill. :(

Chronic Lymphocytic Leukemia
Agammaglobulinemia
Tinnitus ~ Hearing Loss
Sleep Apnea (CPAP)
Gout
Controlled High Blood Pressure (On Medication)
Neck and Lower Back Pain (From a teenager rear ending me while I was stopped at a stop light two years ago)
Had an eye exam yesterday, developing Cataracts both eyes.

Has anyone have any Crazy Glue so I can put myself back together again? :eek:
 

Scepticalscribe

macrumors Haswell
Jul 29, 2008
65,130
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In a coffee shop.
I forgot to bring my anti-inflammatory & pain-kiler tablets with me, but fortunately a pharmacy here - where I am spending a few days before heading home - was able to do the needful.

But, yesterday morning, before I managed to visit the pharmacy, my tennis elbow had become quite painful.
 

Apple fanboy

macrumors Ivy Bridge
Feb 21, 2012
56,901
55,839
Behind the Lens, UK
I've got a laundry list of ailments. After the age of 60 it seemed like everything went down hill. :(

Chronic Lymphocytic Leukemia
Agammaglobulinemia
Tinnitus ~ Hearing Loss
Sleep Apnea (CPAP)
Gout
Controlled High Blood Pressure (On Medication)
Neck and Lower Back Pain (From a teenager rear ending me while I was stopped at a stop light two years ago)
Had an eye exam yesterday, developing Cataracts both eyes.

Has anyone have any Crazy Glue so I can put myself back together again? :eek:
Youth is wasted on the young.

Still old age is better than the alternative.
 

Scepticalscribe

macrumors Haswell
Jul 29, 2008
65,130
47,517
In a coffee shop.
Youth is wasted on the young.

Still old age is better than the alternative.

Youth is completely wasted on the young - but that is balanced - a little - by the development of half decent judgment and ease in your own skin that seems to become more pronounced as you head into middle age.

For now, even though I am on leave, I have felt better; this used to happen to my mother as well - she'd collapse on holidays as stress and exhaustion caught up with her.

I still have the aforementioned tennis elbow, and that - along with sinus issues and ear glue (plus a bout of the runs ever since I left Africa) - along with complete exhaustion - mean that a trip to the doctor - scheduled for tomorrow - is in order.
 
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Dodgeman

macrumors 65816
Nov 30, 2016
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Serious question. For some of the issues mentioned here, did you folks do certain things daily?
Like smoking, drinking alcohol, working a particular job/field, eating a lot of fried foods (fast foods/unhealthy foods)?
I am just curious if there are some things in common with the type of conditions people are listing.
 

ProTruckDriver

macrumors 6502
Jul 28, 2016
283
340
Virginia
Serious question. For some of the issues mentioned here, did you folks do certain things daily?
Like smoking, drinking alcohol, working a particular job/field, eating a lot of fried foods (fast foods/unhealthy foods)?
I am just curious if there are some things in common with the type of conditions people are listing.
After serving 23 years in the US Navy I went into Over-The-Road Truck Driving for 16 years. I lost some hearing while in the Navy but otherwise was in good health after retirement. I believe truck driving is the culprit to my bad health, long hours, truck stop food, sitting behind the wheel for 12 to 14 hours a day.
 
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Dodgeman

macrumors 65816
Nov 30, 2016
1,355
199
After serving 23 years in the US Navy I went into Over-The-Road Truck Driving for 16 years. I lost some hearing while in the Navy but otherwise was in good health after retirement. I believe truck driving is the culprit to my bad health, long hours, truck stop food, sitting behind the wheel for 12 to 14 hours a day.

Yeah I saw that as your name. What happened to your hearing in the Navy?
I figured the truck driving had to give you some trouble on the health front. Just sitting for that long, when there should be more movement. The truck stop food was it that unhealthy? No other options really because there is no kitchen to do any cooking. That is one of the biggest downsides about that job.
Were you over the road?
 

ProTruckDriver

macrumors 6502
Jul 28, 2016
283
340
Virginia
Hearing went shooting the big guns onboard some Naval Ships and spending 4 years on an Aircraft Carrier (USS Nimitz) with the jets. I can't hear high pitched sounds and I have tinnitus in both ears.
 

Huntn

macrumors Core
Original poster
May 5, 2008
23,972
27,054
The Misty Mountains
Update: Saw the urologist today, I had traces of blood in my urine. He told me the flat out goal is to rule out cancer or nip it in the bud. My Dad who is 90 has, “had” bladder cancer, with little growths in his bladder which were scoped (cystoscopyed) and removed. He’s had no reoccurrence in the last two years. I want to say they they are similiar to polyps found in the colon. Remove them before they spread you should be in good shape. I don’t know yet if I have this.

On Friday, I’m scheduled for a CT scan, (check out my kidneys, stones, urinary track) then a Cystoscopy at the end of the month. Stay Tuned! :)

https://www.mayoclinic.org/diseases-conditions/bladder-cancer/diagnosis-treatment/drc-20356109
@Doctor Q

31May18 Urology update-
Cystocopy, I reccomend it, and don’t be shy, you get to have a nurse fondle you privates before the doctor sticks a tube in your peepee. I imagine I don’t get any sympathy from the women. ;) :D https://www.mayoclinic.org/tests-procedures/cystoscopy/about/pac-20393694

Ok seriously, I assume this procedure is slightly more painful for males due to male anatomy. They numb the point of entry with a topical anastegia. Putting the tube with a light on the end in, which ranges from slight discomfort to momentary moderate pain. Relax, if you can it makes it less painful. Once in, you are good as the Doctor looks around and gives you an anatomy lesson, while you watch on a monitor. The entire procedure takes about 4-5 minutes, maybe a little less.

My results:
  • Previous CT scan- I have a cyst in my right kidney, non cancerous, ignorable.
  • Previous CT scan- Left Kidney a 3mm Stone, ignorable for now. Mix and drink the equivalent of one Lemmon of Lemmon juice a day in water to minimize Stone development.
  • Urine sample- previously sent out to detect loose cancer cells- none found.
  • Bladder is clean. :):)
  • PSA test- 1.3, next year if 2.0, that requires attention. (Associated with prostate cancer).
  • The small amount of blood in my urine, unknown, possibly the cyst, many people have blood in urine for a variety of reasons, but eliminating the threat of cancer was the primary concern.
I’m home free until the next development. :) o_O

Hearing went shooting the big guns onboard some Naval Ships and spending 4 years on an Aircraft Carrier (USS Nimitz) with the jets. I can't hear high pitched sounds and I have tinnitus in both ears.
I can imagine, I have it too associated with aviation. As far as I know there is no cure. I don’t think sound canceling earplugs would help as it not really a sound.
[doublepost=1527814175][/doublepost]
Serious question. For some of the issues mentioned here, did you folks do certain things daily?
Like smoking, drinking alcohol, working a particular job/field, eating a lot of fried foods (fast foods/unhealthy foods)?
I am just curious if there are some things in common with the type of conditions people are listing.
Some habits are directly associated with certain conditions, like smoking, drinking, poor diet, a particular work field that exposes your body to something. There is documentation that associates causes and environments with conditions. There is also good genes vs bad genes. :)
[doublepost=1527814375][/doublepost]
My mother always says "old age is exactly what it's cracked up to be."
My Grandmother wore a button saying Old age is not for sissys.. :)
[doublepost=1527814435][/doublepost]
I've got a laundry list of ailments. After the age of 60 it seemed like everything went down hill. :(

Chronic Lymphocytic Leukemia
Agammaglobulinemia
Tinnitus ~ Hearing Loss
Sleep Apnea (CPAP)
Gout
Controlled High Blood Pressure (On Medication)
Neck and Lower Back Pain (From a teenager rear ending me while I was stopped at a stop light two years ago)
Had an eye exam yesterday, developing Cataracts both eyes.

Has anyone have any Crazy Glue so I can put myself back together again? :eek:
Back pain maybe associated with degenerative disk disease.
 
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