Doctors..

TheBigNewt said:

That's why I like cardiology. You got muscle (meds), plumbing (stents, bypass), wiring (pacers, ablation, meds), valves (surgery). You can measure almost everything. Diabetes.................sheesh!

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I agree cardiology is mechanical as that muscle is.
However the effects on those mechanics are....... Diabetes, blood pressure, cholesterol, genes and hormones. Or have I missed something out.... The brain.

Very similar to diabetes, well pancreas or liver.
Don't you think?

bulkbiker said:

A bit of a straw man argument as we have both... so why not use both? You do have a tendency to make everything binary when in fact there a multiples of solutions that are applicable to every situation.
Hopefully the days are gone where people blindly follow one GP's instructions without doing some research. I am afraid that they are not though and that for the many who do it's a lottery as to what their GP knows and more importantly doesn't know.

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Thats why no practice I know only has 1 dr ?

bulkbiker said:

As some of may know I spend some time on the ketogenic forums as well as here.
I read this today and it struck a huge note of recognition with me that I thought some of you might like to read it too.

https://www.ketogenicforums.com/t/m...ctor-and-im-not-offering-medical-advice/32723

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I don't offer medical advice. I offer common sense.
Ive I never seen any posts prescribing meds. Have you?
Suggestions but not meds.

Yes, I know what they are for. I have been on three novel anticoagulants and warfarin but not all at once.
They are a bodge like putting thick oil in an engine to stop it knocking! If they had diagnosed my Conn's thirty years ago my heart would not be knackered now.
It is too easy to hand out BP meds without diagnosis or glibly talk about essential htn. Nothing is less essential than htn!
D.

TheBigNewt said:

Anticoags for a. fib are to reduce the risk of embolic stroke from a left atrial appendage thrombus coming loose. That risk varies quite a bit in persons with chronic a.fib, so not everyone will get anticoagulated. If one should suffer a true embolic stroke from a.fib it will frequently make them paralyzed on one side, maybe unable to speak. Wheelchair City. So it's not exactly a harmless situation.

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lindisfel said:

Yes, I know what they are for. I have been on three novel anticoagulants and warfarin but not all at once.
They are a bodge like putting thick oil in an engine to stop it knocking! If they had diagnosed my Conn's thirty years ago my heart would not be knackered now.
It is too easy to hand out BP meds without diagnosis or glibly talk about essential htn. Nothing is less essential than htn!
D.

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I think I'm just getting more and more blood pressure meds.
Although l wouldn't want them to swop what i feel has been working for nearly 20yrs. Perindopril 8mg.
However I had huge resistance to betablockers when needing a ct scan. On 5mg to keep my racing heart under starters orders. Stress related, maybe.
I still lose weight on blockers but much harder.

ickihun said:

I think I'm just getting more and more blood pressure meds.
Although l wouldn't want them to swop what i feel has been working for nearly 20yrs. Perindopril 8mg.
However I had huge resistance to betablockers when needing a ct scan. On 5mg to keep my racing heart under starters orders. Stress related, maybe.
I still lose weight on blockers but much harder.

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My husband is the same as he is on beta blockers (7.5mg Bisoprolol) to control his heart rate which has made him asthmatic so he needs inhalers to control that. However he also needs warfarin due to having a metal heart valve and pace maker which can also cause issues! It does mean though that, despite being told 10 years ago he may never work again, he is still working and relatively active and, more importantly, alive!!

TheBigNewt said:

That's why I like cardiology. You got muscle (meds), plumbing (stents, bypass), wiring (pacers, ablation, meds), valves (surgery). You can measure almost everything. Diabetes.................sheesh!

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and my husband has benefitted from that. Aortic aneurysm and leaking aortic valve resolved by aortic root replacement and metal aortic valve but resulting in a pacemaker due to sinus nerve problems. Meds by way of beta blockers due to arrhythmic heart beat (could never figure why a heart that needs a pacemaker because it beats too slow on its’ own can suddenly shoot up to 180 bpm!) and asthma meds to counteract effects of beta blockers and anti coagulants to keep his p/maker and valve from causing blood clots!!