Re: www.uptodate.com / Gold Mine - Check it out!

[Guest guest]

Also va has led the way in AAA AND SCAN EVERY one over 65 unless + FH then 50 I recAll. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jan 9, 2012, at 17:00, <jclark24p@...> wrote:

I received a copy of my Abdominal Aortic Aneurysm (AAA) ultrasound that was done last week. Result: Impression, no AAA -- max AP diameter 2.5 cm. Proximal = 2.5cm, mid = 2.4cm and distal = 2.3cm and a hand written comment "great news!" lw (Lynn Webster, my PCP)

That is just for info, the real story is that I didn't know how great the news was and why the test was done. A quick trip to "uptodate" and I found the goal is under 3 cm. I found my factors might be age (over 60), previous smoking (I guess 3 pk/day for 30 years qualify) and family HX (my 60y/o sister has been Dxed with it and Dr. W. and I talked about it 6-8 mos. ago). Guess PCP is paying attention (should have known, women never forget!)

And a special thanks to Dr. Grim for suggesting "Uptodate"! Now I don't have to think about it until my next appt and we don't take up valuable appt. time! 15 minutes well spent!

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with DASH. 2-Day ave w/o meds = BP 133/77 HR 61 BS 132. D/C Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

[Guest guest]

Damn, you sure have " popped my bubble " ! I thought she was so good and now I

find out it was just a birthday present! What's next, a digital exam? ;>(

>

> > I received a copy of my Abdominal Aortic Aneurysm (AAA) ultrasound that was

done last week. Result: Impression, no AAA -- max AP diameter 2.5 cm. Proximal =

2.5cm, mid = 2.4cm and distal = 2.3cm and a hand written comment " great news! "

lw (Lynn Webster, my PCP)

> >

> > That is just for info, the real story is that I didn't know how great the

news was and why the test was done. A quick trip to " uptodate " and I found the

goal is under 3 cm. I found my factors might be age (over 60), previous smoking

(I guess 3 pk/day for 30 years qualify) and family HX (my 60y/o sister has been

Dxed with it and Dr. W. and I talked about it 6-8 mos. ago). Guess PCP is paying

attention (should have known, women never forget!)

> >

> > And a special thanks to Dr. Grim for suggesting " Uptodate " ! Now I don't have

to think about it until my next appt and we don't take up valuable appt. time!

15 minutes well spent!

> >

> > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with DASH. 2-Day ave w/o meds = BP 133/77 HR 61 BS 132. D/C

Spironolactone 12/20/2011 due to adverse SX.

> > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia,

MDD and PTSD.

> > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

> >

> >

>

[Guest guest]

If they have not done a digital exam they are not doing there job. Have they

done a Colonoscopy yet. I have one next week.

> >

> > > I received a copy of my Abdominal Aortic Aneurysm (AAA) ultrasound that

was done last week. Result: Impression, no AAA -- max AP diameter 2.5 cm.

Proximal = 2.5cm, mid = 2.4cm and distal = 2.3cm and a hand written comment

" great news! " lw (Lynn Webster, my PCP)

> > >

> > > That is just for info, the real story is that I didn't know how great the

news was and why the test was done. A quick trip to " uptodate " and I found the

goal is under 3 cm. I found my factors might be age (over 60), previous smoking

(I guess 3 pk/day for 30 years qualify) and family HX (my 60y/o sister has been

Dxed with it and Dr. W. and I talked about it 6-8 mos. ago). Guess PCP is paying

attention (should have known, women never forget!)

> > >

> > > And a special thanks to Dr. Grim for suggesting " Uptodate " ! Now I don't

have to think about it until my next appt and we don't take up valuable appt.

time! 15 minutes well spent!

> > >

> > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with DASH. 2-Day ave w/o meds = BP 133/77 HR 61 BS 132. D/C

Spironolactone 12/20/2011 due to adverse SX.

> > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2,

Gynecomastia, MDD and PTSD.

> > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

> > >

> > >

> >

>

[Guest guest]

I have had many digital exams going back prior to being 50 (I had an annual

physical by doctors at my former employer and that was part of it.) Have you

ever had one done by a female doctor? Atleast Dr. Webster has a different

technique, it's no more " bend over and hold on " and NO, it doesn't involve

sturrups!

I have had three colonoscopies. The last one was only 4 months after the second

one due to chronic dirrhea. Nothing significant found, does that make me

perfect A-Hole?

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with DASH. 2-Day ave w/o meds = BP 133/77 HR 61 BS 132. D/C

Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD

and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

> > >

> > > > I received a copy of my Abdominal Aortic Aneurysm (AAA) ultrasound that

was done last week. Result: Impression, no AAA -- max AP diameter 2.5 cm.

Proximal = 2.5cm, mid = 2.4cm and distal = 2.3cm and a hand written comment

" great news! " lw (Lynn Webster, my PCP)

> > > >

> > > > That is just for info, the real story is that I didn't know how great

the news was and why the test was done. A quick trip to " uptodate " and I found

the goal is under 3 cm. I found my factors might be age (over 60), previous

smoking (I guess 3 pk/day for 30 years qualify) and family HX (my 60y/o sister

has been Dxed with it and Dr. W. and I talked about it 6-8 mos. ago). Guess PCP

is paying attention (should have known, women never forget!)

> > > >

> > > > And a special thanks to Dr. Grim for suggesting " Uptodate " ! Now I don't

have to think about it until my next appt and we don't take up valuable appt.

time! 15 minutes well spent!

> > > >

> > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with DASH. 2-Day ave w/o meds = BP 133/77 HR 61 BS 132. D/C

Spironolactone 12/20/2011 due to adverse SX.

> > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2,

Gynecomastia, MDD and PTSD.

> > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

> > > >

> > > >

> > >

> >

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