Patrick Blanchard, M.D. writes:

Seems like a high price to pay to protect the heart.

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.

Patrick Blanchard, M.D. writes:

So can hypotension.

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.

On Mon, 10 Nov 2003 23:00:30 +0100, Mxsmanic <mxsmanic@hotmail.com> wrote:

could you clarify?

--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard

On Mon, 10 Nov 2003 23:01:47 +0100, Mxsmanic <mxsmanic@hotmail.com> wrote:

some meaningful references would be nice here....

--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard

"Mxsmanic" <mxsmanic@hotmail.com> wrote in message
news:hj20rvgi714birtlunj8kc0bt1r8igerek@4ax.com...
If any of us went along to our doctors asking for our relatively normal BP
to be brought down to 95/60 we would soon be sent to see a psychiatrist.
Derek.

On Mon, 10 Nov 2003 23:53:44 +0000 (UTC), Derek F
<Lordpilrig@NOX.btinternet.com> wrote:
"Mxsmanic" <mxsmanic@hotmail.com> wrote in message
news:hj20rvgi714birtlunj8kc0bt1r8igerek@4ax.com...
I don't think that your doctor would believe you to be mentally ill if you
told her your carotid intima media thickness is abnormal and you want to
reverse the atherosclerosis that has already developed.


--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard

"Patrick Blanchard, M.D." <nospampbmd@wamego.net> wrote in message
newspryf5fvnqzj16za@news-60.giganews.com...
to send patients to hospitals. You as a Dr can refer yourself, I am
surprised that you are allowed to prescribe your own medications. After I
had a negative angiogram two years ago the consultant said "This time we
will sort out your B.P. at the outpatients clinic"
When no appointment came through I spoke to my GP about it. He looked at the
letter from the hospital after the angiogram and said he does not say that
here. I phoned the consultants secretary and she said it is not on your
notes.
Stalemate.
Derek.

Mxsmanic wrote:

The brain... however, this is self-correcting when someone faints and the
head ends up at the same level as the heart.

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com

Michael Brock wrote:

You probably have hypertension.

Higher that usual risk for stroke, heart attack, heart failure or kidney failure.

You should seek the advice of your doctor.

Humbly,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com

Patrick Blanchard, M.D. writes:

Brain damage is more debilitating than heart damage, all else being
equal.

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.

Derek F writes:

Wait a few years, and try again.

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.

Patrick Blanchard, M.D. writes:

That would be like the city of Boston reducing water pressure by a third
because half of city's water supply leaks out through the network.
Beyond a certain point, this causes a lot more problems than it solves.
Protecting the carotid becomes a bit moot if the organ it serves is no
longer adequately perfused.

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.

Dr. Andrew B. Chung, MD/PhD writes:

Of course, after the car hits a tree, the brain and heart may be in
almost exactly the same position, splattered against the firewall.

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.

Patrick Blanchard, M.D. writes:

You need references for this? Low BP --> (renal) hypoperfusion --> ARF

--
Transpose hotmail and mxsmanic in my e-mail address to reach me directly.

"Dr. Andrew B. Chung, MD/PhD" <andrew@heartmdphd.com> wrote in message
news:3929b9ebd7f663611f1987fba8c63da4@news.teranew s.com...
injuries, a broken wrist and facial injuries he had a pacemaker fitted.
Derek.

On Tue, 11 Nov 2003 01:30:08 +0000 (UTC), Derek F
<Lordpilrig@NOX.btinternet.com> wrote:

Also, why was the angiogram performed. Did you have any additional studies?


--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard

On Tue, 11 Nov 2003 06:54:29 +0100, Mxsmanic <mxsmanic@hotmail.com> wrote:

Snipping the tread on this discussion is not helping here...

The discussion centers on the issue that there is not one blood pressure
that is 'ideal' for millions of people. A size 9 shoe does not fit
everyone. The proper blood pressure for me is not the proper blood pressure
for you. You might be interested in following another thread on CIMT.

http://tinyurl.com/up8i

--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard

On Tue, 11 Nov 2003 06:56:45 +0100, Mxsmanic <mxsmanic@hotmail.com> wrote:

No, this is not what I am advocating.

CIMT allows individualization of atherosclerosis management. So in
reference to your example, I am advocating that someone go out to each leak
and fix it properly.

--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard

On Tue, 11 Nov 2003 06:58:09 +0100, Mxsmanic <mxsmanic@hotmail.com> wrote:

We do not disagree that risks are involved with any treatment for
atherosclerosis, whether or not medications are taken.

--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard

On Tue, 11 Nov 2003 06:59:45 +0100, Mxsmanic <mxsmanic@hotmail.com> wrote:

How low a blood pressure is required to result in acute renal failure, in
your experience?

--
~~~
Patrick Blanchard, M.D., A.B.F.P.
Board Certified in Family Practice
http://www.familydoctor.org/blanchard