It was at 1:30pm. It went well. This time it was really easy a clean bill of health.
A tiny bit winded. I saw the APN.
I was not entirely happy. She wanted me to schedule next year. She is on the spot because the doctor will not throw away a billable. I opted not to see the doctor next year. He told me last year I had no problems. I have zero plaque.
Frankly, it was not bad treatment but it was awkward treatment. Both the tech and nurse were not easy going or any real fun. They had their orders. Neither of them listened to things correctly or offered any decent as if in the room opinions. Just no problems but the discussion of having me coming next year left me feeling somewhat uncertain. They were not listening to their words or the doctor’s words. I hate being sold on things. I hate more being sold on medical care. I was not sold of course but I had to bury a slight resentment. That sucks.
The Canadians have all the luck (along with the Dutch). They’re talking about me on this one…those patients whose LDL-C appears “satisfactory” (depending on how permissive your use of the word)
Actually there is a fair amount of data/research on exercise conditioning and collateral circulation.
The primary mechanism that is thought to enhance coronary collateralization through exercise is increasing pressure gradients between proximal and distal arteries, which are already partially occluded. This causes increased pressure of blood flow through collateral vessels as the blood moves from zones of higher pressure proximally to occluded vessels’ lower pressure zones distally. The resultant increased physical stimulus on collateral vessel walls triggers an adaptive cascade of cellular proliferation and structural remodelling, which has been reported to potentially increase collateral vessel diameter by up to 20-fold
(From the Article)
Once you’re under the care of a Dermatologist for skin cancer, you’ll probably be seeing him every 6 months for a “skin check”. No need to involve the PCP – or at least that’s what I’ve done over the past 15 years.
They see me every year and have for quite awhile. They havent anything malignant but I have always been out in the sun so for peace of mind I have been going to them. My PCP says he can do it, his suggestion not mine, but not sure if he would be as good as the dermatologist. But he is a PA not a true doctor.
I actually found plenty on the mechanism etc…and most everything quotes Heberden’s wood sawing patient…but nothing noteworthy on the merits of different exercise regimen. That’s what I was wondering about moving forward…specifically lowest effective dose. Especially since I thought that my high volume/high intensity days were over…wrongly as it turned out.
I see what you mean, the article does point out that there is very little known about that exactly i.e., type, duration, or intensity of exercise. Furthermore, there is agreement that points to a genetic factor. In the same way that genetics are/can be involved in cardiovascular risk factors.
Sounds like you’re keeping your health in shape, that’s all we can hope for at our age.
Yep. Comes down to doing the best with the genetic hand you’ve been dealt, I reckon. Much like my squamous and basal cell carcinomas in spite of caution with sun exposure and bunions in spite of not wearing high heeled winkle pickers.
