(Image Courtesy of tigoa at www.sxc.hu)
I apologize that it has taken me so long to write this new post about my three month checkup with my doctor on July 3rd, 2013. The first thing he did was to go over the results of my blood test, explaining the test indicated that my kidneys are doing just great, my potassium is normal, and everything else is normal except my glucose level was 119, prediabetes. Looks like I’ll need to really push on those numbers these next 3 months to get them below 90. He was really happy with my weight loss as I’ve lost 38 pounds total including a loss of 5 pounds this past three months.
I brought along a printout of my daily blood pressure log for the last three months since the last time I saw him. He was really happy with my numbers as they were running pretty consistently, currently 109/59 from where it was in April–130/68. The systolic numbers came down significantly and the diastolic numbers have been staying low too. But — and there is a but — when he took my blood pressure in his office it was 185/95 in the right arm! And in the left arm it was 176/93! My heart rate was 66 so that was good.
He had me lay down in a dark and quiet exam room to rest for about 20 minutes and then he took my blood pressure again. This time it was 165/85 in the right arm and 155/80 in the left arm. We talked about what happened and he said that I have wide fluctuations in my blood pressure or as he put it, “you have labile blood pressure.” I just don’t understand why I get these spikes every now and then. This is the first time it ever happened in the doctor’s office but I don’t think it had anything to do with “white coat syndrome” since it happens when I am home too. His recommendation is that I continue on the same medication that I have been taking without any changes. He wants me to continue the way I have been eating and to exercise. He said if I lose another 5 lbs in three months that might make a bigger difference. I agreed with him so I’ll just keep on keeping on. By the time I got home at 6:00 pm, my blood pressure came down to 116/65.
Tannaz, my personal trainer at 24 Hour Fitness, and I have our work cut out for us in the next three months! We have a goal to lose 10 pounds by the end of July so I’m really going to stay focused with my energy on this. I am really motivated and self-determined to improve my health.
One last item he was interested in and that is whether or not I saw the gynecologist for the mammogram and also to get a bone density test. He also wants me to have an echocardiography transthoracic test too. I replied, “no” that I never received any notice from the HMO so he said that he will follow up again with the HMO. He explained that he is required by the HMO to put in the requests and not his staff and that the HMO will contact me if they approve it. He told me if I don’t hear from them in two weeks to call him about it. On July 11th I received two letters from the HMO approving a visit with a gynecologist and one for the echocardiography test.
My sisters and children are concerned that I will be able to have a mammogram. As I mentioned in my post “Healthy Eating: Better Holistic Health Outcomes” on April 27, 2013, one of my sisters had breast cancer with an encapsulated tumor so both her breasts were removed a year ago in May. She takes one pill a day for five years, but she didn’t have any chemotherapy or radiation. My other sister found out several months ago that she has breast cancer. She is taking chemotherapy with some pretty horrible side effects. She has two more rounds of chemo. They have scheduled her for surgery the first part of September. After surgery she will have radiation treatment too. Both of my sisters have met this challenge with brave hearts and loving and positive attitudes. My heart, love and prayers are with both of them.
When was the last time you went to see your doctor? How is your blood pressure doing? What does your doctor say about it?