Thursday, December 8, 2022

Annual Exam 12.8.22

 New doctor at the Health Center.  We chatted and she asked how I felt and I said 'good', dunno if that's why but she didn't really give me an exam. Talked about my stroke history, she said to ask Dr. Bagheri at my next appt if they've ruled out PFO, Patent foramen ovale (PFO) is a hole between the left and right atria (upper chambers) of the heart.  Most chest xrays don't look for this unless it is suspected. But she also thinks Eisenhower would of checked for this when I had the stroke.  But this could cause a stroke.

Had her order me an allergy test and cancer antigen marker on the labwork.  And an order for a mammogram.  

Had her look to see if I have a deviated septum.  I don't but the right nostril is narrower, there's a bump on the inside, which is odd because she asked if I ever broke my nose because there is a bump on the left side on the outside.  Mentioned if this is causing my snoring and she said most likely.  As she looked surprised that I snore.  Said I should go for a sleep study.  

Looking at the last EKG and chest xray, she said my heart is not enlarged.  So I'm guessing it's not big anymore?  So I wonder why Dr. Woods said it was.  Wonder what led him to believe I could have heart failure...  Asked if I still should go see cardiologist, and she said yes. 

She asked why I went off Carvedilol (high HR) and calcium channel blocker (couldn't remember) but she likes those meds.  She thinks the carvedilol affected me because I was coming off the metoprolol and HR tends to go off as body gets rid of it.  She saids it takes at least a month for it to start working.  

Also got a flu shot.  Felt tired around 230p, took an hour nap.  Left arm little sore. 

BP at doctor's 150/100.  

Looking back on notes, Amlodipine is a calcium channel blocker.   At one point the dose was doubled (to be taken twice a day instead of once/day), which started causing burning tongue feeling.  Didn't go away even after returning to one dose.  At this time my meds switched to Metoprolol. 

Was on Amlodipine March 2014 to Feb 2017.  I think it was working at first then gradually started not working.  Same happened to Metoprolol.  Was working at first, then not, dose was doubled, side effects kicked in, meds changed.  On Metroprolol from Feb 2017 to early 2022 (I think).  Then switched to Carvedilol, then Bystolic. 

Will go do labwork and mammogram next week.  Call if I can do sleep study at home.

Just read over notes from when I saw Dr. Woods.  One cause of high BP is dehydration.  I haven't been drinking much water since it's been cold.  Maybe about 4-5 cups of warm water.  That could be it.  

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