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Dr. Nomi
Dr. Nomi, Doctor (MD)
Category: Health
Satisfied Customers: 1988
Experience:  Medical Doctor,UK
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My grandmother just had her yearley checkup, The last check

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My grandmother just had her yearley checkup, The last check up the doc put her on 100mg of b p meds, they made her dizzy. She cut them in half and has had no more feelings of falling etc. BP is always kinda high at docs, good today day it was good 140/84. she has had fib and under control. Today she was triggered from stress and cariogram showed fib,

Doc put her back on 100 mg bp and blood thinner and she needs to see cardioligist.

She has been doing very well feeling well I think all these meds are going to make things worse the bp meds make her sick, and bloodthinner I need a different opinion please

Dr. Nomi :

Hi,

Dr. Nomi :

Though she was feeling fine but fibrillation indicated that her hypertension is still not under control so doc have to put him back on 100 mg.

Dr. Nomi :

Though you do not want to listen that but this is harsh reality that right now she has to take 100mg of meds.

Dr. Nomi :

However,probably cardiologist will decide some alternative meds for her which suits her best.

Customer:

even though it checks fine at home, the doc compared bp machines, and they check out. today her bp was 140/84

Customer:

she has higstress

Customer:

high stress

Customer:

while at docs

Customer:

he mentioned celexa also, she is on a small amout of xanax i think she could use a higher dose of xanax to relive her anxiety

Dr. Nomi :

Yes,stress can also trigger it.You can imagine some one already standing at the edge of a building(uncontrolled hypertensions) and some one else (Stress) just touch him and he simply fall down from building.

Dr. Nomi :

Same happened to her .Stress was just an additive factor along with hypertension.

Customer:

okie than could it be atriggered fib

Customer:

her hypertention is undercontrol

Dr. Nomi :

Both things lead her to have afibrillations.

Dr. Nomi :

Was she checking it regularly?

Customer:

the fi

Customer:

fib

Customer:

no symtoms at all

Dr. Nomi :

No ,was she checking BP regularly?

Customer:

yes she check regualr logs bp

Customer:

its low

Dr. Nomi :

Hows her cholestrol levels?

Customer:

great

Customer:

overall she is in great condition

Dr. Nomi :

Obese?

Customer:

no 116 pounds

Customer:

active

Dr. Nomi :

In the light of all this ,yes stress can be a factor for her afibrillation.

Customer:

at the docs office

Dr. Nomi :

But still she needs to see cardiologist .

Dr. Nomi :

Yep,many people go anxious in docs office.

Customer:

oh indeed i agree, but to put her back on 100 mg of bp, and blood thinners

Customer:

sounds not right

Dr. Nomi :

As she was already diagnosed with afibrillation so doctor could not take risk.

Customer:

she is going to cariogigist

Dr. Nomi :

Because first time her afibrillation was due to cardiac reasons.

Dr. Nomi :

Yes,doctor put her back on meds 100mg to stay on safe side.

Dr. Nomi :

But I think cardiologist will take some other decision.

Customer:

so explain if she is back on 100 she may fall, not feel weel

Customer:

well

Customer:

so blood thinner is not nessesary

Customer:

i feel that a elderly needs to be watched

Dr. Nomi :

I am sorry but blood thinner is necessary as heart is beating fast so if any small cot goes in brain it can lead to stroke.

Customer:

this could turn wrong

Customer:

for the worst

Dr. Nomi :

Yes,you are right.

Customer:

right about

Customer:

what

Dr. Nomi :

But doctor is trying to treat her with sincerity.

Dr. Nomi :

I mean you are right that elderly should be looked after nicely and with care.

Dr. Nomi :

Right now increasing dose was in her best of interest.

Customer:

i am always at the docs with her

Dr. Nomi :

I wish her all the best.

Customer:

she takes bayer every day

Dr. Nomi :

What is that?

Customer:

asprin

Dr. Nomi :

That is necessary.

Dr. Nomi :

She must take it.

Customer:

are you asking or fact

Dr. Nomi :

Its like anti clogging agent.

Customer:

okie then so is blood thinner

Dr. Nomi :

she is taking warfarin as well.

Customer:

yes just one today

Dr. Nomi :

In this case she can stop taking asprin .Because warfarin is enough for now.

Customer:

why not vice versa

Dr. Nomi :

asprin is mild so not enough in this condition.

Customer:

seems like an oxymoron to me

Dr. Nomi :

:)

Customer:

so

Customer:

what do you think

Dr. Nomi :

Its like that.

Customer:

expalin

Dr. Nomi :

In some conditions asprin and warfarin are beneficial.However,in others only warfarin is sufficient.

Customer:

okie then why isnt aspirin sufficent

Customer:

its a new blood thinner

Customer:

docs have little knowledge about it

Dr. Nomi :

asprin is prescribed to keep things normal but warfarin is prescribed if things go abnormal.

Dr. Nomi :

How is that now?hope you understand now.

Customer:

I suppese I see what if its was just a isolated fb trigger

Dr. Nomi :

do you mean asprin is a trigger?

Customer:

no going to docs and the stress of the whole thing triggered it

Customer:

i read there is chronic fb and less severe

Dr. Nomi :

Yes,but her heart was at verge of getting it.Let us sum up this.

Customer:

okie

Dr. Nomi :

yep.in that case patient has to take blood thinner for ever.

Customer:

if it is chronic

Dr. Nomi :

yes.

Customer:

Okie i get it.... Thank you. May I keep you updated

Dr. Nomi :

you can but some times i am not available for days.

Customer:

okie well thank you for you advise

Dr. Nomi :

Thanks.

Customer:

i have to do things

Dr. Nomi :

Welcome.

Customer:

Thank you

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