How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Anthony Bray, MD Your Own Question

Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 6799
Experience:  14 years experience in the field of Family Practice
13781349
Type Your Medical Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

3 weeks ago I had a Transient Ischeimic Attack My GP has insisted

Resolved Question:

3 weeks ago I had a Transient Ischeimic Attack My GP has insisted that I take Statins and I have refused What can I do to make sure that I do not in 90 days time experience a full blown stroke and end up either deceased or helpless in a wheelchair?
Submitted: 1 year ago.
Category: Medical
Expert:  Anthony Bray, MD replied 1 year ago.

Anthony Bray MD : Hello!
Anthony Bray MD : with a history of TIA --- you probably should be on a combination of baby aspirin 81 mg plus Plavix 75 mg/ day for the best effect to reduce risk of blood clot in artery that may lead to stroke.....
Anthony Bray MD : Good control of blood pressure is also essential to reduce your risk!! Your BP ( resting--seated position --resting ten minutes first---average of 15 or so numbers). Should be less than or equal to 135/85 and with history of TIA should be less than or equal to 130/80.... If it is without MEDS then that is fine.... If you need MEDS to bring it to this level then that is fine as well!! ( don't hesitate to use BP MEDS if needed to keep BP to 130/80 or less....
Anthony Bray MD : If you are diabetic then good control of your diabetes becomes very important to reduce risk!! Average blood sugar should be 150 or less( fasting) and hemoglobin A1C should be less than7.0....
Anthony Bray MD : your cholesterol is another significant risk factor related to risk of stroke....your "bad" cholesterol or LDL is recommended to be controlled to less than 70 mg/dL if possible....at least less than 100mg/dL if main goal can't be achieved. Now the decision to go on a statin would improve your future life expectancy ---botXXXXX XXXXXne--- 30% improvement basically in overall mortality rate...Crestor best to both raise the good cholesterol and lower bad cholesterol...if you can meet goals with very low fat diet then that is fine!!! ( most people fail to do this however...) this is just FYI for you to consider...
Customer: I am on Bendroflumethiazide 2.5 and 5mg
Anthony Bray MD : If you are a smoker then this doubles your risk of stroke each year that you continue do if this should be the case please try your best to stop!!
Anthony Bray MD : OK >> how well is your BP controlled??
Anthony Bray MD : Do you know what your cholesterol numbers were??
Anthony Bray MD : i gave targets in terms of mg /L but your units may be different ( US vs UK...)
Anthony Bray MD : ...mg/dL...
Anthony Bray MD : The favorable ratio of good cholesterol vs bad cholesterol ( HDL vs LDL) is more important than total cholesterol...
Customer: adalat60mg + clopidogrel75mg I simply do not wish to take Statins having read so much about them for a long time I do not like putting chemicals in my body at all and would find an alternative for everything if I could
Anthony Bray MD : OK the Adalat is BP med of course and clopidogrel is Plavix ( this latter one makes blood less likely to form clots )
Anthony Bray MD : Keep in mind that the cardilogists whom read the MOST on statins place themselves on these MEDS even when not essential due to the data... The benefits actually do outweigh risks for most people BUT this is your choice! :) as I said it is possible to lower cholesterol with very low fat diet( less than equal to about ten percent calories from fat ... Possible to do but not easy!!)
Anthony Bray MD : If your diet fails to adequately control cholesterol after a couple or three months or so then you might wish to reconsider statin or other med..... The most common side effect had to do with muscle pain and this occurs in about ten percent but the most serious would be liver inflammation / damage which is rate... Again overall mortality in use of statins is indeed reduced significantly overall... So to me this is the botXXXXX XXXXXne.... That is why your doctor recommended it... The muscle pain if occurred would lead to stopping med... Keep in mind that IF you decided to try statin you could always stop it if you did have any adverse effects...
Anthony Bray MD : Again I emphasize that the choice is yours--- I simply wish you to be best armed with correct information...
Customer: I need to close as I have many things to do today You seem to be in agreement with statins Many GPs are but many are notand after all the body needs cholesterol ssurely
Anthony Bray MD : As for BP as a risk factor every 20 points higher on top number( systolic) and ten points bottom number( diastolic ) there is a doubling of relative risk of heart attack/stroke over time....
Anthony Bray MD : Ok well I hope this has been helpful for you! Let me know if you have further questions!!
Customer: I am sorry did you leave because I took so long?
Anthony Bray MD : If my answers have been helpful and to your satisfaction then please remember to leave positive feedback. That would be very much appreciated! Thank You and Best Regards,
Anthony Bray MD : Anthony Bray Md
Anthony Bray MD : No I am still here!!
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 6799
Experience: 14 years experience in the field of Family Practice
Anthony Bray, MD and 7 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions