15 Burst results for "Secondary Hypertension"
"secondary hypertension" Discussed on The Keto Answers Podcast
"Organically challenging. Today's day and age. So if your photos like you shirtless. You know close. Rabai cloth line by line. Caught i will. I will admit there is a shirtless photo on my profile. But i think it's after surfing so I wanted to like not be a complete. You always have to have the status unstaged shirtless photo because truth in advertising. I mean i'm a healthy individual. That has a six pack like women appreciate anyway. Where does this conversation Let's talk about a little bit about what we know about hodzic sexuality and then That's about all that then. We'll maybe go from there. So people asked questions about marriage and sexuality they do marry. They are monogamous Which is interesting because there are certain tribes. We mentioned chris. Ryan obviously wrote another book called sex. Don which is about poly-amorous and noboa's chimps and how there are many tribes throughout the world. Who are not monogamous. but the hodson are monogamous. May seem to be fairly happy with that. Meeting success is based on hunting success. But i think most of the men become good enough hunters because get those ten thousand hours and quickly It didn't there. Were not any. I don't know i mean. We didn't actually spend the time to know if there were unpaid males there but most of the men seemed to have a wife at some point. And i think that after menopause the men choose a new wife so yeah read that drink freaks books. Yeah frank marlowe that that. I'm a man will choose a new wife after menopause and then to that point we did not ask them not menopause. But i have read that. They're menopausal symptoms are very mild which goes back everything else. We're talking about is it. The zeno estrogens the environmental toxic kansas. And all these things reading our diet worsening menopause for women. I suspected it's a done a podcast with jamie semen talking about menopause. Guys if you want to go back and find out. I think that the more you can get back to living in a natural default mode way menopausal. Eat better for this. Yeah i mean this is just also it goes back to the other. That was making in miami after like being africa for awhile in being back in an american city not a fan generally on a fan of american cities. I think they're crazy people. There were intense values very different than they were in the world. Where we are right now are like value being outside in having just because something's common does not meet is normal and i think the same thing with what you're talking about with menopause. It's like we've normalized something connett. The symptoms are common therefore people expect it to happen and anything deviating from that is now some outlier. That isn't isn't real. it's not reality. Because we live with the western world. Is i mean this is the same thing. With most crohn's disease that's common to be overweight or diabetes or heart disease or die from her attacker. Cancer was communism as normal. We shouldn't expect that we have to ask why is the case. Is it possible not suffer from all of these things including menopause. I think the answer is yes but common so therefore weeks right to be normal taught normally medical school. You're taught that. I imagine i was taught in medical school. Hypertension is normal as you age. As for every decade systolic blood pressure goes up accepting the honda. You know except in free living humans in which. There's no such thing as hypertension as you age. There's no such thing as age related. Hypertension so i mean. Within medical science there is primary hypertension and secondary hypertension and primary hypertension is hypertension due to aging quote unquote. Oh this is essential hypertension. It's just your genetics. It's as your aging bull shit bullshit. And i love that. Just because it's common doesn't mean it's normal for you. So and we should not accept diabetes. Normal you know alopicia riady al internet engine calpeda as normal or xiomara psoriasis. Acne been thinking a lot about skin stuff recently. How much skin issues are tied to our diet. And you know we didn't see any acne there. They had amazing skin. Anybody with x. amount psoriasis. We didn't see anybody with any clear vitiligo or anything like that. I mean yeah. They were really. There wasn't a whole lot of there was there were no chronic diseases. That were common in the hot yup. Obesity known mean one woman who apparently had spent a lot of time with missionaries in city. What's more obese is overweight but not obese or it's like in a culture of the us now were because it's common. We've normalized it. And others is body positivity. Which i i think. People should be happy in their bodies and being a journey if they're overweight or obese but doesn't make it normal for a human to exhibit that if our to watch the monkeys the tree and there's all these monkeys look the same and there's one that three times the size of the other monkey say what the hell happened is what is wrong with that monkey in because now we have in a society were nine of those ten monkeys or seven out of those ten whatever. The status shortly are are that large. And you go. Oh wow what's what's wrong with the weird small ones or small ones should make fun of the big small time. Making scotland need to make fun. Like can't say the big ones. Why are you so to say support people and say. Hey this is an issue like it's just because the communism mean it's normal or healthy. Yeah.
"secondary hypertension" Discussed on Cardionerds
"You're going to just get the patient of big bill as not going to be worthwhile. Everyone always thinks that they're going to diagnose feel chroma saitama or paraguay allman. It never comes back like that now. It's not that we don't see it we do. It's just that these patients presenting with sales of elevated blood pressure or blood pressure liability typically. Don't have it so that's important. It's fine to send off the testing but really the results when you get them back. They're not they're not subtle. Okay if you're actually going diagnose it. In a lot of times. We can see mildly increased at an effort norman an effort given in just hypertensive individuals. Got your laundry list of other things that people typically check for hyper cortisol ism patient looks cushing roy. That would be something to look at it. Check at t s h. It's reasonable particularly resistant. Hypertension hypo hyper. Thyroid can lead to those changes. Grab you've mentioned a case of Court tation likely. They're just take some imaging. That would be a young patient with hypertension that we would look for. And then we we think about congenital hyperplasia primary hyperthyroidism very rare mineralogy quarter excess syndromes other than primary. Last ism so those would present with a typically low australian rain and they akra magli. Those are really the major categorisations of them. The one thing. I want people to take away from this. Podcast is send more although raanan reenen levels and savoring and right to but send more of them. Because you're going to pick up when you actually look for it. That's awesome daca laughing. I really is such a phenomenal review in chock full of pearls definitely taking away the pronunciation for reenen as well and i had my fair share of launching into is thorough secondary hypertension workup only to fall short. Really just diagnosing a patient with primary hypertension. This is important for next patient. Tom perez is a fifty eight year old man with a long standing history of hypertension at gird. Blood pressure in clinic is one fifty two over ninety two. Despite being on three eight his clinic blood tracks with his home blood pressure diary and evaluations for secondary causes were revealing in the past. He's usually quite religious with his medications. But does sometime have trouble remembering bicknell so with this mind. Dark laffin treat resistant hypertension. And what is your approach in these challenging scenarios here. That's a good question. And this is a patient that might show. We all can relate to others a few issues going on so really. The crux of it is water. Resistant hypertension because important. Understand what that definition is. That's a patient. That's taking a three or more blood pressure. Medicines typically fi a diuretic appropriately dose for kidney function a-block the ninja tencent system and then i had appeared in calcium channel blocker and then they're not at their goal blood pressure. That's typically what we think about with the definition of resistant hypertension and you can have controlled resistant hypertension. And so that means you're on those medicines plus another one and your blood pressure's controlled so that's the definition under the umbrella of resistant hypertension often times to point to that. There's a increasingly push over the last ten years or so a group down at uab has really made more of a push to define subset of those patients as refractory hypertension. So we don't wanna be using resistant refractory. Hypertension it's anonymously and they defined refractory hypertension is patients with uncontrolled blood pressure on.
"secondary hypertension" Discussed on Cardionerds
"Okay if they have target organ damage out of proportion to what we would expect with their degree of blood pressure elevation which is prominent in primate. Astra's well that's when he wanted to do a little bit more digging as well now the way i like to think about. It is ninety percent of hypertension. That we're going to see is a primary hypertension. Then we have this. Subset of a ten percent is secondary hypertension and but amongst that ten percent. The vast majority is going to be undiagnosed either primarily austrian ism or at least excess aldo strom secretion. We're all taught in med school that you need to use the all-austrian ratio and that will give you the answer. We know that's really not the case really nice. Paper published pretty recently was thousand patients for academic medical centers. They looked at a variety of patients. Normal tens of stage one stage two. I've pretension resistant attention. They sodium loaded them okay to try and suppress all da strong which sodium will do and then they measured arena donald austrian and what they saw which is what makes sense is it's a spectrum of disease. It's not like pregnancy okay. It's not binary you are aren't there's a spectrum of disease and once we reach a certain threshold. We call it primarily southeastern as we think those patients we should be a little bit more aggressive about screening for potential interventions surgical intervention etc. But it's definitely a spectrum of disease. That's why bernie mac tone. The component of it wise from elected was so effective in the treatment of resistant..
"secondary hypertension" Discussed on Cardionerds
"Time where we will be discussing the strength. The trial can't wait to see you. All there we thank you for subscribing to supporting the cardio nurse. This podcast is not meant to be used for advice. Did use express do not necessarily reflect the opinions policies of our employers cardio marriage just got back seen four patients. Who you all talking about. Mrs sato dan. I'm it you didn't tell me cardiology fellowship will be this busy. Glad to be here though here. Goes deanna troi is twenty eight year old woman who presents for routine pap smears found to have states to hypertension after an evaluation. She's diagnosis with fiber muscular displeasure affecting her renault arteries next jazzy. Dax a forty eight year old woman with the history of systemic sclerosis who presents with acute severe hypertension with the blood pressure of two hundred and twenty over one hundred eighteen millimeters per mercury associated with acute kidney injury and pulmonary dima she has evidence of himalayas pina. It's just the sites racine are blood smear. She's diagnosed with clara moreno crisis and she started on an ace next. Is jonathan archer a forty two year old male with the recent onset of hypertension refractory to calcium channel. Blockers diuretics arbs and beta blocker. He's diagnosed with content drum with bilateral idiopathic hypo australianism. He was also started on frontal acton and finally i saw see crusher a twenty one year old male with hypertension discovered during a sports physical. He has a break from row. Post delay on exam in a marketable difference between his arms and his legs. Which amplifies treadmill testing. Eric caucasian confirmed on a cpa and he's undergoing successful standing while great. You were had quite the busy clinic while we were talking about saito so with regards to this list. Laffin was reviews secondary hypertension. What are the causes of secondary hypertension and went you. Go on a hunt for them. What is checklist for diagnostic testing in these situations. That set kept you busy there greg. I think that's a home medical textbook worth a secondary causes of pretension. And that's really important. Okay to at least think about these not only for board exams etc. But we're definitely going to see some of the more common causes frequently. It all kinds of causes. I like to think about. Common causes versus really uncommon causes when thinking about secondary workup for hypertension. Because you can always go and send a bunch of labs off and try and do that in these individuals but really thinking the high yield ones is going to be most important so we think about the really common secondary causes hypertension by the top. Your list has to be primarily. Ostracism am and i'll get back..
"secondary hypertension" Discussed on Cardionerds
"You're going <Speech_Male> into eclampsia <Speech_Male> in these individuals <Speech_Male> so that's generally <Speech_Male> my framework <Speech_Male> that i like to <Speech_Male> think about these folks <Speech_Male> when you think about <Speech_Male> Miss <hes> <Speech_Male> saito here. <Speech_Male> She's someone <Speech_Male> who had <Speech_Male> it on set at twenty four <Speech_Male> weeks. If i remember correctly <Speech_Male> <Speech_Male> station hypertension <Speech_Male> and i wouldn't be surprised <Speech_Male> if she is normal <Speech_Male> in clinic <Speech_Male> right now but <Speech_Male> unfortunately <SpeakerChange> that doesn't <Silence> mean she's out of the woods <Speech_Male> thanks to <Speech_Male> win over that duck <Speech_Male> laffin <Speech_Male> We have two additional <Speech_Male> questions one <Speech_Male> is. We're <Speech_Male> told that her <Speech_Male> onset of hypertension <Speech_Male> was twenty four weeks. <Speech_Male> Gestation a who <Speech_Male> <Advertisement> knows if she was being screened <Speech_Male> <Advertisement> for hypertension <Speech_Male> prior to that and so <Speech_Male> <Advertisement> my first question is <Speech_Male> how often do <Speech_Male> you screen people for <Speech_Male> hypertension in general <Speech_Male> and then my second <Speech_Male> question is if <Speech_Male> her <Speech_Male> position of hypertension <Speech_Male> is truly <Speech_Male> purely just station. <Speech_Male> Hypertension <Speech_Male> is she at risk <Speech_Male> <Advertisement> for developing chronic <Speech_Male> hypertension. Down the road. <Speech_Male> And how would you screen <Speech_Male> her for that later <Speech_Male> on <Speech_Male> so for her in <Speech_Male> particular <SpeakerChange> we know <Speech_Male> that individuals <Speech_Male> with history just <Speech_Male> ational hypertension <Speech_Male> brake clamps. Yeah <Speech_Music_Male> eclampsia hell <Speech_Male> syndrome. They <Speech_Male> clearly have an increased <Speech_Male> risk of hypertension <Speech_Male> so she needs to be screen <Speech_Male> annually from here <Speech_Male> on out okay. It doesn't <Speech_Male> necessarily mean you need <Speech_Male> to do and the type blood <Speech_Male> pressure monitoring on her <Speech_Male> but they've done studies <Speech_Male> where it's actually <Speech_Male> picked up a fair <Speech_Male> number of <Speech_Male> these individuals <Speech_Male> who we may miss <Speech_Male> Normally <Speech_Male> we think oh you had your baby. <Speech_Male> You're fine go <Speech_Male> about your life but we <Speech_Male> know. Those individuals <Speech_Male> are at higher risk for developing <Speech_Male> hypertension. <Speech_Male> Long talk so she needs <Speech_Male> to be screened on a yearly basis. <Speech_Male> Obviously <Speech_Male> not all thirty six <Speech_Male> needs to be screen <Speech_Male> on a yearly basis for <Speech_Male> hypertension typically. <Speech_Male> The guidelines <Speech_Male> are generally at least <Speech_Male> every three to five <Speech_Male> years. Now is <Speech_Male> a great screen them a little <Speech_Male> bit more often. Yeah <Speech_Male> depending on <Speech_Male> the patient population <Speech_Male> And <Speech_Male> that's why certain <Speech_Male> studies screening <Speech_Male> studies are <Speech_Male> affecting because <Speech_Male> not everyone is coming <Speech_Male> to the doctor every <Speech_Male> year to your point <Speech_Male> about not <Speech_Male> knowing <Speech_Male> what you should be doing <Speech_Male> in terms of exercise and <Speech_Male> physical activity. I'm sure <Speech_Male> a lot of people listening to <Speech_Male> this. Haven't him into a primary <Speech_Male> care doctor lately <Speech_Male> for their blood pressure <Speech_Male> screening and things like that. <Speech_Male> So that's what we really <Speech_Male> think about. One more thing <Speech_Male> about who we should screen <Speech_Male> in general. It's about <Speech_Male> every three to five years <Speech_Music_Male> in younger patients <Speech_Music_Male> and a little <SpeakerChange> bit more frequently <Speech_Music_Male> as we get older <Speech_Music_Male> <Speech_Music_Male> <Speech_Male> now. That <Speech_Male> was a great discussion. <Speech_Male> Thanks for tuning <Speech_Male> into hypertension. <Speech_Male> Part one be <Speech_Male> sure to follow up with <Speech_Male> our next hypertension <Speech_Male> partout <Speech_Male> as we kick it <Speech_Male> up a notch with causes <Speech_Male> and evaluation for <Speech_Male> secondary hypertension <Speech_Male> approach to resistant. <Speech_Male> Hypertension <Speech_Male> and interventional <Speech_Male> hypertension <Speech_Male> therapies. <Speech_Male> And will top it off <Speech_Male> with a note about cardiac <Speech_Male> rehab. I <Speech_Male> know i'm looking forward to
"secondary hypertension" Discussed on 77WABC Radio
"DRC l dot net. Garden City office 51679 for O for 04. Plenty office 5164333232. And we shall begin our discussion. Antioxidants, of course, are important for many reasons, but antioxidants they stop oxidation of tissues. Oxidation is damage of tissues like pulling a brick out of a brick wall sooner or later that oxidation and pulling those bricks out will cause The wall to crumble and damage and will cause what we say. And Medicine is apoptosis cell death. So as we talk about how many cells were dying hundreds of billions of dying every minute. We don't want that to be an accelerated number. You want That t increase your calm down as much We can sew with antioxidants. Supplementation. You're helping blood pressure. You're helping cardiovascular help! You're stopping free radicals. So great studies. This is one involving people that were newly hypertensive. And those that also had different categories of disease. Secondary hypertension, chronic kidney disease, coronary artery disease, average age of 49 a half years. And they looked at body Mass and look a diet. They looked at blood pressure looked all sorts of parameters. The individuals of high blood pressure and cardiovascular disorders had far lower levels of vitamins. And minerals and vitamin D deficiency. Clearly associate ID with issues with the heart, also with blood pressure, magnesium potassium deficiency. Very important to look for. And of course not Only do I look at thesame levels but red blood cell levels of magnesium potassium because they're more important, They'll give you a better understanding as to how much Of those minerals you have inside yourselves, because that's where they work. So there are different ways Tio understand. You know a blood test, And when we look at a blood test for thyroid, for example, you're expected to lose your farm road as you get older, every five or 10 years. There are different categories of decline of those numbers, but you don't want to keep losing something that maintains your health and keeps her body doing well. So that's why we try to correct some of your hormones and certainly your vitamin minerals. Back to a younger age. And then you can see and document improvement because we're all aging, and some people are aging faster. And as they lose cell numbers, they're losing the ability to make the hormones that keep your body working well. If we bring those back, we're just walking back those changes that are negative changes and creating positive function. So again, it may sound like it's obvious, but It's important talk about it so people could understand it. See it when we look at your blood work. Gonna put all that information together. I may be, and I think that could be one of the last Nutritional doctors around, you know, in my category in my age and my history or experience Um It is not verging field of doctors wanted to go and get all sorts of training and do things different than Other doctors are doing so. I've had lots of friends on both sides of the Rome some that have been in nutritional medicine, some that have been not and I've gone into A more traditional approach, and many of them have retired because You know, the cost of running an office is overwhelming these days and every year insurance companies. You know, because it's to their advantage will pay less and less. Some doctors we see have sold out my management companies and All sorts of craziness going on and told the other doctors either before me like that crack conservers, you know, very friendly with very fondo for rest, his soul and all the other doctors were gone that air Of the nutritional Roman It seems too many of them have gone universe there souls as well. Phone lines. If you'd like to call and ask you a question you could do so now. 108 for eight w A. B. C 108 for eight. 92 to 2 and we'll get you up on the air. Let's talk about chromium, of course, is one good thing that helps to control sugar. It works at the sailor level. This is a double blind, placebo controlled study involving people that are new onset, type two diabetics using chromium Over the course of three months there associate with significant reductions in blood sugar levels by 10 to 15 20 points, which is good, but If we talk about changing diabetes, and we talk about the peripheral and then the central component Purple component is where we cut your carbs down to 30 G a day. We have you walk every day for a half hour 45 minutes nonstop. Indoor bike after by corner to corner, You know, I love the walking around the block thing leads to get you outside. But you can see the corner that you're walking toward and it's there visually. You know that It's only a few minutes away. So you're hitting your mark. You're hitting your mark. As you keep doing that It reinforces your ability to do it. Um, we corrected climbing hormones thyroid, th th testosterone, etcetera. And with a central component. That's what we do was stem cell therapy. So imagine changing every component of that picture, as opposed to just using one supplement or one drug or to drugs or eight drugs. Unfortunately, see so many people on more and more and more and more medication. For diseases and I think medications are needed in circumstances, but And I have given people medication if they're in a bad bind if their blood pressure super high But then we work on changing the mechanism so we could get him off the medication, so that just makes more sense to me. Okay. Phone lines. Rope in 1 808 for eight. W A B c. Let's go. Kris in New Jersey. How are you? Not gonna help you. Let's see. Chris, are you there?.
"secondary hypertension" Discussed on WCBM 680 AM
"Stress here in just a second or your immune system. Give us call for 10 Wcbm 6 81 800 Wcbm six city Luigi's on the Eastern shore. Good morning, Luigi. Good morning. Uh, Well, I've got to start off with his first. From my daughter's boyfriend. He's up. He's 24 years old. Big athlete 6 FT six. Almost 6767 236 wow. And you can go with the best baseball on people. Did you say 67 £436.0? No, no, no to 36, okay? Is the entire offensive line of the Ravens have and he gave me a big hug the other night, which I would like that we could give me a home. Surely He had told me he was talking stuff again. My blood pressure. It's love pressure's 100 50/1. Then what can we do for that? The immediate works out. Getting run. Does everything cannot giving looking good for you? So You have to look at He's a big, big eyes. Big boy. Sometimes high blood pressure runs in the genetics of family members. But 1 50/1 10 is certainly very, very high, especially for an athlete. And we don't want blood pressure to be greater than 1 30/80, So we have to look at his diet is eating a diet that is high in Seoul. Uh, is he getting enough Sleep is obviously in this time. Fact is sometimes what we need to do medically as a physician, investigate the ideologies of one's blood pressure. We have to see whether or not they have other issues. Other glandular issues, which is secondary hypertension, not primary. Secondary hypertension could be due to a factor that you have a something called a field troubles O town site Oma, which is a gland to a tumor that could secrete epinephrine and norepinephrine. So my suggestion is that his position reviews his actual first look at his blood makes those kidneys are working. Well, look at his blood type to make sure that his Not his blood type of his blood concentration, so he really needs to see a physician is not just a position. He really should be under the care. But they cardiologists right off the bat. I could tell you The rescue party that would be beneficial to his overall health would be Supplement that I created for rescue, which is rescue or seen. Number one, which will help relax the blood vessels and lower his blood pressure. Naturally, he should definitely be on Omega three Fish oil number two and he should be on self power number three. But definitely needs to have a work up to make sure that there's nothing else going on. Sometimes people could have actually a constriction of the blood vessel going to their kidneys. That's called Reno Arteries stenosis. That could be an underlying dilemma that somebody could have low blood pressure. Tell me what his age was again. 23 so he's very young to develop hypertension. At this age. He definitely said he's seeking. We borrow two cardiologists for a complete workup throughout these other medical issues. And make sure that he watches his diet. Make sure he doesn't have more than 2 G of sodium or soap in the day. Make sure that he stays hydrated and sometimes alcohol could actually increase your blood pressure. So we have to look at those factors is very If, in fact is involved. I appreciate that. And then I want to ask you something we're going to do for the stiff necked. I got killed. We have a product called Rescue, Glycol, Marine and act Deflect. There are two parts to rescue that can help you sort of helped repair the stiffness in your neck and also sometimes in your joints. Uh, but that's what I would recommend. Oh, and also the fish oil. Fischel. I got essential. What about would you say again? The rescue? What was it like a marine. Like like like a Marine. It's an all natural. It's an all natural product that will relax your muscles and improve the integrity of your joint. Okay, I'll get that are going to get someone to appreciate everything. You guys do it all the time. You never appreciate led thanks again for the president. Jump Everyone of prayer. Prayer is a powerful thing. Thanks So much for listening and good luck to you and get the your girlfriend. Your daughter's boyfriend checked out. Appreciate that 24. You're on rescue health line. And here's your trivia question for the day. Dr. Shapiro just mentioned it. In rescue probiotic How many billions Of the colony, forming cells or units in each capsule in terms of number. How many billion of the colony forming units in a single capsule of the rescue probiotic first correct caller will win a free bottle of rescue Ultimate be ultimate B vitamin, but you gotta call with Drina right now. Standing by. Ready to take your call for 10 Wcbm six. 1 800 Wcbm 6 80. We've heard from Kevin, he said. Rescue probiotic is fantastic. And you have bloating problems with digestion. This product will take care of it. Rescue probiotic works best when taken in mourning or midday. I started taking it last fall because it helps with your immune system. I was not sick. All winter. Knock on wood. I've taken rescue probiotic for years. I can't tell you last time I had even a head cold. On it really is. I mean, if you are, if your good if your immune system is working for you on again, you practise proper hygiene and protocols. I could watch your hands a lot on Don't touch your face and you avoid a lot of flu and colds viruses out there right now. My doctor. We know that fiber Has a variety of health benefits as well. But most Americans just don't get enough fiber in their diet, where subside that we need more fiber in our diets. So take a look at your digestive system. You should be going and going to the bathroom. You should be defecating at least once a day without any Without any stress, So if you're not going to the bathroom regularly, so let's say a regular bowel movement on a daily basis. You may not be getting enough fiber if you feel that you're bloated. Or if you feel that you have indigestion, If you have a lot of gas burping up if you have a lot of reflux That could be affected that you don't have enough digestive enzymes, probiotics or Or if you don't have enough Fiber fiber fiber. And how often you should defecating extremely important in our And in making sure that we go regularly and so people who are constipated and people who have sometimes irritable bowel and diarrhea that could be a factor enough fiber rescue land and sea fiber than support. Healthy digestion and immunity. Well, that will give you the fiber that is necessary. If you don't get it in your routine vegetables and things that you eating on a daily basis, and most people go through the day, not having enough five in their diet. You try to get through diet, but it's difficult sometimes, right? Absolutely. Hide for 10 Wcbm 60 are number one for a trivia question winner. So what we're going to do now is to be our premium coupon code offer of the day. 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"secondary hypertension" Discussed on Wash FM 97.1
"Capital area. I'm Bernie Lucas. So you've got a couple of stories to tell us about Cem Cem. People that we may know and certainly should know. So Ah, tell us about him. Yeah, So there's a former Washington football team member. Got more again, who actually donated a kidney to his brother Daniel On March 20 set. Daniel was Was diagnosed with kidney disease, secondary hypertension and was on dialysis wasn't tolerating it very well. Eventually he was on the waiting list. He just got up, acted to donate to him and found out that he was a match and he said it was like he had won the winning touchdown in the Super Bowl. He was so excited, so excited about it. He was like, Let's do this thing. No, that's a place they're wonderful. They're going to be featured in our kidney box broadcast on October 10, so I hope everyone will turn in and, you know, hear their story. Now they're going to be interviewed by me. Old Avanti, who is our honorary chair for the kidney block. And Jimmy is an anchor and reporter on NBC for Jimmy. Any disease hit close to home for her because Disease called on polycystic kidney disease runs in her family. So her uncle had a transplant in 2017, and now her mother's on the waiting list. Um, together kidney. So and they all all three of them. Jimmy got and Daniel all went to Virginia. Um Where my daughter is very exciting for us, Um Yes. So they are wonderful young man, and they are going to. They're going to walk that day and hash tag and everything else So we're really excited that They just wanna They just wanna get back. They want to. They want to share their story to help raise awareness, and I guess in some in some respects for Jew me it's like paying it forward because if it runs in her family, you know she could be susceptible to Yeah, exactly. And you know, her family really recognizes the importance of kidney health and getting awareness, So she's been a wonderful I think she's been with us for nearly a decade now. First time she came to Washington. She kind of cold called me and said, I want to get involved in all right, but she was. She was fun at the Ah, the kidney ball last year, too. Yeah, Yeah, she and Doug Kammerer come out every year and help us kidney ball and grace off. They're so dedicated. Love them, So Yeah, yeah. And then and then I have another got another really interesting story. There's a retired Air force colonel. His name is Dave Ashley, and he's an adventure athlete. He donated a kidney to From a classmate of his Ah, a few years ago. I think that was 2017 as well. And he Decided that he was going to say he didn't find many adventure athletes who were living donors when he was going through the process, so his mission is to raise awareness among that audience as well as Veterans as well. So he decided that he was going to climb the seven summits. So there's like the highest peaks in the different parts of the world. So he started to do that. But Covic shut him down after the first one. I think he did. Kilimanjaro. And then you know, Cove. It shut down the world. Basically, though he's been doing smaller climbs and climbs around the country and all kinds of activity, and he's been Volunteering his time. He's an amazing human being. So he is attempting to Klein 37,000 steps in the next month in order to honor the 37 million Americans with kidney disease. So now never only 28,000. So you're going to get 10 more than Mount Everest so well. You'll see him If you turn in on walk today, there will be a P ece by Dave is amazing. And then I have. I have my own talent. Actually, I downloaded the app and I've done 88,000 steps in flavor Day and I bought that despite being 83 miles so far, and the reason why I have to train Training. I have my own pen case challenge my childhood friend Harry Woods, who is now an executive of Planet Fitness. Challenge me to do with 10-K around the monuments Unlocked day, which happens to be 10 10 October 10th, and he's going down $10,000 to the National Kidney Foundation for that. Oh, that's great. So excited and embedded to him and hoping he keeps You know he's now it's time for another What other things? Am I going to have another Lycan after something, But now it's all it's all in good fun and very excited about that very grateful for his generosity. That's great. I want to go back. Teo. The retired Air Force curl Dave Ashley for a second. I'm thinking that the kind of adventure athlete that he is and that kind of steps in the challenge in the mountains that he's talking about. That would probably really help people who are may be afraid to be a donor, thinking it could affect their health. And here's a man who's donated a kidney and is still able to do all of these things. What with that observation be on target. That is exactly right. He is in the living, You know, personification of what you could do with your life after donating a kidney. I mean, he recovered quickly. He feels great. He said. You know, the best thing he ever did, and all he ever wants to do now is give back. You know, he feels so good about about doing it that he wants others to do it as well. And he wants to share his experience about You know how wonderful it is to have given his class made his quality of life back. So, Yeah. Look, Att Dave, if you're afraid to, you know, if you want to consider living donation and see how full the life that you can leave, interact Lee climbing mountains, doing all kinds of crazy things that if you go to adventure, kidney You Google him..
"secondary hypertension" Discussed on Surgery 101
"Let's move on and to develop differential diagnoses so honor last. We have new onset hypertension or pre ECLAMPSIA persistent hypertension or pre eclampsia Hope Syndrome which is characterized by Mall low platelets and increased liver enzymes and lastly pre existing hypertension or resistant. Hypertension were treatment. This can further be categorized as a secondary hypertension with a known cause such such as endocrine disorder or primary hypertension also known as essential hypertension with no known cause in our case Alana husband complaining of a headache and her the pressure has been around one fifty over ninety eight. She has no history of hypertension or elevated. Blood pressure's on her prenatal sheets. So Alana's likely experiencing a new onset. He's had hypertension. Let's move onto diagnosis. That diagnosis of postpartum hypertension is relatively straightforward. You take a blood. The pressure blood pressure should be checked. After fireman's arrest patients should be sitting down the arms should be at the level of the heart feet on the ground back supported inappropriate cough and our arm arm should also be supported. The COP line should be about one point five times the circumference of the arm. The final blood pressure is consistently higher in one arm usually use a higher value hypertension in pregnancy including the postpartum period. It's defined as Stolac blood pressure of one forty or greater and or diastolic blood pressure ninety or greater on two or more occasions at least fifteen minutes apart using the same arm severe hypertension as its Stolac pressure. Sure one sixth grader or diastolic pressure of one hundred ten or greater again at least too much romance fifteen minutes apart using the same arm severe hypertension and postpartum pardon puree can cause maternal throw. It should be treated immediately at translated. Hypertensive effect is when you get high blood pressure but it's within a normal range offer rest risk for repeated measurement on the same or subsequent visits white coat hypertension pressures that are elevated in office but our normal home blood pressure monitoring tossed hypertension. It's the opposite of white coat hypertension. It's when pressures are elevated at home but are normal in the office you confirm with the nurse than a lot of blood pressure. Were properly done while she was resting in fifteen minutes apart. The nurse also tells you there are no labs on files so pre-columbian Help Syndrome are stolman differential. So you get verbal verbal order Turner's Hypertensive lops does include the CBC urine protein to create an ratio also known as a urine AC are serum creatine in urea acid elti ast all the HVAC Ruben ankle socks so p t t irr..
"secondary hypertension" Discussed on GSMC Health and Wellness Podcast
"Shortly. Tired of searching, the vast jungle of podcasts. Nell, listen close. And here this out. There's a podcast network that covers just about everything that you've been searching, the Golden State media concepts podcast network is here. Nothing less than podcast bliss with endless hours of podcast, covered from news sports, music fashion, hooking entertainment, fantasy football and so much more. So stop lurking around and go straight out to the Golden State media concepts podcast network, guaranteed to fill the podcast. Whatever it may be visit us at WWW dot g m c podcast dot com. Follow us on Facebook and Twitter and download us on I tunes. Soundcloud and Google play. Welcome back to the GNC, health and wellness podcast. If you're just joining us, we just got done talking about kids, energy drinks and communication. We're gonna jump into our next topic here, and this is going to be about the dead Bod. That term before. But yes. It used to be a trending thing. I don't know if it's still is. I if I see a guy and he has the dad bod'ed. I'd be like, oh, yeah. He's like dad, bud guy. Right. So just to break it down what a dead, but is is basically the most average body a milk can obtain. We're not talking about, you know, romance cover models with six pack ABS and biceps and just you know, your dad. Meaning you're not too fat. You're not super fit. You're just kind of their he's squishy, right? Actually, you enjoy having a beer five after work, and you eat a lot of Rama noodles for dinner. That's basically, we're we're on the dead, bud. But there is why I'm talking about this is because apparently there's a health concern with the dad Bod and the whole trend behind it. Because they think that even though is a trend, and it kinda like up lifts some of, you know, some men men out there their self esteem or whatever just because it's the thing. That's in right now, they the health concern is that it's. It can lead to ABI city. And I don't know what's secondary, hypertension is. But it said obesity, secondary, hypertension, and diabetes, which I mean, it makes sense. Because one thing that they warn about is is belly fat that can lead to a lot of those things, especially obesity, diabetes. You have to watch. And the dad Bod kind of is that sort of like little bit of a Panch, you know. And so I know that fat around your belly can be concerning with health. Yes. So that was that was the concern there, especially with it being a trend and just men getting complacent, and they're like, oh, well, I look good. And this is what's in. And why do I need exercise for because anybody's gonna find me sixty right now? So we can have a whole different topic about the the sexist nature of this conversation has you know, men tend to be more visual than. Women women are like, yeah, you're fine. I don't I don't care. You got it to come dad Bod, whereas women are like you're fat. It's not that simple. But really, the mom Bod is not trending is sexy. If somebody said that it would I feel like I would be okay. Okay. With that. Don't have to exercise cool. But yes, so I understand what they mean on that. Because I feel like to us ladies, we want our men there, you know, for a longer time in the future with us. And if you have the dead body and get complacent you're just going to die off earlier. Then if you are a dad your kids want, you around be healthy, you know, stick around for your kids, your wife, you know, we enjoy the company when it's convenient for us just kidding. Just kidding. But yeah, and you might have to cut back from that five beers. And only drink one still it's your health exactly have a glass of wine with the wife. But if you're not a dad, or you don't have a wife, you know, maybe you just want to feel better about yourself and get some workouts in there because you know, that looks good to everybody else to you know, to each his own. We'll even if you don't have a wife or kids, you still have people who love you. And you wanna be around you go. There you go. Another topic about dads is there was a study. I read that who gives more junk food to kids, and I feel like this was obvious. It was obviously the dads. My dad really neither mine. Mine didn't either. I'm sorry. Where you're going. Well, the study was done with forty four families. There had to be at least one teenager in that family and had this gives me consider the family's eating habits. And whether they change depending on which parent was in charge is that ninety three percent of the cases that they ask the kids and mom, they all said that dad's food quality standards were the lowest. So one kid said. What did he say if I wanted chips or cookies, I'll just go straight to death. I know he'll say yes now when I was growing up my my mom's more of a night owl. And not a morning person. And my dad was a teacher. So he would take us to school. So he would get up with us. And which meant he may is breakfast. And we rarely we rarely if ever got cold cereal. Cold cereal was a weekend treat, and it was never sugared. I mean, I was excited about shredded wheat as a kid. So he would make hot cereal for breakfast every morning. My dad was not the it's more convenient to just dump a bowl of cereal. No, I don't you're. He's pretty awesome. That's no ours was cereal gettable of cereal every day except my dad when we were playing kids in we wanted cookies, we would have to be very specific. And it was always. Hey, dad. Can I have to cookies he wouldn't give us more than that? If we ask for three. It was a no if we ask for one he'd be like, well, what's the point just to and then okay? So we just learned to be like, hey, dad can have to cookies at least he was limiting your sugar intake. Exactly, exactly. So I thought that was interesting. There was an interesting. Sentence in there or topic where the dad was like well moms are, you know, it's more in their nature to me more concerning concern in healthwise about their kids. And they they just have a better relationship with the kitchen than dad's student affairs, not welfare who could cook. And also that's just making it into that. Okay. Mom. The woman does all the parenting things. Whereas the dad like like that phrase, you know, L are you babysitting your kids, they're your kids month babysitting. Your parenting. Yeah babysitting. And then when they get mad is like go, get your kids. I didn't make these kids over with you. I do that as a joke. It'd be like your Sunday to you. Well, right. Yeah. Yeah. But I just thought that was a little fun thing. Because I know that I try to feed my kids a little bit healthy, if they want I don't really mind being like, yeah. Go get some cookies. Let's have some kick for dinner if it's like a weekend or spring breakers. You have to teach them to have we we have such a we can have such an unhealthy relationship with food where it's like reward and punishment. Oh, yeah. Whereas we instead of just kind of eating not going crazy with the junk food, but including it in your diet sometime instead of feeling like, you're cheating or doing something wrong. Exactly. A nice balance meals, balanced breakfast, balance lunch, dinners, dad's, apparently, don't know what that means. That's why they have dad's right? Exactly that is our day bring up one more topic did just to everybody know that October second as name your car day know, that I did not know that. No, I didn't know that. But I didn't know till this morning when I saw do you name your car I used to a used to have a car named her Miami. Like that I like her mining. What's not to like, right? She's just all the above. What about you? Do you have is does your car have a name it didn't until today? So my car my car was is a female, I've dubbed her a woman. And so I always talk to her nicely unless she's doing some weird stuff. So I feel like she's bipolar because I'll be randomly driving in. My check engine light will come on. And then only for like five minutes, and then it will decide to shut off deer three weeks. And then I'll be driving in OB. Like, oh, yeah. Your check engine light is on. And then it just shuts off. I'm like is there really a problem or not because you're not trying to stay on? So I asked my sister today. I was like so. What is a stereotypical name for the most bipolar old woman. Ishbel kind of name give me a name. And she said Susan, so I have named my car. Susan, we apologized everyone. We're not judging you. I'm sure you're not bi-polar. And that is probably the worst stereotypical. You know, bipolar old lady name ever, I'm sorry. But to be fair now, you get a drive with me. Susan guys. Get me everywhere, I need to go. And I appreciate it very much to stop turning on. The check engine light randomly. Exactly. Well, thank everybody for listening. I hope you enjoy the show and please join us next time for more health and wellness with brought to you by GMC podcast network. You've been listening to the Golden State media concepts wellness podcast part of the Golden State media concepts podcast network. You can find this show and others like it at WWW dot Jesus MC podcast dot com. Download cast on itunes, Stitcher. Soundcloud, Google play this type MC to find all the shows from the Golden State media concepts podcast network from movies to use it from sports entertainment. And even we are us. You can also follow us on Twitter and on Facebook. Thank you. And we hope you have enjoyed today's program.
"secondary hypertension" Discussed on WCBM 680 AM
"Intake in sodium intake, and the most significant effect Sean were observed in subjects with existing hypertension or high blood pressure now among those with the high blood pressure the average decrease in systemic pressure was four point five millimeters of mercury and the diastolic pressure was an average of three point zero five millimeters American so again. I'm just taking the omega threes can drop your systolic pressure by almost five points. So you know, that's the key to remember. We're not going to do one thing specifically that can drop our pressure tremendously. But adding these different things that you, and I are talking about today, adding them together, you might be able to drop your blood pressure. Ten fifteen even twenty points, and that can make a huge difference. When you're talking about the long term effects of hypertension. Let's talk about another great rescue natural supplement that would be rescue or seen. How would that help with blood pressure rescue or seen, Sean it's another great product? That can really I it's it's great for overall heart health, and remember what's the biggest point about this? When we're talking about decreasing our blood pressure. Yes, it damages our vessels. But what occurs when our vessels are damaged. We increase our risks for cardiovascular. Disease. So that's really the the number one issue when it comes to controlling hypertension. And remember a lot of people that have hypertension. I think it's important to understand, you know, that mo- most people out there that have hypertension have what we call essential, hypertension or primary hypertension. There is no real rhyme. Or reason we can't put our finger on on why we have hypertension secondary, hypertension is there is a cause and effect. So we have an issue with our kidneys. Or we have an issue with our endocrine system, or we have other unknown issues the cause high blood pressure. So most of us out there that have high blood pressure. There's no real cause for the high blood pressure. It just occurs. So we have to really tackle with something that just directly decreases our blood pressure or something that's good for our heart. And that's exactly what the rescue or seen is the rescue war seeing has magnesium authoritate- and in a scene, which is has been shown. To really help be a stabiliser for our hearts. So it decreases the risk of cardiovascular arrhythmias, which can affect our blood pressure. It actually also directly can decrease our blood pressure by a couple of points. So again, adding an omega three and adding the rescue or seen alone might be able to drop your blood pressure six or seven even eight points. But another thing that's very important with the rescue or seen, Sean we can also add the rescue cardio power to this. And we can also add the rescue renew you because they both have the innocent. What they're very good at is increasing our exercise tolerance. And when we increase our exercise tolerance, we increase the ability to perform exercise, and we know that exercise is extremely important when it comes to lowering our blood pressure. It can actually kind of reset the button and drop. Our blood pressure, rather significant. The problem is is when we mentioned exercise a lot of us are like I don't want to do the exercise, you know, because why because we are very comfortable sitting on the sofa, and when you exercise, especially at first it hurts exercise isn't the most fun thing in the world in the beginning. And then after we do that, I I work out the next day or two we're kinda miserable. We have those sore muscles. And it just we don't feel like we wanna do it again. But once we get in that routine. It actually reverses on itself, and that exercise becomes something that we we need, and we feel that we need. And when you don't exercise you feel that way. So what I want? Everybody out there to do is get to that point where they feel bad with themselves when they don't exercise as opposed to the I have to exercise things. So again, the or seen or the rescue cardio. Power or the rescue renew. You can really help you with that exercise tolerance by increasing our efficiency at producing AT, which is that Dennis seen triphosphate or the gasoline or energy for ourselves. You know, I kinda use exercise or beginning exercise kind of like the snowblower analogy, you know, when it's when we get that. I know we break out the snowblower, and you try to get it started. Whether it's one of those automatic starts or the pull starter it takes like five minutes ago. Sorry, you finally get a starting all this white smoke comes pouring out. And it makes awful sounds before it starts working. But then as as we get more and more snowstorms it starts right up. Well, that's kind of what it's like when we get started with exercise that I go at it or first couple goes at it. It's not going to be pretty and it's not going to be nice. But once you get that going if he comes much easier to get that exercise done. If you're struggling with a sore muscles or joint stiffness or any of that. We've got this brand new supplement active flex, which is going to help you with the exercise recovery, especially in the beginning. Or if you you even if you're strenuous exercise or even just a mild to moderate exerciser active flex you. Should check it out. We were in the special on right now with a coupon code WC flex you can buy one get one free by doctor is a good idea to take both the mega threes with the Orsi. Absolutely. And again, you know, this stuff is real I personally feel that it's synergistic. In other words, when you look at numbers, let's break it down the numbers. If you take two plus two it's not necessarily for a two plus two might equal six or eight because it's not additive. It's kind of like multipliers on each other. So I really feel that the rescue twelve fifty and the rescue or seeing taken together can really. Help stabilize our hearts, stabilize our blood pressure. I personally myself take the rescue twelve fifty and the rescue or a scene, and I don't know if I told you the story before, but I did have a problem probably about fifteen years ago with about of atrial fibrillation, and it was I just woke up one morning and it felt like Bugs Bunny was doing the speed bag in my chest. And I looked over at the wife, and I said, I don't feel and she said basically rolled over and said shut up and go to work. I went to work, and I wasn't feeling well, and I looked at my partner, and I said, she's I don't feel well, and I happen to be rounding my patients. So I was in the doctor's lounge, and he felt my upholstering said, well, you better get to the ER. So I went to the, and it was like Black Hawk Down, you know, doctors here, and he doesn't he's not doing well, and they put me on the monitor and I had atrial fibrillation, and I ended up getting shocked, and you know, I got admitted and the next morning I got a cardioversion back to a normal rhythm. But the doctor said to me, hey, listen, you gotta do this this this this and this, and you know, what I looked at my one year old daughter at the time. And I did that that that and that and very quickly. That's really how I got started on the rescue products. I started taking the rescue twelve fifty at that time. And I started taking the shortly after when it came out. I started taking the rescue wars scene and. I've never gone back into atrial fibrillation again, that's a great story. That was my story on how I got involved with the rescue products. And I was taking the products before the company approached me, and they didn't even know I was taking the products. Our office manager said they came into my office manager and said, geez. We were looking for a spokesman for the company we want an orthopedic surgeon. And the guy said are are the guy that ran our practice time said I've got the perfect guy for you. He's got the product right here on his desk. And he takes it every day. And that's how I became. So I was actually a user of the product before I became a spokesperson for the product. Great story. All right. If you would like to join us, again, don't wait till the end of the programme any questions about blood pressure. High blood pressure. Whatever the case may be and the other medical concerns Dr Libya's here he can answer. Those for you at four ten WCBS six eighty one eight hundred WCBS six eighty at our trivia question here. This morning is for your free bottle of the rescue twelve fifty ninety count capsule is earlier. Dr Levy a gave you a percentage of adults that have high blood pressure in the United States today. What was that percentage? What number percentage wise, I'll do of adults have.
"secondary hypertension" Discussed on GSMC Health and Wellness Podcast
"Okay. With Amazon music voices. All you need, get tens of millions of songs, download the Amazon music app today. Giving a beach not close enough. So that's space between you and me. The way all dance and way into the music girl them buddy and how you move. And every time you cross my girl lose. Alexa play the country heat playlist. Okay. With Amazon music voices. All you need, get tens of millions of songs, download the Amazon music app today. Tired of searching the vast jungle of podcasts. No, listen close. And here this out. There's a podcast network that covers just about everything that you've been searching the Golden State media concepts. Podcast network is here nothing less than a podcast bliss with endless hours of podcast covers from news, sports, music, fashion, looking entertainment, fantasy football, and so much more. So stop lurking around and go straight out to the Golden State media concepts. Podcast network guaranteed to fill that podcast is whatever it may be. Visit us at WWW dot GS, MC podcast dot com. Follow us on Facebook and Twitter and download us on. I tunes soundcloud and Google play. Welcome back to the GMC health and wellness podcast. If you're just joining us, we just got done talking about kids, energy drinks and communication. We're gonna jump into our next topic here, and this was going to be about the dead Bod. That term before, but yes. It used to be a trending thing. I don't know if it's still is I, if I see a guy and he has the dad Bod, I'd be like, oh yeah, he's like the dad bug guy, right? So just to break it down what a dead but is is basically the most average body. A mill can obtain. We're not talking about, you know, romance cover models with six pack ABS and biceps and just, you know, you're dead. Meaning you're not too fat. You're not super fit. You're just kind of just squishy. Right. Actually, you enjoy having a beer five after work and you eat a lot of Rama noodles for dinner. That's basically we're, we're on the dead bug, but there is why I'm talking about this is because apparently there's a health concern with the dad Bod and the whole trend behind it because they think that even though is a trend and it kinda like up lifts, some of, you know, some men men out there, their self esteem or whatever, just because it's the thing that's in right now. They health concern is that it's. It can lead to ABI city and. I don't know what's secondary hypertension is, but it said obesity, secondary, hypertension, and diabetes. Okay. I mean, it makes sense because one thing that they warn about is is belly fat. That can lead to a lot of those things, especially obesity, diabetes, you have to watch and the dad kind of is that sort of like little bit of Panch you know? And so I know that fat around your belly can be concerning with with health. Yes. So that was that was the concern there, especially with it being a trend and just men getting complacent and they're like, oh, well, I look good, and this is what's in and why do I need exercise for? Because anybody's gonna find me sixty right now. So we can have a whole different topic about the sexist nature of this conversation has meant tend to be more visual than women. Women are like, yeah, you're fine. I don't. I don't care. Got it to comfy dad, Bod, whereas women are like your fat. It's not that simple, but really the mom Bod is not trending is sexy. If somebody said that it would, I feel like I would be okay. Okay. With that. Don't have to exercise. Cool. But yes, so I understand what they mean on that because I feel like to us ladies, we want our men there, you know, for a longer in the future with us. And if you have the dead body and get complacent, you're just going to die off earlier. Then if you are a dad, your kids want you around be healthy, you know, stick around for your kids, your wife. You know, we enjoy the company when it's convenient for us. Just kidding. Just kidding. But yeah, and you might have to cut back from that five beers and only drink one, but still it's your health exactly have a glass of wine with the wife, but if you're not a dead or you don't have a wife, you know, maybe you just want to feel better about yourself and get some workouts in there because you know that looks good to everybody else to, you know to each his own, even if you don't have a way for kids, you still have people who love you and you wanna be around. There you go. There you go. Another topic about dads is there was a study I read that who gives more junk food to kids, and I feel like this was obvious. It was obviously the dads. My dad really neither mine. Mine didn't either. I'm sorry. Where you're going? Well, this study did was done with forty four families. There had to be at least one teenager in that family. And this gives me consider the family's eating habits and whether they change depending on which parent was in charge is, is that ninety three percent of the cases that they ask the kids imam? They all said that dad's food quality standards were the lowest. One kid said. What did he say? If I wanted chips or cookies, I'll just go straight to death. I know he'll say, yes. Now, when I was growing up my my mom's more of a night owl and not a morning person, and my dad was a teacher, so he would take us to school so he would get up with us and which meant he may is breakfast. And we rarely we rarely, if ever got cold cereal, cold cereal was a weekend treat, and it was never sugared. I mean, I was excited about shredded wheat as a kid. He would make hot cereal for breakfast every morning. My dad was not the, it's more convenient to just dump a bowl of cereal. No, I don't. You're. He's pretty awesome. That's no, ours was cereal. Get a bowl of cereal every day, except my dad when we were playing his kids in we wanted cookies. We would have to be very specific and it was always, hey, dad, can I have to cookies? He wouldn't give us more than that. If we ask for three, it was a no. If we ask for one, he'd be like, well, what's the point just to. Okay. So we just learned to be like, hey, dad, can I have to cookies at least he was limiting your sugar indict. Exactly, exactly. So I thought that was interesting. There was an interesting. Sentence in there or topic where the dad was like, well, moms are more in their nature to me more concerning concern in healthwise about their kids and they, they just have a better relationship with the kitchen than dad's student fares, not welfare who could cook, and also that's just making it into that. Okay, mom, the woman does all the parenting things, whereas dad like like that phrase, oh, or you babysitting your kids. They're your kids month. Babysitting's your parenting. Yeah, babysitting. And then when they get mad is like, go get your kids. I didn't make these kids over with you. I do that as a joke. I'd be like your Sunday to. Well, right. Yeah, yeah. But I just thought that was a little fun thing because I know that I try to feed my kids a little bit healthy if they want. I don't really mind being like, yeah, go get some cookies. Have some kick for dinner if it's like a weekend or spring breakers, right? You have to teach them to have we. We have such a. We can have such an unhealthy relationship with food where it's like, reward and punishment. Oh yeah. Whereas we instead of just kind of eating not going crazy with the junk food, but including it in your diet sometime instead of feeling like you're cheating or doing something wrong. Exactly a nice balance meals, balanced breakfast, balanced lunch dinners. Dad's apparently don't know what that means. That's why they have dad buds right. Exactly with that is our internet bring up when we're topic did just to let everybody know that October second as name your car day, know that I did not know that. No, I didn't know that, but I didn't know till this morning when I saw. Do you name your car? I used to a used to have a car named her Miami that I like her mining. What's not to like, right. She's just all the above. What about you? Do you have? Does your car have a name? It didn't until today. So my car, my car was is if female, I've dubbed her a woman and so I always talk to her nicely unless she's doing some weird stuff. So I feel like she's bipolar because I'll be randomly driving in my check. Engine light will come on and then only for like five minutes and then it will decide to shut off for three weeks and then I'll be driving, no be like, oh yeah, your check engine light is on and then it just shuts off. I'm like, is there really a problem or not? Because you're not trying to stay on. So I asked my sister today. I was like, so. So what is a stereotypical name for the most bipolar old woman Ishbel kind of name. Give me a name and she said Susan, so I have named my car. Susan, we apologized everyone. We're not judging you. I'm sure you're not bipolar. And that is probably the worst. Stereotypical bipolar old lady name ever. I'm sorry, but to be fair now you get a drive with me. Susan guys get me everywhere. I need to go, and I appreciate it very much to stop turning on the check engine light randomly. Exactly. Well, thank everybody for listening. I hope you enjoy the show and please join us next time for more health and wellness with brought to you by GMC podcast network. You've been listening to the Golden State media concepts. Wellness podcast, part of the Golden State media concepts podcast. You can find this show and others like it at WWW dot Jesus, MC podcast dot com. Download cast on itunes, Stitcher. Soundcloud, Google play, just type in MC to find all the shows from the Golden State media concepts podcast network from movies to music from sports entertainment, and even use. You can also follow us on Twitter and on Facebook. Thank you. And we hope you have enjoyed today's program.
"secondary hypertension" Discussed on AFP: American Family Physician Podcast
"Family member of the first degree with benign thyroid nodules who let's bring it home us ps tf says do not screen asymmetric adults thyroid cancer do think about the risk factors in the practice guideline section the recently released acc ha hypertension guideline is reviewed it's accompanied in this issue an editorial from dr michael lefavor from the university of missouri school of medicine devoted pod fans may remember that we briefly discussed this guideline in the january fifteenth episode including the fact that the af p has chosen not to endorse it so we thought it would be good and worthwhile to delve a bit deeper into this guy line as well as the response so kelly what does the guideline say well it stresses the importance of accurate blood pressure measurement commonly obtained office blood pressures may result in misleading estimation of patients bp so the guideline encourages using the average multiple ambulatory blood pressure measures to provide more accurate bp estimation as well as considering white coat hypertension and masked hypertension right and it also discusses screening for secondary hypertension and makes recommendations for regular anti hypertensive that should be used as first line and these pretty much parallel dj eight recommendations the most controversial recommendation lowers the threshold for the diagnosis of hypertension from one forty over ninety to one thirty over eighty it also encourages treating blood pressure to a goal of less than one thirty over eighty for everyone it classifies normal bp as less than one twenty over eighty and anyone with a bp of greater than or equal to one forty over ninety has actually staged to hypertension so this is where the p has issue aside from the fact that lowering the threshold to one thirty over eighty increases the number of americans with hypertension from thirty two percent to forty six percent it's also heavily based on the results of one trial the sprint trial and it minimizes the results of others yeah as steve mentioned in the previous episode the chair of the sprint trial also chaired the committee that wrote this recommendation kind of a little bit of an intellectual conflict of interest in the sis.
"secondary hypertension" Discussed on AFP: American Family Physician Podcast
"Cushing syndrome is mostly a at your genetic from corticosteroids and can manifest with hypertension moon facees central be city and proximal muscle weakness firstline testing is dexsa methods own suppression test urinary free cortisol or that late night salivary cortisol test cohabitation of the order is a common cause of secondary hypertension and kids especially males but is often a symptomatic and not diagnosed until adult head look for upper extremity hypertension delayed or decrease federal pulse and murmur hypothyroidism hyperthyroidism and hyper parathyroid us i'm can all increased blood pressure and this is an asean you question but in my opinion it should be what do you call a bunch of zebras i had no idea as veal awesome all right i see your joke what do you call it when a group of wales uses a fishing real i can't even imagine a podcast got it alright reserved for next up is a practice guideline on oral pharmacologic treatment for type 2 diabetes so this topic actually takes us at the podcasts way back like all the way back to pilot episode number one back in two thousand fifteen when we first discussed non insulin therapies for type 2 diabetes this practice guideline comes from our internal medicine colleagues at the acp in february of this year the acp published an update of the previous two thousand twelve guideline to reflect all of the new evidence in the new oral options that have emerged over the past five years we're family doctor so we'll never forget that first line therapy for type 2 diabetes is lifestyle modification but when diet and exercise strategies fail medication is used in the first medication should always be metformin do not pass go do not collect two hundred dollars in less metformin is your first consideration it's cheap it rarely causes hypoglycemia and is linked to weight loss after metformin though it gets a little bit more complicated what's your next move if your patients diabetes remains uncontrolled they're a bunch of options four main classes of noninsulin medications can be helpful in this situation and they all work to lower the a1 see so the next medication chosen should be based on other benefits risk and cost.
"secondary hypertension" Discussed on AFP: American Family Physician Podcast
"Right so some clues that you might be dealing with secondary hypertension include onset before thirty years of age indefinitely before puberty and acute rise in previously stable blood pressure readings and lastly severe or resistant hypertension defined as a blood pressure of greater than one eighty over one twenty or hypertension that persists despite three adequate antihypertensive the first thing to do is to look at a patients medication last so many medications like oral contraceptives and chemotherapy to agents supplements like licorice and alcohol can all caused an elevated blood pressure then focus on the most common causes of secondary hypertension across all eight ranges riina vascular hypertension kinney disease hyper aldostur doctrine is on an obstructive sleep apnea started saaf evan first up is reno vascular hypertension this is common in with atherosclerosis and young adults especially women it can also be caused by fiber a muscular displeasure think about it when you start a patient on an ace inhibitor or an ngo tents receptor blocker and they're creatine increases by fifty percent or if you here arenal brewery although frankly i don't think anyone ever actually hear this i who laughing of faith push because athens middle name is frank about got our listeners needed to know so there's nothing an evan doesn't do that's nandan frankly a k back to a serious topic here so it's controversial which diagnostic modalities best but the gold standard is and geography however doppler ultrasound is less expensive and noninvasive you could also consider capped approval renal isotope nuclear scan which has a fancy name and also a good sensitivity and specificity.