|
|
|
Thread Tools | Display Modes |
#11
|
|||
|
|||
Upper Body Development
Too much cheese....
ace recap....I forgot ? 14 years/80.... Long time. Sleep is essential. The system needs rest. Simon sez 'I gotta sleep all day to stand here n yodel so I gotta stop yodeling' Prob an incidence from bench work. Writing is generally therapeutic for the inclined. And revelatory . Or so it appears...? Your transistors are producing. I eased off twice this week from ...our moisture left for La. Leaving the area solar cooked. One short short of 30 seconds from within while couching ... Then Fall planted a foot on the ground ... I'm shifting West again n prepping. The authorities have pinned me to home base so further wirk is impossible. EG working with SpaceX brought an avalanche of vehike vandalism. There is a Trump factor ! I base from Yuma so the opening S5 screen sports a green field from Truckee overlay ed with Yuma weather. Visually pleasing..like the AC duct downloaded yesterday at 4AM ...graphic design is the answer. WHOA... at 2AM was 102 in Yuma ...I'll try quayludes before heading to Yellowstone. |
Ads |
#12
|
|||
|
|||
Upper Body Development
On Mon, 01 Aug 2016 11:51:01 +0700, John B.
wrote: I'm curious. After the first problem arose, whether stint or bypass, I would suppose that along with any specific heart/blood medication that the doctor would have discussed cholesterol and possible prescribed a specific medication for treatment of that problem. Yep. Among other potions, the cardiologist prescribed lovastatin starting immediately after the heart bypass. My various cholesterol indicators soon feel within acceptable target limits. During the following years, I developed muscle aches in my back, which I was told were the result of the heart bypass surgery. The pains were intermittent and marginally tolerable. I tried massage, acupuncture, and various pain killers. They all worked, but the pains came back. After 9 years, I finally realized that the pains were coming from the statins and not from the original surgery. I advised my doctor that I was going to try not taking lovastatin for a few days. The pains reduced in intensity but didn't go away. Instead of approving statins from my pill diet, he decided to try simvastatin instead. That was a disaster. I only took those for about 10 days, which expanded the pains to the upper arms and shoulders, and increased the back pains. At this point, my cardiologist finally caved in, and allowed me to discontinue taking statins. It took about 60 days to shake off the effects of 10 days of simvastatin and about 1.5 years to totally eliminate the back pains caused by 9 years of lovastatin. However, I'm now with a new cardiologist, who absolutely insists that I take statins. He has me on lipitor (atorvastatin) 20 mg twice per week, which is a very minimal dose. Before starting on this, I ran my own cholesterol tests: https://www.directlabs.com which showed that I was very close to the acceptable borderline, but not quite close enough to not require statins. The minimal dose of lipitor was sufficient to produce acceptable numbers. Just one problem. The back aches are beginning to return. I can provide a detail list of the other assorted drugs if you want. It's after midnight and I don't want to assemble a list right now. And I assume that you would have religiously adhering to the doctor's suggestion and prescriptions. (as I do) Hardly. I've had far too many close calls with medical error to trust the doctors "suggestions" and prescriptions without questioning and inspecting every little detail. I've had friends die from possible medical mistakes and have no intention of following their example. Unless I understand exactly what the "suggestion" or prescription does, and why it's necessary, I will refuse to take it. And I assume that after the current pipe reaming and installation of more stints that doctor would have discussed the pipe reaming in some detail. Yes, he did, while I was in hospital and somewhat drugged. I can barely recall what he said but did manage to take a photo of the unreadable scribbling on the hospital room white board that he used to illustrate what was done. I sensibly waited until a follow up visit to ask him for the details. The hospital records provided additional useful detail. That's where I discovered that a third stent would have been useful, but because my plumbing for where the 3rd stent would fit didn't follow a catheter accessible path, it wasn't possible. Maybe later. As I have had high cholesterol for 30 or 40 years, controlled with medication, should I be expecting something similar? Now, I see why you're asking. I don't have a definitive answer for you. The topic of whether cholesterol levels have any effect on cardiac risk levels is highly controversial. I spent quite a bit of time reading everything I could get on the topic and have thrown together an opinion which is not ready for public consumption. However, I can offer a direction for your reading. Look at homocysteines, calcium levels, and of course cholesterol. http://www.drjoeesposito.com/Articles/homocysteine.html If I assume that "aerobic" is measured by heart rate, what percent of maximum heart rate constitutes "heavy" and how was maximum calculated? With the X - age equation? Or? Chuckle. When I started rehab, I assumed that they would generate a set of target heart rates and exercise levels tailored specifically for my physical condition, maladies, and drug intake. When it didn't happen, I asked why. The problem is the beta blockers put an upper limit on my heart rate and blood pressure. The magic aerobic formulas and rules of thumb no longer work. For example: http://www.active.com/fitness/calculators/heartrate I'm 68 year old and lazy, so I'll start at 50% target rate. That yields a target range of 83 to 129 bpm. However, when I'm stomping as hard as I can in the exercise machine, I'm doing maybe 90 bpm. So, the formulas don't quite work because I'm taking beta blockers. What the rehab people seem to be doing is recording my peak output in watts generated on the exercise machine. I guess the bicycle world is equally divided between stompers and spinners. My knees prevent me from being a stomper, so I try to spin when possible. I setup the resistance for what I can handle, and try to keep the power output above 100 watts. Using the same machine for 4 consecutive sessions, I've found that every time I use it, the average output improves by about 10%. However, that is for a manually controlled machine. The fancier machine allows me to set the power output level (watts) to a fixed value. It will then adjust the resistance for me to maintain that output level. If I slow down, it will increase the resistance. If I spin faster, it will decrease it. This is much like an electric assisted bicycle. I can hold about 60 watts this way but I've been told that the different machines have inconsistent ideas of what constitutes a watt. Sigh. I don't know the secret to not having heart problems. It would seem that exercise is not the total answer because so many athletes also have heart attacks: https://www.google.com/#q=athletes+have+had+heart+attacks Diet doesn't seem to be the answer. I rant into an old friend in rehab. He's been a life long vegetarian but needed a recent quad bypass operation. The current fashion is to blame refined carbs but that might change overnight. In my case, it's probably heredity as both sides of my family are plagued by cardio problems. Choose your parents wisely. Hopefully, this answers most of your questions and concerns. -- Jeff Liebermann 150 Felker St #D http://www.LearnByDestroying.com Santa Cruz CA 95060 http://802.11junk.com Skype: JeffLiebermann AE6KS 831-336-2558 |
#13
|
|||
|
|||
Upper Body Development
The veggie never had energy for ex.
yeah Dr's are mud but the science is super When was the beginning ? Reads like urine good shape but dying from that. I"ll send more clips. |
#14
|
|||
|
|||
Upper Body Development
Jeff Liebermann wrote:
:I don't know the secret to not having heart problems. :both sides of my family are plagued by cardio problems. Choose your arents wisely. But, you do know the secret. -- sig 26 |
#15
|
|||
|
|||
Upper Body Development
On Mon, 01 Aug 2016 01:11:20 -0700, Jeff Liebermann
wrote: On Mon, 01 Aug 2016 11:51:01 +0700, John B. wrote: snipped And I assume that you would have religiously adhering to the doctor's suggestion and prescriptions. (as I do) Hardly. I've had far too many close calls with medical error to trust the doctors "suggestions" and prescriptions without questioning and inspecting every little detail. I've had friends die from possible medical mistakes and have no intention of following their example. Unless I understand exactly what the "suggestion" or prescription does, and why it's necessary, I will refuse to take it. I probably didn't phrase that very well :-( I didn't mean blind obedience :-) I meant if the doctor tells you have high cholesterol and you should do something abut it, you do. And I assume that after the current pipe reaming and installation of more stints that doctor would have discussed the pipe reaming in some detail. Yes, he did, while I was in hospital and somewhat drugged. I can barely recall what he said but did manage to take a photo of the unreadable scribbling on the hospital room white board that he used to illustrate what was done. I sensibly waited until a follow up visit to ask him for the details. The hospital records provided additional useful detail. That's where I discovered that a third stent would have been useful, but because my plumbing for where the 3rd stent would fit didn't follow a catheter accessible path, it wasn't possible. Maybe later. As I have had high cholesterol for 30 or 40 years, controlled with medication, should I be expecting something similar? Now, I see why you're asking. I don't have a definitive answer for you. The topic of whether cholesterol levels have any effect on cardiac risk levels is highly controversial. I spent quite a bit of time reading everything I could get on the topic and have thrown together an opinion which is not ready for public consumption. However, I can offer a direction for your reading. Look at homocysteines, calcium levels, and of course cholesterol. http://www.drjoeesposito.com/Articles/homocysteine.html Yes, my present cardiologist has explained much of that. If I assume that "aerobic" is measured by heart rate, what percent of maximum heart rate constitutes "heavy" and how was maximum calculated? With the X - age equation? Or? Chuckle. When I started rehab, I assumed that they would generate a set of target heart rates and exercise levels tailored specifically for my physical condition, maladies, and drug intake. When it didn't happen, I asked why. The problem is the beta blockers put an upper limit on my heart rate and blood pressure. The magic aerobic formulas and rules of thumb no longer work. For example: http://www.active.com/fitness/calculators/heartrate I'm 68 year old and lazy, so I'll start at 50% target rate. That yields a target range of 83 to 129 bpm. However, when I'm stomping as hard as I can in the exercise machine, I'm doing maybe 90 bpm. So, the formulas don't quite work because I'm taking beta blockers. I tried "training"using a pulse meter and the first thing I discovered was that there is no "standard" for max pulse rate. I finally settled on the description "about as fast as you can go for a couple of hours". What the rehab people seem to be doing is recording my peak output in watts generated on the exercise machine. I guess the bicycle world is equally divided between stompers and spinners. My knees prevent me from being a stomper, so I try to spin when possible. I setup the resistance for what I can handle, and try to keep the power output above 100 watts. Using the same machine for 4 consecutive sessions, I've found that every time I use it, the average output improves by about 10%. However, that is for a manually controlled machine. The fancier machine allows me to set the power output level (watts) to a fixed value. It will then adjust the resistance for me to maintain that output level. If I slow down, it will increase the resistance. If I spin faster, it will decrease it. This is much like an electric assisted bicycle. I can hold about 60 watts this way but I've been told that the different machines have inconsistent ideas of what constitutes a watt. Sigh. I don't know the secret to not having heart problems. It would seem that exercise is not the total answer because so many athletes also have heart attacks: https://www.google.com/#q=athletes+have+had+heart+attacks Diet doesn't seem to be the answer. I rant into an old friend in rehab. He's been a life long vegetarian but needed a recent quad bypass operation. The current fashion is to blame refined carbs but that might change overnight. In my case, it's probably heredity as both sides of my family are plagued by cardio problems. Choose your parents wisely. Hopefully, this answers most of your questions and concerns. Most of them. -- cheers, John B. |
#16
|
|||
|
|||
Upper Body Development
On Tue, 02 Aug 2016 06:02:46 +0700, John B.
wrote: On Mon, 01 Aug 2016 01:11:20 -0700, Jeff Liebermann wrote: On Mon, 01 Aug 2016 11:51:01 +0700, John B. wrote: snipped sniff I probably didn't phrase that very well :-( I didn't mean blind obedience :-) I meant if the doctor tells you have high cholesterol and you should do something abut it, you do. That's better. Doctors are much like lawyers and computer repairmen. When faced with a specific problem to solve, they will offer the client/patient/customer/victim all the available options and let them choose which seems the best choice. If it doesn't work, it's the patients fault. If it works, the doctor can claim it was his insightful brilliance that provided the correct solution. You don't have to read between my lines much to know that I disagree with my cardiologist "suggesting" that I take statins and try to ignore or suffer through the side effects. It's much like curing the disease, but killing the patient. I want no part of that. Fortunately, there's another option. One of my friends became a cycling fanatic literally overnight. He bought a really nice Specialized Allez road machine, joined the local cycling club, and is furiously accumulating the miles. The inspiration is that like me, his cholesterol scores are right on the borderline, where a combination of diet and exercise will probably bring him over into the acceptable zone, where statins are not "suggested". So far it's working for him. I'm considering doing much the same, but there's a problem. I'm still working and don't have sufficient time for to do major rides or prepare proper meals. Maybe when I retire or burn out, but not now. Also, the cardiologist is part of a large medical group (PAMF) that seems to practice defensive medicine. The prescriptions are not so much what is best for the patient, but rather what will stand up in court as "standard practice" as a defense against the inevitable malpractice suit when something goes wrong. The results are strict guidelines and cookie cutter prescriptions extracted from the ACC playbook. I don't like this, but can see no way around it. http://www.drjoeesposito.com/Articles/homocysteine.html Yes, my present cardiologist has explained much of that. Good. Although doctors are seriously busy, taking time to educate the patient in how things work is important. I do it a bit different, which unfortunately causes some friction. I do the research, reading, and self-education and then make recommendations to the doctor. That worked well with my previous cardiologist for about 13 years because he was not so much into defensive medicine. It's been a miserable flop with my present cardiologist of 1.5 years probably because he doesn't like me doing his job. I tried "training"using a pulse meter and the first thing I discovered was that there is no "standard" for max pulse rate. I finally settled on the description "about as fast as you can go for a couple of hours". I have an update. I mentioned the lack of a target heart rate for my specific condition during this morning rehab ordeal, and was presented with a personalized "Discharge Exercise Prescription Guideline". The problem was that they could not produce a target number until after they had some history on my vital signs and could measure the effects of the beta blockers and vasodilators. So, they took their time, do as you suggest, and deliver the numbers near the end of the rehab series. Mine is 75 to 120 bpm target range. I can scan the report and post it somewhere if you want the details. Incidentally, I had some minor chest pains during todays 30 min exercise machine session. At about 15 mins, I was going flat out doing interval training. My heart couldn't pump enough blood resulting in angina pectoris pains. I slowed down and the pain went away. I sped back up, and it came back. I mentioned this to one of the exercise therapists, which produced a reaction similar to what I would expect if I set off the fire alarm. I had to explain what had happened to 4 different therapists, all of whom felt obligated to file a report to my cardiologist. I'm expecting a confused call from him shortly. Meanwhile I continued cranking at a slightly reduced rate with a burst of speed near the end, all without any pain. This is the first time since the stents were installed that I had a blood flow limited reaction. I'm not happy, but at least I know what happens when I hit my new limits. Most of them. You'll find the remaining answers by reading between my lines. -- Jeff Liebermann 150 Felker St #D http://www.LearnByDestroying.com Santa Cruz CA 95060 http://802.11junk.com Skype: JeffLiebermann AE6KS 831-336-2558 |
#17
|
|||
|
|||
Upper Body Development
On Mon, 01 Aug 2016 18:57:38 -0700, Jeff Liebermann
wrote: On Tue, 02 Aug 2016 06:02:46 +0700, John B. wrote: On Mon, 01 Aug 2016 01:11:20 -0700, Jeff Liebermann wrote: On Mon, 01 Aug 2016 11:51:01 +0700, John B. wrote: snipped sniff I probably didn't phrase that very well :-( I didn't mean blind obedience :-) I meant if the doctor tells you have high cholesterol and you should do something abut it, you do. That's better. Doctors are much like lawyers and computer repairmen. When faced with a specific problem to solve, they will offer the client/patient/customer/victim all the available options and let them choose which seems the best choice. If it doesn't work, it's the patients fault. If it works, the doctor can claim it was his insightful brilliance that provided the correct solution. You don't have to read between my lines much to know that I disagree with my cardiologist "suggesting" that I take statins and try to ignore or suffer through the side effects. It's much like curing the disease, but killing the patient. I want no part of that. If you don't agree with the treatment that you are getting then go to another doctor :-) There are perhaps 900,000 of them in the U.S. and something like 100,000 in California alone :-) Fortunately, there's another option. One of my friends became a cycling fanatic literally overnight. He bought a really nice Specialized Allez road machine, joined the local cycling club, and is furiously accumulating the miles. The inspiration is that like me, his cholesterol scores are right on the borderline, where a combination of diet and exercise will probably bring him over into the acceptable zone, where statins are not "suggested". So far it's working for him. I'm considering doing much the same, but there's a problem. I'm still working and don't have sufficient time for to do major rides or prepare proper meals. Maybe when I retire or burn out, but not now. Is that last bit about not having sufficient time actually correct? A 10 mile ride in the morning take less than an hour and if you get up at 05:30 you can easily be home before 07:00, at which time probably the majority of the people are still abed. Also, the cardiologist is part of a large medical group (PAMF) that seems to practice defensive medicine. The prescriptions are not so much what is best for the patient, but rather what will stand up in court as "standard practice" as a defense against the inevitable malpractice suit when something goes wrong. The results are strict guidelines and cookie cutter prescriptions extracted from the ACC playbook. I don't like this, but can see no way around it. That is undoubtedly correct, but after all, you live in America, the land of the free and the brave and the lawsuit :-) http://www.drjoeesposito.com/Articles/homocysteine.html Yes, my present cardiologist has explained much of that. Good. Although doctors are seriously busy, taking time to educate the patient in how things work is important. I do it a bit different, which unfortunately causes some friction. I do the research, reading, and self-education and then make recommendations to the doctor. That worked well with my previous cardiologist for about 13 years because he was not so much into defensive medicine. It's been a miserable flop with my present cardiologist of 1.5 years probably because he doesn't like me doing his job. Actually, I, myself, have never encountered a doctor that would not tell me the details, providing I asked and exhibited at least a minimal knowledge of the subject. I tried "training"using a pulse meter and the first thing I discovered was that there is no "standard" for max pulse rate. I finally settled on the description "about as fast as you can go for a couple of hours". I have an update. I mentioned the lack of a target heart rate for my specific condition during this morning rehab ordeal, and was presented with a personalized "Discharge Exercise Prescription Guideline". The problem was that they could not produce a target number until after they had some history on my vital signs and could measure the effects of the beta blockers and vasodilators. So, they took their time, do as you suggest, and deliver the numbers near the end of the rehab series. Mine is 75 to 120 bpm target range. I can scan the report and post it somewhere if you want the details. I doubt that your details will match my details :-) Incidentally, I had some minor chest pains during todays 30 min exercise machine session. At about 15 mins, I was going flat out doing interval training. My heart couldn't pump enough blood resulting in angina pectoris pains. I slowed down and the pain went away. I sped back up, and it came back. I mentioned this to one of the exercise therapists, which produced a reaction similar to what I would expect if I set off the fire alarm. I had to explain what had happened to 4 different therapists, all of whom felt obligated to file a report to my cardiologist. I'm expecting a confused call from him shortly. Meanwhile I continued cranking at a slightly reduced rate with a burst of speed near the end, all without any pain. This is the first time since the stents were installed that I had a blood flow limited reaction. I'm not happy, but at least I know what happens when I hit my new limits. Most of them. You'll find the remaining answers by reading between my lines. I suppose it is as Roger Miller said, "I see you goin' down the street in your big Cadillac You got girls in the front, and got girls in the back and way in the back, you got money in a sack" :-) -- cheers, John B. |
|
Thread Tools | |
Display Modes | |
|
|
Similar Threads | ||||
Thread | Thread Starter | Forum | Replies | Last Post |
To reduce your body weight & slim your body | Loss weight | Techniques | 2 | July 24th 07 09:54 PM |
To reduce your body weight & slim your body | Loss weight | Unicycling | 3 | July 21st 07 01:05 PM |
Excess hamstring development? | Gooserider | General | 1 | September 7th 05 03:51 AM |
Upper Body Muscle Atrophy | DaveH | General | 20 | September 27th 04 06:14 PM |
Quadriceps development question | Badger_South | General | 8 | September 2nd 04 10:31 PM |