What is life like with your car? Let us know and win £500 in John Lewis vouchers | No thanks
Confused about medical matters??? - concrete

I have been having annual checks through blood tests for over 10 years. It started because of a family history of low thyroid activity, which I seem to have escaped. The blood tests also screen for Cholesterol levels, liver function, Prostate function and a few others. Also a blood pressure test. I am 67.

Now here is the rub; my previous GP, now retired, who I had been with since he started at the surgery over 30 years ago was happy with my BP at 145/82 and Cholesterol at 5.6. He thought these were well within the 'normal' range. Along comes nice new GP and states these readings are too high and I should take a Statin for Cholesterol and a low dose Ramopril for BP. I argued the case about the previous GP's opinion and was told that things have moved on. I also argued about the bland figure of 5.6 not being very illuminating as it is the split of LDL and HDL Cholesterol which is important, not the overall total. Again he brushed aside my arguments with a modern medicine knows best attitude. So I started taking a daily dose of Statin(20mg) and Ramopril(5mg). What a disaster. The side effects are awful. Muscle cramps, fatigue, loss of libido too and being fairly grumpy. I ask you, me: grumpy. Ha!

Anyway I have stopped taking these drugs and I am off to the surgery next week to tell him so. Has anyone else been encouraged to take regular doses of drugs purely as a so called preventitive measure? If it ain't broke don't fix it. I am sure they think they do, but Doctors don't know everything about the human body. One thing I do know, both my previous GP and I know there is no such thing as normal.

Comments please.

Cheers Concrete

Confused about medical matters??? - bathtub tom

I'm on statins, beta blockers and blood thinning drugs.

Statins. They start you off on the cheapest. I had muscular problems and after a couple of changes am now on one that seems to suit me.

Beta blockers. These make me tired, so I take them at night - problem solved.

Blood thinning drugs. They want you to have Warfarin, cheap as chips, but lots of problems with what you eat affecting their potency. I successfully argued the case for one of the modern direct thrombin inhibitors, despite my GP baulking at the cost.

Confused about medical matters??? - thecloser

" What a disaster. The side effects are awful. Muscle cramps, fatigue, loss of libido too and being fairly grumpy. I ask you, me: grumpy. Ha!"

Extremely well done to get to 67 and still have some libido to lose!!

Confused about medical matters??? - scot22

I am not a doctor. However, being of an age at which some doctors become eager to prescribe drugs I have read quite a few medical ( written by qualified people) books relevant to managing health.

It seems to be that much is controlled by the drug companies and profits ( what a surprise) Unrealistic and sometimes unnecessary targets are set. This triggers prescriptions and side effects, which all drugs have. Often it then becomes a lifelong need.

We all know our own bodies. Modern medicine has brought many benefits but we need, as you have done, to think for ourselves.

Confused about medical matters??? - Leif
Apparently the research supporting the idea that saturated fat is bad was highly selective, with data that did not support the hypothesis being rejected. Hence the French paradox, healthy people, eating cheese and red meat. Excessive saturated fat, or certain kinds, may well be bad. Some kinds may be good. There has been concern that drug companies do research and only publish results that support their drugs efficacy. I'm sure there is some recommendation or rule now that they must publish all results. I am sure a google will give a proper explanation, my recollection is vague.
Confused about medical matters??? - Andrew-T

Extremely well done to get to 67 and still have some libido to lose!!

Our difficulty may be in deciding who to let it loose on .... :-)

Confused about medical matters??? - Leif

If you haven't already done so, I'd recommend reading online NHS notes, and other reliable web sites.

I have highish cholesterol, 5.2 then 4.8 were my last two readings. The nurses told me to improve my diet and cut back on saturated fats. However, I rarely eat processed food, never eat red meat, never eat cream or butter, rarely drink milk, 8oz cheese per week, no fizzy drinks, lots of fresh veg, soya milk, wild salmon etc, so I have a very good diet. I searched online and discovered that a) there is a genetic component to cholesterol readings, b) the connection between elevated cholesterol readings and illness is not quite so simple, and c) saturated fats are not necessarily bad, and some/many might actually be good for you.

I have been told too much nonsense by doctors to believe them. Often what I am told about an illness is plain wrong. Doctors are very busy, medicine is more art than science, and the science changes each decade/year/minute.

Blood pressure is affected by diet. Beetroot can lower blood pressure, temporarily anyway. Eat a healthy diet, get good exercise, and I tend to think drugs will not be needed, unless you have a serious condition, where a doctor is needed. I have lowish blood pressure, due to diet and exercise.

If I post tomorrow to tell you I have died from a heart attack, well, I guess in that case the above is wrong.

Confused about medical matters??? - scot22

Marvellous post Leif. The principles of healthy living which you outline have always, and are, the basis for wellbeing. I would just add don't smoke and drink in moderation (only seems to be achievable after a certain age !)

Hope we are not going to have a supernatural post.

Good Health

Confused about medical matters??? - thecloser

'Medical matters' is one of the subjects whereby the old adage, 'a little knowledge is a dangerous thing', is very appropriate.

Confused about medical matters??? - scot22

No knowledge can be even more dangerous.

Looking at how wonderful the knowledgeable drugs industry is consider Thalidomide.

There are numerous examples of knowledgeable people prescribing drugs which when combined cause problems. Over prescription by knowledgeable people also causes seroius problems.

Many medical professionals welcome the rise in the number of patients researching the internet. A number of studies show improved outcomes for those who are actively involved in treatment.

Any level of knowledge can be dangerous : intelligent questioning isn't.

Confused about medical matters??? - thecloser

Scot22

It sounds as though you think that my comment about a little knowledge was directed at you. That wasn't my intention at all. Although I related it to medical matters I think that it is true in all fields. I have a very good friend who will read an article on a subject about which he previously knew nothing and he instantly becomes an expert!. I think that many (probably most) of us are guilty to a greater or lesser extent.

One only needs to read the opinions expressed in the motoring sections of this forum for evidence. After all, if there were no shades of opinion sites like these would not exist and we would all be the poorer.

Confused about medical matters??? - Leif

'Medical matters' is one of the subjects whereby the old adage, 'a little knowledge is a dangerous thing', is very appropriate.

Very true. There is a lot of money to be made from quackery, such as wonder diets. However, a GP is a generalist, and after you have seen her, it is usually worth reading up on your illness, if you are ill, to find out more. Many online sources give good information, including self help groups. Sadly some online sources are quackery.

Confused about medical matters??? - FoxyJukebox

Most folk are on "something or other" at age 65 plus. My advice would be to jaw jaw with the doctor rather than war war.

In any case-it sounds bizarre I know--but having to take this and that to keep you "going" means you HAVE to be monitored by a doctor once every 6 months of so via bloodtests, blood pressure et al. Think of it as an enforced 6 month MOT test!

If you recall the 1950's and 1960's, often nobody was on "anything" and only went to the doctor when in crisis. Good for them-but sadly there were unlucky ones who ignored their symptoms totally and fell off their perch far too young!

Confused about medical matters??? - scot22

Apologies thecloser - my wife says I'm too sensitive ! I agree with your post and have come into contact with similar people.

Doubleug - you are right about those who ignored their symptoms totally, which still happens. My feelings is that people should use commonsense and thoughtful questioning.

Confused about medical matters??? - concrete

Well chaps, some good comments there.

Closer; I will have you know that my libido is very important to me and SWMBO, even at 67 and 62. May you live as long as you want to, and want to as long as you live!!! Seriously though, it is a shock to find you can't properly raise a gallup when the need arose(pardon the pun).

Leif; Cholesterol is made by our bodies. The real issue is how it is split. It consists of LDL and HDL, that is Low Density and High Density. Low Density is very bad for you and this is the stuff that can clog your arteries and organs. So if you have a total of 5.6 and the majority of that is HDL then you are fine. If the majority is LDL then you have a problem that statins may help with. In the past few months since taking statins I have tried 3. One of which was fine with no or little side effect. Guess what? All of a sudden it is not available and cannot be supplied. Am I being cynical when I think this comes down to cost? The fact is they really don't want to prescribe it because other statins are cheaper. This is my stance and I fully intend to tell my GP this and to stop taking statins altogether. I am quite prepared to watch my diet, although we do eat a healthy diet anyway with no weight issues. Even my beer is made from hops, which are plants, so one of my five a day!! Result.

Cheers Concrete

Confused about medical matters??? - Leif

It was the ratio of cholesterol that was 5.2 and 4.8. I am told that is highish and over 5 is of concern. I doubt I can do much about it, as I suspect I have a genetic tendency to high values. If only beer counted as one of the five a day. In reality, of course, it is high in sugars, and hence not healthy, probably being little better than coca cola etc.

Confused about medical matters??? - concrete

Saw the GP this morning. Discussed the matter and I am stopping Statins for at least 6 weeks, then a blood test and take it from there. He agreed it is not pleasant to take medication that makes you feel unwell as well as other effects!

Blood pressure fine and I got a full detailed print out of my last blood tests from June.

It clearly states that all the concened bodies such as British Cardiac, Hypertension, Diabetic and Hyperlipideamia all use 5 as a target figure.

Total Serum Cholesterol 5.3 Target 5.0 Triglycerides 1.5 " 1.6 LDL Cholesterol 2.7 " 3.0 HDL " 2.8 " 3.5

So, not just normal but fairly good for age and fitness levels. All I have to do now is keep them there without statins. Watch this space.

He did also agree that if the target is 5 then say a nominal 10% either side of that should be of no concern.

Watch out SWMBO....................

Cheers Concrete

Confused about medical matters??? - scot22

Well done - good to hear. Targets are fine but surely allowance should be made for age etc, as your doctor is doing ? What is normal for a 20 year old would not be normal for a much older person. We do all, eventually, wear out.