Saturday, April 18, 2009

Medical info

 
 
 
 
Medical info
 
Dr. kevin sheu - family doctor, 604-438-8288
Dr. corey ming-lum, appendicitis surgeon, removed my appendix, Burnaby Hospital, Kincaid, sept 17
Dr. gary cuddington - appendicitis surgery infection  Burnaby Hospital, Kincaid
dr. troung - urologist - bph 
 
 

Diary

Date         Description Comment
2009-02-09 stopped taking flomax
2008-09-17     Appendectomy (appendicitis surgery).

Dr. corey Ming-Lum (Burnaby Hospital) performed appendectomy to remove ruptured appendix.

2008-09-19    

Discharged from Burnaby hospital. 

 

BPH (mildly enlarged prostate)

started taking oral medication (antibiotic) for 7 days.

recovering well until 2008-09-29.

also diagnosed with mildly enlarged prostate

2008-09-29     Pain came back Felt pain and had chills/fever, loss of appetite
2008-10-01     Abscess developed

Went back to Burnaby Hospital emergency.  CT-scan showed abscess (infection).  Spent the night in emergency room.  Scheduled for abscess drainage the next day.  Next day, I noticed the pain gone.  Another CT-Scan was taken.  CT-scan showed that abscess dissappeard.  Bowel movement may have removed it.  Was discharged. Dr. Gary Cuddington (Burnaby Hospital) looked after me.

2008-10-02    

140 lbs using burnaby hospical scale

Discharged from Burnaby hospital

lost 15 lbs in less than 2 weeks

started taking oral medication for 7 days.

recovering well so far (2008-11-01)

140 lbs using Burnaby hospital scale

2008-10-09     Follow-up at Burnaby Hospital Ultra-sound performed on my abdomen to check condition of abscess/leakages. Looks good. On the road to recovery
2008-10-13     146 lbs using condo scale
2008-10-16 150 lbs using condo scale
2008-10-27 gallstone saw dr kevin sheu (walk-in clinic physician) for appendectomy follow-up.  he informed me that my ultra-sound showed the presence of gallstones.
2008-11-01     started bph medication (flomax, avodart) started taking flomax and avodart (9pm). once a day
2008-11-04          150 lbs using condo scale
2008-11-05         appendectomy follow-up

saw dr okamura.

-appendectomy ok.

-gallstone no treatment required if no symptom

-laparoscopy can be done again.

2008-11-05   bph medication notice a slight improvement of symptoms.  only get up once a night to pee. b4, get up more than once.
2008-11-25  kevin sheu - general medical checkup BC medical lab
2008-11-26  dr. Troung - bph follow-up more test
2008-11-27 medical checkup lab (blood test, urine, stool)
2008-12-01

151 lbs using condo scale

dr. sheu-discuss medical test results. may have pre-diabetes. additional test required to confirm.  may also be anemic due to low iron/vitb12

2008-12-03 had medical checkup for blood sugar level.

Nanay meds

Name Indicated for Description
apo-allopurinol Gout Allopurinol is used to prevent gout, kidney stones, and kidney damage caused by uric acid. It is also used to reduce the levels of uric acid in the blood that occur because of blood disorders associated with cancer such as leukemias and lymphomas.
crestor High blood cholesterol It is used, along with a healthy diet and exercise program, to improve cholesterol levels by lowering bad cholesterol and raising good cholesterol.
Novo Metoprolol High blood pressure Metoprolol belongs to the class of medications called beta-blockers. Metoprolol is used to treat high blood pressure and prevent the symptoms of angina (chest pain). It works by reducing the demands put on the heart. Metoprolol is also taken by people who have had a heart attack to reduce the risk of having another one. When used for the reduction of blood pressure, additional blood pressure-lowering medications may be used along with metoprolol.
novo hydrazide High blood pressure This medication is used to decrease fluid retention (edema) that occurs with congestive heart failure and disorders of the liver and kidney. It is also used to lower high blood pressure. It works by making the body lose excess water and salt.
ratio ramipril High blood pressure Ramipril belongs to the class of medications called ACE inhibitors. It is used to treat high blood pressure. Ramipril may also be used to reduce the risk of problems associated with heart disease (e.g., heart attack, stroke, or death) for people over 55 years old who are at a high risk of having these problems. It is also given to certain people after heart attacks to improve survival and reduce the risk of hospitalization for heart failure. It works by relaxing blood vessels and by making the heart pump more efficiently.
diamicron mr type 2 diabetes Gliclazide MR (modified release) is an oral hypoglycemic medication used for the control of blood glucose in people with type 2 diabetes. It is used when diet, exercise and weight reduction have not been found to control blood glucose well enough on their own. Gliclazide MR increases the amount of insulin released by the pancreas and helps the body use insulin more efficiently.
gen metformin type 2 diabetes Metformin belongs to the class of medications called oral hypoglycemics (medications that lower blood sugar). It is used for the control of blood glucose (blood sugar) by people with type 2 diabetes. It is used when diet, exercise, and weight reduction have not been found to lower blood glucose well enough on their own. Metformin works by reducing the amount of glucose made by the liver and by making it easier for glucose to enter into the tissues of the body. Metformin has been found to be especially useful in delaying problems associated with diabetes for overweight people with diabetes.
 

Charles Vision

Date Vendor Distance Computer
2009-03-21 Costco (Willingdon Burnaby, BC) redo
eyes sphere cylinder axis
od(R) -4.25 -0.75 050
sd(L) -4.25 -0.25 060
sphere cylinder axis
od(R) -2.50 -0.750 050
sd(L) -2.25 -0.250 060

 

sd(L) -2.75 is too strong!!

2009-03-10 Costco (Willingdon Burnaby, BC) in-correct prescription
eyes sphere cylinder axis
od(R) -4.00 -0.75 050
sd(L) -4.25 -0.25 060

 

od(R) -4.00 too weak

sphere cylinder axis
od(R) -2.50 -0.750 050
sd(L) -2.75 -0.250 060

 

sd(L) -2.75 too strong!!

2006-03-24 Costco (Novato, California), current distance glasses
eyes sphere cylinder axis
od(R) -4.250 -0.500 080
sd(L) -4.250 -0.250 050
sphere cylinder axis
od(R) -3.000 -0.500 040
sd(L) -2.750 -0.500 015
2003-05-21 Dr. Ballard (Nashville, TN) old computer glasses
eyes sphere cylinder axis
od(R) -4.750 -0.750 040
sd(L) -4.000 -0.750 005
sphere cylinder axis
od(R) -3.250 -0.750 040
sd(L) -2.500 -0.750 005
2003-01-18 Walmart (Dr. Ahmad)
eyes sphere cylinder axis
od(R) -4.750 -0.500 045
sd(L) -4.500 -0.250 003
sphere cylinder axis
od(R) -3.000 -0.500 045
sd(L) -2.250 -0.250 003
> 10 years ago -

?????

currently used for playing tennis

eyes sphere cylinder axis
od(R) -3.500 -0.250 025
sd(L) -3.500 -0.500 040

 

Cynthia's Vision

Date Vendor Distance Computer
2009-03-06 Downtown Vancouver optometry clinic
eyes sphere cylinder axis
od(R) -3.750 - -
sd(L) -4.250 - -
sphere cylinder axis
od(R) -2.00 - -
sd(L) -2.25 - -
2007-02-22 Downtown Vancouver optometry clinic
eyes sphere cylinder axis
od(R) -3.750 - -
sd(L) -3.750 - -
sphere cylinder axis
od(R) -2.000 - -
sd(L) -2.000 - -
 

BPH Medication History

Date Description Comments
2008-11-01 Started Flomax (once a day) and Avodart .5mg(once a day) medications BPH symptoms improved within 3 days.  Used to get up at least 2 times a night to pee.  Getting up to pee reduced to 1 a night.
2009-02-09 Stopped taking flomax after 3 months of usage (2008-11-01 to 2009-02-09).  Continue with Avodart. BPH symptoms continued to improved even after stopping flomax.  At most once a night only.  Sometimes i sleep through without getting up at all.  Sometimes i wake up but my need to urinate is no longer as urgent as before so i fall back to sleep.
2009-03-16 After 4.5 months (2008-11-01 to 2009-03-16) of daily intake, changed Avodart (.5mg) dosage from daily to 3x a week (m,w,f) only. Record BPH symptoms monthly.
2009-04-01 Started saw palmetto, 1 tablet 2x day everyday

BPH symptoms continued to improved even after changing Avodart dosage from daily to 3x/week (m,w,f).  At most once a night only.  Sometimes i sleep through without getting up at all.  Sometimes i wake up but my need to urinate is no longer as urgent as before so i fall back to sleep.

2009-04-16 Has been taking avodart 3x/week for a month and saw palmetto for 1/2 month BPH symptoms is not worsening.
2009-05-03 Has been taking avodart 3x/week for 1.5 months and saw palmetto for 1 month BPH symptoms is not worsening.  There are nights where i sleep through w/o getting up.  Sometimes i wake up but my need to urinate is no longer as urgent as before so i fall back to sleep without urinating.

Cynthia's Medical Lab Test 

Cynthia Diabetes Lab Test results

Glucose fasting Result (mmol/L)

(normal range is 3.3-6.0.  However, > 5.6 is considered Pre-Diabetes.  > 6.9 is Diabetes)

2009-04-11 Glucose fasting : 5.4 (Ok)
Below 5.7 is normal
Over 5.6 indicates Pre-diabetes
Over 6.9 indicates Diabetes (Type 2)

Hgb. A1C: 5.4
(Below 5% is normal for people with NO diabetes
Below 7% is normal for people with diabetes
Over 7% is high and indicates that diabetes is not properly controled)
2009-01-17 Glucose fasting :5.7 (>5.6 is Pre-Diabetes) (Not OK!!)
Cynthia Cholesterol Lab Test results Click here to view interpretation of lab test results
2009-04-11

Cholesterol: 5.97 (borderline high).  However, big improvement from previous reading of 6.91

Below 5.2 mmol/L

Desirable

5.2-6.2 mmol/L

Borderline high

Above 6.2 mmol/L

High

Triglyceride: 1.57 (desirable)  Big improvement from previous reading of 2.24

Below 1.7 mmol/L

Desirable

1.7-2.2 mmol/L

Borderline high

2.3-5.6 mmol/L

High

Above 5.6 mmol/L

Very high

HDL-Cholesterol: 1.63 (best)

Below 1 mmol/L (men)
Below 1.3 mmol/L (women)

Poor

1.3-1.5 mmol/L

Better

Above 1.5 mmol/L

Best

HDL-Ratio : 3.66 (numbers < 4.4 is better)

(below 4.4 is normal)

LDL Cholesterol : 3.63 (borderline high) However, big improvement from previous reading of 4.28

Below 1.8 mmol/L

Optimal for people at very high risk of heart disease

Below 2.6 mmol/L

Optimal for people at risk of heart disease

2.6-3.3 mmol/L

Near optimal

3.4-4.1 mmol/L

Borderline high

4.1-4.9 mmol/L

High

Above 4.9 mmol/L

Very high

2009-01-17 Cholesterol: 6.91 (very high, you are at high risk)
(below 5.2 is desirable
over    5.1 is borderline high
over    6.2 is high risk)

Triglyceride: 2.24
(normal 0.45-2.29)

HDL-Cholesterol: 1.61 (numbers > 1.10 is better)
(normal > 1.10)

HDL-Ratio: 4.29 (numbers < 4.4 is better)
(normal <4.4)

LDL Cholesterol: 4.28 (moderate high)
(normal 1.50-3.39)
 
 

Charles's Medical Lab Test 

Charles Diabetes Lab Test results

Glucose fasting Result (mmol/L)

(normal range is 3.3-6.0.  However, > 5.6 is considered Pre-Diabetes.  > 6.9 is Diabetes)

2008-12-03 Glucose fasting : 5.2 (Ok)
Below 5.7 is normal
Over 5.6 indicates Pre-diabetes
Over 6.9 indicates Diabetes (Type 2)

Glucose Tolerance: 7.7
Below 7.8 is normal

Hgb. A1C: 5.4
(Below 5% is normal for people with NO diabetes
Below 7% is normal for people with diabetes
Over 7% is high and indicates that diabetes is not properly controled)
2008-11-28 Glucose fasting :5.8 (>5.6 is Pre-Diabetes)
Below 5.7 is normal
Over 5.6 indicates Pre-diabetes
Over 6.9 indicates Diabetes (Type 2)
Charles Cholesterol Lab Test results Click here to view interpretation of lab test results
2008-11-27

Cholesterol: 4.6 (desirable)

Below 5.2 mmol/L Desirable
5.2-6.2 mmol/L Borderline high
Above 6.2 mmol/L High

Triglyceride: 1.2 (desirable)

Below 1.7 mmol/L Desirable
1.7-2.2 mmol/L Borderline high
2.3-5.6 mmol/L High
Above 5.6 mmol/L Very high

HDL-Cholesterol: 1.5  (better)

Below 1 mmol/L (men)
Below 1.3 mmol/L (women)
Poor
1.3-1.5 mmol/L Better
Above 1.5 mmol/L Best

HDL-Ratio : 3.1 (numbers < 4.4 is better)

(below 4.4 is normal)

LDL Cholesterol : 2.6 (near optimal)

Below 1.8 mmol/L Optimal for people at very high risk of heart disease
Below 2.6 mmol/L Optimal for people at risk of heart disease
2.6-3.3 mmol/L Near optimal
3.4-4.1 mmol/L Borderline high
4.1-4.9 mmol/L High
Above 4.9 mmol/L Very high

 
 

Charles's Weight Management

overweight: 152 lbs or more
obese:        179 lbs or more
Date         Description Comment
2008-10-02    

140 lbs using burnaby hospical scale

 

Discharged from Burnaby hospital

lost 15 lbs in less than 2 weeks

2008-10-13     146 lbs using condo scale
2008-10-16 150 lbs using condo scale
2008-11-04          150 lbs using condo scale
2008-12-01

151 lbs using condo scale

 

2009-04-23 139 lbs using condo scale

Beans keep me feeling full longer (5-6 hours before i feel hungry, even when active).  So since i don't feel hungry, i don't eat.  Also, i have been playing tennis a lot.

 

although i am losing weight, i feel energetic.

2009-05-19 143 lbs using condo scale

took my weight just after eating (maybe 3 minutes).  the food and the water intake may represent the 4 lbs increase.

 

be vigilant in keeping weight near 140 lbs or lower.


 

Cynthia's Weight Management

Date         Description Comment
2009-xx-xx

 

 

 



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