BajaNomad

Grow new blood vessels with VEGF or Vascular Endothelial Growth Factor!!

EnsenadaDr - 6-13-2013 at 10:31 AM

I had always heard that exercise and oxygen demand on the body produced new blood vessels to circumvent blocked arteries. My recent studies have led me to discover what is known as Vascular Endothelial Growth Factor. This is produced whenever you push yourself to exercise and your body does not meet the demand for oxygen for the muscles used.

Vascular endothelial growth factor (VEGF) is a signal protein produced by cells that stimulates vasculogenesis and angiogenesis. It is part of the system that restores the oxygen supply to tissues when blood circulation is inadequate. VEGF's normal function is to create new blood vessels during embryonic development, new blood vessels after injury, muscle following exercise, and new vessels (collateral circulation) to bypass blocked vessels.

In my experience on the cardiac floor at hospitals, many newly retired executives came in with chest pain. Why? Many of them did not work in a profession for 20 or 30 years that required them to get out from behind a desk and develop this collateral circulation prompted by VEGF. Therefore, the blocked artery to the heart had no alternative for blood to flow to the heart muscle. Another good reason to exercise, grow new blood vessels to circumvent blocked ones that normally occur with age and prevent stroke, or blocked circulation to the brain, or heart attack, blocked circulation to the heart muscle.

DavidE - 6-13-2013 at 10:56 AM

Thank you doctor. And a hint for oldfarts like me...get your doctor to check for ANEMIA your next labs. Anemia WILL cause or exacerbate angina. Reduced O2 to the heart muscle WILL cause pain. For me, folic acid and iron supplements replaced Isosorbide Mononitrate. Four years of chest pain because three medical centers 3 cardiologists, and innumerable other Doctors "forgot" to check for an obvious reason.

EnsenadaDr - 6-13-2013 at 10:58 AM

Yes that is a very important factor, David. I have seen anemia contribute to chest pain in a hospital setting.

DavidE - 6-13-2013 at 11:47 AM

Frustrating when a hazardous medication is intended to medicate some incredibly basic check. Same for electrolytes. I have to browbeat in order to get basic labs done. I am going to a "new" MD next week in the EUA. Let's see if he actually reads my "new patient info" chart and Rx's an A1C.

EnsenadaDr - 6-13-2013 at 12:03 PM

The patient must stand up for his or her rights. If the doctor doesn't do what's in the patient's interest, then find another doctor!!

DavidE - 6-13-2013 at 01:11 PM

Ah!

Maybe

Quack

Best

Find

Other

Profession

We have a Bureau of Automotive repair that will instantly get into a mechanic's face if he does something wrong. Same for appliances, contractors, etc. Try taking mis-educated-mallard to task. Not necessary for customer to understand and ask for a cylinder leak down test when motor not run good.

Barry A. - 6-13-2013 at 01:53 PM

Quote:
Originally posted by DavidE
Ah!

Maybe

Quack

Best

Find

Other

Profession

We have a Bureau of Automotive repair that will instantly get into a mechanic's face if he does something wrong. Same for appliances, contractors, etc. Try taking mis-educated-mallard to task. Not necessary for customer to understand and ask for a cylinder leak down test when motor not run good.


Hmmmmmm, comparing a "Doctor" to a "Mechanic" is a stretch IMO. I am not a fan of Doctors in general, but I sure appreciate that they go to school a long time to even start to understand the human body. I believe primary responsibility for one's health rests with the individual first, and the Doctor second. It's only going to get worse, IMO, under ObamaCare, so we each better start studying. :O

Barry

DavidE - 6-13-2013 at 02:25 PM

DAMMIT LAWYER I PAID YOU TEN THOUSAND DOLLARS TO RESOLVE THIS PROBLEM, AND I LOST THE CASE AFTER APPEALING.

"Sorry Mr Peepers, you should have brushed up on your law to begin with before coming to me"

WHY THE HELL DID YOU PAINT OVER RUST?

"You should have taken apart the doors and rocker panels first. The rust is so easy to see from the outside I figured you just HAD TO HAVE seen it and decided to paint anyway".

"I GET HOME AND SEE YOU POURED CONCRETE IN THE WRONG PLACE!"

"Well shucks, you should have gone over the plans with me. I had to see them by myself"

It is the patient's responsibility to accurately report how they feel and accurately describe any symptoms.

It is the DOCTOR'S responsibility to troubleshoot the symptom and work with the patient to find the solution. Not to gosh darnn order a blood test and IGNORE an incredibly low hemoglobin count, over and over, different doctors, different hospitals.

COMPLAINT: Chest pain. Rx IMDUR. Hemoglobin count NINE! At 8 comes a blood transfusion or possible death. I went BACK, hospital to medical center and demanded to see records. 8, 9, 10! Normal minimum is 14.

I blew my stack at the last cardiologist "Gee Doc what does hemoglobin do for a living?

"Carry oxygen"

"What happens when the heart does not get enough O2?"

List symptoms, including angina (PAIN) heart attack and other MINOR side effects.

Instead Medi-Care gets stuck for none hundred dollars worth of USELESS Imdur, and my body had to endure it.

THREE MEDICAL CENTERS! Three EUA cardiologists and one Mexican cardiologist. Multiple blood tests. Every @#$%^&! of them missed a fundamental and primary danger signal. FUNDAMENTAL! 2+2 level math.

Oh, you're bleeding from the ears? Let's try WOSUIDURMVUT OXIDE first.

Barry A. - 6-13-2013 at 02:39 PM

--------which is why I take a Doctor's advice and conclusions "under advisement", and NEVER as Gospel!!!! I love second and third opinions, too, unless a dire emergency.

Tho your senario is much more serious, and I know what you mean, I KNOW that the Doctor's are only people, not wizards, and they are way over-worked and operating much to fast in most cases--------and this is only the beginning----its going to get worse. I always tell the Doc what I want him to do, and then see if he/she agrees, and I second-guess everything. I feel the same way about Politicians.

Some Docs don't like me, so we part company fast. Other's take it in stride, and some (the smarter one's?) even appear to appreciate my meddling and self-interest.

But above all, I NEVER get mad at them as they are, after all, only people.

Barry

on edit:-----my Father-in-law, and many of my friends, are Medical Doctor's.

[Edited on 6-13-2013 by Barry A.]

Kgryfon - 6-13-2013 at 03:52 PM

Yeah. That works sometimes. Sometimes when you try and be proactive in your own health care you get this back from your Doctor - "Who's the doctor here - you or me?" Sometimes you need to move on to a Doctor who doesn't have his head up his a** and an ego the size of the state of Texas.

Never let them intimidate you into giving them blind trust. They are people, too, and make mistakes and overlook things. You really have to be proactive and responsible for your own medical care, and keep pushing if something doesn't seem right or make sense.

EnsenadaDr - 6-13-2013 at 07:11 PM

I have nothing to add to this, you said it perfectly.
Quote:
Originally posted by Kgryfon
Yeah. That works sometimes. Sometimes when you try and be proactive in your own health care you get this back from your Doctor - "Who's the doctor here - you or me?" Sometimes you need to move on to a Doctor who doesn't have his head up his a** and an ego the size of the state of Texas.

Never let them intimidate you into giving them blind trust. They are people, too, and make mistakes and overlook things. You really have to be proactive and responsible for your own medical care, and keep pushing if something doesn't seem right or make sense.

DavidE - 6-14-2013 at 12:47 PM

Not a bad scam for $100,000.00 yr.

They scream COST OF PAPERWORK! INSURANCE!

I reply

YEAH! AND THOSE FIFTEEN HUNDRED DOLLAR A MONTH BMW 7-SERIES PAYMENTS!

There is a level of competence that is minimal. A bad mechanic's shop goes out of business, a bad restaurant gets trashed, a bad doctor kills people and moves on.

I have to SCREAM and THREATEN to see my "labs".

Something is wrong and it ain't OBAMACARE.

Mexitron - 6-14-2013 at 01:12 PM

Quote:
Originally posted by Barry A.
--------which is why I take a Doctor's advice and conclusions "under advisement", and NEVER as Gospel!!!! I love second and third opinions, too, unless a dire emergency.

Tho your senario is much more serious, and I know what you mean, I KNOW that the Doctor's are only people, not wizards, and they are way over-worked and operating much to fast in most cases--------and this is only the beginning----its going to get worse. I always tell the Doc what I want him to do, and then see if he/she agrees, and I second-guess everything. I feel the same way about Politicians.

Some Docs don't like me, so we part company fast. Other's take it in stride, and some (the smarter one's?) even appear to appreciate my meddling and self-interest.

But above all, I NEVER get mad at them as they are, after all, only people.

Barry

on edit:-----my Father-in-law, and many of my friends, are Medical Doctor's.

[Edited on 6-13-2013 by Barry A.]


Ironic that the system is currently overworked and is very similar to what many fear a government run system would be like. And this is under the current free market/private insurance system. Obamacare doesn't start for another few months BTW (personally I think Obamacare is lame---if we're going that route let's at least get a system that covers everyone and cuts out some of the gouging by monopolistic hospitals and pharma).

EnsenadaDr - 6-14-2013 at 01:15 PM

Then there is the Michael Jackson fiasco. The doctor did get punished in that case.
Quote:
Originally posted by DavidE
Ah!

Maybe

Quack

Best

Find

Other

Profession

We have a Bureau of Automotive repair that will instantly get into a mechanic's face if he does something wrong. Same for appliances, contractors, etc. Try taking mis-educated-mallard to task. Not necessary for customer to understand and ask for a cylinder leak down test when motor not run good.

Bubba - 6-14-2013 at 01:27 PM

Quote:
Never let them intimidate you into giving them blind trust. They are people, too, and make mistakes and overlook things. You really have to be proactive and responsible for your own medical care, and keep pushing if something doesn't seem right or make sense.


Hence the term "Practicing Physician". I found out the hard way...

EnsenadaDr - 6-14-2013 at 01:35 PM

The physician should do right by the patient. But they are ultimately human. And one thing a doctor should respect is that no one knows the patient better than themselves. Always be an advocate for yourself and never keep quiet if you need to correct or bring something to a physician's attention. It is your right and doctors are educated from day one that a patient has a right to refuse treatment and a right to ask questions.

DavidE - 6-14-2013 at 02:22 PM

I ask politely to see my labs, which the doctor has IN HIS HAND.

He says to go out to the waiting room.

An hour an twenty minutes later I have to start asking the receptionist "Where are my labs?" Four times. Another half hour passes.

Finally my labs arrive. I detect a mag (magnesium) level of "1" far too low. This is a dead certain cause of my atrial fibrillation. I have to therefore increase my magnesium supplement 200%.

The desk reports regretfully the next available appointment is in four months.

This is the FIRST visit to this doctor and believe me I was polite and quiet during HIS exam. I was not "pro-active" merely 500% cooperative. No doctorspeak from me.

They got pi$$ed off because I politely asked to see my labs.

Barry A. - 6-14-2013 at 02:56 PM

Quote:
Originally posted by DavidE
I ask politely to see my labs, which the doctor has IN HIS HAND.

He says to go out to the waiting room.

An hour an twenty minutes later I have to start asking the receptionist "Where are my labs?" Four times. Another half hour passes.

Finally my labs arrive. I detect a mag (magnesium) level of "1" far too low. This is a dead certain cause of my atrial fibrillation. I have to therefore increase my magnesium supplement 200%.

The desk reports regretfully the next available appointment is in four months.

This is the FIRST visit to this doctor and believe me I was polite and quiet during HIS exam. I was not "pro-active" merely 500% cooperative. No doctorspeak from me.

They got pi$$ed off because I politely asked to see my labs.


I ALWAYS request a duplicate "lab report" sent to me FROM THE LAB. You sometimes have to get the Doc to sign off on that request, but I am GOING TO SEE that Lab report, no matter what!!! so I can compare it with all my OTHER lab reports over the years.

(yes, some Doc's do get ancy about that---------and I find another Doc if that happens, or convince them to cooperate----maybe my cop training helps) :lol:

By the way, I take 250mg of Chelated Magnesium a day, and it has stablized and lowered my heart pulse, not so much the BP---it effects dif. people differently. So far, I am allergic to ALL BP meds---facial swelling and rash with all BP meds..

Barry

DavidE - 6-14-2013 at 03:47 PM

Living in Mexico the "send me the labs" doesn't work out too cool.

What the heck, the next "job" I do, I am going to request getting paid before the job is tested then have them call me if it doesn't work. I am not interested in ambulance chasing leeches correcting a doctor's malfeasance by forcing him to raise his rates to pay a higher insurance premium. I want his A$$! License revoked. A permanent review board. One time a practitioner's assistant failed to weigh me and take my BP. She forged the results. I told the doctor. That MD flipped his lid. If there were as many quack mechanics as doctors in the USA, there would be 24/7 gridlock on the freeways and boulevards.

wessongroup - 6-14-2013 at 03:56 PM

Always like good hospital/medical story ........ here's mine

Had a doctor, the Head of Orthopedic Surgery, come to my room ......... as I had refused to come down and start physical therapy ....... had slipped and broken my hip .. three years after having unsuccessful spinal surgery which left me handicapped

He introduced himself, and said I "must" do what he wanted ........ walk and start doing exercises to strengthen my "hip"

I inquired if he had my medical history with him, or if he had read it ....... response, he knew what was best for me in my "condition" and that I must leave my room and be taken down to stay in his ward for physical therapy, until he judged I had recovered enough to "leave" the hospital ........

Told him congratulations ....... and, that, I had only expected to meet Jesus Christ, after I died ........ and perhaps before he made any more impossible requests, he should check out my medical history and get back to me ...... the Nurses and the two orderly were busting up ......

The doctor left, as did I ........... told them I was leaving ....... called Schaefer Ambulance Service and they hauled me home ...... with protests from hospital staff, I waived any and all liability in a letter ...... signed and said fu get me out of here

My next vist, was even worse, and I went to different hospital too

The study of Medicine is one thing, application ....... a whole different thing

Have fun ....... smaller is better in most cases, IMHO