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  • 1. Ask the doctor. For several years now, my lower legs have been painful and somewhat swollen, especially at the end of the day. My doctor says that my veins are not getting the blood back to my heart like they used to, but that it is just part of aging (I am 72 years old). He tells me to put my feet up as much as possible, but that's not very practical when you have a lot to do! Isn't there anything else I could try?
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  • 2. Ask the doctor: I take a water pill for swelling of my legs. My doctor tells me to put my feet up to help the fluid drain, but he also tells me to be active and walk around, which of course requires putting my feet down. Aren't these instructions contradictory?
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  • 3. Ask the doctor. My legs get terribly swollen during the day. I asked my doctor for a water pill, but he seems reluctant to prescribe one. Do you think this type of medication will help me?
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  • 4. Ask the doctor. I am 73 years old and have had a heart murmur for years. Now my doctor tells me that I have moderate narrowing of my aortic valve. I feel perfectly fine, but he says I may need heart surgery some day. Is there anything I can do to avoid having surgery?
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  • 5. Ask the doctor. I am an 80-year-old woman who had a triple bypass many years ago. The veins of my legs have closed, and my feet and legs are swollen and painful. My doctor explained that the blood flows down the legs but does not flow back up. She also said that nothing can be done for it. Is this true?
    Lee TH
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  • 6. Ask the doctor. I am a 78-year-old woman and have been taking high blood pressure medications for many years. Maybe it s because I've lost a lot of weight I used to be quite heavy but my blood pressure has fallen to about 110/70 mm Hg. My doctor tells me that the lower my blood pressure, the better. But I worry that it's getting too low. What do you think?
    Lee TH
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  • 7. Ask the doctor. I am 78 years old and have diabetes and a heart murmur from narrowing of my aortic valve. My doctor tells me that the narrowing is not so severe that I need surgery, but warns me that I may need an operation some day. Naturally, I would like to avoid that possibility. Is there anything I can do to reduce the risk?
    Lee TH
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  • 8. Ask the doctor. I have had a leaking aortic valve for many years. I get an echocardiogram every six months. After the latest one, my doctor told me that my heart was enlarging and asked me repeatedly whether I was getting short of breath with exercise. I told him that sure, I get tired, but it isn't like I am breathing hard while sitting still. Now he wants me to have surgery to replace the valve. Should I do this at age 68?
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  • 9. Ask the Doctor. I'm 45 years old. At the doctor's office, my blood pressure readings are usually pretty high (the top number may reach 150 or 160), but my home monitor shows numbers more like 130/90. My doctor calls my problem "white-coat hypertension" and reassures me that it isn't dangerous. But it bothers me that my pressure shoots up like that. I have plenty of stressful moments every day, and my blood pressure must be going up then, too. Should I be on medication?
    Lee TH
    Harv Heart Lett; 2001 Mar; 11(7):8. PubMed ID: 11276145
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  • 10. Ask the doctor. I frequently get a dull chest pain that goes on for hours at a time. My doctor tells me that it is not coming from my heart and that I shouldn't worry, but how can he be sure that such severe pain isn't dangerous to me?
    Lee TH
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  • 11. Ask the doctor. A heart attack caused me to develop heart rhythm problems. These made it necessary for me to get an implantable cardioventer/defibrillator (ICD) that can shock my heart back to a normal rhythm. My medical story is a lot like Vice President Dick Cheney's, but my social situation isn't--I don't have anyone to drive me around. My doctor doesn't want me to drive. But depending on friends and family is a major problem, and we don't live near public transportation. Any suggestions?
    Lee TH
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  • 12. Ask the doctor. My blood pressure is 180/80 mm Hg. My doctor tells me this a common problem for people in their 70s, like me. The problem is that whenever I try medicines at doses high enough to get my top number under 140 mm Hg (which I understand to be the goal), I get exhausted or have other side effects. Do I really need to worry about my blood pressure when the bottom number is so good?
    Lee TH
    Harv Heart Lett; 2000 Nov; 11(3):7-8. PubMed ID: 11063561
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  • 13. Ask the doctor. I am 72 and have had diabetes for about 10 years. My doctor wants me to start taking insulin because my sugar levels are usually high get (about 300). I don't want to, though, because I am sure I will be stuck taking it forever. Isn't it true that the kind of diabetes you get when you are older is mild?
    Lee TH
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  • 14. Ask the doctor. I need to catheterize myself because of bladder problems. In April 2007, I had five stents put in my heart and started taking Plavix. Since then, I sometimes see a light tinge of blood in the catheter bag, though lately the blood flow has been more substantial. The book "Worst Pills, Best Pills" says Plavix should be used for only a limited time, but my internist tells me I should be on it for the rest of my life. I am 88 years old and take aspirin (325 mg) every day. How long will I need to take Plavix?
    Lee R
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  • 15. Ask the doctor. I am 83 years old and have coronary artery disease that causes angina everyday with activities like climbing stairs. My doctor thinks I am going to need bypass surgery to get some freedom from my symptoms. Isn't it too risky at my age?
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  • 16. Ask the doctor. A few months ago, I was diagnosed with atrial fibrillation. My doctor put me on blood thinners for a few weeks and then performed electrical cardioversion. Naturally, I was asleep during the procedure, but I understand that they shocked me twice and both times my heart briefly returned to a normal rhythm. But after a few seconds it went back into atrial fibrillation. NOw my doctor has offered me a choice. I can stay in atrial fibrillation and take a blood thinner for the rest of my life. Or I can try a medication to restore a normal heart rhythm and give cardioversion another try (but I'll probably have to take the antiarrhythmia drug for a long time). Any suggestions?
    Lee TH
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  • 17. Ask the doctor. When I am under great stress, my blood pressure sometimes shoots up to 200/120 for a short time but then quickly goes down to 120/80 or lower and stays there. One doctor told me that spikes like these are normal and not to worry about them. Another told me this isn't normal or healthy. Who is right?
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  • 18. A couple of years ago, I had a pacemaker put in. Now I am having some problems with dizzy spells. My doctor thinks these may be neurological and would like to do an MRI scan. However, he says that he can't because of my pacemaker. Is this a big problem? Is there anything that can be done about it?
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  • 19. Ask the doctor. I'm 78 years old. I've known for years that I have a narrowing of the aortic valve of my heart. My doctors are always asking me whether I have chest pain, fainting spells, or any other special symptoms. Until recently, the answer has been no. A few days ago, however, I was washing dishes in my kitchen, and I suddenly felt lightheaded and fell to the ground. I didn't black out, but I almost did. Now my doctor is saying that I should have my aortic valve replaced. Isn't this rather an extreme response to just one spell of lightheadedness?
    Lee TH
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  • 20. Ask the doctor. A test showed that I have calcium in my aorta. My doctor said it isn't serious, and that, as a 79-year-old, I will have to "live with it." Can you tell me more about this condition?
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