Recent posts seem to be all about medical, but I'm still fairly active in the House, see http://bit.ly/1epmi7F Question on the Government's failure to enforce their own policy on planning for Travellers, and yesterday I intervened about the policy for destruction of public documents, in the context of the revelations about the Indian government's request to us for military advice before the attack on the Sikh Golden Temple in 1984, http://bit.ly/MsNwyb
Blood test results (last time in brackets:
Hb 10.3 (9.5)
Plt 590 (593)
WBC 6.52 (4.16)
No idea why the WBC should be so much better. Results mean no change in medication.
Thursday, January 16, 2014
Report by Dr M December 11, 2013
I was... disappointed that he has developed exertional angina over the last three or four momths.
A chest x-ray performed last month showed evidence of chronic asirways disease but nothing else.
Clinic examination today was unremarkable, althouh he does have bilateral carotid bruits. BP was 139/60 mmHg and his resting 12-lead ECG is normal.
I have intensified [his] anti-anginal regime today by adding Imdur 30 mg daily. I will see him [on January 29, 2014] and if his angina persists then I will arrange a coronary graft angiogram. Vascular access may be a slight risk, given his long history of peripheral vascular disease and the need to perform an angiogram from the legs, .... but it may be that he has a stenosis of either a graft or a native coronary artery that is amenable to stenting and this is something we need to explore if medical treatment fails.
Tuesday, December 24, 2013
Thursday, December 19, 2013
Monday, December 16, 2013
Main results from blood test at 08.00 this morning were platelets 593, up from 480 in November, and Hb 95, down from 105 in November. It looks as though Hydroxycarbamide is no lomger effective in keeping the platelets down without depressing the Hb at the same time. Dr I is referring me to Dr McL, who has more experience of myelofibrosis and who may want a bone marrow biopsy to see what's going on at that level. Dr L thought one of the JAK inhibitors may be the next move, but they too have the effect of lowering Hb. The appointment with DrMcL is at 09.40 on February 5.