Cholesterol: A Patient Conversation
Good afternoon Mr. Brown, I have your Blood panel from the Lab and would like to go over it with you today. I will start with your Triglycerides. Triglycerides are a type of fat found in your blood. When you eat, your body changes calories, it doesn't need to use right away into triglycerides. The triglycerides are kept in your fat cells. Later, for energy between meals Your Triglycerides are 145 mg/dL. Normal is less than 150 (mg/dL), so you’re within the norm.
Now we go on to your Cholesterol. Cholesterol is found in all cells of the body. A waxy, fat-like substance that your body needs to make hormones, vitamin D, and elements that help you digest foods. Our bodies already
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Fortunately your LDL is 160 mg/dL. Now we have your HDL, which is recognized as the “good” cholesterol, a higher number means lower risk. This is because HDL cholesterol protects against heart disease by taking the "bad" cholesterol out of your blood and keeping it from building up in your arteries. Mr. Brown did you know it is your liver, which is the primary organ that produces cholesterol. Some small amounts are made in the lining of your small intestines and some individual cells of your body. If you are eating meat, cheese and egg yolks this can be one reason that causes your cholesterol to be high. If you will limit your intake of foods with cholesterol, saturated fat, and trans fats you can help control your cholesterol levels. Carrying extra weight, or the genetic gene that can run in the family that will pass on high LDL cholesterol. The condition can begin at birth, and can possibly cause you to have a heart attack at an early age. Mr. Brown with your LDL at 160mg/dL and your HDL at 33mg/dL you are showing the high side. What we need to do is get the HDL up and The LDL down. It looks like we are going to have a few things to look at to get your levels where they need to be. There are treatments that I can help you with but there are things that you will also have to work …show more content…
Statins are like: Lipitor (I take this), Lovastatin, Pravastatin, Crestor, Zocor, Crestor, and Lipitor. One problem Mr. Brown when you take these types of meds you have to come in for blood work about every 3 months. We want to make sure that your liver is not being affected by the MEDs. The side effects that you can have are; Diarrhea or constipation, abdominal pain, cramps, bloating or gas, Nausea, Vomiting, Headache, Drowsiness, Dizziness, and possible Muscle ache or weakness. My opinion Mr. Brown is that having the side effect outweigh having a heart attack, it’s possible that you might not have any reactions to the medicines. Taking these types of medicine are much more a help the hindrance. Lowering your cholesterol is much more important to your health. Mr. Brown there is another option if you want to try. I realize this is not what you had planned, but it is an option, but I want you to come back and she me so we can check your blood cholesterol. You will have to get up and exercise, know more junk snacks and I can put you on a high fiber diet. I will be right here with you, to help in any way. Trust and communication is a priority. I want you to understand your concerns are my concerns and I think this will work out, providing you follow my orders. This disease is a treatable illness and most of the time it can be whipped so long as you get yourself on the right track. You will feel so much better and your
Good evening Mr. Brown your test results came in and we found out that your Triglycerides are 145 mg/dL, Cholesterol 210 mg/dL, HDL 33 mg/dL, and LDL 160 mg/dL. Normal triglycerides means there are less than 150 milligrams per deciliter (mg/dL) which you do have which is great. A desirable level of cholesterol would be Below 200 mg/dL, and borderline high would be 200-239 mg/dL so because your cholesterol level is 210 mg/dL you are at borderline high. Ideal LDL level for people at very high risk of heart disease would be below 70 and a high level would be 160-189 mg/dL your LDL level is 160 mg/dL therefore it’s high. The best HDL
Cholesterol is a waxy lipid found in all body cells; it has a structure containing multiple chemical rings and is found only in foods of animal origin.
Cholesterol carries lipid in your blood. Lipids is a fatty tissues found in the membrane of the body tissues, it is a source of fat. It is transported in the blood plasma of the body.
High cholesterol can be avoided with many different easy ways that benefits the body in other ways. According to studies from NHBLI, saturated fats and diets high in cholesterol should be avoided to lower cholesterol. Saturated fat is the main reason of high cholesterol. Saturated means that means that it contains liquid, or is a a watery type substance. Eating cholesterol directly is also a main reason for high cholesterol after a person eats a meal that is very high in cholesterol. Studies from NHBLI prove that being more physically active can reduce the chances of high
Statin pills, including Lipitor, which can be prescribed to decrease cholesterol levels, paintings partly through interfering with the activity of HMG-CoA reductase. If your cells take place to want more LDL cholesterol below certain circumstances, but the statin drug is blockading this essential enzyme, your cells won 't be able to make cholesterol whilst wished.
Hi Mr. Brown how are you today? On today`s visit we will be going over your cholesterol panel we receive back all your test results for your cholesterol levels. Your triglycerides levels are at 145 milligrams per deciliter. Your levels are under the normal range of 145 milligrams per deciliter, which is good because your levels are under the high borderline which is between 150 to 199 milligrams per deciliter. This is great that your levels are normal Mr. Brown because Triglycerides are a type of fat known as lipid that’s found in your blood. When you eat food, your body converts any calories it doesn 't need to use right away into triglycerides. The triglycerides are stored in your fat cells. After the hormones are released into triglycerides for energy between meals. If you eat more calories than you burn, then the calories like fats and carbohydrates, can cause you to have a high triglycerides result. So basically, Triglycerides help in the digesting process and breaking down the fats in the food we eat. The results for your cholesterol level are 210 milligrams per deciliter which is borderline high considering, the normal range for cholesterol levels are less than 180 milligrams per deciliter. Since your body has to have cholesterol to make Vitamin D, your hormones, and it also helps with the digestion of the meals you eat. See cholesterol is like a wax, fat like substance that is found in the cells in our bodies.
Our body make 2000mg every single day and every single cell in our body make cholesterol. HDL levels appear to be strongly influenced by a mixture of genetic and environmental factors. Besides taking medication, there are other ways to boost the HDL levels which are do moderate exercise about 30 minutes five times a week. You can also even do the brisk walking to raise up your HDL levels. Other than that, Eat healthy by including lots of fruits, vegetables, whole grains and lean sources of protein in your diet. Also be sure to include monounsaturated fats in your diet. These are fats that are beneficial to your heart and include the fats found in seafood, and certain nuts, such as walnuts or almonds. Oils containing monounsaturated fat include olive oil and canola oil. Be sure to avoid saturated fats and trans-fats, since these fats not only lower HDL, but can also raise LDL levels. These fats are commonly found in foods such as cookies, chips, cakes, and fast foods. Higher levels of HDL cholesterol are generally associated with lower cardiac risk. There are several lifestyle choices we can all make that will reduce our cardiac risk in general, and our HDL levels in
Dr. Tutt: Well Mr. Brown, your Cholesterol levels was evaluated your results came back 210mg/dl. The elevated range is from 200-239 mg/dl (Disanto,
Characterised by increased triglyceride concentrations and LDL, often accompanied by decreased HDL, combined hyperlipidemia (or -aemia) (also known as "multiple-type hyperlipoproteinemia") is a commonly occurring form of hypercholesterolemia (high cholesterol levels). A rarely performed test, lipoprotein electrophoresis shows hyperlipoproteinemia type IIB. With an occurrence of about one in 200 people, Mixed hyperlipidemia is the most
The key terms searched include, secondary prevention, heart attack, atorvastatin, simvastatin, and pravastatin. The terms were combined with an “and” operator, and the following limits were applied: English language, human, and randomized controlled trial. The search returned 39 articles of which only 1 included a study which compared 2 different statins. The other articles were excluded because they were guidelines, review articles or were not specific to preventing a recurrence of myocardial infarction.
A higher level of fats in the body puts the patient at higher risk for Cardiovascular diseases(CAD). The patient's' family has a history of CAD. Her mom and one of her sister have CAD (Lewis et al., 2014, pp. 733-734). The patient states that she has been taking her meds for cholesterol atorvastatin regularly. Her lipase level was 8272 on 11/11/16 and 2829 on 11/12/16 U/L 1069 on 11/13/16 (Ref range 73-393 U/L). Her HDL cholesterol level was 21 ( ref range>49 mg/dl), LDL Cholesterol level 148 ( ref range: <130 mg/dL). Patient statin drug was on hold because it is contradicted on the patient with an elevated level of ALT 80, 61(Ref range 0-50 U/L) and AST 61 on 11/12/16 and 64 on 11/13/16 (ref range 0-45 U/L). The uncontrolled level of could be the cause of concern for stroke or acute myocardial
So based on my family history it is mostly likely that I myself will have it someday, unless I do things to prevent high cholesterol such as exercising and eating fruits and vegetables. The last main cause of high cholesterol is that it could be because of your gender and age an example would be that elderly men have a tendency of having a high cholesterol. There seems to be no history of high cholesterol or discovery of it in the past time due to my research. According to Dr Paulysney Guerrero the symptoms of high cholesterol involve "Dizziness, weakness, nauseas. However, some patients do not show any symptoms at all" Guerrero explains. Basically the only main way to tell is by having the person go through a blood examination. For example when the doctor had sent me to get a blood examination to see what my cholesterol level was (basically to see if I was healthy) I was sent to Labcorp and so they took some blood and so as a result my it was confirmed based on my blood examination that my blood was so far normal and that my cholesterol level was fine as well .Usually when the blood pressure is really high the treatment that is used immediately is medication in order to have the cholesterol at a well and balanced level. An example would be Alfonso Sanchez "when the doctor had discovered how severe my cholesterol was
I have determined this both because of the location of her pain and my research of Statins. Although it is very rare, it has been found that statins may cause liver enzyme elevations (Goldberg). Ms. Crosby is complaining of severe pain to her abdomen and during an examination it was found to be in the upper right costal margin. The upper right costal margin is where the liver is located. When the liver is inflamed or injured it secretes higher levels of enzymes into the bloodstream. Liver enzymes include Alanine aminotransferase (ALT), Aspartate aminotransferase (AST) and phosphatase alkaline. While MS. Crosby was in the ER she received a Clinical Chemistry, Toxicology and Serology test. This test showed that her ALT, AST and phosphatase alkaline levels were all very high. The normal range for a person’s ALT is 8-20 U/L while Ms. Crosby’s was 50 U/L. Her AST was 60 U/L while the normal is 8-20 U/L. And her phosphatase alkaline level was 120 U/L and the normal range is 20-70 U/L. It has been found that reducing the dose or changing to another statin can alleviate side effects. To treat Ms. Crosby I would suggest that her dosage of lovastatin be reduced back to 20 mg once daily
The first main type of cholesterol is the low-density lipoprotein (LDL) and it referred to as the bad cholesterol because it attaches to the atherosclerotic lesions on the endothelium of the arterial wall (Schaefer, 2010). The other type of cholesterol is the high-density lipoproteins (HDL), it acts as a scavenger and it is referred to as the good cholesterol, because it removes the cholesterol from the arterial wall (Schaefer, 2010).
Surprised? You make new cells throughout your body every day with cholesterol. But too much cholesterol is not good. There are different kinds of cholesterol. Low HDL-C, commonly known as "good cholesterol," high triglycerides that are dietary fats, and elevated apo B, an intermediary cholesterol, are all common in metabolic syndrome and is a sign of imbalance.