Please me know what to do next

[david22]

Medical profile
Present problems; Diabetis II, AFIB, Degenerative Disc and cervical artritus pain. Reflux. Tremors, Neurogenic badder with occational UTI. Occipital Peripheral Neuropathy, Assending aorta anurism.
Other points of pain
C3, C4, C5 supply diaphragm problems
C5, C6 shoulder movement (bicep) C6 rotates the arm
C6, C7, C8 extends elbow and wrist
T7-L1, T12 chest and abdominal muscles
L1, L2, L3, L4 thigh flexion
L2, L3, L4 thigh adduction
L4, L5, S1 thigh adducation and hamstring
L5, S1, S2 extension of leg at the hip and feet

History.
2016 neck Imaging Ascending aotic aneurysm messuring 4.1 times 4.2 cm. Atherosclerotic vascular disease 5 mm. TroublingVertigo. Lower pole left thyriod cyst.
2016 left shoulder Imaging Narrowing of rotator outlet, rotator tear.
2015 spine CT-chronic compression deformity of L1-S1 and L2 -S1 (ablated on 06-25-16). Also, L4 and L5 -S 1 (first ablated on 07-09-19); Also, occipital nerve in neck ablated on 09-10-16. There is herniation /compression with traveling right S-1.Cervical spondylosis/stenosis, facet arthropathy throughtout lumbar spine. Non-rheumatoid arthritic changes of bilateral [FONT=Arial, sans-serif]joints[/FONT][FONT=Arial, sans-serif].[/FONT][FONT=Arial, sans-serif] C-1 osteoarthritis.There is some mialignment of C-3 on C-4 as[/FONT][FONT=Arial, sans-serif] [/FONT][FONT=Arial, sans-serif]well as C-7/ T1. [/FONT]CT hip scan;Lesion on right humeral head near neck junction mesauring 8x9,11mm with peripheral sclerosis and smaller similar lesion in intertrochanteric region anterior which can be predisposed to impingement.
2014 Right snynovial lumbar cyst removed.
2013 Adrenal benign tumor DX.
2012 Nerve stimulator implanted for Occipital Peripheral Neuropathy (so no MRI).
2011 Concusion from falls creating post concusion syndrome.
2008 Cystoscopy done-severe Bladder infections.
2004 Twenty foot intestinal scar tissues removed due to inflammation.
2001 (and 1993) C-4 thru C-7 fusions from severe falls and cervical infections.
Tramua from birth defect operation for malrotated stomach (left for dead); childhood PTSD, partial hypothamic disorder like infrequent disorientation & balance issues etc. In addition;there was physical, sexuial and emotional abuse as a child.

My Love for Jesus will never wavior.

10 different medications;Welbutrim, Metforman, Saxagliptin, Losartan, Eloquis, Cymbalta, Neurotin, Prazosin, Inderal
Pantoprazole
22 pills-10 pills, 6 duplicates, plus 6vitimins taken per day.
(Also, Levemire; 45 units morning and at night)

[FONT=Arial Black, sans-serif]10:30 Mornings[/FONT][FONT=Arial Black, sans-serif] 6[/FONT]; [FONT=Arial Black, sans-serif]Welbutrin[/FONT]300 mg XL, [FONT=Arial Black, sans-serif]Metforman[/FONT] 500 mg,[FONT=Arial Black, sans-serif]Saxagliptin[/FONT] 5mg, Losartan 50 mg [FONT=Arial Black, sans-serif]Eloquis[/FONT] 5 mg (Apixaban),[FONT=Arial Black, sans-serif] [/FONT][FONT=Arial Black, sans-serif]Cymbalta[/FONT]30 mg
[FONT=Arial Black, sans-serif]3:00 Afternoon; 6 @ Vitamins;Areds 2 Ophth, Azo, Folic Acid, Pyridoxine 50 mg and Digestive Probiotic, Inderal 20mg [/FONT]
[FONT=Arial, sans-serif]8:00 Evening[/FONT][FONT=Arial, sans-serif]; [/FONT][FONT=Arial, sans-serif] 5[/FONT][FONT=Arial, sans-serif][/FONT]Metformin, [FONT=Arial Black, sans-serif]Neurotin [/FONT]300mg, Eloquist 40mg, [FONT=Arial Black, sans-serif]Prazosin[/FONT] 5mg , [FONT=Arial Black, sans-serif]Pantoprazole [/FONT]40 mg
[FONT=Arial Black, sans-serif]10:30 [/FONT][FONT=Courier New, monospace]Bedtime; [/FONT][FONT=Courier New, monospace]5[/FONT][FONT=Courier New, monospace][/FONT][FONT=Arial Black, sans-serif]Nephro 2[/FONT][FONT=Courier New, monospace]N[/FONT]eurontin , Prazosin Cymbalta
[FONT=Arial Black, sans-serif]Medicinal:[/FONT]
[FONT=Arial Black, sans-serif]Refresh eye drops; Fluticasone nose spray, and Phazyme and [/FONT][FONT=Arial Black, sans-serif]Lidocane patches on feet (and others) daily [/FONT]
OTHER;Self catheter 5 times per day. Use of C-pap.

[FONT=Arial Black, sans-serif]Allergies are Statin drugs and Phenegrin. [/FONT]

 

[Trinalovescats]

Wow,just wanted to say hello to you and your here on a wonderful forum with people who can help you if you need emotional support.

I had Mitral Valve Replacement and Tricuspid Repair on May 3,2016.Getting stronger each day.

Im pretty sure the others will give you advice after seeing this.

 

[david22]

Thank you so very much! I look forward to being a part of this forum. I see a specialist October 13th. I hope everything will be ok until then. I am in so much pain now. I have my third back/neck ablation this Saturday. Now, an Aorta aneurism. What next!

 

[Agian]

You need an echocardiograph.
How old are you?

 

[AZ Don]

Welcome to the forum. Sorry to hear that you have so many issues, but what to do next regarding your aortic aneurysm is NOTHING, other than annual follow-ups with a good Cardiologist. As scary as aortic aneurysms are, they tend to grow quite slowly. 1-2mm/year on average, though some can grow much faster or slower. Generally surgery for aortic aneurysm is not recommended until it reaches 5.5cm so that could take quite a few years. Some anecdotal reports and theories have speculated that Losartan may slow aortic aneurysm growth in some cases and I know of at least one study investigating this - but you are already taking it. Strenuous physical activity, especially weightlifting is not recommended, but moderate exercise is, but probably more for general overall health than anything else. While waiting for your follow-up you can read up to understand aortic aneurysm better, but I suggest to focus primarily on your other issues as they are impacting your life right now. Good luck.

 

[david22]

You need an echocardiograph.
How old are you?

I am 66 and I just found this out. What else can go wrong?

 

[david22]

Welcome to the forum. Sorry to hear that you have so many issues, but what to do next regarding your aortic aneurysm is NOTHING, other than annual follow-ups with a good Cardiologist. As scary as aortic aneurysms are, they tend to grow quite slowly. 1-2mm/year on average, though some can grow much faster or slower. Generally surgery for aortic aneurysm is not recommended until it reaches 5.5cm so that could take quite a few years. Some anecdotal reports and theories have speculated that Losartan may slow aortic aneurysm growth in some cases and I know of at least one study investigating this - but you are already taking it. Strenuous physical activity, especially weightlifting is not recommended, but moderate exercise is, but probably more for general overall health than anything else. While waiting for your follow-up you can read up to understand aortic aneurysm better, but I suggest to focus primarily on your other issues as they are impacting your life right now. Good luck.

Thanks AX Don. You help me a lot; to ease my fear.

 

[Agian]

4.1 is mild dilatation, especially in a 66 year-old. If you don't have a bicuspid valve or Marfan's it may not even budge.
I'd see a cardio and get an echo done.

Losartan 50mg twice daily?

 

[david22]

THANKS Again, that gives me hope and I need a lot of that. I can now calm down a little and accept the inevitable, according to things that I have read in many places that event will happen in 10 years. Is that true?

 

[Agian]

The 'event' you refer to may never happen. Upper range of normal is 3.9. Yours is 2mm over and you're 66.

 

[david22]

No fear here now, thanks again........Agian.

 

[Agian]

Thank YOU, David. You've made my day and brought a tear to my eye. I'm glad I've helped, even in a small way. Take care and keep in touch.

 

[david22]

Thank you Again, I consider you my information line. Please tell me your story.

 

[Agian]

Hi David, I'm certainly no expert.

I've had blood pressure problems for years and decided to see a cardiologist about it when I was 31. Part of the 'work up' was an echocardiogram. I was told I had a bicuspid aortic valve and to get it checked out again after 10 years. They used the term 'normal variant', so I didn't give it anymore thought. My mother's BP spiked in 2013 and she had an echo. This reminded me of mine and I thought I should get things looked at again. I had an echo in 2013, which showed moderate stenosis, and follow up echos six monthly after that. I had one in June this year, which showed some worsening and wasn't happy to wait for another six months. I got another echo done at a different practice and took the results to the surgeon. He told me it was 'time'. Two weeks later I had my surgery.

When they got a closer view of the valve, they realised it was unicuspid, not bicuspid (i.e., it only had one leaf, with a slit half the valve's diameter, which opened and closed). During my first echo, I was told my ascending aorta was 4.2. There has been some talk that Losartan can shrink aneurysms, so I got on it (50mg twice daily). Now it could be normal variation, but my latest echos showed that it was 3.9. Losartan is a BP med, btw. The surgeon told me after the op that the aortic tissue was normal. He trimmed it a bit and stitched me up again. I got an On-X valve, 29mm, and am going on 12 weeks post op. That's a bit of my story, if it helps.

 

[david22]

It does give me something to relate to and also a bit to hope for. I will ask my Doc to raise my Losartan's mg. I am not on here very much, but lets keep in touch.
I am finished with all my ablations etc.with the 2 hip steroid injections today (see my first post for details)..
My pain level is way down thanks to the pain clinic and pain patches etc.How about you?

 

[Agian]

I don't have much pain, post-op. Just occasional discomfort in my chest, whilst it's healing.
Glad you're finally comfortable with your pain relief.
You'll be ok matey.