The Primaries
Lally Rheumatology
Oks Pulmonology
Gorodnitskiy Cardiology
Holstead Hematology
Rosenstock Nephrology
Lebovics ENT
Nagler Urology
Let's take a look at Dr. Nagler, he is:
Chair of the Sol and Margaret Berger Department of Urology of Mt. Sinai Beth Israel
President of Beth Israel Medical Center
Professor of Urology @ Icahn School of Medicine at Mt. Sinai
Recipient of Columbia University's Award of Excellence
ACMI Urology Award
First Prize for clinical research in the AUA prize essay contest
AFS Urology Prize
John K Lattimer Award
Russell Lavengood Award
President of the Society for the Study of Male Reproduction
President of the Society of Reproductive Surgeons
Coedited 4 books on Male fertility
There is more but certainly that is enough for a man that looks to be about 50. He is thoughtful, attentive, responsive to questions and listens. So when he suggested that I double the Flomax I had questions. It caused dizziness initially and now it's doubled. The side effect is here. So I may go back to the walker.
When Doctor Rosenstock, kidney specialist, started me on Losartan for my blood pressure [high blood pressure causes damage to the kidneys not just the heart, so lowering the blood pressure is very important] there was dizziness which is a side effect and the dizziness was such that I fell 3 times [no damage done]. 5 to 10 days was how long the side effect should last and it did. It has abated. My blood pressure was for the first time below 120/70. At one point it was 112/58. Really good!
I've picked myself up and now have gone on to the issue of Nocturia. When I take the water pills for the edema I am up about 4 times a night to void. So Dr Nadler wants me to double the flomax to relax the muscles of the prostate and aid in voiding the bladder so I won't have to get up as often and then won't feel so tired.
But my issue about the tiredness has always been the anemia. My blood count is at 8. Nephrology, my kidney doctor, Dr. Rosenstock, thought it was caused by fluid in my lungs because I also have shortness of breath. So he ordered an x ray. That came back negative. Thankfully he also gave me the name of an hematologist. I saw Dr. Holstead [young guy; grew up in Nova Scotia; Canadians are reported to be very nice and he is]. That was Wednesday afternoon. Dr. Nadler was Wednesday morning. That's when I got the increase in the flomax from Urology for the prostate from Dr. Nadler for the nocturia not the anemia. According to my chart I have about 18 diagnoses like nocturia, anemia, HTN, CHF, COPD, ANCA Vasculitis, Dyspnea, Acute Kidney injury [I think a number of these are duplicates or medical side effects].
If you are having trouble keeping up. I empathize.
To continue
The hematologist, Dr. Holstead explained that the kidneys manufacture erythropoietin which prompts the bone marrow to make red blood cells. He took 4 vials of blood [I should have kept a record of all the blood that has been taken since this started because it's unbelievable]. I'll meet with him next week and if erythropoietin is needed I will get it injected every week until my blood count is at 11. If that is not the issue it's back to the general consensus' treatment option: 'it takes time'.
Time, indeed.
