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last updated 12/04/2006 17:59

     
   

Stress test 12/4/2006

I had a cardiac stress test with nuclear imaging yesterday. No i didn't have any apparent symptoms but my progressive family medicine doctor thinks that it is a good idea for anyone my age to be proactive since the leading cause of death in this country is heart disease. i see my doctor on a less than regular basis mostly when she declines to refill my prescriptions by phone. So the visit before last she gave me a reference to a cardiac specialist to get my stress test. I procrastinated until just prior to my last visit to my regular doctor. You see, this way I could at least say i had arranged for the stress test when she asked about it. Plus I pay this lady for her medical opinion and having done so it just doesn't seem rational to disregard it since the extent of my medical knowledge is limited to an occasional visit to webMD and having a son who passed through medical school as few years ago. A stress test with nuclear imaging consists of getting shot up with some kind of radioactive material, waiting for a while so the radiation soaks in then lying on a bench very still while a piece of robotic machinery circumnavigates the chest area. Then comes the stress; walking on a treadmill with ever increasing speed until the heart rate is sufficiently high to satisfy the doctor that you are in fact stressed. Another shot of radio active material is administered and after a wait period, return to the bench and the robot machine. And that's it! The technician un-strapped me from the bench (the patient must remain motionless during the circumnavigation - breathing is allowed but nothing else) and advised me that it would take an hour or so for the computers to assemble the data into something meaningful that the doctor could interpret and if there was a cause for concern he would call me. Now I have an acquaintance that received such a call. Subsequently we didn't see him for several weeks while he recovered from quadruple bypass surgery! I have some significant activities planned that preclude a six week recovery period. I briefly considered turning my phone off for the afternoon but decided that would just delay the inevitable so i left it on.

Americans have elevated eating to a recreational activity. Most adopt the strategy that satisfaction is attained by volume and then try to minimize weight gain by limiting caloric intake. I really don't like the taste of high volume low calorie food so I have adopted the reverse. I eat all of the good stuff; pepperoni pizza, regular coke, real ice cream, full flavored full fat milk, etc but I limit the volume. Well there are occasional splurges but another of my rules is 'moderation in everything including moderation'. And then to provide incentive to abide by this self imposed volume limit I share the details of my regimen with my friends. In this way I am motivated to police my intake so I don't have to suffer the embarrassment of admitting I was wrong! For me this works ... almost. My body mass index is on the high end of 'OK' but I do enjoy some good food!

Since you are reading this, you can assume that the result of my stress test was nominal and my life style choices vindicated. Is my choice of food 'persnickety'. I think not. Rather it maximizes the enjoyment that I get from my limited intake.