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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Am A 60 Yr Old Male, Quit Smoking Over

I am a 60 yr old male, quit smoking over five years ago, quit drinking 8 months ago, have lost 46lbs since 12/28/15, and am seeing swollen glands on both side of neck, pituitary glands?

I have no money.

Here is a letter to my doctor though: I just wanted to check in with you on a few things and some concerns. I was looking at my vitals on the portal from my last appointment on 02/10/16 (my next appt. is on 6/21), and comparing them to today, as I have made some significant changes to my life style! My current vitals are; weight 221 (down 46 lbs. from high recorded of 267 on 12/28) and I am just starting the weight loss, my goal is 200 lbs; same height of course; heart rate around 90/min usually; BSA 2.21 m2; BMI 32.6 kg/m2; Blood Pressure, right arm 131/84, left arm 134/81; Blood Sugar 80 to 90 AM, 120 to 125 after meals, and then recovers back to 80 to 90 quickly. As you can compare, especially the weight difference, allot of changes going on in my body. The CPAP is working out well; though I received a call from Epoch saying I was not in compliance; too many mask leaks, which I do not think is the case and will explain, when I show you the "myAir" records from the "Resmed" website. The hours used when sleeping are normally 5 to 7 hours, but that is my choice, as I wake up during the night to answer calls from my significant other, who at age 59, is on a six-month tour in Kabul, Afghanistan, as head of logistics in/for the Air Force; so I pick up the phone whatever time she calls me; Kabul is eight hours ahead of EST.
My conditions and concerns right now are the "MERALGIA PARESTHETICA" is pretty much under control. I still use both the Voltaren Gel, as needed, and the Meloxicam every day. Losing the weight and wearing loose fitting clothing, because of the weight loss has helped. After reading about the name of the problem, I really think it was due to a pinched nerve in my abdomen do to my then weight and tight fitting clothes and belt; it is slowley getting better though. So regarding my concerns; do I still need or can I cut back on the diabetes and blood pressure medications? Outside of the numbness from MERALGIA PARESTHETICA, my circulation in my hands and feet are very poor. My feet and hands are constantly cold, especially my feet are cold and numb normally, sort of worried about the diabetes issue, but it seems to be normal.
Please let me know your advice, or if you would like me in earlier than my appointment on 6/21?
Thanks again for your support and advice, has made a big difference, much appreciated!

I just tonight noticed the glands swollen, but I have lost allot of weight, so face has shrunk.

Email is YYYY@YYYY



Sat, 14 May 2016
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I Am A 60 Yr Old Male, Quit Smoking Over