First, let me say if the post appears inappropriate then I assume the mods will just delete it, but as I say in the extended question below, I respect the knowledge of endrocrinology and medicine for the most part more from most of the mods here than mosts doctors I know. That being, said, here's my question after the dotted line, let me just give you alittle backgroud before the question of my mom's medical history. Keep in mind I'm not asking you to make a diagnosis, just some advice or suggestions as if this was your mother. If this was you mother, what would you do? I am exposing myself personally alittle bit which I would nornmally do with friends,it is a bit uncomfortable, but I truely need your help. So, here it is.
I know alot of you might just think or say, "just take her to the doctor and have him write her the scripts, and she'll be fine'. With my mom, I'm not sure how to articulate this but that would be very difficult, not only finding a good doc, but getter her there, and then, getting her to listen. I hope some of you might see where I am coming from, so at least for the short term it seems like there might be something that can be done until I can make the necessary arangements with finding a good doc and getting her there etc. Which is another reason why I'm writing this post...
Patient: 60+sYOF, 102lbs 5’8,
disorder (which makes
her an impossible patient to
EX-Alcoholic for 30+ years,
but no cirrhosis, and retains
to some degree a functioning
Surprisingly no she never got
esophageal varicose veins
which is common in alcaholics
Habitual smoker for 40+ years
Four severe heart attacks
History of DVT(Deep Vein
Blames all her problems on
allergies and is in complete
denial on all her problems.
Deaf with a type ‘A’ Personality
No illicit drug use, ever
No diabetes at all
No cancer, as of yet
No other diseases and/or
Reasons: Lets just say that my child hood wasn’t the best.I don’t know who my father is, but now that I Married with a son, and perhaps it’s because my mom is menopausal, she is the nicest and the The most pleasant person to be around. She is kind, generous, self-sacriaficing, compassionate, considerate, everything I hoped my mother would have been, but is now. Now at 28, it does feel alittle late to be making any changes, but honestly this is the first time in my life I am actually having feelings for my mother, which is basically my only family left. My wife is the woman I’ve always wanted, but her family is completely neurotic so she is basically my son’s only grandmother and extended family. So, for the first time in my life just when I want my mother to be around, she looks and acts like she is going to have another heart attack and drop dead. So, I made up this short plan, and I beg, beg, and beg some more, implore and beg again for you educated intelligent endocrine folks to give me advice on how to keep her around for a few more years, or as much as possible. She is the worst, and I mean worst patient. Although, she has medicare, the medications she can get and the doctors she can go to are limited. At some point I’m going to have to drag her to a different doctor again, and I don’t expect his arrogant ‘better than thou’ syndrome will do much for me/her. At least order baseline blood work and the minimal unscheduled meds that are harder to get. But, again I don’t expect much, I have had a lot of bad experiences with doctors. Which, at times, usually ends up with the doctor telling me “You are not a Doctor, so stop acting like one” after I have quoted studies and handed him journals supporting my statements for care for my mother. So, I’m sure some of these substances that I’m going to have to get through sources in the black market, which I understand and I am fine with. So, please take a look and give me your best-educated advice on what you would do in my situation and this was your mother with these problems. In many ways, I trust your advice more than most doctors. So, I will be carefully reading any posts that are submitted. Thanks again for taking the time to read this post and hopefully give a helpful suggestion or supportive comment for or against my ideas.
THE PLAN FOR SOME DEGREE OF LIFE EXTENSION
P=Possible/potential future consideration/use
(N)5mg Warfarin or ASA daily(PM only)
Purpose: For blood thinning purposes since she has a history of four heart attacks in the past 20 years, the last one being about 8 years ago. Seems to be what’s keeping her alive with her heart attack history.
(F)1 tab 5mg Dianabol Daily(AM only)
Just a thought due to her weight loss and progressive emaciation, from not eating due to chronic smoking, however it could also serve as a degree of estrogen since whatever is aromatised could stimulate estrogen receptors and cause some degree of regeneration. I know docs used to prescribed 5mg daily to women in the 1950s for hormone replacement and weight gain. Since it is so short acting with such a sort half life the ultimate risks of severe masculinization problems would be minimal.
(F)1 tab 5mg Oxandrolone? Weekends?
(Just a thought due to her weight loss and progressive emaciation, from not eating due to chronic smoking )
(F)1 tab 25mg DHEA ED(AM only)
The woman is old, has a history of chronic alcoholism, which she doesn’t drink anymore, and has been smoking for 30 years but only 1 pack a day. However, that one pack has cost her 4 heart attacks and beginning stages of emphysema. I don’t attribute the heart attacks to genetics. Since, no one else in the family has had them, and it is a fact that you are 410% more likely to experience a heart attack if you smoke 1 pack a day for 5 years or longer.
(F)Progesterone cream (14 days only)AM
Obviously progresterone is a necessary regenerative hormone for the female body, I remember reading in the 1950s when they tried just giving estrogen to women as hormone replacement without progestins their endometrial and cervical cancer rates increased dramatically. Makes sense, the hormone is there and there for a reason.
Studies show of the three estrogens, Estradiol, Estrone, and Estriol, Estriol is the more common hormone amoung normal and healthy young women by 90%(*) compared to estradiol with very small percentages and estrone being represented also in small percentages and from higher fat ratios.
Studies have shown that Deprenyl increases IGF-1 blood levels, thus indicating at least some degree of either growth horomone stimulation or IGF-1 stimulation or release in the liver.
(F)6 clomid dose 300mg for 1 day end of the month
(for cholesterol and estrogen stimulation)
Research Bill Roberts has either done or made reference to seems to indicate that this estrogenic isomer not only stimulates the release of ovum, but has a beneficial effect on cholesterol profiles. Which is one of the reasons why women are less likely to die from a heart attack then men, due to their estrogen levels, or so they say. At any rate, clomid has a long half life and a single day dosing of 300mg seems like it would at least do some good for her cholesterol HDL/LDL profiles.
(F)1 tab daily Chlordiazeproxide
stimulates hormonal release/ also doubles as antixiolyic This is the only anti-anxiety medication which I have read that does not interfere and increase enzymes that aromatise hormones negatively, like versed, valium, xanax ect. Rather, this antianxiety which is also a benzodiazepine is the only one that has been shown to actually not interfere with hormonal levels in men and women. With my mother, she does everything loud, gets angry at the slightest things, and argues just to argue, and I think this medication would greatly benefit her condition without further causing any other problems.
She complains of nausea at times, again blames it all on allergies. I thought either this or phenergan would help here.
(N)Allergy med. PRN(diphenhydramine)
Funny thing is, I don’t think her allergies are really that bad.
(F)1 tab daily Zyban/Wellbuttrin
I have heard this is very useful with people attempting to quit smoking, and all it is actually is well-buttrin, but renamed for smoking cessation. And, with her borderline personality disorder perhaps it would help there as well.
I remember forcing her to go to a psychiatrist one time paying for it myself, and ultimately she just told the psychiatrist what he wanted to hear, and he did nothing, in spite of what I described she is like. One thing also, she is smart, but never had an education past 3rd grade, and educated herself on everything she needed to know.
Interesting Note: According to family members, she has been the nicest, the most sane, and the most enjoyable to be around when preganant with me, now granted both progesterone and estrogen levels in pregnancy are several several times their normal baseline, but this does give a clue on what her neurochemistry problem may be and is a testament to the power of hormones on the brain and psychological disorders.
(Currently not taking anything below)
Glutamine caps ED/AM
There is one study that shows if given in the AM at high levels, it increases HGH levels
2/pills Creatine pills or drink ED/AM
Studies have shown creatine helps with heart attack victims pump blood easier
1/500mg NAC EOD
Liver aid/powerful antioxidant
1/200mg ALA EOD
EFA,Liver aid/powerful antioxidant
1/pill DMAE EOD
1 Cal-D-Gluc ED PM?
Liver aid/antioxidant….but doesn’t’ this interfere with absorbtion of oral AAS? I believe I remember reading a post by GW on this, stating that due to it’s metabolic pathway in the gut, it would interfere with oral AAS.
1 tab Multivitamin ED
Common sense, she take none, drinks coffee and eats very very little
Isn’t this supposed to be beneficial for anti-aging?
1 tab Coral Calcium??? ED
Is there any real benefit from this, does this help at all, the infomercial sounded good, but the ‘Barefoot’ guy I noticed doesn’t have a degree in anything. Thoughts?
1/tab Vitex Agnus ED(1st 14 days)
Supposed to stimulate progesterone secretion in women?/ And help with PMS
I know it raised my testosterone levels higher and faster than clomid did, and is also
A popular method of treatment for andropause with naturopathic physicians
1/tab Black Cohosh ED(2nd 14 days)
Supposed to stimulate estrogen secretion in women?Same thing, just the opposing hormone, trying to simulate nature’s cycle by cycling in a 28 day routine
1/tab Astragulus ED
Health, immune stimulus
1/tab CLA ED
Effective anti-cancer agent/preventative/powerful antioxidant(precaution)
1 tab CoQ10 ED
1 tab SAMe
Has been found to be beneficial for joints, and mental conditions
(every 3 months)
Very Effective anticancer agent/preventative
Soy milk daily
More phytoestrogens to help out
-This is what I put together and what I could think of that could help, improve quality of life, help with anabolism, improve any regeneration of tissue, slow down aging ect. I don't know much about these sort of issues, and these are just Ideas, I hope anyone of the mods or educated professsionals int this area can help me out with ideas, advice, and/or suggestions.
Thanks for your time for reading my post.
Very Best Regards
Credat Judaeus Apella, non ego. -
Horace's Satires, book 1, satire 5, lines 100-101
[This message was edited by MisterX on 07-30-2003 at 10:19 PM.]