Posts belonging to Category 'Asthma Attack Symptoms'

*Article* Blood Test for Panic Disorder

Question:

I agree 33 is too small a sample size. Sunil Interesting article. We desperately need more quantitative, objective tools for diagnosing psychiatric illnesses. But some points stuck out. Only 33 subjects in the study seems tiny. I guess they will try to do larger tests in the future. I don’t know much about gene expression but I believe that reacts to conditions in the body, particularly in the immune system, and is not immutable like the genome itself. So, which was the cause, the panic disorder or the differences in the gene expression? Bob

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Interesting article. We desperately need more quantitative, objective tools for diagnosing psychiatric illnesses. But some points stuck out. Only 33 subjects in the study seems tiny. I guess they will try to do larger tests in the future. I don’t know much about gene expression but I believe that reacts to conditions in the body, particularly in the immune system, and is not immutable like the genome itself. So, which was the cause, the panic disorder or the differences in the gene expression? Bob — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Blood Test for Panic Disorder By: Psych Central News Editor     on Tuesday, Mar, 6, 2007 The ability to predict or test for certain behavioral and mental conditions appears to be on the doorstep of the rapidly evolving ring of medical genetics. University of Iowa researchers say blood tests for panic disorder and other mental health conditions are being commercially developed. The findings, which were based on analysis of genetic information in immature white blood cells, appear in the American Journal of Medical Genetics.

One more for Margrove or anyone who has an opinion :-)

Question:

Hi guys.  Has anyone ever heard of non-fearful panic disorder (NFPD)? I’ve seen it on a few websites but they seem unsure if this condiiton actually exists.  Do you think it is a real condition or a sub-type of regular panic disorder?  It seems to describe my illness very well. "Is it possible to have panic attacks without fear? Beitman et al. reported that 32%- 41% of panic disorder (PD) patients seeking treatment for chest pain have non-fearful panic disorder (NFPD). " http://psy.psychiatryonline.org/cgi/content/abstract/41/4/311 — _TJ_ <TJ_IREL at YAHOO dot IE — The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi guys.  Has anyone ever heard of non-fearful panic disorder (NFPD)? I’ve seen it on a few websites but they seem unsure if this condiiton actually exists.  Do you think it is a real condition or a sub-type of regular panic disorder?  It seems to describe my illness very well. "Is it possible to have panic attacks without fear? Beitman et al. reported that 32%- 41% of panic disorder (PD) patients seeking treatment for chest pain have non-fearful panic disorder (NFPD). " http://psy.psychiatryonline.org/cgi/content/abstract/41/4/311 — _TJ_ <TJ_IREL at YAHOO dot IE

it is one manifestation of anxiety-if one has chest pain and it is anxiety based they are fearful of the pain, the reason behind it and the possibility of real mortal illness and death or prolonged horrible suffering when in fact the only suffering the patient has is the chest pain and the anxiety that produced it and the secondary anxiety about the chest pain there are some adrenal tumors that cause a rapid fire autonomous panic-but eventually the person grounds that into a form of proximal anxiety vrs state anxiety anxiety can manifest itself in all kinds of ways, it is very chameleon like, mimicking all kinds of organic disease-non fearful panic is sort of an oxymoron panic is fear based-a panic like response still has a fear base-the same arousal mechanisms that one experiences with anxiety occurs while having sex or any exciting activity-there is one component to panic that is not present and that is the overabundance of dread rather then joy or pleasure. I suppose on some level one can have the symptoms of panic before one feels panic. I also suppose that one may have out of the blue panic that cannot demonstrate a clear stimuli-but most often one can be found when one knows how to look. Some people can be disconnected from their feelings enough to have anxiety without responding to it or being blinded to it-this is not acceptance of it, it is being avoidant of accepting it. The prominent symptom of gad is worry-worrying about worrying is the next symptom-I do respect Beitman, so I shall try to look into what is being reported here what is meant… — The charter is available at: http://readystump.algebra.com/~asapm

Response:

I do respect Beitman, so I shall try to look into what is being reported here what is meant…

Excellent. And much appreciated. When I first started experiencing panic attacks 30+ years ago, I acquired the usual group of fears – driving, crowds, confined spaces, dark/loud places like clubs and movie theaters, etc. After completing a year of head and med therapy (90-91) I found I was able to unlink those previous fears, and engage in these activities without symptoms. Starting around 2000, I found myself experiencing sudden onset "no-fear panic attacks" accompanied by a lower degree of hyperarousal for days and weeks afterward. There are also days I can engage in pretty much any activity I desire without triggering hyperarousal or symptom escalation. After several visits to my GP and a couple to a cardiologist, all evaluations have come back negative. Looking forward to any information you are willing to share. — The charter is available at: http://readystump.algebra.com/~asapm

Response:

I do respect Beitman, so I shall try to look into what is being reported here what is meant… Excellent. And much appreciated. When I first started experiencing panic attacks 30+ years ago, I acquired the usual group of fears – driving, crowds, confined spaces, dark/loud places like clubs and movie theaters, etc. After completing a year of head and med therapy (90-91) I found I was able to unlink those previous fears, and engage in these activities without symptoms.

when we disengage those fears we actually take power back from them-make the things we were afraid of out own-we possess them again. The problem we can encounter as time goes by without continuing a program of continuing to grow our possessions is the same things that scared us before can scare us again-but some component of our belief about that which frightened us is missing-because we beat the crap out of it-so the fears begin at a lower level of intensity-if you start working on those things, paying due dilligence to recovering your ground again-they will go away of become a smaller background then they are now for you Starting around 2000, I found myself experiencing sudden onset "no-fear panic attacks" accompanied by a lower degree of hyperarousal for days and weeks afterward. There are also days I can engage in pretty much any activity I desire without triggering hyperarousal or symptom escalation. After several visits to my GP and a couple to a cardiologist, all evaluations have come back negative.

anxiety disorders are chronic and reccurent so they can abate for periods of time ad come back yet again-sometimes the same and sometimes with a different presentation-this may be why someone like Sheehey believed the anxiety disorder morphed into a different cluster of symptoms-that the disease itself goes through stages-it isn;t stages it is different presentations-we conquer a fear of bridges or social situations only to develop a fear of illness or of a racing heart or of any number of other things-Freud would have called this symptoms replacement, but in fact what it is is the same beliefs "I should not feel afraid or anxious" I must not, I cannot, always, never, have to, got to, etc all these absolutistic ideations begin to wreck havoc again. I can go here, but not there, I can do this but not that-and it changes as you crash apart the beliefs-old habits die hard and our nervous systems and brains are configured to react the way they do-in hyperdrive and super sensitive to negative autosuggestion Looking forward to any information you are willing to share.

– The charter is available at: http://readystump.algebra.com/~asapm

Response:

Hi guys.  Has anyone ever heard of non-fearful panic disorder (NFPD)? I’ve seen it on a few websites but they seem unsure if this condiiton actually exists.  Do you think it is a real condition or a sub-type of regular panic disorder?  It seems to describe my illness very well. "Is it possible to have panic attacks without fear? Beitman et al. reported that 32%- 41% of panic disorder (PD) patients seeking treatment for chest pain have non-fearful panic disorder (NFPD). " http://psy.psychiatryonline.org/cgi/content/abstract/41/4/311 — _TJ_ <TJ_IREL at YAHOO dot IE

Is it possible to have panic attacks without fear? Beitman et al. reported that 32%

I rather be Dazed

Question:

My well meaning sisiter is worried about me taking so many meds for panic. She suggested deeped breathing, thinking good toughts etc. No body around me seems to understand the what its like to have a panic attack. Iam starting to wonder if panic attacks result from a brain disorder. Everyone in this group knows that attacks can be felt inside. Its like having a demon inside your body. It affects every aspects of your life. I rather be dazed from Zyprexa, Xanax and even blood pressure meds. Than staying in bed for days. Has anyone tried these non med treatments? they dont work.                                         Phillip

Response:

My well meaning sisiter is worried about me taking so many meds for panic. She suggested deeped breathing, thinking good toughts etc. No body around me seems to understand the what its like to have a panic attack. Iam starting to wonder if panic attacks result from a brain disorder. Everyone in this group knows that attacks can be felt inside. Its like having a demon inside your body. It affects every aspects of your life. I rather be dazed from Zyprexa, Xanax and even blood pressure meds. Than staying in bed for days. Has anyone tried these non med treatments? they dont work.

I tried no meds last spring.  It was awful.  I felt like I was going to grind my teeth to nubs.  I also felt the "demon inside" feeling.  I would love to be able to manage panic on my own…  but it ain’t gonna happen. Not then, not now and not in the future.  And I’m not bothered by the fact that I have to take meds for it.  As long as I feel okay (even not great), then I’m satisfied. —

Hi, I'm Curtis

Question:

Re: Hi Curtis!   Group: alt.support.hepatitis-c Date: Fri, Dec 16, 2005, 5:29pm (CST-1) From: curtisstinn…@cableone.net (Curtis

Very painful right hand, peripheral neuropathy

Question:

madness of usenet: – Hide quoted text — Show quoted text -I have been having a lot of pain in my right hand for some time now.  My pain is related to hypersensitivity along the nerves that run across the hand along the sides of the fingers.  Really very painful burning pain that eases after a few seconds usually caused by something hard pushing against the nerve.  I noticed also something called Mortons Neuroma… essentially this is the awareness of the nerve that runs along your foot between your big toe and the pinkie next door..!  Like walking on a marble.  I also get a little numbness on my big toes… When I saw the registrar at the diabetes clinic he was mainly concerned with the blood flow to the toes and hands and he was satisfied that they were OK… It IS worse when my bgs have been higher than usual…  So only one answer to that! I don’t think analgesics are very useful for me, although the Doc did indicate that drugs might help if it gets worse. Hope you sort yours out soon…. —

did you have the hand tested for neuropathy?  don’t make the mistake of confusing carpal tunnel syndrome with neuropathy.  This can be tested by a neurologist. as for the foot, you should consult a podiatrist who specializes in diabetic foot care.  What you are describing can be treated in a number of ways.  The one that worked for me was to inject a combination of alcohol and lidocaine along the nerve over a period of several weeks.  It helped to reduce the inflammation of the nerve to the point where it was no longer painful.  Letting it go untreated will only allow the pain to increase over time.  The diabetic clinic is only concerned about the circulation because that is all they are qualified to check for really.  Unless there is an obvious wound or infection.  At which point they would refer you to a podiatrist anyway.  The inflammation of the nerve you are describing has nothing to do with circulation. M

Please Post Panic Disorder FAQ part 2 of 2

Question:

Thanks!

– Hide quoted text — Show quoted text – and then I found the following in google archives. Unfortuantly it is only part 1 of 2. Here’s the entire thing again – the last copy I have of it, anyhow. It hasn’t been through an update, as far as I know. It used to get updating on a regular basis. Some of the URLs may be gone, but the basics are still quite sound, IMO. Title: FAQ on panic disorder The following Frequently-Asked-Questions (FAQ) is a supplement to the NIMH publications on panic disorder.  It includes coping techniques, reference books, newsletters, organizations, and locating a support group.  This evolving document posted monthly, is for information only and does not represent professional medical advice.  Corrections, updates, additions, and article summaries are welcome.  Please send your cited within parenthesis.  Last updated July 1, 1999. & Temporary for the July 1, 1999 posting.  Many thanks to Jim for maintaining and posting the FAQ for the past while.  Jim has handed the reigns to me, so send in those comments and recommendations. TABLE OF CONTENTS + Added since last posting & Updated since last posting   1. What causes the symptoms of a panic attack?   2. What are the origins of panic disorder?   3. Is panic disorder a biological or psychological disorder?   4. How can I cope with anxiety and panic attacks?   5. What is the long term course of panic disorder?   6. What are new medications for panic disorder?   7. Can I become addicted to tranquilizers?   8. How can I find an anxiety disorders specialist or support group?   9. How can I get the most benefit from therapy? 10. What books and articles are recommended for anxiety and         panic disorder?  11. Where are web sites with information about anxiety disorders?  12. Contributors 1. WHAT CAUSES THE SYMPTOMS OF A PANIC ATTACK? Adapted from "Mastery of Your Anxiety and Panic", D.H. Barlow and M.G. Craske, Graywind Publicatons, Albany NY, 1994. When confronted with a real or perceived threat, the automatic "fight or flight" response may be triggered to prepare the body for immediate action.  This evolutionary development in many organisms normally functions for survival and protection.  It may become a panic attack when the emergency response occurs in a situation where it is not appropriate.  Although the symptoms may be uncomfortable and frightening, they are not dangerous. The brain activates the sympathetic nervous system, causing the release of adrenaline from the adrenal glands.  This may be experienced as a hot flush sensation.  The rate and strength of the heartbeat increases to supply more oxygen to the tissues.  Contraction or expansion of different blood vessels divert blood from the skin, fingers, and toes to the large muscles.  This reduces bleeding in case of an "attack", and may cause a feeling of coldness or numbness in the hands or feet. Breathing increases in rate and depth to exchange more oxygen to prepare for exertion.  Breathlessness, dizziness, and pain or tightness in the chest may be experienced.  Sweat glands are stimulated to prevent overheating.  The pupils of the eye dilate to admit more light and increase peripheral vision to scan for danger.  Sensitivity to bright light, and visual disturbances may occur.  The digestive system shuts down to conserve blood for the muscles.  A dry mouth and nausea may result.  Muscles tense to prepare for escape, but may cause spasms and trembling when action is not taken.  Thoughts are are focused on the search for the threat, maintaining alertness and vigilance.  If there is no explanation for the emergency response, thoughts of loosing control, going crazy, or dying may occur. The fight or flight response is time limited because adrenaline is metabolized by the body.  When the perceived danger has passed, the parasympathetic nervous system counteracts the activation of the sympathetic nervous system, returning the body to a relaxed state. 2. WHAT ARE THE ORIGINS OF PANIC DISORDER? Adapted from "Panic Anxiety and Its Treatments", Edited by Gerald L.Klerman, M.D., et. al. Causal Factors Genetic Factors:  Studies show the risk of developing panic disorder is 15-17% in first degree relatives of panic disorder patients.  The risk for development in identical twins is 24-31%.  This indicates that panic disorder may be genetically transmitted. Psychoanalytic Theories:  Panic apprehension may be the emergence of deeply rooted, primarily aggressive unconscious conflicts, that originated in traumatic experiences in early childhood. Learning and Behavior Theories:  After the original spontaneous panic attack, further attacks may occur through conditioning in the situations where anxiety has been experienced.  Phobic avoidance may develop as patients seek to prevent further panic attacks.  Panic attacks may arise when anxiety is conditioned to internal stimuli, for example, heart palpitations. Cognitive Theories:  Panic attacks may develop when a person misinterprets the significance of certain bodily sensations as an impending medical emergency.  This leads to heightened anxiety and greater nervous arousal, setting up a positive feedback loop.  The rapidly escalating anxiety may lead to a panic attack. Childhood Separation Anxiety or Behavioral Inhibition:  School phobia and other childhood anxiety disorders may be early forms of panic disorder.  Children of parents with panic disorder are more likely to exhibit fear and withdrawal in unfamiliar situations. Parental Attitudes and Behavior:  Patients with panic disorder often describe their parents as overprotective, restricting, controlling, critical, frightening, or rejecting. Developmental Factors Provocation Studies:  Injection of sodium lactate can provoke panic attacks, possibly by stimulation of the locus ceruleus in the brain stem.  Carbon dioxide, yohimbine, caffeine, and other agents have provoked panic attacks in panic disorder patients.  These agents have been useful in studying the characteristics and mechanisms of panic attacks. Biological Markers:  Panic disorder patients may have abnormalities in monoamine oxidase, serotonin uptake, alpha2-adrenoceptor and 3H-imipramine receptors in platelets, and serotonin or norepinephrine metabolism.  This may support the role of neurotransmitter abnormalities in panic disorder. Animal Models:  Animal studies have implicated activation or abnormality of several brain structures within the limbic system during anxiety states. Brain Imaging:  During PET scans, abnormal cerebral blood flow patterns have been observed in the parahippocampal and hippocampal regions of the brain in panic disorder patients. Nocturnal Panic Attacks:  Increased sleep latency, decreased sleep time, decreased sleep efficiency, and increased rapid eye movement have been observed in panic disorder patients. Neurotransmitter Theories:  Increased activity or reactivity in the noradrenalin or serotonin neurotransmitter systems may cause or relate to panic attacks.  A subsensitivity of the benzodiazepine receptor could decrease the effect of GABA, an inhibitory neurotransmitter.  An excess or deficit of a naturally occurring substance operating on the benzodiazepine receptor may exist. Suffocaton Alarm Theory:  A suffocation alarm system within the brain may be hypersensitive to an increase in carbon dioxide level.  This produces sudden respiratory distress followed by hyperventilation, panic, and the urge to flee.  (Klein DF, False Suffocation Alarms, Spontaneous Panics, and Related Conditions, Arch. Gen. Psychiatry, 50, Apr 1993, p 306-317) Life Events:  Significant life events involving a loss or threat within the previous 12 months may contribute to the development of panic disorder. Personality Factors:  Patients may have unassertive, fearful, dependent, passive, anxious, or shy personality traits which preceed the development of panic disorder. 3. IS PANIC DISORDER A BIOLOGICAL OR PSYCHOLOGICAL DISORDER? Adapted from "Panic Disorder: The Medical Point of View" by William Kernodle, M.D. This is a controversial subject that has divided research and treatment of panic disorder.  All human behavior has a biological basis at the nerve cell level, but panic disorder also involves exaggerated thought and behavior patterns. One theory that includes both biological and behavioral theories proposes that the components of panic disorder: the panic attack, anticipatory anxiety, and agoraphobia, are associated with three distinct areas of the brain.  These areas are the brain stem, limbic system, and frontal cortex, respectively.  Panic attacks are triggered by stimulation of areas in the brain stem that control the release of adrenalin.  Stimulation of the locus ceruleus produces most of the physical symptoms of panic.  Antidepressants seem to block panic attacks by reducing the firing rate of the locus ceruleus.  The brain stem is also stimulated by higher brain areas which may be involved with stress. The limbic system, involved with the emotions of rage, arousal and fear, is suspected to be the location for anticipatory anxiety.  This area is rich with benzodiazepine receptors so benzodiazepine medications are most effective in the limbic area.  Paths linking the brain stem with the limbic system can produce anticipatory anxiety following a panic

… read more »

Response:

An excellent collection of material; thanks for posting it.  As a total aside, I recall David Barlow (being from Albany NY, I checked him out) – he is not especially fond of benzodiazepine therapy, or at least was not, at the time I was reading of him.  That is obviously not relevant to much else of this post thread.

– Hide quoted text — Show quoted text – and then I found the following in google archives. Unfortuantly it is only part 1 of 2. Here’s the entire thing again – the last copy I have of it, anyhow. It hasn’t been through an update, as far as I know. It used to get updating on a regular basis. Some of the URLs may be gone, but the basics are still quite sound, IMO. Title: FAQ on panic disorder The following Frequently-Asked-Questions (FAQ) is a supplement to the NIMH publications on panic disorder.  It includes coping techniques, reference books, newsletters, organizations, and locating a support group.  This evolving document posted monthly, is for information only and does not represent professional medical advice.  Corrections, updates, additions, and article summaries are welcome.  Please send your cited within parenthesis.  Last updated July 1, 1999. & Temporary for the July 1, 1999 posting.  Many thanks to Jim for maintaining and posting the FAQ for the past while.  Jim has handed the reigns to me, so send in those comments and recommendations. TABLE OF CONTENTS + Added since last posting & Updated since last posting  1. What causes the symptoms of a panic attack?  2. What are the origins of panic disorder?  3. Is panic disorder a biological or psychological disorder?  4. How can I cope with anxiety and panic attacks?  5. What is the long term course of panic disorder?  6. What are new medications for panic disorder?  7. Can I become addicted to tranquilizers?  8. How can I find an anxiety disorders specialist or support group?  9. How can I get the most benefit from therapy? 10. What books and articles are recommended for anxiety and        panic disorder? 11. Where are web sites with information about anxiety disorders? 12. Contributors 1. WHAT CAUSES THE SYMPTOMS OF A PANIC ATTACK? Adapted from "Mastery of Your Anxiety and Panic", D.H. Barlow and M.G. Craske, Graywind Publicatons, Albany NY, 1994. When confronted with a real or perceived threat, the automatic "fight or flight" response may be triggered to prepare the body for immediate action.  This evolutionary development in many organisms normally functions for survival and protection.  It may become a panic attack when the emergency response occurs in a situation where it is not appropriate.  Although the symptoms may be uncomfortable and frightening, they are not dangerous. The brain activates the sympathetic nervous system, causing the release of adrenaline from the adrenal glands.  This may be experienced as a hot flush sensation.  The rate and strength of the heartbeat increases to supply more oxygen to the tissues.  Contraction or expansion of different blood vessels divert blood from the skin, fingers, and toes to the large muscles.  This reduces bleeding in case of an "attack", and may cause a feeling of coldness or numbness in the hands or feet. Breathing increases in rate and depth to exchange more oxygen to prepare for exertion.  Breathlessness, dizziness, and pain or tightness in the chest may be experienced.  Sweat glands are stimulated to prevent overheating.  The pupils of the eye dilate to admit more light and increase peripheral vision to scan for danger.  Sensitivity to bright light, and visual disturbances may occur.  The digestive system shuts down to conserve blood for the muscles.  A dry mouth and nausea may result.  Muscles tense to prepare for escape, but may cause spasms and trembling when action is not taken.  Thoughts are are focused on the search for the threat, maintaining alertness and vigilance.  If there is no explanation for the emergency response, thoughts of loosing control, going crazy, or dying may occur. The fight or flight response is time limited because adrenaline is metabolized by the body.  When the perceived danger has passed, the parasympathetic nervous system counteracts the activation of the sympathetic nervous system, returning the body to a relaxed state. 2. WHAT ARE THE ORIGINS OF PANIC DISORDER? Adapted from "Panic Anxiety and Its Treatments", Edited by Gerald L.Klerman, M.D., et. al. Causal Factors Genetic Factors:  Studies show the risk of developing panic disorder is 15-17% in first degree relatives of panic disorder patients.  The risk for development in identical twins is 24-31%.  This indicates that panic disorder may be genetically transmitted. Psychoanalytic Theories:  Panic apprehension may be the emergence of deeply rooted, primarily aggressive unconscious conflicts, that originated in traumatic experiences in early childhood. Learning and Behavior Theories:  After the original spontaneous panic attack, further attacks may occur through conditioning in the situations where anxiety has been experienced.  Phobic avoidance may develop as patients seek to prevent further panic attacks.  Panic attacks may arise when anxiety is conditioned to internal stimuli, for example, heart palpitations. Cognitive Theories:  Panic attacks may develop when a person misinterprets the significance of certain bodily sensations as an impending medical emergency.  This leads to heightened anxiety and greater nervous arousal, setting up a positive feedback loop.  The rapidly escalating anxiety may lead to a panic attack. Childhood Separation Anxiety or Behavioral Inhibition:  School phobia and other childhood anxiety disorders may be early forms of panic disorder.  Children of parents with panic disorder are more likely to exhibit fear and withdrawal in unfamiliar situations. Parental Attitudes and Behavior:  Patients with panic disorder often describe their parents as overprotective, restricting, controlling, critical, frightening, or rejecting. Developmental Factors Provocation Studies:  Injection of sodium lactate can provoke panic attacks, possibly by stimulation of the locus ceruleus in the brain stem.  Carbon dioxide, yohimbine, caffeine, and other agents have provoked panic attacks in panic disorder patients.  These agents have been useful in studying the characteristics and mechanisms of panic attacks. Biological Markers:  Panic disorder patients may have abnormalities in monoamine oxidase, serotonin uptake, alpha2-adrenoceptor and 3H-imipramine receptors in platelets, and serotonin or norepinephrine metabolism.  This may support the role of neurotransmitter abnormalities in panic disorder. Animal Models:  Animal studies have implicated activation or abnormality of several brain structures within the limbic system during anxiety states. Brain Imaging:  During PET scans, abnormal cerebral blood flow patterns have been observed in the parahippocampal and hippocampal regions of the brain in panic disorder patients. Nocturnal Panic Attacks:  Increased sleep latency, decreased sleep time, decreased sleep efficiency, and increased rapid eye movement have been observed in panic disorder patients. Neurotransmitter Theories:  Increased activity or reactivity in the noradrenalin or serotonin neurotransmitter systems may cause or relate to panic attacks.  A subsensitivity of the benzodiazepine receptor could decrease the effect of GABA, an inhibitory neurotransmitter.  An excess or deficit of a naturally occurring substance operating on the benzodiazepine receptor may exist. Suffocaton Alarm Theory:  A suffocation alarm system within the brain may be hypersensitive to an increase in carbon dioxide level.  This produces sudden respiratory distress followed by hyperventilation, panic, and the urge to flee.  (Klein DF, False Suffocation Alarms, Spontaneous Panics, and Related Conditions, Arch. Gen. Psychiatry, 50, Apr 1993, p 306-317) Life Events:  Significant life events involving a loss or threat within the previous 12 months may contribute to the development of panic disorder. Personality Factors:  Patients may have unassertive, fearful, dependent, passive, anxious, or shy personality traits which preceed the development of panic disorder. 3. IS PANIC DISORDER A BIOLOGICAL OR PSYCHOLOGICAL DISORDER? Adapted from "Panic Disorder: The Medical Point of View" by William Kernodle, M.D. This is a controversial subject that has divided research and treatment of panic disorder.  All human behavior has a biological basis at the nerve cell level, but panic disorder also involves exaggerated thought and behavior patterns. One theory that includes both biological and behavioral theories proposes that the components of panic disorder: the panic attack, anticipatory anxiety, and agoraphobia, are associated with three distinct areas of the brain.  These areas are the brain stem, limbic system, and frontal cortex, respectively.  Panic attacks are triggered by stimulation of areas in the brain stem that control the release of adrenalin.  Stimulation of the locus ceruleus produces most of the physical symptoms of panic.  Antidepressants seem to block panic attacks by reducing the firing rate of the locus ceruleus.  The brain stem is also stimulated by higher brain areas which may be involved with stress. The limbic system, involved with the emotions of

… read more »

Response:

I found the following in google archives. Unfortuantly it is only part 1 of 2.

Here’s the entire thing again – the last copy I have of it, anyhow. It hasn’t been through an update, as far as I know. It used to get updating on a regular basis. Some of the URLs may be gone, but the basics are still quite sound, IMO. Title: FAQ on panic disorder The following Frequently-Asked-Questions (FAQ) is a supplement to the NIMH publications on panic disorder.  It includes coping techniques, reference books, newsletters, organizations, and locating a support group.  This evolving document posted monthly, is for information only and does not represent professional medical advice.  Corrections, updates, additions, and article summaries are welcome.  Please send your cited within parenthesis.  Last updated July 1, 1999. & Temporary for the July 1, 1999 posting.  Many thanks to Jim for maintaining and posting the FAQ for the past while.  Jim has handed the reigns to me, so send in those comments and recommendations. TABLE OF CONTENTS + Added since last posting & Updated since last posting   1. What causes the symptoms of a panic attack?   2. What are the origins of panic disorder?   3. Is panic disorder a biological or psychological disorder?   4. How can I cope with anxiety and panic attacks?   5. What is the long term course of panic disorder?   6. What are new medications for panic disorder?   7. Can I become addicted to tranquilizers?   8. How can I find an anxiety disorders specialist or support group?   9. How can I get the most benefit from therapy? 10. What books and articles are recommended for anxiety and         panic disorder?  11. Where are web sites with information about anxiety disorders?  12. Contributors 1. WHAT CAUSES THE SYMPTOMS OF A PANIC ATTACK? Adapted from "Mastery of Your Anxiety and Panic", D.H. Barlow and M.G. Craske, Graywind Publicatons, Albany NY, 1994. When confronted with a real or perceived threat, the automatic "fight or flight" response may be triggered to prepare the body for immediate action.  This evolutionary development in many organisms normally functions for survival and protection.  It may become a panic attack when the emergency response occurs in a situation where it is not appropriate.  Although the symptoms may be uncomfortable and frightening, they are not dangerous. The brain activates the sympathetic nervous system, causing the release of adrenaline from the adrenal glands.  This may be experienced as a hot flush sensation.  The rate and strength of the heartbeat increases to supply more oxygen to the tissues.  Contraction or expansion of different blood vessels divert blood from the skin, fingers, and toes to the large muscles.  This reduces bleeding in case of an "attack", and may cause a feeling of coldness or numbness in the hands or feet. Breathing increases in rate and depth to exchange more oxygen to prepare for exertion.  Breathlessness, dizziness, and pain or tightness in the chest may be experienced.  Sweat glands are stimulated to prevent overheating.  The pupils of the eye dilate to admit more light and increase peripheral vision to scan for danger.  Sensitivity to bright light, and visual disturbances may occur.  The digestive system shuts down to conserve blood for the muscles.  A dry mouth and nausea may result.  Muscles tense to prepare for escape, but may cause spasms and trembling when action is not taken.  Thoughts are are focused on the search for the threat, maintaining alertness and vigilance.  If there is no explanation for the emergency response, thoughts of loosing control, going crazy, or dying may occur. The fight or flight response is time limited because adrenaline is metabolized by the body.  When the perceived danger has passed, the parasympathetic nervous system counteracts the activation of the sympathetic nervous system, returning the body to a relaxed state. 2. WHAT ARE THE ORIGINS OF PANIC DISORDER? Adapted from "Panic Anxiety and Its Treatments", Edited by Gerald L.Klerman, M.D., et. al. Causal Factors Genetic Factors:  Studies show the risk of developing panic disorder is 15-17% in first degree relatives of panic disorder patients.  The risk for development in identical twins is 24-31%.  This indicates that panic disorder may be genetically transmitted. Psychoanalytic Theories:  Panic apprehension may be the emergence of deeply rooted, primarily aggressive unconscious conflicts, that originated in traumatic experiences in early childhood. Learning and Behavior Theories:  After the original spontaneous panic attack, further attacks may occur through conditioning in the situations where anxiety has been experienced.  Phobic avoidance may develop as patients seek to prevent further panic attacks.  Panic attacks may arise when anxiety is conditioned to internal stimuli, for example, heart palpitations. Cognitive Theories:  Panic attacks may develop when a person misinterprets the significance of certain bodily sensations as an impending medical emergency.  This leads to heightened anxiety and greater nervous arousal, setting up a positive feedback loop.  The rapidly escalating anxiety may lead to a panic attack. Childhood Separation Anxiety or Behavioral Inhibition:  School phobia and other childhood anxiety disorders may be early forms of panic disorder.  Children of parents with panic disorder are more likely to exhibit fear and withdrawal in unfamiliar situations. Parental Attitudes and Behavior:  Patients with panic disorder often describe their parents as overprotective, restricting, controlling, critical, frightening, or rejecting. Developmental Factors Provocation Studies:  Injection of sodium lactate can provoke panic attacks, possibly by stimulation of the locus ceruleus in the brain stem.  Carbon dioxide, yohimbine, caffeine, and other agents have provoked panic attacks in panic disorder patients.  These agents have been useful in studying the characteristics and mechanisms of panic attacks. Biological Markers:  Panic disorder patients may have abnormalities in monoamine oxidase, serotonin uptake, alpha2-adrenoceptor and 3H-imipramine receptors in platelets, and serotonin or norepinephrine metabolism.  This may support the role of neurotransmitter abnormalities in panic disorder. Animal Models:  Animal studies have implicated activation or abnormality of several brain structures within the limbic system during anxiety states. Brain Imaging:  During PET scans, abnormal cerebral blood flow patterns have been observed in the parahippocampal and hippocampal regions of the brain in panic disorder patients. Nocturnal Panic Attacks:  Increased sleep latency, decreased sleep time, decreased sleep efficiency, and increased rapid eye movement have been observed in panic disorder patients. Neurotransmitter Theories:  Increased activity or reactivity in the noradrenalin or serotonin neurotransmitter systems may cause or relate to panic attacks.  A subsensitivity of the benzodiazepine receptor could decrease the effect of GABA, an inhibitory neurotransmitter.  An excess or deficit of a naturally occurring substance operating on the benzodiazepine receptor may exist. Suffocaton Alarm Theory:  A suffocation alarm system within the brain may be hypersensitive to an increase in carbon dioxide level.  This produces sudden respiratory distress followed by hyperventilation, panic, and the urge to flee.  (Klein DF, False Suffocation Alarms, Spontaneous Panics, and Related Conditions, Arch. Gen. Psychiatry, 50, Apr 1993, p 306-317) Life Events:  Significant life events involving a loss or threat within the previous 12 months may contribute to the development of panic disorder. Personality Factors:  Patients may have unassertive, fearful, dependent, passive, anxious, or shy personality traits which preceed the development of panic disorder. 3. IS PANIC DISORDER A BIOLOGICAL OR PSYCHOLOGICAL DISORDER? Adapted from "Panic Disorder: The Medical Point of View" by William Kernodle, M.D. This is a controversial subject that has divided research and treatment of panic disorder.  All human behavior has a biological basis at the nerve cell level, but panic disorder also involves exaggerated thought and behavior patterns. One theory that includes both biological and behavioral theories proposes that the components of panic disorder: the panic attack, anticipatory anxiety, and agoraphobia, are associated with three distinct areas of the brain.  These areas are the brain stem, limbic system, and frontal cortex, respectively.  Panic attacks are triggered by stimulation of areas in the brain stem that control the release of adrenalin.  Stimulation of the locus ceruleus produces most of the physical symptoms of panic.  Antidepressants seem to block panic attacks by reducing the firing rate of the locus ceruleus.  The brain stem is also stimulated by higher brain areas which may be involved with stress. The limbic system, involved with the emotions of rage, arousal and fear, is suspected to be the location for anticipatory anxiety.  This area is rich with benzodiazepine receptors so benzodiazepine medications are most effective in the limbic area.  Paths linking the brain stem with the limbic system can produce anticipatory anxiety following a panic attack and vice versa.  The limbic system is also sensitive to changes in blood flow caused by hyperventilation. Abdominal breathing and relaxation decreases anticipatory anxiety by quieting the limbic system, blocking a potential trigger path for a panic attack. Agoraphobia is a learned behavior pattern which is probably located in the frontal cortex.  Cognitive-behavioral treatments are most effective at this higher level of the brain.  Discharges from the brain stem may be … read more »

Response:

I found the following in google archives. Unfortuantly it is only part 1 of 2. Recently diagnosed with Panic Disorder after heart attack that occurred last year (tough year) Would like to learn more.  Could Someone please post 2of2.  Prefer to remain anon at this time. Thanks Robert Panic Disorder FAQ panic disorder. It includes symptoms, causes, treatments, and coping techniques. Also listed are reference books, newsletters, organizations, and locating a support group. This is the third draft of an evolving document which will be posted monthly. Corrections, updates, and additions are welcome. Please send your contributions to Jim at Table of Contents & Updated since last posting 1. What is panic? 2. What is a panic attack? 3. What causes panic attack symptoms? 4. What is panic disorder and agoraphobia? + 5. What is generalized anxiety disorder? 6. What causes panic disorder? 7. What are the treatments for panic disorder? 8. Is panic disorder a biological or psychological disorder? & 9. How can I cope with anxiety and panic attacks? 10. What is the long term outcome for panic disorder? 11. How can I find an anxiety disorder clinic or support group? &12. What books are recommended for anxiety and panic disorder? 1. What is panic? frightening event. Without conscious awareness, your body reacts instantly to prepare for fight or flight. You probably experienced a strong, rapid heartbeat, shortness of breath, increased muscle tension, sweating, and heightened awareness. This emergency response is a primitive survival mechanism which evolved to protect you from attack by a predator. When the danger has passed, the physical symptoms receed. 2. What is a panic attack? response to a threat that is not dangerous or apparent. Since you can’t understand what is causing your symptoms, you feel out of control. You may think you are going to faint or have a heart attack. These thoughts further increase your symptoms, which intensify the attack. This may lead to thoughts of going insane or dying. Panic attacks may last from a few minutes to an hour or more. You may have a strong urge to escape the situation or seek help. Many people rush to the hospital emergency room after their first panic attack, and are told that there is nothing physically wrong. This leads to further anxiety and aprehension of another attack. The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), 1994) published by the American Psychiatric Association identifies a panic attack when at least four of the following symptoms develop suddenly without warning, reaching a peak within 10 minutes: 1. palpitations, pounding heart, or accelerated heart rate 2. sweating 3. trembling or shaking 4. sensations shortness of breath or smothering 5. feeling of choking 6. chest pain or discomfort 7. nausea or abdominal distress 8. feeling dizzy, unsteady, lightheaded, or faint 9. feelings of unreality or detachment from oneself 10. fear of loosing control or going crazy 11. fear of dying 12. numbness or tingling sensations 13. chills or hot flushes 3. What causes panic attack symptoms? activates the autonomic nervous system. The sympathetic nervous system prepares the body for emergency response. The parasympathetic nervous system restores the body to a normal state. The sympthetic nervous system releases adrenaline and noradrenaline from the adrenal glands. This tenses the the major muscle groups for action, and increses the strength and rate of the heartbeat. Blood flow is redirected away from the skin, fingers, and toes towards the large muscle groups. This may cause a hot flash sensation, followed by chills, and possibly numb feelings in the hands and feet. The breathing increases in speed and depth to get more oxygen to the tissues. This leads to sensations of breathlessness, dizziness, disorientation, and chest pain. A small decrease in blood supply to the brain intensifies these sensations. Sweat gland activity is increased to prevent the body from overheating. The pupils of the eyes dilate which may cause visual disturbances. The decrease in salivation and digestive processes leads to dry mouth and nausea. When the threat has passed, the parasympathetic nervous system takes over and restores the body to a relaxed state. It is important to realize that all these symptoms are a normal result of the emergency response mechanism and are not harmful. 4. What is panic disorder and agoraphobia? disorder without agoraphobia is diagnosed when you experience recurrent unexpected panic attacks and for a period of one month or more, you experience one or more of the following: A. worry about having additional attacks B. worry about the implications or consequences of an attack C. significant change in behavior because of the attacks Since this classification is somewhat arbitrary, seek professional help if your symptoms interfere with your life. About 2% of the general population suffers from panic disorder. Agoraphobia develops when you avoid situations that you associate with panic attacks. Since panic attacks are often unpredictable, you may gradually avoid many places and situations. In extreme cases, you may avoid leaving your home. 5. What is generalized anxiety disorder? characterized by DSM-IV as excessive anxiety and worry occurring at least half the time for more than 6 months about events or activities such as work or school performance. The person has difficulty controlling the worry. At least three of the following symptoms are present: restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and sleep disturbance. The anxiety causes significant impairment in social or occupational functioning. The disturbance is not due to substance abuse, general medical condition, or another psychological disorder. The symptoms develop more slowly, last much longer, and fade away more gradually than panic disorder. Effective treatments are aerobic exercise, relaxation techniques, cognitive/behavior therapy, biofeedback, or short-term benzodiazepine medication (Gold). Refer to "exercises to reduce general anxiety" in section 9. 6. What causes panic disorder? panic symptoms. These disorders include thyroid disease, hypoglycemia, pheochromocytoma (adrenal tumors), mitral valve prolapse, temporal lobe seizures, and substance abuse. These disorders can usually be differentiated from panic disorder by carefully applying the DSM-IV criteria (Kernodle). Your personality traits can make you vulnerable to anxiety disorders (Peurifoy). These traits include a high level of creativity/imagination, rigid thinking patterns, excessive need for approval or control, excessively high self-expectations, perfectionism, dependability, supression of negative feelings, and ignoring physical needs. The following section was adapted from "Coping with Panic", by George Clum, Ph.D. Contributing factors for developing panic disorder are genetic, physiological, chemical, psychological, stress, and depression. The greater number of factors that are present, the more likely you are to develop panic disorder in response to stress. Panic disorder tends to run in families. If a member of your immediate family has panic disorder, you have a 15% chance of developing the disorder. It may be occur by inheritance or learned behavior. Caffeine is known to trigger panic attacks in people vulnerable to panic disorder. Alcohol initially depresses the central nervous system, but later causes increased nervous symptoms that may trigger a panic attack. People with heart disease are susceptable to panic attacks. Other conditions associated with panic attacks are asthma, allergic reactions, and inner ear problems. Chronic or acute stress is strongly correlated with the onset of panic. You may be unable to resolve a major conflict in your life. Your belief system can make you vulnerable to panic. You may feel dependent on another person, feel that you are losing control, feel that you cannot be successful, or fear disappointing others. Depression may preceed or accompany panic disorder. It may develop when you avoid situations where you experience panic attacks. It can lower your resistance to stress. The unpredictable course of panic disorder may lead to feelings of depression. You may subconsciously trigger your panic attacks by tensing your muscles, holding your breath, hyperventilating, or hyperattention to normal physical sensations. 7. What are the treatments for panic disorder? to have a thorough physical examination by a trusted physician to rule out any physical problems. If your M.D. rules out a physical problem and diagnoses panic disorder, find a psychiatrist or psychologist who has experience treating anxiety disorders. Resist the temptation to find a specialist in an effort to discover a physical cause for the disorder. Medication and psychotherapy are effective in the treatment of panic disorder. The following sections have been adapted from "Coping With Panic", by George Clum, Ph.D. Effectiveness, side effects, and relapse rates are composite estimates based on his review of available research. Antidepressants and tranquilizers … read more »

Response:

I wanna whine, but can't drink!

Question:

- Hide quoted text — Show quoted text -Peahen <pea…@att.net

wrote: "Keera Ann Fox" <ke…@online.no wrote in message news:1gmwc36.1u75whaajvu4wN%keera@online.no… Not a wink of sleep after a party at a hotel with co-workers, nothing but pounding, fast (but not terribly fast) heart. Just wouldn’t let me rest! Now I read about the phenomenon again and probably need to cut out coffee and definitely can’t drink much alcohol any more (and I was actually taking it relatively easy). But the combo plus being stressed out lately and having a really bad PMS… And I couldn’t breathe properly, couldn’t get my diaphragm to move and let me fill my lungs. *SCREEEEEEEEEEEEEEEEEEEEEEAM!* You’ve probably developed an intolerance or allery to alcohol.  I’ve always had it, but notice that it’s much more pronounced over the years.  I rarely have anything with alcohol in it now (sigh).  First drink–bloodshot eyes, red face.  Second symptom–whites of eyes have turned red, really red face, some palpitations, and harder to breath (hardly go here anymore).  Third drink–eyes the same (last symptom to go), purple face, 300 pound gorilla sitting on my chest, heart trying to jump out of it.

Does make you wonder whether there might be some truth to the rumour that alcohol isn’t good for you, doesn’t it? — Chris Malcolm c…@infirmatics.ed.ac.uk +44 (0)131 651 3445 DoD #205 IPAB,  Informatics,  JCMB, King’s Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]

Response:

Peahen <pea…@att.net

wrote: "Chakolate" <chakolateDeathToSpamm…@allvantage.com wrote in message news:Xns959A9ECB98418chakolatehotmailcom@130.133.1.4… ke…@online.no (Keera Ann Fox) wrote in news:1gmwc36.1u75whaajvu4wN%keera@online.no: But I feel like a gorilla jumped on my chest. Jeepers, Keera, this sounds terrible and terrifying.  Do you think it might be related to all the stress involved in taking care of your grandmother’s stuff? You know, it could be, but I’m more inclined to think it’s physiological. I get the same reaction.

So am I. It’s not like me to have that kind of physical reaction to stress. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

jfred <d…@petitm0rte.net

wrote: Keera Ann Fox <ke…@online.no wrote: Not a wink of sleep after a party at a hotel with co-workers, nothing but pounding, fast (but not terribly fast) heart. Just wouldn’t let me rest! [...] And I couldn’t breathe properly, couldn’t get my diaphragm to move and let me fill my lungs. These sound like fairly classic anxiety attack symptoms to me (a veteran). The diaphram issue, especially.

I’m having trouble with what came first, though: Pounding heart causing anxiety, or anxiety causing pounding heart. I have no clue about anxiety attacks, and I can’t understand why I would have one. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

"Keera Ann Fox" <ke…@online.no

wrote in message

news:1gmwke8.1sspis9tsv3goN%keera@online.no… – Hide quoted text — Show quoted text -

FurPaw <furpawnews…@comcast.net wrote: Keera Ann Fox wrote: FurPaw <furpawnews…@comcast.net wrote: I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little

caffeine.

I thought green tea had _no_ caffeine? Not that I’ve been drinking it. Just a little.  Here’s a comparison chart for a bunch of beverages: http://wilstar.com/caffeine.htm That’s probably how I got the impression that it was caffeine-free. "Nobody" talks about the caffeine in green tea.

Oh, it’s definately there.  However there is some evidence that it works on the body in slightly different ways to the caffeine in coffee. — Jette "Work for Peace and remain Fiercely Loving" – Jim Byrnes je…@blueyonder.co.uk http://www.jette.pwp.blueyonder.co.uk/

Response:

I don’t think I like this perimenopause thing, after all. I scared the sh*t out of me this weekend. Palpitations. Who the h*ll thought those were a good thing to give humanity??? Bobdangit. Not a wink of sleep after a party at a hotel with co-workers, nothing but pounding, fast (but not terribly fast) heart. Just wouldn’t let me rest! Now I read about the phenomenon again and probably need to cut out coffee and definitely can’t drink much alcohol any more (and I was actually taking it relatively easy). But the combo plus being stressed out lately and having a really bad PMS… And I couldn’t breathe properly, couldn’t get my diaphragm to move and let me fill my lungs. *SCREEEEEEEEEEEEEEEEEEEEEEAM!* One of my co-workers is a former GP so I asked him about it the next morning and he felt my pulse and told me a good walk would calm me down. I got my boss to go with me, but my heart didn’t settle down until later that morning. I was listening to an interesting talk and it calmed me down. But I feel like a gorilla jumped on my chest. Another cup of herbal tea, please. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

"Keera Ann Fox" <ke…@online.no

wrote in message

news:1gmwc36.1u75whaajvu4wN%keera@online.no… – Hide quoted text — Show quoted text -

I don’t think I like this perimenopause thing, after all. I scared the sh*t out of me this weekend. Palpitations. Who the h*ll thought those were a good thing to give humanity??? Bobdangit. Not a wink of sleep after a party at a hotel with co-workers, nothing but pounding, fast (but not terribly fast) heart. Just wouldn’t let me rest! Now I read about the phenomenon again and probably need to cut out coffee and definitely can’t drink much alcohol any more (and I was actually taking it relatively easy). But the combo plus being stressed out lately and having a really bad PMS… And I couldn’t breathe properly, couldn’t get my diaphragm to move and let me fill my lungs. *SCREEEEEEEEEEEEEEEEEEEEEEAM!* One of my co-workers is a former GP so I asked him about it the next morning and he felt my pulse and told me a good walk would calm me down. I got my boss to go with me, but my heart didn’t settle down until later that morning. I was listening to an interesting talk and it calmed me down. But I feel like a gorilla jumped on my chest. Another cup of herbal tea, please. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

You’ve probably developed an intolerance or allery to alcohol.  I’ve always had it, but notice that it’s much more pronounced over the years.  I rarely have anything with alcohol in it now (sigh).  First drink–bloodshot eyes, red face.  Second symptom–whites of eyes have turned red, really red face, some palpitations, and harder to breath (hardly go here anymore).  Third drink–eyes the same (last symptom to go), purple face, 300 pound gorilla sitting on my chest, heart trying to jump out of it.

Response:

- Hide quoted text — Show quoted text -Peahen <pea…@att.net

wrote: "Keera Ann Fox" <ke…@online.no wrote in message news:1gmwc36.1u75whaajvu4wN%keera@online.no… I don’t think I like this perimenopause thing, after all. I scared the sh*t out of me this weekend. Palpitations. Who the h*ll thought those were a good thing to give humanity??? Not a wink of sleep after a party at a hotel with co-workers, nothing but pounding, fast (but not terribly fast) heart. Just wouldn’t let me rest! Now I read about the phenomenon again and probably need to cut out coffee and definitely can’t drink much alcohol any more (and I was actually taking it relatively easy). But the combo plus being stressed out lately and having a really bad PMS… And I couldn’t breathe properly, couldn’t get my diaphragm to move and let me fill my lungs. You’ve probably developed an intolerance or allery to alcohol.  I’ve always had it, but notice that it’s much more pronounced over the years.  I rarely have anything with alcohol in it now (sigh).  First drink–bloodshot eyes, red face.  Second symptom–whites of eyes have turned red, really red face, some palpitations, and harder to breath (hardly go here anymore).  Third drink–eyes the same (last symptom to go), purple face, 300 pound gorilla sitting on my chest, heart trying to jump out of it.

I seem to be developing all sorts of intolerances. Can’t eat/drink stuff in the same amounts as I used to. Do you notice if stress makes your reaction to alcohol worse? — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

"Keera Ann Fox" <ke…@online.no

wrote in message

news:1gmwdie.djbaiq1ggy3kxN%keera@online.no…

Do you notice if stress makes your reaction to alcohol worse? — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Can’t say that I do.  I’ve never had a drink under stress, only on social ocassions.

Response:

- Hide quoted text — Show quoted text -Keera Ann Fox wrote:

I don’t think I like this perimenopause thing, after all. I scared the sh*t out of me this weekend. Palpitations. Who the h*ll thought those were a good thing to give humanity??? Bobdangit. Not a wink of sleep after a party at a hotel with co-workers, nothing but pounding, fast (but not terribly fast) heart. Just wouldn’t let me rest! Now I read about the phenomenon again and probably need to cut out coffee and definitely can’t drink much alcohol any more (and I was actually taking it relatively easy). But the combo plus being stressed out lately and having a really bad PMS… And I couldn’t breathe properly, couldn’t get my diaphragm to move and let me fill my lungs. *SCREEEEEEEEEEEEEEEEEEEEEEAM!* One of my co-workers is a former GP so I asked him about it the next morning and he felt my pulse and told me a good walk would calm me down. I got my boss to go with me, but my heart didn’t settle down until later that morning. I was listening to an interesting talk and it calmed me down. But I feel like a gorilla jumped on my chest. Another cup of herbal tea, please.

At Whines and Woeses you can drink all the alcohol you like with no bad side effects.  ;-) During my 40s and early 50s, I was forced to the conclusions that I could no longer drink more than a glass of wine or bottle of beer without paying for it in night sweats and a hangover.  I still get mild sweat flashes if I drink only that much. I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine. When I was in my late 30s to mid 40s, I’d get so stressed out at work that I’d have a hard time peeing, and my throat and jaw would just clench up and I’d have a hard time swallowing.  My heart hammered a lot during those days.  I developed TMJ from clenching my jaw so much. So I can relate to what you’re going through. Exercise helps.  Laying off the caffeine and alcohol helps.  But what helped me the most was learning to manage the causes of my stress, more so than managing the symptoms.  And most of the causes were in my head – my attitudes, beliefs, responses to stressors.  Richard Carlson’s book, "Don’t Sweat the Small Stuff (and it’s all small stuff) is a good source for alternate ways of thinking about stressors. And don’t forget to breathe in… breathe out… HTH FurPaw — I pledge allegiance to the Constitution of the United States of America, and to the republic which it established, one nation from many peoples, promising liberty and justice for all.         Feel free to use the above variant pledge in your own postings. To reply, unleash the dog.

Response:

"FurPaw" <furpawnews…@comcast.net

wrote I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine.

Look out for "Redbush" or "rooibos"  tea.  No caffeine, very little tannin but tastes very much like ordinary black tea and you can drink it in exactly the same manner.  I have no problems with caffeine, but the tannin in tea upsets my stomach, so I was delighted to find this. — Jette Goldie je…@blueyonder.co.uk Some people are like Slinkies . . . not really good for anything, but you still can’t help but smile when you see one tumble down the stairs.

Response:

Jette Goldie wrote:

"FurPaw" <furpawnews…@comcast.net wrote I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine. Look out for "Redbush" or "rooibos"  tea.  No caffeine, very little tannin but tastes very much like ordinary black tea and you can drink it in exactly the same manner.  I have no problems with caffeine, but the tannin in tea upsets my stomach, so I was delighted to find this.

Yep, I’ve been drinking rooibus tea for quite a while, and I’m glad to see that it’s becoming more readily available in the US.  It’s also alleged to be very high in antioxidants.  My favorite is Celestial Seasonings "Madagascar Red," which is flavored with vanilla.  And if you can’t put your hands on this blend, adding a few drops of vanilla to your tea does a credible imitation. I don’t think plain rooibus tastes like black tea, at least not to my palate.  But its taste is very pleasant, nonetheless. FurPaw — I pledge allegiance to the Constitution of the United States of America, and to the republic which it established, one nation from many peoples, promising liberty and justice for all.         Feel free to use the above variant pledge in your own postings. To reply, unleash the dog.

Response:

FurPaw <furpawnews…@comcast.net

wrote: Keera Ann Fox wrote: FurPaw <furpawnews…@comcast.net wrote: I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine. I thought green tea had _no_ caffeine? Not that I’ve been drinking it. Just a little.  Here’s a comparison chart for a bunch of beverages: http://wilstar.com/caffeine.htm

That’s probably how I got the impression that it was caffeine-free. "Nobody" talks about the caffeine in green tea. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

Keera Ann Fox wrote:

FurPaw <furpawnews…@comcast.net wrote: I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine. I thought green tea had _no_ caffeine? Not that I’ve been drinking it.

Just a little.  Here’s a comparison chart for a bunch of beverages: http://wilstar.com/caffeine.htm FurPaw — I pledge allegiance to the Constitution of the United States of America, and to the republic which it established, one nation from many peoples, promising liberty and justice for all.         Feel free to use the above variant pledge in your own postings. To reply, unleash the dog.

Response:

ke…@online.no (Keera Ann Fox) wrote in news:1gmwc36.1u75whaajvu4wN%keera@online.no:

But I feel like a gorilla jumped on my chest.

Jeepers, Keera, this sounds terrible and terrifying.  Do you think it might be related to all the stress involved in taking care of your grandmother’s stuff? Chakolate — I am extraordinarily patient, provided I get my own way in the end.   –Margaret Thatcher

Response:

"Chakolate" <chakolateDeathToSpamm…@allvantage.com

wrote in message

news:Xns959A9ECB98418chakolatehotmailcom@130.133.1.4…

ke…@online.no (Keera Ann Fox) wrote in news:1gmwc36.1u75whaajvu4wN%keera@online.no: But I feel like a gorilla jumped on my chest. Jeepers, Keera, this sounds terrible and terrifying.  Do you think it might be related to all the stress involved in taking care of your grandmother’s stuff? Chakolate

You know, it could be, but I’m more inclined to think it’s physiological. I get the same reaction.

Response:

Chakolate <chakolateDeathToSpamm…@allvantage.com

wrote: ke…@online.no (Keera Ann Fox) wrote in news:1gmwc36.1u75whaajvu4wN%keera@online.no: But I feel like a gorilla jumped on my chest. Jeepers, Keera, this sounds terrible and terrifying.  Do you think it might be related to all the stress involved in taking care of your grandmother’s stuff?

She’s part of it, but actually it’s something else: I haven’t travelled abroad in years because I don’t have anyone who can look after my cat. Now I’ve reconnected with an old friend in California and there’s talk of me visiting her for 2-3 weeks, come spring. I really want to go, but my cat’s become an issue. There may be other things, too. Right now, I’m basically feeling overwhelmed. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

Peahen <pea…@att.net

wrote: However, I really don’t think that my emotional state affects my physiological state when exposed to alcohol (any kind–beer, wine, hard stuff).  My body reacts the same each time.

OK, that helps. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

Jette Goldie <j…@blueyonder.com.uk

wrote: "Keera Ann Fox" <ke…@online.no wrote I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine. I thought green tea had _no_ caffeine? Not that I’ve been drinking it. No, it still contains caffeine – less tannin however and more anti-oxidants.

OK, I got the impression it was close to being herbal. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

"Keera Ann Fox" <ke…@online.no

wrote I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine. I thought green tea had _no_ caffeine? Not that I’ve been drinking it.

No, it still contains caffeine – less tannin however and more anti-oxidants. — Jette Goldie je…@blueyonder.co.uk "If you don’t care  where you are, then you aren’t lost" http://www.jette.pwp.blueyonder.co.uk/

Response:

Peahen <pea…@att.net

wrote: "Keera Ann Fox" <ke…@online.no wrote in message news:1gmwh2u.yb2cts1ywedoqN%keera@online.no… FurPaw <furpawnews…@comcast.net wrote: I thought green tea had _no_ caffeine? Not that I’ve been drinking it. No, I think the amounts are the same.  Black tea is just fermented green tea.  If anything green tea would retain more caffeine. http://chinesefood.about.com/library/weekly/aa011400a.htm

Thanks for the link! — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

"Keera Ann Fox" <ke…@online.no

wrote in message

news:1gmwgzm.tvcdas1ig39pnN%keera@online.no…

I wasn’t under stress while drinking, but have been under stress this past month so have been more tense than usual. I was wondering if that might influence the sensitivity to the alcohol.

I wish I could help.  I don’t drink more than a couple or few times a year (although I’m permanently & continually stressed ;-p ) so I don’t have a way to gauge very well. However, I really don’t think that my emotional state affects my physiological state when exposed to alcohol (any kind–beer, wine, hard stuff).  My body reacts the same each time.

Response:

"Keera Ann Fox" <ke…@online.no

wrote in message

news:1gmwh2u.yb2cts1ywedoqN%keera@online.no…

FurPaw <furpawnews…@comcast.net wrote: I thought green tea had _no_ caffeine? Not that I’ve been drinking it.

No, I think the amounts are the same.  Black tea is just fermented green tea.  If anything green tea would retain more caffeine. http://chinesefood.about.com/library/weekly/aa011400a.htm

Response:

Peahen <pea…@att.net

wrote: "Keera Ann Fox" <ke…@online.no wrote in message news:1gmwdie.djbaiq1ggy3kxN%keera@online.no… Do you notice if stress makes your reaction to alcohol worse? Can’t say that I do.  I’ve never had a drink under stress, only on social ocassions.

I wasn’t under stress while drinking, but have been under stress this past month so have been more tense than usual. I was wondering if that might influence the sensitivity to the alcohol. — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

"Peahen" <pea…@att.net

wrote in message

news:2v7ak8F2ij4ljU1@uni-berlin.de… > "Keera Ann Fox" <ke…@online.no

wrote in message

> news:1gmwdie.djbaiq1ggy3kxN%keera@online.no… >> Do you notice if stress makes your reaction to alcohol worse? >> — >> ****** Keera in Norway ****** >> * Think big. Shrink to fit. * >> http://home.online.no/~kafox/ > Can’t say that I do.  I’ve never had a drink under stress, only on social > ocassions.

Occasions (sigh) – Hide quoted text — Show quoted text –

Response:

FurPaw <furpawnews…@comcast.net

wrote: At Whines and Woeses you can drink all the alcohol you like with no bad side effects.  ;-)

In that case: A double strawberry Margarita with lots of salt around the edge!

During my 40s and early 50s, I was forced to the conclusions that I could no longer drink more than a glass of wine or bottle of beer without paying for it in night sweats and a hangover.  I still get mild sweat flashes if I drink only that much.

I hope I never get that bad! I’d still like to enjoy wine with my meal.

I can handle the caffeine in one small cup of coffee, no more.  More gives me the runs. :-(  Fortunately, green tea contains little caffeine.

I thought green tea had _no_ caffeine? Not that I’ve been drinking it.

When I was in my late 30s to mid 40s, I’d get so stressed out at work that I’d have a hard time peeing, and my throat and jaw would just clench up and I’d have a hard time swallowing.  My heart hammered a lot during those days.  I developed TMJ from clenching my jaw so much.

I had a problem with clenching my chest about 4 years ago, nearly bringing on tendonitis where the ribs connect to the sternum. It seems to have come back, so I’ve got some detective work to do, to see where this stress is coming from. Clenching that region of the body certainly can’t help alleviate palpitations! -snip-

And don’t forget to breathe in… breathe out…

I try. :-)

HTH

It did. Thanks! — ****** Keera in Norway ****** * Think big. Shrink to fit. * http://home.online.no/~kafox/

Response:

Cholesterol Advice Needed

Question:

And, indeed autopsies of young men who have died in combat leads us to believe the there is some degree of CAD in *everyone* with high LDL and low HDL.

At my last checkup and review of my stress-echo my cardiologist stated that plaque build up on the order of up to 40 and 50% of the arterial cross section are quite common and come and go over time. If this is an accurate observation, then perhaps the military autopsies merely showed instances of the ebb and flow rather than the foundations for a continuous build up over a lifetime.

Response:

The problem is that short of a autopsy we do not have a good way of definitively saying that someone has *no CAD*.  And, indeed autopsies of young men who have died in combat leads us to believe the there is some degree of CAD in *everyone* with high LDL and low HDL.

As is *some* degree of CAD in *everyone* with high HDL and low LDL…. Mirek

Response:

The problem is that short of a autopsy we do not have a good way of definitively saying that someone has *no CAD*.  And, indeed autopsies of young men who have died in combat leads us to believe the there is some degree of CAD in *everyone* with high LDL and low HDL. As is *some* degree of CAD in *everyone* with high HDL and low LDL….

The latter folks have no CAD on autopsy. Mirek

You remain in my prayers, dear Mirek whom I love. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

And, indeed autopsies of young men who have died in combat leads us to believe the there is some degree of CAD in *everyone* with high LDL and low HDL. At my last checkup and review of my stress-echo my cardiologist stated that plaque build up on the order of up to 40 and 50% of the arterial cross section are quite common and come and go over time.

I might believe such a conversation taking place after an angiogram but not after a stress-echo which is not a test that can quantify the degree of plaque build-up. If this is an accurate observation,

It is not. then perhaps the military autopsies merely showed instances of the ebb and flow rather than the foundations for a continuous build up over a lifetime.

That would not explain the pristinely clean coronary arteries of those young men with low LDL and high HDL. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

- Hide quoted text — Show quoted text – The truth of the matter may have little to do with what is currently widely accepted. Science is not a democratic process, and truth is not a matter for a vote. Correct. I find the arguments against the established ideas more than credible. That does not mean these arguments represent the truth. Nor does it mean they are not.

However, I discern that thay do not represent the truth. But I am qualified to judge their merits, especially when it comes to the mathematical sleight of hand employed in interpreting statistical results.

I would suggest you look at the data.  You can start with Framingham. The financial interests which back the status quo are formidable, however. The financial interests actually back *new* drugs and *new* targets. Patents do expire afterall. Let’s then hope that we eventually get new drugs that do something helpful, rather than a nightmare like statins and predecessors.

Most folks on statins are not having nightmares with it. Many who argue against them seem to have few vested interests and do support their claims with extensive references in the peer-reviewed literature. All is not what they may seem. Perhaps, but I often run down the references and look at raw data myself. I also focus on papers or books which do provide extensive references to the peer-reviewed literature.

Then you should conclude that LDL should be lowered and HDL should be raised if the goal is to prevent atherosclerosis. Typically these are retirees since they would otherwise have suffered professionally to go public sooner. That is one way to look at it.  Another way would be that these folks were always on the fringe and retired early because of this. Irrelevant. Does not change the data, nor my personal results.

The same could be said for your current view. You might want to do some reading on the history of the whole cholesterol/sat fat/heart disease idea. Ravnskov’s book is a quick and thorough read on the subject. I also enjoyed books by Enig, McGee, and a couple of others listed on that site. They all have a hard time explaining the animal models of atherosclerosis. Not at all. The subject is well treated in the literature I’ve been exposed to.

It seems by your next statement, your exposure has been "kill-filtered." And of course animal models are not in general directly relevant or predictive for humans. Until results with animals are actually shown to be reproducible in humans, it cannot be assumed that they will.

The disease that is reproduced in the animal models occurs under conditions that humans are currently exposed to in the societies with high rates of atherosclerotic disease. – Hide quoted text — Show quoted text – One other good cross reference on this is to look at recent books by aging researchers (e.g. Austad, Finch, Kirkwood) as well as studying some nutritional biochemistry (e.g. Stipanuk). Seems a great deal can be found in accordance with the idea that the lipid theory is wrong, and that we should be more worried about refined carbohydrates, processed foods, and chronic imflammatory processes.  If you also do some Pubmed searches on research into atherogenesis, you will find a great deal going on in areas unrelated to cholesterol or fat intake. Most regard elevated serum cholesterol as a permissive condition. As distinct from a causative factor. It is irrational to attempt to defeat a normal and essential biochemical condition simply because it is permissive of a potential disease process with a separate cause, especially when the methods are exceedingly crude and on the whole ineffective, and in fact promote a wide range of other disease processes. Studies show that cholesterol lowering is a bad idea for almost everyone.

You are welcome to cite the studies.  I would be more than happy to give you my professional comments on each. Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport." Just another questionable way to attack symptoms when instead the cause should be prevented.

This is a observed phenomenon rather than a treatment. Personally I’ve adopted a restricted carbohydrate, high sat-fat diet over a year a go. (I eat mainly whole unprocessed foods, no fast food, and cook everything fresh or eat it raw.) Uh-oh. Not! Best decision I ever made relative to current quality of life improvement. Try not to be so confined to old-school and cardiocentric thinking.

The mission here is to prevent catastrophic cardiovascular events. I do note that since you cannot get past the rather primitive superstitions your were taught as a child, you may well have similar trouble accepting scientific data that conflict with your current medical indoctrination.

Sorry my being openly Christian distracts you. I’ve effortlessly lost all of the excess weight I gained over 25 years, and have had complete relief from several long term health problems, one of them chronically debilitating. I would be concerned about hyperketonemia being behind your loss of appetite. Not even a remote possibility. I have not needed to achieve ketosis for quite a long long time (if I ever did). My appetite is great, but non carbohydrate rich foods do not cause me to gain weight.

They would if you ate more of them. You ought to bone up on how these diets are done and what they achieve past the initial rapid weight loss phases.

It is doubtful that my reviewing your diet methodologies would reveal another explanation for your loss of appetite. Now if you want to argue that my exceptionally stable and low blood sugar levels (achieved via almost constant gluconeogenesis) are harmful then show me the research.

Why would I want to do that? My concern is your possibly having hyperketonemia because of inadequate dietary carbohydrates.  Your body stores carbohydrates in the form of glycogen because carbohydrates are an essential macronutrient. Note that high blood sugar levels have much better correlation with cardiovascular disease that any level of any cholesterol fraction.

It seems you are confusing diabetes with high blood sugar.    My blood sugar stays locked in at the levels my liver maintains, my triglycerides are very low, and my LDL has remained the same as it was on the low fat diet I was on for 20 years. With the weight loss, it should be lower. It’s not.

Which is why I would be concerned. But my levels have never been very high, and they have followed a pretty typical age-related curve.

Such age-related curves are better explained as a weight-related curve. Other measures have improved, and I’ve had an echocardiogram which showed no sign of disease. An echocardiogram won’t until *after* your heart has suffered injury. Duh!

There can be severe atherosclerotic disease *before* there is injury. President Clinton would be a timely illustrative case in point. He was also low-carbing. Obviously, I’ve suffered no injury to date.

Presumably by not obviously to me. Until I see at least some inkling that I have, I see no reason to alter my course.

That was apparently President Clinton’s philosophy on this topic. For now this is the choice I am making, though I’m keeping my eye on the scientific literature as new findings come out, and of course watching the impact on my own health. So far ignoring the established advice has been all good for me. May that not be your epitaph. Time will tell, and for now I place my bets on nutritional biochemistry and other science over cardiology, as the latter has been a complete and utter failure for all those in my extended family that have had such involvement. None of the drugs, surgeries, or devices has done anything to extend or improve quality of life.

The lifestyle changes and medications work better when done *before* there is a cardiovascular "event." I will try a different path until new data comes out that can change my mind.

Your informed choice for your health and your soul. Alan

You remain in my prayers, dear Alan whom I love. May Christ heal you as only He can. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

The truth of the matter may have little to do with what is currently widely accepted. Science is not a democratic process, and truth is not a matter for a vote. Correct. I find the arguments against the established ideas more than credible. That does not mean these arguments represent the truth.

Nor does it mean they are not. But I am qualified to judge their merits, especially when it comes to the mathematical sleight of hand employed in interpreting statistical results. The financial interests which back the status quo are formidable, however. The financial interests actually back *new* drugs and *new* targets. Patents do expire afterall.

Let’s then hope that we eventually get new drugs that do something helpful, rather than a nightmare like statins and predecessors. Many who argue against them seem to have few vested interests and do support their claims with extensive references in the peer-reviewed literature. All is not what they may seem.

Perhaps, but I often run down the references and look at raw data myself. I also focus on papers or books which do provide extensive references to the peer-reviewed literature. Typically these are retirees since they would otherwise have suffered professionally to go public sooner. That is one way to look at it.  Another way would be that these folks were always on the fringe and retired early because of this.

Irrelevant. Does not change the data, nor my personal results. You might want to do some reading on the history of the whole cholesterol/sat fat/heart disease idea. Ravnskov’s book is a quick and thorough read on the subject. I also enjoyed books by Enig, McGee, and a couple of others listed on that site. They all have a hard time explaining the animal models of atherosclerosis.

Not at all. The subject is well treated in the literature I’ve been exposed to. And of course animal models are not in general directly relevant or predictive for humans. Until results with animals are actually shown to be reproducible in humans, it cannot be assumed that they will. One other good cross reference on this is to look at recent books by aging researchers (e.g. Austad, Finch, Kirkwood) as well as studying some nutritional biochemistry (e.g. Stipanuk). Seems a great deal can be found in accordance with the idea that the lipid theory is wrong, and that we should be more worried about refined carbohydrates, processed foods, and chronic imflammatory processes.  If you also do some Pubmed searches on research into atherogenesis, you will find a great deal going on in areas unrelated to cholesterol or fat intake. Most regard elevated serum cholesterol as a permissive condition.

As distinct from a causative factor. It is irrational to attempt to defeat a normal and essential biochemical condition simply because it is permissive of a potential disease process with a separate cause, especially when the methods are exceedingly crude and on the whole ineffective, and in fact promote a wide range of other disease processes. Studies show that cholesterol lowering is a bad idea for almost everyone. Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport."

Just another questionable way to attack symptoms when instead the cause should be prevented. Personally I’ve adopted a restricted carbohydrate, high sat-fat diet over a year a go. (I eat mainly whole unprocessed foods, no fast food, and cook everything fresh or eat it raw.) Uh-oh.

Not! Best decision I ever made relative to current quality of life improvement. Try not to be so confined to old-school and cardiocentric thinking. I do note that since you cannot get past the rather primitive superstitions your were taught as a child, you may well have similar trouble accepting scientific data that conflict with your current medical indoctrination. I’ve effortlessly lost all of the excess weight I gained over 25 years, and have had complete relief from several long term health problems, one of them chronically debilitating. I would be concerned about hyperketonemia being behind your loss of

appetite. Not even a remote possibility. I have not needed to achieve ketosis for quite a long long time (if I ever did). My appetite is great, but non carbohydrate rich foods do not cause me to gain weight. You ought to bone up on how these diets are done and what they achieve past the initial rapid weight loss phases. Now if you want to argue that my exceptionally stable and low blood sugar levels (achieved via almost constant gluconeogenesis) are harmful then show me the research. Note that high blood sugar levels have much better correlation with cardiovascular disease that any level of any cholesterol fraction.  My blood sugar stays locked in at the levels my liver maintains, my triglycerides are very low, and my LDL has remained the same as it was on the low fat diet I was on for 20 years. With the weight loss, it should be lower.

It’s not. But my levels have never been very high, and they have followed a pretty typical age-related curve. Other measures have improved, and I’ve had an echocardiogram which showed no sign of disease. An echocardiogram won’t until *after* your heart has suffered injury.

Duh!  Obviously, I’ve suffered no injury to date. Until I see at least some inkling that I have, I see no reason to alter my course. For now this is the choice I am making, though I’m keeping my eye on the scientific literature as new findings come out, and of course watching the impact on my own health. So far ignoring the established advice has been all good for me. May that not be your epitaph.

Time will tell, and for now I place my bets on nutritional biochemistry and other science over cardiology, as the latter has been a complete and utter failure for all those in my extended family that have had such involvement. None of the drugs, surgeries, or devices has done anything to extend or improve quality of life. I will try a different path until new data comes out that can change my mind. Alan

Response:

Big Macs and fries are *not* low-carb.  Clinton was low-carbing maybe 3 months before the discovery of his heart problems, which were caused by a lifetime of junk food, not by his more recent (moderately) low-carb diet.

Response:

Big Macs and fries are *not* low-carb.  Clinton was low-carbing maybe 3 months before the discovery of his heart problems, which were caused by a lifetime of junk food, not by his more recent (moderately) low-carb diet.

Step aside, flyweight. It’s about science which we both know is far over your pretty little head. Bob

Response:

There can be severe atherosclerotic disease *before* there is injury. President Clinton would be a timely illustrative case in point. He was also low-carbing. Big Macs and fries are *not* low-carb.

Correct. Clinton was low-carbing maybe 3 months before the discovery of his heart problems, which were caused by a lifetime of junk food, not by his more recent (moderately) low-carb diet.

There is such an entity as accelerated coronary atherosclerosis (CAD).  We can induce laboratory animals to go from *no* CAD to *severe* CAD in a matter of 3-6 months.  We do this with a high lipid (low carb and low protein) diet. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

– Hide quoted text — Show quoted text – Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport." BTW, as you probably really mean the role of HDL and TC/HDL ratio, how do you think they lost the bet? http://makeashorterlink.com/?L2A913059

Sorry, Andrew, but I do not understand what exactly do you mean. This link is about drug, not about lipid theory. This drug is able to raise HDL and it is also able to remove plague. Did you want to say that this drug demonstrates that low HDL causes CAD? Or what? Mirek

Response:

- Hide quoted text — Show quoted text – Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport." BTW, as you probably really mean the role of HDL and TC/HDL ratio, how do you think they lost the bet? http://makeashorterlink.com/?L2A913059 Sorry, Andrew, but I do not understand what exactly do you mean. This link is about drug, not about lipid theory.

The existence of such a "drug" and its properties supports the theory of "reverse cholesterol transport." This drug is able to raise HDL and it is also able to remove plague. Did you want to say that this drug demonstrates that low HDL causes CAD?

No. Or what?

See above. Mirek

You remain in my prayers, dear Mirek whom I love. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

Sorry, Andrew, but I do not understand what exactly do you mean. This link is about drug, not about lipid theory. The existence of such a "drug" and its properties supports the theory of "reverse cholesterol transport."

OK, so we have reverse cholesterol transport. Good to know, but one would expect it based on Framingham study. How does it makes scientists doubting significance of TC levels on heart disease wrong? I think it equivalently makes them right. Mirek

Response:

Sorry, Andrew, but I do not understand what exactly do you mean. This link is about drug, not about lipid theory. The existence of such a "drug" and its properties supports the theory of "reverse cholesterol transport." OK, so we have reverse cholesterol transport. Good to know, but one would expect it based on Framingham study.

The Framingham Heart Study was an epidemiological study.  Such studies rarely if ever shed light on the underlying mechanism of an observed phenomenon. How does it makes scientists doubting significance of TC levels on heart disease wrong?

Those opposed to the "cholesterol theory of vascular disease" have generally proposed mechanisms that are independent of cholesterol. "Reverse cholesterol transport" is a mechanism of vascular disease reversal that firmly entrenches the role of cholesterol in the pathophysiology of this disease. I think it equivalently makes them right.

You are entitled to hold unfounded opinions. Mirek

You remain in my prayers, dear Mirek whom I love. May God bless you today. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

How does it makes scientists doubting significance of TC levels on heart disease wrong? Those opposed to the "cholesterol theory of vascular disease" have generally proposed mechanisms that are independent of cholesterol. "Reverse cholesterol transport" is a mechanism of vascular disease reversal that firmly entrenches the role of cholesterol in the pathophysiology of this disease.

Good and reasonable answer. Anyway, just because drug that is _supposed_ to perform reverse cholesterol transport decreases plague does not neccessary imply that LDL levels alone are causative to creation of this plague. Permisive condition – perhaps. But as long as there are people with high LDL, low HDL and no CAD, things seem to be more complicated than simple cholesterol balance. Mirek

Response:

- Hide quoted text — Show quoted text – How does it makes scientists doubting significance of TC levels on  heart disease wrong? Those opposed to the "cholesterol theory of vascular disease" have generally proposed mechanisms that are independent of cholesterol. "Reverse cholesterol transport" is a mechanism of vascular disease reversal that firmly entrenches the role of cholesterol in the pathophysiology of this disease. Good and reasonable answer. Anyway, just because drug that is _supposed_ to perform reverse cholesterol transport decreases plague does not neccessary imply that LDL levels alone are causative to creation of this plague.

Those who subscribe to the "cholesterol theory of vascular disease" are not claiming that LDL levels *alone* cause the disease but rather that it is an important risk factor that should be lowered if one of the goals is prevention (either primary or secondary). Permisive condition – perhaps. But as long as there are people with high LDL, low HDL and no CAD, things seem to be more complicated than simple cholesterol balance.

The problem is that short of a autopsy we do not have a good way of definitively saying that someone has *no CAD*.  And, indeed autopsies of young men who have died in combat leads us to believe the there is some degree of CAD in *everyone* with high LDL and low HDL. Mirek

You remain in my prayers, dear Mirek whom I love. May God bless you on this Lord’s day. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport."

What do you exactly mean by "reverse cholesterol transport"? HDL and atherogenic ratio? (Please, I do not expect detailed answer, but some link would be helpful.) Mirek

Response:

Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport."

BTW, as you probably really mean the role of HDL and TC/HDL ratio, how do you think they lost the bet? Mirek

Response:

Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport." BTW, as you probably really mean the role of HDL and TC/HDL ratio, how do you think they lost the bet?

http://makeashorterlink.com/?L2A913059 Mirek

YOu remain in my prayers, dear Mirek whom I love. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking). These folks have lost the bet with the discovery of "reverse cholesterol transport." What do you exactly mean by "reverse cholesterol transport"?

http://makeashorterlink.com/?L2A913059 HDL and atherogenic ratio?

Not quite. (Please, I do not expect detailed answer, but some link would be helpful.)

(You’ve got it) Mirek

You remain in my prayers, dear Mirek whom I love. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

What do you exactly mean by "reverse cholesterol transport"? http://makeashorterlink.com/?L2A913059

I gess it is not the most informative link, but interesting anyway. I just hope these drugs will be available when I will need them:) Mirek

Response:

- Hide quoted text — Show quoted text – Actauly, in you case, any dieting in long term would likely end in gaining a weight. Not for the 2PD Approach. How many people are on 2PD for more than 5 years? More than a busy cardiologist like me can track :-) That’s a pretty good trick, since you state on your website that you were watching the film that inspired it in 1998.

<LOL Bob

Response:

Actauly, in you case, any dieting in long term would likely end in gaining a weight. Not for the 2PD Approach. How many people are on 2PD for more than 5 years? More than a busy cardiologist like me can track :-)

Translation: None. HTH Bob

Response:

Actauly, in you case, any dieting in long term would likely end in gaining a weight. Not for the 2PD Approach. How many people are on 2PD for more than 5 years? More than a busy cardiologist like me can track :-)

That’s a pretty good trick, since you state on your website that you were watching the film that inspired it in 1998. —                 "There’s a seeker born every minute."

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The truth of the matter may have little to do with what is currently widely accepted. Science is not a democratic process, and truth is not a matter for a vote.

Correct. I find the arguments against the established ideas more than credible.

That does not mean these arguments represent the truth. The financial interests which back the status quo are formidable, however.

The financial interests actually back *new* drugs and *new* targets.  Patents do expire afterall. Many who argue against them seem to have few vested interests and do support their claims with extensive references in the peer-reviewed literature.

All is not what they may seem. Typically these are retirees since they would otherwise have suffered professionally to go public sooner.

That is one way to look at it.  Another way would be that these folks were always on the fringe and retired early because of this. You might want to do some reading on the history of the whole cholesterol/sat fat/heart disease idea. Ravnskov’s book is a quick and thorough read on the subject. I also enjoyed books by Enig, McGee, and a couple of others listed on that site.

They all have a hard time explaining the animal models of atherosclerosis. One other good cross reference on this is to look at recent books by aging researchers (e.g. Austad, Finch, Kirkwood) as well as studying some nutritional biochemistry (e.g. Stipanuk). Seems a great deal can be found in accordance with the idea that the lipid theory is wrong, and that we should be more worried about refined carbohydrates, processed foods, and chronic imflammatory processes.  If you also do some Pubmed searches on research into atherogenesis, you will find a great deal going on in areas unrelated to cholesterol or fat intake.

Most regard elevated serum cholesterol as a permissive condition. Seems quite a few researchers are betting that answers to the CHD puzzle will be found elsewhere (and implicitly that current hypotheses are lacking).

These folks have lost the bet with the discovery of "reverse cholesterol transport." Personally I’ve adopted a restricted carbohydrate, high sat-fat diet over a year a go. (I eat mainly whole unprocessed foods, no fast food, and cook everything fresh or eat it raw.)

Uh-oh. I’ve effortlessly lost all of the excess weight I gained over 25 years, and have had complete relief from several long term health problems, one of them chronically debilitating.

I would be concerned about hyperketonemia being behind your loss of appetite.  My blood sugar stays locked in at the levels my liver maintains, my triglycerides are very low, and my LDL has remained the same as it was on the low fat diet I was on for 20 years.

With the weight loss, it should be lower. Other measures have improved, and I’ve had an echocardiogram which showed no sign of disease.

An echocardiogram won’t until *after* your heart has suffered injury. For now this is the choice I am making, though I’m keeping my eye on the scientific literature as new findings come out, and of course watching the impact on my own health. So far ignoring the established advice has been all good for me.

May that not be your epitaph. Alan

You will be in my prayers, dear neighbor whom I love. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

Actauly, in you case, any dieting in long term would likely end in gaining a weight. Not for the 2PD Approach. How many people are on 2PD for more than 5 years?

More than a busy cardiologist like me can track :-) You remain in my prayers, dear neighbor whom I love. Servant to the humblest person in the universe, Andrew — Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist http://www.heartmdphd.com/ ** Who is the humblest person in the universe? http://makeashorterlink.com/?L26062048 What is all this about? http://makeashorterlink.com/?R20632B48 Is this spam? http://makeashorterlink.com/?N69721867

Response:

anxiety or something else?

Question:

Your post doesn’t apply to many people with severe panic disorder with

or without agorophobia.<< first of all, my post was intended for menuboy, a direct response to him…. and if yer payin attention out there… i also added "are the ONLY answer in my book"…MY BOOK.. my book = my opinion.  i ain’t prescribin meds here, it’s my opinion and i said so. secondly…ya say..’not many’?  could you please reveal your statistical source?  or was this an independent poll.  subjection? your personal experience?  where DID this info come to you that benzos don’t apply to many with severe panic disorder/possible agoraphobia? Benzos can be great to stop a panic attack.<<

ya THINK??? Preventing them is where

anti-depressants come into play.<< ~~~~ok…. so now you’re advocating anti-depressants for PREVENTION of panic attacks?  so basically, we should have everyone on ADs as a "just in case" thing?  kinda like we got polio vaccines in 2nd grade?   ….. ok.. where do we draw the line…. hmmm… i know !  birth control for every female by the age of.. what…. 4?  let’s start everyone one the smoking patch at birth.  and how bout a round’r two of antibiotics per day for everyone…. do i hear an "aye" for doling out eye-patches on the first day of kindergarten for those darn kids running with scissors?  and ALL BOOB JOBS WITH BE PERFORMED AT THE AGE OF 18… for prevention of boobage saggage, of course.. why wait?  ok…and lobotomies are on the house for everyone that doesn’t finish their first book. and last, but not least… public floggings for those responding to a post in a newsgroup bulletin board with no comprehension of the blatently written words .. (this is lenient, contradictory to prevention, if you will.. as the deed has already occured)… so Jess?  you’re first in line.  (the anti-depressant regimen employed for prevention of panic disorder was implemented long ago, so it’s ok.. you won’t panic) and don’t make me come ovah theah if this behavior is repeated ! HOW’S THIS WORKIN FOR YA?   groovy, huh.. (maybe we shoulda stuck Manson in prison at birth, an ounce of prevention,etc., ya see…) Better living through chemicals. :) <<

i gotta feelin yer livin quite well, Jess…. (quite blissfully, too) your new best friend, (cuz ya called me "doll") ~tanya (Chairman of the Board.. "Come ta Jesus" meetings) (heal)

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First of all, a true anxiety/panic disorder is managable, not curable.

Second, I was on Paxil for 3 months. I rode it out and still felt no better, in fact worse. And I’ll be damned if I was going to continue down that SSRI route. Trying 4-8 to see if any works from docs who believe AD’s are less harmful than benzo’s. I’ve seen this in too many people when Xanax/Ativan/Klonopin/Valium etc. that was given to them up front worked fine.<< no shit, Kevin.. i’m bein given crap for "diagnosin" people on this thang.. and ole menu boy’s over there prescribin treatment of that whence he is ignorant of.. and you are correct, and panic.. (one of the 7 forms of anxiety, menuboy genius) is not a post-pone-able occurance.  i took my first xanax for panic, i was all "SIGN ME UP" !  it was like… magic  ::swoonin::  It takes about 2 weeks for antidepressants to work fully.  People who spend years with anxiety could certainly add another 2 weeks for a more manageable cure.

hey menuboy?  let’s do a scientifically sound experiment.. next time ya gotta pee?  (put it off for two weeks.. you been spending years peeing, you could certainly add another 2 weeks.. ) ~tanya… ::on the Geico site buyin flood insurance::

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It takes about 2 weeks for antidepressants to work fully.<<

….and what do antidepressants have to do with panic?  and anyone with panic disorder ain’t waitin 2 weeks for crap. period. And you "officially diagnosing" people is absurd.  You really need to get

a grip on reality.<< oh, my son…. i am the healer of all, the psychiatric guru of many, and i know one helluva lot more’n most "professionals", i tell ya…. and if you got suchah grip on reality, my absurdity would be irrelevant to you, correct?   get a grip on reality.<<

i never heard of anybody namin it THAT… but if you insist… c’mere. ::unzippin::

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but no mention of TSH<

what’s that?

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When I was on Paxil (25mg) I never had a panic attack. then the post didn’t apply to you, huh?  i’m talkin about folks with intense panic disorder that need a quick fix to relieve the horror they’re experiencing.. i wouldn’t recommend aspirin to someone without headaches, either.. (it ain’t all about you, yanno) lalalalalalaalalalalal ~tanya

Your post doesn’t apply to many people with severe panic disorder with or without agorophobia.  It’d be great if there were one drug that worked for everyone, send them on thier merry way, but that ain’t the case here doll. Benzos can be great to stop a panic attack.  Preventing them is where anti-depressants come into play. Better living through chemicals. :) Jess

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– Hide quoted text — Show quoted text – When I was on Paxil (25mg) I never had a panic attack. then the post didn’t apply to you, huh?  i’m talkin about folks with intense panic disorder that need a quick fix to relieve the horror they’re experiencing.. i wouldn’t recommend aspirin to someone without headaches, either.. (it ain’t all about you, yanno) It takes about 2 weeks for antidepressants to work fully.  People who spend years with anxiety could certainly add another 2 weeks for a more manageable cure.  Benzo’s are highly addictive and generally need to be taken for life.  Dependency becomes a whole new problem. Actually one should give benzos  at least 8 weeks to properly kick in.                            ^^^^^^ Alzheimer? Korsakow? This was meant to read *antidepressants* of course! P.

LMAO. I did wonder Philip, M

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- Hide quoted text — Show quoted text – When I was on Paxil (25mg) I never had a panic attack. then the post didn’t apply to you, huh?  i’m talkin about folks with intense panic disorder that need a quick fix to relieve the horror they’re experiencing.. i wouldn’t recommend aspirin to someone without headaches, either.. (it ain’t all about you, yanno) It takes about 2 weeks for antidepressants to work fully.  People who spend years with anxiety could certainly add another 2 weeks for a more manageable cure.  Benzo’s are highly addictive and generally need to be taken for life.  Dependency becomes a whole new problem. Actually one should give benzos  at least 8 weeks to properly kick in.

                            ^^^^^^ Alzheimer? Korsakow? This was meant to read *antidepressants* of course! P. – Hide quoted text — Show quoted text – Most people get to feel better much earlier but YMMV (and this has nothing to do with how long you have had an anxiety disorder). Benzos cause *dependence* but contrary to what the websites of the *Anti-Benzo Squad* tell you most people are able to taper off of any benzo. For some it’s easy, for others it’s more difficult. Of course there are people who have to take medication for the rest of their lives, that’s because their disorder isn’t responding to anything else, for anything because the biological factor is stronger with them than with others. I am one of those who was helped a lot by CBT but only on a basis of medication. Antidepressants cause dependence as well BTW. Philip (36 years of Panic Disorder, quite happy on Xanax & imipramine and practicing CBT)

Response:

Every medical test showed nothing. ~~exactly.  because it is a PSYCHOLOGICAL disorder that manifests itself physically… very rare to have these types of physical reactions with NO medical prognosis…  so whoever discovers the root of panic, even a cure (as there is no cure, no rationale, no nothin..) will be my GOD for eternity.. i’ll even face Mecca or sum crap and stare at tha dang sun fer this bruthah.. or sistah.. p.s.  for those that don’t understand your condition, as i’m sure YOU will shortly, i have found "F*** OFF" as a reasonable response and ignore em unless they’re willing to listen to what you’re about to learn about yourself… you are FAR from alone, hunny bunny !! (i’m now obsessin over Krispy Kremes)

Response:

On the other hand, anxiety is a symptom of many illnesses, both physical and psychological.  For example, thyroid conditions are known for causing anxiety attack symptoms. You should see a good doctor and have the appropriate tests run before a diagnosis of panic disorder is made. ~~she done HAD them tests, Figaro !  now pay ‘tention. xoxoxoox ~tanya

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On the other hand, anxiety is a symptom of many illnesses, both physical and psychological.  For example, thyroid conditions are known for causing anxiety attack symptoms. You should see a good doctor and have the appropriate tests run before a diagnosis of panic disorder is made. ~~she done HAD them tests, Figaro !  now pay ‘tention. xoxoxoox ~tanya

Saw a lot of cardio tests, but no mention of TSH, comp metabolic scan, etc. Not that that means he (don’t you think the name Darren implies a male?) hasn’t had them. Figaro

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- Hide quoted text — Show quoted text – Every medical test showed nothing. ~~exactly.  because it is a PSYCHOLOGICAL disorder that manifests itself physically… very rare to have these types of physical reactions with NO medical prognosis…  so whoever discovers the root of panic, even a cure (as there is no cure, no rationale, no nothin..) will be my GOD for eternity.. i’ll even face Mecca or sum crap and stare at tha dang sun fer this bruthah.. or sistah.. p.s.  for those that don’t understand your condition, as i’m sure YOU will shortly, i have found "F*** OFF" as a reasonable response and ignore em unless they’re willing to listen to what you’re about to learn about yourself… you are FAR from alone, hunny bunny !!

I never said otherwise.  I totally understand my condition.  I was trying to reassure the OP.

Response:

Can someone tell me if these symptoms are normal for anxiety or whhether they feel there may be other explainations.

Could be either.  The symptoms you describe could be stress/anxiety related.  This could be a transient state of high anxiety due to the stress in your life at the moment, or it could be that you are biologically prone toward anxiety disorder(s) and the current stress level has triggered your anxiety condition. On the other hand, anxiety is a symptom of many illnesses, both physical and psychological.  For example, thyroid conditions are known for causing anxiety attack symptoms. You should see a good doctor and have the appropriate tests run before a diagnosis of panic disorder is made. Figaro

Response:

 This got worse and I started feeling dizzy at times, having palputations, discomfort in the upper left quandrant of my abdomen, tiredness, chest pain. I was even admitted to hospital overnight as a blood test had shown a high level that indicated that a muscle was stressed, and they couldn’t tell if it was my heart. ~~again, thank GOD i’m here, you are officially diagnosed with panic disorder, one of the 7 forms of "anxiety", probably the scariest, the most unnatural feeling, debilitating conditions to manifest itself with usually no understanding of the symptom’s origination (as panic is rarely "triggered", it just is)… and no understanding, (usually) from the significant people in your life.. http://www.apa.org/pubinfo/panic.html is a good site, i suggest entering "panic disorder" in your search bar and you’ll find out more.. and benzodiazopines are the ONLY answer in my book, slow-acting meds (paxil, zoloft) just don’t do it for panic.  if your "doctor" won’t prescribe you xanax, klonopin, etc… find a doctor with panic disorder. i did. and yeah, you might be on em the rest of yer life, but so what.. folks are on blood pressure meds forever so screw the stigma. good luck :) xxoxoxoxoxo ~tanya

Response:

When I was on Paxil (25mg) I never had a panic attack. then the post didn’t apply to you, huh?  i’m talkin about folks with intense panic disorder that need a quick fix to relieve the horror they’re experiencing.. i wouldn’t recommend aspirin to someone without headaches, either.. (it ain’t all about you, yanno)

It takes about 2 weeks for antidepressants to work fully.  People who spend years with anxiety could certainly add another 2 weeks for a more manageable cure.  Benzo’s are highly addictive and generally need to be taken for life.  Dependency becomes a whole new problem. And you "officially diagnosing" people is absurd.  You really need to get a grip on reality.

Response:

It takes about 2 weeks for antidepressants to work fully.  People who spend years with anxiety could certainly add another 2 weeks for a more manageable cure.

First of all, a true anxiety/panic disorder is managable, not curable. Second, I was on Paxil for 3 months. I rode it out and still felt no better, in fact worse. And I’ll be damned if I was going to continue down that SSRI route. Trying 4-8 to see if any works from docs who believe AD’s are less harmful than benzo’s. I’ve seen this in too many people when Xanax/Ativan/Klonopin/Valium etc. that was given to them up front worked fine. And of course you need to take a medication for life for a life long problem. Sure you may have times where your anxiety goes, but it always comes back. If not, then it was never a true anxiety problem to begin with. Many in my family have anxiety disorders and I’m the only one of them on a benzo. They’re not doing very well to say the least since they keep switching from one AD to another. And after all this weaning on and off these type of meds, most likely they’ll end up taking a benzo in the end anyway. So all that suffering for years would be for nothing.

Response:

- Hide quoted text — Show quoted text – When I was on Paxil (25mg) I never had a panic attack. then the post didn’t apply to you, huh?  i’m talkin about folks with intense panic disorder that need a quick fix to relieve the horror they’re experiencing.. i wouldn’t recommend aspirin to someone without headaches, either.. (it ain’t all about you, yanno) It takes about 2 weeks for antidepressants to work fully.  People who spend years with anxiety could certainly add another 2 weeks for a more manageable cure.  Benzo’s are highly addictive and generally need to be taken for life.  Dependency becomes a whole new problem.

Actually one should give benzos at least 8 weeks to properly kick in. Most people get to feel better much earlier but YMMV (and this has nothing to do with how long you have had an anxiety disorder). Benzos cause *dependence* but contrary to what the websites of the *Anti-Benzo Squad* tell you most people are able to taper off of any benzo. For some it’s easy, for others it’s more difficult. Of course there are people who have to take medication for the rest of their lives, that’s because their disorder isn’t responding to anything else, for anything because the biological factor is stronger with them than with others. I am one of those who was helped a lot by CBT but only on a basis of medication. Antidepressants cause dependence as well BTW. Philip (36 years of Panic Disorder, quite happy on Xanax & imipramine and practicing CBT)

Response:

and benzodiazopines are the ONLY answer in my book, slow-acting meds (paxil, zoloft) just don’t do it for panic.

When I was on Paxil (25mg) I never had a panic attack.

Response:

When I was on Paxil (25mg) I never had a panic attack. then the post didn’t apply to you, huh?  i’m talkin about folks with intense panic disorder that need a quick fix to relieve the horror they’re experiencing.. i wouldn’t recommend aspirin to someone without headaches, either.. (it ain’t all about you, yanno) lalalalalalaalalalalal ~tanya

Response:

About 4 months ago I got what I thought was just a cold. Symptoms were sore throat etc. This got worse and I started feeling dizzy at times, having palputations, discomfort in the upper left quandrant of my abdomen, tiredness, chest pain. I was even admitted to hospital overnight as a blood test had shown a high level that indicated that a muscle was stressed, and they couldn’t tell if it was my heart. That came back all clear the following day when they a more specific enayme for heart damage. Anyway, I saw a cardilogist for the chest pain and pain between the shoulder blades. All tests were clear – ecg’s, thallium test, ultrasound, 24hr heart monitor. My blood tests have been generally ok, except for raised ALT levels (145) and borderline gamma GT (50.1) for which I am seeing a gastroxxxxx…ist. He doesn’t think it is related to my pains, etc. Other symptoms have been a slight cough daily; extremely loud air passing down the left of my chest under my arms sometimes; once or twice i had sharp pains along my left forearm and right side of my neck (jugular). My doctor thinks this is all down to stress, and i must confess that i have recently got engaged and we are moving house. I do get worse symptoms when I get stressed. And I do have days when I feel great. One thing I dno’t like is that I sometimes get what can only be described as a horrible (not painful) feeling in my chest like my heart has stopped. I normally have this in bed and I jump out of bed panicking. Can someone tell me if these symptoms are normal for anxiety or whhether they feel there may be other explainations. Please help.

Response:

- Hide quoted text — Show quoted text – About 4 months ago I got what I thought was just a cold. Symptoms were sore throat etc. This got worse and I started feeling dizzy at times, having palputations, discomfort in the upper left quandrant of my abdomen, tiredness, chest pain. I was even admitted to hospital overnight as a blood test had shown a high level that indicated that a muscle was stressed, and they couldn’t tell if it was my heart. That came back all clear the following day when they a more specific enayme for heart damage. Anyway, I saw a cardilogist for the chest pain and pain between the shoulder blades. All tests were clear – ecg’s, thallium test, ultrasound, 24hr heart monitor. My blood tests have been generally ok, except for raised ALT levels (145) and borderline gamma GT (50.1) for which I am seeing a gastroxxxxx…ist. He doesn’t think it is related to my pains, etc. Other symptoms have been a slight cough daily; extremely loud air passing down the left of my chest under my arms sometimes; once or twice i had sharp pains along my left forearm and right side of my neck (jugular). My doctor thinks this is all down to stress, and i must confess that i have recently got engaged and we are moving house. I do get worse symptoms when I get stressed. And I do have days when I feel great. One thing I dno’t like is that I sometimes get what can only be described as a horrible (not painful) feeling in my chest like my heart has stopped. I normally have this in bed and I jump out of bed panicking. Can someone tell me if these symptoms are normal for anxiety or whhether they feel there may be other explainations. Please help.

Response:

- Hide quoted text — Show quoted text – About 4 months ago I got what I thought was just a cold. Symptoms were sore throat etc. This got worse and I started feeling dizzy at times, having palputations, discomfort in the upper left quandrant of my abdomen, tiredness, chest pain. I was even admitted to hospital overnight as a blood test had shown a high level that indicated that a muscle was stressed, and they couldn’t tell if it was my heart. That came back all clear the following day when they a more specific enayme for heart damage. Anyway, I saw a cardilogist for the chest pain and pain between the shoulder blades. All tests were clear – ecg’s, thallium test, ultrasound, 24hr heart monitor. My blood tests have been generally ok, except for raised ALT levels (145) and borderline gamma GT (50.1) for which I am seeing a gastroxxxxx…ist. He doesn’t think it is related to my pains, etc. Other symptoms have been a slight cough daily; extremely loud air passing down the left of my chest under my arms sometimes; once or twice i had sharp pains along my left forearm and right side of my neck (jugular). My doctor thinks this is all down to stress, and i must confess that i have recently got engaged and we are moving house. I do get worse symptoms when I get stressed. And I do have days when I feel great. One thing I dno’t like is that I sometimes get what can only be described as a horrible (not painful) feeling in my chest like my heart has stopped. I normally have this in bed and I jump out of bed panicking. Can someone tell me if these symptoms are normal for anxiety or whhether they feel there may be other explainations. Please help.

It *sounds* like anxiety, but only a doctor can make that diagnosis. You need further testing.  I get coughing too when I feel anxiety, racing heart beat, skipped beats, etc.  Most of the time there isn’t an event that sets it off.  It just happens.  Every medical test showed nothing.

Response:

Curtis Palmer

Question:

All my thoughts are with her and Curtis right now. Curtis, you’ve helped more than a few of us through rough times. If there’s anything besides good thoughts and prayers I can do please let me know. — Rebecca Ford

– Hide quoted text — Show quoted text – Folks, Betty Palmer, the wife of our good friend Curtis Palmer is undergoing a heart catheterization at this moment.  She is quite ill so let’s take a moment to offer our prayers for her recovery. Chuck Harris

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Curtis, lovely story… another one for my Curtisbook… Lee

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Our thoughts are with you and yours curtis, may the grim reaper soon recognize yours and Betty’s courage and determination; and give both of you a deserved reprieve. Incidentally, my second (6 month) blood draw was a few days ago and my next visit to my "for life friend uro" is on the 14th… all digits crossed here… :) and hoping for another <0.1 reading. Again Curtis/Betty the best of thoughts and our prayers are with you. Sosep

– Hide quoted text — Show quoted text – first of all – a very heart felt thanks to all.   the prayers must have worked.  i’ve had emails and phone calls wishing her well. as we all know at the newsgroup, we draw our strength from the others and it seems that our burdens are not so heavy.  so, is this one.  i was really highly concerned  about the outcome, just as one might wonder what the verdict is on their prostate tests. timex is a good word to describe her.  here’s why.  she’s came into this world fighting for life at 2 1/2lb birth weight.  she has came close to the grim reaper a lot earlier in life than most. just into her early 20’s, she got an illness that the doctors said that she less than 24 hours from death had we not gotten her to the hospital in time. later in life – complications with our first born put both mother and child at risk.  we didn’t know at the time, until the doctors came out and explained to me that they were going to try to stop delivery because i could lose either one or both.  and even then, when they did let the delivery process, her blood pressure shot well into the 200’s.  in fact, she was placed outside the OR all night just in case, the worse case would happen. then, death decided to pay another visit, and was cheated in 2001.  all the doctors were in agreement that she would have died had she not been full of "clot buster" when the fatal heart attack hit.   they were able to pump it into her one hour before it hit.  she had 5 major blockages in her heart. open heart surgery is risky business.  and the grim reaper was reading the paper in the waiting room, just waiting for someone to claim.  he did manage to get one earlier in the day. only to have two days after open heart surgery, another heart attack. this one, i was told they didn’t know if she would make it through the night.  that technology has done all they could. death banged again on the door, a double blockage on a main feed artery on the heart three months after the second heart attack, lead to the double angioplasty. he wasn’t happy about it and banged on the door harder the following year.  this time, in the ER treatment room,  the attending doctor told her, that after looking at her records, that the arteries feeding the heart were in terrible shape and she was considered "inoperative"  but the surgeon who did the double angioplasty didn’t agree with the ER doctor and  put the third one stent in – because the two stents had pulled open allowing the blockage to close off the blood supply. the grim reaper is getting upset and decides to turn up the heat and put her through hell.  figured maybe,  this will help things along.  that is when she found out i have the skin cancer and the prostate cancer.  and as you know, the stress of going through the treatment options and surgery is highly stressful.  but she came through like a trooper. well, death is getting pissed by now, so, he brought his brass knuckles and really bang on the door to make sure we hear it, but we weren’t answering the door……no how…..no way.   this time was this year, in february.  took her on three day cruise.  first day, she was fine, but tired.  by the third day, it was all she could do to walk 50 ft and she had the chest pains and other warning signs.  when we got to the hospital, they found out from the testing, that she was almost out of blood.  so, they refilled her (AB neg) and checked to find where she was leaking it all.  after 5 days of testing, they said that they couldn’t find it and that it is sealed itself – happens sometimes – they say. and sent her home. now, just a little over three months again, major heart attack symptoms. she said they are as bad as the when she had them on the first heart attack.  checked her into the ER first part of this week.  the doctors had assured me that they have ran EVERY test on her of a non-evasive type.  after 4 days of testing – all the tests so far, were coming back negative.  so, they were going in to do the heart cath. tonight by 7pm, the cardiologist got done and came out and said that he’s pretty sure he found it in the stents and did an angioplasty and flow was coming back to normal.  they wanted her to be on her back for 2 hours.  by 9 o’clock, she said that the symptoms are going away, and she what?????   :) ) ~ curtis knowledge is power – growing old is mandatory – growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

- Hide quoted text — Show quoted text – as you know – i try to stay on top of the advances of prostate cancer. boy – you folks – the prayers  -  were answered with this cardiologist. he’s a very special one and only does this particular type of operation in this area – period. she had a 60% blockage in the stents and he was able to "crush" it. said it was not cholesterol, but body cells that have grown through the stent.  said that is why it showed up as a "fuzzy" picture on the screen.  cholesterol shows up as white. he said that sometimes this will be a one time deal, but if it doesn’t, then he can go in and irradiate the area and it will stop any future growth in the stent.  is this amazing technology. and like i said before, he’s the only one that does this type of operation. one of the reasons i wanted to keep you up to date is that maybe you may have a loved one with a similar situation and i just want you to know the solution may be there.  technology is moving fast. and my "timex" – after she got her clock rewound last evening –  she was calling first thing this morning to go home and instead of going home, she wanted to go down to the river and sit, and watch the river for awhile.  we use to do this when we were dating.  she has no symptoms at all now, and the future is looking a lot brighter. i hope i can say something like this about a new treatment of prostate cancer in the near future.

Hi Curtis, What’s her stent made of? Coincidentally an unfavorite troll posted this today to sci.med http://www.hindu.com/seta/2004/06/03/stories/2004060300111400.htm FWIW J

Response:

Thanks for the information, Palmer. i’ll add it to my file with the hope that I never have to use it : )

– Hide quoted text — Show quoted text – hi don – when she had the stents put in, they were first starting to put the coated ones in and we wondered if they were the new ones.  we still do not know, but given what happen, it gives evidence of the second part of this article.  here’s part of an article about the problems they had with the coated stents. The CYPHER drug-coated stent (J&J), has made a huge impact in the treatment of coronary artery disease since it was first approved for marketing in April of this year. Over 50,000 of these stents have been used in patients during the first 3 months following its approval. The major advantage of the CYPHER stent is that it greatly reduces the incidence of restenosis (that is, of occlusion of the stent after it is placed.) This month, however, J & J was compelled to send a "Dear Colleague" letter to doctors across the U.S. warning of a risk of clotting of the CYPHER stents within a few days of implantation. (The warning letter can be read on-line here.) Some patients have died as a result of this "subacute thrombosis," or SAT.  The letter states that 47 incidences of SAT have been reported to the FDA so far with the CYPHER stent. It is important to note that at least two types of restenosis is seen with stents. SAT is the first type – in these cases, either the procedure or the new stent itself activates platelets, causing the blood to clot within the stent, thus leading to occlusion of the coronary artery. If this clotting occurs, it almost always occurs within the first few days of the stent placement. This form of restenosis can be largely prevented by the aggressive use of antiplatelet drugs, usually for at least 3 months following stent implantation. The second – and more common – form of restenosis is caused by cell growth within the stent. This new cell growth occurs over a period of several weeks or months, and tends to be more gradual than SAT. Importantly, it is this second form of restenosis that drug-coated stents are designed to reduce. Drug-coated stents do nothing to reduce the incidence of SAT – only antiplatelet drugs can accomplish this. It is unknown whether the incidence of SAT is increased with the CYPHER stent. The known incidence (approximately 1 out of 1000) seems similar to the incidence of SAT seen with other stents, but it is not clear that all episodes of SAT occurring with CYPHER have actually been reported. This month, J & J is instituting a formal registry that should answer this question. What does seem clear, however, is that in their enthusiasm for the drug-coated stents, some doctors have used it inappropriately. Its inappropriate use may account for at least some episodes of SAT seen with CYPHER – at least, that’s what J & J’s "Dear Colleague" letter implies. What are doctors doing wrong? At least two things, according to J & J. First, they are using sizes of the CYPHER stent that are inappropriate for the size of the artery being treated. (They are doing this because CYPHER is in short supply, and doctors are using whatever sizes are available to them.) Second, they are failing to use aggressive antiplatelet drug therapy. In addition, J & J reminds doctors not to use the CYPHER stent in situations where its safety and efficacy have not been proven. These situations include stenting during an acute myocardial infarction (heart attack), stenting vein grafts, and stenting complex blockages. the radiation of the stent is something new and it prevents the restenosis from happening again and i’ve never heard of this.  the cardiologist stated that sometimes the angioplasty has to be redone about every 6 months, but irradiation may be permanent. here’s some interesting facts i’ve picked up along the road of life. consumer reports did a special study on heart attacks and said that how one survives depends a lot on their life style more than the heart attack sometimes.  if two people have the same severe heart attack, the person who exercises even a small amount has a much better chance survival than someone who is a pencil pusher because the heart tissue is weaker in the pencil pusher because of their life style. the liver is responsible for making 80% of the body’s cholesterol.  that the individual only has control of the other 20% by what they eat. scientists are saying that the elevated triglycerides are more of an indicator than the HDL and LDL for heart disease in general.  for example, i had high HDL and a low number in the LDL, but my triglycerides were higher than normal because i couldn’t exercise due to the complications from the scaring of the prostate surgery.   so, that would be my advice to you.  you have keeping a check on your HDL, and LDL, but watch your triglycerides like a hawk. and last, but not least, let’s not forget diabetes.  what most people do not know is that sugar in the blood stream, behaves like fine grit sandpaper and scars the artery walls.  normally, they are smooth, but the scarring roughs them up and the fatty deposits and plaque will stick to it causing problems down the road. my timex has had diabetes since 1990.  and her father was blackfoot indian.  coronary artery disease is more common in american indians, just as prostate cancer is more common in african americans. i hope this information has helped you. ~ curtis knowledge is power – growing old is mandatory – growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

hi don – when she had the stents put in, they were first starting to put the coated ones in and we wondered if they were the new ones.  we still do not know, but given what happen, it gives evidence of the second part of this article.  here’s part of an article about the problems they had with the coated stents. The CYPHER drug-coated stent (J&J), has made a huge impact in the treatment of coronary artery disease since it was first approved for marketing in April of this year. Over 50,000 of these stents have been used in patients during the first 3 months following its approval. The major advantage of the CYPHER stent is that it greatly reduces the incidence of restenosis (that is, of occlusion of the stent after it is placed.) This month, however, J & J was compelled to send a "Dear Colleague" letter to doctors across the U.S. warning of a risk of clotting of the CYPHER stents within a few days of implantation. (The warning letter can be read on-line here.) Some patients have died as a result of this "subacute thrombosis," or SAT.  The letter states that 47 incidences of SAT have been reported to the FDA so far with the CYPHER stent. It is important to note that at least two types of restenosis is seen with stents. SAT is the first type – in these cases, either the procedure or the new stent itself activates platelets, causing the blood to clot within the stent, thus leading to occlusion of the coronary artery. If this clotting occurs, it almost always occurs within the first few days of the stent placement. This form of restenosis can be largely prevented by the aggressive use of antiplatelet drugs, usually for at least 3 months following stent implantation. The second – and more common – form of restenosis is caused by cell growth within the stent. This new cell growth occurs over a period of several weeks or months, and tends to be more gradual than SAT. Importantly, it is this second form of restenosis that drug-coated stents are designed to reduce. Drug-coated stents do nothing to reduce the incidence of SAT – only antiplatelet drugs can accomplish this. It is unknown whether the incidence of SAT is increased with the CYPHER stent. The known incidence (approximately 1 out of 1000) seems similar to the incidence of SAT seen with other stents, but it is not clear that all episodes of SAT occurring with CYPHER have actually been reported. This month, J & J is instituting a formal registry that should answer this question. What does seem clear, however, is that in their enthusiasm for the drug-coated stents, some doctors have used it inappropriately. Its inappropriate use may account for at least some episodes of SAT seen with CYPHER – at least, that’s what J & J’s "Dear Colleague" letter implies. What are doctors doing wrong? At least two things, according to J & J. First, they are using sizes of the CYPHER stent that are inappropriate for the size of the artery being treated. (They are doing this because CYPHER is in short supply, and doctors are using whatever sizes are available to them.) Second, they are failing to use aggressive antiplatelet drug therapy. In addition, J & J reminds doctors not to use the CYPHER stent in situations where its safety and efficacy have not been proven. These situations include stenting during an acute myocardial infarction (heart attack), stenting vein grafts, and stenting complex blockages. the radiation of the stent is something new and it prevents the restenosis from happening again and i’ve never heard of this.  the cardiologist stated that sometimes the angioplasty has to be redone about every 6 months, but irradiation may be permanent. here’s some interesting facts i’ve picked up along the road of life. consumer reports did a special study on heart attacks and said that how one survives depends a lot on their life style more than the heart attack sometimes.  if two people have the same severe heart attack, the person who exercises even a small amount has a much better chance survival than someone who is a pencil pusher because the heart tissue is weaker in the pencil pusher because of their life style. the liver is responsible for making 80% of the body’s cholesterol.  that the individual only has control of the other 20% by what they eat.   scientists are saying that the elevated triglycerides are more of an indicator than the HDL and LDL for heart disease in general.  for example, i had high HDL and a low number in the LDL, but my triglycerides were higher than normal because i couldn’t exercise due to the complications from the scaring of the prostate surgery.   so, that would be my advice to you.  you have keeping a check on your HDL, and LDL, but watch your triglycerides like a hawk.   and last, but not least, let’s not forget diabetes.  what most people do not know is that sugar in the blood stream, behaves like fine grit sandpaper and scars the artery walls.  normally, they are smooth, but the scarring roughs them up and the fatty deposits and plaque will stick to it causing problems down the road.   my timex has had diabetes since 1990.  and her father was blackfoot indian.  coronary artery disease is more common in american indians, just as prostate cancer is more common in african americans. i hope this information has helped you. ~ curtis knowledge is power – growing old is mandatory – growing wise is optional     "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

Folks, Betty Palmer, the wife of our good friend Curtis Palmer is undergoing a heart catheterization at this moment.  She is quite ill so let’s take a moment to offer our prayers for her recovery.   Chuck Harris

Response:

Bev told me in email.  And, I’m still pissed.  He just got his great news about his probably cure, and now….. Dammit! Prayers are going up.  I hope I’m in time. — Prostate Cancer Survivor (so far), not a doctor Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA  .1  .1  .1  .27  .37  .75 PSA  .34 .22 .15 .21 .32 PSA  .07 .05 Lupron 7/03, 8/03, 12/03, 4/04

– Hide quoted text — Show quoted text – Folks, Betty Palmer, the wife of our good friend Curtis Palmer is undergoing a heart catheterization at this moment.  She is quite ill so let’s take a moment to offer our prayers for her recovery. Chuck Harris

Response:

Folks, Betty Palmer, the wife of our good friend Curtis Palmer is undergoing a heart catheterization at this moment.  She is quite ill so let’s take a moment to offer our prayers for her recovery.   Chuck Harris

Thanks Chuck.  Will do. Dale J. —

Response:

Bev told me in email.  And, I’m still pissed.  He just got his great news about his probably cure, and now….. Dammit! Prayers are going up.  I hope I’m in time.

Always in time, Steve… always! More prayers and best wishes, Curtis! MikeH

Response:

I have a prayer, and hopefully the man and woman  in charge will listen. John Loomis

– Hide quoted text — Show quoted text – Folks, Betty Palmer, the wife of our good friend Curtis Palmer is undergoing a heart catheterization at this moment.  She is quite ill so let’s take a moment to offer our prayers for her recovery. Chuck Harris Thanks Chuck.  Will do. Dale J. —

Response:

*Folks, Betty Palmer, the wife of our good friend Curtis Palmer is *undergoing a heart catheterization at this moment.  She is quite ill *so let’s take a moment to offer our prayers for her recovery.   Thanks for the update, I’ll be hoping for the very best! Al Please be quiet if replying via email, flames will be deleted promptly. I won’t even read the whole message…

Response:

Folks, Betty Palmer, the wife of our good friend Curtis Palmer is undergoing a heart catheterization at this moment.  She is quite ill so let’s take a moment to offer our prayers for her recovery.   Chuck Harris

Curtis and Betty are in our prayers tonight…. Thanks for the info Chuck. As Always, Phil (philski)

Response:

Our prayers are with both of them. Tom

– Hide quoted text — Show quoted text – Folks, Betty Palmer, the wife of our good friend Curtis Palmer is undergoing a heart catheterization at this moment.  She is quite ill so let’s take a moment to offer our prayers for her recovery. Chuck Harris Curtis and Betty are in our prayers tonight…. Thanks for the info Chuck. As Always, Phil (philski)

Response:

first of all – a very heart felt thanks to all.   the prayers must have worked.  i’ve had emails and phone calls wishing her well. as we all know at the newsgroup, we draw our strength from the others and it seems that our burdens are not so heavy.  so, is this one.  i was really highly concerned  about the outcome, just as one might wonder what the verdict is on their prostate tests. timex is a good word to describe her.  here’s why.  she’s came into this world fighting for life at 2 1/2lb birth weight.  she has came close to the grim reaper a lot earlier in life than most.   just into her early 20’s, she got an illness that the doctors said that she less than 24 hours from death had we not gotten her to the hospital in time.   later in life – complications with our first born put both mother and child at risk.  we didn’t know at the time, until the doctors came out and explained to me that they were going to try to stop delivery because i could lose either one or both.  and even then, when they did let the delivery process, her blood pressure shot well into the 200’s.  in fact, she was placed outside the OR all night just in case, the worse case would happen. then, death decided to pay another visit, and was cheated in 2001.  all the doctors were in agreement that she would have died had she not been full of "clot buster" when the fatal heart attack hit.   they were able to pump it into her one hour before it hit.  she had 5 major blockages in her heart. open heart surgery is risky business.  and the grim reaper was reading the paper in the waiting room, just waiting for someone to claim.  he did manage to get one earlier in the day. only to have two days after open heart surgery, another heart attack. this one, i was told they didn’t know if she would make it through the night.  that technology has done all they could. death banged again on the door, a double blockage on a main feed artery on the heart three months after the second heart attack, lead to the double angioplasty. he wasn’t happy about it and banged on the door harder the following year.  this time, in the ER treatment room,  the attending doctor told her, that after looking at her records, that the arteries feeding the heart were in terrible shape and she was considered "inoperative"  but the surgeon who did the double angioplasty didn’t agree with the ER doctor and  put the third one stent in – because the two stents had pulled open allowing the blockage to close off the blood supply. the grim reaper is getting upset and decides to turn up the heat and put her through hell.  figured maybe,  this will help things along.  that is when she found out i have the skin cancer and the prostate cancer.  and as you know, the stress of going through the treatment options and surgery is highly stressful.  but she came through like a trooper. well, death is getting pissed by now, so, he brought his brass knuckles and really bang on the door to make sure we hear it, but we weren’t answering the door……no how…..no way.   this time was this year, in february.  took her on three day cruise.  first day, she was fine, but tired.  by the third day, it was all she could do to walk 50 ft and she had the chest pains and other warning signs.  when we got to the hospital, they found out from the testing, that she was almost out of blood.  so, they refilled her (AB neg) and checked to find where she was leaking it all.  after 5 days of testing, they said that they couldn’t find it and that it is sealed itself – happens sometimes – they say. and sent her home. now, just a little over three months again, major heart attack symptoms. she said they are as bad as the when she had them on the first heart attack.  checked her into the ER first part of this week.  the doctors had assured me that they have ran EVERY test on her of a non-evasive type.  after 4 days of testing – all the tests so far, were coming back negative.  so, they were going in to do the heart cath.   tonight by 7pm, the cardiologist got done and came out and said that he’s pretty sure he found it in the stents and did an angioplasty and flow was coming back to normal.  they wanted her to be on her back for 2 hours.  by 9 o’clock, she said that the symptoms are going away, and she what?????   :) ) ~ curtis knowledge is power – growing old is mandatory – growing wise is optional     "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

Good, good news, Curtis! So happy for you both! And to think that there are people out there in the world who says miracles don’t happen anymore!!!! MikeH :-)

– Hide quoted text — Show quoted text – as you know – i try to stay on top of the advances of prostate cancer. boy – you folks – the prayers  -  were answered with this cardiologist. he’s a very special one and only does this particular type of operation in this area – period. she had a 60% blockage in the stents and he was able to "crush" it. said it was not cholesterol, but body cells that have grown through the stent.  said that is why it showed up as a "fuzzy" picture on the screen.  cholesterol shows up as white. he said that sometimes this will be a one time deal, but if it doesn’t, then he can go in and irradiate the area and it will stop any future growth in the stent.  is this amazing technology. and like i said before, he’s the only one that does this type of operation. one of the reasons i wanted to keep you up to date is that maybe you may have a loved one with a similar situation and i just want you to know the solution may be there.  technology is moving fast. and my "timex" – after she got her clock rewound last evening –  she was calling first thing this morning to go home and instead of going home, she wanted to go down to the river and sit, and watch the river for awhile.  we use to do this when we were dating.  she has no symptoms at all now, and the future is looking a lot brighter. i hope i can say something like this about a new treatment of prostate cancer in the near future. again, thanks for those prayers and thoughts.

Response:

Great news Palmer! FWIW, it seems like I read somewhere that someone has applied a coating to stents to prevent the body from coating them.  Since my father and his father both died of heart attacks, I’m very interested in this stuff. My cholesterol has consistently been in the 160 – 170 range but family history is not on my side. Wishing continued good luck for you and your "timex"!! Don

– Hide quoted text — Show quoted text – as you know – i try to stay on top of the advances of prostate cancer. boy – you folks – the prayers  -  were answered with this cardiologist. he’s a very special one and only does this particular type of operation in this area – period. she had a 60% blockage in the stents and he was able to "crush" it. said it was not cholesterol, but body cells that have grown through the stent.  said that is why it showed up as a "fuzzy" picture on the screen.  cholesterol shows up as white. he said that sometimes this will be a one time deal, but if it doesn’t, then he can go in and irradiate the area and it will stop any future growth in the stent.  is this amazing technology. and like i said before, he’s the only one that does this type of operation. one of the reasons i wanted to keep you up to date is that maybe you may have a loved one with a similar situation and i just want you to know the solution may be there.  technology is moving fast. and my "timex" – after she got her clock rewound last evening –  she was calling first thing this morning to go home and instead of going home, she wanted to go down to the river and sit, and watch the river for awhile.  we use to do this when we were dating.  she has no symptoms at all now, and the future is looking a lot brighter. i hope i can say something like this about a new treatment of prostate cancer in the near future. again, thanks for those prayers and thoughts. ~ curtis knowledge is power – growing old is mandatory – growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

as you know – i try to stay on top of the advances of prostate cancer. boy – you folks – the prayers  -  were answered with this cardiologist. he’s a very special one and only does this particular type of operation in this area – period. she had a 60% blockage in the stents and he was able to "crush" it. said it was not cholesterol, but body cells that have grown through the stent.  said that is why it showed up as a "fuzzy" picture on the screen.  cholesterol shows up as white. he said that sometimes this will be a one time deal, but if it doesn’t, then he can go in and irradiate the area and it will stop any future growth in the stent.  is this amazing technology. and like i said before, he’s the only one that does this type of operation.   one of the reasons i wanted to keep you up to date is that maybe you may have a loved one with a similar situation and i just want you to know the solution may be there.  technology is moving fast. and my "timex" – after she got her clock rewound last evening –  she was calling first thing this morning to go home and instead of going home, she wanted to go down to the river and sit, and watch the river for awhile.  we use to do this when we were dating.  she has no symptoms at all now, and the future is looking a lot brighter. i hope i can say something like this about a new treatment of prostate cancer in the near future. again, thanks for those prayers and thoughts. ~ curtis knowledge is power – growing old is mandatory – growing wise is optional     "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

So glad to hear that things are going well for Betty, Curtis! Hope she will soon be back home with you and feeling much better! What a story! MikeH

– Hide quoted text — Show quoted text – first of all – a very heart felt thanks to all.   the prayers must have worked.  i’ve had emails and phone calls wishing her well.

Response:

Good news Curtis.  Prayers and peace are with you. DanR

Response:

Praying for you both Curtis.  I hope she is able to come home soon. David

– Hide quoted text — Show quoted text – first of all – a very heart felt thanks to all.   the prayers must have worked.  i’ve had emails and phone calls wishing her well. as we all know at the newsgroup, we draw our strength from the others and it seems that our burdens are not so heavy.  so, is this one.  i was really highly concerned  about the outcome, just as one might wonder what the verdict is on their prostate tests. timex is a good word to describe her.  here’s why.  she’s came into this world fighting for life at 2 1/2lb birth weight.  she has came close to the grim reaper a lot earlier in life than most. just into her early 20’s, she got an illness that the doctors said that she less than 24 hours from death had we not gotten her to the hospital in time. later in life – complications with our first born put both mother and child at risk.  we didn’t know at the time, until the doctors came out and explained to me that they were going to try to stop delivery because i could lose either one or both.  and even then, when they did let the delivery process, her blood pressure shot well into the 200’s.  in fact, she was placed outside the OR all night just in case, the worse case would happen. then, death decided to pay another visit, and was cheated in 2001.  all the doctors were in agreement that she would have died had she not been full of "clot buster" when the fatal heart attack hit.   they were able to pump it into her one hour before it hit.  she had 5 major blockages in her heart. open heart surgery is risky business.  and the grim reaper was reading the paper in the waiting room, just waiting for someone to claim.  he did manage to get one earlier in the day. only to have two days after open heart surgery, another heart attack. this one, i was told they didn’t know if she would make it through the night.  that technology has done all they could. death banged again on the door, a double blockage on a main feed artery on the heart three months after the second heart attack, lead to the double angioplasty. he wasn’t happy about it and banged on the door harder the following year.  this time, in the ER treatment room,  the attending doctor told her, that after looking at her records, that the arteries feeding the heart were in terrible shape and she was considered "inoperative"  but the surgeon who did the double angioplasty didn’t agree with the ER doctor and  put the third one stent in – because the two stents had pulled open allowing the blockage to close off the blood supply. the grim reaper is getting upset and decides to turn up the heat and put her through hell.  figured maybe,  this will help things along.  that is when she found out i have the skin cancer and the prostate cancer.  and as you know, the stress of going through the treatment options and surgery is highly stressful.  but she came through like a trooper. well, death is getting pissed by now, so, he brought his brass knuckles and really bang on the door to make sure we hear it, but we weren’t answering the door……no how…..no way.   this time was this year, in february.  took her on three day cruise.  first day, she was fine, but tired.  by the third day, it was all she could do to walk 50 ft and she had the chest pains and other warning signs.  when we got to the hospital, they found out from the testing, that she was almost out of blood.  so, they refilled her (AB neg) and checked to find where she was leaking it all.  after 5 days of testing, they said that they couldn’t find it and that it is sealed itself – happens sometimes – they say. and sent her home. now, just a little over three months again, major heart attack symptoms. she said they are as bad as the when she had them on the first heart attack.  checked her into the ER first part of this week.  the doctors had assured me that they have ran EVERY test on her of a non-evasive type.  after 4 days of testing – all the tests so far, were coming back negative.  so, they were going in to do the heart cath. tonight by 7pm, the cardiologist got done and came out and said that he’s pretty sure he found it in the stents and did an angioplasty and flow was coming back to normal.  they wanted her to be on her back for 2 hours.  by 9 o’clock, she said that the symptoms are going away, and she what?????   :) ) ~ curtis knowledge is power – growing old is mandatory – growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

Curtis, what an amazing story . . . You and Betty are truly inspirations and help make this newsgroup what it is! I’ll say an *intention* at Mass this evening for you both. Larry

– Hide quoted text — Show quoted text – first of all – a very heart felt thanks to all.   the prayers must have worked.  i’ve had emails and phone calls wishing her well. as we all know at the newsgroup, we draw our strength from the others and it seems that our burdens are not so heavy.  so, is this one.  i was really highly concerned  about the outcome, just as one might wonder what the verdict is on their prostate tests. timex is a good word to describe her.  here’s why.  she’s came into this world fighting for life at 2 1/2lb birth weight.  she has came close to the grim reaper a lot earlier in life than most. just into her early 20’s, she got an illness that the doctors said that she less than 24 hours from death had we not gotten her to the hospital in time. later in life – complications with our first born put both mother and child at risk.  we didn’t know at the time, until the doctors came out and explained to me that they were going to try to stop delivery because i could lose either one or both.  and even then, when they did let the delivery process, her blood pressure shot well into the 200’s.  in fact, she was placed outside the OR all night just in case, the worse case would happen. then, death decided to pay another visit, and was cheated in 2001.  all the doctors were in agreement that she would have died had she not been full of "clot buster" when the fatal heart attack hit.   they were able to pump it into her one hour before it hit.  she had 5 major blockages in her heart. open heart surgery is risky business.  and the grim reaper was reading the paper in the waiting room, just waiting for someone to claim.  he did manage to get one earlier in the day. only to have two days after open heart surgery, another heart attack. this one, i was told they didn’t know if she would make it through the night.  that technology has done all they could. death banged again on the door, a double blockage on a main feed artery on the heart three months after the second heart attack, lead to the double angioplasty. he wasn’t happy about it and banged on the door harder the following year.  this time, in the ER treatment room,  the attending doctor told her, that after looking at her records, that the arteries feeding the heart were in terrible shape and she was considered "inoperative"  but the surgeon who did the double angioplasty didn’t agree with the ER doctor and  put the third one stent in – because the two stents had pulled open allowing the blockage to close off the blood supply. the grim reaper is getting upset and decides to turn up the heat and put her through hell.  figured maybe,  this will help things along.  that is when she found out i have the skin cancer and the prostate cancer.  and as you know, the stress of going through the treatment options and surgery is highly stressful.  but she came through like a trooper. well, death is getting pissed by now, so, he brought his brass knuckles and really bang on the door to make sure we hear it, but we weren’t answering the door……no how…..no way.   this time was this year, in february.  took her on three day cruise.  first day, she was fine, but tired.  by the third day, it was all she could do to walk 50 ft and she had the chest pains and other warning signs.  when we got to the hospital, they found out from the testing, that she was almost out of blood.  so, they refilled her (AB neg) and checked to find where she was leaking it all.  after 5 days of testing, they said that they couldn’t find it and that it is sealed itself – happens sometimes – they say. and sent her home. now, just a little over three months again, major heart attack symptoms. she said they are as bad as the when she had them on the first heart attack.  checked her into the ER first part of this week.  the doctors had assured me that they have ran EVERY test on her of a non-evasive type.  after 4 days of testing – all the tests so far, were coming back negative.  so, they were going in to do the heart cath. tonight by 7pm, the cardiologist got done and came out and said that he’s pretty sure he found it in the stents and did an angioplasty and flow was coming back to normal.  they wanted her to be on her back for 2 hours.  by 9 o’clock, she said that the symptoms are going away, and she what?????   :) ) ~ curtis knowledge is power – growing old is mandatory – growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response:

Curtis, Congratulations to both of you, you’ve made my day, not only with the good news, but with the resiliency you both exhibit. You both keep bouncing back and that should be an inspiration to everyone, it certainly is to me. Tom

– Hide quoted text — Show quoted text – first of all – a very heart felt thanks to all.   the prayers must have worked.  i’ve had emails and phone calls wishing her well. as we all know at the newsgroup, we draw our strength from the others and it seems that our burdens are not so heavy.  so, is this one.  i was really highly concerned  about the outcome, just as one might wonder what the verdict is on their prostate tests. timex is a good word to describe her.  here’s why.  she’s came into this world fighting for life at 2 1/2lb birth weight.  she has came close to the grim reaper a lot earlier in life than most. just into her early 20’s, she got an illness that the doctors said that she less than 24 hours from death had we not gotten her to the hospital in time. later in life – complications with our first born put both mother and child at risk.  we didn’t know at the time, until the doctors came out and explained to me that they were going to try to stop delivery because i could lose either one or both.  and even then, when they did let the delivery process, her blood pressure shot well into the 200’s.  in fact, she was placed outside the OR all night just in case, the worse case would happen. then, death decided to pay another visit, and was cheated in 2001.  all the doctors were in agreement that she would have died had she not been full of "clot buster" when the fatal heart attack hit.   they were able to pump it into her one hour before it hit.  she had 5 major blockages in her heart. open heart surgery is risky business.  and the grim reaper was reading the paper in the waiting room, just waiting for someone to claim.  he did manage to get one earlier in the day. only to have two days after open heart surgery, another heart attack. this one, i was told they didn’t know if she would make it through the night.  that technology has done all they could. death banged again on the door, a double blockage on a main feed artery on the heart three months after the second heart attack, lead to the double angioplasty. he wasn’t happy about it and banged on the door harder the following year.  this time, in the ER treatment room,  the attending doctor told her, that after looking at her records, that the arteries feeding the heart were in terrible shape and she was considered "inoperative"  but the surgeon who did the double angioplasty didn’t agree with the ER doctor and  put the third one stent in – because the two stents had pulled open allowing the blockage to close off the blood supply. the grim reaper is getting upset and decides to turn up the heat and put her through hell.  figured maybe,  this will help things along.  that is when she found out i have the skin cancer and the prostate cancer.  and as you know, the stress of going through the treatment options and surgery is highly stressful.  but she came through like a trooper. well, death is getting pissed by now, so, he brought his brass knuckles and really bang on the door to make sure we hear it, but we weren’t answering the door……no how…..no way.   this time was this year, in february.  took her on three day cruise.  first day, she was fine, but tired.  by the third day, it was all she could do to walk 50 ft and she had the chest pains and other warning signs.  when we got to the hospital, they found out from the testing, that she was almost out of blood.  so, they refilled her (AB neg) and checked to find where she was leaking it all.  after 5 days of testing, they said that they couldn’t find it and that it is sealed itself – happens sometimes – they say. and sent her home. now, just a little over three months again, major heart attack symptoms. she said they are as bad as the when she had them on the first heart attack.  checked her into the ER first part of this week.  the doctors had assured me that they have ran EVERY test on her of a non-evasive type.  after 4 days of testing – all the tests so far, were coming back negative.  so, they were going in to do the heart cath. tonight by 7pm, the cardiologist got done and came out and said that he’s pretty sure he found it in the stents and did an angioplasty and flow was coming back to normal.  they wanted her to be on her back for 2 hours.  by 9 o’clock, she said that the symptoms are going away, and she what?????   :) ) ~ curtis knowledge is power – growing old is mandatory – growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so."

Response: