Guest guest Posted July 18, 2010 Report Share Posted July 18, 2010 Here is some of the information I put btogether for making data > > base. I am > > > not a data base person. Need more input and some one to set up > > data base. > > > Need some one that doesn't have brain fog. Lab questions. Is it > > easy for the > > > lab to draw your blood? Do they have you make a fist to draw > > blood? Slap you > > > where they are trying to get the blood from. Draw blood with the > > tourniquet > > > on. have to stick you more then once? Poke around to try to hit > > the vein. > > > > > > > > > > > > > > > > > > > > Question on fatigue. How far can you walk? How > > > > > > > > > > > > fast can you walk > > > > > > > > > > > > > > > > > > > for how long? How much weight can you > > carry and > > > how > > > > > > > > > > > > far? Does a gallon > > > > > > > > > > > > > > > > > > > > > of milk sometimes feel heavy. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I think I will send the questions and the others > > can > > > provide > > > > > > > > > > > > the choices that they think we should have. I will > > review. For > > > example > > > > > > > > > > > > > > > Now we will ask some questions about your > > kidneys. click > > > on > > > > > > > > > > > > the ? if you want to know why we are asking this. > > > > > > > > > > > > > > > Questions about peeing at night (nocturia). > > > > > > > > > > > > > > > Were you a bed wetter as a child? Y/N > > > > > > > > > > > > > > > At what age did it stop? XX years > > > > > > > > > > > > > > > What did your Drs think was causing the problem? > > bed > > > wetter/ > > > > > > > > > > > > bladder infections/other descirbe free text. > > > > > > > > > > > > > > > Do you get up at night to pee before it is time > > to get up? > > > Y/N > > > > > > > > > > > > > > > If yes how many times on the average? XX or XX > > to XX Do > > > you > > > > > > > > > > > > pass more water at night than during the day? Yes/No/ > > Don/t know > > > > > > > > > > > > > > > Have you ever had a saline infusion or salt > > infussion > > > test? Y/ > > > > > > > > > > > > N/? > > > > > > > > > > > > > > > How many times did you pee during the 4 hours? I > > did not > > > have > > > > > > > > > > > > to pee till the end of the infusion or enter number of > > times. > > > > > > > > > > > > > > > Would you say you passed a lot? How many cups/ > > ccs/pints do > > > you > > > > > > > > > > > > think you passed? > > > > > > > > > > > > > > > Did they actually measure the urine? Y/N/? How > > much was > > > it? > > > > > > > > > > > > XXX cups/quarts/ml/liters. > > > > > > > > > > > > > > > If you ever have a saltine test be sure to ask > > them to > > > measure > > > > > > > > > > > > how much you pass during and at the end. > > > > > > > > > > > > > > > The volume of urine you pass is a Grim Quickie > > test of PA > > > yeas > > > > > > > > > > > > or no. Pass more than 1 L and prob have it, 2 L and you > > > certainly > > > > > > > > > > > > have it. > > > > > > > > > > > > > > > Have you ever had blood in your urine that you > > could see? > > > that > > > > > > > > > > > > a Dr told you about? > > > > > > > > > > > > > > > Have you ever been told you had protein in your > > urine? Ask > > > > > > > > > > > > > > > your Dr how much and record here. > > > > > > > > > > > > > > > Have you ever fainted when peeing? > > > > > > > > > > > > > > > Have you ever had an episode of severe > > hypertension after > > > > > > > > > > > > peeing? > > > > > > > > > > > > > > > Have you ever been injured in the kidnys in a > > work, auto > > > or > > > > > > > > > > > > sporting accident? Did you pass blood after this for a > > time? > > > > > > > > > > > > > > > Have you ever been told one kidney was smaller > > than the > > > other? > > > > > > > > > > > > > > > Have you ever been told you had cysts on your > > kidney? > > > > > > > > > > > > > > > Have you ever been told you had a tumor on your > > kidney? > > > Did > > > > > > > > > > > > they operate? What did they call it? Did they take out > > the > > > adrenal > > > > > > > > > > > > at the same time. > > > > > > > > > > > > > > > Have you ever had a ultrasound test of your > > belly? Find > > > the > > > > > > > > > > > > report and record the size of the right and left > > kidney R length > > > R > > > > > > > > > > > > width, Left lenght, Right Width. Other abnormalities. > > > > > > > > > > > > > > > What was the size of your aorta if done? Was > > there an > > > aortic > > > > > > > > > > > > aneurysm? How big XXX by XXX. Have you ever had a CT > > of your > > > belly? > > > > > > > > > > > > repeat questions about kidney size > > > > > > > > > > > > > > > What did the adrenals show? > > > > > > > > > > > > > > > Was there any calcium seen in the blood vessels? > > > > > > > > > > > > > > > Did the liver have cysts in it? > > > > > > > > > > > > > > > Was your gallbladder OK? Y/stones/sludge/other > > text. > > > > > > > > > > > > > > > Men: Have you ever been Dxed with a prostate > > problem? Y/N > > > what > > > > > > > > > > > > was the DX: BPH, prostatis, cancer, other text > > > > > > > > > > > > > > > PSA level? Have you ever had a kidney stone? Y/ > > N. What > > > type > > > > > > > > > > > > was it? Calcium, uric acid.don't know. > > > > > > > > > > > > > > > Same for bladder stone? > > > > > > > > > > > > > > > Erectile dysfunction questions. to be developed. > > > > > > > > > > > > > > > Any other kidney or bladder problems? text. > > > > > > > > > > > > > > > GYN questions. > > > > > > > > > > > > > > > At what age did you begin menses > > > > > > > > > > > > > > > How many pregnancis have you had? > > > > > > > > > > > > > > > What happened to your BP during prenancy? I had > > HBP before > > > > > > > > > > > > > > > Preg, Always normal, went up early in pregnancy, went > > up More > > > later > > > > > > > > > > > > but you get the idea. > > > > > > > > > > > > > > > CEG Clarence E. Grim, BS, MS, MD > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > BEGIN DATA > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Date: 100309 > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > To the member completing the form: > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > The goal of collecting this information is > > to get as > > > > > > > > > > > > > > > much detailed > > > > > > > > > > > > > > > > > > medically relevant information as we can > > about your > > > > > > > > > > > > history of high > > > > > > > > > > > > > > > > > > blood pressure. Only then will be best > > equipped to > > > > > > > > > > > > assess the best > > > > > > > > > > > > > > > > > > way(s) to control your BP > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > This history will give us possible clues > > to the > > > cause(s) > > > > > > > > > > > > of your > > > > > > > > > > > > > > > > > high > > > > > > > > > > > > > > > > > > blood pressure also called hypertension > > (HTN). It > > > will > > > > > > > > > > > > alert us to > > > > > > > > > > > > > > > > > the > > > > > > > > > > > > > > > > > > need for further testing to elucidate the > > cause(s) > > > of > > > > > > > > > > > > your HTN. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >Maybe should ask if they know how much > > sodium the > > > eat. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > SALT: You might be one of the many who can > > lower > > > their > > > > > > > > > > > > BP to safer, > > > > > > > > > > > > > > > > > > healthier levels by simply changing how > > you eat- > > > > > > > > > > > > especially by > > > > > > > > > > > > > > > > > lowering > > > > > > > > > > > > > > > > > > the amount of salt you consume. If > > lowering your > > > salt intake lowers > > > > > > your BP you are called salt sensitive (SS). The beauty > > > > > > of being SS > > > > > > is > > > > > > that you can lower your BP within 2 weeks by lowering your salt > > > > > > (NaCl) > > > > > > intake. > > > > > > DASH: You might be one who can lower your BP to > > > > > > healthier levels by > > > > > > using the mulipronged, best proven, eating plan called > > > > > > the Dietary > > > > > > Approaches to Stopping Hypertension (DASH) diet. The > > > > > > beauty of being > > > > > > DASH sensitive (DS) is that you can reduce you blood > > > > > > pressure to > > > > > > normal in 15 days by following the DASH eating plan. > > > > > > Have you been over weight most of your life. How much > > > > > > weight gain in past 5 > > > > > > years. Do you retain fulid. > > > > > > WEIGHT: You might be one of the many who can lower their BP to > > > > > > healthier levels by losing weight. We call these folks > > > > > > weight > > > > > > sensitive (WS). Most of this effect will be seen with > > > > > > the loss of > > > > > > only > > > > > > 10 pounds. > > > > > > ALCOHOL: You might be one of those who can lower their > > > > > > BP by > > > > > > deceasing > > > > > > your alcohol consumption. We call these folks alcohol sensitive > > > > > > (AS). > > > > > > STRESS: You might be one who can lower your BP by > > > > > > reducing your > > > > > > stress. We call these folks stress sensitive (STS). > > > > > > Any reason you feel you shouldn't exercise. Do you get > > > > > > short of breath, > > > > > > Dizzy, raceing heart. > > > > > > EXERCISE: You might be one who can lower your BP by > > > > > > increasing your > > > > > > exercise. We call these folks exercise sensitive (ETS). > > > > > > MORE than ONE of these. In some more than one of the > > > > > > items above may > > > > > > help your BP. You are unique in the world. Only you and > > > > > > your health > > > > > > care team can find out which of one(s) of these will get > > > > > > your BP to > > > > > > goal. When these methods fail they you will and your > > > > > > health care > > > > > > team > > > > > > need to discuss which medication(s) should be used to get you to > > > > > > goal. Some will require medications that attack the specific > > > > > > problem(s) > > > > > > that > > > > > > are causing > > > > > > You can download and print out a copy of this form to > > > > > > take to your > > > > > > health care team so you can get better control your BP. > > > > > > Please give us the year you were born: ____. We know > > > > > > that blood > > > > > > pressure goes up with age in societies that eat too much > > > > > > salt. The > > > > > > causes of high blood pressure differ in different age > > > > > > groups. > > > > > > Different medications work better in the young than in > > > > > > the old. > > > > > > Gender ___. Women tend to have lower BP than men till > > > > > > menopause. > > > > > > Ethnicity (race)_____ different ethnic groups tend to > > > > > > have different > > > > > > BP problems. For example those descended from the > > > > > > African Diaspora > > > > > > tend to be more SS and respond better to drugs called > > > > > > diuretics. > > > > > > Those of Chinese descent tend to metabolize beta > > > > > > blockers (BB) > > > > > > slower. > > > > > > As we learn more about human genetics we will be better > > > > > > able to > > > > > > think > > > > > > about what is causing your high blood pressure and what > > > > > > are the best > > > > > > life style changes/drugs we need to get your BP to goal. > > > > > > Where were you born: List > > > > > > Where were you raised: List + text > > > > > > How far in school did you go (years)? > > > > > > What is your degree in? > > > > > > This enables me to be sure I don't talk up or down to you. > > > > > > What are the last 3 jobs you had: 1, for X years 2 for X > > > > > > years, 3 > > > > > > for X years > > > > > > This may tell me how to relate your > > > > > > What are your hobbies? Three choices from list > > > > > > Living situation: living alone (single), married live > > > > > > together, > > > > > > divorced, living with another person. How many in > > > > > > household now: XX > > > > > > Who cooks at your house? > > > > > > Do you currently follow a specific diet? No yes list > > > > > > types. > > > > > > If you cook how many do you cook for? > > > > > > When was the last time you bought a box of salt? > > > > > > How old were you when you were first noted to have HTN? > > > > > > Age > > > > > > How was your HTN picked up? > > > > > > I was in emergency room for XXX > > > > > > At a routine check up > > > > > > I was pregnant > > > > > > I went to the Dr for the symptom(s) listed below. Quote Link to comment Share on other sites More sharing options...
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