Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Hi I'm Dr. Phil
Can I ask your first name?
I am Jaes
nice to meet you
Basically this report means normal
pleased to meet you too
your tests were normal
the holter and the echo were normal
you need to work on risk factor reduction and take aspirin
they have given me clopidogrel at the time
you should be on a statin too
but the episode made me really change, I am now working out six days a week, and eating a super clean, low carb diet
that is great
yes they gave me a medicine for Cholestorol
that is all you need
you will be fine
and one 5mg tab per day for the BP ampiodole or something
but the whole CT SCAN thing spooked me, as i am thinking why ?
is this normal to check ?
yes that is standard
very much so
And i have been under tremendous hidden levels of stress and anxiety for years, which i kept quiet i.e. very violent child abuse for 15 years, then my daughter been kidnapped by her mother and vanishing fire years ago, then entering into a marriage with a muslim girl who i am always clashing with, which gets me stressed out even more.
I'm sorry you have so much stress James
that is hard
we don't get along, always arguing, only 4 months married and already i have called for separate beds, and just chose to ignore her, rather than get worked up and stressed out more, which i think has angered her more because normally i was quite emotional and gave in
that sounds very difficult
this could definitely be playing a role in what is going on
i told her today when i went for the CT SCAN to stay home, i want to do myself, and she insists in coming, then the raised voices start, is if its not a big enough problem of anxiety going for brain scans etc
you might benefit from marriage counseling
i want to leave
then get out
as if i don't, i feel i will be leaving in a box with the stress
don't stay if you aren't happy
i keep telling her i am unhappy with her, and her mouthy attitude. and she keeps papering over the cracks, playing reverse psychology that its my anxiety and depression thats causing these thoughts.
I'm really sorry James
Then kind of emotionally blackmailing me how i would kill her mother if i walked away, also trying to get pregnant when i said NO, there must be stable relations first
sounds like she is trying to trap you
get out now james
The more i see her screwed up face, the more i feel sick
as she knew i had been diagnosed with anxiety and depression, and her the good muslim girl, was calling me names like nutter, psycho, head case, your nuts etc,
that is harsh James
she was sending me links to Bi Polar and Schizophrenia, and my Psychiatrist said she is nuts, he can see i have been a very successful man in my life, lived all over the world, but just finally succumbed to depression after all these events and the wife is saying things like that .... its just not right, it shows a complete lack of respect
I agree James
so you think the results i have show you are OK, and just a matter to get the healthy lifestyle back, drop the weight, and keep up the exercise everyday??? you don't think the CT SCAN is anything to worry about, if the other stuff checked out alright ??
Yes, that is it
I don't think the CT is a worry at all
these are routine
and get out of that toxic marriage James
because i was planning to go a six week fitness bootcamp in Thailand but was worried with the medical stuff, and i did not know the answers .. so maybe i just need to go there
that might help
The 30kg i gained is only since i got involved with her, i was 30kg lighter only last October when i finally came back to UK to meet her and her family, so i am sure this has been not good for me. i am in Manchester, a city i don't know anyone, or like
sounds like you know what to do james
I have my house in Spain, and always traveled the world. Lived in Mauritius for years also where i had a hotel, i like the nice life, problem free, not being controlled like a YES MAN and making myself ill
I have never used Doctors or Medicines until i came here.... and everyday i am sitting around with either her elderly parents who are ill, or aunty who are ill, and not a lot in common, and i think these situations being around such people can make you feel crap also ??
absolutely they can
I am businessman used to being out and about, traveling, earning, and having good life. Now i am expected at the inlaws for Tea everyday, if i don't go they want to know why. Then they know i am on strict diet, still offering curry, chapati, cakes etc...
okay then you need to escape if it is not the life you want
I am beginning to feel overwhelmed by the burden placed on me, as the brother in law, he stepped back, married a white girl, and basically has little to do with his family, maybe visits once a month. And his wife takes zero to do with any of them.
maybe these are all signs too
in my heart, i believe i know the answer. I was only putting it off a few weeks, because i was worried about the medical stuff. But if you think the medical stuff i have described is OK, maybe its time to see the GP on Monday and tell her my plan to leave my wife, and go training in Asia for few months
Yes, I think it is ok
James, did I do good work for you today?
As i am sure piling on 25-30kg in 8-9 months is not ideal either, after having lose it all last year
no doubt james
Yes, it was a pleasure talking with you. Are you UK Based Cardio Doctor ?
No I am in the US
i lived there too in Orlando, and then in Anaheim California for few years
I love both places
we visit orlando often
good weather in both
i had property there and in Kisssimmee
I think medically you are fine James
now all i have is stress :)
Keep doing what you are doing
and work on your mental health :)
so keep taking the diazepam for calm, and temazepam for sleep as prescribed by Psychiatrist ?
would you mind rating me positive before leaving?
try to get off those
wean down slowly
you can't stop them right away
I am also seeing a Cognitive Behavioural Therapist and its going good... are they dirty drugs ?
yes they are addictive and just end up causing habits over time
they work short term well
like 1-2 weeks
after that they are an issue
the temazepam 20mg don't do anything for me
zolpidem do nothing either
maybe just being on edge all the time causes the lack of sleep
Anyway Phil, it was lovely talking with you. Thank you for your input.
you're welcome James :)
I wish you luck my friend
yes, how do i do that