On October 1, 2014, a 56 year old man, Mr. Brown, came in for his follow-up appointment to talk about his cholesterol panel. Mr. Brown’s cholesterol levels are not within healthy standards and he needs to change his life style before his health diminishes. Mr. Brown likes to eat and hates to exercise. I am going to show him his cholesterol levels so that he can see what he is doing to his body. If he does not get his cholesterol levels where they need to be his arteries might get so clogged up that he could have a heart attack or stroke. He needs to do some preventive medicine on his own with a little help from me and my staff.
Hello Mr. Brown thank you for coming back for your follow up on your test results. My name is Laura Bramlett and I am the Physician Assistant (PA) that will be going over your tests results. First I would like to give you some good news. Your Triglycerides is at 145 mg which is a normal range. Triglycerides are fats, oils, and waxes known as Lipids that are in your body and their functions are energy storage, insulation, and protection. Now your cholesterol on the other hand are in a dangerous bad area.
is a waxy, fat-like substance found in the body cells to make hormones, vitamin D and substances that help you digest foods (NIH). Your overall cholesterol level is 210 mg/dl which is border line high and your Low Density Lipoproteins (LDL) and High Density Lipoproteins (HDL) are just as high. Lipoproteins is made up of protein and lipids. In reference to your LDL and your HDL they are out of control and I am here to help you get them under control. Your LDL is 160 mg/dl which is high and we need to get it down to the normal range of 100 – 129 mg and your HDL is 33 mg/dl which is a poor level and needs to be 60mg/dl or higher to be at its best levels. (Mayo) What is LDL and HDL? Mr. Brown LDL is known as bad cholesterol and could lead to a buildup of cholesterols in your arteries if we do not get it under control. HDL is known as good cholesterol and it carries and collects the cholesterol from all over your body and sends it to the liver and the liver will remove the cholesterol from your body. Cholesterol is produced in the liver and small amounts of it is produced in the small intestine and individual cells and the causes of high cholesterol are as follows: is a person who is a smoker, is obese, has a poor diet with lack of exercise and a possible diabetic.
(NIH) Mr. Brown, our records show that you smoke and are obese for your age and height. We need to get your good (HDL) and bad (LDL) cholesterol under control before it is too late and you have a heart attack or stroke. Reducing your high cholesterol is manageable and treatable, we just need you to commit on eating right and healthy so that you can lose some of your weight. I know you do not like to exercise but if you can just walk around the block or walk 30 min a day to start off with it will jump start everything to a better health. There is medication that I can give you however, I would like for you start off exercising and eating right to lower your cholesterol before we resort to medication. One of the medications that I would have you take is called Crestor and it will help lower your LDL or bad cholesterol and increase your HDL or good cholesterol.
However, like most medications Crestor does have some side effects. You could experience muscle pain or weakness, feel unusually tired or have a fever, and have headaches or abdominal pain. Sir, if you have any of these symptoms I need you to come back in so we can see what is going on. Once I give you your medication I still need you to exercise, at least walk, for 15 – 30 min a day. Mr. Brown, it is better for you to exercise and eat right before we add Crestor to your diet. Because of the side effects that the medication gives I believe we should try everything else before adding something that is at risk to you and your health.
Mr. Brown I know that you might be unwilling to change your life style but take your family into consideration. If you do not get your health, especially your cholesterol under control you might end up in the emergency room and not only will you be suffering but so will your family. I know that I have said it before but I really need you to consider walking and exercising to get your Cholesterol down before we think about giving you the Crestor. The Gwinnett Medical Hospital, my staff, and I are here for you to help with any concerns or fears you might have to jump start your healthy life style. I assure you that if you start to walk during halftime of your football games or even during your games it will make a difference in your life. Here are some pamphlets I would like for you to read about Cholesterol and what it can do to your body. Focus on small accomplishments first and then we can set up some larger goals and accomplishments. Now if you have any more question or concerns about your health, after you leave here, please give us a call immediately.
Griffin, Morgan R., Cholesterol and Triglycerides Health Center, High Cholesterol Treatment – What Works? WebMD retrieve from http://www.webmd.com/cholesterol-management/features/high-cholesterol-treatme
Mayo Clinic, Diseases and Conditions, High cholesterol, Cholesterol levels: What numbers should you aim for? Retrieve from http://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/cholesterol-levels/art-20048245
National Heart, Lung, and Blood Institute, What is Chlosterol? Retrieve from http://www.nhlbi.nih.gov/health/health-topics/topics/hbc/
Tortora, G. J. and Derrickson, B. (2014), Principles of Anatomy and Physiology, Hoboken, NJ. Wiley & Son Inc.,