INSOMNIACS place to talk in the wee hours

It's cold here too. sun, crisp maybe 68. MH appointment today(mental heath--counselor). otherwise tooo cold to go out. Awake YAY. So, sleepy all the time. Thyroidcould be the culprit. But per usual when in doubt find something to blame.

\2nd--and all or who asked what hypertension is --means high blood pressure. Correct abbreviation HTN, sometimes abbreviated as HBP(wrong but works). The use of low dose aspirin has been debated for at least 20+ years. The dose changes frequently with the American Heart Association leading the way. It started out at 325mg, then went to 81, then 325mg , then 84 mg, then 160 mg then back to 81 mg. Physicians are known to perscribe anywhere in this range .The bottom line is it's not really known. That's why it keeps changing. With each new research project published a change is made. That's why some doc's just stay with one dose instead of flipping their patients each time a new study comes out. Hope that's clear.

What does not change, is aspirin interferes with platelet aggregation. That means it interferes with clot formation. Which is a very good thing. The research on this is from a cardiac perspective, not a liver perspective. So, if liver health is a concern discuss it with your doc. It's a though one. It comes down to a choice of which system you want to protect more. The wide spread cardiovascular---heart and vessel( b/c of clot interference) protection is major-----is very major. Protect the liver by limiting alcohol intake.

Hypertension prevention is major too. Long term consequences of HTN  are major. If I had a choice retrospectively knowing what the August 2005 Journal of Hypertension pointed out which of course I didn't b/c the connection hadn't been made between them before. I would not have used Tylenol (acetaminophen). and Nsaids---aleve, naproxyn, ibuprofen,advil, all others on a routine basis.

What allot of people, and regretfully, allot of nurses don't realize is many of the pain relievers combine a narcotic with Tylenol or a NSAID. The reason for the combination is the two drugs work to hit different receptor sites. This works very well. Since for me knowing how the Tylenol and Nsaids affect my BP, I take only a narcotic. I don't get as good of pain relief, but it's my choice. I have a family hx that these drugs for us are dangerous. OOPs have to go fix something LOL for DBF

Someone asked what Cheesed meant. it was a reference To another thread I'm active on. Here's the link. From here Spookie and I are on it. The other day I got confused when sending out invitations. There's Spookie, Rohanna, Lovewins, and Rocky on this thread and I didn't want to miss any of them. I tought I'd be safe by sending one to all. You know, pain ,drugs, and exhaustion don't blend well with organization and thinking LOL. Just think of any of us saying this preBC

http://community.breastcancer.org/forum/7/topic/769408?page=40#idx_1178

EXCELLENT NEWS, WILL MAKE US ALL HAPPY------------YOO_HOOOOOEVERYONE

I was looking for the journal article on google re: Tylenol, NSAIDS, an Hypertension.. This is a different article. It was a synopsis of the original article Written for the lay public. It's written very well. It states what I stated about NSAIDS and tylenol.  EXCEPT that aspirin was found to NOT be a problem in older ladies, but can be a problem in younger ladies. Please, save this article for future reference. You may be able to help someone else.

http://www.drugs.com/news/otc-pain-relievers-linked-blood-pressure-women-1517.html

Another article written so lay people can read it. Information taken from the original journal article.

http://www.medpagetoday.com/Cardiology/Hypertension/1555

Original abstract that above articles were taken from. An abstract just hits the highlights of a research paper. The full article is the source for the above articles.

http://hyper.ahajournals.org/content/46/3/500.abstract?HITS=10&andorexacttitle=and&maxtoshow=&RESULTFORMAT=1&FIRSTINDEX=0&searchid=1124292305011_1111&hits=10&title=Non%20Narcotic%20Analgesic%20Dose&journalcode=hypertensionaha&stored_search=&sortspec=relevance&search_url=http%253A%252F%252Fhyper.ahajournals.org%252Fcgi%252Fsearch&andorexacttitleabs=and&andorexactfulltext=and

I like to read the original articles only to see if they are done according to good science. BUT they can be difficult to read b/c they get real crazy with techno speak. After reading the techno speck original article then I look for the best "human" translation. The above two sited articles are the best translations from the original journal article YAY>

Chevy, Ha, you know I wouldn't say what to take LOL. Talk with your doc. The reason I wrote the description from 81mg to 325mg. Is the American Heart Association which is the source for how much aspirin should be taken. The AHA "Changes Dose so often" it falls in the category of "what are we saying this year". The importance of this is understanding that dose change controversy.. As people discuss their meds, one doc may have the practice of instructing patients to take 325mg., another doc prescribes 81mg. You look at each other and wonder why. Now you know why. Ah-HAH Plus ask your doc what they recommend on a plane trip or long drive------that could be different (hint might be a tad higher than the daily dose, maybe the same). Plus, those that have Atrial fib or a pig valve may be on a different dose plus a blood thinner.

April-hahahah I already forget except I am in the older lady category. The articles both have it. Younger I think was 35-45, older 45 and above. BUT don't quote me.

This points out that when you think you know something, always take the time to find the original material. I either forgot or didn't catch that no difference for us older ladies regarding aspirin. Very important.

Aspirin is good for preventing strokes, but also clots that affect and artery or vein anywhere in the body. There is literature that describes it as being protective against a couple of other things, but will find source before I mention.

Trivial pursuit: Within one or 2 years of the connection between aspirin and____________(disease that children get if given aspirin with a virus) That was killing children. It looked like the end for aspirin products. Then the research came out about it's positive affect on preventing clots all over the body. YOO-HOO wish I bought stock before that first publication.

Chickie do a spectacular foooooooooooorrrrrrrrrrrrrr Squishy!

Good night for this hour . Won't know till morning if I slept. For those that meet in the night enjoy each other. L&H&P's that's 2 for the night sassy