Granny's gone and done it again

I had the physical today which went well.

I like my doctor a lot. He’s great. LOL

In fact, when I went to the desk on the way out to book a couple appointments including the next physical, they asked me if I wanted to see his nurse practitioner (or maybe PA? IDK) or him and I said him. That’s how good he is LOL I didn’t say that last part but yeah. Plus I didn’t wanna see somebody I didn’t know. It takes me a while to get comfortable with new people LOL

I’m sure having people see somebody else on his team lightens the load for him so he’s not so busy which I do get and totally understand but I’d much rather see him LOL

Besides, they’ve never asked me that before and I’m not sure why.
I love my PT guy. Just went today. He works on what ever is tight. Neck today
 
I had the physical today which went well.

I like my doctor a lot. He’s great. LOL

In fact, when I went to the desk on the way out to book a couple appointments including the next physical, they asked me if I wanted to see his nurse practitioner (or maybe PA? IDK) or him and I said him. That’s how good he is LOL I didn’t say that last part but yeah. Plus I didn’t wanna see somebody I didn’t know. It takes me a while to get comfortable with new people LOL

I’m sure having people see somebody else on his team lightens the load for him so he’s not so busy which I do get and totally understand but I’d much rather see him LOL

Besides, they’ve never asked me that before and I’m not sure why.
That is SOP, Shrek. I see my orthopedic surgeon alternating with his NP/PA every three weeks. It's to cut down on the patient load of the doctor. You are within your rights to ask for you PCP. I insist on seeing my PCP when I go into the office. If I need a blood draw or am sick, I will go to the local clinic which is staffed by one of their PAs. No problem but if I want my back or neck adjusted I want to see my main doc or his senior partner.

Between you and me I hate braking in and training a new doctor, LOL.
 
That’s sounds nice. Do you still have pictures? I can’t imagine getting married at 16.
My sister probably does. She steals every family picture she can get.
Talking about being married at 16...I was 16, hubby 18 when we eloped on Friday the 13th. Within a month we moved from Florida to Michigan, 1500 miles from family. We had to depend on each other and friends we made. We have been married 60 years.
Wow! I was bragging on 30 years.
 

Impression​

1. Extensive atherosclerotic disease most severely affecting the bilateraliliofemoral segments. On the right, there were multifocal short segmentocclusions of the SFA related to atherosclerotic disease with partial supply ofthe right popliteal artery from collaterals off the profunda. On the left, therewere multifocal areas of severe narrowing in the SFA with short segmentocclusion just before the popliteal artery, which is also partially suppliedfrom the right profunda.2. Patent 3 vessel runoff to the extent evaluated. The left dorsalis pedis isnot well opacified.-Note: Radiology results need to be interpreted within a comprehensive clinicalcontext. If you have questions about the radiology report, please contact theoffice of the ordering clinician.

Narrative​

CT ANGIO ABDOMINAL AORTA AND BILAT ILIOFEMORAL RUNOFF W CONTRAST 7/10/2025 1:02PMCLINICAL HISTORY: I73.9-Peripheral vascular disease, unspecified-ICD-10-CMI72.3-Aneurysm of iliac artery-ICD-10-CM.COMPARISON: None.PROCEDURE COMMENTS: Multidetector CT angiography of the region of interest.Isovue 370 IV contrast given as recorded in EPIC. Multiplanar reconstructionsgenerated and reviewed, including 3D MIPS.Dose 1 : CTDLP Total : 1983.13 mGycmDLP Spiral Max : 1710.2 mGycmMaximum CTDI Vol : 12.18 mGySSDE : 15.9558 mGySSDE Diameter : 28.4 cmSSDE Source : AP+LatFINDINGS:VISCERAL VESSELS:The celiac and superior mesenteric arteries are patent, with moderate to severecalcified plaque at the origin of the superior mesenteric artery. The inferiormesenteric artery is diminutive but patent. There are patent, 2 right and leftrenal arteries, with the right superior accessory artery small in caliber. Thehepatic artery vessels are patent. There are no replaced or accessory hepaticarteries.INFLOW VESSELS:Extensive calcified and noncalcified atherosclerotic plaque throughout theinfrarenal abdominal aorta and bilateral iliacs. Partially thrombosed mildaneurysmal dilatation of the right common iliac artery measuring up to 2.6 cm.Severe narrowing of the proximal left common iliac artery due to mixedatherosclerotic plaque with a short segment of near occlusion (axial image 103).Inflow is otherwise patent.OUTFLOW VESSELS:Extensive calcified and noncalcified atherosclerotic plaque throughout thebilateral common femoral, SFA, and popliteal arteries. There are multifocalshort segment occluded segments of the right SFA proximally, with some of theflow to the popliteal artery off muscular collateral branches from the profunda.On the left, there are multifocal areas of severe narrowing with a short segmentocclusion of the distal SFA just before the left adductor hiatus, with the leftpopliteal artery also supplied partially muscular collaterals from the leftprofunda femoral.RUNOFF VESSELS:The bilateral three-vessel runoff is patent to the extent evaluated, withlimited opacification limiting evaluation of the bilateral peroneal arteries.The bilateral plantar arch and right dorsalis pedis are patent. The leftdorsalis pedis is poorly opacified.LOWER CHEST/ ABDOMEN/ PELVIS:Limited images of the lung bases are normal. The liver, gallbladder, spleen,adrenal glands, kidneys, pancreas and pelvic viscera are normal. Theunopacified bowel is unremarkable.
 
My favorite version
I've never seen that version! Cool.

This one is the one I like. There are several videos where Angus is motor boating across the stage. I saw a recent one of them doing Thunderstruck and he's like in his 70s and hasn't slowed down very much. Strange seeing him doing the song with long gray hair.
 

Impression​

1. Extensive atherosclerotic disease most severely affecting the bilateraliliofemoral segments. On the right, there were multifocal short segmentocclusions of the SFA related to atherosclerotic disease with partial supply ofthe right popliteal artery from collaterals off the profunda. On the left, therewere multifocal areas of severe narrowing in the SFA with short segmentocclusion just before the popliteal artery, which is also partially suppliedfrom the right profunda.2. Patent 3 vessel runoff to the extent evaluated. The left dorsalis pedis isnot well opacified.-Note: Radiology results need to be interpreted within a comprehensive clinicalcontext. If you have questions about the radiology report, please contact theoffice of the ordering clinician.

Narrative​

CT ANGIO ABDOMINAL AORTA AND BILAT ILIOFEMORAL RUNOFF W CONTRAST 7/10/2025 1:02PMCLINICAL HISTORY: I73.9-Peripheral vascular disease, unspecified-ICD-10-CMI72.3-Aneurysm of iliac artery-ICD-10-CM.COMPARISON: None.PROCEDURE COMMENTS: Multidetector CT angiography of the region of interest.Isovue 370 IV contrast given as recorded in EPIC. Multiplanar reconstructionsgenerated and reviewed, including 3D MIPS.Dose 1 : CTDLP Total : 1983.13 mGycmDLP Spiral Max : 1710.2 mGycmMaximum CTDI Vol : 12.18 mGySSDE : 15.9558 mGySSDE Diameter : 28.4 cmSSDE Source : AP+LatFINDINGS:VISCERAL VESSELS:The celiac and superior mesenteric arteries are patent, with moderate to severecalcified plaque at the origin of the superior mesenteric artery. The inferiormesenteric artery is diminutive but patent. There are patent, 2 right and leftrenal arteries, with the right superior accessory artery small in caliber. Thehepatic artery vessels are patent. There are no replaced or accessory hepaticarteries.INFLOW VESSELS:Extensive calcified and noncalcified atherosclerotic plaque throughout theinfrarenal abdominal aorta and bilateral iliacs. Partially thrombosed mildaneurysmal dilatation of the right common iliac artery measuring up to 2.6 cm.Severe narrowing of the proximal left common iliac artery due to mixedatherosclerotic plaque with a short segment of near occlusion (axial image 103).Inflow is otherwise patent.OUTFLOW VESSELS:Extensive calcified and noncalcified atherosclerotic plaque throughout thebilateral common femoral, SFA, and popliteal arteries. There are multifocalshort segment occluded segments of the right SFA proximally, with some of theflow to the popliteal artery off muscular collateral branches from the profunda.On the left, there are multifocal areas of severe narrowing with a short segmentocclusion of the distal SFA just before the left adductor hiatus, with the leftpopliteal artery also supplied partially muscular collaterals from the leftprofunda femoral.RUNOFF VESSELS:The bilateral three-vessel runoff is patent to the extent evaluated, withlimited opacification limiting evaluation of the bilateral peroneal arteries.The bilateral plantar arch and right dorsalis pedis are patent. The leftdorsalis pedis is poorly opacified.LOWER CHEST/ ABDOMEN/ PELVIS:Limited images of the lung bases are normal. The liver, gallbladder, spleen,adrenal glands, kidneys, pancreas and pelvic viscera are normal. Theunopacified bowel is unremarkable.
Granny Granny Granny....what are we going to do with you? I know, Love you!

Seriously, like many of our generation we are now seeing the end results of eating well and what we want usually to excess. It will be interesting to see what the doctor suggests as a treatment approach.

In the meantime, you know what is causing your leg pain. :hugs
 
My favorite version
Awesome!!!!!!!
I love my PT guy. Just went today. He works on what ever is tight. Neck today
That’s great!!!!!
That is SOP, Shrek. I see my orthopedic surgeon alternating with his NP/PA every three weeks. It's to cut down on the patient load of the doctor. You are within your rights to ask for you PCP. I insist on seeing my PCP when I go into the office. If I need a blood draw or am sick, I will go to the local clinic which is staffed by one of their PAs. No problem but if I want my back or neck adjusted I want to see my main doc or his senior partner.

Between you and me I hate braking in and training a new doctor, LOL.
Yeah I hate training new ones too LOL I started seeing a new dentist, neurologist, and eye doctor last year LOL they’re all amazing luckily but still.
 
Just found out I have a new Great-grand daughter. She was born this morning 9#4oz Mom and baby doing well. She is #11 great-grand child.
Congratulations! Wow! 11! That is just fantastic and everyone is healthy, better yet.

Babies are God's opinion that the world should go on.
 

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