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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Amlodipine. Having High BP, Cholesterol And Depressed. Advise How To Improve Outlook On Life?

I don t know how to ask the question. I am 64 years old and I ve just had my annual Health MOT check and I appear to be in very good health, despite being on 10 mg Amlodipine for the past 2 years with raised blood pressure. I don t like having my blood pressure taken in the surgery and that is usually reflected in the higher readings such as 155 over 85 . When I monitor myself at home my blood pressure is perfect 120-125 over 75-80. My cholesterol is 4.1 and last year it was 3.5 and that is the only thing that has changed and I know that I am still relatively low in Cholesterol. The slight rise in cholesterol and LDL s perhaps is due to my unhappy state. I think I am depressed and the only other thing that, has made me become suspicious was the fact that I have no enthusiasm in having intercourse, despite finding my wife very attractive and do desire to have sex with her, yet when I attempt to do so , I can only go so far and my libido is non existent. I don t feel excitement anymore, as I did up to about 5 years ago. My possible depression, which is also expressed in considerable worry particularly when I wake up in the morning, is probably to do with my 2 grown up daughters. My 2 daughters are both very intelligent professional people, and yet they have behaved appallingly towards both of us. The 34 year old who is also a Medic working at a Manchester hospital and is married with 2 children, decided to start accusing me in 2009 that I was harsh on her when she misbehaved when she was a very young teenager 12-13. In August 2009, 8 months after she had her first child, she told her mum that she was frightened of me, out of the blue and after so any years of a good loving relationship with both her and her sister. I willingly accepted to pay the 4 years for her to study medicine, after she got a first class honours in Biological sciences and a gap year around the world. She alone has cost us a fortune and yet since 2009 August she has curtailed my access to my grandchildren, allowing visits once every 2 months. This is scandalous. The children ask for their granpa but they only see their grandma and also my son in laws parents.She also managed to persuade and recruited her older sister who is 35 and is working as a phD at UCL and a political researcher as well as an adviser of a member of parliament. I haven t seen my older daughter for 2 years and she doesn t phone us. This started after my Medic daughter, gossiped cruelly to my older girl. Basically, my own immediate family has virtually abandoned me. The 2 girls have been hurt by both sides of the family in years passed, with aunts and uncles being stupid and they lost all their grandparents one by one in the nineties and had none by 2004. Basically, they are too old and are women with responsibilities to their families and hold down professional careers and yet they have treated their parents like criminals or as lower form s of life(my bitterness shows here). So, it looks as if I have reasons to be depressed. Can you help me with some advise as to whether I can find some way to improve my outlook on life. I am very slowly edging closer to my younger daughter, but my wife and I our personal life in terms of intimate physical contact has really died. If I can get myself out of my disappointment as a kind of a failed father, by some means, whatever means, be it antidepressants(which I don t really want) or by managing to feel happier or I should say find the courage to get over my anxiety and believe that I can actually get an erection during my rare attempts, then maybe I can be happier in myself and find confidence to move on and challenge my family problems; a strange methodology towards achieving happiness, but it could be a way in. My wife and I say to each other, how could I have been such an awful father and yet I managed to produce, 2 beautiful daughters, that have achieved such high academic excellence with excellent professional careers in this most competitive and challenging of worlds. So basically, is my partial erectile inability curable, under such duress caused by family woes?? Peter
Mon, 25 Nov 2013
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Cardiologist 's  Response
Dear patient,

I agree that you are under lots of stress and difficult situations currently; you may benefit from seeing a clinical psychologist for cognitive behavioral therapy and stress management; in terms of the erectile dysfunction, you can discuss with your physicians if Viagra-type medications are safe for you, if there is any organic substrate for that; you do have elevated LDL levels which predispose to atherosclerosis and erectile dysfunction. The complexity of your case warrants both approaches.


Hope that is helpful, yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN
Cardiology
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Taking Amlodipine. Having High BP, Cholesterol And Depressed. Advise How To Improve Outlook On Life?

Dear patient, I agree that you are under lots of stress and difficult situations currently; you may benefit from seeing a clinical psychologist for cognitive behavioral therapy and stress management; in terms of the erectile dysfunction, you can discuss with your physicians if Viagra-type medications are safe for you, if there is any organic substrate for that; you do have elevated LDL levels which predispose to atherosclerosis and erectile dysfunction. The complexity of your case warrants both approaches. Hope that is helpful, yours truly, Dr Brenes-Salazar MD Mayo Clinic MN Cardiology