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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue At The End Of The Day?

today i ried to get off a sofa to answer thephone in the next room and couldn t raise up after several tries I got up and tried to step forward but found myself leaning to the left fell toward the left. I couldn t stop the fall once it started. Then I had trouble getting up off the floor. Fortunatly no injury But frightened by it.I had had a normal day up to this. I had a heart attack in 1998 and have taken metopolol and simvistatin since. I also have stenosis in the lower back . I do PT excercises and water aerobics 2-3 times a weekI will be 86 9/11 I help my kids with a 12 yr old grandson picking him up from school and summer camp and do lighthousework at my apt and my kids 3 level townehouse.I have experienced a lot of fatigue at the end of the day for thelast several years. I use a cane and recently bought a walker to have seating when I go to a park or mall.Its Friday night and Kaiser urgent care is not close to me but maybe I should go sat am and have them check my heart. I am driving every dayin the Alexandria area.I can contact kaiser spine center for my orthopedic DRMonday. I will aapreciate your suggestions fro this rambling report. Thank you so much Elaine Keefer . .
Thu, 13 Jun 2019
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Radiation Oncologist 's  Response
Hello,

First of all, I would like to congratulate to you, that you are able to do so many chores and helping your kids.

It is indeed very amazing. In order to assess your fall and fatigue, it is important to evaluate you in detail, get a physical examination and if required certain tests, to be certain regarding whats the pressing issue.

Currently, I have multiple possibilities in my mind, first I would like to look for heart, blood pressure and nervous system (stroke).

After ruling out the obvious, then consider other causes such as age-related weakness, etc.

However, as you have rightfully mentioned, please get yourself checked at the earliest, this checking up on Saturday for heart seems fine and let the evaluating physician take things from there.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Jatin Bhatia, Radiation Oncologist
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What Causes Fatigue At The End Of The Day?

Hello, First of all, I would like to congratulate to you, that you are able to do so many chores and helping your kids. It is indeed very amazing. In order to assess your fall and fatigue, it is important to evaluate you in detail, get a physical examination and if required certain tests, to be certain regarding whats the pressing issue. Currently, I have multiple possibilities in my mind, first I would like to look for heart, blood pressure and nervous system (stroke). After ruling out the obvious, then consider other causes such as age-related weakness, etc. However, as you have rightfully mentioned, please get yourself checked at the earliest, this checking up on Saturday for heart seems fine and let the evaluating physician take things from there. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jatin Bhatia, Radiation Oncologist