Saul Posted June 18, 2019 Report Share Posted June 18, 2019 Dear ALL, Today is my 80th birthday. I continue to be in excellent health. Several factors that I think are important for prolonged healthspan and (possibly) lifespan: I've been practicing CR since April, 1996 (so about 23 years). I do vigorous aerobic exercise for half an hour or longer six days a week at my gym (in my case, on the latest Precor elliptical cross trainer with hand motion, at the maximum resistance and a fast speed). I continue to be fully employed at the University of Rochester as a Professor of Mathematics (a position that I've held since 1974): I'm the oldest member of the Math Department. I teach two courses every term (both in the Fall and Spring -- I'm off for the Summers). I enjoy the teaching, and attending seminars and colloquia. Here is a recent health assessment from my Endocrinologist: (Note: The weight is incorrect -- weight was taken after I'd eaten a huge breakfast of 1 pound of raw Nappa cabbage, and 64 ounces of carefully brewed Chinese white tea -- that's always my breakfast): Wittlin, Steven D, MD at 5/7/2019 10:00 AM Status: Signed HPI: Saul Lubkin is a 79 y.o. male who presents for follow up of Osteoporosis. He now takes Forteo. . He denies any pain , fractures, muscle weakness or kidney stones. He continues on low calorie diet. Patient's medications, allergies, past medical, surgical, social and family histories were reviewed and updated as appropriate. ROS: CONSTITUTIONAL: Appetite good, no fevers, night sweats or weight loss HEENT: No double or blurry vision; denies severe headache CV: No chest pain, shortness of breath or peripheral edema RESPIRATORY: No cough, wheezing or dyspnea NEURO: No MS changes, no motor weakness, no sensory changes ENDO: No polyuria or polydipsia PE: BP 110/60 | Pulse 71 | Ht 1.55 m (5' 1.02") | Wt 61.2 kg (135 lb) | BMI 25.49 kg/m² GENERAL APPEARANCE: well developed, well nourished, no acute distress; aware and alert HEENT: PERLA, EOMI, no lid lag, pink conjunctiva ; no proptosis NECK: supple, no thyromegaly, no lymphadenopathy HEART: RRR, normal S1, S2 CHEST: lungs clear to auscultation bilaterally, no spinal tenderness EXTREMITIES: no clubbing, cyanosis, or edema. Pedal pulses 2+ bilaterally. Both feet clean without deformity, callous, ulceration, or fungal infection. NEUROLOGICAL: Alert and oriented x 3. Normal DTRs SKIN: Orange color. ASSESSMENT/PLAN: Forteo. Mr Lubkin will repeat his DXA . He continues to appear hypercarotenemic. Saul and I had a long discussion. As per usual he is on top of recent research in osteoporosis. He wants Forteo, acknowledging that we have no good data on its use for this long, that convention is that he should be using A bisphosphonate, and that he has had a very small decrease in BMD.. RTC one year with DXA Quote Link to comment Share on other sites More sharing options...
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