The heart is on the left side of the body, we write with one hand, we carry a purse with one hand, we don't have completely symmetrical lungs, there are lots of behavioral and anatomic reasons that one arm is different from the other arm. We measure blood pressure in one arm when we go to the doc, but it's not so completely surprising that women may have slight differences in blood pressure between one arm and the other. In fact our arm pressure may be different from the blood pressure in or legs as well. Blood pressure differences at the different sites is important. SSo not specifically what the reading is, although that is important, but today we are also focusing on what the blood pressure in the right arm relative to your left arm. It can signal a clog in the main blood vessel that feeds one side or the other. By definition a difference of 20 "points" (or 20 mm Hg) is unusual and can signal vascular disease. So Dr Christopher Clark asked a different question, as reported in Lancet this year. What do small differences in the blood pressure between the right arm and the left arm mean for your overall health? Especially if you have a 15 point difference in one arm from the other, but even a 10 point difference may mean you have vascular disease in your arms or legs. In early stages women will not have signs of arterial disease, but in later stages you may have pain with exercise that is better with rest, you may have odd pains. It is a reason to exercise well, keep your cholesterol down, use aspirin if your gyno has suggested it and get evaluated if you are having pain that is unexplained.So the next time you sit down and they ask you which arm to get your blood pressure reading, just say, BOTH!
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you
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