Grandmother has concerns and responsibilities

Q: I am a 75-year-old female in fairly good health. My primary care doctor considers me pre-diabetic but another doctor told me my fasting levels of 108 are not indicative of pre-diabetes. I do have an arrhythmia and a pacemaker but I am very busy raising two grandchildren. I do like to hike and walk when I can find the time.

In 2009 I had drainage tinged with blood from my left breast for 7 to 10 days. It stopped and never occurred again. I was referred to a surgeon and he did smears of the fluid and ordered an ultrasound. A small nodule was found in the nipple area and a biopsy was done. A metal bead was injected into the site. I had follow-up mammograms and exams. Everything came back negative and no further tests were ordered except a yearly mammogram. One thing makes me uneasy, though. Since this occurred, my breasts have gradually decreased in size until they are almost flat to my rib cage. I noticed it with my left breast first, now both breasts. I have always been small breasted but this doesn’t seem normal when I have not lost any weight otherwise. The doctor said that’s just what happens as you get older and the muscles are affected. To me there’s a difference between sagging breasts due to the aging process and flesh disappearing without weight loss.
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Pacemaker recipient uninformed by doc

DEAR DR. GOTT: Please talk about pacemakers. I recently had to get one and would like to know as much about them as possible.

DEAR READER: Shame on your surgeon for not answering all your questions and putting your fears to rest before the surgery was ever performed! While I don’t know your medical history, age, medications and a host of other essential information, I will do my best to fill in the blanks.

A pacemaker is an electrical unit about the size of a pocket watch placed in the chest or abdomen to help the heart beat normally. It is used to treat arrhythmias — fast, slow or otherwise irregular beats. Without your pacemaker, when arrhythmias occurred, the heart may have been unable to pump sufficient blood throughout the body, causing symptoms of shortness of breath, fatigue and fainting.
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