Weight 300 pounds, borderline hypertension (140/80) why do I need medical clearance?

August 9, 2011

Just tell me if it has to be 130/80 to be operated on or not. I want to know everything, before I attempt to make arraingements or fly  to miami, anytime this year if possible. I understand there is possible bleeding, and have been researching this surgery procedure for particulars. How ever I am serious about having this done, I have had hemoglobin test, I am not diabetic. If a person weighs 300  does this play a factor, I will need to know if this will be false hopes, or not about being operated on. Is it a standard physical or is  it in depth, or very comprehensive. Again  do you do a lot of blood work. Sometimes I have white coat syndrome, sometimes I dont, I take two kinds of blood pressure, medicine to correct it  Damien

August 10, 2011

Dear Dr. Reed!!!  Thanks, I will try to acquire that, when I can.  with reference to ekg? You didn,t tell that in  beginning, It is not life or death situation, However, Phimosis, is my diagnosis, It needs to be done, All you told me before was I needed was a letter from doctor saying I am fit to udergo this kind surgery, in this setting.

Good morning Damien,

Any prudent internist, if you are being treated for hypertension or weigh 300 pounds, will need to do an EKG to clear you.  This is a called a “standard of  (good medical) care.”

Please do not take short cuts with medical safety.

Best. 

You have a friend in Bay Harbor Islands,

Harold

August 10, 2011

Dear Dr. Reed!!!  Thanks, I will try to acquire that, when I can.  with reference to ekg? You didn,t tell that in  beginning, It is not life or death situation, However, Phimosis, is my diagnosis, It needs to be done, All you told me before was I needed was a letter from doctor saying I am fit to udergo this kind surgery, in this setting.

Good afternoon Damien,

I am sure you realize I really know nothing about you and picking on bits and pieces of data such as weight without height and an occasional blood pressure, or taking things out of context
is not good medicine.

If you want more reassurance from me, I would need a letter of medical clearance saying you are fit to undergo circumcision in an outpatient free standing facility from your primary care doctor
with reference to an EKG and list of all your current medications.

I’ll bet any doctor who is going to operate on you, will ask for the same.

Best wishes,

Harold M. Reed, M.D.
305-865-2000

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>