High Cholesterol and Triglycerides
My fasting blood test shows total cholesterol 256 mg/dL and triglycerides 536 mg/dL. Are these levels dangerous? What additional tests are needed, and do I need medication to reduce them?
Ventricular Assist Device
Health Q&A
Lower chest discomfort
Dear Doctor, I would like to seek your advice regarding my 80-year-old father. In 2025, he was admitted to the same hospital with heavy breathing and discomfort in his lower chest and upper abdomen. He was diagnosed with acute gastritis, and we were told that his breathing difficulty could be related to the gastric problem. In 2026, he was admitted again with almost identical symptoms, including heavy breathing and chest discomfort, but without pain or cramps in his chest, jaw or arm. This time, he was diagnosed with acute left ventricular failure (LVF). We are confused as to why similar symptoms led to different diagnoses on these two occasions. He continues to experience these episodes, particularly after lunch and his afternoon sleep. Could you please advise whether these recurring symptoms could be related to gastritis or acid reflux, or a cardiac condition ?
Blood pressure
Hi, my bp 10 days ago it was 152/100, then after a week 150/98 and the same day again 140/94. I was prescribed telma 20 but I do not want to take it as it will be for life. Is there any other options. Please let me know. Thank you!!
Homocysteine is 17.86 & vitamin D 12.69
Hi , Sympotms: I have sometime BP elevated and gas in stomach which supplement should i take. These are my test results. Homocysteine: 17.86 µmol/L Fasting Glucose: 110 mg/dL HbA1c: 6.8% AST (SGOT): 36 U/L ALT (SGPT): 59 U/L Alkaline Phosphatase (ALP): 183 U/L Direct Bilirubin: 0.37 mg/dL CRP: 6.63 mg/L Vitamin D: 12.69 ng/mL (low/deficient) LDL Cholesterol: 123 mg/dL Non-HDL Cholesterol: 142.10 mg/dL Vitamins: all are in range except vitamin D Vitamin B1 (Thiamin): 2.33 ng/mL Vitamin B2 (Riboflavin): 34.01 ng/mL Vitamin B3 (Nicotinic Acid): 0.82 ng/mL Vitamin B5 (Pantothenic Acid): 121.48 ng/mL Vitamin B6 (P5P): 16.15 ng/mL Vitamin B7 (Biotin): 0.89 ng/mL Vitamin B9 (Folic Acid): 5.88 ng/mL Vitamin B12: 405 pg/mL
PERIPARTUM CARDIOMYOPATHY
My wife is pregnant its about 8 months in last echo we found some impressions like Chambers look volume overloaded. Borderline dilated LV. Overall EF= 46%. Mild MR/ Mild+ TR. Mild PAH(PAP =43 mmHg) IVC normal size & shows normal respiratory variation. We are planning for c section Is she safe or there can be some serious situations.
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Doctors
Dr. James Michael Kleman
Internal Medicine (Residency, Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Class of 1987)
39 years experience
OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Albert J. Kolibash
Internal Medicine (Fellowship, Medical School, Internship, Residency, Class of 1967, Internship, Transitional Year, Residency, Internal Medicine, Medical Education)
59 years experience
Delivery OSU hospital
Weinland Park, COLUMBUS
Dr. Allan J Nichols
Internal Medicine (Fellowship, Residency, Medical School, Medical Education, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Medical degree, DO)
46 years experience
OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Judson S Millhon
Internal Medicine (Medical School, Residency, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Fellowship in Interventional Cardiology)
36 years experience
OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Nicholas James Davakis
Cardiologist (Medical School, Residency - ID, Fellowship in Cardiovascular Diseases, Fellowship 2)
45 years experience
Mount Carmel Grove City
South Central Hilltop, COLUMBUS
