This week Reed got the very good news that his last PSA levels were too low to be detectable. His prostate cancer has responded beautifully to treatment. But so that he does not run out of things to worry about, his blood pressure was up at his last heart appointment and he now has a heart murmur. His EKG was a little off at his stress test, but no more than before he took it, and today's follow up confirmed that they found no problem with his heart. Admittedly, Reed had fallen off the heart healthy diet bandwagon since prostate cancer treatment--more like, jumped off and rolled away from the band wagon--those high numbers were a more powerful incentive than I was to climb back on. As a cook I am happy to accommodate his diet needs, but as a realist with some medical training, I am frustrated.
During my years as a volunteer taking blood pressures at Sykes Pharmacy, many of my geriatric clients said that their doctor wanted their BP around 130 over 60. In order to achieve this arbitrary ideal, they had to take multiple medications. While it would be wonderful if our senior systems could be restored to the health levels of our 30's, it is not realistic. Thirty years ago it was understood that blood pressure readings for people over 60 were more likely to be in the 150/90 range. Though physicians realize they cannot restore our metabolism, strength, skin, eyesight, hearing, balance, etc. to 30's levels, they support this standard for blood pressure. Of course no one wants a stroke or heart attack, but realistically, meds or not, odds of that increase with age, just as they do for cancer, diabetes, arthritis, osteoporosis, and dementia.
I asked the pharmacist why, amid the herd of health problems that rear their head in old age, blood pressure is the one sacred cow. Her answer was, restoring muscle tone, metabolism, etc. was hard, blood pressure was easy--just take another pill. In other words, the reason for altering blood pressure to a higher/lower standard is, because we can. I told her that if my husband had chosen to restore his youthful energy, endurance and sex drive with testosterone, he would have unknowingly spread prostate cancer throughout his body. She agreed hormones can be dangerous. But what about over medicating?
At one time, obstetricians thought perhaps many births should be scheduled and induced, not out of medical necessity, but because we can. It turned out to be convenient for them, but harmful for moms and babies. And some male gynecologists thought it would a a huge convenience, if women beyond childbearing had total hysterectomies and took prescription hormones--not for a medical problem, but because we can. However, besides irritating men, women's hormones actually delay onset of osteoporosis, heart disease, and other age related issues. And supplemental hormones can actually increase a woman's odds of getting cancer.
In years to come, we may discover that fighting high blood pressure and heart rate with mixed martial arts levels of medication does not cause problems, but the hope that our physicians might research side effects and drug interactions before recommending medications was faint to begin with, and died during Covid. Christians should be good stewards of our God given bodies; diet, exercise, and medication play a part in that. But Jesus said none of us by taking thought (human effort) can add to the length of our lives--because we can't.