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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Small vessel disease, syndrome x, severe depression, anxiety, sleep apnea. Advice

Yes, I have bee n in three different er's in the past 3 days and keep getting set up. I have cardiolojst my the name of dr salami out of Duluth,mn, and a home doctor Dr. howard. My problems consist of small vessel disease, syndrome x, extreme anieowty, depression., sleep ap ewa, wno knows al everyones in while something happens that causes m to our of control ansietyh and te IK loose it and my syndrome x and small vessel things theu do. I am in so much main i'm,starting to loose fovuse on live. Please help me mefor I blow up mu local and st mary for treating my like shit thank hou
Sat, 11 May 2013
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Cardiologist 's  Response
Dear patient,

Thanks a lot for your health concerns. It seems that anxiety and depressive symptoms are a major burden in your case, and those are difficult to assess and treat in an adequate way through an ER; your cardiologist could help but you might need to access an outpatient Psychiatrist to adjust medications and provide further therapy and referrals if needed.

I am sorry that you have experienced frustration, hope this helps,

Dr Brenes Salazar MD
Mayo Clinic MN
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Small vessel disease, syndrome x, severe depression, anxiety, sleep apnea. Advice

Dear patient, Thanks a lot for your health concerns. It seems that anxiety and depressive symptoms are a major burden in your case, and those are difficult to assess and treat in an adequate way through an ER; your cardiologist could help but you might need to access an outpatient Psychiatrist to adjust medications and provide further therapy and referrals if needed. I am sorry that you have experienced frustration, hope this helps, Dr Brenes Salazar MD Mayo Clinic MN