For example I want to have FS11 cause the exp pedal to switch back and forth between "EXP 1" and "EXP 2" exactly like the built in exp toe switch.
I tried setting FS11 in command center to "MIDI CC = command", "MIDI CH = Base", "CC # = 59", "Value = (tried both 0 and 127)" but nothing happens.
EDIT: SOLVED!!! (see below)
Went to primary care physician for annual checkup but hadn't been in a few years (covid etc). Lab work, plus Coronary Artery Calcium Test and a colonoscopy scheduled. Lab results come in but nobody contacts me however I have access to the data. I'm waiting on CAC results and I get a call from presumably PCPs nurse...
Nurse literally says "Hello, Dr needs you to start on Rosuvastatin 40mg/day immediately". I'm like "Um hello, I haven't been contacted by anyone yet or discussed anything. Why is my Dr wanting to put me on this drug?" "Your CAC score was 62 and your cholesterol is high". I say "I think the cutoff for me for CAC to go from moderate to high is around 190 so 62 should be moderate I think". Nurse: "Having a 62 means you have Coronary Artery Disease". Me: "well yes but anything above a score of zero is defined as Coronary Artery Disease which is basically everyone in their mid-40's or older so I'm confused why my PCP wants to put me on a drug immediately". Nurse then says "Because you need to be on it to not have a heart attack!". I was instantly and majorly pissed off; I won't say more about that as I'll just end up ranting another 10 paragraphs. Told her to hold the prescription as I wanted to research Rosuvastatin. Did that and did some more thinking ...
- Rosuvastatin 40mg/day appears to be the maximum dose
- literally zero discussion was offered so no regard to any options such as lifestyle changes and/or lifestyle changes coupled with a lower Rosuvastatin dosage
- If I was 450lbs, had diabetes, was addicted to hamburgers and soda, got no exercise and had sky high cholesterol and a CAC in the high range then I could see a PCP going straight for a max dose statin.
Called back and left voicemail saying that I would first like to try lifestyle changes before considering a statin and that presumably we need to schedule lab work at presumably either 8 week or 12 weeks out to see how its going. Please find out when PCP would like follow up lab work done so that we can get that scheduled.
My opinion is that I think I need to get my cholesterol down and keep it down to hopefully slow/prevent additional arterial plaque. I need lab work in somewhere around 2-3 months to see how that effort is going and then possibly adjust strategy at that time depending on outcome. I need to increase exercise (already doing that) and flip to a high fiber Mediterranean style diet (already done that). I need to get another CAC in a year to see if and at what rate it may be increasing.
I don't think "prescribe a max dose statin and ask questions later" makes sense at all in my situation. No offer or discussion of a meeting with the patient (me) just "put him on a max dose statin". A nurse that literally thought it was ok to say to a patient "Because you need to be on it to not have a heart attack!".
Please sanity check me here folks
Male 54, 175lbs, 5' 7" (targeting dropping 15-20lbs)
Resting HR 65, BP very good but can't remember what it was exactly
10,000 steps per day, 1/3 of that quick enough to get HR up to around 108
already changed to high fiber Mediterranean style diet
CHOLESTEROL 247 MG/DL (high)
HDL 51.6 MG/DL (normal)
LDL 144 CALC (high)
LDL/HDL 2.8 RATIO (normal)
NON-HDL CHOLESTEROL CALCULATED 195 CALC (high)
TRIGLYCERIDES 258 MG/DL (high)
VLDL 52 CALC (high)
CAC breakdown...
Left Main Artery Score: 0
Left Anterior Descending Artery Score: 62.2
Left Circumflex Artery Score: 0
Right Coronary Artery Score: 0
Posterior Descending Artery: 0
"The coronary artery calcium Agatston Score is 62.2. The coronary artery calcium volume is 53.5 mm3. This places the patient in the 62nd percentile for age/sex matched controls."
[ --- --- --- EDIT --- --- --- ]
Thanks to everyone for their comments and information. I'll address a couple of things.
First, I'm not in denial (yeah yeah, that's exactly what someone in denial would say). If you're a business and you're going to be delivering "big" news to a client then it is 100% that businesses responsibility to ensure that whomever is delivering that news is capable and knows ahead of time that the client will have questions and what the answers are to those questions. That goes for "why are you telling me I need to replace my roof?", "why are you telling me that I need to replace my transmission?" and also "why are you telling me that I need to be placed on a max dose of a statin immediately?"
Second, I've reached out and left a message with my PCP stating that I am following up on the prior communication and that my understanding is that we need to arrange for a statin prescription at my local pharmacy and schedule some lab work along with whatever else there may be and to get back in touch with me.