Thursday, June 14, 2012

GRATITUDE - June 14, 2012

 I AM GRATEFUL FOR (yet again) A GOOD CARDIOLOGIST, POSSESSION OF A HEALTHCARE PLAN, A CLOSE PHARMACY AND A GREAT TEAM OF PHYSICIANS.


Took a slate of blood tests yesterday.  The TSH (Thyroid Stimulating Hormone) levels were double normal and the BNP (B-type Natriuretic Protein) were in the >400s instead of under <100 (normal).


TSH - Heart Disease

  • High TSH levels that are left untreated can result in hypertension and a high lipid count. Decreased heart rate is also a risk, as well as irreversible heart damage. According to medpagetoday.com, a high TSH increases the risk of congestive heart failure, coronary heart disease and stroke.

    BNP - What is heart failure?

    Heart failure means that your heart muscle does not pump as much blood as your body needs. Failure does not mean that your heart has stopped. It means that your heart is not pumping as well as it should.
    Because your heart cannot pump well, your body tries to make up for it. To do this:
    • Your body holds on to salt and water. This increases the amount of blood in your bloodstream.
    • Your heart beats faster.
    • Your heart gets bigger. See a picture of an enlarged heartClick here to see an illustration..
    Your body has an amazing ability to make up for heart failure. It may do such a good job that you don't know you have a disease. But at some point, your heart and body will no longer be able to keep up. Then fluid starts to build up in your body, and you have symptoms like feeling weak and out of breath.
    This fluid buildup is called congestion. It's why some doctors call the disease congestive heart failure.

    Heart failure usually gets worse over time. But treatment can slow the disease and help you feel better and live longer.

    What are the symptoms?

    Symptoms of heart failure start to happen when your heart cannot pump enough blood to the rest of your body. In the early stages, you may:
    • Yes! - Feel tired easily.
    • Yes -   Be short of breath when you exert yourself.
    • Yes -   Feel like your heart is pounding or racing (palpitationsClick here to see more information.).
    • Yes -   Feel weak or dizzy.
    • Yes -   A slow, fast, or uneven heart rhythm (arrhythmiaClick here to see more information.).
    As heart failure gets worse, fluid starts to build up in your lungs and other parts of your body. This may cause you to:
    • Sometimes - Feel short of breath even at rest.
    • No -Have swelling (edema), especially in your legs, ankles, and feet.
    • No -Gain weight. This may happen over just a day or two, or more slowly.
    • No -Cough or wheeze, especially when you lie down.
    • No -Need to urinate more at night.
    • Sometimes -Feel bloated or sick to your stomach.
    If your symptoms suddenly get worse, you will need emergency care.

    How is heart failure diagnosed?

    Your doctor may diagnose heart failure based on your symptoms and a physical exam. But you will need tests to find the cause and type of heart failure so that you can get the right treatment. These tests may include:
    An echocardiogram is the best and simplest way to find out if you have heart failure, what type it is, and what is causing it. Your doctor can also use it to see if your heart failure is getting worse. It can measure how much blood your heart pumps to your body. This measurement is called the ejection fractionClick here to see more information.. If your ejection fraction gets lower and you are having more symptoms, it means that your heart failure is getting worse.

    How is it treated?

    Most people with heart failure need to take several medicines. Your doctor may prescribe medicines to:
    • Help keep heart failure from getting worse. These drugs include ACE inhibitors, angiotensin II receptor blockers (ARBs), beta-blockers, and vasodilators like hydralazine and nitroglycerin.
    • Reduce symptoms so you feel better. These drugs include diuretics (water pills), digoxin, and potassium.
    • Treat the cause of your heart failure.
    It is very important to take your medicines exactly as your doctor tells you to. If you don't, your heart failure could get worse.
    Depending on the cause of your heart failure, you might need surgery to help your heart work better. For example:
    • You might have bypass surgery Click here to see more information.or angioplastyClick here to see more information. to open clogged arteries, or you may need surgery to repair or replace a heart valve.
    • You might need to have a pacemaker Click here to see more information.or a defibrillatorClick here to see more information.if you have a problem with your heart rhythm. These help your heart keep a steady rhythm.
    Lifestyle changes are an important part of treatment. They can help slow down heart failure. They may also help control other diseases that make heart failure worse, such as high blood pressure, diabetes, and coronary artery disease. The best steps you can take are to:
    • Eat less salt (sodium). Sodium causes your body to retain water and makes it harder for your heart to pump. Your doctor may also ask you to limit how much fluid you drink.
    • Get regular exercise. Your doctor can tell you what level of exercise is safe for you, how to check your pulseClick here to see more information., and how to know if you are doing too much.
    • Take rest breaks during the day.  Perhaps I should retire...
    • Lose weight if you are overweight. Even a few pounds can make a difference.
    • Stop smoking. Smoking damages your heart and makes exercise harder to do.
    • Limit alcohol. Ask your doctor how much, if any, is safe.
    To stay as healthy as possible, work closely with your doctor. Have all your tests, and go to all your appointments. It is also important to:
    • Talk to your doctor before you take any new medicine, including nonprescription and prescription drugs, vitamins, and herbs. Some of them may make your heart failure worse.
    • Keep track of your symptoms. Weigh yourself at the same time every day, and write down your weight. Call your doctor if you have a sudden weight gain, a change in your ability to exercise, or any sudden change in your symptoms.

    What can you expect if you have heart failure?

    Medicines and lifestyle changes can slow or even reverse heart failure for some people. But heart failure often gets worse over time.
    Early on, your symptoms may not be too bad. As heart failure gets worse, you may need to limit your activities. Treatment can often help reduce symptoms, but it usually does not get rid of them.
    Heart failure can also lead to other health problems. These may include:
    Your doctor may be able to give you medicine or other treatment to prevent or treat these problems.
    Heart failure can get worse suddenly. If this happens, you will need emergency care. To prevent sudden heart failureClick here to see more information., you need to avoid things that can trigger it. These include eating too much salt, missing a dose of your medicine, and exercising too hard.
    You may want to think about planning for the future. A living willClick here to see more information.lets doctors know what type of life-support measures you want if your health gets much worse. You can also choose a health care agentClick here to see more information. to make decisions in case you are not able to. It can be comforting to know that you will get the type of care you want.
    Knowing that your health may get worse can be hard. It is normal to sometimes feel sad or hopeless. But if these feelings last, talk to your doctor. Antidepressant medicines, counseling, or both may help you cope.

    What is heart failure?

    Heart failure means that your heart muscle does not pump as much blood as your body needs. Failure does not mean that your heart has stopped. It means that your heart is not pumping as well as it should.
    Because your heart cannot pump well, your body tries to make up for it. To do this:
    • Your body holds on to salt and water. This increases the amount of blood in your bloodstream. No/low sodium diet starts today.
    • Your heart beats faster.
    • Your heart gets bigger. See a picture of an enlarged heartClick here to see an illustration..
    Your body has an amazing ability to make up for heart failure. It may do such a good job that you don't know you have a disease. But at some point, your heart and body will no longer be able to keep up. Then fluid starts to build up in your body, and you have symptoms like feeling weak and out of breath.
    This fluid buildup is called congestion. It's why some doctors call the disease congestive heart failure.
    Heart failure usually gets worse over time. But treatment can slow the disease and help you feel better and live longer.  I like this part.


    When I was reluctantly recruited into the Tonsil Cancer club in 2008...the mantra was that we all wished to beat the Cancer Demon and we could win by living long enough to die of something else.


    Although my inevitable demise is a long way off...I think it has a face now and I get a front row seat in the pit to watch the two demons battle it out to see who wins me as the prize (I'm not sure that is a win for either one - ha).


    rlw (R= 14 days - 6 hours - 13 minutes)

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