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Tuesday 23 April 2019

Let's us go for a walk. April 23. 2019

What are Cardiac Symptoms?
chest pain
dyspepsia
fatigue
exhaust
What caused and how it tested that there are problems with heart?
ECG, blood work, MRI, ....  every one do know what and how.
There are a lot of medical conditions which can caused heart rate to ride up or be to slow, or just jump and slow down. I am not cardio doctor. But I do have good medical library. One of my book is Merck Manual. Interesting book I wish to say. So, I started to look at all that tests and all that medical conditions, and symptoms I do have, as every one medical student first or third year in Medical School. I do have all of them, or at least many of them. Really, who does not?
     Finally after long reading I got to the point: treatment.
Life Style changes;
drug to treat risk factors;
antipletelet drugs;
statins;
ACE inhibitors;
Beta Blockers.
Well, I think I do have all that treatment. My life style changed completely. A few years ago before my first heart attack I liked hiking. Even at that time my heart already was too weak I still take hike. One day we went to Palisades on Hudson river. I wished to finish all trail. It is too long and we  took trail for a few weekends. Finally, the last part is “The Giant Stairs", most difficult part of trail. 
 My man was not happy."No way I will go with you!"
"OK" then I go without you". 
To take the trail it is 720 feet to decent to the shore line. The path is very well groomed, well preserved, and very actively used. Some people come her just to do work out. They decent and then take all way up. Most important is to remember, if we get down there is no elevator to get up to the top, just walk. 
To get to the final point where trail started is lovely flat and very pleasant. To take a look at the path ahead is not so lovely.
 For me it cost a lot of Nitrostat. Every time when I sit to rest and take my OJ I took two tablets of Nitrostat. There is camera bag I carry on. Camera is in hands of my man. It is too difficult for me to carry on. In hist back pack OJ for me, water, and all what I need. Of cause he walked with me. 
Before I took this trail I said, do not blame yourself if something happened not as I hope. I rather die on shore of Hudson river I adore then in smelly hospital bed. Just let us go for a walk.


We did it!Happily for me the way us is shorter, just 520 ft. climb.

For some people hike takes about 1.5 hr. Others cannot complete this hike and return back to the point where they started. we took all hike from decent to the climb, and for us it took about 5 hrs. It was dark when we were able to get to the road to catch a last bus.
      Now my life style changed as it is recommended. I am no longer able to hike. I use wheelchair to get to Lincoln Center. My body doubled in size. No longer I can put on women shoe. I use men's shoe. They are too long, but at least I can put them on. No longer we go to see beautiful waterfalls in early spring.
     Life is different now not only for me but for all our family. I am not happy with changes, there is nothing what I can do.
     When we look at the medical recommendations such as "Life Style Changes" what do we read? That diabetics type 2 or those who are with CVD sat in front of TV full life, and now they are ill. They have to increase activity, get up from sofa, turn off TV and go for a walk. At the same time right in the same part of description what to do, there are another recommendations: bed rest. Slow down all activities, not too fast to stand up. Now really I am lost, what I have to do?
           Of cause. I have to stop smoking?. How? I never started. So, how can I stop?
           Statins. They do not work for me. I have to take Lipitor, only one statin  in this family, and it is brand, very expensive.   As usual I need higher dose then people usually take, 80 mg daily dose. Generic is cheaper. It does not work for me. Very simple, I do not need what I may have, and I cannot have what I do need.
          Beta Blockers. I do remember once I took that medicine and I hardly was able to put myself back. It was so severe vomiting, I worried that all my inner organs will go out. Was it result of medicine? Was something else that interacted with this medicine? Or it is simple something that effected so badly and it has nothing deal with medicine? I do not know. I never took Beta Blockers after.
      Many times I posted that I cannot take diuretics. There are many types and names of diuretics. Probably one I took was not right for me.Probably dose was too high. Or something else could effect me. What I do remember I started to gain weight. How? With diuretics we lost weight. In contrary I started to gain it. My heart rate was odd, very irregular. But maybe I needed diuretic with potassium at the same time? Or there was another medicine with the same effect to reduce water retention?
       What I see right now, I never had medicine for condition I do have. Take a look into your own medical box. For how long you take medicine which is in it? I see I take the same Metoprolol for about 20 years. Huge progress form me in 2000 and now in 2019. The dose of insulin is different now. I started in 2011 with 11 units. Today I inject 480 units daily. Looks like with insulin I try to fix all my medical problems: heart and DVT, lungs and brain damaged by stroke, all what can happen I fix with increased dose of insulin.
      I went to so many clinics I lost count of them. What is result of any visit?
"You are OK". Just keep doing what you are doing.
"For how long do you have this pain? OK, let us just leave it as it is."
"You have to watch what you eat!!!!!: usually very aggressive.
All medicine I take just repeated. Do not think, MD check out if medicine is right for you or not. The list of medicine is guidance for MD what to Rx. Usually there is one medicine replaces another, with the same result, atrovastatin replace simvastatine, and carvediclol replace metaprolol. What is the reason to have clinic? MD run tests, and never give copy to patient. If someone call to MD about patient what MD will answer? It is not my patient. You never was in this clinic.


via Ravenvoron