Thursday, June 09, 2022

Remember your health is in your hands

 Most people tend to blame genes for their health. Genes do play a small role, though most think that cancers are hereditary, very few cancers are hereditary. Well, I'm the 1st cancer patient in my family. I'm glad that I was detected with cancer after my mother's death or else she would have been shattered with her kidney failure and low hemoglobin that she was fighting with.

Most diabetics take the disease lightly, especially some men. One such person is my husband. Who is a diabetic, heart patient and kidneys partially working. Even after 1st 2 stents in 2003, then in 2012 double bypass surgery after heart attack, in 2015 another stent. Now in 2022, in February had pneumonia and a mild heart attack in ICU. In May again had pneumonia, high fever and multiple heart attacks, was very critical. In April, he almost lost 2 of his toes due to infection, by God's grace they're saved till now, but got a nearly 6" cut from below his big toe down the side to remove the infection. Since mid April his foot is in bandage for almost 5 weeks with vacuum bandage, then about 10 days normal bandage, today when bandage was removed after 4 days there was pus. Still, he has been very careless with his diet, would add extra salt when his kidneys are only 40 % functioning . His nephrologist told him that if he takes care he can prevent further damage to his kidneys, whatever damage has happened, it can't be reverted. With his heart now only 40 % functioning, told no fries, still craves for them, can't control his tongue. I keep telling him, stop thinking of food all the time, then you won't feel hungry. From the previous night, he starts thinking what he'll eat tomorrow ! Even with toes about to be amputated, still hasn't taken life seriously. Since a decade after we moved to senior citizens home, almost 21 hours of the day, he keeps lying on the bed, up only to do the basic necessities. Left to him, he can eat lying down, as he tells me to cut fruits and eats lying down, when I say get up and eat, we only fight. While, I'm on my feet, for at least 4 hours continuously in the morning from the time I get up, then again on and off on my feet, though earlier I used to walk around the complex, since last June, one health issue after another, with bone spur in my foot, then had bad fall, hurt my ankles and bled from the last few stitches of my leg where knee replacement was done. Still with all pain and suffering with L3-S1 spinal problem since 1990, I keep myself busy. I do get severe pain in my lower back when I stand and work for long, then I just sit down or lie down for some time, don't take painkillers.

My husband and his folks like to live on self-pity and want others always pity them and inquire about their health. Whenever I tell hubby that I'm having back pain or due to low calcium severe cramps, can't even sit on the crown, he'll say he has the same problems ! 

Now, when I try to control his diet, we end up fighting, as he feels I'm controlling him too much. As he always used to say, when I used to tell him that if your kidneys fail, you can't eat salt-free diet like what my mother was eating and all portions controlled, even intake of liquids, he used to say, don't worry that won't happen and will gorge on whole bar of chocolates, eat all types of sweets, pickles, fries and everything that was a taboo for him.

I feel sorry for him, having got into this state due to his own stupidity if I may say so, or his carelessness, thinking that he is a superhero nothing can go wrong. Even after being so critical last month, hasn't become serious about his food intake, follow strictly the doctors orders. If, I've to tell the doctor that he is careless with his diet, he gets angry for letting him down in front of the doctors, what else to do that make him realise the seriousness of his disease. When the Dr. in ICU called me to break the news that he is very critical, he was at 1st scared to talk, as I was alone, if I'll faint if he says, he is critical. He asked if I'm alone, then again silence, then asked how many kids, again silence after my reply. Then asked where are my kids, again silence after my reply. I thought that he is going to tell me the worst news, luckily it wasn't so. He said very critical, as in a span of an hour multiple heart attacks, if his condition worsens, then he may have to intubate him, for which I had to give consent by signing a paper. All this he wasn't aware which I told him once he recovered. But still, when will he get serious about his health, even I feel God can't help him.

This is my sincere request to all those out there who are regular readers of my posts, please take care of your health, it is really in your hands. By following strictly the dos and don't s, you can lead a healthier life. 

LIFE COMES JUST ONCE, SO, PLEASE BE KIND TO YOUR BODY. BY LISTENING TO YOUR SPOUSES OR OTHER CARE TAKERS, YOU'RE NOT DOING THEM A FAVOUR, BUT DOING YOURSELF A FAVOUR, IT IS YOUR BODY, YOUR LIFE,  SO TAKE CARE WHEN YOU HAVE IT. DON'T KEEP LYING DOWN, SAYING YOU'RE SICK-NOT PHYSICALLY ONLY YOU'RE MENTALLY SICK. THE MORE YOU KEEP MOVING AROUND, IT IS BETTER ONLY FOR YOU. BY TAKING CARE OF YOUR HEALTH, YOU'RE NOT DOING A FAVOUR TO ANYONE, ONLY TO YOURSELF. LEARN TO LIVE HEALTHY. LIFE COMES AFTER ALL ONCE !


This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   

https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
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Monday, November 18, 2019

Are invasive heart procedures really needed for non-emergency cases?

People with severe but stable heart disease from clogged arteries may have less chest pain if they get a procedure to improve blood flow rather than just giving medicines a chance to help, but it won’t cut their risk of having a heart attack or dying over the following few years, a big federally funded study found.

The results challenge medical dogma and call into question some of the most common practices in heart care. They are the strongest evidence yet that tens of thousands of costly stent procedures and bypass operations each year are unnecessary or premature for people with stable disease.

That’s a different situation than a heart attack, when a procedure is needed right away to restore blood flow.

For non-emergency cases, the study shows “there’s no need to rush” into invasive tests and procedures, said New York University’s Dr  Judith Hochman.

There might even be harm: To doctors’ surprise, study participants who had a procedure were more likely to suffer a heart problem or die over the next year than those treated with medicines alone.
Hochman co-led the study and gave results Saturday at an American Heart Association conference in Philadelphia.

“This study clearly goes against what has been the common wisdom for the last 30, 40 years” and may lead to less testing and invasive treatment for such patients in the future, said Dr. Glenn Levine, a Baylor College of Medicine cardiologist with no role in the research. Some doctors still may quibble with the study, but it was very well done “and I think the results are extremely believable,” he said.

About 17 million Americans have clogged arteries that crimp the heart’s blood supply, which can cause periodic chest pain. Cheap and generic aspirin, cholesterol-lowering drugs and blood pressure medicines are known to cut the risk of a heart attack for these folks, but many doctors also recommend a procedure to improve blood flow.

That’s either a bypass — open-heart surgery to detour around blockages — or angioplasty, in which doctors push a tube through an artery to the clog, inflate a tiny balloon and place a stent, or mesh scaffold, to prop the artery open.

Twelve years ago, a big study found that angioplasty was no better than medicines for preventing heart attacks and deaths in non-emergency heart patients, but many doctors balked at the results and quarreled with the methods.

So the federal government spent USD 100 million for the new study, which is twice as large, spanned 37 countries and included people with more severe disease — a group most likely to benefit from stents or a bypass.

All 5,179 participants had stress tests, usually done on a treadmill, that suggested blood flow was crimped. All were given lifestyle advice and medicines that improve heart health. Half also were given CT scans to rule out dangerous blockages, then continued on their medicines.

The others were treated as many people with abnormal stress tests are now: They were taken to cardiac catheterisation labs for angiograms. The procedure involves placing a tube into a major artery and using special dyes to image the heart’s blood vessels. Blockages were treated right away, with angioplasty in three-fourths of cases and a bypass in the rest.

Doctors then tracked how many in each group suffered a heart attack, heart-related death, cardiac arrest or hospitalization for worsening chest pain or heart failure.

After one year, 7 per cent in the invasively treated group had one of those events versus 5 per cent of those on medicines alone. At four years, the trend reversed — 13 per cent of the procedures group and 15 per cent of the medicines group had suffered a problem. Averaged across the entire study period, the rates were similar regardless of treatment.

If stents and bypasses did not carry risks of their own, “I think the results would have shown an overall benefit” from them, said another study leader, Dr. David Maron of Stanford University. “But that’s not what we found. We found an early harm and later benefit, and they canceled each other out.”

Why might medicines have proved just as effective at reducing risks?

Bypasses and stents fix only a small area. Medicines affect all the arteries, including other spots that might be starting to clog, experts said.

Drugs also have improved a lot in recent years.

Having a procedure did prove better at reducing chest pain, though. Of those who had pain daily or weekly when they entered the study, half in the stent-or-bypass group were free of it within a year versus 20 per cent of those on medicines alone. A placebo effect may have swayed these results — people who know they had a procedure tend to credit it with any improvement they perceive in symptoms.

Dr Alice Jacobs, a Boston University cardiologist who led a treatment-guidelines panel a few years ago, said any placebo effect fades with time, and people with a lot of chest pain that’s unrelieved by medicines still may want a procedure.

“It’s intuitive that if you take the blockage away you’re going to do better, you’re going to feel better,” but the decision is up to the patient and doctor, she said.

The bottom line: There’s no harm in trying medicines first, especially for people with no or little chest pain, doctors said.

When told they have a problem that can be fixed with a stent, “the grand majority of patients in my experience will opt to undergo that procedure” to get improvement right away, said Dr. Jay Giri, a cardiologist at the University of Pennsylvania with no role in the study.

Maryann Byrnes-Alvarado is not among them. The 66-year-old New York City woman said she joined the study six years ago after having trouble walking, which “scared me to death,” but so did the idea of a heart procedure.

She was relieved when she was assigned to the medication treatment group. Her doctor altered her blood pressure medicine, added a cholesterol drug and aspirin, and adjusted her diet. Now her risk factor numbers are better and she can walk again without difficulty.

“I believe I got the best care that I could get” and avoided an operation, she said.

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     
https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement
  
 
     

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Stents Or Bypass Surgeries May Not Be Needed For Blocked Arteries

Heart surgeries like bypass surgeries may not be needed and patients can receive drug therapy alone, with no surgery for treating blocked arteries. According to new research from the federal government, patients who had no surgery for blocked arteries and received drug therapy alone, did not have any more heart attacks than those who did have surgery. This research challenges decades of common medical knowledge. More than 5,000 people participated in the study. In these patients, the most tangible benefit of getting surgeries like bypasses and stents was helping people with reduced chest pain or angina.

The trial was presented on Saturday at the annual meeting of American Heart Association, according to reports . Dr Alice Jacobs, director of Cath Lab and Interventional Cardiology at Boston University told the publication that the study will certainly "challenge our clinical thinking".

The study is the latest addition to the divide between specialists over how to treat artery blockages. Known as Ischemia, doctors have called this research to be most in-depth and controlled one on stents and artery-clearing devices.
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Stent may not be needed to treat clogged arteries

Heart surgery: Risks associated with stents and bypass surgeries

Stents and bypasses are the most common treatment options of artery blockages. A stent helps in supporting artery walls, keeping your arteries open and improving blood flow to the heart. In case of a bypass surgery, a healthy artery or vein from somewhere else in a patient's body is used to bypass the blocked coronary artery and improve blood supply to the heart.

However, any surgical procedure carries risks. While the outcomes of both these treatment options for heart disease are successful majority of the times, the associated risks cannot be ignored.

Risks associated with stents

Inserting stents require access to arteries of heart or brain. This puts a patient at risk of:
  • Breathing problems because of anesthesia or stent in bronchi
  • Bleeding
  • Any infection in blood vessel
  • Re-narrowing of arteries
  • Allergic reaction to the medicines used as part of the procedure
  • Re-narrowing of the arteries
In rare cases, the body might reject a stent. Stents are made with metal components and some people may be allergic or sensitive to metals. Patients should speak to a doctor in detail about these before going ahead with it.

Nonetheless, it has to be noted that risks of not getting a stent are way more than the risks associated with getting it. Limited flow of blood to the heart or blocked vessels can create serious or deadly consequences.

Risks associated with bypass surgeries

Bypass surgery is an open-heart surgery. Complications during and after the procedure are possible. These include the following:
  • Heart arrhythmias or irregularities with heart rhythms
  • Kidney problems
  • Stroke
  • Heart attacks in case a blood clot breaks loose soon after the surgery
  • Memory loss or trouble with thinking clearly
  • Bleeding
  • Infections of chest wound
As is the case with stents, even risk of developing complications of bypass surgery are low. It is dependents on overall health of the patient before the surgery. Risks are higher in case the operation is done as an emergency procedure or if you have other medical conditions like diabetes, kidney disease or blocked arteries in your legs.

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     
https://gscrochetdesigns.blogspot.com. one can see my crochet creations  
https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
https://kneereplacement-stickclub.blogspot.com. for info on knee replacement
  
 
     

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