Tag Archives: doctor

Calculate Heart Attack Risk

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Do you know how these controllable risk factors affect your risk of heart disease, stroke and metabolic syndrome?

  • smoking
  • high blood pressure
  • high blood cholesterol
  • diabetes
  • being overweight or obese
  • physical inactivity

It’s essential that you measure your risk of heart disease and make a plan for how to prevent it in the near future. Use this tool to help you assess your risk of having a heart attack or dying from coronary heart disease in the next 10 years. It will also check to see if you may have metabolic syndrome, a group of risk factors that greatly increase your chances of developing cardiovascular disease, including stroke and diabetes. This Risk Assessment can be use by people age 20 or older who do not already have heart disease or diabetes.

After you have finished using the tool, you can print a copy of your risk assessment results, risk factor summary report, metabolic syndrome assessment and action plans for those areas you need to work on in order to reduce your risk.

Learn your Risk Graphic Text

 

http://www.heart.org/HEARTORG/Conditions/HeartAttack/HeartAttackToolsResources/Heart-Attack-Risk-Assessment_UCM_303944_Article.jsp

Salt Substitutes

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I have had a few questions, and suggestions about Salt Substitutes. There is a few things to concider when you look into salt substitutes.  There are a range of substitute products

Salt consists of sodium chloride, and table salt often has iodine added in. Salt Substitutes are usually potassium chloride. There are also products like Morton’s Salt Lite that is a mix of sodium and potassium. When looking at the nutrition content in the 1/4 tsp serving of these products,

Salt (590mg sodium)

Diamond Crystal Salt Sense flake salt (390mg sodium)

Morton Salt Balance (440mg sodium, 200mg potassium)

Morton Lite Salt Mixture (290 mg of sodium, 350 mg potassium)

Morton Salt Substitute (0mg sodium, 610mg potassium)

Nu-Salt (0 mg sodium, 530mg potassium in 1/6tsp)

No Salt Original (0 mg, 650mg potassium)

lo-Salt (170mg sodium, 450mg potassium)

Biosalt (230mg sodium, 300mg potassium)

As you can see there is a lot of choices with a wide range of nutrition values. 

I had been wanting to do a seafood boil, since we live in Louisiana and it is crawfish season! I managed to find a no sodium liquid concentrate crab boil seasoning. This was a very happy find for me, since I previously thought boil was out of the question because the traditional Zatarain’s granulated boil seasoning has 5110mg sodium in 1/2oz. But the concentrate also calls for salt or salt substitute to be used. So, Of course, Just to be safe I asked my doctor about the use of substitutes when I saw him on Wednesday. This is the explanation I got from him regarding salt substitutes….

For some people, a salt substitute can be a good option for adding flavor to food without adding sodium. On the other hand, too much potassium can be bad too. Normally the body flushes out excess potassium through the kidneys, but people with certain medical conditions may have problems eliminating sodium which can lead to high potassium levels – a condition which can be dangerous. These include people with kidney disease, diabetes, and heart failure.

People who take certain medications are also at high risk of potassium imbalances if they use a salt substitute. These include certain blood pressure and heart medications. Even non-steroidal anti-inflammatory medications can contribute to potassium imbalances in people using salt substitutes. For this reason, anyone who has medical problems or is using a blood pressure medication, heart medication, or anti-inflammatory should consult with their doctor before using a salt substitute.

Basically as a person with heart failure I need to avoid the potassium just as much as the salt. Think about the fact that Potassium Chloride is the lethal of the drugs used in the lethal injection used on death row. Though death by potassium is not a common thing, but it is possible. An adult can have serious medical reactions including death from as little as 10 tsp of potassium chloride. There are also cases of infants stopping breathing and even death with as little as 3/4tsp. 

I do not use or recommend salt substitutes in any of my cooking. I prefer herbs and spices for flavor. As I have said before, it only takes about 3 weeks of no salt cooking for your taste buds and cravings to change, and you will not miss(and even grow to despise)the taste of sodium. 

**This post and all posts on this blog are by no means meant to make any medical recommendation or decisions for anyone. Always consult a physician before making any major changes in you diet or exercise routine.

Sources: Nu-salt, Morton Salt, Biosalt, Losalt, Alsosalt, Potassium risk assesment UKSodium and potassium intake and risk of cardiovascular events

New Workout Charts

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My weight this morning was 280. I am down 29 lbs since I went to the hospital on Jan1st 2012. Actually, I weighed 335 when they checked me in, but by the time I got out of ICU I was at 309 because of the fluid that they took off or me. So I don’t count 335 as my starting point, I go with the 309 base weight after.

Since my A-Fib has converted and I have much more energy, it is time to start a workout routine. SO today I put together simple routines to get started 3 days a week with the dumbbells I have here at home.  I will also be walking the dog daily, planning on at least 20-30 min to get the heart going and burn some calories. I got out and walked her a mile in 30 min today, that is about 150 calories burnt so it is a start.

Here is a copy of my chart I made up to keep track of my workout, I did different sections of the body on Mon, Wed, and Fri, and added dates and boxes to mark off when I complete each exercise . Hopefully this keeps me on track to an even healthier me.

Tomorrow is my follow up EKG and Blood work to make sure my heart is still beating correctly. I have been feeling better than I have in years so I am sure this will be a good doctor visit. God has been on my side for this journey and continues to help give me the strength to steer my path in the right direction and to continue to improve my health and wellness.

Monday I start college again, It has been 7 years since I left my studies and I am ready to get back into the swing of it. I will be finishing a Bachelors in Business Management and Business Technology. Luckily I have enough transfer credits that I will finish these degrees in just 2 years. I am excited to have something new to fill my time and stimulate my brain.

Everything continues to look up and improve each and every week, I can’t wait to see what God has for me next!

WORKOUT CHART

Strength and Power

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Thursday turned out to be the most amazing day I could have had. After a long sleepless night, I went to the hospital for my scheduled Cardioversion. Frightened and shaking I was directed into a room to get in a gown and hair cap and wait to go to the ICU for the procedure. The nurse came in and put the IV in my arm, she then allowed my hubby and Mrs. Geneva to come in to wait with me. Soon after the man came in to do the EKG to make sure everything was ok to continue. 

After about 5 min, the nurse came back in and to all of our surprise, and great delight, the EKG showed a regular rhythm. She said the cardiologist would be in to talk to me in a minute.  When he came in, I am not sure who had a bigger smile, me or him. He explained that it seems my heart has converted itself out of A-fib. This can happen in some cases, and we just have to keep monitoring it, in case it goes back into A-fib.

Of all the scenarios that I had run through in my head, all the possible outcomes I had imagined, this was never one of them. Wednesday evening I made sure to call my grandmother and my mother for comfort, to both them and myself. I prayed to Jehovah for the strength to endure whatever lay ahead. I never ask him for anything unreasonable, or place any ultimatums on him. I know that in life things will happen that are not as we wish them to, so I try to always just simply pray for strength and wisdom. I find it unfair to ask him to “make sure things go alright”, mainly for the reasoning that there is no planning the outcome just strength in traveling the path.  

As I was getting ready to leave for the appointment on Thursday morning, the phone rang and Mrs. Geneva called to make sure all was going ok and that she would meet us at the hospital and her and her family were praying for me. She also was so happy to tell me that my hubby’s Uncle Sam had called her the night before. This was such a great thing to her because Sam is a teacher and Elder in New York at the Jehovah’s Wittiness Headquarters, for him to take the time to call her and thank her for all she had done for us was very special. We hadn’t talked to Sam in a few weeks so he didn’t know that I was going into the hospital the next day, until Geneva told him. Not even 2 minutes after I hung up from Geneva’s call, Sam called to let us know that he and his wife were praying for me and hoped all would be alright. immediately after that call, the state of Louisiana called to let me know that my medicaid was finally approved and that all my hospital bills, dated back to January 1st, would be covered. It was such a weight off my chest to know that the $24k in bills that have been haunting me were finally taken care of. 

On the ride to the hospital I thought about how amazing it was that, of all days for Sam to call and introduce himself to Geneva, he called the day before my Cardioversion. At just the right moment he was directed to call me that morning when I needed a little extra strength and love. The power of this simple action brought tears to my eyes. At that moment I was sure that everything was going to be ok, and that I was being surrounded with all the support I would need for anything that lies ahead.

Thanks to the outcome of the EKG, and my heart converting on it’s own, I was able to just get dressed and return home. This also gave me the ability to attend the Memorial for the Lord’s Evening Meal at the Kingdom Hall that evening. This was to be my first Memorial, as I have just began to study in the last year. I was rather disappointed when my Cardioversion was scheduled for the same day, but I found the procedure far to important to re-schedule. To my joy and amazement, I was blessed with the ability to attend in the end. I am constantly amazed at the changes in my life since I have opened up to the power and love of god.

Such a wonderful, strengthening and amazing series of events that happened. What a great testament to the path I have been traveling. What better solidification of daily strength to continue this fight to eat, and live healthy. if the last 3 months of this journey has been able to result in the my heart accomplishing a conversion on it’s own, what is next? I will be excited to see what the results of my next Echocardiogram are in a couple months, will my heart be stronger?

I thank god for the strength, the power and the love that has been injected into my life and continues to empower me every moment!

The Waiting Game…Again…

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Once again I am sitting around the house, waiting for my appointment for my Cardioversion. I feel like I am stuck in a Groundhog Day scenario. Wasn’t I just here? Waiting for Thursday to come?

I keep thinking about the procedure. How will I react to the Propofal? How will I feel afterwards? Will it work? If it works, will it last?

The cardiology team said that if we wait too long, there is less chance that they can convert me out of A-fib. I keep thinking back on the end of the year, before I ended up in the hospital. I was sick for months, getting progressively sicker. My A-fib was diagnosed on January 1st, but I was sick a lot longer, so there is no real telling exactly how long I have been in A-fib. What if it has already been too long? What if this doesn’t work? What is next if this doesn’t work?

I have found myself just staring at my laptop, not really doing anything productive, just stuck in a zone. I can’t seem to focus on anything.  I can’t seem to find anything to successfully distract me and pass the time.

So many questions, that have no answers, but to just wait and see what haqppens….please God let Thursday come and be a success.

Cardioversion

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Last weeks blood work came back perfect. My cardiology team thinks we finally have the right dosages on my medications. My blood pressure has come up a bit, I am sitting around 95/56 most days. This is an acceptable range to go ahead with the cardioversion that had to be postponed. The procedure is scheduled for Thursday the 5th at 1pm.

Unfortunately this conflicts with the memorial at the Kingdom Hall that evening, but I decided that my health is more important and the longer we wait the less chance this will work. So Thursday I will be praying to Jehovah that this works and helps to improve my life even more than it already has been.

90 Days

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January 1st I was laying in an ICU unit attached to machines. I was faced with the daunting decisions of how to go forward and survive and live a full life, with heart failure. It seemed so overwhelming at first. When I came home, my head was swimming in all the guidelines I had been given, restrictions I had, and worries regarding how I would ever be able to follow it all. 

90 days later, I have found a great balance in my life, and managed to make it fun. What I thought was going to be a very hard task, giving up salt, caffeine, alcohol, and cigarettes all at the same time, turned out to be a great adventure. I had to have a conversation with myself, did I want to live a long happy life, and fight my addictions? Was I strong enough to fight this fight every day, one day at a time for the rest of my life? Yes, I was! 

From the very start I have had to change my relationship with food. I have had to change my relationship with alcohol. I have had to change my relationship with life!  I have been determined to be a survivor, not let this condition disable me. If there are things that I can do to strengthen my heart and improve my quality of life, I am going to do it. 

I have strengthened my relationship with god. I have asked and allowed him to provide me with the strength to keep up this fight and to win the daily battles. This has opened my life to an amazing support system of people and teachings that give me faith in myself. I am not sure exactly what it is, but I am sure that god has a purpose for me, and this is all part of the process of learning and growing.

When it comes to the food in my life, at first, I thought it was going to be a long boring life of under seasoned food that was just necessary to live, but no longer fun. I couldn’t have been more wrong. I have had more fun, already, researching ingredients, reading labels, tasting herbs and spices, and finding the best resources for shopping. I quickly learned that this was neither a bland or boring way to cook or live. Soon after I started this lifestyle, my taste buds started to change and the foods began to taste better, the seasonings began to have a depth and flavor of their own. As my mind and body began to adjust and overcome the longstanding addiction to alcohol, so did my taste buds overcome their addiction to salt. I never knew how amazing natural foods tasted. never did I know the depths of flavor that herbs and spices have on their own.

I have for a long time have had a screen saver on my computer that I created that said “nothing tastes as good, as skinny feels”. I have had to change that because my relationship with my life has changed. I no longer live with the “diet” mentality, thinking constantly about all the things I can’t have, wishing I could have those things that I shouldn’t. I love the the things I eat, and even more I love the healthier steps I am taking in my life. Rather than being miserable, and gasping for air, and hoping I don’t die. I now live, create, smile, enjoy and look forward to everyday I have. I appreciate every little step in life and every accomplishment on a daily basis. My life is no longer a search for a buzz, a party, or comfort food  to forget my worries. My life is exactly what it should be, it is a Life that is being lived healthier, happier and will hopefully be longer and forever full of new foods, spices and fun. 

Busy, Busy, Busy….

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It has been a couple days since I posted, Sorry about that. I have been feeling much better the last few days since Dr. Hanna lowers some of my medication. I haven’t been getting dizzy and no blurry vision, YAY! My blood pressure is coming up a little, this morning I was up to 103/65, this is a huge improvement from the 64/44 i was at a week ago. I go do blood labs tomorrow, so we will find out how my kidneys react to the medication changes. I get short of breath really fast, and my heart races faster since the changes, but at this point I would rather breath heavy then not be able to see. I sure hope the blood pressure stabilizes soon and they can do the cardioversion. Then maybe I can have even less symptoms to deal with.

Since I have had more energy and the ability to move around more, I got some house cleaning done, some good grocery shopping done (I actually made it through the whole store without losing my vision) and been able to do some rearranging around the house. it feels so good to be able to get up and do something!

Saturday was weekly bible study, and Sunday I was well enough to get up and make it to the Kingdom Hall for Watchtower Study. I always feel so much better about my ability to fight this health battle when I get to make it to fill my spiritual plate. Just being around such positive people and learning all the great things the bible has to offer makes it easier to get through each week. I thank god all the time for each day I manage to get through with out a set back. It is certainly by the grace of god that I have had the strength to quit smoking, drinking, caffeine, and salt all at the same time. Many people struggle each day with just one of those battles, I have managed to endure all four battles for 86 days now. I know that I by no means have been fighting alone, and I appreciate it every day.

I am also very excited to say that I have enrolled in an online Bachelor degree program. Since my mother works for Charter College, I can use their family waiver program and complete my degree online for free. I figured that as long as I can’t work, and am stuck at home with all this extra time on my hands, I may as well be learning something. I decided on Business and technology. I will be learning things like computerized accounting systems, e-commerce, project management and employment law. I am a sick individual and these subjects all have me very excited.

I have a few things in the works in the kitchen, I will port them as soon as I get the last tweaking of preparation right. I also have had requests for a list of some of my favorite no sodium seasonings and spice mixes…these are also soon to come.

Hope you all had a blessed weekend

 

Well Nevermind

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The doctor just called and cancelled the cardioversion for tomorrow. Apparently there is a problem with my kidneys in my blood work, and my blood pressure is too low to safely put me under sedation.

So for now it is a medication adjustment to try and stabilize the kidneys and BP and then back to the scheduling board for a safer time. I’m sure I will have more to say about this avter I process the last minute change in my plans…but for now

I guess I will go into the kitchen and cook something fun, since I don’t have to fast 🙂

T-minus 24 hours

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It is the countdown, tick, tick, tick. The final 24 hours before I go in for my Cardioversion. In the rational side of the brain I know it is a simple procedure, they do it all the time. I know there is only a slim chance that anything will go wrong. The rational side of my brain is only part of the equation. It is the irrational, emotional side that won’t stop thinking about all the “what if’s”

 

I have never been put to sleep before. I have talked to people that have resistance to anesthesia, and others that have trouble waking up. I don’t know how I will react to it. On the other hand there is the actual procedure. Will it even work? The cardiologist said that, with an EF of 35%, I am right on the edge of the guidelines to even try and convert. There is a chance it won’t work. There is also a chance it will only work for a short time and then we will have to do it again.

 

In January, when I went in for my angiogram, I talked to a woman who was there for a pacemaker. She had had cardioversion done 23 times in 7 years. This tells me logically that it is a common procedure, and also that it may have to be done every few months.

 

There is that nervous part of me that wonders if I should take the time to write down instructions and wishes, just in case something goes wrong? Should I make sure to call all the important people just to say I love you? Is it irrational to think of these things?

 

I really want it to work. I want to get some sense of normal back in my life. I want to go out and walk the dog. I want to play at the river. I want to go shopping in the French Quarter. All these things I can’t do now because I get so tired so fast and my vision fails me.

 

Please just let me go back to being a 33 year old woman with her whole life ahead of her. If this is some thing that I have to do over and over every few months, at least it should be easier after this first time, when I already know what to expect.