Saturday 27 December 2014

Lower back pain

Don't know what it is about the holiday season but for the fourth year in a row I have 'done' my lower back in. I know I have lower back degeneration around the L3/4 level and disc space narrowing issues around the L5/S1 but I try to do maintenance on my back including physio to try and avoid problems but for whatever reason I seem to always have a problem at this time of year.



I take chondroitin and glucosamine daily which I believe has helped, I do regular exercises and as I said above I see a physio for maintenance but I still manage to have this problem. Guess my TENS machine will be working overtime to help alleviate the pain.

I also use a magnetic back belt which I find can be useful when I wear it around the house and if I am out.


In 2011 my physio sent me for an xray and this is the report. Might be time to have another one I think to see what is going on.



Thursday 25 December 2014

Got your attention now?

Got your attention now? Good. Now talk to your wife, partner, lover, sister, daughter, niece, etc. and suggest they get a mammogram especially if there is a history of breast/ovarian cancer in the family or if they are over 40 or just to be on the safe side.



http://www.astrazeneca-us.com/responsibility/astrazeneca-healthcare-foundation/national-breast-cancer-awareness-month

And for you men with 'man boobs' remember, breast cancer is not unheard of in males!!!


Holiday check list

As we come into the Xmas/New Year Holiday period, I always pull out my check-list to make sure I am ready for the silly season knowing full well that some of the people I might need to see over late December and into January might be away on holidays. This list includes:

- Cardiologist - saw in November and all good but probably need angiogram in new year
- Diabetes clinic - checked and sugars in order
- Sleep Clinic re: apnoea - seen early Dec. referred to Respiratory clinic May, 2015
- Full blood test - done and all good except for iron levels
- Dentist - check
- Physio for back - check currently seeing weekly
- GP - to update and get scripts, done Monday
- Podiatrist - done Tuesday, all good
- Chemist - done yesterday, filled 15 scripts and got blood glucose test strips insulin needles

Now I am ready for the holiday season....


Merry Xmas and Happy New Year

Happy to be celebrating my 8th Chanukah/Xmas/New Year's thanks to these great people who all contributed to saving my life following a massive heart attack in July, 2014 - Katherine and Brad, the paramedics who got to me in time to resuscitate me the first time I crashed, Dr Atifur Rahman who managed to stent me while I was still arresting on the table in the Cath Lab and Dr Masashi Ura who carried out the triple bypass.

Katherine and Brad

 Dr Rahman

Dr Ura

Saturday 20 December 2014

Breathing Issues

For as long as I can remember, I have had issues with breathing. When I was young I would constantly have a blocked nose/sinus problems and from a very young age started using nasal sprays, decongestants with anti-histamines to alleviate the problem.

I used to think that possibly my issues were related to hay fever or pollens in the air but that really did not account for my having the blocked nose problem at any given time of the year, winter, spring, summer or autumn/fall.

At one stage I did those pin prick tests for allergies with nothing of significance being detected. On another occasion I thought I might have a deviated septum although I never really got that checked out. I was told my condition was not related to asthma.

I used to surf a lot and found that the salt water tended to help. I can remember as a child my mother giving me inhalations which also tended to help. However, the problem never really went away.

As I grew older I would depend more and more on my nasal spray and never left home or traveled without it. I was warned many times not to use the spray more than 5-7 days in a row but I guess it would be fair to say that fell on death ears given this was usually the only way I could get relief and fall asleep.

At age 21 I took up smoking which no doubt more than likely only aggravated the problem.

This went on for years, through my teens, when I moved from Sydney to Melbourne and then later to Israel where even there I still had the same problem although it must be said the problem seemed to diminish somewhat living in Jerusalem where the heat is a lot drier and there was significantly less humidity.

On returning to Melbourne, Australia a number of years later the problem continued although with hindsight I can say that in Melbourne the problem seemed to have less impact as it did when I lived in Melbourne previously - possibly due to the fact there is less humidity there and the summer heat tends to be drier as compared to Sydney.

So life continued. I left Melbourne after a family breakup, moved back to Sydney where humidity can be horrendous and the blocked nose problem continued. Then later I moved to the Gold Coast in Queensland where the weather is tropical and with it comes high humidity. And the nose problem continued, and probably worsened.

I found my greatest relief would come from air-conditioning with cooler air and some of the moisture being taken out of the air.

Life continued with me smoking and using a nasal decongestant spray just about everyday.

Then in 2007 I had a massive heart attack. Whether the fact that I had Graves Disease and later was diagnosed with T2 diabetes contributed to the heart attack, I can only guess with an answer of YES! Whether smoking contributed? well I can only comment that I am sure it did.

Did my having many interrupted nights of sleep due to breathing issues contribute to my heart event, with hindsight and having read up on this since my heart attack, I am convinced that there was a relationship.

Through all this I continued to use a nasal decongestant spray although I should add the night of my heart attack I gave up smoking and have not had one since!


After my heart attack I had issues with anxiety and panic attacks and many times found I was struggling to breathe, to take oxygen in into my lungs. I was told that this was common for people like me who had had a heart attack and subsequent bypass surgery - nice to hear but didn't really solve the problem. As these attacks seemed to present mostly at night when I went to bed and would often prevent me from falling to sleep, I took to taking half a valium tablet which seemed to help.

I also had issues with going into a lift, especially if it was full, and would experience panic attacks in these situations.

In the first couple of years after my bypass surgery I did a couple of lung function tests to determine if there was a problem there. None were found. My medications were checked to see if possibly they might be causing a problem.

I was sent up to Brisbane to do a V02 Max test to check my lung capacity and again, no issue was found. Thoughts of COPD went through my mind but I was told this was not a concern.

VO2 Max Test

At some stage I was put on an inhaler called Symbicort 400 which it must be said seemed to improve my oxygen intake and after a year or so I stopped taking this as my lung issue seemed to have resolved itself. As this problem disappeared so did the incidence of anxiety attacks seem to lessen.

It would be fair to say that my lung issue, the actual taking in of breath was now no longer an issue although on occasion it would crop up again and I would use the Symbicort and it would resolve itself within a few days.

Whilst this was going on I was still using a nasal decongestant spray just about every night and sometimes during the day.

Now, over seven years after my heart attack my breathing issues have definitely deteriorated and the nasal decongestant spray is virtually of no assistance. I again started having issues lying down to go to sleep and struggled to breathe through my nose and on occasion would have panic attacks again and sometimes have trouble getting oxygen into my lungs. I bought some nose cones on eBay which helped having tried nose strips before this with minimal success.

Last year, after a two year wait to see an ENT specialist, I saw a doctor who determined that I have turbinate hypertrophya not unusual condition in older people and that surgery maybe indicated if the condition worsens. He put me on a steroid spray (Nasonex) and for eleven months I used this and a saline nasal spray to help with my problem. During this period I did not use a nasal decongestant spray but that changed about six weeks ago when I just couldn't cope anymore but it must be said the decongestants spray is having virtually no effect anymore.


Earlier this year I did a sleep test which determined I have mild sleep apnoea. I did a follow-up test to see if one of those machines would help but was unable to complete the test due to having a panic attack trying to sleep with the mask over my face.


I was referred to our hospital's sleep clinic and last month saw a specialist there and am now waiting for an appointment at the respiratory clinic which is scheduled for May next year with a view to ascertaining my issue and the impact it is having on my heart and diabetes - surgery is on the cards.

In the meantime I am struggling at night, sometimes taking a valium to at least get some sleep and all the time worrying about the impact the lack of quality sleep is having on my diabetes which no doubt is impacting on my heart and possibly contributing to some of my angina issues.

I decided to write the above after yet again another night of interrupted sleep seeing me get up at 3.30am in the morning with breathing issues. Thought it relevant to put down in writing what I have been dealing with for months, years knowing that I can not be the only person who has these issues to contend with on a day to day basis.

Tuesday 16 December 2014

Driving Safe With Diabetes

You wouldn’t think it, but diabetes and driving can be a dangerous mix. Diabetes can bring us surprises, but when it comes to these surprises while you’re driving, not being prepared can be costly.
Watch as these diabetics talk about their unexpected hypoglycemic episodes while on the road, causing them now to think twice about what they need in case of a diabetes emergency before they get behind the wheel. Listen as they off tips on driving safely with diabetes.

Cardiac Rehab Xmas Get Together

This morning I am off to a coffee morning at our local cardiac rehab unit where staff and current/past clients have been invited for a pre-Xmax get together. Will be nice to catch up with the staff including some of those who run the physical education classes and who were there when I did the programme in 2007 - I don't always get to see them when I come in to give my six weekly talk.



Saturday 13 December 2014

‘Heart disease doesn’t look like anything’

STORIES FROM THE HEART: Mother of 8 who collapsed in church warns others: ‘Heart disease doesn’t look like anything’.

Have to share this from the American Heart Association's blog - blog.heart.org

"Cynthia Essex knew something wasn’t right that Sunday morning before church.
Getting out of bed was a struggle. Exhaustion persisted as she showered and got dressed. To top it off, Cynthia, who loves her assortment of shoes, didn’t care which pair she put on.
Cynthia pressed on, figuring she was just worn out. After all, she’s a wife and working mother of eight children ranging in age from 11 to 27.
“Something would be wrong with me if I wasn’t tired,” she joked.
During the service, she began feeling worse. She gave her son her offering envelope, excused herself and made her way toward the door. As she passed an usher friend and reached the front steps of the sanctuary, Cynthia started to collapse.
Cynthia Essex
The usher caught her and other friends and family quickly gathered around. Her husband, Levi, wondered if Cynthia was just hungry, but he had panic in his voice. A nurse friend said Cynthia felt cold and clammy.
Cynthia had trouble speaking, but many thoughts raced through her head. She worried about her kids seeing her ill. Keeping with her sense of humor, she worried that her dress was out of place and “who would see what.”
And, she had this realization:
“I remember thinking: I can’t die. I have too much to do. I have purpose in my life.”"
***
Cynthia was taken to a hospital, where doctors weren’t sure what had happened. She had no obvious conditions such as high blood pressure and was a seemingly healthy woman in her 40s with no notable family history of heart trouble.
Medical workers asked lots of questions and ran tests. Already, her sense of humor was showing again. When asked the routine question of whether she used illegal drugs, Cynthia said that’s not how she spends her money.
“I like shoes,” she quipped.
Cynthia and LeviShe was in the hospital four days before leaving with awearable defibrillator, which monitors the heart and checks for abnormal rhythms.
Physicians attributed her episode to an enlarged heart, which actually had shown up in medical tests a few days earlier when she sought treatment for shortness of breath and tiredness. The enlarged heart prevents the proper closure of her heart valves. Cynthia only later told her children of the seriousness of her situation, explaining that it is a form of congestive heart failure.
That frightening Sunday morning of June 9, 2013, caused Cynthia to make some lifestyle changes.
She no longer wears the defibrillator and is back at work as an administrator at Saginaw Valley State University, but she takes blood pressure medicine and watches her weight and salt intake, to be safe. Some days she needs rest. When planning a trip to an amusement park about three months after her hospitalization, her doctor warned her not to ride a roller coaster. It was “a temporary low point,” she said.
***
Most of the time, though, Cynthia is upbeat. She’s even found time to become a volunteer with the American Heart Association.
Cynthia speakingShe shares her story in motivational speeches and tells others that “heart disease doesn’t look like anything,” that it can affect even those who seem perfectly healthy.
“It really shook me, and I would tell you it’s probably the greatest thing that ever happened to me,” Cynthia said. “Life is too precious to do nothing, so I’ve told my story everywhere I’m invited. … My message is hope.”
In February, she was one of the American Heart Association’s Go Red For Women spokespeople in the Saginaw, Michigan, area. She also spoke at her community’s Heart Walk in May.
Heart disease is the leading killer of women in the United States, and Cynthia urges women to join her in listening to their bodies and eating healthy.
“I appreciate life. I appreciate people. I appreciate the chance to get a redo,” she said. “What you do for people comes back to you.”
Photos courtesy of Cynthia Essex

Friday 12 December 2014

If in doubt see your cardiologist/specialist

Time and again posts are put up on any one of a number of heart support groups I am member of on Facebook asking for medical advice. A short time ago I came across this question from a member on one such group:

"General question. I had my bypass 6 months ago but just recently my leg is swelling up considerably so I wondered has anyone else had this?"

My response was: "Is it the leg you might of had a graft taken from for the bypass? Whatever the case, you should get it looked at asap - internet 'doctor's like us can't diagnose and certainly can't advise, only a professional or your specialist can so would be seeing him/her asap".


**********

While I am a strong believer in the benefits of people joining a support group and sharing concerns, asking questions and giving support, time and again members can be found asking for advice for a medical issue.

When I see this I usually respond that for medical advice people should be seeing their specialist or family doctor since generally speaking, none of us in the group in question is a medical person qualified to give competent medical advice.

Thursday 11 December 2014

Diabetes Basics: What Is Diabetes?

What a Cool Animation! Tells You Everything You Need to Know About The Basics of Diabetes

Just in case you needed to know, here are the basics about diabetes.




If you or a loved one has just received a diagnosis, this video is a great place to begin learning about what it all means. Terms like “insulin” and “blood-glucose” levels can be confusing if you don’t know their role in the body. Learn about the process of turning sugar into energy — which is often disrupted in people with diabetes — watch the video below!


Produced by the American Diabetes Association.

Cancer Awareness - No Boundaries

It doesn't matter who or what you are, this evil disease has no boundaries.

Having been touched by cancer via my wife I can relate to this.


Girl:Boy
Young:Old
Rich:Poor
Nan:Pop
Mum:Dad
Sister:Brother
Daughter:Son
Aunty:Uncle
Neice:Nephew
Friend:Foe
Black:White
Yellow:Brown
Tall:Short
Fat:Skinny
Famous:Infamous
Healthy:Unhealthy

No Boundaries!!!




Wednesday 3 December 2014

Cardiac Rehab Talk - May, 2012.

In 2008, a year after my heart attack and bypass surgery, I was invited by our local cardiac rehab unit to share my recovery experience with others doing the rehab program. After my first presentation, I was asked to come back and give my talk on a regular basis and have been doing so ever since - at my time of posting this, it is December, 2014.

In my talks, I cover issues I had to deal with including depression, anxiety and changing my lifestyle. In this video presentation which is a recording of one my talks coupled with photos taken over the years since my heart attack you will get an idea of some of the material I cover in each talk including:

• assessing my lifestyle and making changes
• dealing with stress, exercise and poor diet
• coping with depression and anxiety
• the role of cardiac rehab in my recovery process - turning 'negatives' into 'positives'
finding a new hobby - in my case getting involved in helping my wife look after injured wildlife and adopting birds
rediscovering an old hobby, that of photography (some photos included in this video)
volunteering - becoming involved in spreading the awareness of CVD, Heart Attack and Diabetes in the community including creating bumper stickers and T shirts to help spread the message.

Talk given in May, 2012

Please feel free to share this video with others.

It should be noted that topics can vary from talk to talk depending on circumstances and the time available to me and with this in mind I am listing links to two other talks to provide a better overview of the topics I cover.

Cardiac Rehab Talk, Oct. 2010 - Recovering from a Heart Attack and Dealing with Depression:
https://www.youtube.com/watch?v=7ZNX5oCdhO0&index=6&list=PLEBBB26999588AD14

Cardiac Rehab Talk, Sep. 2011 - Recovering from a Heart Attack and Dealing with Depression:
https://www.youtube.com/watch?v=cdEHO6VqyHg&index=7&list=PLEBBB26999588AD14

These are some items I have created to promote the awareness of CVDHeart Attack and Diabetes in the community:





More of these items can be found at www.heartattackstore.com.

Cheers.

Dani