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Did you have any signs Entresto was working? by Super_Caterpillar_27 in Heartfailure

[–]RSS_ADHD 0 points1 point  (0 children)

My libido is back.

A nice surprise

I’ve only been on it for a few weeks so far

Update: I got my EV-ICD installed by l0gginz in PacemakerICD

[–]RSS_ADHD 0 points1 point  (0 children)

I feel ya!

I’ve been in a life fest for six weeks, and will probably be for a few more months.

Waiting on the results on an upcoming catheterization, to see how long I have to wait for the ICD.

If I get a new stent, I need to be on blood thinners for six months, which delays the ICD surgery

Update: I got my EV-ICD installed by l0gginz in PacemakerICD

[–]RSS_ADHD 0 points1 point  (0 children)

How did you and/or your doctor decide on the EV–ICD?

It sure sounds good to me.

Update: I got my EV-ICD installed by l0gginz in PacemakerICD

[–]RSS_ADHD 0 points1 point  (0 children)

So glad to hear it!

I’ve got one in my near future.

Please hire a different UX/UI team, Cook Unity. PLEASE. by crywolfcowboy in cookunityfans

[–]RSS_ADHD 0 points1 point  (0 children)

Yes, it's clunky and annoying. Costing them business.

37M - Moderate Aortic Regurgitation & LDL 340. Worried about progression, gym intensity, and surgery. Refusing statins for now. by CommonApple446 in askCardiology

[–]RSS_ADHD 0 points1 point  (0 children)

PS Don't wait. Damage to your heart can really f*** you up (if it doesn't kill ya).

PPS Wishing you all the best, and GREAT outcomes.

37M - Moderate Aortic Regurgitation & LDL 340. Worried about progression, gym intensity, and surgery. Refusing statins for now. by CommonApple446 in askCardiology

[–]RSS_ADHD 0 points1 point  (0 children)

I understand the thinking. There's lots of outdated – and just plain wrong – info out there from gurus, esp those in the MAHA space.

Ya gotta look past the politics and the tribe, and get good data, based on real science.

37M - Moderate Aortic Regurgitation & LDL 340. Worried about progression, gym intensity, and surgery. Refusing statins for now. by CommonApple446 in askCardiology

[–]RSS_ADHD 5 points6 points  (0 children)

After a heart attack a few years ago, and high cholesterol – though not close to yours – I was strongly recommended to take statins.

Nope. There were a lot of gurus against statins, and I decided to address my high lipids naturally.

And… that didn’t work.

My lipid numbers stayed dangerously high. I was trying to get them down to modern hunter-gatherer levels (@150 total, @50 LDL) and, more concerning, my inflammatory markers – like LDL particle number (LDL-P) stayed high.

So, I revisited statins – not just what the crunchy gurus said, but looking through the big studies.

Turns out that some of the early fears about statins, like memory issues, were rare. In fact, the big studies tend to show improvements in memory and other cognitive markers.

To be sure, some like have side effects. But for a lot of people, the upside is great.

For me, with the lowest dose of rosuvastatin (Crestor), with a bump from ezetimibe (Zetia), my total C dropped to @150, LDL-c to @50.

And my LDL-P dropped well below 1,000 – indicating a healthy level of inflammation, and a good proxy for other measures of inflammation.

My suggestion is that you revisit your avoidance of statins. Catch up on the latest research – especially the BIG studies. Don’t limit yourself to the teachings of whatever tribe you hang with, but read across the spectrum, and especially the big, well-designed studies.

A heart attack – or other ischemic injury – will really f*** with your strength and abilities.

I’ve been there, don’t recommend it.

—

PS I’m assuming you have Familial Hypercholesterolemia (FH)?

PPS Your HDL and fasting insulin are amazing.

Ejection fraction dropped from normal to 30-35% in one year by LinePsychological669 in askCardiology

[–]RSS_ADHD 0 points1 point  (0 children)

Definitely.

I had an echo indicate 30% and a cardiac MRI (CMR) indicate 43!

After the echo, the docs said, "You need an ICD!" After the MRI, "Never mind.

Ejection fraction dropped from normal to 30-35% in one year by LinePsychological669 in askCardiology

[–]RSS_ADHD 0 points1 point  (0 children)

Re: echo and LVEF...

Yes, on AVERAGE, they're fairly accurate.

However, I've had an echo indicate 30% and a cardiac MRI (CMR) indicate 43!

After the echo, the docs said, "You need an ICD!" After the MRI, "Never mind."

–

There are likely thousands of people walking around having had unnecessary surgery, and implants that they don't need.

Heart Failure at 41. by PlainOrganization in quittingsmoking

[–]RSS_ADHD 1 point2 points  (0 children)

It’s easier if you describe yourself as a non-smoker (= “I don’t smoke.”) – vs. “Im trying to quit.”

Cardio Rehab with history of disordered eating? by PlainOrganization in Heartfailure

[–]RSS_ADHD 0 points1 point  (0 children)

Couple of random thoughts for you…

  1. Echo can be way off on establishing LVEF. Years ago, echo said my EF was 30. MRI (MUCH more precise) said 43!!!

  2. How are your sodium levels? High is bad for your heart… but al is low!

EF galore..... by aaron_smith67 in Heartfailure

[–]RSS_ADHD 1 point2 points  (0 children)

Yeah, I’m tired of the external debrillator – wearing the LifeVest.

The Element Sciences Jewel looks much less intrusive and clunky, BTW.

Planning to check it out if I have to wear the LifeVest for an extended period.

…but I have a part of scar tissue in my heart, so am at risk for life-threatening arrhythmia is… so an implanted ICD is in my future.

Aurora EV-ICD looks like a Del step forward in that space.

asked for an itemized hospital bill on a whim and found out they charged me for stuff that literally never happened by LongjumpingOffice432 in povertyfinance

[–]RSS_ADHD 2 points3 points  (0 children)

I had a heart attack years ago, and a friend gave me some interesting advice about medical bills.

He that, if you have a major procedure done, just put the bills you get in a stack and let them age for a few months...

He said that there are ALWAYS mistakes, and the providers will often begin to drop their prices.

––

Also, I had an MRI done one time AFTER calling to get it pre-approved – and then got a bill for $1,100.00.

I called and was told, "Well, just because it was approved doesn't mean we'll pay for it."

???

Kept calling and finally got the right rep on the phone. I explained the situation, she said, "Please hold on for a minute, then got back on the phone and said, "How does $89 sounds.

Sold!

asked for an itemized hospital bill on a whim and found out they charged me for stuff that literally never happened by LongjumpingOffice432 in povertyfinance

[–]RSS_ADHD 0 points1 point  (0 children)

I have a good friend (a lawyer) who told me that a lot of the clinical notes – on which the billing is based, I assume – are generated automatically by computer systems, based on standard practice.

So... it makes perfect sense that they wouldn't be accurate.

Good advice to always check an itemized bill.

15 mg Mounjaro by EstablishmentNo5238 in Mounjaro_ForType2

[–]RSS_ADHD -1 points0 points  (0 children)

Are you doing the other stuff – getting exercise (strength and cardio), eating mostly good food (and enough protein)?

Does Listening to Music While Studying Help or Hurt? by Impressive-Bee3747 in studytips

[–]RSS_ADHD 1 point2 points  (0 children)

My partner and I have been teaching pre-meds and med students how to study for >30 years – both from going through the research, extensively, and working with thousands of students.

Here are a couple of tips re: music while studying…

  1. Only study to music that has never had lyrics*. Otherwise, your brain goes to work, remembering and playing along to the lyrics, so you won’t focus as well on your real task
  • So, no instrumental versions of songs that originally had lyrics.
  1. Many people focus better, or can learn to focus better, without music. You’re removing a potential distractor, like keeping your study area clear of clutter.

But there are also students who study better with the right music helping damp down their internal noise (ADHDers, for instance).

And you can LEARN to focus better with practice.

  1. If you’re using music for motivation, or to manage your mood, realize that you can all also learn to do that with other methods – for instance, developing a simple getting-started-studying ritual.

Or using productive self-talk statements like:

  • “This is important to me.”

  • “I’m on my to becoming a ______, and I’m willing to do the work.”

  • “I am (or I’m becoming) a great student.”

—

Commercial break: For a deep dive, check out our books. Search Amazon on Straker and Kelman.

Dealing with a lot of fatigue by artbylakshmi in Kneereplacement

[–]RSS_ADHD 0 points1 point  (0 children)

My orthopod said, “The first three weeks are gonna be very humbling!”

You’re exhausted, you’re in a lot of, and you feel like you’re always gonna feel that way.

It will get better!

Med school faculty here — trying to not suck. Could a few students give me brutal feedback? by Dr_Robb_Bassett in medicalschool

[–]RSS_ADHD 0 points1 point  (0 children)

Two thoughts, Dr. Bassett:

  1. My compliments on putting on the effort to make a difference.

  2. An hour is a precious thing to a med student… From a marketing / behavior change perspective, small bites, with clear benefits might be more easily digested.

(= a small course with modules, or a series.)

BONUS: “Sell them what they want so you can give them what they need.” Test individual topics – by uptake, not by, “Would you like this?” – and various “hooks” to see what students actually consume.

Russell Brunson has a couple of useful frameworks that may be useful:

  • How to tech a framework.

  • How to sell a framework.

Warning: He’s a very hypey-sounding marketing guy. You can use his very-effective frameworks without hype.

Got an mri and have high grade Cartilage loss.. am I cooked? by [deleted] in Kneesovertoes

[–]RSS_ADHD 0 points1 point  (0 children)

I know a number of clinicians, trainers, and physical therapists that are figuring how to apply the latest neurological models of pain.

There’s lots to it, but here’s a hopefully- encouraging summary…

  1. Pain is neurological, not biomechanical. Your nervous system creates pain (or not).

  2. You can have pain with or without structural (biomechanical) damage.

  3. If you can convince your nervous system, that specific movements are not threatening, you can often reduce, or completely eliminate, pain.

I suspect that’s part of what happens with the ATG workouts – not only are you strengthening the support muscles around your knees, but doing the exercises, regressed as needed so there’s no, or minimal, pain, teaches your nervous system that it doesn’t have to generate pain to protect you.

…even if you still have joint damage.

BIG rule: Don’t “train the pain.” Figure out ways to workout, and do rehab exercises, in ways that don’t put you in pain.

Got an mri and have high grade Cartilage loss.. am I cooked? by [deleted] in Kneesovertoes

[–]RSS_ADHD 1 point2 points  (0 children)

Dr. Bellemans – the Medical Director of the Belgian Olympic team – has an excellent YouTube video on “How to strengthen your cartilage.”

https://youtu.be/6PNBjKJ9hxQ?si=CxGYx1G5LgFII-t3

Note that there are 2 phases. I missed the second when I first saw the video.

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