Tuesday, April 21, 2009

Going back to work soon…May 4 approaches

Although my heart is still very weak, I am feeling better enough to return to work and a normal routine. My dog Brutus (below) has been my constant and faithful companion, but I yearn for human interaction and to return to the world of art.


Brutus and his favorite toy

I have been able to attend several art events in Jacksonville over the past few weeks. As I see friends and colleagues, many respond with, “you look great.” My common response is, “I have been on a diet that I don’t recommend.”


My new outfit for the Fowler Memorial Dedication.


I am slowly building up my stamina - right now I can go out for two-three hours before starting to "poop out". I have been able to go to an opening at the Cummer Museum of Art & Gardens, the Tillie Fowler Memorial Dedication (below), and the Cultural Council’s Arts Award Luncheon. I am learning that social skills are lost if you do not use them - even a brief conversation can be difficult to maintain when you are out of practice.


Tillie Fowler Memorial, Showing the Way


During the last couple weeks, I have felt more tired and slower. As the dose of heart and blood pressure medications increase, I feel weak and sometimes nauseous. Getting up from sitting is often followed by dizziness, which Dr Constantin says is normal. It doesn’t feel normal when I almost passed out shopping for shoes the other day. As I become used to the level of medications, the symptoms will subside.


Dizziness is a term used to describe everything from

feeling faint or lightheaded to feeling weak or unsteady.

Dizziness that creates the sense that you or your

surroundings are spinning or moving is called vertigo.

Although it may be disabling and incapacitating,

dizziness rarely signals a serious, life-threatening condition.

Treatment of dizziness depends on the cause and your

symptoms, but is usually effective.


Characteristics of dizziness may include:

* A sense that you or your surroundings

are spinning or moving (vertigo)

* A loss of balance

* Nausea

* Unsteadiness

* Wooziness

* Lightheadedness

* Faintness

* Weakness

* Fatigue

* Difficulty concentrating

* Blurred vision during quick head movements


Under normal circumstances, your sense of balance

is controlled by a number of signals that your

brain receives from several locations:


* Eyes. No matter what your position,

visual signals help you determine

where your body is in space and how it's moving.

·

Sensory nerves. These are in your skin, muscles and joints.

Sensory nerves send messages to your brain

about body movements and positions.

·

Inner ear. The organ of balance in your inner ear

is the vestibular labyrinth. It includes loop-shaped

structures (semicircular canals) that contain fluid

and fine, hair-like sensors that monitor

the rotation of your head. Near the semicircular

canals are the utricle and saccule, which contain

tiny particles called otoconia (o-toe-KOE-nee-uh).

These particles are attached to sensors that help

detect gravity and back-and-forth motion.


Feeling of faintness

"Presyncope" is the medical term for feeling faint and

lightheaded without losing consciousness. Sometimes nausea,

pale skin and a sense of dizziness accompany

a feeling of faintness. Causes of presyncope include:


1. Drop in blood pressure (orthostatic hypotension).

A dramatic drop in your systolic blood pressure — the higher

number in your blood pressure reading — may result in

lightheadedness or a feeling of faintness. It can occur after

sitting up or standing too quickly.


2. Inadequate output of blood from the heart.**

Conditions such as partially blocked arteries (atherosclerosis),

disease of the heart muscle (cardiomyopathy), abnormal heart

rhythm (arrhythmia) or a decrease in blood volume may

cause inadequate blood flow from your heart.

**That’s me.



As I prepare to return to work, I am planning how I will do things differently, more efficiently, less stressful. I am normally a “let-me-do-it-all-myself” worker. This illness has reminded me that I can’t do everything myself. I hope to start slowly and be able to build up my stamina and strength. I am certain my supportive colleagues will help me along the way.


One step in front of the other…


Here are a few additional images I have taken over the past month.

Kingsley Plantation

My parents at the beach



Flamingos at Jacksonville Zoo




Loop Train at Jacksonville Zoo


Wednesday, April 1, 2009

broken heart update




Welcome to My Broken Heart Blog.

This entry is another stop on a long journey.
I am definitely learning patience as a result of this adversity.



Patience (pā-shəns) is the ability to endure adversity without irritation.
Also steadfast, diligent, steady perseverance.





Today, my parents and I went to see Dr Magnano at
Diagnostic Cardiology Associates (also Dr Constantin's group)
about the results of the t-wave test I had on Monday.




Dr Anthony Magnano ("The Electrician")

The t-wave alternans test was negative (the results we wanted) so I do not have an increased risk of sudden heart failure from cardiac arrythmia. Those who are found to be at high risk would therefore benefit from the placement of a defibrillator device which can stop an arrhythmia and save the patient's life. The test examines the t-wave of the EKG or the measurements of the heart's electrical conduction. See diagram below.

The test was very simple and non-invasive stress test. Twelve leads were attached to my chest and midsection (after the nurse roughed up my skin with sandpaper at each lead site - OUCH!). Then I walked at a slow pace on a treadmill for approximately seven minutes. The leads fed data to a monitor that recorded the electrical wave patterns of my heart. The computer analyzed the data and issued its finding - My results were negative.





T-wave alternans testing acts as a risk stratifier between patients who need implantable cardiac defibrillators (ICDs) and those who do not. Patients who test negative for t-wave alternans are LESS likely to require a defibrillator than those who test positive.


Dr Magnano, nicknamed "The Electrician" by Dr Constantin, explained that my "electronics" are stable and my heartbeat is regular. If my t-wave alternans test was positve, a defibrillator would have been ordered immediately. Because of my age, both doctors are cautious of implanting this "machine" too soon, but they are very concerned about my low ejection fraction - still below 20%. Basically, my blood flow is good, my electronics are good, but my "ticker" is weak and can't push the blood at a healthy rate. Both doctors believe I will continue to improve as they slowly increase my medications.





I am gradually getting stronger and my stamina is increasing. The picture about was taken during a trip to Jacksonville Beach for dinner at Tacolu with my friend Toni. Lately, I move easier, with less effort, and my heart is not as stressed as before. For example, after helping my father give my dog Brutus a bath this week, I was tired, but not out of breath or palpitating.
I have had outings to First Friday in Five Points (below right)
and the Jacksonville Zoo and Gardens
(new Bamboo Gardens are a must see, below left).





I am still monitoring my sodium intake - learning about food along the way.
I am trying to move into the new Whole Foods - I hate leaving that place.




Get the Salt Out: 501 Simple Ways to Cut the Salt Out of Any Diet
by Ann Louise Gittleman

In this day and age, when fat is blamed for all our health problems, it's often easy to forget that salt can also be a dietary culprit. While salt is necessary for both bodily and cellular function, and is certainly crucial to the satisfying taste of some of our favorite foods, recent research shows that its excess consumption can also lead to hypertension, strokes, and a variety of cardiovascular problems.

In Get the Salt Out, nationally recognized nutritionist Ann Louise Gittleman reveals 501 ways to avoid excess salt intake by serving a variety of delicious low-sodium foods, taking advantage of tasty salt substitutes and steering clear of many surprising hidden sources of salt. She provides more than fifty delicious recipes for low-sodium foods, which will add healthful new staples to the diet of anyone who wants to "get the salt out."

Other features include:

¸ Advice on how to use herbs effectively to reduce sodium intake
¸ Tips for reading labels to expose salt where it is hidden as well as supermarket salt savvy
¸ Ways to reduce the salt level in your water
¸ Advice for avoiding salt when you eat out
¸ Tips for dealing with stress and other impediments you may face
¸ A week-long menu plan
¸ A resource section

Get the Salt Out has all the tips, menu plans and recipes to help you enjoy real foods again and create meals that both your taste buds and your body can truly savor!

ISBN:9780517886540
Author: Gittleman, Ann Louise
Publisher: Three Rivers Press (CA)
Subject: Salt-free diet
Publication Date:December 1996
Binding: Paperback
Pages: 240




Found this tattoo online - thought it was very appropriate.



NEXT UPDATE: June 30, 2009
Appointment with doctors regarding progress.



To my loved ones, friends, and colleagues.
Thank you for your love and support.
I could not have made it this far without you.

 
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