project: chf

misogyny in medicine

covering digitalis, the teacher tells us about an englishman who introduced foxglove to the herbal community.

When mentioning how the englishman found it, he specifically says that the englishman learned about the herb from a wise woman, who was using it for “dropsy” aka edema related to CHF, in a tea. 

The teacher then goes on to say how we all owe a debt to this englishman for researching the plant.

Fuck yo englishman. A little old lady had been using that plant for years before he heard of it, and I’m sure she learned about it from her grandmother, and that it had been common herbal knowledge in little old ladies for quite some time. The lecture could have just said “This englishman stole a little old lady’s formula and claimed all the credit for use after that”.

*personal post*

so yea..my valentine had a cardiac arrest a few years ago and has heart damage..he just recently had an echocardiogram which measures your heart blood pumping value and all that medical jargon that you have to deal with when you are chronically ill..anyways..i read this today…on valentines day…and its gotta be a sign..
Now the good news. Many live normal lives with a lower than normal EF. There are people who have lived normal lifespans with EFs below 20%.
….
Wow. Wish his doctor would have told us that. I dont know if they dont want to give you hope or have you on the edge of your seat every day…a huge load has been lifted today…

[repost: I forget what blog I pulled this from]

CHF treatment Mnemonic 

“Treatment of CHF, in three unforgetable words:
1. A of Acute and Adequate: Ensure adequate perfusion and oxygen delivery to tissues in the acute patients. That is why a combination of vasodilators such as nitroglycerin, diuretics such as furosemide, and possibly non-invasive positive pressure ventilation (NIPPV) are the first things to think of.
2. ACE. First-line therapy for all heart failure patients is angiotensin-converting enzyme (ACE) inhibition. The goal is to prevent the development of acute decompensated heart failure, to counteract the deleterious effects of cardiac remodeling, and to minimize the symptoms. Digoxin is no longer the first choice for congestive heart failure, but can still be useful in patients who remain symptomatic despite proper diuretic and ACE inhibitor treatment.
3. Exercise. Exercise (not in the mnemonic above) should be encouraged as tolerated, as sufficient conditioning can significantly improve quality-of-life