bunrab: (heart)
In my last post, I mentioned taking pseudoephedrine (actually store brand, but Sudafed is so much easier to type) for a nasty cold, where I couldn't sleep for the postnasal drip and hacking cough. I took it one night, worked well, managed to get through the day without it, took it again the next night - just one, to last long enough to get to sleep. It felt so great - I could feel the line of dryness moving up my nose like the terminator moving across the face of the earth. So, I took a third one the next night - and got woken up a few hours later getting zapped by my defibrillator. So much for the Sudafed experiment. There's a reason they tell us not to take that stuff.

Got an appointment with the cardiologist in a couple weeks - didn't see the need to go in right away, since I can tell what happened and why, and I know enough not to do it again.

Meanwhile, saw regular doctor today, got Astelin nasal spray, which is supposed to clear up the snot locally in the nose, without affecting the whole system or causing high blood pressure or racing heart. I sure hope it works. I am really, really tired of being a great waddling ball of slimy snot.
bunrab: (heart)
I know, it's been a while. I've been lazy!
I have had a cold the last few days, and the postnasal drip has been SO awful that, damn the torpedoes, I have been taking pseudoephedrine at night - otherwise I can't sleep for the slime draining through my nose and throat. Yes, Sudafed is on the no-no list for heart failure patients and anyone with high blood pressure - but darn, I think going without sleep, coughing and sneezing all night, is a more immediate threat to my health than the stimulant effects of Sudafed. I've been doing without it during the day - I'm not going overboard on this.

News article:
Doctors Call for Human Studies of New Defibrillators

Human studies must be conducted before important new technology is used in heart defibrillators, say two prominent heart doctors who helped shed light on previous medical device defects.

The new "four-pole connector" technology is a more compact way of connecting heart defibrillators to wires -- called leads -- that conduct electricity to the heart. It would allow defibrillators to be smaller and leads thinner, which would make the implant procedure easier, the Wall Street Journal reported.

The U.S. Food and Drug Administration plans to allow defibrillator makers to sell the new implantable cardioverter defibrillators (ICDs) without conducting human studies, something that "is not in the best interest of patients," cardiologists Dr. Robert G. Hauser and Dr. Adrian K. Almquist wrote in this week's New England Journal of Medicine.

The Minneapolis Heart Institute doctors said they're concerned the new technology could be prone to potentially deadly short-circuiting, the Wall Street Journal reported.

The FDA disputed the cardiologists' claim that the agency has decided to allow the new devices to be sold without human testing, the newspaper said.

(from HealthDay, Scout News LLC)
bunrab: (Default)
I know it's been a while. I could hardly let Valentine's Day pass without a heart post, though, could I?

My father-in-law passed away January 3. He was 93, and had inoperable lung cancer. We had expected it sometime this year - but June or July, not January! Anyway, we spent most of January down in Austin - my spouse is an only child, so all the estate stuff falls to him. We have to go back there again at the end of February, and then for a couple of weeks in April, and then maybe one more trip after that, to take care of selling everything. I am not looking forward to Texas in April again - it's usually already near 90 degrees by April 15. For that matter, I am not looking forward to still more flying. I've never liked flying - but flying with a device just adds another level of annoyance to things, since it necessitates hand-screening. Which always seems to be in a nice public spot where everyone who is on line can watch one being patted down. Bleah.

Speaking of device, next scheduled device check is March 7.

The February issue of Natural History magazine has an article about foxglove and about the eighteenth-century doctor who popularized digitalis as a heart remedy. The article mentions the old term "dropsy" that was used to refer to the edema that characterizes heart failure - if you've ever seen dropsy mentioned in some old novel, now you know. There are some great illustrations, too, including a copy of a cartoon from 1810, captioned "Dropsy Courting Consumption" (Heart Failure Courting Tuberculosis). The gist of the article is, is it necessarily a good thing that digitalis started being used to treat heart problems? And here's the last few paragraphs of the four-page article:
...Withering correctly observed that digitalis made people feel better, yet could it have been killing them just the same?

In 1997, nearly two centuries after Withering's death, a medical trial came back with the answer. Almost 7,000 people were randomly allocated to digitalis or a placebo for more than three years. The results: for every thirty-nine people taking digitalis for a year, one avoided a hospital admission. The effect on mortality? Zero. ...
The final paragraph sums up by saying that at best, digitalis is modestly effective at improving quality of life. And that benefit may not be worth the harm that digitalis can do.

Goody.

On that note, I am going to promise to post more often - though not during the weeks I'm in Texas.
bunrab: (Default)

One of the sites I'm registered at is MedScape from WebMD, and specifically I signed up for their pharmacists' newsletter. If one carefully reads the fine print, one does not have to be a medical professional to register for these sites. So, here's a link to the article, for those who would care to register at MedScape and get the news on a current basis. They don't seem to sell their list nor spam their subscribers with stuff, just the newsletter on a regular basis.

For those who can't register, here's the highlights of the article, which was originally published in the journal Pharmacotherapy, V. 27 No. 4:

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