Norvasc (Amlodipine)
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| RxPharms "Norvasc (Generic)" | 10mg | 14-24 days/free | | worldwide | |
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RECOVERY FROM HEART DISEASE: FORUM (KEVIN): LOOKING BACK AND LOOKING FORWARD
Kevin is a forty-six-year-old worker in an automotive plant who was well and had no family history or other risk factors of heart disease. He didn’t exercise much, but had a normal weight. While on vacation at a beach resort, he developed chest pain, which he thought was indigestion, and didn’t see a doctor about it. After his return home, he had several more of these pains, which were lasting up to an hour, and eventually he went to the hospital to get some antacid medication. He was astounded when the doctors did an electrocardiogram and told him that he was in danger of having a heart attack and had to be hospitalized immediately. The next day he had a coronary angiogram which showed a severe blockage of several arteries, and an urgent bypass was recommended. A week later he had the bypass, from which he physically recovered uneventfully, and at exercise testing six weeks later was able to run on the treadmill without any problems.
At first Kevin was stunned by what had happened, and particularly so when he came home and his wife was very protective toward him. They were counseled by their family doctor, and his wife responded to this, but for some time Kevin felt anxious about what had happened and was still worried about having a heart attack. When his fears subsided, he was troubled by feelings of anger about the unfairness of this having happened to him. Later, once he became involved in the rehab program, he calmed considerably and started to feel much better.
This forum consists of Kevin, his wife, Dr Dorian and Dr Baker.
Kevin: Well, doctor, how do you think I’ve done?
Dr Dorian: How do you think you have done?
Kevin: At first it was quite a roller coaster, but now that seems in the past. You know the whole story. My wife especially took it real hard. Isn’t that so, dear?
Wife: You can say that again. I couldn’t stop crying when I heard that he had to have the surgery, and later, when he came home, I wouldn’t let him out of my sight.
Kevin: Yes, that got on my nerves.
Wife: You can’t blame me for being upset about that. It was so out of the blue. One moment, we’re on vacation at the beach; a few days later, they’re operating on your heart! At first, I couldn’t stop checking on him, but once we spoke to our doctor I felt I could handle things. Kevin took longer than me to calm down.
Kevin: Well, it is my heart!
Dr Baker: Usually the patient is emotionally upset for longer than the spouse.
Kevin: Now I’m feeling well, but sometimes I wonder if it’s better that I know all about my heart disease; then it seems like such a load to carry around with me. Maybe I would have been better off if I would have been one of those guys who didn’t give a hoot about things. Don’t they say “ignorance is bliss”?
Wife: Kevin’s just joking. Once he understood what had happened to him, he started to accept his condition.
Dr Dorian: After some initial bumps in the road, you have come to understand that heart disease is part of you, and this is unfortunately a disease for life that will not disappear. At the same time, you now know that the disease can be managed and that with knowledge about your heart and your body come understanding, and with understanding comes the chance for serenity. Some other patients never get over their angry phase, and cannot concentrate enough to learn the value of modifying their habits or complying with their treatment regimen.
Kevin: But I was perfectly well until this all happened.
Dr Dorian: Many of our patients suffer a cardiac event without any prior warning whatsoever, and indeed have no risk factors. They ask, “How could this happen to me? I have done all the right things, watched my diet, I don’t smoke, I exercise and still my arteries are my enemy.” We believe that in many of these patients, arterial narrowing is caused by factors that they have no control over, such as a genetic predisposition (even though they may not have family members affected), possibly subtle biochemical abnormalities in their blood, or even infections that can predispose to arterial narrowing. It’s very important that patients understand that in most cases it is not their fault that they have developed artery disease, and that it is not right or useful for patients to be angry at themselves or for family members to be angry at patients for having developed this disease.
Kevin: Do you think that things were worse for me because they came on so suddenly?
Dr Baker: Yes, the suddenness does add an extra edge to things, but we also have to deal with how you handle stress generally.
Wife: There arc still times when I worry about Kevin.
Dr Baker: Why?
Wife: Well, he still can still get upset easily, and if there is something bothering him, he won’t let it go.
Dr Baker: Each person has to deal with his or her own character and temperament. Frankly after many years of trying to change people, I have learned that the trick is to know what you cannot change! If you are aware of that large component, then you can deal with what you are able to change. Kevin will probably continue to get upset in certain situations, but hopefully, since he is now aware of what upsets him, and knows some techniques to deal with it better, it won’t be so often, or so strong, or go on for as long as before.
Kevin: Like I said, I’ve come to terms with the fact that I will always have some heart trouble, but I have stopped blaming myself and everyone else for the fact that I have heart disease, and I am no longer so upset or angry with myself when I do fly off the handle, since I know that no one can be on a perfectly even keel all the time. The doctors have also told me not to be so worried that every time I get upset it will affect my heart and cause another heart attack.
Wife: It’s true that you are much better, but you sound as if you have everything under control. I notice you aren’t exercising as often as before, and at times we do cheat on the diet.
Kevin: As a matter of fact, I am still walking three times a week, and don’t forget I do quite a lot of exercise at work. My wife is only talking about when we go out to eat once a week. Anyway, my cholesterol is normal.
Dr Dorian: As long as you generally follow the dietary recommendations, and especially if your blood tests are okay, occasional “cheating” is not a problem.
Wife: If I think back, it was when he became active that he really started to turn around.
Kevin: Yes, it was when I went to the rehab program. Once I got started with the exercise, I was supervised and I learned all about my condition; this gave me confidence. Also, when I was back to work with my buddies, all those months of worrying just faded away. It’s funny, though, when we talk about it my mind starts to think of all these things again.
Dr Baker: I think there is a time for talking and a time for doing.
Kevin: That’s true. You know, I did a lot of talking over the past year, and I learned a lot too. Now I’m ready for other things.
Dr Baker: This is a good point. At this time, we have to strike the right balance between shutting things out of our minds and getting on with our lives, on the one hand, and maintaining a heart-healthy lifestyle, on the other.
Cardio & BloodKevin: Well, we know all about being in a relationship. At times it is tough, but it is worth it!
Wife: You can say that again.
*48/214/2*
