Cardiac Care Quotes

Leave your life. Leave everyone you love, every care, every stress, every commitment. Live alone. Understand what it feels like to know that if you go into cardiac arrest, choke on a piece of hot dog, or get electrocuted, no one will find you. You’ll rot. No one will mourn you. Imagine this feeling haunting your thoughts for the rest of your life. You’ll wither and vanish, and some stranger will take care of your things and your burial, and you may not even get a placard. Imagine that, live it, and let yourself believe that you should be alone, and then go back to the people who love you.

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN = Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

When we put a new liver in her, this simply reset the clock. It didn’t do anything to treat her disease. In some ways, this is a microcosm of how our whole health care system works. We celebrate, and pay for, the big, sexy interventions—the operation, the cardiac catheterization, the heroic treatment that is technically challenging and potentially risky. But what really matters, and yet what our health care system doesn’t prioritize, is the day-to-day caring for chronic disease, the incremental, preventative care that can avert transplant altogether. Alcoholism is never actually cured. It can be managed, it can go into remission, but it is always there.

Andreevich. “Don’t be angry with me, Misha. It’s stuffy in here, and hot outside. I don’t have enough air.” “You can see the vent window on the floor is open. Forgive us for smoking. We always forget that we shouldn’t smoke in your presence. Is it my fault that it’s arranged so stupidly here? Find me another room.” “Well, so I’m leaving, Gordosha. We’ve talked enough. I thank you for caring about me, dear comrades. It’s not a whimsy on my part. It’s an illness, sclerosis of the heart’s blood vessels. The walls of the heart muscle wear out, get thin, and one fine day can tear, burst. And I’m not forty yet. I’m not a drunkard, not a profligate.” “It’s too early to be singing at your funeral. Nonsense. You’ll live a long while yet.” “In our time the frequency of microscopic forms of cardiac hemorrhages has increased greatly. Not all of them are fatal. In some cases people survive. It’s the disease of our time. I think its causes are of a moral order. A constant, systematic dissembling is required of the vast majority of us. It’s impossible, without its affecting your health, to show yourself day after day contrary to what you feel, to lay yourself out for what you don’t love, to rejoice over what brings you misfortune. Our nervous system is not an empty sound, not a fiction. It’s a physical body made up of fibers. Our soul takes up room in space and sits inside us like the teeth in our mouth. It cannot be endlessly violated with impunity.

While I’m cleaning and then moving the kabin, the ground is taking care of “safing” the equipment, which means making sure everything I will be working on is powered down correctly so I don’t electrocute myself or cause an electrical short. (The risk of electrocution is ever present on the space station, especially on the U.S. side. We use 120-volt power, which is more dangerous than the 28 volts used on the Russian segment. We train for the possibility of electrocution and often practice advanced cardiac life support on board, using a defibrillator and heart medications meant to be injected into the shinbone.)

With the lens of Jobs to Be Done, the Medtronic team and Innosight (including my coauthor David Duncan) started research afresh in India. The team visited hospitals and care facilities, interviewing more than a hundred physicians, nurses, hospital administrators, and patients across the country. The research turned up four key barriers preventing patients from receiving much-needed cardiac care: Lack of patient awareness of health and medical needs Lack of proper diagnostics Inability of patients to navigate the care pathway Affordability While there were competitors making some progress in India, the biggest competition was nonconsumption because of the challenges the Medtronic team identified. From a traditional perspective, Medtronic might have doubled down on doctors, asking them about priorities and tradeoffs in the product. What features would they value more, or less? Asking patients what they wanted would not have been top of the list of considerations from a marketing perspective. But when Medtronic revisited the problem through the lens of Jobs to Be Done, Monson says, the team realized that the picture was far more complex—and not one that Medtronic executives could have figured out from pouring over statistics of Indian heart disease or asking cardiologists how to make the pacemaker better. Medtronic has missed a critical component of the Job to Be Done.

CALCIUM-SCORE SCREENING HEART SCAN This is a test used to detect calcium deposits found in atherosclerotic plaque in the coronary arteries. Computerized tomography methods, such as this one, are the most effective way to detect early coronary calcification from atherosclerosis (hardening of the arteries), before symptoms develop. The amount of coronary calcium has been recognized as a powerful independent predictor of future heart problems and is useful in making lifestyle changes and guiding preventive care to reduce their risk. The doctor uses the calcium-score screening heart scan to evaluate risk for future coronary artery disease. If calcium is present, the computer will create a calcium "score" that estimates the extent of coronary artery disease based on the number and density of calcified coronary plaques in the coronary arteries. Absence of calcium is considered a "negative" exam. However, there are certain forms of coronary disease, such as "soft plaque" atherosclerosis, that escape detection during this CT scan. It is important to remember that a negative test suggests a low risk, but does not exclude the possibility of a future cardiac event, such as a heart attack. The calcium-score screening heart scan takes only a few minutes to perform and does not need injection of intravenous iodine.

Star Struck We headed for home, my mind filled with questions about the man, and the message I’d somehow received. Reason fought against intuition. He was just an ordinary guy. Or was he? In the months to come, I overcame my fears and visited the doctor. I underwent three cardiac catheterization operations, and a successful triple-bypass surgery. Through them all, I knew I’d be al right. Years have passed since that day. But the peace he projected has remained with me. God sent me comfort in a way I needed, in a form I could understand and trust--an ordinary-looking man. He gave me the courage and the confidence to take care of my health problems. My angel. And even though I can’t see him, I know he’s still watching. I know things are going to be all right. How can I be so sure? Because there’s still work for me to do. He told me so. -Nancy Zeider

The best and largest cohort studies in nutritional epidemiology, such as the Adventist Health Study, the Iowa Women’s Health Study, the Nurses’ Health Study, the Physicians’ Health Study, and the CARE Study all confirm that eating nuts and seeds is associated with a 30–50 percent decreased risk of CAD death, primarily sudden cardiac death, and dramatic decreases in all-cause mortality.

I was on my own to cover the hundreds of patients there, some of the sickest of the sick. It was on one of those nights that, staggering through a sleep-deprived haze, I got the call. Up until then, all the deaths I had seen were those in which the patient was either dead on arrival or had died during cardiac “codes,” when we try desperately, and nearly always unsuccessfully, to resuscitate. This man was different. He was wide-eyed, gasping for air, his cuffed hands clawing at the bed. The cancer was filling up his lungs with fluid. He was being drowned by lung cancer. While he thrashed desperately, pleading, my mind was in medical mode, all protocols and procedures, but nothing much could be done. The man needed morphine, but that was held on the other side of the ward, and I’d never get to it in time, let alone back to him. I was not popular on the prison floor. I had once reported a guard for beating a sick inmate and was rewarded with death threats. There was no way they’d let me through the gates fast enough. I begged the nurse to try to get some, but she didn’t make it back in time. The man’s coughing turned to gurgling. “Everything’s going to be okay,” I said. Immediately, I thought, What a stupid thing to say to someone choking to death. Just another lie in probably a long line of condescension from other authority figures throughout his life. Helpless, I turned from doctor back to human being. I took his hand in my own, which he then gripped with all his might, tugging me toward his tear-streaked, panic-stricken face. “I’m here,” I said. “I’m right here.” Our gaze remained locked as he suffocated right in front of me. It felt like watching someone being tortured to death. Take a deep breath. Now imagine what it would feel like not to be able to breathe. We all need to take care of our lungs.

First, I am thrilled that paramedics are finally getting the respect they deserve for being the professionals they can be. The scope of practice is expanding, and patient care modalities are improving, seemingly by the minute. Patient outcomes are also improving as a result, and EMS is passing through puberty and forging into adulthood. On the other hand, autonomy in the hands of the “lesser-motivated,” can be a very dangerous thing. You know as well as I do that there are still plenty of providers who operate from a subjective, complacent, and downright lazy place. Combined with the ever-expanding autonomy, that provider just became more dangerous than he or she ever has been – to the patients and to you. Autonomy in patient care places more pressure for excellence on the provider charged with delivering it, and also on the partner and crew members on scene. Since the base hospital is not involved like it once was, they are likewise less responsible for the errors and omissions of the medics on the scene. Now more than ever, crew members are being held to answer for the mistakes and follies of their coworkers; now more than ever, EMS providers are working without a net. What’s next? I predict (and hope) emergency medical Darwinism is going to force some painful and necessary changes. First, increasing autonomy is going to result in the better and best providing superior patient care. More personal ownership of the results is going to manifest in outcomes such as increased cardiac arrest survival rates, faster and more complete stroke recovery, and significantly better outcomes for STEMI patients, all leading to the brass ring: EMS as a profession, not just a job. On the flip side of that coin, you will see consequences for the not-so-good and completely awful providers. There will be higher instances of licensure action, internal discipline, and wash-out. Unfortunately, all those things will stem from generally preventable negative patient outcomes. The danger for the better provider will be in the penumbra; the murky, gray area of time when providers are self-categorizing. Specifically, the better provider who is aware of the dangerously poor provider but does nothing to fix or flush him or her, is almost certain to be caught up in a bad situation caused by sloppy, complacent, or ultimately negligent patient care that should have been corrected or stopped. The answer is as simple as it is difficult. If you are reading this, it is more likely because you are one of the better, more committed, more professional providers. This transition is up to you. You must dig deep and find the strength necessary to face the issue and force the change; you have to demand more from yourself and from those around you. You must have the willingness to help those providers who want it – and respond to those who need it, but don’t want it – with tough love by showing them the door. In the end, EMS will only ever be as good as you make it. If you lay silent through its evolution, you forfeit the right to complain when it crumbles around you.

It’s an absolute no-brainer, but the fundamental priority when you or someone else is suffering a heart attack is to call for an ambulance and get swift and immediate emergency care from medical professionals. But what if you’re on your own or not easily found or contactable by phone? What can you do to improve your chances of survival? If you’re experiencing any of the classic symptoms of a possible cardiac arrest - intense chest pain, tingling arms, dizziness, breathlessness, cold sweating, and so on - take aspirin to thin your blood and lighten the load on your heart. Rest or lie down if you feel able and take deep steady breaths. Focus on your breathing to try to maintain calm. Do not eat or drink, and certainly do not attempt to drive yourself to an emergency room. If symptoms pass - as they very often do; not everything that feels like a heart attack develops into full cardiac arrest - wait until you feel able to cope, then seek medical help.

Încercuiesc ciocănitoarea verde în zona ei cea mai vulnerabilă: gâtul. Apoi se aşază în poziţie de tir apropiat. Abdomenele lor ţintesc zburătoarea. Foc! Artileristele propulsează cu toată puterea sfincterelor jetul de acid formic superconcentrat. Pasărea are brusc impresia neplăcută că cineva îi strânge gâtul cu un fular de ace. Se zbate, vrea să se elibereze. Dar a înaintat prea mult. Are aripile prinse în pământul şi rămurelele domului. Îşi lansează din nou limba pentru a ucide cât mai multe dintre aceste adversare minuscule. Alte luptătoare iau locul primului val. Foc! Ciocănitoarea verde are o tresărire. De data asta nu mai sunt ace, ci ţepi. Loveşte nervoasă cu ciocul. Foc! Acidul, ţâşneşte din nou. Pasărea tremură, începe să respire cu greutate. Foc! Acidul îi roade nervii şi e complet imobilizată. Tirul încetează. De peste tot, luptătoare cu mandibule mari se năpustesc să muşte din rănile făcute de acidul formic. În acelaşi timp, o legiune se deplasează în exterior, pe ceea ce a mai rămas din dom, reperează coada animalului şi începe să foreze partea cea mai odorantă: anusul. Genistele lărgesc repede orificiul şi pătrund în măruntaiele păsării. Prima echipă a reuşit să despice pielea gâtului. Când încep să curgă primele picături de sânge roşu, emiterea feromonilor de alarmă încetează. Partida e câştigată. Deschizătura gâtului e din ce în ce mai largă şi prin ea se reped batalioane întregi. În laringele animalului mai sunt încă furnici vii. Se trece la salvarea lor. Apoi luptătoarele pătrund în interiorul capului, căutând orificiile care le vor permite să ajungă la creier. O lucrătoare găseşte o trecere: carotida. Trebuie însă reperată direcţia bună: cea care merge de la inimă la creier, nu invers. Iat-o! Patru lucrătoare sparg canalul şi se aruncă în lichidul roşu. Duse de curentul cardiac, temerarele sunt în curând propulsate până la emisferele cerebrale. Sunt gata să sape în materia cenuşie. Ciocănitoarea verde, înnebunită de durere, se tăvăleşte la dreapta şi la stânga, dar nu are nici un mijloc de a se opune tuturor acelor invadatori care o tranşează din interior. Un pluton de furnici pătrunde în plămâni şi aruncă acid. Pasărea tuşeşte cumplit. Altele, un întreg corp de armată, pătrund în esofag pentru a face joncţiunea în sistemul digestiv cu colegele lor care au intrat prin anus. Acestea din urmă escaladează cu rapiditate intestinul gros şi distrug în trecere toate organele vitale aflate la îndemâna mandibulelor. Scormonesc carnea vie aşa cum obişnuiesc să scormonească pământul, luând cu asalt, pe rând, pipota, ficatul, inima, splina şi pancreasul, ca pe nişte fortăreţe. Se întâmplă ca un val neaşteptat de sânge sau de limfă să înece câţiva indivizi. Aşa păţesc însă numai neîndemânaticele care nu ştiu unde şi cum să taie. Celelalte înaintează metodic prin cărnurile roşii şi negre. Ştiu să se eschiveze înainte de a fi strivite de un spasm. Evită să se atingă de zonele pline de bilă sau de acizi digestivi. Cele două armate se întâlnesc până la urmă în dreptul rinichilor. Pasărea nu a murit încă. Inima ei, crestată de lovituri de mandibulă, continuă să trimită sânge prin conductele sparte. Fără să se aştepte ultima suflare a victimei, şiruri de lucrătoare îşi trec din mână în mână bucăţile de carne încă palpitânde. Nimic nu rezistă micilor chirurgi. Când încep să taie bucăţile de creier, ciocănitoarea verde are o convulsie, ultima.

You need to have a diploma from nursing school and be certified as a registered nurse.             Ideally, you should have at least two to three years of clinical experience as an outpatient nurse or as an emergency room nurse.             You should be certified in Basic Life Support and Advanced Cardiac Life Support (ACLS). Some cruise lines request Advanced Trauma Life Support (ATLS) certification as well.             You may need to have experience in dealing with laboratory procedures and basic x-ray procedures as there is not likely to be a lab tech or x-ray tech on duty.             You should have a background in general medicine and/or emergency medicine.             You should have past experience caring for patients in a trauma, cardiac care, emergency care, or internal medicine practice.             Because cruise liners travel to often to foreign lands and have people of all different cultures on board, you may need to have knowledge of other languages besides English.   As

Star Struck Our group visited the laser light show, an attraction mixing music and beams of bright colors as they formed constellations and abstract shapes. An awe-inspiring performance, but as it ended, I noticed the stranger, eyes still focused on me. I turned away quickly. “Look--over by the door. There he is again.” I gestured for my friend to sneak a peek in the direction of the man. “Where?” She squinted, her head pointed straight at him. “I don’t see him--maybe he left.” Frustration tinged my voice. “He’s right there--hasn’t moved an inch. He’s almost smiling at me now. Please don’t try to say I’m imagining him.” Fear mounted in me. Was I being stalked? I tucked the thought away, determined to enjoy this time with my companions, to relax in the gentle warmth of the sun. As our excursion neared its end, I glanced to the left, at the wall of a building, devoid of gates or doors of any sort. The man leaned against it, looking at me. This time I stared back, determined to show a bravery I didn’t feel. Hidden in pockets, my hands trembled. A calm smile and deep compassion shone on his face as we locked eyes for what felt like minutes, but probably lasted only seconds. Then--I don’t know how to explain it--it was as though a burst of conversation swept from his mind to mine. “Everything’s going to be all right.” I felt an intense warmth head to toe, as though embraced in a spiritual hug from the inside out. “There’s work ahead.” I took a deep breath, maintaining the eye contact, listening. He continued to smile with his eyes. “I’ll be watching.” I nodded slowly, softly. I understood. And felt safe. A friend tugged on my arm, pulling me toward another monument. I turned my head back for a glimpse of the man, but he was gone. I scanned the building once more, searching for openings he could have exited through. There were none. I shook my head. I knew I’d seen him. And he’d seen me. I was certain he was real. I still felt his warmth. We headed for home, my mind filled with questions about the man, and the message I’d somehow received. Reason fought against intuition. He was just an ordinary guy. Or was he? In the months to come, I overcame my fears and visited the doctor. I underwent three cardiac catheterization operations, and a successful triple-bypass surgery. Through them all, I knew I’d be al right. Years have passed since that day. But the peace he projected has remained with me. God sent me comfort in a way I needed, in a form I could understand and trust--an ordinary-looking man. He gave me the courage and the confidence to take care of my health problems. My angel. And even though I can’t see him, I know he’s still watching. I know things are going to be all right. How can I be so sure? Because there’s still work for me to do. He told me so. -Nancy Zeider

existat nici un mâine. În noaptea aceea, Mari avu o lungă discuţie cu soţul ei şi-i descrise toate simptomele stării prin care trecuse. Ajunseră împreună la concluzia că palpitaţiile cardiace, transpiraţia rece, stranietatea, neputinţa şi incapacitatea de autocontrol — totul putea fi rezumat într-un singur cuvânt: frica.Amândoi, soţ şi soţie, analizară ce se întâmplă. El se gârndi la un cancer la

The pattern for patients in the East Bay is echoed more broadly across the country, according to Dr. Renee Hsia, an emergency room physician at UCSF who also researches health care policy. It took 4.4 minutes longer for victims of cardiac arrest in poorer areas to reach the hospital than in high-income areas, her research found. “Four minutes may not sound like much but it represents a significant increase in mortality,” Dr. Hsia said.

The Misfits Marilyn întârzia zilnic cu orele la filmare, pentru că lua atâtea tranchilizante, că era cu neputinţă să fie trezită. Pare-se că se simţea trădată de cei trei amanţi, J.F. Kennedy, Yves Montand şi Miller însuşi, care o folosise pentru a-şi repune cariera pe linia de plutire. Iar când ajungea pe platoul de filmare, mare lucru nu reuşea să facă: ori uitase textul, ori avea o privire atât de pierdută, încât regizorul John Huston renunţa să filmeze. Clark Gable avea cincizeci şi nouă de ani şi nu stătea prea bine cu sănătatea, ceea ce nu-l împiedica să bea doi litri de whisky pe zi şi să fumeze trei pachete de ţigări. Cavaler din şcoala cea veche, nu se enerva niciodată când Marilyn întârzia: se mulţumea s-o ciupească de fund şi s-o îndemne: „La treabă, frumoaso“. La rândul lui, Montgomery Clift o luase şi el pe băutură şi pe droguri după accidentul care îl desfigurase şi, în plus, nici nu-şi asuma homosexualitatea. În atare situaţie, John Huston şi-a pierdut şi el interesul pentru lucru şi-şi petrecea toate nopţile la cazino. Intra la unsprezece şi pleca la cinci dimineaţa. Ajunsese să datoreze atâţia bani, că – se zice – a oprit filmările şi a trimis-o pe Marilyn la spital, ca să câştige timp şi să iasă din încurcătură. A fost o adevărată minune că pe 5 noiembrie 1960 au reuşit să termine filmul. Pesemne că a fost o experienţă dură, căci a doua zi Clark Gable a murit în urma unei crize cardiace. A fost şi ultimul film al lui Marilyn, care nu după multă vreme a sucombat după o supradoză. Bomboana de pe colivă a fost că Vieţi rebele a fost un eşec financiar.

from my Linkedin post: The sudden cardiac arrest of a Buffalo Bills football player, Damar Hamlin reminds me as a cardiologist that widely available, basic life support classes teach the two primary determinants of victim survival: -time to initiation of effective cardiopulmonary resuscitation, -time to electrical defibrillation. As described in my memoir, Different Drummer; "Cardiac resuscitation has evolved from physicians cutting open a patient's chest and rhythmically squeezing the victim's heart...to closed-chest compressions at a rate equal to the song Stayin' Alive'... Defibrillation can now be administered by trained laypeople using an automated external defibrillator, a device that is often available in public facilities...

Hydrocortisone at doses >50 mg provide adequate mineralocorticoid coverage, dexamethasone does not – Fludrocortisone (oral only) can be given for isolated mineralocorticoid deficiency Volume expansion: – NS (0.9%) or D5NS at rate of 500–1,000 mL/hr for first 3–4 hr – Care should be taken to note patient’s age, volume, and cardiac and renal function

A Gentle way to Treat Diabetes with SUGARAIDE – MP 2/15 Tablets. India's Leading Cardiac and Diabetic Third-Party Pharma Manufacturing Company Cardiac and Diabetic PCD Company in India - Cardetics is a well-reputable cardiac and diabetic Division of Delwis Healthcare Pvt LTd - deals in all kinds of cardiac diabetic medicines and general health care products. Cardetics offers Cardio/cardiac products franchise, diabetic products franchise, & pharma franchise for cardiovascular medicines to our clients throughout India at very affordable rates. We are into high-quality drug manufacturing according to standards set by WHO-GMP. Delwis Healthcare is not just another run of the mill diabetic range PCD company, it is one of few PCD pharma franchise companies that provide most rewarding cardiac & diabetic PCD company in India where you can be your boss of your territory. We do not put undue work pressure on our business partners, and also, we do not indulge in any business politics. We also accept Third Party Manufacturing order and have major Client base in Nigeria, Kenya, Nepal, Sri Lanka, Myanmar, Sudan, Philippines, Vietnam, Cambodia.

Forgiveness is the decision, or intention, to let go of resentment and thoughts of revenge. Forgiveness does not equate with forgetting or excusing the harm or condoning bad behavior. It does not mean we deny our feelings. The past is never going to change, and wishing that it was different keeps us stuck in the past. Using your intention, you can let go of resentment and anger. Otherwise, you are mired in the past, controlled by the person, entity, or situation that created suffering. Letting go of grudges and bitterness builds self-esteem and healthier relationships. Resentment erodes mental, cardiac, and immune health. Forgiveness is a path to reduced anxiety, stress, hostility

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN=Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

A few years earlier, Forssmann had performed the first human cardiac catheterization—on himself. Assisted by a nurse and some painkillers, he made an incision at his elbow and carefully threaded a thirty-inch rubber catheter—the kind used to drain urine from the kidneys—through a large vein in his arm. Upon reaching the shoulder blade, Forssmann walked down a flight of stairs to the hospital’s X-ray room, the tubing still inside him, and got the technician on duty to record the moment when the outer point of the catheter touched the right chamber of his heart. Forssmann had not only done the medically unthinkable, he’d filmed it for posterity.

Chapatis will soon become EXTINCT A renowned cardiologist explains how eliminating wheat can IMPROVE your health. Cardiologist William Davis, MD, started his career repairing damaged hearts through angioplasty and bypass surgeries. “That’s what I was trained to do, and at first, that’s what I wanted to do,” he explains. But when his own mother died of a heart attack in 1995, despite receiving the best cardiac care, he was forced to face nagging concerns about his profession. "I’d fix a patient’s heart, only to see him come back with the same problems. It was just a band-aid, with no effort to identify the cause of the disease.” So he moved his practice toward highly uncharted medical territory prevention and spent the next 15 years examining the causes of heart disease in his patients. The resulting discoveries are revealed in "Wheat Belly", his New York Times best-selling book, which attributes many of our physical problems, including heart disease, diabetes and obesity, to our consumption of wheat. Eliminating wheat can “transform our lives.” What is a “Wheat Belly”? Wheat raises your blood sugar dramatically. In fact, two slices of wheat bread raise your blood sugar more than a Snickers bar. "When my patients give up wheat, weight loss was substantial, especially from the abdomen. People can lose several inches in the first month." You make connections between wheat and a host of other health problems. Eighty percent of my patients had diabetes or pre-diabetes. I knew that wheat spiked blood sugar more than almost anything else, so I said, “Let’s remove wheat from your diet and see what happens to your blood sugar.” They’d come back 3 to 6 months later, and their blood sugar would be dramatically reduced. But they also had all these other reactions: “I removed wheat and I lost 38 pounds.” Or, “my asthma got so much better, I threw away two of my inhalers.” Or “the migraine headaches I’ve had every day for 20 years stopped within three days.” “My acid reflux is now gone.” “My IBS is better, my ulcerative colitis, my rheumatoid arthritis, my mood, my sleep . . .” and so on, and so on". When you look at the makeup of wheat, Amylopectin A, a chemical unique to wheat, is an incredible trigger of small LDL particles in the blood – the number one cause of heart disease. When wheat is removed from the diet, these small LDL levels plummet by 80 and 90 percent. Wheat contains high levels of Gliadin, a protein that actually stimulates appetite. Eating wheat increases the average person’s calorie intake by 400 calories a day. Gliadin also has opiate-like properties which makes it "addictive". Food scientists have known this for almost 20 years. Is eating a wheat-free diet the same as a gluten-free diet? Gluten is just one component of wheat. If we took the gluten out of it, wheat will still be bad since it will still have the Gliadin and the Amylopectin A, as well as several other undesirable components. Gluten-free products are made with 4 basic ingredients: corn starch, rice starch, tapioca starch or potato starch. And those 4 dried, powdered starches are some of the foods that raise blood sugar even higher. I encourage people to return to REAL food: Fruits Vegetables and nuts and seeds, Unpasteurized cheese , Eggs and meats Wheat really changed in the 70s and 80s due to a series of techniques used to increase yield, including hybridization. It was bred to be shorter and sturdier and also to have more Gliadin, (a potent appetite stimulant) The wheat we eat today is not the wheat that was eaten 100 years ago. If you stop eating breads/pasta/chapatis every day, and start eating chicken, eggs, salads and vegetables you still lose weight as these products don’t raise blood sugar as high as wheat, and it also doesn’t have the Amylopectin A or the Gliadin that stimulates appetite. You won’t have the same increase in calorie intake that wheat causes.

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VIP rule Ventilate: give oxygen therapy, endotracheal intubation if required. Infuse: give IV fluids. Pump: use vasoactive agents first to raise arterial pressure if needed, then to increase cardiac output if required.

In chronic anemia, diminished oxygen-carrying capacity is compensated by an increased cardiac output, recruitment of additional capillaries, redistribution of blood flow (from peripheral tissue to cardiac and central nervous system), and increased production of 2,3-diphosphoglycerate (2,3-DPG) by RBCs.