Brexit, for once some facts.

guerney

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Don't forget the blood thinners.
I hear my clients complaining about all the pills they take for their wide variety of heart problems, but despite being very interested to know, I really haven't a clue what these blood thinners, beta blockers and other drugs are specifically, and it seems indelicate to ask while they're in full flow.

The chest pains I was moaning about last year, have mostly gone with much of the excess weight, but I feel a tightness after indulging in pizza for a week. My GP now says I don't need stains.
 
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guerney

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@oyster - what did your neighbours think about their wall restructuring and garden makeover by loose-cannon car? They must have returned by now.
 

guerney

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We should look at subscapular fat thickness or body fat percentage. BMI is just an easy way of getting a guide, favouring skinny people. (Ectomorphs) It's a misleading guide for most of us.
Look at BMI of boxers who are probably fittest of any sport.
Some people are genetically pre-disposed to easily growing very large and heavy fast-twitch muscle. Large heavy muscles increase stress on the heart, which has to supply blood to those muscles - many bodybuilders end up with severe heart problems in later life (Arnie has a pig valve), if that muscle isn't shed or actively replaced by much less bulky, lean endurance slow-twitch muscle, which is easier for the ageing heart and other organs to maintain.
 
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soundwave

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The following is very short and incomplete: The moon was formed a long time after the earth was hit by a very large object. It only looks like it covers the sun at the moment. It's been there so long, it doesn't spin anymore; tidally locked.

;)
 

Zlatan

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TF?! And quite fascinating - is this a theory or the result of measurements?
No idea. When surgeon explains something I just take it as his "learned opinion", not cast in stone but the one I listen to. All the other stuff is just noise and opinion folk have gleaned from the infinite number of Internet sources some call research. Most of time I don't even understand Surgeon's answers.
It's like discussing relativity with Einstein. I haven't the equipment to process the information.
Heart wasn't in rhythm, it is now. As we like to say around here. "jobs a goodun".

Having said that the procedure is certainly not fully understood. Again my surgeon explained. "We can shut power off in Sheffield, Rotherham, and Doncaster (they ablate around 50 sites) but fault might be coming from York".(short term problems can be nearby nerves temporarily damaged, if you bombed Sheffield no doubt Rotherham would be affected, hence stomach issues for a couple of days/weeks, (apparently nerves controlling stomach are close by to those zapped))
Last Tuesday he spent 5 hours inside my heart searching for and zapping offenders. He did it with a machine inserted in my leg.
To my mind that's akin to working on the valves of a motorcycle... with the damn thing running having gone up exhaust pipe to do it.
I'll defer to the person capable of doing such a feat. He does try and explain it with short words. I even understand some of them.
I, m on the mend but it's no walk in the park, but considering exactly what he did its amazing how few, and manageable, side affects there are. Hopefully, biking next week, windsurfing week after.
 
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guerney

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No idea. When surgeon explains something I just take it as his "learned opinion", not cast in stone but the one I listen to. All the other stuff is just noise and opinion folk have gleaned from the infinite number of Internet sources some call research. Most of time I don't even understand Surgeon's answers.
It's like discussing relativity with Einstein. We haven't the equipment to process the information.
Heart wasn't in rhythm, it is now. As we like to say around here. "jobs a goodun".

Having said that the procedure is certainly not fully understood. Again my surgeon explained. "We can shut power off in Sheffield, Rotherham, and Doncaster (they ablate around 50 sites) but fault might be coming from York".
Last Tuesday he spent 5 hours inside my heart searching for and zapping offenders. He did it with a machine inserted in my leg.
To my mind that's akin to working on the valves of a motorcycle... with the damn thing running having gone up exhaust pipe to do it.
I'll defer to the person capable of doing such a feat.
With hard to treat conditions, I suspect many consultants are experimenting on patients in order to gain data to write papers with - I'm pretty sure that's exactly what my eye consultant is up to, and has been doing since 2017, while cluelessly providing "Consultation" about my Central Serous Retinopathy - for which there is no treatment, and it's cause is unknown.

But yours is good news, I hope your ticker continues to keep proper time!
 
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Zlatan

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With hard to treat conditions, I suspect many consultants are experimenting on patients in order to gain data to write papers with - I'm pretty sure that's exactly what my eye consultant is up to, and has been doing since 2017, while cluelessly providing "Consultation" about my Central Serous Retinopathy - for which there is no treatment, and it's cause is unknown.

But yours is good news, I hope your ticker continues to keep proper time!
Good luck. Yep, suspect we are all Guinea Pigs to some extent or other.
I have wondered with mine that if somewhere in future they do find a cure, we'll lool back and say in mockery
"they used to burn sections of heart away to try and cure AF"???
 
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Danidl

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I hear my clients complaining about all the pills they take for their wide variety of heart problems, but despite being very interested to know, I really haven't a clue what these blood thinners, beta blockers and other drugs are specifically, and it seems indelicate to ask while they're in full flow.

The chest pains I was moaning about last year, have mostly gone with much of the excess weight, but I feel a tightness after indulging in pizza for a week. My GP now says I don't need stains.
Ok. I have some inkling about these ... 11 stents and some 15 or so pills per day concentrates the mind somewhat.
1. The blood thinner needs to be taken for a year following a Stent insertion ,after which it can be stopped. This is because the stent surface provides a zone for clotting,and reducing the platelet aggregation helps reduce this. .. The term is restenosis and unfortunately I am prone to this...I have had I think about 3 or 4 rebores since 2020.
2. Aspirin is a low grade blood thinner and will be continued indefinitely.
3. Statins help retain some of the cholesterol in suspension in the blood and reduces ..and may even reverse deposition.
4. Beta Blockers reduce the pumping speed of the heart, ..this will reduce blood pressure ,and reduce the chances of a stroke or anurysm Negative effects are tiredness and lightheadedness.
5. Other preparations of Calcium Docatin increase the flexibility of blood vessels ,reducing blood pressure by increasing the arteries diameter.

Heart conditions lead to weird other effects . My initial problem was sleep apnoea ,not high blood pressure . But my doctor got tired of me promising to lose weight and take more excercise , and while blood pressure was not seriously high, so she bullied me into taking a calcium medication. .. the result was magical. By the second night, my Apnoea, which I had had for maybe 5 years was gone. ..and has not returned in 6 years.since
Next was increased belching .. about 3 years ago. No more than that .. that was corrected by to 3 stents. ..followed by another 3 in the other artery
Then intense jaw fatigue after short walking .. these 3 stents blocking.
 

guerney

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Good luck. Yep, suspect we are all Guinea Pigs to some extent or other.
I have wondered with mine that if somewhere in future they do find a cure, we'll lool back and say in mockery
"they used to burn sections of heart away to try and cure AF"???
Having had three things excised from my body (one vital), my mind naturally started to wonder if occasionally procedures are carried out unnecesarily, simply bacause some surgeons need to tick a box for procedure type, for their CV and career prospects, while they have justifiable cause. Particularly the younger ones trying to make their bones further their careers.
 
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guerney

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Ok. I have some inkling about these ... 11 stents and some 15 or so pills per day concentrates the mind somewhat.
1. The blood thinner needs to be taken for a year following a Stent insertion ,after which it can be stopped. This is because the stent surface provides a zone for clotting,and reducing the platelet aggregation helps reduce this. .. The term is restenosis and unfortunately I am prone to this...I have had I think about 3 or 4 rebores since 2020.
2. Aspirin is a low grade blood thinner and will be continued indefinitely.
3. Statins help retain some of the cholesterol in suspension in the blood and reduces ..and may even reverse deposition.
4. Beta Blockers reduce the pumping speed of the heart, ..this will reduce blood pressure ,and reduce the chances of a stroke or anurysm Negative effects are tiredness and lightheadedness.
5. Other preparations of Calcium Docatin increase the flexibility of blood vessels ,reducing blood pressure by increasing the arteries diameter.

Heart conditions lead to weird other effects . My initial problem was sleep apnoea ,not high blood pressure . But my doctor got tired of me promising to lose weight and take more excercise , and while blood pressure was not seriously high, so she bullied me into taking a calcium medication. .. the result was magical. By the second night, my Apnoea, which I had had for maybe 5 years was gone. ..and has not returned in 6 years.since
Next was increased belching .. about 3 years ago. No more than that .. that was corrected by to 3 stents. ..followed by another 3 in the other artery
Then intense jaw fatigue after short walking .. these 3 stents blocking.
Thank you for your answers to questions I can't usually ask my increasinly heart disease-ridden clientbase. 11 stents! The most any of my clients has is 5. Do you set off airport scanners? If you get any more, your heart arteries may be more metal than man.
 
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guerney

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guerney

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I don't have a clue what and why Elon Musk is doing to twitter
To pave the way for The Orange Faced One - see The Book of Revelations ( :D ), where our future is clearly written about in a friendly, accessible and non-alarmist way. Religion is such utter tripe.
Musk lifts Donald Trump's Twitter ban

 
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guerney

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But my doctor got tired of me promising to lose weight
My Doc only had to tell me once, and it was a lot of bad news to receive - blood test was bad with low platelet count, he said something called C-reactive protein was high indicating much inflammation, low iron, low B12, high cholesterol, high blood sugar... and my eyes were (and still are) fscked and I was obese plus pre-diabetic. To lose weight one needs a will of iron, which after a lifetime of intense exercise (with periods of getting fat) and a few martial arts studied, I have in spades... so I set to work not exercising whatsoever but fully engaging with intermittent fasting five days a week (I had weekends off). It was about 8 months after shedding three stones before I felt the benefits. Now it's winter again and it's slowly piling back on. I'm about to have a hazelnut chocolate sandwich and a very sweet (aspartame) cream coffee or three. :rolleyes: (It's my weekend off)
 

Zlatan

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My Doc only had to tell me once, and it was a lot of bad news to receive - blood test was bad with low platelet count, he said something called C-reactive protein was high indicating much inflammation, low iron, low B12, high cholesterol, high blood sugar... and my eyes were (and still are) fscked and I was obese plus pre-diabetic. To lose weight one needs a will of iron, which after a lifetime of intense exercise (with periods of getting fat) and a few martial arts studied, I have in spades... so I set to work not exercising whatsoever but fully engaging with intermittent fasting five days a week (I had weekends off). It was about 8 months after shedding three stones before I felt the benefits. Now it's winter again and it's slowly piling back on. I'm about to have a hazelnut chocolate sandwich and a very sweet (aspartame) cream coffee or three. :rolleyes: (It's my weekend off)
Don't believe in fasting. I go too weak.
 

guerney

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Don't believe in fasting. I go too weak.
Same happens to me... but after a couple of hours endured, blood sugar is forced to pick up. After 14 hours of not eating, your body starts burning about 70% bodyfat and 30% muscle/other for fuel exclusively. Eating one big meal a day could kill some people (blood sugar rush, rapid escalation in blood pressure and the problems that could cause), and there are many variants of intermittent fasting - Main point is, you'll lose weight far more easily by eating less, than by doing more. In my experience.

I lost two pounds a week consistently through intermittent fasting 5 days a week. Couple of months later, first stone was lost. The returns diminish as you approach your ideal weight.

Best to chat to your doc before starting any diet.
 

guerney

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Don't believe in fasting. I go too weak.
A friend lost a lot of weight with Complan - he had no complaints about Complan, said he didn't feel as hungry as he thought he would be between Complans.

Another client has lost four stones in three months, after getting a stomach restriction sleeve fitted, leaving him with 250ml capacity per meal. I'd rather develop a will of iron, than resort to that! But he was approaching death, had no choice.
 

Zlatan

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Same happens to me... but after a couple of hours endured, blood sugar is forced to pick up. After 14 hours of not eating, your body starts burning about 70% bodyfat and 30% muscle/other for fuel exclusively. Eating one big meal a day could kill some people (blood sugar rush, rapid escalation in blood pressure and the problems that could cause), and there are many variants of intermittent fasting - Main point is, you'll lose weight far more easily by eating less, than by doing more. In my experience.

I lost two pounds a week consistently through intermittent fasting 5 days a week. Couple of months later, first stone was lost. The returns diminish as you approach your ideal weight.

Best to chat to your doc before starting any diet.
Yep, agree with all that. Dont have a problem losing weight. Can easily lose half a kg per day, when I so chose. Now I, m back in Rhythm plan is to get down to 100kg, as much as for windsurfing as health. (I, m 103 at moment) Surprising how a few kg affects how quickly board get going.
My sailing is a great test of my endurance. Even in AF I got it back to a couple of hours from 15 mins or so initially. No way on earth I could get it over 30 mins after fasting/losing weight. Also, with sailing at sea it's essential you keep something in reserve for getting home when things go wrong.
We all know our own bodies.
Surgeon suggested I get down to 95kg,I explained what I could do whilst in (quite severe) AF. (at time sail for 90 mins, emtb 25 miles,) showed him all my track logs for both sports. He was amazed and couldn't believe how much effort I could put in. (I was getting upto 3rd in overall emtb standings even in AF, and my AF is permanent, not paroxysmal or persistent)
He then said ignore me. Do exactly what you are doing. Its quite incredible with your AF and doing you more good than losing a few kg.??? Each to his own.
Nowadays we are all programmed into this eat less to be healthy band wagon. If folk want to perform in any sport to a decent standard that ethos doesn't work. If on top of trying to keep involved in your sport you develop some condition (ie AF) then weakening yourself with dieting and fasting is just not going to help. It's actually going to make things worse. To sail for 3 hours or so body needs all sustanence it can get. In AF that fueling becomes more important not less.
And your statement of performing on metabolism of fat very much depends on the activity. Fat metabolism is very slow and can not supply energy to sustain anything like hard work. If you attempt to do so, result will be quick fatigue and lactic acid production and the start of your body being literally exhausted.
 
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guerney

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We all know our own bodies.
And we all know the risks.

Slow and consistent weight loss is less problematic, easier to build into habit - I prefer intermittent fasting now, because overall it frees up time I'd otherwise be preparing to eat, eat and recover from eating at least twice more during each day. Exercise while dieting is too tough for me personally, it's much easier and appropriate to do two weeks of intermittent fasting, followed by two weeks of exercise and eating normally, on a cyclic basis.
 
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