Management of chronic disease - heart failure
ฝัง
- เผยแพร่เมื่อ 4 ต.ค. 2024
- I wanted to tell you a story about a patient who recently contacted me for advice.
This particular lady was in her 50s in a very prestigious and high powered post and completely fit and well. She was married, had a daughter in Australia and had a wonderful social life with hiking with her girlfriends. Around Xmas time in 2020, she developed a flu-like illness and after that she started noticing that she was getting breathless on very modest levels of exertion. So she contacted her GP but unfortunately couldn’t even get an appointment for 3 weeks. Eventually she saw her doctor who examined her and suggested that she may have asthma and gave her some inhalers. She was asked to go back in 4 weeks to see how she was feeling. Unfortunately she felt no better and actually felt much worse. So she went back in 4 weeks and this time saw another doctor who asked her to stop the inhalers and suggested that it could be her heart and organised a chest X-ray and blood tests. After a few days she was called back to the surgery and saw another doctor who told her that the chest X-ray and blood tests suggested that she may have heart failure and that she needed to see a cardiologist.
This poor woman was completely stunned when she heard this and even before she could collect her thoughts and ask the doctor any questions, she was shown the door with the advice that she would hear from the cardiologists soon. This poor woman went home completely shell-shocked with her life turned upside down in an instant. As she hadn’t even had a chance to ask any questions, she went to the internet and looked up heart failure and her heart sank when she read about all the horrible things that could happen with heart failure.
Finally she saw a cardiologist who confirmed that she did indeed have heart failure and needed to start some medications as soon as possible and he would arrange for a heart failure nurse to see her. This took another 4 weeks and the nurse (another new face) who came to see her, asked her how she was (and she was a little better), increased her medications and said she was going to review her again in 8 weeks.
In the meanwhile this poor woman continued to remain completely confused about why her medications were being increased. She started noticing that she was more tired and not sleeping well. She wasn’t sure whether this was her underlying condition or her medications or that she was developing anxiety. She went to see her GP who said that he was limited with what he could give her because he was worried about how they could affect her heart. So her anxiety progressed and it started affecting her relationship with her husband. She stopped going out with her friends because she was told that alcohol was bad for her. She stopped hiking because she had been told to avoid any undue exertion. As she started spiralling downwards, it started affecting her employment. She was desperate to see her daughter but because of her diagnosis, her travel insurance became unaffordable and she started comfort eating, piling on weight which knocked her confidence even more and made everything so much worse.
Eventually, she decided to go and to see a famous professor of cardiology privately. This chap who spent no more than 10 minutes with her, looked at her medications and told her that she was optimally managed and nothing else was needed and discharged her. It was after this, she contacted me to ask me my advice and in this video i will talk about what i advised her.
This lady’s heartbreaking story shows the problem with modern day medicine. This poor woman had seen a multitude of different nameless faces over the course of 18 months and was in a far worse position both physically and mentally than she was when she had started. SHe was on 7 or 8 new tablets everyday when she had never taken a tablet in her life before her life changed and unfortunately she did not even know what these medications were doing for her. Most disappointingly, despite all these encounters with healthcare professionals, the patient felt that she had been left to manage completely on her own,
This is far from optimal management. This is the kind of care that enslaves and enfeebles a patient and makes the patient worse rather than better. Today i wanted to chat to you about what i feel optimal care for heart failure should be and how care when properly administered can empower and liberate the patient rather than contribute to what happened with this poor woman. The principles that i am discussing here can be applied to all chronic disease.
"Fear won't stop you dying but it will stop you living," What a great line. Thanks for a really informative vlog once again.
Dr. Gupta, I love your philosophy of being a Dr with how patients should be treated. You are awesome. Love listening to you.
Dr. Gupta as of today you
shall be known as
Our Global “King of Hearts”
You have Helped, Explained, Educated, Inspired, Comforted, Calmed us, Given us Hope, Listen with an loving heart, Empowered us to ask more informative questions during office visit and most of all you Cared enough to share time out of your super busy schedule to create videos and share your knowledge with all of us. For this I am truly GRATEFUL to YOU❤️❤️❤️
I hope everyone whom are subscribers and viewers go back through ALL your videos and “Like” them; share videos with friends and love ones, groups, news organizations. We need more doctors like the Global King of Hearts 🥰.
Dr. Gupta, see you after your much needed time off.. Be safe! Love to you and your family. Again, 🙏🏾🙏🏾
~~Atl, Ga..
Awww how lovely:-) you make my day
You will never know what you do for so many people. I have tears after hearing your talk today. I’m so grateful to know that you are practicing cardiology.
❤️
WOW! You are the most amazing Healer I have ever heard speak with such loving kindness towards humanity. I have SVT abd PVC's, no heart disease as such, you have helped me with all the videos I have watched that you have provided. "Gratitude " and peaceful mindfulness are so important to well being. Oh how i wish i could personally ask you questions. Thank you.
Thank You for being a healer; not just an allopathic doctor. God Bless.
A doctor with a heart❤️
I can relate to most of this and could not stop myself from crying throughout and nodding my head in agreement. Lack of time with my Cardiologist to talk through issues have left me with years of anxiety about my heart. My last Cardiology appointment was a 10 minute telephone appointment, sitting in the hospital car park, because he had an emergency to deal with at the last moment. This left me feeling more anxious and uncared for.
It is so nice to hear Dr Gupta speak in such an empathetic way. A little bit of reassurance goes a long way. Thank you for this video. 🙏
Dr, you made me cry. I went and still going through a lot of these anxiety problems . The consultants who dealt with my chronic heart deseas were heartless. They made me fell awaful and very scary to do anything. I had to leave very good job and stay home doing nothing but worrying about my life. They left me with no hope at all and I am very depressed and having nightmare every night. They accused me of being mental and left me without proper supervision . Would love to see you when I am back home.
That's terrible. I'm so sorry. I'll pray for you Haifaa.
Another incredible DOCTOR video, the way it is supposed to be, treating the whole patient not just the symptoms. BRAVO and Thank you Doctor.
Thank you Dr. Gupta! For your compassion and respect to each individuals circumstance. My story is that of a highly conditioned marathon runner and XC-skier. I competed at a high regional level with a marathon PR of 2:26 and at age 29 covered 50 miles on foot in 5hours 44 minutes. The wheels fell off that wagon abruptly at age 64YO. I went from completing a 42 K ski race to Cardiologist performing angioplasty and placing 2 stents, all within a week. 3 days after that I endured and survived a heart attack. Never in my life had I felt such intense pain. Im 70YO now and am happy to raise a robust veggie garden and help tend 3 amazing grandchildren. My heart has been in paroximal AFIB for nearly 30 months now. Calcium channel blocker and anti coagulant have helped greatly, but in all likely hood an ablation is on the near horizon. So ,there you have it. Eat healthy, exercise regularly, and still encounter challenges.🤷♂️ But for the grace of God and Dr. Gupta, there go I.🕊
Hi Doug-I agree Dr. Gupta is one the best patient advocates. I am 72 and have been active for almost 40 years running and playing aerobic sports like handball. I developed atrial flutter Sept. 2021 and went from active person to getting short of breath taking a shower, walking upstairs, etc. Cardiologist did workup and put me on beta blocker and anticoagulant. Still felt poorly and dosage of beta blocker was pushed higher and higher until I was clinically in congestive heart failure. I tapered my medication slowly downward being retired GP until was out of failure. After almost a year I asked for DC Cardioversion and have been on sinus rhythm since August. Some studies have shown long term exercise sets us up for atrial fibrillation while walking/modest bike riding does not. Here is one article but there are others:
pubmed.ncbi.nlm.nih.gov/29891251/
Longstanding atrial fibrillation can to tachycardia induced cardiomyopathy but can reverse with lower resting heart rate. Ablation used to be used after medication failure to address atrial fibrillation but the medications all have side effects and effectiveness diminishes over time. Ablation is starting to be used earlier in course of the disease. Sorry for the long post but I identified with your situation.
🤔This video should be a mandatory watch for every cardiologist or even every doctor in America once a year!
I don't have any health problems AlhamdulilAllah. Your patient are lucky to have you as their Doctor. Such wonderful caring Doctor 💕
Thank you I have recently been diagnosed with moderate to severe Heart Failure and have been living in fear and feeling very alone. I have found your advice in your video very comforting and reassuring.
i don't think ive heard from a more caring and truly professional man other than you Sanjay, thank you for being you
You offer reliable patient education in plain language and at a reasonable pace, give freely of your expertise and experience through story-telling, and offer compassion and encouragement. I am a Healthcare provider and also a patient, and you are an inspiration to me. Thank you, Dr. Gupta.
Dr Gupta your a beautiful human first,a brilliant and special doctor and finally a philosopher and mystic, may life always be good to you
Had a similar experience. The doctors made me worse for a while. Anxiety. Depression. Lost my sense of adventure. Began diet and exercise. Stopped all meds except a small dose of Amlodipine. A little better now. I'm 68.
A true inspiration. Absolutely loved for saying "fear won't stop you dying but will stop you living". In 2015 at age of 43 I had minor MI and then found out that my heart was blocked on LHS. 4 days later had emergency triple bypass. Although surgery was great after I was just discharged to deal with the shock myself. So glad their are doctors out there like yourself who are making a difference. God bless
I can’t begin to tell you Dr Gupta how this talk is impacting me. I am a duplicate of this fifty something patient just a little more senior. I biked I hiked, paddled a kayak and camp and travelled to Europe extensively and one day in June2022 my life came to abrupt halt. I am being positive and your talk tonight is helping me!
I do feel I have a great team helping me so I’m hopeful. My reduced ejection fraction is at 20 and I do now understand that’s not good. In fact bad. Listening to your videos has given me more hope!! Keep up your good work doctor I appreciate it from the bottom of my left ventricle.
You are amazingly empathetic and extremely knowledgeable. God bless you for what you do to help everyone. I'm a retired R.N. and cared for elderly in my home with advanced Alzheimer's Dementia the last 20 years of my profession. I'm now 72 years old God bless you for your compassion.
This is a great video. I felt like you were telling my own story. What resonated with me is your description of what optimal care should look like. It is so different from the care I actually receive, with 10 minute appointments and a different doctor every time, just the same as you described. Also very little explanation of my condition or options for managing it. It’s more like I’m given marching orders: do this and not that, take this medicine, etc. And as the poor woman experienced, I seem to get worse with every appointment, test, and medication. This new year I resolved not to see any doctors or take any but the most basic meds. I realize that might not be the best approach but I was at my wits end. After watching your video I have new ideas about how to cope. Thank you!
You are on the right track
I feel a thirty minute conversation with you would’ve been way more beneficial than years with my cardiologist. I still live in fear everyday which I hate to admit
I know what you mean. I have Stage IV Cancer and just topped that with a heart attack. While I am OK during the day, keeping busy, my nights are fraught with fear. Fear that the cancer will progress. Fear that I will have another heart attack. When Dr. Gupta said "Fear won't stop you dying, but it will stop you living" I'm like yes, I need to embrace life and let the cards fall as they may. I hope you can live without fear, we all deserve that.
Dr Gupta, your message was so reassuring. Thank you so much for your kindness. 🙏
Bless you, Dr. Gupta. You have made a difference at a very difficult and worrisome time in my life just by making this video and sharing it in your compassionate way. Thank you!
I'm 73 and never had a health checkup in my adult life I don't want to no what would be killing me. Surprisingly I'm still fine and healthy while everyone around me have either died or unhealthy. I figure 10,000 years from now, living a few extra years doesn't mean that much. I've been sick before that I thought I would be dying soon but I didn't die.
Thank you Dr Gupta. I am a cardiac patient. I have found your videos to be a great source of compassion, education, and hope.
Dr. Gupta. I have never encountered such an honorable, caring and principled man. Anyone who has the good fortune to see him as a doctor is truly blessed. A caring doctor, in my experience in America, is a joy forever. ❤️
I am binge watching your videos, as I try to come to grips with my Heart Condition (on top of my Stage IV CRC diagnosis). You have also made me realize that I have truly fallen on my feet, when it comes to my Cardiologist. He listens to ME. When he tells me he wants to try another medication, and I tell him I want to try a healthier diet, he listened, giving me two months to improve my LDL number. He also spends at least 20 minutes with me, and I never feel like he is pushing me out of his office. So, I thank you, Dr. Gupta. I feel like I have two Cardiologists, and I love them both.
I look at my Cardiologist and try to find Dr. Gupta but I haven't yet. I'm a patient, a canned routine 10 minutes, a duty fulfilled for the day. The Healthcare System can't afford Dr. Guptas. God bless you, Sanjay, for trying to make it better.
Unique and precious Dr. Gupta, words fail me except to say: No $ can compensate for your humanity. Your reward is from above. Prayers r going up for you.
God bless you!!!
I wish I could see just one doctor like you instead of slowly dying the way I am.
Thank you for trying to help us.🌹
Don't give up. Keep looking and pray for guidance. Dr. Gupta is not the only wonderful doctor.
Such a lovely video. I wish my own GP was as thoughtful.
You could be reading the telephone book, and I would still listen and watch. 😝😝😝
Thank you Dr you are a true healer and Dr of peace. You have given my fears a rest.
Hi Dr. Sanjay,this is so welcomed. A friend has an appointment for this condition. One of the symptoms is a persistent cough. It makes you feel better to know there are options and lots can be done. I think her weight needs to be addressed.Hopefully all will be sorted and she will lead a better life. Such a pleasure to be helped and have knowledge. You are such a awesome. So very clever. Giving us so much help. Educating us .Wishing you and your lovely dog,the very best. Thank you so very much. Kindest regards.
right again!
Incredibly smart and true doctor.
Thank You for your excellent Videos and information! I have heart Failure too!
You, Dr. Gupta, are a wonderful, caring, highly intelligent person.....the best kind of doctor ❤
You are an amazing doctor. and educator. Your expertise, approach and caring attitude will allay the anxiety in any anxious patient. Your perspectives will set them on the path to promoting a healthy lifestyle and full recovery. Thankful for knowledgeable and caring providers like you.
Dr. Sanjay you are a designer's original!. Indeed God has called u into your profession for such a time like this. To educate your patients and improve and prolong their lives ❤🙏
Well you certainly did a lot for me with that talk. Thank you! Dr. Gupta!
Please do a video on getting back to physical activity post covid accounting for the risk of cardiac issues that may go unnoticed 🙏🏼
Best cardiologist and very smart one.
@Dr Gupta, thanks for the informative videos and educating the people around chronic management . You're absolutely correct we need rapport with the doctors to understand more about our health and lead a better life.
Dr Gupta you are a beautiful soul - God bless you - Mere from Christchurch New Zealand
So thankful for this video. (So so much) This type of perspective changes lives; that's what doctors do.
I wish you practiced in the USA. I totally agree with what you are saying. More physicians should understand that they are treating individuals and not just another faceless patient.
You sir are a true humanitarian. 👍
Dr Gupta thank you for your video. I am a sufferer of heart failure for over 30 years and it is only 5 years ago when my brother has been diagnosed that I finally began to talk about it. I have been a prisoner to it because no one else knew exactly what I was, and still do, go through. I was 22 and with a new baby and my life was turned upside down. My cardiologist was very sympathetic but other that once a year check ups and ‘mot’s’, and pills were all I had. So I internalised it for so long, I know it has damaged me mentally. So everything you said there I feel is very much needed. Thank you again for saying what we feel inside
Dr Gupta you are amazing i love your videos I have heart failure and am on loads of pillls but understand my condition so much better fro listening to you .Thank you so much
Dr.Gupta I love you for being so sincere and devoted to your patients.God Bless you.
God bless you, Dr. Gupta.
So very heartwarming, thank you Doctor. I pray that there will be more doctors like you. I especially love your statement on GRATITUDE.
God Bless You Sanjay Gupta!
Amazing Consultant..Thank you so much for taking the time to make these vidios. Very much appreciated...Not many consultants like you Dr Gupta.
Ecellent sharing Dr.Sanjaya...so many thanks for your humanitarian endeavour to help suffering humanity as a whole...we hardly have any doctor like you in India...management controlled health care system have made health care more costly and inaffordable for people...we won't get nine minutes with doctor even if paying a consultaion fee of INR 950/-...hope, some of our doctor here get inspired by your videos and come out to serve humanity in their practice...thank you again with all the best wishes !
Dr.Gupta..You Have So Much Reflection And Compassion For Your Patients And Mental Health In General about Your Patients And Anyone Who follows you ..That Is Truly Amazing ...😇..you Are In Your True Calling Mode As An Amazing Doctor who Cares..😇
Dear Dr Gupta,
Thank you for being such a caring human being. You have helped me so much in ways I cannot begin to describe.
This video has given me such hope.
Sincere gratitude for all you do.
Very recognizable.
What a blessing to all your patients and all those who listen to your talks. I only hope many doctors are listening as well. Thank you for being you.
Absolutely excellent. Thank you.
My two year old is a single ventricle patient. I’ve not had a close relationship with any of his specialists except one cardiologist who saved his life when he went into cardiac arrest after ohs. It’s quite difficult even when you meet every few months. They simply don’t take the time to be with you and teach about the condition of the patient.
About 4 years ago in my local NJ paper was an article about a 102 year old daredevil named Kenny Meyer who became the world's oldest skydiver. He would start each day with 2 eggs sunny side up. He was very health conscious and fit and a wonderful man to all that knew him.
I'm scared to do anything and I don't have that connection with my Dr to feel comfortable to talk to him. All I get from him is lose weight and your doing ok.
Dr Gupta, I’ve been tuning into you since I was told I have A F and your attitude and explanation of so many problems with the heart is so uplifting. Thank you.
This is a fantastic video. I provide education to patients with HF and I couldn’t agree more. You are obviously a wonderful and caring cardiologist. This video will be helpful for so many patients!
Great story, Sanjay - great line - great attitude. "It made a difference to that one."
WOW! You are the most amazing Healer I have ever heard speak with such loving kindness towards humanity. I have SVT and PVC's, no heart disease as such, you have helped me with all the videos I have watched that you have provided. "Gratitude " and focussing on being peaceful, exercise and mindfulness are so important to well being. Oh how i wish i could personally ask you questions. Thank you.
You are awesome!
WOW! Love this Doctor ❤️
This is a beautiful post, Sanjay! Lucky are the patients who find you. You're a great doctor because you're a beautiful person. Thank you so much.
In three weeks I have my first appointment with a cardiologist. I am mentally preparing for a fight over medication and my perceived quality of life. . If my appointment was with you I would be preparing to show you a photo of my dog Gypsy and my cat Tom, because they are important to me as a person. Thanks Dr for your videos. Please keep them up and could you do one, if possible on handling the anxiety of being diagnosed with heart disease?
Sooo good.you saved yr patient from her fear.a lovely broadcast-thank you.xx
I worked in the USA for a while as a Psychologist. I left and went back to academia, exactly for the reason you are talking about... Due to the way social security is organized, we often needed to leave patients due to them losing insurance or coming of age and losing their parent's insurance. Horrible. So I left. Thank you for this (and other) video.
You made my day! Thank you for great info and attitude!
May God bless you thank you for sharing!
Thank you.
Thank you so much , I needed this, god bless you
Dr Gupta, you are a scholar and a gentleman. A compassionate Doctor with an amazing knowledge in your field. Listening to you its heart warming and encouraging. Thanks you for your postings and god bless you.
Absolutely brilliant and such a helpful video.
You are an amazing doctor and you've helped me so much.xxx
Been there! That happens more often than not! Happened to me.
Reflection - this is why you are the most amazing doctor 💜
Dr.Gupta, spot on! I am blessed with my GP for over 20 years, my Cardiologist now is a young fellow because he took my Dr.'s place who retired. It has been a bit of a struggle for me to adjust but he is proving very good!
I agree. Continuity is key. Also information. Before mental and physical health spiral's. I have a chronic long term illness. My husband has cardio issues. I agree with your Optimal care with patient led care. If only all Drs felt like you do Dr Gupta...we used to see one GP. Our surgery no longer allows that. Which i told them i thought this was wrong...building that relationship with your Dr makes a huge difference to how a patient copes with chronic illness. You really are in a league of your own amoungst Consultants...so caring and thoughtfull...Do you treat patients privately through vidio consultaion Dr Gupta.? The whole persons mind and body are all connected in treatment.... the body is a whole. Each person an individual. You explain so well for the normal non medicaly trained patient.
I think he would have to clone himself to see everybody.
Well. Sunjay, either you must stop doing such videos or I must stop watching them because every time i do, I can't keep tears off of my eyes!!
Dr Gupta, thank you ! 🙏.
Dr you have given a excellent tutorial on HF. Many thanks
Thank you Dr Gupta. My husband is being taken care of a HFU team and your video give me better understanding of what to do once he get out of the hospital. Also, I need to take care of myself as Mayo clinic forget about me(even after going to the emergency after 4 days ago). I called for an appointment but just told me, cardiologist is not guaranteed. How rude. So far blood tests are good but I know there is something wrong with me. I will find a cardiologist who truly is concern about my heart issue. I am at times out of breath and exhausted after a morning walk.
So grateful for you and your videos! Thank you once again! May God bless you!
Thank you
Thank you so much. You give back what we need, hope.
I’m quite lucky to have a cardiologist that works well with me but I consider you my other doctor:) Your videos in part inspired me to lose over 100 lbs and put my AFib in remission for nearly two years.
Wow I would do anything to be able to see you about my heart failure. I’m 45 now and was diagnosed aug 29th 2021 with end stage heart failure. In August I had a EF of 8 to 10 % and working with a transplant team at Oshner a hospital in New Orleans Louisiana. Today I have a EF of 35 to 40% but I’m dealing with this mentally completely alone. My husband of 10 years left me and turned to drugs and I find out as I was in the ICU first finding this horrible news he was also cheating on me which made all this more horrifying. Now I don’t even know what to do to save my own life when I’m not sure I wanna even live one anymore. It’s all so so much to handle 😢😞
🙏❤🙏❤🙏❤🙏❤
@Jayme Fell How sad~! Wonder if you could do a go fund me page to get the funds to go see him? Never forget that the Creator Loves you more than anyone, He even sent his son for you to have eternal Life with Him. I'm sorry for all the pain you feel for the loss of your husband, but truely, it sounds like you were set free. God Bless you in your Future~!!! And may it be a Happy One~!
How wonderful that you could go from 8-10 EF and increase it to 40 EF. How did u get it to increase?
Going from 10 to 40 percent is pretty amazing, keep going.
I wish we all had good doctors who were inspirational.
I wish we could all share our stories of what helped or hindered our health success.
Hi Jayme Fell , It’s really amazing….. to note your EF went up from about 10%to 40% , I wonder what brought about this very impressive results within six (6) months? Please give upmost importance to your well…. being and health. My thoughts n Prayers…. for your full💯 recovery n healing…. ❤️
I cried at the end. I am a heart patient.
Man. This amazing doc is so right that this is scary a bit....because this is true. Medical conditions can collapse your daily routines and your life as a whole. You become consumed. I know that I'm consumed by a damn high blood pressure reading on the fucking blood pressure monitor let alone heart failure or something worse like cancer. Crazy. You just to take bad news like this and somehow embrace it and be proactive and try to relax and get as healthy as possible. Nothing more anyone can really do.
Thank you Dr Gupta for being so kind and helpful
Nice to hear common sense thinking on a extremely important issue!! ☮️✌️
I appreciate your excellent job of educating heart patients for better life.I request you for a lecture on dialation of arteries..B blessed
Doctor you are awesome.
Thank you.
Thanks for your videos:)
I was told recently that I had heart failure. I just thought that meant I'd be dead in a few years and decided to prepare for that. After hearing what you said as well as reading the comments I'm not so sure anymore. Thank you Doctor and contributors! 🤩