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Tag Archives: fatigue
Alert Fatigue
In July we witnessed the last of the NASA space shuttle flights as Atlantis blasted into orbit. I recall being in high school as the shuttle program was in its stages of final development and writing a report on the new technology. I still vividly remember the National Geographic article (from which I scalped most of my information—cheating from Wikipedia was not yet invented) that promised a future of cheap and frequent trips into space. The original specs of the shuttle program estimated that we’d see around 50 flights a … Continue reading
Pacemakers and Death
Here’s a morbid thought. Take a walk through that part of a cemetery where new arrivals are housed and cast a glance around the grounds where the recently deceased have been laid to rest. Beneath your feet are a half-dozen or so cardiac pacemakers quietly toiling away, providing unneeded electrical impulses to their owners sixty times per minute while their batteries slowly deplete and wind their way down to lifelessness. The devices, like the faithful dog that stands watch on the doorstep of a deceased owner who will never return, … Continue reading
An Ounce of Prevention
I saw a middle-aged man in my office the other day for evaluation of shortness of breath (dyspnea, we call it in the medical world). He came with his wife, who was obviously quite concerned about him and who did most of the talking during the appointment. His primary doctor had already ordered a thorough panel of studies and they’d all come back normal. The EKG showed normal rhythm; the echocardiogram confirmed that the heart strength was good and that all the valves functioned appropriately; and the nuclear stress scan … Continue reading
Posted in Cardiology
Tagged compliance, diabetes, exercise, fatigue, hypertension, obesity, out of shape, prevention, smoking
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When Should I See a Kidney Specialist?
A question from one of our email subscribers: “I have a friend with childhood onset sugar diabetes. She is 40 years old. She takes great care of herself. She recently got an insulin pump and her sugars have been great. She exercises every day. After seeing her primary care provider, she was told her GFR (her level of kidney function) was down to 50 (normal is 100) — this was 2 weeks ago. Six months prior it was 56. They said they’d recheck it in 3 months. Well, this … Continue reading