Outpost, our hospital and local providers are really cracking down on being proactive with CHF (and COPD) patients and trying to avoid hospitalizations. We (I"m working for a Home Health agency right now) educate patients on the zones, it's a good way to track symptoms. It basically what he's doing, sounds like. Weigh and check BP every day and monitor. Increase in 2 lbs in 24 hours or 3 lbs total, or whatever parameters the provider sets, and you have the okay to increase the diuretics (and potassium, if needed) for a day or so as a boost to pull that fluid off. It's to see how folks are doing overall and give them tools to manage symptoms at home, before they get so bad they wind up in the hospital. I'd sure ask about it. Most of the doctors here have embraced it, but we have a few control freaks who won't give the patient that leeway at home.
My Dad has the same issues, every visit was Stop Smoking and Lose Weight. While I agree those things would help, at some point providers need to move on and deal with the reality, not the ideal. This is what you have to work with, now maximize what you have. I don't know anyone who stopped smoking for good who was berated into it. Just like drinking, or losing weight. I know if you harp on me about my weight, I'm going to feel so bad my next stop will be French fries and ice cream
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Anyway, shifting out of nurse mode......
So my labs were a miscommunication or something. Today was just a drug level of the immune suppressants, then next time is the regular labs. Not sure why, but whatever. I'm good.
Our goats are warming to us and getting more friendly. Honey and I spent some time out with them last night and they're approaching even when we don't have grain, just to be scratched. That's nice, and it will make catching them so much easier!
Phil, hoping your appointment helps. I feel like I'm getting sucked back into seeing the doctors too much, with having some tests and appointments. I think it messes with my mind or something....I'm blaming the prednisone
. Anyway, I do better when I don't see doctors, does that make sense to anyone else? Seems like the more appointments I have, the more things get messed up, and the more I stress. I don't like stress.
Took my boys out for lunch today. it was so nice, just us visiting. I'm getting to know them again, it sounds awful but we've grown apart quite a bit since I was diagnosed. I just pulled in on myself, and now I'm realizing they're pretty cool people! and I like spending time with them.