RA and The Chance of Heart Attack Doubles with the Disease

Study: Rheumatoid arthritis nearly doubles risk of surprise heart attack - Since I've has 2!!!! Already One at 40 and another one at 50- I don't want a repeat for sure. My first one at 40 years old, my doctor told me then my chances of surviving a 2nd on were not good at all. So happened I was in the hospital in Dallas when I actually had the 2nd one. Or I may not be writing this today... my Rheumatologist always reminds me of just how high my chances are since I've had 2 already and now to have RA, Lupus and so on, that makes my risk extremely high... I do all I can to "help" avoid one. But, that was how I was BEFORE the first one! I was only 40 years old, I was in great shape, walked 5 miles daily, along with other types of exercise, I ate as healthy as anyone could, my cholestral was not high at all, my blood pressure was under control with medications... so you would have thought I would have been the "poster" person for NOT having a Myocardial Infarction. Yet, I did. My doctors back then had not discovered my Autoimmune issues. Had they known, they may have blamed it on that. But it was another 8 years before I was diagnosed with RA, Lupus etc. My 2nd one, at 50, I had been extremely ill. In fact, we just talked about that a day or so again. The doctors here and in Methodist hospital in Dallas, never really KNEW What was "wrong" with me. They blamed it partially on a nick in my liver from a gallbladder surgery I had in Ennis. But, then they kept telling us that I had a "collapsed bile duct"... whatever was going on "poisons" from my system were literally pouring into my abdominal cavity all around my internal organs and so forth. I continued to get more ill by the day, and after SEVERAL surgeries, they had hoped I was out of the woods, and improving. I went for over 6 WEEKS that I could not eat one bite or take a drink of anything. They had me on a liquid "nutritional" bag of "white liquid" and that was my "food" for weeks and weeks. About the time I began to be a bit better, and more able to be "coherent" - they were trying to send me home with all of these tubes running out of my side and I was not even able to really eat yet... so I got what they thought so totally "heart broken" over being so ill and feared coming home at the time, it caused a 2nd heart attack. Fortunately, I've avoided any type of surgery and I don't have any stents at the time, so far. Medications continue to control it, but believe me there is not a day that goes by that I don't think about "what if".... so never take any symptom pf an MI lightly. Even if your "young" 30's or younger, it can happen.....


http://www.news-medical.net/news/20150505/Study-Rheumatoid-arthritis-nearly-doubles-risk-of-surprise-heart-attack.aspx

World Health Day! Tuesday 7th, April 2015 WEGO Writers Challenge #6 #HAWMC

After being diagnosed with many illnesses, mainly chronic in nature, our diet can make a huge difference in the way we feel.

For instance, those who are diagnosed as diabetic usually find themselves on a diet with much less sugar, carbohydrates, and things that can raise their blood sugar and make them even more diabetic. The lifestyle also usually includes weight loss, if weight it a contributing factor, and more exercise.

Those with certain types of headaches, such as migraines have what some call "triggers". Some of those triggers that can cause this type of headache can be certain wines, certain types of cheese, and other foods that can also make the headaches more frequent or worse than they already are.

With all of the different diets on the market today, what is sad is just how many of us in this nation are considered either "overweight" (20 pounds over your suggested weight), or worse "obese", which is 20 plus pounds over your suggested weight.  Americans tend to be one of the most obese nations in the world. With all of our high calorie, high fat content, high carb foods; especially those right at our fingertips at fast food, drive through places to eat, we lead the world in the most ill people that have weight as a huge factor.

Heart attacks, diabetes, strokes, joints wearing out, legs that cannot hold our weight without some type of assistance such as a cane, or walker have became a common site in this nation. What is worse, is how many of those that do have health issues that are directly effected by what they eat, don't do the correct things even though they realize it is detrimental to their health.

As far as the Lupus, Rheumatoid Arthritis, Sjogren's, my joint replacements, osteoarthritis and heart problems, I don't necessarily follow to the exact "t" a so called diet of any kind. But, I have always been very careful to watch my intake of calories, carbs and bad fats, due to not wanting to develop other problems such as diabetes. Also, more weight puts a difficult strain on your legs, knees, hips, and feet. It also can effect the stress on your spinal column. So, anyone who has had or does need to have a joint replacement, especially below the waist should try to maintain a healthy weight, and get the exercise recommended in order to have success with a replacement joint.

There are things now since I've been diagnosed with Sjogren's that I must do on a daily basis that does effect my diet. I must have something to "sip" on all the time. I am constantly with some type of diet drink, green tea iced, at times water, but I carry a drink with me everywhere. If I don't my mouth and throat get so dry, it is like I have an entire mouth full of cotton. Or it feels as if someone put glue all over my mouth, and it sticks everywhere. I take Lasix daily. Since it is a diuretic, is another reason why especially in the warm months, I must try and continue to keep hydrated at all times. I could get my electrolytes out of whack and cause me to lose too much potassium. Which if it gets low enough, can put you at the very least in the ER, getting IV potassium, or like a friend of mine just lately, had to be admitted for a couple of days in order to get her potassium level back up. Potassium being too low in the body can cause severe fatigue, severe muscles aches and pains, cramps of the muscles, and set your heart rate off, or you could possibly die if it got too low and was not taken care of properly very soon. So, having the proper balances of those types of minerals in our bodies is critical for many reasons.

I have always tried to stay on a diet of fresh vegetables, fresh fruits, very little red meat, more chicken, fish, and beans. I also buy most everything I can that is lower in fat and calories, such as cottage cheese, I buy Almond milk, lower calorie, "butter spreads", low calorie sour cream, and so forth. I use Splenda, rather than sugar or brown sugar. I use low calorie or Splenda based products such as soda, cake mixes, frostings, and any other baking or cooking product that is with less fat, calories, and uses items such as Splenda to lower the "bad calorie" counts, and so forth.

Since I love to bake, I have all types of recipes that I use and I substitute things such as using "egg beaters" or an equivalent, Splenda of course, I use wheat flour most of the time, buy low calorie canned milk, cream cheese lower in fat and calories, salad dressings and on.

We have SO MANY of "both" choices, even in our fast food and sit down restaurants. Buffets now tend to have lots of choices at their salad bar, and have many vegetables, usually baked fish, and alternatives to your higher in calorie or fats, like red meats, and so forth.

Many of our fast food places have now put calorie counts, fats, and carbs right on their items. They also have began to offer alternatives to high fat foods, especially to the kids. Applesauce and milk rather than fries and a soda. Yet, with ALL of the changes, still we have an ever growing population of obesity, to the point of being an epidemic in our country. As ridiculous as that sounds, due to the number of work out gyms, running tracks, and activities with baseball, soft ball, little league, soccer kids, and so many activities to keep the kids fit, and more on their good weight side, our kids are growing up to be very young, very obese adults. The numbers of children with a weight problem, high blood pressure issues, being diabetic very early, having all types of joint problems, and much more is a trend that just needs to be under control.

Of course that all starts with the parents, and what they offer and teach their kids to eat at an early age. Both of my children, watched me live on lower calorie, low fat foods, walk 5 miles a day, back then did some aerobics, and kept my weight in check.

Keeping my own weight in check for many years has been a task that was not and still is not all that easy. I've had issues in keeping the weight off since I was a teenager. Not due to what I ate when I was younger, and not because I did not get out and play. But, due to possibly some type of "genetic" issue I fought since I was about 20 years old to keep an extra weight off. In fact, I almost went the opposite way about 10 years ago, just before I came to know about my autoimmune problems. I got down to honestly a dangerously low weight. I stood back then about 5'5"tall, and got down to 101 pounds. As much as I loved the "0" clothes, and the extra small clothing, I know other were very concerned. By the time we had moved back to Texas, and I got settled in, then began to have multiple joint and joint replacement surgeries, my weight then came up to somewhat normal. I lost a few pounds, and fight daily with about 5 to 7 pounds I want to keep off because I feel my joints certainly don't need it.

I still try to maintain a diet of fresh vegetables, fresh fruit, and star away from most red meat. I use ground turkey for anything that might call for "ground meat". I also make "turkey burgers" when I am making burgers at home. I've also ordered a turkey burger in a restaurant and have had them very flavorful. I don't "fry" anything. I either use my slow cooker, (for instance I make home made turkey chili), bake, broil, and sometimes grill meats. I've researched some items as far as food goes that could help with the autoimmune illnesses. But, for the most part, making sure to eat a well balanced daily healthy diet, along with some type of regular exercise program seems to be the best way I can take care of myself as far as my eating habits with the autoimmune illnesses.

Rhia Steele 4/7//2015

WEGO Healths Writers Month Challenge #HAWMC

"Go Red For Women's Heart Association" Today is the National Wear Red Day!

https://www.facebook.com/goredforwomen?pnref=story

PLEASE TAKE A MOMENT TO SHARE THIS OR SHARE YOUR STORY AND SPREAD THE WORD ABOUT WOMEN'S HEART DISEASE!

IT MEANS A GREAT DEAL TO ME, SINCE I HAVE LIVED THROUGH 2 HEART ATTACKS... ONE AT 40 YEARS OLD AND ANOTHER AT 50... AND I SURELY DON'T WANT A REPEAT OF ANOTHER AT 60 IN A FEW YEARS!!!

"National Wear Red Day" For Women's Awareness about Heart Disease!

DON'T "Stall" JUST GO!!!!

My story is told by the very first of the posters below. I AM A SURVIVOR! Of NOT only ONE heart attack but I am fortunate enough to have SURVIVED TWO!!!! My first one at 40 years old and my 2nd on at 50! I HAVE NO PLANS of "repeating" that process again! PLEASE be aware that all too often the "signs" and "warning symptoms" of an MI for women are so much different than men. I know that is true. My "1st" one, the "warning" I had was my ankles swelling about 2 months before the actual heart attack. I gave it not much thought. I had made a mental note to talk to my doctor next time I went in. Then on January 9th, 2001... after 3 days of a mild "chest discomfort".... I gave my doctor a call... (after a dear friend in Malta threatened to call the ambulance all the way from Malta to Ennis TX to come get me, if I did not do something- and Thank God she said that and Thank God I listened)... I did call... thinking a diagnosis of "bronchitis" or could be a start of pneumonia... so when I spoke to the nurse... she told me to hold a moment... she came back and told me, I needed to stop whatever I was doing, and get to the nearest ER pronto! Well, I still was kind of like "yeah whatever"... here we go to the ER, for a bill I can't pay, and some antibiotics he could have called in.... so, I was ALONE... I got in my car, and drove with the flashers on... 25 miles to the "nearest ER".... and I got out of the car very calmly, walked in and said my doctor sent me because I was having some chest pains... they took one look at me... and rushed me through the doors, into a room... hurriedly getting me into a hospital gown, and quickly getting an IV started, doing a EKG, blood work, chest X-ray... and it was not long until the doctor walked in to tell me I had already had a heart attack, or were in the middle of one... and the blood work indicated I may have massive heart muscle damage. By then they had already given me that 2,500.00 injection to "stop" the heart attack... from causing more heart muscle damage.... talk about in shock.... I was in shock... I was taken the next day after I was stabilized to Baylor in Dallas... where they did all kinds of tests, the nuclear one, an angiogram, where I got to see one of my issues... a rare occurence... the artery coming into my heart was in a spasm... thus part of my issues was that. But, fortunately, I DID NOT have a great deal of damage... some but nothing like they expected. I had gotten to the ER just in time... another 30 minutes and things may have been much different... but I got the medication in time to stop the muscle damage, thus that is why my blood work showed such a very high rate of enzyme levels... not due to the damage, but due to the medication stopping the damage at just the right time!!!! 7 days later, I went home, no stents... with just medication for then.. and up until right at my 50th birthday... I was lucky enough not to have much issues with my heart... although as we have found out since then... I have RA, Lupus, Sjôgren's, along with some other autoimmune issues, that may have contributed to me having a heart attack at 40! I was "fit", walked 5 miles a day everyday or more, watched every bite of food that went into my mouth, was a a perfect weight... and was "doing" everything right... but don't let that fool you either... doing it all "right" still may not "stop" it from happening to you.... so, please DO NOT feel stupid... if YOU FEEL something is "off", or "odd"... you know your body better than anyone... and YOU have some "remote" feeling it maybe your heart... don't wait 3 days like I did! GO THEN to your NEAREST ER!!!! It CAN SAVE YOUR LIFE!!!! By the way, TAKE AN ASPIRIN... do that first, then go... don't stall, just go!!!! 

Go Red For Women!!! Don't take "chest pain" lightly.....

                      Go Red For Women!!!

Go Red For Women

Please support this critically important disease. As a woman "survivor" of not just one heart attack at 40 years old, but a 2ns one at 50 years old, I have first hand knowledge about just how differently MI's and their symptoms maybe for women. 

 I had NO crushing chest pain, or pain running down my left arm. I was actually a healthy eater, an avid exerciser, walked daily 5 miles plus, did not consume much alcohol, and I was at a "normal" almost a bit too underweight at the time.

My symptoms were very little. My ankles and feet began to start swelling on me, especially if I sat down at my computer for a bit. I thought not much about it, but I did notice that they continued to do that throughout the weeks before. Other than that, I had been having some "chest discomfort" for about 3 days off and on. I mean something like well, indigestion, and not really even that bad. Yet, no jaw pain, no arms pain, no other "real" symptoms that would have clued me in for what would happen on January 8th, 2001.

As I said, I had been having this "pain" off and on, and thought maybe I had a case of bronchitis. So, I rang my physician to tell him a bit, including the strange thing about swollen ankles and so forth. I had been on the phone with his receptionist explaining what had been happening, and she had me hold just a moment. I thought oh boy, they want me to come in. Nevertheless, she came back quickly, and said your doctor wants to you to get to the nearest ER now, and if you are having breathing issues, etc. call 911! Lord, I still thought this sure is a lot of trouble for a bit of pain in my chest. In fact I had almost decided NOT TO GO at ALL! If it were not for a dear friend of mine who lives in Malta.... "screaming" at me online telling me IF I did NOT go, she was going to find an ambulance to pick me up.

So, I agree. I throw some clothes on. I was totally alone (another story for another time)... and no one to drive me 20 PLUS miles to the nearest hospital. And I was out in the country enough, by the time someone came to get me, I could just drive myself. So, I grabbed my purse, keys, and cell phone, got in the car, & started to the ER, which was about 20 miles away. At one time I thought to myself "MMM.. maybe I should turn on the flashers" on. Needless to say, I began to be a bit frightened when the thought crossed my mind "What if I pass out?" Just when you need one, not one police officer in sight! So, I went through the "back way" of the town the hospital was in, and missed red lights and traffic as best I could.

I pulled up, parked, got and out and walked myself in, and calmly told the receptionist my doctor asked me to come straight to the ER, he thought I might be having a heart attack. Well, all heck broke loose! I guess my doctor may have called ahead, because they were escorting me back very quickly, right to a room, and right with IV's, EKG, Oxygen and the entire ordeal before I was even able to say much of anything. I realized when one of the doctors that I happened to know (I was a Patient REP at that hospital before this happened), when he came in after about 10 minutes or so to speak with me, he basically told me that if I had NOT gotten up, and drove myself there, the situation would not be nearly as great (even though it was not great at that moment) if I had waited even another 45 minutes. I was having a "massive" MI, from what all of the labs were telling them. There was already "clot busting" meds going into the IV, they actually even gave me an aspirin, and all kinds of things were beeping and going on around me. He told me that when I was "stable" enough, hopefully the next day, they would move me from the ICU unit their to Dallas at Baylor. Well, of course I was totally terrified!!! At the time I had NO ONE there!

My parents lived in the next town up towards Dallas, but by the time someone called them,  and they drove about 25 - 30 miles there, it took a bit. They gave me meds, pain meds, and IV's , etc... all night long, with the telemetry on watching me. So, the next morning, I took that HORRIBLE ambulance ride to Dallas! NEVER if you can AVOID it HAVE TO RIDE in an AMBULANCE!

From there I spent about 7 days, lots of labs, cardiac tests, they did an angiogram, and the old fateful "treadmill" test... of course they could not put me on the walker, and just gave me medication to up my heart rate instead.

I was totally fortunate through out it all. When ALL of the tests, work ups, labs, plus the other 100 things they did were finished, it was then known the YES the heart attack was SEVeR, BUT due to ME getting at the ER when I did, the clot busting meds, STOPPED most of the damage to the heart muscle. :):):) I did not have to have a stent at the time, had some issues with the artery above my heart going into spasms, gave me meds, sent me home, and told me to walk, eat right and call the doctor if anything else came up. :):) Talk about a miracle! This is THE time, I honestly DID see myself.... as I was laying in the ER on the gurney, when my first doctor came in, I was "watching" myself from above...  It was the oddest, surreal, but most amazing feeling I ever had.

IT maybe not that was for some, and some say they see the white lights and so forth... I just knew either my own mind kind of "detached" for a few moments, and then I could kind of look down objectively upon the situation.

So, I could go on BUT I stop there... (by the way my 2nd MI took place in 2010, only about a week or two from the date of the 1st first, just 10 years later. I had already been extremely ill, and in the 2 hospitals, and I was so totally weak, I think my heart, was so almost "broken" I feared going home. I still even after 6 weeks, was terrified of leaving the hospital. Thus the day before they were thinking of sending me home, I truly was so totally out of it, the terrible fear and stress I was in, they feel caused the 2nd one!!!



So, "Go For Red" It Could Just Save Your Life!!!