Is this the normal way cardiologist deal with their patients?

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faldlou
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Date Joined Aug 2007
Total Posts : 11
   Posted 8/17/2007 12:53 PM (GMT -7)   

I had a quintuple by-pass 6 months ago,  I am 33 years old; every time I see my cardiologist he berates me about my weight and tell me over and over how I am going to die unless I  get my weight down to  140lbs , I am 5 foot 3’  and 190lbs and have been for  the passed 9 years. After my visit to him I feel so depress and guilt I am consider not going anymore .  Is this the normal way cardiologist deal with their patients?  I know my diet/weight caused my heart disease I don’t need to be remained of it.


tomah
Regular Member


Date Joined Mar 2006
Total Posts : 40
   Posted 8/17/2007 3:10 PM (GMT -7)   
I think that yes - some cardiologists can be very "superior" acting.  My husband's cardio is the same way.  He certainly is NOT encouraging, and never even "pats him on the back" for quitting smoking and getting back to exercising.  All he wants to focus on, lately, his my husband''s weight.  I think cardiologists sometimes need to "blame" the patient, when the medical community cannot "fix" what is wrong with them.  When my husband had his first heart attack, they blamed it on smoking.  He quit immediately -- now that he has had a second one, they are blaming it on his weight.  Maybe you could look for a new cardiologist that would be a little more understanding.  i wish we could find another one - the the "group" that we see almost seem to "own" the hospitals around here, and there are very few cardiologists that he can see.  Good luck to you!

faldlou
New Member


Date Joined Aug 2007
Total Posts : 11
   Posted 8/20/2007 6:52 AM (GMT -7)   
I am gald I am not the only one who feel terrible after my cardiologists visit. I wish there was a way to not feeling so guility after each appointment. I hope your husband finds some compassion out there in medical community.

augoldminer
Regular Member


Date Joined Jun 2006
Total Posts : 110
   Posted 8/25/2007 12:29 PM (GMT -7)   
I would not be so sure that your weight was the only cause of your heart disease.
Though you are overweight your are not morbidly obese.
and at the age of 33 is young even for someone that is obese to have heart problems that need bypass surgery.

I would start looking for a doctor that will do the tests to get to the real problem.

you may have a metabolic disorder or a hypercholesterol disorder that needs to be treated aggressively.

Many doctors that don't have problems with weight themself tend to think that every one that is overweight can easely lose weight.
that is not the case.
SECONDARY FIBROMYALGIA AUTOIMMUNE DISEASE
AUTOIMMUNE CASTLEMAN'S DISEASE JULY 2003
HEART ATTACK MARCH 1 2006 HEART BYPASS CABG x 5 MARCH 13 2006
SLEEP APNEA RESTLESS LEG SYNDROME
DOCTORS VA. WEST LA CALIF
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AnnieInOz
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Date Joined Jun 2003
Total Posts : 3626
   Posted 8/25/2007 3:45 PM (GMT -7)   
Have you followed the diet given to you by the doctor since the by-pass? Do you excerise, etc.? Since I am older, I have a bad time losing weight and I have other things to deal with besides the triple-bypass a couple of years ago. My cardio certainly doesn't berate me by the way. That's useless and tragic for anyone. Maybe you have other doctors that can deal with weight? I make choelestoral quickly and genetics can play in the factor. All the best with this.

PALMY
Regular Member


Date Joined Sep 2003
Total Posts : 268
   Posted 8/26/2007 8:05 AM (GMT -7)   
My husband had two heart attacks, the second caused by a blood clot in the stent. he had one by-pass after the 2nd attack, He was in very poor condition or would have by passed the other the other stent and a blockage of 60%

When he came home his b/p started going up and up, it was running 180/95 and above, I called his cardio's office 3 times and the home health care nurses called 5 times, they never returned our calls. We ended up having to call our g/p who changed his meds. But the cardio's office did call to set up an appointment 4 weeks later.

Needless to say we have found a new cardio, he s very caring and returns calls himself, keeps on top of things with tests. My husband smoked before the first attack of course that was the cause of the attack, he has also gained a lot of weight, the Cardio told him to try to get it off, He said I know it is hard but try. I hate these Drs. who use scare tactics. We are all aware of weight, smoking etc and our health.

Our g/p uses scare tactics also, my b/p is always around 160/90 when I see her, at home it is great and she wants me on meds. She say you do not know what you b/p goes up to when you are stressed, well who does. As long as my b/p is good at home I will not take meds.

A neighbor of ours works in the cath lab at a big medical center near us, he say all cardios are arrogant and think they are the best of the best.

Linda
linda


els
Veteran Member


Date Joined Oct 2005
Total Posts : 4031
   Posted 8/26/2007 4:50 PM (GMT -7)   

faldlou, Perhaps you also may have some family history that contributed to your heart disease and or weight issues?  These are things to look at also.  However, not taking either side here, I think the doctor would be remiss if you were to see him for an appointment and he not counsel you regarding losing weight.  If you weigh that much than certianly you are a walking heart attack and the procedures you had done were not a fix but just a bandaid.  Yes, it is your life and body but I can see where it is fustating for physicians who put time and effort into treating people who neglect to care for themselves.

On the otherhand, you have went though something very tragic and life threatening.  Have you felt depressed or had lack of energy?  If so talk to your primary doctor about this and maybe a light antidepressant may be inorder for you.  Either way everyone should try to eat a well balanced diet and exercise for at least 30 minutes 3-4 times a week.  Even if it is just walking around the mall or strolling outside.  If your not doing this then you may really start to think of doing this it will make you feel so much better once you start and get into a routine of it.


Elisha
Co~Mod: Depression
Moderator: Heart & Cardiovascular Disease
http://www.healingwell.com/donate


faldlou
New Member


Date Joined Aug 2007
Total Posts : 11
   Posted 8/28/2007 6:20 AM (GMT -7)   
 
I am 190lbs and 5 foot 3inch tall, maybe I have been fooling myself, but 50lbs over weight, I never thought would turn me into a walking heart attack. I do care for myself I try to lose weight but I just yo-yo up and down 10lbs so far.  before the happen I was a walker 2 mile 5 days a week i am now walking 2-3 miles 5 days a week. I guess I want some compassion and so postive feedback on my health from my cardiologist. not just a 5min talk about my grim future and death and my kids being fatherless. confused

faldlou
New Member


Date Joined Aug 2007
Total Posts : 11
   Posted 8/29/2007 8:00 AM (GMT -7)   

I just saw my PCP today  and he is putting me on WELLBUTRIN for the my depression, he told me to just see him for the next year he would order all the lipid panel  and manage my meds. He told me to focus on finding happiness again in my life and not to worry so much about my weight or diet right now. He just said keep up your exercise and keep your saturated fats down any stop worrying.  He explained that the medication I am on will makes a greater impact on my lipid profile than the dietary changes most patients make. Needless to say I am feeling much better after the visit.


Chemist54
New Member


Date Joined Dec 2006
Total Posts : 11
   Posted 8/29/2007 9:35 AM (GMT -7)   

Faldlou,

That is great news!

The drugs will have a greater impact on dropping your cholesterol than your diet from what I experienced. My total cholesterol was 198, LDL 138 and HDL was 32 when I was admitted with a heart attack. I was immediately put on 40 mg a day of Lipitor (among other drugs).  A few months later, my total cholesterol was  112, LDL 57 and HDL was 31.  I figured that 75% of the change was due to the Lipitor and about 25% was due to diet. I was then started on Niaspan and it is now 95 total cholesterol, 45 HDL and 42 LDL. My PCP has me now take 40 mg/20 mg Lipitor to raise the LDL slightly.

Hopefully things will begin to work themselves out for you.  Best of luck!!


Hopes
Regular Member


Date Joined Feb 2006
Total Posts : 297
   Posted 8/30/2007 6:55 AM (GMT -7)   
Hi faldlou,
 
I'm going to put my two cents in. If you can find something useful, good. If you can't, just ignore it.
 
I am 5' 2(and 1/2)". LOL........Yes, the 1/2 is important to me even if the doctors don't care and I do realise that in a few years, it will just be 5' 2". :-) Anyway after the birth of my daughter, my husband and I weren't really getting along well. I never did lose the weight and in a couple years was up to 190lbs. I was miserable, uncomfortable and started having health problems. Yes, I was depressed too-BIG TIME- depressed and ANGRY!!!!. When my daughter was around 4, I decided to make changes FOR ME! I am now 138lbs. My husband and I have worked on our relationship and it is definately better. (The problems never had anything to do with my weight but his growing up issues.)
 
Personally I never went on any medicines for depression. I worked on my issues instead. I am NOT saying to avoid the medication. Depression medication has helped untold thousands, but it does not work for everyone. It can also cause some people's weight to balloon up. So be aware!
 
Keep up the exercise but exercise alone is NOT going to help you lose the weight you need to lose. DIET is VITAL. One of your doctors should be able to get you in touch with a dietician or nutritionist who can help you with a plan. If not, you can still make some wise changes yourself. You don't have to starve yourself in order to eat healthy and lose weight.
 
Because this is really long , I am going to make another post with my diet suggestions. If you like any, try it. If you don't, ignore me.  Maybe others can make similar suggestions. ???
 

Hopes
Regular Member


Date Joined Feb 2006
Total Posts : 297
   Posted 8/30/2007 7:22 AM (GMT -7)   

It is really better to eat a little something 5-6 times throughout the day rather than just have 3 big meals. This helps to keep you blood sugars level throughout the day and keeps you from feeling starved at a meal and blowing it. (If you do blow it, just blow it off and start again.)

 For example: breakfast in the morning consisting of a whole wheat type of cereal(3grams or more of fiber in a serving which will probably be 3/4 cup-MEASURE IT) with a glass(8oz. ONLY-MEASURE IT) of skim or low-fat MILK and a fruit (NO FRUIT JUICES if you are trying to lose weight because juices offer no fiber like whole fruit so they do not fill up the stomach and satisfy as long like whole fruit. Another thing, fruit juices are lacking in nutritional value as compared to whole fruit. Juices are mainly empty calories and sugar.)

Two to three hours later: Eat a fat free yogurt like Yoplait. It comes in a variety of flavors and is only 90calories-none of which is fat calories. NO HIGH CALORIE, HIGH FAT yogurt. Be aware of what you are buying and what you are putting in your mouth!

Lunch will be getting close within a couple of hours. For lunch:Make yourself eat a salad but watch the extras like cheese, nuts, croutons-SEVERLY limit or eliminate these! As for myself, I cannot eat a salad without croutons. So I crush them up that way I use MUCH LESS but seem to have more. Stick with a non-fat or low fat dressing. There are very good ones out there. Try them out until you find a variety you like. It takes some experimenting and detective work but it will help you in the long run. Don't keep using the same high calorie, high fat dressing because you don't know what to try. Read labels and Buy new. THROW AWAY THE ONES YOU DON'T LIKE AND TRY ANOTHER VARIETY. DON'T GIVE UP AND DON"T FEEL GUILTY about THROWING AWAY WHAT YOU DON'T LIKE! This is about your health long term and you DESERVE IT! :-)   With your salad, have soup or a sandwich on wheat bread. Use lean meat sparingly with lots of veggies. Mayo needs to be non-fat. (Yes, you will get use to the chance in taste and like it!)If you have potatoe chips, try the baked kind. The baked doritos or baked cheetos are actually quite good even my husband eats these. Watch the serving size. YOu may need to measure for awhile to get an idea of what an actual, real serving size is. Most people OVER-estimate by ALOT!

I better make a third post. This is getting way long! SORRY

Post Edited (Hopes) : 8/30/2007 8:46:38 AM (GMT-6)


Hopes
Regular Member


Date Joined Feb 2006
Total Posts : 297
   Posted 8/30/2007 7:43 AM (GMT -7)   

A couple of hours after lunch: Have one, small fruit serving. Did you know that a serving size for grapes or strawberries or blueberries or watermelon is 1 cup but for fruit juice or canned fruit it is only 1/2 cup (4oz)? I prefer strawberries with a little bit of non-fat cool whip to 1 small banana. yeah   I think I read that you like fruit but it should be limited to only 2 servings a day because it is more sugar and calories than vegtable. People that eat alot of fruit often sabatoge their diet unwittingly.

Dinner is in a couple of hours.Lean meats are great. Once a week or so, a meatless meal is great. It would be awesome to have another salad with two more vegetables. If no salad, try three varieties of vegetable. Your plate should be 2/3 filled with vegetables and only 1/3 filled with meat. We often get that backwards! NO DESSERT after dinner. SAVE  IT FOR TWO OR THREE HOURS LATER! yeah

Later that night, sit back and relax with a small dessert. A small piece of chocolate cake made with egg beaters instead of real eggs and 1/3 cup unsweetened applesauce instead of the vegetable oil is REALLY good. Don't ruin all of your hard work by adding ice cream. If you want ice cream, eat a low or non-fat variety all by itself tonight and save the chocolate cake until tomorrow. In other words, don't have two desserts on the same day. Pick and choose and save something for another day. Angel food cake is an excellent choice for a dessert and popcorn is ALWAYS a good night snack instead of a sweet treat! Savor, chew and take small bites to make it last-really enjoy it instead of scarving it done and going for another piece. (OK-I'm talking to myself now!) :-)

Beware of sodas-even the diet kind. I really do recommend only ONE a day. Please consider two at the most. What to drink?-WATER,WATER,WATER! smurf

Good luck. I hope something has helped. Believe in yourself. Be postive and have a happy outlook. You can do it and you deserve it!


Hopes
Regular Member


Date Joined Feb 2006
Total Posts : 297
   Posted 8/30/2007 10:24 AM (GMT -7)   
It is me again, Faldlou. Hope I'm not beating a dead horse but I really do have a few more things to add. Just think about them.
 
Unless you have a thyroid problem, being overweight really comes down to taking in more calories than you are expending. We all know this but you need to find the issue/issues as to why this is happening.
 
For example, are you making poor food choices? Reality for me is that given freedom to eat anything I wanted and have it not matter, I would eat cheeseburgers and french fries EVERYDAY for lunch. YES-EVERYDAY. I would be happy. For dinner I would eat chicken enchilladas smoothered in jalapeno cheese sauce with rice and refried beans with plenty of chips and salsa while waiting for the food to get on the table. POOR FOOD CHOICES! It does really matter and I don't have that freedom. So I NEVER put cheese on a burger and probably eat one only 5-6 times a year when we go out for fast food. Instead I'll eat a grilled chicken. If I really want a burger, It is a very lean grilled one at home with lots of vegetable. French Fries? NEVER!!!!! I fix baked fries at home. Those chicken enchilladas which are making my mouth water by just thinking of them? Once a year, the small size (2, instead of 3) with most of the sauce scraped off and borracho beans not refried. Also I try to leave some on my plate, no need to scrape the plate clean. I won't refuse the chips because it is only once a year BUT I take only 5-10 and SAVOR, SAVOR, SAVOR!
 
Is poor food choices or lack of knowledge about good food choices and serving sizes your problem? OR are you a social eater? Out and about with lots of friends and family and always eating while visiting and playing? Foods at the family reunions or football games/bowling allyey/ballpark/etc... tend not to be the best. Since we are having fun while we mindlessly eating, we can rack up a good number of calories without even knowing it. Then after the event, we're still hungry because we were 'just snacking a bit'. Make social events about the people and conversations or activity and not about the food. Also BE AWARE of what you are actually putting in your mouth!
 
OR are you an emotional eater? This is what was KILLING ME! I would get frustrated, angry, depressed about whatever (usually a conflict with my husband) and I'd eat! It actually made me feel comforted! DANGER!!!!!!!!!!! I had to really fight this and STILL do! I love to eat high calorie, high fat foods when I'm emotionally keyed up. It literally feels like a warm blanket surrounding first my stomach, then all of my body.This is not healthy! I have to fight the urge and find a distraction. It is best to communicate with the person you might be angry or frustrated with but sometimes you can't or you need time first. Then I have found that going out for a walk, exercising, listening to music, etc...HELPS to diffuse the emotion and put me back on an even-keel providing a distraction from the food which I don't want after the emotions are under control.
 
I just thought of these things. Maybe they will be helpful to you. At least it is a little fuel for thought. 

els
Veteran Member


Date Joined Oct 2005
Total Posts : 4031
   Posted 9/1/2007 1:29 PM (GMT -7)   

Selmer & Hopes, You both have given some really excellent advice and suggestions to this thread here.  :-)

Faldlou, Ultimetly our health and health care is in our own hands.  There are many tough decisions we have to make as cardiac patients regarding doctors, diet, exercise, medications and life style.  It can be difficult to know where to turn and what is the best decision for you.  Those of us here on HW have lived with heart issues and/or have had to deal with a long term illness of some sort. 

Believe it or not we do know where your coming from and the stress it causes.  There are so many things you can do to improve your health overall as our veteran members have posted above to you.  Please know you can post here if you need advice, suggestions, or support.  We are always here and willing to help.  Take care


Elisha
Co~Mod: Depression
Moderator: Heart & Cardiovascular Disease
http://www.healingwell.com/donate


Susan Gail
New Member


Date Joined Jul 2007
Total Posts : 4
   Posted 9/2/2007 6:56 PM (GMT -7)   

Hi Faldlou,

I'm happy to read your doc is being more positive. I was diagnosed with cardiomyopathy about 2 and a half years ago.  At the time I was almost 40 pounds over weight.  I joined Weigth Watchers about a year ago and lost the extra weight in 8 months.  I think the main reason for my success is because it was on my terms.  I didn't do it for anyone else but me.  I think you have to be in the right mind set and the right time.  Hang in there.  You'll do it.  Just find something (healthy) that works for you.  Best of luck.


net
New Member


Date Joined Sep 2007
Total Posts : 16
   Posted 9/3/2007 4:50 PM (GMT -7)   
To all of you who are being poorly treated (emotionally) by your cardiologists.....look for another one.  I am an Administrator for a group of cardiologists, have been in the medical field for 30+ years and my husband is a cardio patient and I have changed groups but it wasn't because of the doctors, but the staff.  There is no reason for you to feel that you cannot relate to your physician.  Perhaps you ask to speak to the Administrator and explain your feelings to her/him and see what feedback you get.  Often times, they can put you with another physician in the group that would be a better 'fit' for you or they may speak to that physician on your behalf.  I have had this conversation with patients before and it has proven to be successful. 
It is never anyone's intent to make you feel 'worse' but you are right, there are some that cannot relate to overweight people and that approach usually makes it worse (I was there too myself at one time)
My mother was a heavy smoker for many years and had many respiratory problems, weight, etc., and the physician would do the same as yours, she kept right on with her habits and would fight going to the doctor until she ended up hospitalized.  By the 'grace of God' she got a physician that sat on her bed in the hospital, held her hand and explained what she was doing to her lungs and that he was genuinely concerned about her and hoped  that she would give it up.  She never smoked another cigarette.
You have to want to lose the weight for yourself and until YOU get to that point, there isn't anything or anyone that can scare that out of you.  I was at 225 after my son was born (I never told this before) and one day when he was 18 months old, decided that if I wanted to see him grown, I needed to get the weight off and joined WW.  I got down to 157 in a little over a year and had a great time doing it....made a game of it and challenged it and myself...quit smoking the same way 5 years later....You do for YOU....and know that you are worth it....so go girl.....find a new doc if you have to  but watch out for your health....that bypass could not have been fun tongue
Good Luck & God Bless
Faith
Faith
Husband - Brice
dx 8/29/07 Gleason 8


DREAMGIRL
Veteran Member


Date Joined Jan 2006
Total Posts : 600
   Posted 9/5/2007 9:30 AM (GMT -7)   

 

been a while since i posted, so nice to see you hopes, els. and what great feedback from selmer, nand net, and the others. so glad you are here, you bring new ways and approaches to the forum  lovin it.  faldlou, you, i am sure are frightened silly, who wouldn't be.  i had a dr. who told me i would be under the knife in two years after i got my stents placed nearly three years ago,  i dropped him like a hot potato, he was a great dr. but not for me.  i can see everyone really does agree about getting the weight off, if you were free of heart problems it would still be an issue.  i have to lose 10 pounds i put on since my last post,  can you beleive it els and hopes, 10 big ones in a year.  and trying to lose those is sooooo    well i haven't done it. i  have never had 10 pounds i wanted to lose i cannot beleive how hard it would be to lose 20, 30, or 50.  get tough fal, i am 60 years old, not 33, if you do it now it will be easier on you, good luck, i am sorry you have to face this at such a young age,

god bless you       p. s.
I have a rather odd post i am going to put up, don't laugh but please do respond anyone

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