My insurance didn't cover rehab either. They claim my heart attack wasn't severe enough. LOL. The rehab people charge me $5 a visit.
The rehab classes had handouts. You may want to ask the rehab people if you could get a copy of the handout to read over. You may be able to work out a deal with the rehab dietician.
If you have feelings of hopelessness, you may be depress. Depresssion after a heart attack or heart surgery is common. I have read that about
50% of heart patients have it in the first year. I was depressed after my heart attack. My life was pretty miserable. Fortunately, my primary care physician put me on Zoloft and that helped quite a bit.
Do you have a primary care physician like an internist, GP, etc? They may be more attuned to these problems.
The Ornish diet is a good diet but some people find it difficult because it is very low in sat fat (10%) so some people find it difficult to stay with it.
The key is to find diet and stick to it.
A Mediterranean diet is also a good choice. It is higher in sat fat and people find it more palatable.
I don't know of too many foods that raise HDL. Cranberry juice has been reported to raise HDL. Pomegrante juice has been reported to raise HDL. However, you may want to talk to your doctor about
it since it may have an effect on your drugs.
Avoid trans fat. Trans fat can lower your HDL and increase your LDL. it's found in lot of junk food, donuts, pastries, etc.
The food label is your friend. You must learn hoe\w to read them as they have a wealth of information.
Here are some other food tips:
Watch your salt intake; keep it below 2200 mg
Avoid fried foods.
Try adding 1 oz of almonds and 1-2 TBSPs of extra virgin olive oil daily to your diet. Almonds and olive oils are high in monounsaturated fat which helps your cholesterol. Olive Oil can also help to keep your arteries and veins supple and flexible.
Eat more fish like salmon or trout. Have 2 or more meals of fish a week. You might try taking fish oil pills every day (1 gram twice a day).
Minimize your sat fat intake. Eat more chicken and turkey, less beef. Take the skin off the chicken or turkey. Watch your portions. 3.5 oz (size of a deck of cards) is the rule
Eat more food like beans, oat,oatmeal, pears, apples etc., that are higher in soluble fiber. There are 2 kinds of fibers. Soluble and insoluble fiber. Insoluble fiber is roughage. Soluble fiber serves as roughage and can help reduce your LDL cholesterol. The soluble fiber literally traps the LDL in your intestines and you excrete it. Try for 7-13 gram of soluble fiber a day. The more the better. (You may have to build your way slowly on this and some people may feel bloated.)
Give yourself 1-2 months on new diet before testing. It takes a awhile to see results and to get acclimated to it.
Exercise is a definite plus. It also helps to relieve stress. Exercise can raise some people's HDL.
Loosing weight is a pain in the ass, but I think it will help. One thing that help me was to keep a food diary of what I ate and portions.
Selmer is right in one sense; it is your responsibility to take charge and follow the program. Having great doctors won't help you if you are not willing to follow their advice.
You may want to see if there any support groups in your area. Mended Hearts is a pretty good one. The American Heart Association has lot of information that they can send you and it is also on their web site.
Faldlou, you are young and have lot to look forward in life. Your problems may seem overwhelming at this point. Just remember that other people have been down this road before and that you are not alone. You can do it. You can take charge. The best advice my PCP gave me was to take it one day at a time.
You can have a good life.
Post Edited (Chemist54) : 8/21/2007 6:41:40 PM (GMT-6)