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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Congestive Heart Failure Be Treated?

I was just yesterday diagnosed with Congestive Heart Failuren outcome of diastolicfailure. Cardozo want me in fo consult. My worst problems are following. Low lung capacity with not enough air at rest. A pulse OX that Registers 85-90. Resting. My hemoglobin has dropped almost 35% in eighteen months as s well, as the hematocrit RBC counts and other iron carriers. Lymphocytes are very low. One other blood component is high but can t leave this unsaved reply. A single instance of this a failure with afib happened a yr age and had hospitalization, they cut my beta blockers in half a put me on thinners and diuretics. But I have no recoded afib and I m known as a bleeder to surgeons. That Pradaxa is another possible blood drain. Right now I self ptprescribing iron eight 43mg OTC iron TABS A day with folic acids and b12. I am doubling up my furosemide to 80 mg. And cut back to one and a hal quarts water daily. This the furosemide got my breathing under today but I need a big brain person to weigh and balance all the multifactorial issues. My doctors are only seeing pieces of the elephants tail, trunk, etc I need a big brain integrator who can juggle and optimize someway my remaining years. I m 75, male, normal weight, former NCAA DIVi football player. Grad Harvard and Stanford. My email YYYY@YYYY phone YYYYY.I d like to go to the eclipse on the 21st but I m afraid the high pains Ltitude will kill me. The pain center got a pulse Ox today of 95. Best in many moons, I wonder if hemo is bouncing back.my total lipids are 102 and Hdl 47, LDL smaller yet. Her goes. I don t see a send button. I better copy this for safety.
Sat, 28 Jul 2018
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General & Family Physician 's  Response
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I have evaluated your concern regarding heart failure. As per my clinical approach, the condition is multi factorial and so the management also remains multi factorial. My guidelines at present

@ Continue medications as per the guidance of your consultant.
@ Deep breathing exercises, YOGA and walking in fresh air are the most vital pillars to remain in best possible health.
@ Maintain blood sugar, cholesterol, body weight.
@ Avoid stress, anxiety.
@ Dietary precautions as per your dietician guidelines.
@ Prefer semi reclining position when resting.
@ Avoid high altitudes and weight lifting.
@ Avoid smoking or alcohol if consuming.

Hope I have answered your query. Let me know if I can assist you further.
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How Can Congestive Heart Failure Be Treated?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have evaluated your concern regarding heart failure. As per my clinical approach, the condition is multi factorial and so the management also remains multi factorial. My guidelines at present @ Continue medications as per the guidance of your consultant. @ Deep breathing exercises, YOGA and walking in fresh air are the most vital pillars to remain in best possible health. @ Maintain blood sugar, cholesterol, body weight. @ Avoid stress, anxiety. @ Dietary precautions as per your dietician guidelines. @ Prefer semi reclining position when resting. @ Avoid high altitudes and weight lifting. @ Avoid smoking or alcohol if consuming. Hope I have answered your query. Let me know if I can assist you further.