I have been treated for Chronic pain , due to a broken back , for approx. 10 yrs. ( was told it was a 'soft tissue' injury.) 3 yrs. of Chiropracter, sp. I could not funtion on the pain meds , and against Dr. orders . I would only take an Oxy .when the pain got so bad I couldn't stand it . I quit taking pain meds and revolving door , of getting back adjustments , and just bit the bullet for 8 or 9 yrs.. After heart attacks , I found out the back was actually broken , and the inactivity , caused more severe pain , and spasms . I started taking Oxycodone , and maybe 1/2 of a Hydrocodone , as needed . My Dr died a few yrs. ago , and only saw Cardio Doc , during that time . Pain scripts were mailed to me as I requested them . I been on the same amount for 3 yrs , and 6 months ago , they had me come in for a blood test , ( to prove i had the pain meds in my system .) Talked to this stand -in Dr. about pain control . 3 weeks ago , I saw a 'nurse', who informed me , would be my stand in Dr. from now on , and we discussed pain meds , and pain control again . I called in yesterday , to have them mail my script .And a Dr. from same office said , he was over seeing my case , and I would not get my Script ,until I had an appointment to discuss pain control . I explained that for 3 yrs. I didn't have an attending Dr. per say , there . but in last 6 months , had a blood test , and session regarding pain control and meds , . and 2 appointments , with sessions regarding pain control and meds . I told him , I should not have to drive 75 miles to see him , and did not appreciate him holding my medications ransom . and wanted nothing to do with him , and he was fired . ( I had never seen or heard of this @#$%) before . I called the office , and told them I wanted the 'nurse ' as my caregiver , and had just talked to her 3 weeks prior regarding the meds . and could they get script in the mail , as I hadn't renewed it for 2 months , and was out . 5 days and still no scripts . .... we'll see ... grrr @##$ Thank You for this opportunity to blow off steam . Advice ?

that is all it takes to have severe pain...down my leg, like a nerve. used ice and heat, a muscle relaxant....cannot afford to be this way....I am going to bed. I have nothing for pain, but the ice heat combination helps.

This is off the topic but,how does one change password.

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Yesterday the husband calls me from work (I was at work), trying to catch his breath and said he thinks his 'device' went off twice in 10 minutes. I'm going to make a very very long stressful story short.....he left work and went home, hit the 'remote device' in our bedroom. About 2 hours later, the docs office called and said it didn't go off and all was ok. We wrote it off as an anxiety attack due to the stress of his son's addiction issue, which is a mess!

He said he could feel his heart beating hard, fast, out of control and felt it through his entire body. But the doc said his device read that everything was 'ok'. We were grateful to hear that. He is doing great today! OH....and he has lost about 10lbs!! Good for him!! :)

Pump gives heart patient a new lease on life
Thursday, January 26, 2012
By Bethany Bump (Contact)
Gazette Reporter

David Morey of Guilderland discusses his discharge plans from Albany Medical Center with assistant nurse manager Tammy Frodyma. ALBANY — It was hardly six months ago that Dr. Mark Tallman could hear his patient coming before he saw him. The wheezing as the 63-year-old made his way down the hall to the doctor’s office was just one indication that his chronic heart condition was taking a downward turn, and fast. It was one of many visits David Morey had been making to Tallman since 2009. This time, the Guilderland resident would learn that the options to treat his severe congestive heart failure were far more promising than previously thought. “Interestingly, Dave used to walk in looking fine,” said Tallman, a cardiologist at Albany Medical Center. “But by the latter part of last year, you could tell he was getting sicker. He was starting to notice that the activities of daily living were getting more difficult.” It was tough trying to make his bed, join his wife at the grocery store or finish a sentence without gasping for breath. Now, he can do all that again. And he wants to do a whole lot more. Morey was released from Albany Med on Tuesday after having received the region’s first HeartMate II mechanical heart pump, life-extending technology that is producing exciting results for both patients and Capital Region doctors passionate about finding therapies for chronic heart conditions. The left ventricular assisted device, or LVAD, was approved by the U.S. Food and Drug Administration in 2010 to be used on individuals who don’t qualify for a heart transplant. It received FDA approval two years earlier for Bridge-to-Transplantation, or for those individuals on the transplant list with common blood types and consequently longer waiting periods. Impressive outcomes following a 2003 clinical trial of the Thoratec-manufactured device made it the only long-term LVAD to receive FDA approval to treat end-stage heart failure. Measuring about 3 inches long and weighing about 10 ounces, the HeartMate II does the work that a weakened heart no longer can. It is implanted alongside a patient’s heart and attaches to the aorta. This leaves natural circulation in place, but the rotation of a single moving part provides all of the energy necessary to pump oxygen-rich blood from the lungs throughout the body. That’s a huge relief for Morey, who has spent 18 years with a heart condition and his entire life with the knowledge he very well could develop one. With a family history of heart disease, he remembers the relief that came when he turned a healthy 35, the age his father was when he had his first heart attack. “But then I got to 45, which was when I had a pretty severe and pretty damaging heart attack to my left ventricle,” Morey said. It required a quadruple bypass, and a few years later, he developed atrial fibrillation, a sign of congestive heart failure that required an implantable cardioverter-defibrillator. By August 2010, the defibrillator wasn’t helping, and he was placed on the drug milrinone to help contract his left ventricle. Less than two years later, the medication had begun to fail, and he was wheezing down the hall to Tallman’s office. Morey’s wardrobe now includes a HeartMate II controller, equipped with batteries. But he much prefers the additional attire over what he once thought was his only option: an undetermined stay at Tufts Medical Center in Boston, where he remains on a transplant waiting list. The latter option would have meant months upon months of hospitalization away from family, friends and a life Morey was accustomed to. With the most common blood type, he would have been waiting an average of six months, said Tallman, and doctors would have had to thread a pulmonary artery catheter into his heart. “Dave’s problem is the dilemma most people face when listed for a heart transplant,” said Tallman. “He could have gone back to the hospital and sat in bed waiting for news that we finally got a donor. Only by then, you’ve taken a guy that was up and moving around normally every day and rendered him bed-bound. And then you’re putting him through an open-heart procedure.” But with the implantation of the Heartmate II device by Dr. Stuart Miller, who heads the division of cardiothoracic surgery at Albany Med, Morey isn’t waiting out his time on the transplant list in a hospital away from home. And he’s definitely not bed-ridden. As long as he has his batteries, he doesn’t have to worry whether his body is pumping up to 10 liters of blood a minute — the output of a healthy heart. Only two days out of the hospital, Morey could feel the effect. “After two months in the hospital, each day I feel better and better and stronger and stronger,” said Morey. “Eventually, I’ll be able to do pretty much anything that I want to do.” For a retired man with a wife and grandchildren, that means a mix of simple tasks and small pleasures. “I’ll be able to travel,” he said. “I’ll be able to get out and just do errands like I used to, just those everyday type of things. I can go for walks with my wife.” Despite the cloud of anxiety that almost always follows a person who needs a new heart, Morey has done his best not to fall into depression. He feels good, he said, but he knows his limitations, as well. He’s heard the stories of a man who’s lived with a HeartMate II for seven years now, a story doctors confirm but are hesitant to promote since the device was only first used nine years ago during clinical trials. Talk to Tallman in 10 years, once the registry tracking the status of VAD patients has grown significantly, and he might be able to say that optimal treatment for congestive heart failure is not transplant, but a VAD. “There is a possibility that some day in the future VADs could replace a transplant, and a lot of people in the field feel that it could happen,” he said. “But if you ask me right now what the optimal treatment is for a guy like David Morey, I can only say transplant. It will take years to compare both datasets, but the technology is exploding, and it’s gotten good.” Miller, who performed Morey’s surgery, said Albany Med had been looking into using the HeartMate II for more than a year. The hospital recently received advanced certification in heart failure from the Joint Commission and wanted to provide local options for people dealing with advanced heart failure, he said. “It’s a huge undertaking,” said Miller. “And fortunately we had the previous experience here to draw on, but also the resources that are available here to begin with to take care of the severity of this illness in patients like Morey.” Morey said he wants people to know there are options out there besides a nerve-wracking wait on the transplant list. And the options don’t just offer mere survival, but a pretty good life. “I look forward to getting better and better every day,” he said. “I can tell the difference every day thanks to the options we have now. I always wanted to know what was ahead of me. For years, it was always the (defibrillator) and then the transplant. Now, there’s this new concept of the LVAD, and it’s been a very positive decision because I feel differently than I used to. I’m talking now, and I’m not even having to take significant, deep breaths.”

turns out a major urinary tract infection....the doctor did not listen when I said I have blood in my urine....finallyyyy.....anddd. it urns out that this is a common infection from hospitals.....I knew I should never use that puckered toilet paper in the office...all the dirty nurses....public, beware. They walk among us....no reason to be in so much misery since before christmas, and just have my back patted....I get soooo fed up with the medical system.

Hello to everyone, I am new. my most recent diagnosis before the implant of a bi-v device, was left bundle branch block with non-ischemic cardiomyopathy, 25% EF. I also have RA among other bummer stuff. At any rate I was in surgery for close to 6 hours (!!) and was told it was because there was too much scar tissue on my left ventricle to attach a lead. Research did indicate RA can injure organs so I may have the answer as to how, but I can't seem to find anything clear about what the implications of the scar tissue are. I do know he put in a 4th lead tho. Anyone know what this all could mean? thanks, vicky

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