Trying to stay positive

Monday, July 21, 2008

I just read an article here on SP that is really bothering me. It completely upset me because I'm trying so hard to stay positive in a bad situation only to realize I'm probably wasting my time.

The article was about people who suffer heart attacks that have kidney disease are less likely to receive life sustaining medications because of their illness.

I'm fortunate that I'm already on beta blockers and a statin medication to lessen my chances of having a heart attack, but it upsets me that a medical professional would deny a person a medication that could prevent them from having another episode simply because they have a renal disease. That is wrong!! Every moment of life is precious.

I used to think that maybe it was just me being paranoid when I saw a nephrologist for my kidneys. Since I have an untreatable, and incurable form of kidney disease every specialist I visited offered me no help or ideas on what I could do to ease the symptoms or things I need to do to help avoid other conditions brought on my the illness. It was as though each one was just telling me to go home and die. That's an awful feeling. It leaves a person feeling alone and abandoned. Makes it real easy for someone to give up on life. It's bad enough having an illness that interferes with your ability to do simple tasks, but to know your health care provider doesn't care kinda hurts

Here is a copy of the article:

Kidney Patients Less Likely to Get Heart Attack Med's

Health service delivery may be a factor is lowered use of beta blockers and statins
MONDAY, July 21 (HealthDay News) -- After having a heart attack, people with kidney disease are less likely to receive recommended medications, a new study finds.

The report, published in the September issue of the Clinical Journal of the American Society of Nephrology, finds people with end-stage renal disease requiring dialysis are often deprived of heart-protecting medicines such as beta blockers and cholesterol-lowering statins.

"Kidney function is a well-established risk factor for cardiovascular events such as heart attacks and is also associated with a worse prognosis after such events," Wolfgang C. Winkelmayer, of Brigham and Women's Hospital, in Boston, said in a news release issued by the American Society of Nephrology. "One possible explanation is differences in health service delivery. It may be that patients with more advanced kidney function receive less state-of-the art care after a heart attack, including less acute coronary intervention, less acute medical intervention and less chronic, secondary prevention."

The researchers analyzed data on medication use after a heart attack, or myocardial infarction, in approximately 21,500 patients, 17 percent of whom had kidney disease. After adjustment for other factors, those with chronic kidney disease were 22 percent less likely to start beta blocker treatment. Those with end-stage renal disease were 43 percent less likely to be treated with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers and 17 percent less likely to be put on statins.

Those three drugs, along with aspirin, are considered vital parts of the strategy to prevent more cardiovascular issues following a heart attack.

As the rates of kidney disease continue to rise, the researchers concluded that new ways of cutting the risk of cardiovascular episodes among this group should become a greater priority.

More information

The National Kidney Foundation has more about chronic kidney disease.

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SOURCES: SOURCE: American Society of Nephrology, news release, July 9, 2008

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