Our brain controls the actions of the body’s other organs, but the heart supplies the power that keeps everything working smoothly, including the brain.
Since my blog’s tag line is “exploring the HEART of health”, I couldn’t pass up the chance to read a book about exploring the heart.
State of the Heart by cardiologist Dr. Haider Warraich explores the history, science, and future of cardiac disease.
Most people recognize the seriousness of heart disease and want to know how to maintain heart health, it’s hard to believe that in ancient times people did not consider the heart a vital organ. The liver was revered as the driving force of the circulation responsible for maintaining life. Even now, the heart is sometimes thought of as just a pump, and not the complex organ that it is.
Dr. Warraich weaves the heart’s story with threads of medical history, explanations of basic cardiac anatomy and physiology, and stories about real patients he has treated for a variety of heart conditions.
The congestive heart failure patient who didn’t know he had heart failure
The woman who had a heart attack but whose coronary arteries were clear
The man who needed a heart transplant to stay alive but couldn’t afford the anti-rejection drugs
The man who couldn’t die until his mechanical heart (LVAD) was turned off
“Of COVID-19 patients who develop serious heart complications, most don’t see this problem until late in the disease’s progression. However, some are turning up with extensive heart inflammation at the outset.”
Dr. Haider, The Washington Post
Dr. Haider reports that 59% of COVID-19 patients who died had heart damage vs. only 1% of survivors, reminding us that heart disease is still the No. 1 cause of death in the U.S.
“heart disease is not ready to give up that distinction any time soon. With the right precautions and with heightened vigilance, we can try to ensure that COVID-19 doesn’t help increase that toll.”
Heart diseases affect any and sometimes multiple parts of the heart- the atria, ventricles, the valves, the aorta, the pulmonary artery and veins, the walls and the coronary arteries (not shown in this diagram. )
advances and stumbles in the medical treatment of heart disease.
Our brain controls the actions of the body’s other organs, but the heart supplies the power that keeps everything working smoothly, including the brain. Using the intricate “highway” system of arteries and veins, the heart pumps blood carrying oxygen, water, and nutrients to every cell in the body. Learn more in this post.
Although we use the term HEART DISEASE , there are many diseases that involve the heart. HEART conditions affect people from birth to death. Find out more in this post.
Our modern lifestyles are particularly harsh on the heart-our diets, our lack of exercise, and the stress we expose ourselves to-
Recognizing that you may have a heart problem can be the first step to getting effective treatment. That’s why in this post I share 7 keys to a healthy heart.
Expedition HEALTH exhibit at the Denver Science Museum
Health is a lifelong expedition
Thanks for joining me to explore the heart, heart disease, and this new book by Dr. Warraich. Find it at your local public library or consider purchasing at one of these affiliate links which help me fund this blog.
I appreciate all of you who are following Watercress Words, and if you aren’t I invite you to join the wonderful people who are. You can meet some of them in the sidebar, where you can click on their image and visit their blogs. Use the form to get an email notification of new posts. Don’t worry, you won’t get anything else from me.
we Americans have trouble re-calibrating our traditional (and laudable) devotion to individual rights and civil liberties. That is the fundamental reason we’ve been so slow in getting serious about a virus. quote Charles Krauthammer
Since the start of the pandemic, and especially since it has become so politicized and polarized, I have wondered what the late Dr. Charles Krauthammer might have written in his Washington Post column. For many years he commented on all things political, social, and occasionally medical, having left his psychiatric medical practice for a journalism career. As I searched my previous posts about him, I found reference to a piece discussing a situation similar to COVID-19-the Ebola epidemic of 2014.
this image depicts an illustrative sticker that had been produced by the United Nations Children’s Fund, or UNICEF, which emphasized the importance of handwashing in the battle against this viral disease. credit to CDC/ Dr. Heidi Soeters, public domain
In 2014 when an Ebola epidemic broke out in Africa, a Liberian man entered the United States, became ill, and presented to a hospital emergency room; before he was isolated, healthcare workers were exposed. He was eventually diagnosed with Ebola and a nurse became infected. It caused a public health scandal which was widely criticized.
Fortunately, although deadly, Ebola is not as casually transmitted as coronavirus (not respiratory born) and never rose to pandemic proportions. But certain aspects of its presence in the United States mimics an aspect of COVID-19 which is hotly debated-personal freedom vs the common good.
Dr. Krauthammer wrote a piece commenting on this. I am quoting a few key paragraphs that particularly apply to the COVID-19 crisis. In italics I have inserted words referring to the specifics of the 2020 pandemic.
Centers for Disease Control and Prevention (CDC) activated its Emergency Operations Center (EOC) to assist public health partners in responding to the coronavirus disease 2019 (COVID-19) outbreak first identified in Wuhan, China.Credit James Gathany, Public domain
Coronavirus vs civil liberties (quoting Dr. Krauthammer, unless noted)
Unnervingly, the U.S. public health services remain steps behind the Ebola virus (Coronavirus). Contact tracing is what we do, Centers for Disease Control Director Tom Frieden (Robert Redfield) assured the nation. It will stop the epidemic “in its tracks.”
These missteps raise questions of competence, candor and false confidence. But the problem is deeper. And it rests not in our doctors but in ourselves.
In the face of a uniquely dangerous threat, we Americans have trouble re-calibrating our traditional (and laudable) devotion to individual rights and civil liberties. That is the fundamental reason we’ve been so slow in getting serious about Ebola (COVID-19). Consider:
Privacy
In normal circumstances, privacy deserves absolute respect. But these are not normal circumstances. We’re talking about a possible epidemic by an unseen pathogen that kills 70 percent of its victims. Contact tracing is the key to stopping it, we’ve been told.
Quarantine is the ultimate violation of civil liberties. Having committed no crime, having done no wrong, you are sentenced to house arrest or banishment. It’s unfair. It’s, well, un-American. But when an epidemic threatens, we do it because we must.
(Note: Americans have been asked to quarantine if they have come in close contact with someone confirmed with COVID-19. If they have the infection, they must self isolate for at least 10 days. )
Evacuation
Training and equipping every hospital in America to treat this rare disease would be ridiculously expensive and 99 percent wasted. Every Ebola (COVID-19) patient should be evacuated to a specialized regional isolation center, such as the ones in Atlanta, Omaha or Bethesda.
(Note: With the large number of COVID-19 hospitalizations, it is impractical to treat all patients at isolation centers. However, their care requires a high level of medical sophistication only available at large medical centers by physicians, nurses, and other professionals trained in critical and intensive care. Such care can potentially overwhelm the medical system, making care of COVID-19 patients more difficult and making care of other critically ill patients less available.)
Travel bans
The CDC argues that a travel ban would stop the flow of medical assistance to West Africa. This is silly. Simply make an exception for health-care workers. They apply to federal authorities, who charter their flights (or use military aircraft already headed there) and monitor their movements until 21 days (14 days) after their return home.
(Note: Non-essential travel to China from the United States was banned soon after the onset of the COVID-19 pandemic, and travel to other parts of the world followed. Ironically in July of 2020, some countries banned entry of arrivals from the United States due to a surge in cases. Some states instituted quarantine requirements for visitors from other states to limit spread during the summer surge of cases. )
President Obama, in his messianic period, declared that choosing between security and liberty was a false choice. On the contrary. It is the eternal dilemmaof every free society. Politics is the very process of finding some equilibrium between these two competing values.
Regarding terrorism, we’ve developed a fairly reasonable balance. But it took time. With Ebola (COVID-19), we don’t have time. Viruses don’t wait. The sooner we reset the balance — the sooner we get serious — the safer we will be.
Here is a link to his original article which I hope you will read.
To contain and “flatten the curve” of COVID-19 cases, American citizens have been asked to limit or even avoid many common activities; these restrictions have been met with resistance and outright defiance. These include
This last one, wearing face coverings to prevent the spread of coronavirus containing droplets, has at times been the most contentious among people, with some enthusiastically embracing their use and some rejecting.
Even the two candidates for President had different responses initially, with Mr. Trump refusing to wear one, while Mr. Biden did. (By mid July, Mr. Trump began wearing a mask and urged citizens to do so.)
We’re instead asking Americans to use masks, socially distance, and employ vigorous hygiene — wash your hands every chance you get — while sheltering high-risk populations. We are imploring young Americans to avoid packed bars and other crowded indoor gatherings. Be safe and be smart.
In 1776 when the American colonies threw off unjust English rule, the leaders declared independence based on the rights of
Life, Liberty, and the Pursuit of Happiness
The Declaration of Independence
But when Life is threatened by disease, Liberty may also be threatened- and it remains to be seen if the democratic government they established can save both .
exploring the HEART of health and freedom
I appreciate all of you who are following Watercress Words, and if you aren’t I invite you to join the wonderful people who are. You can meet some of them in the sidebar, where you can click on their image and visit their blogs. Use the form to get an email notification of new posts. Don’t worry, you won’t get anything else from me.
When I read Charles Krauthammer book, Things That Matter, one of the most important things I learned wasn’t about politics, medicine, or ethics, subjects he knew well and wrote about often. I learned that he was a die hard Washington Nationals baseball fan.
Use these links to share the heart of health wherever you connect.
watercress words by Dr Aletha 
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