Posted 01 June 2012 - 06:43 AM
I Recently had more testing
Tilt Table showed.....huge variability in BP/HR. HR was compensating all the time, as soon as the Tachy reduced my BP started to drop and away my heart would go again ! So defo POTS/Vasovagal Dysfunction.
24 Hr BP monitor...showed drops in BP as low as 81/39
24hr urine collection Sodium level..... 141. (not sure what this means?)
Anyway I d/c midodrine and started on Florinef which seems to be improving my symptoms althou im thinking now im going to need a higher dose long term than the 0.05 twice a day im taking.
However I am starting to work next week on the Labour ward (im a midwife) night shifts included. My last experience of working there (nearly two years ago) was that the Adrenaline surge/anticipation that comes alongside delivering babies sent my heart seriously tachy and i was soooo exhausted after one never mind the 3-4 deliveries I could be involved in during the night (not counting the odd emergency situation we mite have)!
Im just wondering has anyone got any advice on trying to control these surges when adrenaline kicks in? A certain amount of it comes with the job anyway but it seems to have a very pronounced effect on me now!
any advice much appreciated!! hope ye are all doing well
Posted 01 June 2012 - 10:42 AM
I am very sensitive to stress leading to adrenaline surges, the smallest thing can set it off. However the florineff really stopped this happening except for in extreme circumstances. Can only think the hair trigger was caused by low blood volume leading to over production of adrenaline to get more blood to my heart. If it has already started to improve your symptoms then maybe you will be lucky
Hope it has the same effect on you.
Good luck with the return to work.
Posted 01 June 2012 - 01:19 PM
Maybe i have nothing to be worrying about so!! (that would be great!!)
Hope you are well
Posted 01 June 2012 - 06:37 PM
Anyway, its free and its something you can do anywhere, anytime...so it can't hurt to try it.
Posted 02 June 2012 - 04:33 PM
Its something that has certainly come up several time's in the last couple of weeks. My new specialist recommended my trying something called 'mindfullness' and to begin practicing yoga/relaxation etc. NOT for a second was she suggesting that my symptoms were psych/anxiety related but she explained that anyone with these conditions have a much more intense physiological reaction to stress (chemical reactions etc) and therefore suggested trying it.
you have reminded me of this little nugget of information she gave!! thanks for your input...it seems to be working for you! ill defo give it a go.
Posted 03 June 2012 - 06:54 PM
A great book to learn mindfulness and how to incorporate meditation into everyday life activities is called, "Where Ever You Go, There You Are", by Jon Kabat-Zinn. Really easy read with short chapters that have easy little meditation/mindfulness exercises at the end of each chapter. For example, just counting your footsteps as you are walking from one place to the next can focus your mind and bring calm to you. It might have some great things for you to do while on the labour ward. Good luck!
Posted 03 June 2012 - 11:12 PM
Posted 05 June 2012 - 03:09 AM