Wednesday, October 29, 2014
Monday, October 27, 2014
Monday, October 13, 2014
Question: What is a BNP blood test, and should it be done on everyone with heart failure?
Answer: A B-Type natriuretic peptide is a naturally-occurring peptide produced by the body. A peptide is a group of amino acids, the building blocks of proteins, and this particular peptide is secreted in response to certain stress; this one in particular is the stress in the heart, particularly when the heart is stretched.
One of the hallmarks of heart failure is when people hold on to too much fluid. When they hold on to too much fluid it begins to backup and literally stretch the heart. That extra stretch causes the cells of the heart to excrete BNP and that can be measured in the blood.
And the higher the BNP generally the more fluid someone maybe holding on to, although it does vary a little bit from person to person. But that why it can be useful in the setting of somebody being short of breath to distinguish whether the shortness of breath is due to fluid being held on because of heart failure or whether it's due to lung disease.
We think the reason Gator was having chest pain was because of the heart swelling.
Today we relaxed.. He was stoked because Doc Everett reduced his sodium ban. Can you guess what he chose?? Top Ramen. He slurped and yummed through the entire bowl. Auntie Pres had the girls today, she even did all my laundry. Bless her! Tomorrow she goes to spend the day with Gator while I am with the girls... Daddy is up there to hang with his boy in the evenings.. How he managed to organize life, work, church, and still be so dang amazing is beyond me. Sometimes I feel like bowing down and saying "I'm not worthy, I'm not worthy" but I shouldn't give him a big head and so I refrain.
Pray the antibodies will go down again and also, in the midst of grief a family will choose organ donation.