No post yesterday as I was on call all day and got a really complicated patient at night who kept me at the hospital later than expected.
Nevertheless, yesterday was a pretty good day! I got up, headed to the hospital to check on my patients, got out of the hospital early, and hit the gym.
I really need to study and so I decided it would be prudent to simply walk on the treadmill while reading about diseases of the gastrointestinal tract. I intended to walk at a 6.0 incline, speed 4.0, for 1 hour- 4 miles total. But by 50 minutes I was going cross-eyed and so I put the incline back down and ran at 7.0 until I got to 4 miles.
Then, I headed to an open spot in the gym to try out a Crossfit style workout I saw on Bess’s blog. I did crunches- not sit-ups. If I had done regular sit-ups it would have taken FOREVER. I finished in about 13 minutes…phew!
I want to tell you all about a Boot Camp that I’m going to do with my roommate Kristen. I think a lot of people do this boot camp and I’ve heard great things. If you read Julie’s blog- peanutbutterfingers, you know that she did it last year and loved it! I’m getting pretty sick of the weight room and so I think this will be a great way to shake things up.
Here are the details:
WHO: Anyone! This personal fitness challenge is open to everyone – bloggers and readers, family and friends.
WHAT: An 8 Week Fitness Program adapted for all fitness levels and geared to improving your lifestyle. Cost is $25
WHEN: REGISTRATION NOW OPEN!!! Next dates will start Monday July 23 and end Sunday Sep 16.
WHERE: Online! Through www.tinareale.com . (FAQs are located here)
WHY: A fun and flexible way to train. A great way to stay motivated through the support of other participants. To learn and experience new workout techniques and exercises. To get healthier as you go through the workouts AND work to achieve other personal, health-related goals of your choosing. Cash prizes!
There are modifications for workouts at home, at the gym, etc. You get all the workouts via email and there is a fun Facebook group to meet new people doing the bootcamp. Do it with me!!!!!!!!!!!!
******REGISTRATION CLOSES FRIDAY SO IF YOU WANT TO DO THIS WITH ME, SIGN UP ASAP!!!!!
I know you are all dying for my super science of syncope section so here it is!!
Syncope: (definition from Up To Date with my added interjections)
Syncope is the abrupt and transient loss of consciousness (passing out) associated with absence of postural tone, followed by complete and usually rapid spontaneous recovery. Syncope is alarming for the individual, witnesses, family, and physicians.
Syncope is most often benign (isn’t harmful) and self-limited (go’s away on it’s own), although it can be a harbinger of a multitude of disease processes. Injuries resulting from syncopal attacks occur in about one-third of patients, and recurrent episodes can be psychologically devastating. In addition, syncope can be a premonitory sign of cardiac arrest, especially in patients with organic heart disease
Why do I care? Because I have a patient with 3 episodes of syncope in the hospital right now and we can’t figure out what’s wrong with her! Turns out, there are about a million and one causes for passing out. Most people know someone who has passed out, or they have passed out themselves, so I thought a little science behind syncope would brighten up everyone’s Wednesday!
Different Types of Syncope:
Reflex Syncope: **This is the most common by far**
- Associated with a prodrome (comes before you pass out) of nausea, warmth, pallor, lightheadedness, and/or diaphoresis (sweating)
- Can occur when a patient moves from sitting to standing
- Situational syncope occurs during or immediately after provocative stimuli such as coughing, swallowing (particularly cold liquid), crowded or warm places, prolonged standing, post-prandial state (after eating), fear, intense pain, urinating, or defecating
- Sudden onset can indicate an arrhythmia
- Can be associated with exertion (like exercise)
- Often a sign of underlying heart disease
- Patients with psychiatric illness may have syncope secondary to hyperventilation, panic attacks, or medications
- Syncope in a patient with diabetes may result from orthostatic hypotension (low blood pressure when you stand up quickly) secondary to autonomic neuropathy (your flight or fight responses don’t work as well due to long standing diabetes so your body doesn’t know to increase blood pressure and heart rate when you stand up quickly. All the blood falls with gravity and your blood pressure drops so you pass out!)
And the Dreaded Unexplained: Ranges from 20-40% of cases
There are lots of kinds of syncope and TONS of tests to determine the underlying reason someone passed out.
So there ya go! Some science of syncope… I hope none of you faint in the heat today!