NATAL BY-PASS CLUB
9 Marigold Place
Moseley Park
Pinetown, 3615
Email: shane.newman@absamail.co.za
Tel: 031 204 5633 (Bus)
084 510 8738 (Cell)
Fax: 086 502 9883
DATE: Wednesday 5th of November 2008
TIME: 17.00 p.m. for 17.30 p.m.
VENUE: Entabeni Conference Room
PARKING: In grounds (car guards)
REFRESHMENTS: Available at no charge from 17:00
AGENDA
1. Welcome
2. Apologies
3. Testimonies from First Timers
4. Visitation Reports:
a. St Augustines
b. Westville
c. Entabeni
d. St Annes
e. EHHC
5. Raffle Draw
6. New Chairperson & Committee for 2009
7. Guest Speakers:
· BP & ECG self use monitor – demonstration by Ms Barbara Harn (Ameron)
· Mr Bernard Bryers – Rotary Club
8. General
Please try and be there but if not, apologies to Shane Newman on 084 510 8738, 031 204 5633 or e-mail.
Yours sincerely,
Shane Newman
Chairman
Friday, October 24, 2008
Minutes - Sep 2008
NATAL BYPASS MEETING 04/2008 HELD ONWEDNESDAY 3 SEPTEMBER 2008AT ENTABENI HOSPITALat 17:30
PRESENT:Shane Newman (Chairman) As per attendance register
1. OPENING AND WELCOMEAll were welcomed by Shane Newman, and expressed his appreciation for, Shirley Piek & Bernard Bryers assisted in the running of matters of the July meeting.
2. APOLOGIES: The following people had given their apologies:Dr Piet Schabort, Shirley Piek, Chris O’ Flathery, Tony Schultz, Neville & Cissy Farr, Natalie & Shirley Klien, Nicky Arnold, Enid, Don & Fiona Phillips, Gerd Ackermann.
3. TESTIMONIES FROM NEW VISITORSThere were no newcomers.
4. IN ATTENDANCE:Ms Kristal De Witt & Julia Holley from Unilever.
5. VISITATION REPORTS5.1. St AugustinesThere was no representative to give a report.5.2. EntabeniChris O’Flaherty not present to report on anything.5.3. WestvilleShane reported that he had continued to visit the patients at Westville hospital, once a week. 5.4. St AnnesMr Basanth Bodasing - Nothing recorded.5.5. Ethekweni Health & Heart Centre (EHHC)A co-coordinator needs to be appointed to fulfill the duties at the EHHC.
6. RAFFEL DRAWThe raffel, was won by Dave Parry.
7. GUEST SPEAKERMs Kristal De Witt & Julia Holley from Unilever (Proavtiv Margarine)Kristal gave a Powerpoint presentation of which the most salient points were as follows :· Proavtiv proven to significantly remove & lower cholesterol – due to plant sterols contained in the magarineo Plant sterols are by-products of vegetable oil refining. o Plant sterols are isolated from conventional edible oils like soybean, maize, sunflower, rapeseed and from tall oilo The conventional refining procedure leads to a distillate containing 8-20 % plant sterols. o The plant sterols are then esterified with dietary fatty acids to form plant sterol esters.o Food products such as vegetable oil spreads, milk & yoghurt products containing plant sterol esters are made by using the same process and procedures as for the conventional products· Plant sterols are natural components of the human dieto Average daily plant sterol intake of adults 150 - 400 mg/dayo Found in vegetable oils, nuts, grain, bread cereals, fruits & vegetables· How much plant sterols are needed to substantially lower cholesterol?o Approximately 2 – 2.5g Plant sterols (Proavtiv) a day to reduce on average cholesterol levels by up to 10%o 2 g/day of plant sterols reduce cholesterol absorption by 30-40%o More than the 2g will have no affect to the reduction of cholesterol· If taking any statins, the introduction of Proavtic will further contribute to the reduction of cholesterol· Mechanism of action of plant sterols is that more cholesterol is absorbed in the small intestine & therefore excreted than is taken into the blood stream without the 2g of Proactiv per day· Are plant sterols safe?o Yes - No mutagenicity, sub-chronic toxicity or reproduction toxicity and no adverse affects· Impact on heart healtho Sufficient scientific evidence to promote use of plant sterols for lowering serum LDL-cholesterol in persons at increased CHD risk*o Reduction in serum LDL-cholesterol of about 10% expected to reduce incidence of CHD by about 12-20% over 5 yearso Longer-term CHD risk reduction would be about 20%
8. GENERALThe annual end of the year luncheon will be held at the Durban Country club on Sunday the 23rd of November 2008 at 12:00 and the cost will be R75 per person. All monies to be paid to the secretary Shirley Piek asap. The account is Standard Bank, Durban North Branch, account number 257360549.
9. NEXT MEETINGThe next meeting would be on Wednesday the 5th of November 2008.
Issued by Shane Newman – 084 510 8738 or 031 708 5629 (after hours)Chairman – Natal Bypass Club…………………………………………………………….. Date : …………………………..
PRESENT:Shane Newman (Chairman) As per attendance register
1. OPENING AND WELCOMEAll were welcomed by Shane Newman, and expressed his appreciation for, Shirley Piek & Bernard Bryers assisted in the running of matters of the July meeting.
2. APOLOGIES: The following people had given their apologies:Dr Piet Schabort, Shirley Piek, Chris O’ Flathery, Tony Schultz, Neville & Cissy Farr, Natalie & Shirley Klien, Nicky Arnold, Enid, Don & Fiona Phillips, Gerd Ackermann.
3. TESTIMONIES FROM NEW VISITORSThere were no newcomers.
4. IN ATTENDANCE:Ms Kristal De Witt & Julia Holley from Unilever.
5. VISITATION REPORTS5.1. St AugustinesThere was no representative to give a report.5.2. EntabeniChris O’Flaherty not present to report on anything.5.3. WestvilleShane reported that he had continued to visit the patients at Westville hospital, once a week. 5.4. St AnnesMr Basanth Bodasing - Nothing recorded.5.5. Ethekweni Health & Heart Centre (EHHC)A co-coordinator needs to be appointed to fulfill the duties at the EHHC.
6. RAFFEL DRAWThe raffel, was won by Dave Parry.
7. GUEST SPEAKERMs Kristal De Witt & Julia Holley from Unilever (Proavtiv Margarine)Kristal gave a Powerpoint presentation of which the most salient points were as follows :· Proavtiv proven to significantly remove & lower cholesterol – due to plant sterols contained in the magarineo Plant sterols are by-products of vegetable oil refining. o Plant sterols are isolated from conventional edible oils like soybean, maize, sunflower, rapeseed and from tall oilo The conventional refining procedure leads to a distillate containing 8-20 % plant sterols. o The plant sterols are then esterified with dietary fatty acids to form plant sterol esters.o Food products such as vegetable oil spreads, milk & yoghurt products containing plant sterol esters are made by using the same process and procedures as for the conventional products· Plant sterols are natural components of the human dieto Average daily plant sterol intake of adults 150 - 400 mg/dayo Found in vegetable oils, nuts, grain, bread cereals, fruits & vegetables· How much plant sterols are needed to substantially lower cholesterol?o Approximately 2 – 2.5g Plant sterols (Proavtiv) a day to reduce on average cholesterol levels by up to 10%o 2 g/day of plant sterols reduce cholesterol absorption by 30-40%o More than the 2g will have no affect to the reduction of cholesterol· If taking any statins, the introduction of Proavtic will further contribute to the reduction of cholesterol· Mechanism of action of plant sterols is that more cholesterol is absorbed in the small intestine & therefore excreted than is taken into the blood stream without the 2g of Proactiv per day· Are plant sterols safe?o Yes - No mutagenicity, sub-chronic toxicity or reproduction toxicity and no adverse affects· Impact on heart healtho Sufficient scientific evidence to promote use of plant sterols for lowering serum LDL-cholesterol in persons at increased CHD risk*o Reduction in serum LDL-cholesterol of about 10% expected to reduce incidence of CHD by about 12-20% over 5 yearso Longer-term CHD risk reduction would be about 20%
8. GENERALThe annual end of the year luncheon will be held at the Durban Country club on Sunday the 23rd of November 2008 at 12:00 and the cost will be R75 per person. All monies to be paid to the secretary Shirley Piek asap. The account is Standard Bank, Durban North Branch, account number 257360549.
9. NEXT MEETINGThe next meeting would be on Wednesday the 5th of November 2008.
Issued by Shane Newman – 084 510 8738 or 031 708 5629 (after hours)Chairman – Natal Bypass Club…………………………………………………………….. Date : …………………………..
Thursday, August 21, 2008
Agenda Sep 2008
NATAL BY-PASS CLUB
Tel: 031 204 5633 9 Marigold Place
Fax: 086 502 9883 Moseley Park
Email: shane.newman@absamail.co.za Pinetown, 3615
DATE: Wednesday 3rd of September 2008
TIME: 5.00 p.m. for 5.30 p.m.
VENUE: Entabeni Conference Room
PARKING: In grounds (car guards)
REFRESHMENTS: Available at no charge from 17:00
AGENDA
Welcome
Apologies
Testimonies from First Timers
Visitation Reports:
St Augustines
Westville
Entabeni
St Annes
Raffle Draw
Guest Speaker:
· Unilever – Flora Pro.Activ & Cholesterol presentation
General
Please try and be there but if not, apologies to Shane Newman on 084 510 8738, 031 204 5633 or e-mail.
Yours sincerely,
Shane NewmanChairman
Tel: 031 204 5633 9 Marigold Place
Fax: 086 502 9883 Moseley Park
Email: shane.newman@absamail.co.za Pinetown, 3615
DATE: Wednesday 3rd of September 2008
TIME: 5.00 p.m. for 5.30 p.m.
VENUE: Entabeni Conference Room
PARKING: In grounds (car guards)
REFRESHMENTS: Available at no charge from 17:00
AGENDA
Welcome
Apologies
Testimonies from First Timers
Visitation Reports:
St Augustines
Westville
Entabeni
St Annes
Raffle Draw
Guest Speaker:
· Unilever – Flora Pro.Activ & Cholesterol presentation
General
Please try and be there but if not, apologies to Shane Newman on 084 510 8738, 031 204 5633 or e-mail.
Yours sincerely,
Shane NewmanChairman
Saturday, June 7, 2008
Minutes - May 2008
NATAL BYPASS MEETING 02/2008 held on
WEDNESDAY 7 MAy 2008
AT ENTaBENI HOSPITAL
at 17:30
PRESENT:
Shane Newman (Chairperson)
Shirley Piek (Secretary)
Chris O’Flaherty (Member)
As per attendance register
1. OPENING AND WELCOME
Shane Newman welcomed all present.
2. APOLOGIES:
The following people had given their apologies:
Dr Piet Schabort, Doug Geiling, Mike & Shirley Attridge, George Barns, Neville Nicholson, Danny Naidoo, Carol & Stuart MacKay, Ron Masters, Gerd Ackermann, Sam Wallace, Athol & Shirley Willett, Enid & Don & Fiona Phillips, Sam Wallace, Muriel Adams, Neal & Jenny Mc Innes, Jackie Miller & Harold Milan.
There had been an improvement with numbers and Shane apologized for no agenda going out for the March 2008 meeting. Numerous adverts had been placed in newspapers around KZN & on ECR.
3. TESTIMONIES FROM NEW VISITORS
Jim Brown (64)
Jim had a triple bypass in March 2006. His symptoms where that while walking to get his newspaper, he thought he had developed tennis elbow. After ECG & Angio tests he was advised that he needed possible stents or a possible bypass, but there was a waiting period of 3 to 5 months. In Bristol however, a private doctor was prepared to do the operation & wanted to know from Jim when he would like it done. The biggest problem Jim had after the operation was his leg (grafting) and his observation skills – memory. He was very thankful that there was a support club like the Bypass Club – welcome Jim !
Richard Hope
Richard has always been very fit – keen runner & squash player. He started getting breathless in the garden & started to get body warnings that there was something not right while playing squash. While walking in Lisbon, he started to feel weird and in Oct 2007 consulted a cardiologist, when an angiogram revealed that he needed bypass surgery. Richard 4 CABG done and now feels limited & frustrated with regards to what he can now do with his body.
4. IN ATTENDANCE:
Peter & Julien Rogan – PACE (Prevent Arrhythmic Cardiac Events) - Guest speakers.
5. VISITATION REPORTS
Shane mentioned that he had looked back at the previous minutes of the club and ascertained that Mr Ron Masters had volunteered to do the St Augustines & Entabeni hospital visits. Mr Ron Masters had also discussed the matter telephonically with Shane & Mr Masters could not be in a position to carry out the visitations. If there are any volunteers who would like to represent the Bypass club at either or both of these hospitals, please contact Shane.
5.1. St Augustines
There was no representative to give a report.
5.2. Entabeni
Chris O’Flaherty said that he had visited some patients downstairs and that when he was available he would do some rounds at Entabeni. Many thanks Chris.
5.3. Westville
Shane said that he had carried out visits at hospital and there was a report available if anybody wished to look at it. Shane said that one of the reasons, that he took on this task of visiting the hospitals, was to give back to society and all the nursing staff, what was given to him when he had his bypass in 2005. He found it a very rewarding, by being able to explain to patients who find themselves in the same position as he was & now is able to give some advice and encouragement to patients.
Shane made a plea for any members of the club, who could make themselves available to give support at the Westville Hospital Heart & Health day on the 28th of May 2008, at the Westville Bowling Club.
Mr Basanth Bodasing mentioned that St Annes hospital in PMB had recently started a cardiac section and that as he lived in PMB, he would be prepared to do hospital visits there. Thank you Basanth, and we thank you for your time in being prepared to do this for the patients at St Annes.
6. RAFFEL DRAW
The raffel, was won Bernard Bryers.
7. GUEST SPEAKER
Shane introduced Peter & Julien Rogen from PACE (Prevent Arrhythmic Cardiac Events) and thanked them for attending.
PACE is a support group founded by Lusan Luscombe in 2004 after her collapsed after athletics, as a result of her heart having stopped. She sadly also lost her son, Dane to the disease.
There has previously been no awareness of this problem in SA & PACE is now the first support group.
A PACE awareness meeting was attended by some bypass members on the 4th of April this year, when Dr AO, as he is know & who describes himself as a “heart electrician”, gave a very interesting talk. If anybody is interested in the notes taken by Shane at the meeting, they can contact him for a copy.
A further talk by Dr AO, who is from Cape Town, will be held on the 5th of June at Westville. For further info you can contact Juliet on 084 205 9737.
Peter Rogan introduced himself as a very keen over 35 soccer player & surfer for over 20 years, ate well and was enjoying life to the fullest.
While working on the North Coast, after a semi final soccer match the evening before, he was not well and advised Juliet that he just needed to sleep – started vomiting, falling in & out of consciousness. His cardiologist had picked up that his heart rate was in excess of 250 beats per minute, which is the equivalent of sprinting a Comrades Marathon. As there was no Electro Cardiologist in Durban he was flown to JHB. Peter received a local anesthetic and some “short circuiting” was preformed on him to try and establish, what & where the problem was of this excess heart rate.
One & half years later, Peter once again had to be cardio inverted (shocked) at work, where there was no recordable heart beat as it was “off the graph” and his body collapsed again.
Peter eventually was introduced to Dr A. Okreglicki (AO) in Cape Town (Groote Schuur), whereby after numerous tests, a ICD (Implantable cardioverter defibrillator) was inserted, which is a miniature “hospital” for sufferers, whereby it shocks the heart and is triggered when the heart is going to go out of rhythm. ARVC (Arrhythmogenic Right Ventricular Cardiomyopathy) is genetic & is the replacement of normal right ventricular muscles cells by fibrous tissue and fat, which can disturb the electrical pathways in the heart & lead to life threatening chaotic heart beats.
Peter has been seen amongst other surfers to leap a foot out of the water, when this ICD has had to work, not that this is a common occurrence and after such a shock from the ICD Peter needs to go to hospital to be checked. Peter has on one occasion, in the presence of his wife, had the ICD shock him 10 times within 15 minutes. He is on numerous medication for his disease.
Peter went on to say that his 11 year old daughter is a ARVC sufferer, and would need to be watched.
Peter has had to stop all his sport and went on to say that we take life for granted & when something like this happens to ones life, you realize just what we have been given.
The testimony by Peter was well received by all present and we thank Peter and Juliet Rogan for coming to share with the club and wish them all the success with PACE.
8. GENERAL
8.1. Blog Site
There is a blog site were the minutes and agenda of the meetings can be viewed. The address is http://natalbypass.blogspot.com/
8.2. Members contact details
It was requested that each member check that their personal particulars were up to date and changed accordingly, on the lists that were provided.
8.3. Distribution of Minutes
As it was becoming more costly to send minutes by post, it was requested that if people have e-mail addresses or are able to access e-mail that they please provide this information, so that the database can be updated.
8.4. Membership fees
Shane requested that if any members still have fees outstanding for 2008, that they please pay Shirley. The fee for 2008 is still R30 per person.
8.5. Committee
Nil
9. NEXT MEETING
The next meeting would be on Wednesday the 2nd of July 2008 at the Executive Conference suite at the Entabeni Hospital at 17:00 for 17:30.
Complimentary drinks and snacks will be available, to club members.
The Impilo tablets will continue to be on sale at the meeting, but should you wish to secure an order, you can place your order with Shirley Piek.
A guest speaker will be invited to come and share with the club in July, so please try & be there.
Issued by Shane Newman – 084 510 8738 or 031 708 5629 (after hours)
Chairman – Natal Bypass Club
……………………………………………………………..
Date : …………………………..
WEDNESDAY 7 MAy 2008
AT ENTaBENI HOSPITAL
at 17:30
PRESENT:
Shane Newman (Chairperson)
Shirley Piek (Secretary)
Chris O’Flaherty (Member)
As per attendance register
1. OPENING AND WELCOME
Shane Newman welcomed all present.
2. APOLOGIES:
The following people had given their apologies:
Dr Piet Schabort, Doug Geiling, Mike & Shirley Attridge, George Barns, Neville Nicholson, Danny Naidoo, Carol & Stuart MacKay, Ron Masters, Gerd Ackermann, Sam Wallace, Athol & Shirley Willett, Enid & Don & Fiona Phillips, Sam Wallace, Muriel Adams, Neal & Jenny Mc Innes, Jackie Miller & Harold Milan.
There had been an improvement with numbers and Shane apologized for no agenda going out for the March 2008 meeting. Numerous adverts had been placed in newspapers around KZN & on ECR.
3. TESTIMONIES FROM NEW VISITORS
Jim Brown (64)
Jim had a triple bypass in March 2006. His symptoms where that while walking to get his newspaper, he thought he had developed tennis elbow. After ECG & Angio tests he was advised that he needed possible stents or a possible bypass, but there was a waiting period of 3 to 5 months. In Bristol however, a private doctor was prepared to do the operation & wanted to know from Jim when he would like it done. The biggest problem Jim had after the operation was his leg (grafting) and his observation skills – memory. He was very thankful that there was a support club like the Bypass Club – welcome Jim !
Richard Hope
Richard has always been very fit – keen runner & squash player. He started getting breathless in the garden & started to get body warnings that there was something not right while playing squash. While walking in Lisbon, he started to feel weird and in Oct 2007 consulted a cardiologist, when an angiogram revealed that he needed bypass surgery. Richard 4 CABG done and now feels limited & frustrated with regards to what he can now do with his body.
4. IN ATTENDANCE:
Peter & Julien Rogan – PACE (Prevent Arrhythmic Cardiac Events) - Guest speakers.
5. VISITATION REPORTS
Shane mentioned that he had looked back at the previous minutes of the club and ascertained that Mr Ron Masters had volunteered to do the St Augustines & Entabeni hospital visits. Mr Ron Masters had also discussed the matter telephonically with Shane & Mr Masters could not be in a position to carry out the visitations. If there are any volunteers who would like to represent the Bypass club at either or both of these hospitals, please contact Shane.
5.1. St Augustines
There was no representative to give a report.
5.2. Entabeni
Chris O’Flaherty said that he had visited some patients downstairs and that when he was available he would do some rounds at Entabeni. Many thanks Chris.
5.3. Westville
Shane said that he had carried out visits at hospital and there was a report available if anybody wished to look at it. Shane said that one of the reasons, that he took on this task of visiting the hospitals, was to give back to society and all the nursing staff, what was given to him when he had his bypass in 2005. He found it a very rewarding, by being able to explain to patients who find themselves in the same position as he was & now is able to give some advice and encouragement to patients.
Shane made a plea for any members of the club, who could make themselves available to give support at the Westville Hospital Heart & Health day on the 28th of May 2008, at the Westville Bowling Club.
Mr Basanth Bodasing mentioned that St Annes hospital in PMB had recently started a cardiac section and that as he lived in PMB, he would be prepared to do hospital visits there. Thank you Basanth, and we thank you for your time in being prepared to do this for the patients at St Annes.
6. RAFFEL DRAW
The raffel, was won Bernard Bryers.
7. GUEST SPEAKER
Shane introduced Peter & Julien Rogen from PACE (Prevent Arrhythmic Cardiac Events) and thanked them for attending.
PACE is a support group founded by Lusan Luscombe in 2004 after her collapsed after athletics, as a result of her heart having stopped. She sadly also lost her son, Dane to the disease.
There has previously been no awareness of this problem in SA & PACE is now the first support group.
A PACE awareness meeting was attended by some bypass members on the 4th of April this year, when Dr AO, as he is know & who describes himself as a “heart electrician”, gave a very interesting talk. If anybody is interested in the notes taken by Shane at the meeting, they can contact him for a copy.
A further talk by Dr AO, who is from Cape Town, will be held on the 5th of June at Westville. For further info you can contact Juliet on 084 205 9737.
Peter Rogan introduced himself as a very keen over 35 soccer player & surfer for over 20 years, ate well and was enjoying life to the fullest.
While working on the North Coast, after a semi final soccer match the evening before, he was not well and advised Juliet that he just needed to sleep – started vomiting, falling in & out of consciousness. His cardiologist had picked up that his heart rate was in excess of 250 beats per minute, which is the equivalent of sprinting a Comrades Marathon. As there was no Electro Cardiologist in Durban he was flown to JHB. Peter received a local anesthetic and some “short circuiting” was preformed on him to try and establish, what & where the problem was of this excess heart rate.
One & half years later, Peter once again had to be cardio inverted (shocked) at work, where there was no recordable heart beat as it was “off the graph” and his body collapsed again.
Peter eventually was introduced to Dr A. Okreglicki (AO) in Cape Town (Groote Schuur), whereby after numerous tests, a ICD (Implantable cardioverter defibrillator) was inserted, which is a miniature “hospital” for sufferers, whereby it shocks the heart and is triggered when the heart is going to go out of rhythm. ARVC (Arrhythmogenic Right Ventricular Cardiomyopathy) is genetic & is the replacement of normal right ventricular muscles cells by fibrous tissue and fat, which can disturb the electrical pathways in the heart & lead to life threatening chaotic heart beats.
Peter has been seen amongst other surfers to leap a foot out of the water, when this ICD has had to work, not that this is a common occurrence and after such a shock from the ICD Peter needs to go to hospital to be checked. Peter has on one occasion, in the presence of his wife, had the ICD shock him 10 times within 15 minutes. He is on numerous medication for his disease.
Peter went on to say that his 11 year old daughter is a ARVC sufferer, and would need to be watched.
Peter has had to stop all his sport and went on to say that we take life for granted & when something like this happens to ones life, you realize just what we have been given.
The testimony by Peter was well received by all present and we thank Peter and Juliet Rogan for coming to share with the club and wish them all the success with PACE.
8. GENERAL
8.1. Blog Site
There is a blog site were the minutes and agenda of the meetings can be viewed. The address is http://natalbypass.blogspot.com/
8.2. Members contact details
It was requested that each member check that their personal particulars were up to date and changed accordingly, on the lists that were provided.
8.3. Distribution of Minutes
As it was becoming more costly to send minutes by post, it was requested that if people have e-mail addresses or are able to access e-mail that they please provide this information, so that the database can be updated.
8.4. Membership fees
Shane requested that if any members still have fees outstanding for 2008, that they please pay Shirley. The fee for 2008 is still R30 per person.
8.5. Committee
Nil
9. NEXT MEETING
The next meeting would be on Wednesday the 2nd of July 2008 at the Executive Conference suite at the Entabeni Hospital at 17:00 for 17:30.
Complimentary drinks and snacks will be available, to club members.
The Impilo tablets will continue to be on sale at the meeting, but should you wish to secure an order, you can place your order with Shirley Piek.
A guest speaker will be invited to come and share with the club in July, so please try & be there.
Issued by Shane Newman – 084 510 8738 or 031 708 5629 (after hours)
Chairman – Natal Bypass Club
……………………………………………………………..
Date : …………………………..
Minutes - March 2008
NATAL BYPASS MEETING 01/2008 held on
WEDNESDAY 5 MARCH 2008
AT ENTaBENI HOSPITAL
at 17:30
PRESENT:
Shane Newman (Chairperson)
Shirley Piek (Secretary)
As per attendance register
1. OPENING AND WELCOME
Shane Newman welcomed all present and asked everybody to stand for a minutes silence in remembrance of the late Chairman of the Natal Bypass Club Jack Piek who had passed away on the 22nd of February 2008, after a short illness.
2. APOLOGIES:
Chris O Flatery – departing for overseas on holiday/business
Neville & Sissy Farr – Sissy is recovering from a hip operation
John & Pat Rider
It was noted that the turn out to the meeting was poor, but also encouraging to note that Mr Dave Perry had traveled form Port Shepstone to attend the meeting – well done Dave on your commitment & enthusiasm shown.
3. IN ATTENDANCE:
Mrs Gillian Adams – Physiotherapist & guest speaker for the evening.
4. VISITATION REPORTS
4.1. St Augustines
There was no representative to give a report.
4.2. Entabeni
There was no representative to give a report.
4.3. Westville
Shane to make enquires from both St Augustines & Entabeni representatives to ensure that visits are being made and that there be some form of report back at the Bypass club meetings.
5. RAFFEL DRAW
The bottle of whiskey, which was donated by Shirley Piek, was won by George Barnes. Thank you Shirley.
6. GENERAL
6.1. Subs
Shane requested that if any members still have fees outstanding for 2008, that they please pay Shirley. The fee for 2008 is still R30 per person.
6.2. Election of Members
Shane mentioned that Jack Piek had requested before passing on that Shane take over the running of the club. Shane mentioned that Chris O’ Flattery (member) & Shirley Piek (secretary/treasurer) have made themselves available to assist him – thank you to both of these members. If there are any other members who feel that they would be available to contribute in the running of the club or have any concerns, they can please contact Shane.
6.3. Updating Membership Details
It was requested that each member check that their personal particulars were up to date and change accordingly, on the lists that were provided.
6.4. Election of Members
Those present were asked if the same venue as last year function (viz: Durban Country Club) should be booked again for November/December 2008. It was agreed and Shirley would make contact with DCC and make a booking.
7. GUEST SPEAKER
Gillian Adams is a UK Charted & SA Registered Physiotherapist with a special interest in hydrotherapy & fitness rehabilitation. She was awarded an honorary certificate in Aquasize Instruction by the SA Water Fitness Association in 1983 for her contribution to the promotion of water fitness in South Africa. Gillian has assisted with Cardiac rehabilitation Phase IV at two of NHS hospitals & attended 4 post graduate courses in hydrotherapy. She received her masters degree in Sports Medicine at RAU in 2004 & the subject of her research was the feasibility of cardiac rehabilitation in water, which she also presented at the International Society of Medical Hydrology Conference in Istanbul in June 2006.
Gillian proceeded to show two PowerPoint presentations, one being of particular interest to the members on hydrotherapy.
Some of the salient points from her presentation on Cardiac Considerations with Immersion were as follows :
… Pressure increases with depth. At 1 metre depth, pressure on ankles is 10% more than on the surface = double layer of tubigrip - Useful for those swollen ankles as this pressure assists blood back to the heart = Preload
… How does this affect exercise in water?
o The relevance concerns how the heart handles Preload
o Preload lying down = standing in water up to the waist, 130ml
o Immersion: 700ml fluid moves upwards in 6 seconds= approx 7 heartbeats: ¼ stored by the heart, the rest in the large thoracic veins and pulmonary circulation.
o The heart rate decreases
o The heart beats smarter, not harder
o Cardiac output increases 30%
… Guidelines for exercise in water:
o Heart condition must be STABLE
o Low & medium risk patients, ejection fraction >30%
o Chest depth is generally safe - (Severe MI and CHF can exercise UPRIGHT, no deeper than the xiphoid if sleeping flat can be tolerated)
o Gradual entry, don’t leap in or out!
o Rather not use step-up and down exercises (fluctuating preload and heart volume)
o Be aware of ‘masked’ angina
o Keep meds next to pool
o Talk test useful, exercise at 60-75%MHR (THT…)
o Swim if previously a swimmer, not alone
o Don’t swim underwater
o Avoid extreme water temperatures - below 16˚C Absolute Contra-Indication
o Rest in sight afterwards for 15 mins, recovery rate NB - Adrenal hormones are raised during vigorous exercise and take a little while to go back to normal. If the person with heart problems does not rest he may experience some irregularity of the heart beat and become distressed
… Calculation of Heart Rate - 4 methods:
o % true HRmax
o Karvonen: calculates Heart Rate Reserve and should use the true HRmax * tables available - (HRR = HRmax - HRrest)
o Age adjusted method: 220-age
§ 20-30 beats above RHR = require an actual measurement of Hrmax from your doctor
o Talk test is practical
… Recovery rate is still the best way to measure how well a heart is doing
o Return 10 beats from resting heart rate within 5 minutes after exercise - can take a little longer in older people
… Check with your doctor, listen to your body, relax and enjoy !
General comments from Gillian :
o Heart & other conditions must be stable and your doctor’s permission is essential before any exercise.
o We as bypass patients must not get complacent, after the operation
o People are more comfortable in water than in a gym
o Water walking (moving of arms and legs under water, as if walking) is sufficient exercise for cardiac patients.
o Get to know your body of what it can do, your resting heart beat, maximum & how quickly your heart beat returns to normal after exercise – any anomalies should be pointed out to your cardiologist or doctor.
o Don’t hold your breath when you pick up things.
o Remember with all exercise to warm up all your muscles, which includes your heart muscles.
o A program of two sets of 10 minutes three times a week is sufficient
o The pressure under the water pushes you Blood Pressure (BP) up.
o In order to realize what your maximum & minimum BP is subtract your age from 220 & multiple by 60% for the minimum and 75% for the maximum i.e. 220 – 60 = 160 * 75% = 120
o Don’t swim alone & not under water
o Rest, re-hydrate and rest.
Questions were raised by those present and the meeting was closed.
8. NEXT MEETING
The next meeting would be on Wednesday the 7th of May 2008 at the Executive Conference suite at the Entabeni Hospital at 17:00 for 17:30.
Complimentary drinks and snacks will be available, to club members.
The Impilo tablets will continue to be on sale at the meeting, but should you wish to secure an order, you can place your order with Shirley Piek. Thanks Shirley for providing this service to the members.
A guest speaker will be invited to come and share with the club in May, so please try & be there.
Issued by Shane Newman – 084 510 8738 or 031 708 5629 (after hours)
Chairman – Natal Bypass Club
……………………………………………………………..
Date : …………………………..
WEDNESDAY 5 MARCH 2008
AT ENTaBENI HOSPITAL
at 17:30
PRESENT:
Shane Newman (Chairperson)
Shirley Piek (Secretary)
As per attendance register
1. OPENING AND WELCOME
Shane Newman welcomed all present and asked everybody to stand for a minutes silence in remembrance of the late Chairman of the Natal Bypass Club Jack Piek who had passed away on the 22nd of February 2008, after a short illness.
2. APOLOGIES:
Chris O Flatery – departing for overseas on holiday/business
Neville & Sissy Farr – Sissy is recovering from a hip operation
John & Pat Rider
It was noted that the turn out to the meeting was poor, but also encouraging to note that Mr Dave Perry had traveled form Port Shepstone to attend the meeting – well done Dave on your commitment & enthusiasm shown.
3. IN ATTENDANCE:
Mrs Gillian Adams – Physiotherapist & guest speaker for the evening.
4. VISITATION REPORTS
4.1. St Augustines
There was no representative to give a report.
4.2. Entabeni
There was no representative to give a report.
4.3. Westville
Shane to make enquires from both St Augustines & Entabeni representatives to ensure that visits are being made and that there be some form of report back at the Bypass club meetings.
5. RAFFEL DRAW
The bottle of whiskey, which was donated by Shirley Piek, was won by George Barnes. Thank you Shirley.
6. GENERAL
6.1. Subs
Shane requested that if any members still have fees outstanding for 2008, that they please pay Shirley. The fee for 2008 is still R30 per person.
6.2. Election of Members
Shane mentioned that Jack Piek had requested before passing on that Shane take over the running of the club. Shane mentioned that Chris O’ Flattery (member) & Shirley Piek (secretary/treasurer) have made themselves available to assist him – thank you to both of these members. If there are any other members who feel that they would be available to contribute in the running of the club or have any concerns, they can please contact Shane.
6.3. Updating Membership Details
It was requested that each member check that their personal particulars were up to date and change accordingly, on the lists that were provided.
6.4. Election of Members
Those present were asked if the same venue as last year function (viz: Durban Country Club) should be booked again for November/December 2008. It was agreed and Shirley would make contact with DCC and make a booking.
7. GUEST SPEAKER
Gillian Adams is a UK Charted & SA Registered Physiotherapist with a special interest in hydrotherapy & fitness rehabilitation. She was awarded an honorary certificate in Aquasize Instruction by the SA Water Fitness Association in 1983 for her contribution to the promotion of water fitness in South Africa. Gillian has assisted with Cardiac rehabilitation Phase IV at two of NHS hospitals & attended 4 post graduate courses in hydrotherapy. She received her masters degree in Sports Medicine at RAU in 2004 & the subject of her research was the feasibility of cardiac rehabilitation in water, which she also presented at the International Society of Medical Hydrology Conference in Istanbul in June 2006.
Gillian proceeded to show two PowerPoint presentations, one being of particular interest to the members on hydrotherapy.
Some of the salient points from her presentation on Cardiac Considerations with Immersion were as follows :
… Pressure increases with depth. At 1 metre depth, pressure on ankles is 10% more than on the surface = double layer of tubigrip - Useful for those swollen ankles as this pressure assists blood back to the heart = Preload
… How does this affect exercise in water?
o The relevance concerns how the heart handles Preload
o Preload lying down = standing in water up to the waist, 130ml
o Immersion: 700ml fluid moves upwards in 6 seconds= approx 7 heartbeats: ¼ stored by the heart, the rest in the large thoracic veins and pulmonary circulation.
o The heart rate decreases
o The heart beats smarter, not harder
o Cardiac output increases 30%
… Guidelines for exercise in water:
o Heart condition must be STABLE
o Low & medium risk patients, ejection fraction >30%
o Chest depth is generally safe - (Severe MI and CHF can exercise UPRIGHT, no deeper than the xiphoid if sleeping flat can be tolerated)
o Gradual entry, don’t leap in or out!
o Rather not use step-up and down exercises (fluctuating preload and heart volume)
o Be aware of ‘masked’ angina
o Keep meds next to pool
o Talk test useful, exercise at 60-75%MHR (THT…)
o Swim if previously a swimmer, not alone
o Don’t swim underwater
o Avoid extreme water temperatures - below 16˚C Absolute Contra-Indication
o Rest in sight afterwards for 15 mins, recovery rate NB - Adrenal hormones are raised during vigorous exercise and take a little while to go back to normal. If the person with heart problems does not rest he may experience some irregularity of the heart beat and become distressed
… Calculation of Heart Rate - 4 methods:
o % true HRmax
o Karvonen: calculates Heart Rate Reserve and should use the true HRmax * tables available - (HRR = HRmax - HRrest)
o Age adjusted method: 220-age
§ 20-30 beats above RHR = require an actual measurement of Hrmax from your doctor
o Talk test is practical
… Recovery rate is still the best way to measure how well a heart is doing
o Return 10 beats from resting heart rate within 5 minutes after exercise - can take a little longer in older people
… Check with your doctor, listen to your body, relax and enjoy !
General comments from Gillian :
o Heart & other conditions must be stable and your doctor’s permission is essential before any exercise.
o We as bypass patients must not get complacent, after the operation
o People are more comfortable in water than in a gym
o Water walking (moving of arms and legs under water, as if walking) is sufficient exercise for cardiac patients.
o Get to know your body of what it can do, your resting heart beat, maximum & how quickly your heart beat returns to normal after exercise – any anomalies should be pointed out to your cardiologist or doctor.
o Don’t hold your breath when you pick up things.
o Remember with all exercise to warm up all your muscles, which includes your heart muscles.
o A program of two sets of 10 minutes three times a week is sufficient
o The pressure under the water pushes you Blood Pressure (BP) up.
o In order to realize what your maximum & minimum BP is subtract your age from 220 & multiple by 60% for the minimum and 75% for the maximum i.e. 220 – 60 = 160 * 75% = 120
o Don’t swim alone & not under water
o Rest, re-hydrate and rest.
Questions were raised by those present and the meeting was closed.
8. NEXT MEETING
The next meeting would be on Wednesday the 7th of May 2008 at the Executive Conference suite at the Entabeni Hospital at 17:00 for 17:30.
Complimentary drinks and snacks will be available, to club members.
The Impilo tablets will continue to be on sale at the meeting, but should you wish to secure an order, you can place your order with Shirley Piek. Thanks Shirley for providing this service to the members.
A guest speaker will be invited to come and share with the club in May, so please try & be there.
Issued by Shane Newman – 084 510 8738 or 031 708 5629 (after hours)
Chairman – Natal Bypass Club
……………………………………………………………..
Date : …………………………..
Minutes - Nov 2007
MINUTES OF THE NATAL BYPASS CLUB HELD AT THE ENTABENI HOSPITAL
ON WEDNESDAY THE 7 NOVEMBER 2007
1. PRESENT:
62 as per attendance register.
2. APOLOGIES:
Shane Newman, Chris O’Flaherty, Muriel Adams, Mr. Bodasingh, Muriel Flowers, Daphne Potage, Doug & Betty Paul, Errol Nuttall, Neil Mc Innes, Alex Jeffrey.
3. ANNUAL LUNCH DURBAN COUNTRY CLUB ON 18 NOVEMBER:
All arranged for approximately 60 members and guests. Please enquire upstairs or in foyer for venue.
Time: From 12 noon
4. TESTIMONIES FROM FIRST-TIMERS:
MIKE LEVERTO (65)
3 Years ago a femoral artery in his right leg was bypassed due to poor circulation. Everything was fine until 6 months ago when he developed cramp in the same leg. A stent was inserted but a cardiac angiogram revealed serious atheroma and a triple bypass was necessary. Unfortunately he suffered from internal bleeding after the operation and Mike had to return to theatre to rectify this. He is fine now.
JOHN HARBILAS (79)
He arrived from Greece to settle in S. Africa in 1955. This year whilst on holiday in Greece he suffered chest pains which required bypass surgery and 5 days in hospital. He has fully recovered.
5. VISITATION REPORTS:
As usual Shane Newman has submitted a detailed written report on all the patients’ pre & post-op he has
visited at Westville. We are grateful to Ron Masters who has kindly volunteered his services for St
Augustine’s and if time and opportunity are available, also Entabeni. Ron has received all the
necessary stationery and has commenced duties. We and many patients thank you most sincerely Ron.
6. GUEST SPEAKER: ESTIE SCHREINER: Is well known for her presentations on radio and for her public
addresses on health and how to ensure good eating habits by watching your diet. She was joined by her
mother Ilsa Schutte who is highly qualified in Homeopathy.
Estie was born and still lives in Drummond. She matriculated at the Gelofte School in Pinetown and has
made an intensive study of health and nutrition.
This was her message: For each individual WELLNESS has a different meaning but basically it consists of
the body striving to maintain a good balance. Let me explain: The body is made up of 75 trillion cells many
of which die and are re-generated every moment of your life. An exception is the brain where cells are not
regenerated. This process of cells dying and regeneration continues for life.
Now the question is, are depressed people well or do they become sick easily? Experience has shown that
sickness is often associated with mental attitude. Furthermore, this is associated with good nutrition i.e.
What you eat and drink. This is also associated with your immune system the cells of which are renewed
every 24 hours. For interest, red blood cells take longer and are renewed every 4 months as these have a
longer life span than the immune cells. The point here is, only one day can make a difference to your
system and you also need a healthy positive vibrant attitude to achieve and maintain good health. It has
been proven that laughter helps to promote this. Even forced laughter!
The most important element for life is oxygen. You must learn to breathe deeply through your tummy and
not your chest. Forced breathing should be 3 to 4 times per day. Most essential in the body is water which
comprises 75% of body weight.
The formula as regards the amount of water which you should drink is based on your age and consists of
AGE ÷ 10 + 2. In other words, you should drink 9 glasses of water per day if you are 70 years of age.
Water corrects the pH balance of the body which should hover between 7.36 & 7.40.
When blood becomes acid, you suffer cramp and more water is required.
Minerals cause high blood acidity but the chief cause is sugar.
The kidneys are the main organs which control the pH of your blood.
Viruses grow in an acidic medium. A blood / gas determination measures this.
When kidneys shut down, you die. To maintain the correct pH eat what God gave you; fruit, vegetables and nuts. This is real and not synthetic food! Fruit juice is a good life food. The best way to ingest a healthy blend of antioxidants, enzymes vitamins pH control and brain food is by juice extraction “Fruit juice has got LIFE!” Fruit cleanses, vegetables renews.
Following a healthy eating program will help to combat arthritis, skin problems, poor thought processes and other problems.
Far better to eat smaller quantities often (4 or 5 times per day) than 3 big meals.
SUPPLEMENTATION:
With pesticides and fertilizers, food (unless organically grown), has lost its flavour and nutritional properties and in an urban environment, we should rectify this with supplements. Here are three:
BIOSTRATH Elixer or tablets is a product which resulted from 46 years of research and is ideal to regulate the blood pH and promote good health. It does not contain vitamins which should be taken separately.
ECHINOFORCE: Should be taken daily to boost your immune system.
MULTIFORCE: Assists in regulating body pH. Finally, remember that medicines do not heal but your body does!
Conclusion: Estie was thanked most wholeheartedly by the members who peppered her with questions.
Finally: Estie added to our whiskey raffle by donating 5 very generous hampers containing the products which she mentioned in her entertaining and informative talk.
This concludes the meetings for 2007
The dates for the 2008 meetings are:
March 5th NOTE: The customary meeting in January has been postponed to March due
to the difficulty in finding a suitable speaker.
May 7th
July 2nd
September 3rd
Nov 5th
Wishing you and yours a joyous festive season and lots of good health for 2008.
Jack Piek
(Chairman)
ON WEDNESDAY THE 7 NOVEMBER 2007
1. PRESENT:
62 as per attendance register.
2. APOLOGIES:
Shane Newman, Chris O’Flaherty, Muriel Adams, Mr. Bodasingh, Muriel Flowers, Daphne Potage, Doug & Betty Paul, Errol Nuttall, Neil Mc Innes, Alex Jeffrey.
3. ANNUAL LUNCH DURBAN COUNTRY CLUB ON 18 NOVEMBER:
All arranged for approximately 60 members and guests. Please enquire upstairs or in foyer for venue.
Time: From 12 noon
4. TESTIMONIES FROM FIRST-TIMERS:
MIKE LEVERTO (65)
3 Years ago a femoral artery in his right leg was bypassed due to poor circulation. Everything was fine until 6 months ago when he developed cramp in the same leg. A stent was inserted but a cardiac angiogram revealed serious atheroma and a triple bypass was necessary. Unfortunately he suffered from internal bleeding after the operation and Mike had to return to theatre to rectify this. He is fine now.
JOHN HARBILAS (79)
He arrived from Greece to settle in S. Africa in 1955. This year whilst on holiday in Greece he suffered chest pains which required bypass surgery and 5 days in hospital. He has fully recovered.
5. VISITATION REPORTS:
As usual Shane Newman has submitted a detailed written report on all the patients’ pre & post-op he has
visited at Westville. We are grateful to Ron Masters who has kindly volunteered his services for St
Augustine’s and if time and opportunity are available, also Entabeni. Ron has received all the
necessary stationery and has commenced duties. We and many patients thank you most sincerely Ron.
6. GUEST SPEAKER: ESTIE SCHREINER: Is well known for her presentations on radio and for her public
addresses on health and how to ensure good eating habits by watching your diet. She was joined by her
mother Ilsa Schutte who is highly qualified in Homeopathy.
Estie was born and still lives in Drummond. She matriculated at the Gelofte School in Pinetown and has
made an intensive study of health and nutrition.
This was her message: For each individual WELLNESS has a different meaning but basically it consists of
the body striving to maintain a good balance. Let me explain: The body is made up of 75 trillion cells many
of which die and are re-generated every moment of your life. An exception is the brain where cells are not
regenerated. This process of cells dying and regeneration continues for life.
Now the question is, are depressed people well or do they become sick easily? Experience has shown that
sickness is often associated with mental attitude. Furthermore, this is associated with good nutrition i.e.
What you eat and drink. This is also associated with your immune system the cells of which are renewed
every 24 hours. For interest, red blood cells take longer and are renewed every 4 months as these have a
longer life span than the immune cells. The point here is, only one day can make a difference to your
system and you also need a healthy positive vibrant attitude to achieve and maintain good health. It has
been proven that laughter helps to promote this. Even forced laughter!
The most important element for life is oxygen. You must learn to breathe deeply through your tummy and
not your chest. Forced breathing should be 3 to 4 times per day. Most essential in the body is water which
comprises 75% of body weight.
The formula as regards the amount of water which you should drink is based on your age and consists of
AGE ÷ 10 + 2. In other words, you should drink 9 glasses of water per day if you are 70 years of age.
Water corrects the pH balance of the body which should hover between 7.36 & 7.40.
When blood becomes acid, you suffer cramp and more water is required.
Minerals cause high blood acidity but the chief cause is sugar.
The kidneys are the main organs which control the pH of your blood.
Viruses grow in an acidic medium. A blood / gas determination measures this.
When kidneys shut down, you die. To maintain the correct pH eat what God gave you; fruit, vegetables and nuts. This is real and not synthetic food! Fruit juice is a good life food. The best way to ingest a healthy blend of antioxidants, enzymes vitamins pH control and brain food is by juice extraction “Fruit juice has got LIFE!” Fruit cleanses, vegetables renews.
Following a healthy eating program will help to combat arthritis, skin problems, poor thought processes and other problems.
Far better to eat smaller quantities often (4 or 5 times per day) than 3 big meals.
SUPPLEMENTATION:
With pesticides and fertilizers, food (unless organically grown), has lost its flavour and nutritional properties and in an urban environment, we should rectify this with supplements. Here are three:
BIOSTRATH Elixer or tablets is a product which resulted from 46 years of research and is ideal to regulate the blood pH and promote good health. It does not contain vitamins which should be taken separately.
ECHINOFORCE: Should be taken daily to boost your immune system.
MULTIFORCE: Assists in regulating body pH. Finally, remember that medicines do not heal but your body does!
Conclusion: Estie was thanked most wholeheartedly by the members who peppered her with questions.
Finally: Estie added to our whiskey raffle by donating 5 very generous hampers containing the products which she mentioned in her entertaining and informative talk.
This concludes the meetings for 2007
The dates for the 2008 meetings are:
March 5th NOTE: The customary meeting in January has been postponed to March due
to the difficulty in finding a suitable speaker.
May 7th
July 2nd
September 3rd
Nov 5th
Wishing you and yours a joyous festive season and lots of good health for 2008.
Jack Piek
(Chairman)
Minutes - Sep 2007
MINUTES OF THE NATAL BYPASS CLUB HELD AT THE ENTABENI HOSPITAL
ON WEDNESDAY THE 12 SEPTEMBER 2007
PRESENT:
62 as per attendance register.
APOLOGIES:
Joan Perkins, Barnie Barnard, Pat Draper, Neville & Cissie Farr, Glen Bruton, Marie Leslie, Piet Schabort, Doug Tomes, Herman Davidson, Tony Schultz and G. Moodley.
ACKNOWLEDGEMENTS:
(a) Our sincere thanks to Leon & the Catering Staff of the Entabeni to once again stock the fridge with a comprehensive assortment of refreshments and also the snacks which were most welcome at this time of the day.
(b) Also to Chris O’Flaherty for the supply of red wine which helps us to operate within budget?
SPECIAL BIRTHDAYS:
To Doug Paul & Enid Phillips who celebrated their 80th birthdays on the 9th August. Welcome to the O.B.E. Club (Over Bloody Eighty!)
ANNUAL CLUB LUNCH:
Venue: Durban Country Club
Date: 18 November
Time From 12 noon
Dress: Casual, men no ties or shorts
Cost: R60 payable IN ADVANCE to: Natal Bypass Club and posted to:
J. Piek, 14 Furn Ridge, 1 Burne Crescent, GLENASHLEY 4051
Regret that only paid up reservations will be made.
From the list that was circulated it was clear that at least 90% of the members present would participate in the buffet lunch. As customary, members of the surgical, medical and catering staff will be invited. Guests of members are very welcome.
TESTIMONIES FROM FIRST-TIMERS:
JOAN GREGORY (74)
An enthusiastic Tennis player but engaged in a highly stressful occupation suffered cramping in her chest and breathlessness. Refused to accept that it could be heart-related and thought that physio would cure her problem particularly when an e.c.g. appeared normal. Nevertheless she was referred to a cardiologist when an angiogram revealed 4 partial blockages. These were successfully bypassed and Joan is taking Lipitor, Sectral and a diuretic post operatively.
“ISH” DURSEN (62)
Thought that his discomfort was due to ulcers but he also suffered pains across his chest which became progressively worse and culminated in a mild heart attack and from Parklands he was transferred to St. Augustine where he had a 4 way bypass in 1999 Very well now.
ENID PHILLIPS (80)
Suffered from severe hypertension at aged 76 and was consulted by Kevin O’Connell on a Friday and had a double bypass on the Monday. Unfortunately Enid also suffered a benign brain tumour which required 20 days altogether in hospital. She’s bright, chirpy and grateful now that it’s all behind her.
VISITATION REPORTS:
(a) St. Augustine’s: The bad news from our consultant Doug Tomes is that he has serious circulation problems in his one leg and has to withdraw from his duty at St. Augustine’s. PLEASE if any member is prepared to sacrifice one hour of his/her time per week please contact Jack and help him with this necessary and very rewarding dedication. Without a volunteer, Jack will have to attend to both hospitals which are not very close to Jack’s home. Thank you.
(b) Westville: Once again Shane Newman has been very very busy and has submitted a detailed written report to Jack. His devotion to his responsibility is most touching.
(c) Entabeni: Chris O’Flaherty has seen patients before their operation and this has been highly appreciated. Jack has received warm welcome from staff and patients.
GUEST SPEAKER: Dr. Kevin O’Connell.
As a well known cardiologist Kevin required no formal introduction and has addressed our club on several previous occasions. By way of introduction Kevin said that whereas there have been relatively few innovations, research with heart disease is still higher than any other.
As regards surgery probably the most dramatic recent innovation is Robotic surgery which can be performed by an operator many miles away from the bypass patient. The down side however is that it takes longer and that the system is too expensive to be affordable by most countries. Kevin described it as “gimmicky”.
There have been fairly dramatic improvements in valve replacements which can now be done sub-cutaneously i.e. through the groin as per angiograms and stents.
Kevin conceded that modern medical technology has had a marked effect on the Population Pyramid which has gone from the recognized pyramid shape with the maximum population of young people at the base leading to the apex comprising the elderly. This has changed to a “pyramid” with the sides sloping outwards! This has been caused in certain countries with negative population increases (growth).
Returning to surgery, the mid-cab operation where bypass surgery is performed on a beating heart with the incision made between the ribs, has fallen from favour due to the high level of pain compared to the sternum incision which however is considerably shorter than previously. Furthermore, the long incisions for the harvesting of the leg (saphenous) veins has made way for smaller and les drastic incisions.
Cardiology: There have been marked improvements in the use of stents. Years ago the solid stents tend to promote PLAQUE deposits. To a large extent these have been superseded by “chicken wire mesh” stents which have been further improved by locking in an anti-plaquing agent with a polymer which dissolves when in contact with bodily fluid. This has been extremely effective in prolonging the efficiency of stents in favour of invasive bypass surgery. It has also reduced the dosage of the anti-clotting agent Plavix from life-time to a much shorter period.
The cardio-vascular surgeon and cardiologist are a team and work very closely to decide on the best method to use in the case of cardio-artery disease.
Stents are being very successful in releasing blockages in other arteries such as in the legs and the carotid arteries leading to the brain.
Medicinal: Statins are widely used and have been proved to promote the best safety profile in the world. They are very safe and the most effective preventative in the reduction of cardio-vascular disease.
There is no validation that other preparations such as flaxseed oil have any benefits.
Heart disease per se is not genetically motivated but can influence the distribution of arterial disease.
50 – 60% of patients who have cardio or arterial disease have normal cholesterol.
C.T. Scans cannot possibly support the claim that they prevent heart attacks. The problem seems to be that hospitals try to justify their enormous capital cost (R1million) & R8000 per procedure, by promoting their use as a diagnostic tool. They cannot replace the tried and tested diagnosis resulting from stress tests (treadmill) and angiograms.
This concluded a most informative and entertaining presentation by Kevin O’Connell who was thanked by our usual prolonged applause.
The club is indebted to the very busy medical specialists who give of their valuable time graciously.
Jack Piek
(Chairman)
ON WEDNESDAY THE 12 SEPTEMBER 2007
PRESENT:
62 as per attendance register.
APOLOGIES:
Joan Perkins, Barnie Barnard, Pat Draper, Neville & Cissie Farr, Glen Bruton, Marie Leslie, Piet Schabort, Doug Tomes, Herman Davidson, Tony Schultz and G. Moodley.
ACKNOWLEDGEMENTS:
(a) Our sincere thanks to Leon & the Catering Staff of the Entabeni to once again stock the fridge with a comprehensive assortment of refreshments and also the snacks which were most welcome at this time of the day.
(b) Also to Chris O’Flaherty for the supply of red wine which helps us to operate within budget?
SPECIAL BIRTHDAYS:
To Doug Paul & Enid Phillips who celebrated their 80th birthdays on the 9th August. Welcome to the O.B.E. Club (Over Bloody Eighty!)
ANNUAL CLUB LUNCH:
Venue: Durban Country Club
Date: 18 November
Time From 12 noon
Dress: Casual, men no ties or shorts
Cost: R60 payable IN ADVANCE to: Natal Bypass Club and posted to:
J. Piek, 14 Furn Ridge, 1 Burne Crescent, GLENASHLEY 4051
Regret that only paid up reservations will be made.
From the list that was circulated it was clear that at least 90% of the members present would participate in the buffet lunch. As customary, members of the surgical, medical and catering staff will be invited. Guests of members are very welcome.
TESTIMONIES FROM FIRST-TIMERS:
JOAN GREGORY (74)
An enthusiastic Tennis player but engaged in a highly stressful occupation suffered cramping in her chest and breathlessness. Refused to accept that it could be heart-related and thought that physio would cure her problem particularly when an e.c.g. appeared normal. Nevertheless she was referred to a cardiologist when an angiogram revealed 4 partial blockages. These were successfully bypassed and Joan is taking Lipitor, Sectral and a diuretic post operatively.
“ISH” DURSEN (62)
Thought that his discomfort was due to ulcers but he also suffered pains across his chest which became progressively worse and culminated in a mild heart attack and from Parklands he was transferred to St. Augustine where he had a 4 way bypass in 1999 Very well now.
ENID PHILLIPS (80)
Suffered from severe hypertension at aged 76 and was consulted by Kevin O’Connell on a Friday and had a double bypass on the Monday. Unfortunately Enid also suffered a benign brain tumour which required 20 days altogether in hospital. She’s bright, chirpy and grateful now that it’s all behind her.
VISITATION REPORTS:
(a) St. Augustine’s: The bad news from our consultant Doug Tomes is that he has serious circulation problems in his one leg and has to withdraw from his duty at St. Augustine’s. PLEASE if any member is prepared to sacrifice one hour of his/her time per week please contact Jack and help him with this necessary and very rewarding dedication. Without a volunteer, Jack will have to attend to both hospitals which are not very close to Jack’s home. Thank you.
(b) Westville: Once again Shane Newman has been very very busy and has submitted a detailed written report to Jack. His devotion to his responsibility is most touching.
(c) Entabeni: Chris O’Flaherty has seen patients before their operation and this has been highly appreciated. Jack has received warm welcome from staff and patients.
GUEST SPEAKER: Dr. Kevin O’Connell.
As a well known cardiologist Kevin required no formal introduction and has addressed our club on several previous occasions. By way of introduction Kevin said that whereas there have been relatively few innovations, research with heart disease is still higher than any other.
As regards surgery probably the most dramatic recent innovation is Robotic surgery which can be performed by an operator many miles away from the bypass patient. The down side however is that it takes longer and that the system is too expensive to be affordable by most countries. Kevin described it as “gimmicky”.
There have been fairly dramatic improvements in valve replacements which can now be done sub-cutaneously i.e. through the groin as per angiograms and stents.
Kevin conceded that modern medical technology has had a marked effect on the Population Pyramid which has gone from the recognized pyramid shape with the maximum population of young people at the base leading to the apex comprising the elderly. This has changed to a “pyramid” with the sides sloping outwards! This has been caused in certain countries with negative population increases (growth).
Returning to surgery, the mid-cab operation where bypass surgery is performed on a beating heart with the incision made between the ribs, has fallen from favour due to the high level of pain compared to the sternum incision which however is considerably shorter than previously. Furthermore, the long incisions for the harvesting of the leg (saphenous) veins has made way for smaller and les drastic incisions.
Cardiology: There have been marked improvements in the use of stents. Years ago the solid stents tend to promote PLAQUE deposits. To a large extent these have been superseded by “chicken wire mesh” stents which have been further improved by locking in an anti-plaquing agent with a polymer which dissolves when in contact with bodily fluid. This has been extremely effective in prolonging the efficiency of stents in favour of invasive bypass surgery. It has also reduced the dosage of the anti-clotting agent Plavix from life-time to a much shorter period.
The cardio-vascular surgeon and cardiologist are a team and work very closely to decide on the best method to use in the case of cardio-artery disease.
Stents are being very successful in releasing blockages in other arteries such as in the legs and the carotid arteries leading to the brain.
Medicinal: Statins are widely used and have been proved to promote the best safety profile in the world. They are very safe and the most effective preventative in the reduction of cardio-vascular disease.
There is no validation that other preparations such as flaxseed oil have any benefits.
Heart disease per se is not genetically motivated but can influence the distribution of arterial disease.
50 – 60% of patients who have cardio or arterial disease have normal cholesterol.
C.T. Scans cannot possibly support the claim that they prevent heart attacks. The problem seems to be that hospitals try to justify their enormous capital cost (R1million) & R8000 per procedure, by promoting their use as a diagnostic tool. They cannot replace the tried and tested diagnosis resulting from stress tests (treadmill) and angiograms.
This concluded a most informative and entertaining presentation by Kevin O’Connell who was thanked by our usual prolonged applause.
The club is indebted to the very busy medical specialists who give of their valuable time graciously.
Jack Piek
(Chairman)
Minutes - July 2007
IMPORTANT!! PLEASE NOTE NEXT MEETING HAS BEEN MOVED TO SEPTEMBER 12TH
MINUTES OF THE NATAL BYPASS CLUB HELD AT THE ENTABENI HOSPITAL
ON WEDNESDAY THE 4 JULY 2007
PRESENT:
82 as per attendance register.
APOLOGIES:
Margaret Smith, Stuart and Carol McKay, Terry Levene, Richard Poulton, Ken Monckton, Morgan Pillay, Margaret Flowers.
DECEASED: We are saddened by the fatal heart attack suffered by Rolf Lorenz of Harburg and Jack has conveyed the Club’s condolences to his widow Carmen and our gratitude for the generous bequest to us.
SHANE NEWMAN: Jack thanked Shane for conducting the last meeting and taking the minutes. The good news is that yesterday Jack’s oncologist had studied his blood tests and x-rays and that he no longer requires any further chemotherapy. Jack thanked the many members for their support by way of visits, phone calls and prayers. On behalf of the Club, Herman Davidson expressed his joy on hearing the good news and welcomed Jack back.
SNACKS etc: For the very first time, snacks in the form of biltong, dried wors, peanuts and chips were included at the meeting to supplement the free drinks. There has been a change in the catering staff and Deon is now in charge. Jack thanked Chris O’Flaherty for his donation of a large bottle of red wine.
TESTIMONIES FROM FIRST-TIMERS:
NEVILLE FARR (64)
Felt “not too well” and was referred to Dr. David Gilmer by his G.P. An angiogram revealed 2 blocked arteries which were bypassed 28 days ago. He is fine now. Ironically his wife Cissy has had two triple bypasses!
ROD RAWSON (59)
Showed no symptoms such as angina, breathlessness etc. but decided it was nevertheless time that he had an ECG. This was abnormal and he was referred to Dr. O’ Connell. Following an angiogram Rod had a triple bypass. Fully recovered.
HILTON DIEHL (60)
Two years ago as he was leaving Kingsmead he suffered severe pain in his left arm which resulted from a blocked cardiac artery. This was bypassed and Hilton is back doing gym and watching his diet.
PETER OGDEN (60)
Always fit and a keen Health and Racquet gym member. Last year he thought the uneasy sensation in his chest was heartburn but as this persisted for 2 months he was referred to a cardiologist by his G.P and 3 blocked arteries were bypassed.
Peter’s problems arose from the 2 silent killer’s viz. high cholesterol and high blood pressure.
GARETH HARIES
Suffered chest pain whilst gardening and was diagnosed by Dr. David Gilmer as 3 blockages. These were bypassed successfully
VISITATION REPORTS:
Westville: As always Shane has been very busy and submitted a detailed report in which he highlighted
the reaction of certain of the 20 patients whom he visited. Entabeni: Chris O’Flaherty has stood in for Jack
and stressed the importance of seeing patients before and not only after surgery. St Augustine’s: No report
was forthcoming Jack will follow up.
.
RAFFLE:
Once again the raffle was very well supported with a record of R229 being realised. (This will more than
cover this evening’s snacks!) The whisky was won by Shane Newman who generously donated it to our
quest speaker which brings us to the highlight of the evening.
MR. ROBBIE KLEINLOOG: “Was critical” of being invited again but had to admit that the attendance was flattering with “standing room only” even with extra seating being provided. Robbie decided to show us a CD Rom of a heart valve replacement but the equipment which he brought could not operate satisfactorily and so he switch it off and decided on a questions and answers session instead. This proved more than satisfactory and the following subjects were discussed:.
Heart Valves: There are 2 main valves; the mitral valve between the heart chambers and the aortic valve
between the left ventricle and the aorta. This valve can be harvested from either specially bred and reared
pigs, or from synthetic materials or from stainless steel. The pros and cons for each were fully explained
and it was clear that the transplanted pig’s valves were the most favoured. (Quote: “However they don’t
breed special Kosher or Halaal Pigs!”) The symptoms of a faulty valve are lethargy and severe loss of
energy. The diameter of the aorta in an adult is 25 to 27 mms and the operation takes about 31/2 hours in
total. Although valves are foreign to the body, no rejection results due to there being no blood vessels.
Often blood thinning agents follow the operation and patients have to take Ecotrin or Warfarin which
prevents the stickiness and reduces the risk of blood clotting. Disprin does the same to a lesser degree.
Bypass Grafting: Before the internal mammary arteries were used, veins from the legs and sometimes
the arms were the only conduits used and these have not lasted as well. (There are exceptions and
venous grafting has been known to last for nearly 30 years). The reason is that arteries are able to take a
higher pressure as they are responsible for taking blood from the heart. Wheras veins take blood back
to the heart.
Key-Hole operations: are easily performed on organs such as gall bladders but not possible on a beating
heart. Even the mid-cab operation is losing favour and a full incision through the breast bone is much
preferred.
The surgery in South Africa is as good as anywhere in the world.
Sternum Wires: There is at present no better way to join the 2 halves of the breast bone together after
bypass surgery. About 2% do give problems such as infection or coming apart. This invariably happens to
female patients where the bone density is lower than in males.
Pins and needles: Some patients complain of pins and needles in their legs. The reason is that it is more
likely to be a shortage of an element such as Magnesium, than the result of the removal of the leg veins.
Aorta Replacement: Because of there being no blood supply to the aorta, it can be replaced with a
synthetic material such as Dacron.
Mr. Kleinloog was thanked for his excellent address and the sentiment was expressed that the questions
and answers which took the place of the electronic presentation turned out to be a blessing in disguise as it
gave members the opportunity to clarify many problems which they have experienced.
Jack Piek
(Chairman)
MINUTES OF THE NATAL BYPASS CLUB HELD AT THE ENTABENI HOSPITAL
ON WEDNESDAY THE 4 JULY 2007
PRESENT:
82 as per attendance register.
APOLOGIES:
Margaret Smith, Stuart and Carol McKay, Terry Levene, Richard Poulton, Ken Monckton, Morgan Pillay, Margaret Flowers.
DECEASED: We are saddened by the fatal heart attack suffered by Rolf Lorenz of Harburg and Jack has conveyed the Club’s condolences to his widow Carmen and our gratitude for the generous bequest to us.
SHANE NEWMAN: Jack thanked Shane for conducting the last meeting and taking the minutes. The good news is that yesterday Jack’s oncologist had studied his blood tests and x-rays and that he no longer requires any further chemotherapy. Jack thanked the many members for their support by way of visits, phone calls and prayers. On behalf of the Club, Herman Davidson expressed his joy on hearing the good news and welcomed Jack back.
SNACKS etc: For the very first time, snacks in the form of biltong, dried wors, peanuts and chips were included at the meeting to supplement the free drinks. There has been a change in the catering staff and Deon is now in charge. Jack thanked Chris O’Flaherty for his donation of a large bottle of red wine.
TESTIMONIES FROM FIRST-TIMERS:
NEVILLE FARR (64)
Felt “not too well” and was referred to Dr. David Gilmer by his G.P. An angiogram revealed 2 blocked arteries which were bypassed 28 days ago. He is fine now. Ironically his wife Cissy has had two triple bypasses!
ROD RAWSON (59)
Showed no symptoms such as angina, breathlessness etc. but decided it was nevertheless time that he had an ECG. This was abnormal and he was referred to Dr. O’ Connell. Following an angiogram Rod had a triple bypass. Fully recovered.
HILTON DIEHL (60)
Two years ago as he was leaving Kingsmead he suffered severe pain in his left arm which resulted from a blocked cardiac artery. This was bypassed and Hilton is back doing gym and watching his diet.
PETER OGDEN (60)
Always fit and a keen Health and Racquet gym member. Last year he thought the uneasy sensation in his chest was heartburn but as this persisted for 2 months he was referred to a cardiologist by his G.P and 3 blocked arteries were bypassed.
Peter’s problems arose from the 2 silent killer’s viz. high cholesterol and high blood pressure.
GARETH HARIES
Suffered chest pain whilst gardening and was diagnosed by Dr. David Gilmer as 3 blockages. These were bypassed successfully
VISITATION REPORTS:
Westville: As always Shane has been very busy and submitted a detailed report in which he highlighted
the reaction of certain of the 20 patients whom he visited. Entabeni: Chris O’Flaherty has stood in for Jack
and stressed the importance of seeing patients before and not only after surgery. St Augustine’s: No report
was forthcoming Jack will follow up.
.
RAFFLE:
Once again the raffle was very well supported with a record of R229 being realised. (This will more than
cover this evening’s snacks!) The whisky was won by Shane Newman who generously donated it to our
quest speaker which brings us to the highlight of the evening.
MR. ROBBIE KLEINLOOG: “Was critical” of being invited again but had to admit that the attendance was flattering with “standing room only” even with extra seating being provided. Robbie decided to show us a CD Rom of a heart valve replacement but the equipment which he brought could not operate satisfactorily and so he switch it off and decided on a questions and answers session instead. This proved more than satisfactory and the following subjects were discussed:.
Heart Valves: There are 2 main valves; the mitral valve between the heart chambers and the aortic valve
between the left ventricle and the aorta. This valve can be harvested from either specially bred and reared
pigs, or from synthetic materials or from stainless steel. The pros and cons for each were fully explained
and it was clear that the transplanted pig’s valves were the most favoured. (Quote: “However they don’t
breed special Kosher or Halaal Pigs!”) The symptoms of a faulty valve are lethargy and severe loss of
energy. The diameter of the aorta in an adult is 25 to 27 mms and the operation takes about 31/2 hours in
total. Although valves are foreign to the body, no rejection results due to there being no blood vessels.
Often blood thinning agents follow the operation and patients have to take Ecotrin or Warfarin which
prevents the stickiness and reduces the risk of blood clotting. Disprin does the same to a lesser degree.
Bypass Grafting: Before the internal mammary arteries were used, veins from the legs and sometimes
the arms were the only conduits used and these have not lasted as well. (There are exceptions and
venous grafting has been known to last for nearly 30 years). The reason is that arteries are able to take a
higher pressure as they are responsible for taking blood from the heart. Wheras veins take blood back
to the heart.
Key-Hole operations: are easily performed on organs such as gall bladders but not possible on a beating
heart. Even the mid-cab operation is losing favour and a full incision through the breast bone is much
preferred.
The surgery in South Africa is as good as anywhere in the world.
Sternum Wires: There is at present no better way to join the 2 halves of the breast bone together after
bypass surgery. About 2% do give problems such as infection or coming apart. This invariably happens to
female patients where the bone density is lower than in males.
Pins and needles: Some patients complain of pins and needles in their legs. The reason is that it is more
likely to be a shortage of an element such as Magnesium, than the result of the removal of the leg veins.
Aorta Replacement: Because of there being no blood supply to the aorta, it can be replaced with a
synthetic material such as Dacron.
Mr. Kleinloog was thanked for his excellent address and the sentiment was expressed that the questions
and answers which took the place of the electronic presentation turned out to be a blessing in disguise as it
gave members the opportunity to clarify many problems which they have experienced.
Jack Piek
(Chairman)
Minutes - May 2007
MINUTES OF THE NATAL BYPASS CLUB HELD AT THE ENTABENI HOSPITAL
ON WEDNESDAY THE 2 MAY 2007
1. INTRODUCTION
Shane Newman advised all present that he would be standing in for Jack Piek, who was not well, due to the chemotherapy he was receiving. Shane requested that all keep Jack in their prayers.
Shane also reminded all present that subs were due for 2007 and if members were not sure if they had paid or not, that they could phone Jack or Shirley Piek to find out.
Shane mentioned that the bottle of red wine had been donated by Jack Piek.
2. PRESENT:
As per attendance register.
3. APOLOGIES:
Dr Piet Schabort, Jack Piek, Tony & Faith Ries, Tony Human, Sam Wallace, Jimmy Bruce, Athol & Shirley Willet, Dave & Carol Parry, Stuart & Carol McKay and Ray & Gill Robinson .
4. TESTIMONIES FROM FIRST-TIMERS:
GEORGE ENSLIN (58)
On holiday at Graaff Reniet/Elliot and on a “Cabin Cruise” and when pulling in the anchor had a crushing pain – went to Mossel Bay and after continuing on medication for a month to control the angina, was eventually referred to Westville where a triple CABG was performed. He enjoys food, but with the help of his wife he is on a diet and walks 6 – 8 km a week. He thanked Keith Lourens for being his mentor and helper.
NEVILLE NICHOLSON (70)
Was busy working on his car and started getting pains in his chest and found that he was battling to get up steps. The angiogram revealed that he needed a triple bypass, as the attempt at inserting a stent was unsuccessful. Mr. Nicholson walks everyday to exercise.
SIDNEY NAIDOO (55)
Has a family history of early deaths in the family. At work found that he couldn't walk, without tiring quickly, felt as if he was choking and had not strength to perform his duties. Advised by doctor that his aorta was damaged. Had an angiogram which revealed that he needs a bypass, which was performed 4 weeks ago.
5. VISITATIONS:
Both representatives from Entabeni and St Augustines were not present to comment.
Shane Newman (Westville) advised that he had visited a total of 24 people patients at Westville hospital,
gave encouragement and advised them of what the Natal Bypass Club is all about.
6. RAFFLE:
The draw was won by Mrs. Shirley Piek.
7. PRESENTATION:
Due to the success of the response to our previous 2 videos, it had been arranged that the following videos would be watched:
1. “Angina. A Patients Guide” (15 Mins)
2. “Cholesterol on the Level” (20 Mins)
3. “You’re Life in Your Hands” (24 Mins)
The following video was shown first:
“Cholesterol on the Level”
Science was improving al the time, as medicine was improving all the time to reduce cholesterol and an optimistic approach needs to be drawn on by patients.
Cholesterol is a lipid which is a fatty substance and is essential for the well being of the body. Cholesterol is produced in the liver and is involved in the development of hormones and vitamin D in the body.
Cholesterol is a plaque that binds to the walls of arteries and with the decrease in the blood flow there is a decrease in the amount of oxygen in the blood and this leads to strokes or angina and eventually to a heart attack.
Patients need to have a low LDL (bad Cholesterol), below 3 mm/l, a High HDL (good cholesterol) above 1 mm/l, so as to have a total cholesterol level of below 5 mm/l, depending on the patient.
In order to have a cholesterol level below 5 mm/l patients need to watch the following:
♥ what fats they eat & how food is cooked – fried vs. grilled, etc
♥ No smoking
♥ Moderate or no alcohol intake
♥ Weight
♥ Exercise
♥ Blood pressure
Having a high cholesterol level is a result of eating foods with too much saturated fats or having heredity high cholesterol count.
The following are the type of fats found:
♥ Saturated fats - Animal fats – high LDL cholesterol
♥ Polysaturated fats – sunflower oils
♥ Monosaturated fats – olive oils, fish oils, etc – can lower LDL cholesterol
Advisable to look at labels on food products when buying, to determine the fat type and content. Need to eat a balanced diet.
Walking is regarded as a good form of exercise and it is recommended at least half an hour per day, one should have a brisk walk
“Angina". A patients Guide”
Angina is a stabbing pain in the chest, with nausea and sweating and is a warning from the human body that things are not right with the body.
One needs to be able to distinguish between angina or heart attack and a pain in the side which could be attributed to wind. With a heart attack the pain can spread down the left arm and into the back and is a distinct pain.
Arteriosclerosis is the build up of the fatty substance on the artery walls at around the age of 20 years and when a person is older this plaque “erupts” and this can cause a blockage and heart attack.
An ECG (electrocardiogram) measures the hearts rhythm & electrical activity and the doctor can see if there is a problem by means of an exercise test at the same time.
An Angiogram determines the extent of any damage in the arteries.
When angiogram performed GNT (Glycerine Nitrate) if given to reduce oxygen to the heart.
Patients can be come depressed and negative with stable angina, but the patients need to reassure themselves that there is life after treatment – stents can be used to open arteries or blockages can be bypass by an operation.
The members requested that the third video would be watched at another club meeting
Shane Newman
On behalf of Mr. Jack Piek
Chairman of the Natal Bypass Club
ON WEDNESDAY THE 2 MAY 2007
1. INTRODUCTION
Shane Newman advised all present that he would be standing in for Jack Piek, who was not well, due to the chemotherapy he was receiving. Shane requested that all keep Jack in their prayers.
Shane also reminded all present that subs were due for 2007 and if members were not sure if they had paid or not, that they could phone Jack or Shirley Piek to find out.
Shane mentioned that the bottle of red wine had been donated by Jack Piek.
2. PRESENT:
As per attendance register.
3. APOLOGIES:
Dr Piet Schabort, Jack Piek, Tony & Faith Ries, Tony Human, Sam Wallace, Jimmy Bruce, Athol & Shirley Willet, Dave & Carol Parry, Stuart & Carol McKay and Ray & Gill Robinson .
4. TESTIMONIES FROM FIRST-TIMERS:
GEORGE ENSLIN (58)
On holiday at Graaff Reniet/Elliot and on a “Cabin Cruise” and when pulling in the anchor had a crushing pain – went to Mossel Bay and after continuing on medication for a month to control the angina, was eventually referred to Westville where a triple CABG was performed. He enjoys food, but with the help of his wife he is on a diet and walks 6 – 8 km a week. He thanked Keith Lourens for being his mentor and helper.
NEVILLE NICHOLSON (70)
Was busy working on his car and started getting pains in his chest and found that he was battling to get up steps. The angiogram revealed that he needed a triple bypass, as the attempt at inserting a stent was unsuccessful. Mr. Nicholson walks everyday to exercise.
SIDNEY NAIDOO (55)
Has a family history of early deaths in the family. At work found that he couldn't walk, without tiring quickly, felt as if he was choking and had not strength to perform his duties. Advised by doctor that his aorta was damaged. Had an angiogram which revealed that he needs a bypass, which was performed 4 weeks ago.
5. VISITATIONS:
Both representatives from Entabeni and St Augustines were not present to comment.
Shane Newman (Westville) advised that he had visited a total of 24 people patients at Westville hospital,
gave encouragement and advised them of what the Natal Bypass Club is all about.
6. RAFFLE:
The draw was won by Mrs. Shirley Piek.
7. PRESENTATION:
Due to the success of the response to our previous 2 videos, it had been arranged that the following videos would be watched:
1. “Angina. A Patients Guide” (15 Mins)
2. “Cholesterol on the Level” (20 Mins)
3. “You’re Life in Your Hands” (24 Mins)
The following video was shown first:
“Cholesterol on the Level”
Science was improving al the time, as medicine was improving all the time to reduce cholesterol and an optimistic approach needs to be drawn on by patients.
Cholesterol is a lipid which is a fatty substance and is essential for the well being of the body. Cholesterol is produced in the liver and is involved in the development of hormones and vitamin D in the body.
Cholesterol is a plaque that binds to the walls of arteries and with the decrease in the blood flow there is a decrease in the amount of oxygen in the blood and this leads to strokes or angina and eventually to a heart attack.
Patients need to have a low LDL (bad Cholesterol), below 3 mm/l, a High HDL (good cholesterol) above 1 mm/l, so as to have a total cholesterol level of below 5 mm/l, depending on the patient.
In order to have a cholesterol level below 5 mm/l patients need to watch the following:
♥ what fats they eat & how food is cooked – fried vs. grilled, etc
♥ No smoking
♥ Moderate or no alcohol intake
♥ Weight
♥ Exercise
♥ Blood pressure
Having a high cholesterol level is a result of eating foods with too much saturated fats or having heredity high cholesterol count.
The following are the type of fats found:
♥ Saturated fats - Animal fats – high LDL cholesterol
♥ Polysaturated fats – sunflower oils
♥ Monosaturated fats – olive oils, fish oils, etc – can lower LDL cholesterol
Advisable to look at labels on food products when buying, to determine the fat type and content. Need to eat a balanced diet.
Walking is regarded as a good form of exercise and it is recommended at least half an hour per day, one should have a brisk walk
“Angina". A patients Guide”
Angina is a stabbing pain in the chest, with nausea and sweating and is a warning from the human body that things are not right with the body.
One needs to be able to distinguish between angina or heart attack and a pain in the side which could be attributed to wind. With a heart attack the pain can spread down the left arm and into the back and is a distinct pain.
Arteriosclerosis is the build up of the fatty substance on the artery walls at around the age of 20 years and when a person is older this plaque “erupts” and this can cause a blockage and heart attack.
An ECG (electrocardiogram) measures the hearts rhythm & electrical activity and the doctor can see if there is a problem by means of an exercise test at the same time.
An Angiogram determines the extent of any damage in the arteries.
When angiogram performed GNT (Glycerine Nitrate) if given to reduce oxygen to the heart.
Patients can be come depressed and negative with stable angina, but the patients need to reassure themselves that there is life after treatment – stents can be used to open arteries or blockages can be bypass by an operation.
The members requested that the third video would be watched at another club meeting
Shane Newman
On behalf of Mr. Jack Piek
Chairman of the Natal Bypass Club
Minutes - March 2007
MINUTES OF THE NATAL BYPASS CLUB HELD AT THE ENTABENI HOSPITAL
ON WEDNESDAY THE 7 MARCH 2007
1. PRESENT:
52 as per attendance register. Jack thanked Shane Newman for arranging the chairs.
2. APOLOGIES:
Muriel Adams, Ken Monckton, Tony & Faith Ries, Ron Masters, Colin Burness, Paddy McDowell, Chris O’Flaherty, Neville and Cissy Farr, Herman Davidson, Ronnie Naidoo, Doug Jones.
Our condolences to Beryl Ellis on the loss of her husband Dick a longstanding member of our Club
3. TESTIMONIES FROM FIRST-TIMERS:
ALLAN GILD (73)
Developed a bad cough on his return from a visit to Israel. Shortly after this, his nails and lips turned blue. His x-ray revealed his lungs had filled with fluid! He was referred to Westville Hospital where Dr. Matisson diagnosed a “silent heart attack”. An angiogram revealed 3 blocked coronary arteries. These were bypassed and a valve was replaced. The only after effects are Alan’s lengthy sleepiness at night.
STAN WAINSTEIN
Who gave his testimony at our meeting on the 10 January paid us an unexpected visit from the cardiac ward upstairs. He had 5 bypasses but developed a severe pain down his left arm which caused him to return to the Entabeni. Rob Dyer has found 2 blockages which should be bypassed but due to certain problems these cannot be done too easily. Stan is awaiting Robbie Kleinloogs opinion to-morrow. Good luck Stan!
4. VISITATIONS:
A special mention was made to Shane Newman who is assisting Tony Ries at Westville. His dedication
and sacrifice has resulted in many, many visits and recruitments from bypass patients. Shane, submitted
full details in a 3 page report.
.
5. RAFFLE:
Jack apologized for forgetting to bring the bottle of whisky to the meeting. It was suggested that in May
we should have a double draw!.
6. GUEST SPEAKER:
We were privileged to welcome Jenny Rivet looking as lovely as she did when she last spoke to us in March 2004.
By way of introduction she displayed several photographs, letters and even a tiny jersey which were all reminders of her very close 6 year relationship with H.R.H. Princess Diana.
After her address on her subject of health, Jenny entertained us with her experiences when she lived in London for 17 years and became well known personal trainer to many famous personalities such Liz Hurley, Michael Caine’s wife, Jeffrey Archer, Imra Kahn and Co.
She visited Kensington Palace three times a week as Diana’s personal trainer and was witness and privy to the turmoil and drama leading up to the untimely accident in Paris which took her life. Jenny has never and will never divulge any intimate details which Diana shared with her.
Jenny and her husband Freddy have built their dream house in Ballito where she runs a gym and wellness centre. Health, Diet, Exercise and Fitness: These were the subjects comprehensively covered by Jenny and here are a few observations which she made:
” It is easy to be fit and healthy if you put your mind to it.
There are far too many conflicting and confusing reports on getting fit.
The good news is that you do not have to join a gym.
Stretching correctly is essential and simple. Jenny has kindly given us this technique which I enclose with these minutes.
Correct breathing whilst exercising is important.
A 15 minute walk once a day has a cumulative effect in promoting fitness.
Put more effort into ordinary household and gardening chores and the calories will burn off.
DIET: Sugar is a killer and is worse than fat for putting on weight. Beware of packaged foods many of which will give an impression of being healthy because of their bran, dried fruit or nuts content etc. Very often sugar is also an ingredient.
To emphasize the amount of sugar that you ingest, put into a packet the same amount as you add to your tea, coffee or cereal etc, and look at it at the end of the day. “Beware of the Monday Diet”. This is a resolution to start dieting on a Monday. Leading up to this, you over-indulge all weekend and then after a few days of dieting without any measurable loss in weight, you revert to your old eating habits and once again resolve to start another diet on Monday.
The best way to lose weight is to adopt the 80/20 method: 80% of the right food and 20% of what you shouldn’t eat to lose weight.
Next followed a number of amusing excuses why people refuse to diet or exercise.
TIPS: Drink 1½ litres of water per day. To facilitate this, start with a 500ml bottle of water and drink this for 3 days. Next drink 500ml in the morning and 500ml in the evening for 3 to 54 days before you reach your goal of 1500ml per day.
Do not exceed 2-3 cups of coffee or tea per day. This excludes herbal, rooibos or green tea which you can drink to make up your 1½ litres. Apart from the caffeine in tea (not quite as much as in coffee) tea leaches the iron from your body.
Aim for 4 alcohol free evenings per week or limit your drinking to 1 tot of spirits or 1 glass of wine per evening.
Eat at regular intervals.
Take exercise seriously.
Pursue a low Glycaemic Index diet as this will avoid the highs and lows which are caused by high GI foods which result in spasmodic secretion of insulin. Eat as many raw, foods as you can.
Jenny’s entertaining thought provoking and practically possible suggestions to promote and sustain good health was met with our applause and for good measure the Club presented her with a bouquet of flowers.
FOOTNOTE:
1. We all wish Christine Jeffrey good pedaling when she cycles her first Cape Argus this week end.
2. My most sincere appreciation for all the cards, telephone calls and prayers following the surgery to remove a malignant tumour and the lobe of my left lung.
Jack Piek
Chairman
LATE FLASH: Have been unable to receive the stretching exercises in time to include them in these minutes. Hopefully they will be received prior to the next meeting for distribution to the members and will be included in our next minutes.
ON WEDNESDAY THE 7 MARCH 2007
1. PRESENT:
52 as per attendance register. Jack thanked Shane Newman for arranging the chairs.
2. APOLOGIES:
Muriel Adams, Ken Monckton, Tony & Faith Ries, Ron Masters, Colin Burness, Paddy McDowell, Chris O’Flaherty, Neville and Cissy Farr, Herman Davidson, Ronnie Naidoo, Doug Jones.
Our condolences to Beryl Ellis on the loss of her husband Dick a longstanding member of our Club
3. TESTIMONIES FROM FIRST-TIMERS:
ALLAN GILD (73)
Developed a bad cough on his return from a visit to Israel. Shortly after this, his nails and lips turned blue. His x-ray revealed his lungs had filled with fluid! He was referred to Westville Hospital where Dr. Matisson diagnosed a “silent heart attack”. An angiogram revealed 3 blocked coronary arteries. These were bypassed and a valve was replaced. The only after effects are Alan’s lengthy sleepiness at night.
STAN WAINSTEIN
Who gave his testimony at our meeting on the 10 January paid us an unexpected visit from the cardiac ward upstairs. He had 5 bypasses but developed a severe pain down his left arm which caused him to return to the Entabeni. Rob Dyer has found 2 blockages which should be bypassed but due to certain problems these cannot be done too easily. Stan is awaiting Robbie Kleinloogs opinion to-morrow. Good luck Stan!
4. VISITATIONS:
A special mention was made to Shane Newman who is assisting Tony Ries at Westville. His dedication
and sacrifice has resulted in many, many visits and recruitments from bypass patients. Shane, submitted
full details in a 3 page report.
.
5. RAFFLE:
Jack apologized for forgetting to bring the bottle of whisky to the meeting. It was suggested that in May
we should have a double draw!.
6. GUEST SPEAKER:
We were privileged to welcome Jenny Rivet looking as lovely as she did when she last spoke to us in March 2004.
By way of introduction she displayed several photographs, letters and even a tiny jersey which were all reminders of her very close 6 year relationship with H.R.H. Princess Diana.
After her address on her subject of health, Jenny entertained us with her experiences when she lived in London for 17 years and became well known personal trainer to many famous personalities such Liz Hurley, Michael Caine’s wife, Jeffrey Archer, Imra Kahn and Co.
She visited Kensington Palace three times a week as Diana’s personal trainer and was witness and privy to the turmoil and drama leading up to the untimely accident in Paris which took her life. Jenny has never and will never divulge any intimate details which Diana shared with her.
Jenny and her husband Freddy have built their dream house in Ballito where she runs a gym and wellness centre. Health, Diet, Exercise and Fitness: These were the subjects comprehensively covered by Jenny and here are a few observations which she made:
” It is easy to be fit and healthy if you put your mind to it.
There are far too many conflicting and confusing reports on getting fit.
The good news is that you do not have to join a gym.
Stretching correctly is essential and simple. Jenny has kindly given us this technique which I enclose with these minutes.
Correct breathing whilst exercising is important.
A 15 minute walk once a day has a cumulative effect in promoting fitness.
Put more effort into ordinary household and gardening chores and the calories will burn off.
DIET: Sugar is a killer and is worse than fat for putting on weight. Beware of packaged foods many of which will give an impression of being healthy because of their bran, dried fruit or nuts content etc. Very often sugar is also an ingredient.
To emphasize the amount of sugar that you ingest, put into a packet the same amount as you add to your tea, coffee or cereal etc, and look at it at the end of the day. “Beware of the Monday Diet”. This is a resolution to start dieting on a Monday. Leading up to this, you over-indulge all weekend and then after a few days of dieting without any measurable loss in weight, you revert to your old eating habits and once again resolve to start another diet on Monday.
The best way to lose weight is to adopt the 80/20 method: 80% of the right food and 20% of what you shouldn’t eat to lose weight.
Next followed a number of amusing excuses why people refuse to diet or exercise.
TIPS: Drink 1½ litres of water per day. To facilitate this, start with a 500ml bottle of water and drink this for 3 days. Next drink 500ml in the morning and 500ml in the evening for 3 to 54 days before you reach your goal of 1500ml per day.
Do not exceed 2-3 cups of coffee or tea per day. This excludes herbal, rooibos or green tea which you can drink to make up your 1½ litres. Apart from the caffeine in tea (not quite as much as in coffee) tea leaches the iron from your body.
Aim for 4 alcohol free evenings per week or limit your drinking to 1 tot of spirits or 1 glass of wine per evening.
Eat at regular intervals.
Take exercise seriously.
Pursue a low Glycaemic Index diet as this will avoid the highs and lows which are caused by high GI foods which result in spasmodic secretion of insulin. Eat as many raw, foods as you can.
Jenny’s entertaining thought provoking and practically possible suggestions to promote and sustain good health was met with our applause and for good measure the Club presented her with a bouquet of flowers.
FOOTNOTE:
1. We all wish Christine Jeffrey good pedaling when she cycles her first Cape Argus this week end.
2. My most sincere appreciation for all the cards, telephone calls and prayers following the surgery to remove a malignant tumour and the lobe of my left lung.
Jack Piek
Chairman
LATE FLASH: Have been unable to receive the stretching exercises in time to include them in these minutes. Hopefully they will be received prior to the next meeting for distribution to the members and will be included in our next minutes.
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