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With regard to long-term management, you heard a lot this morning and I don’t want to be redundant, however I do want to reinforce the thoughts about lifestyle. I think that a very pertinent point was mentioned and I want to reinforce that point, and that’s; when all this technology is swirling around the patient, as far as what has happened to the patient, how their lifestyle is going to be altered, how we want to talk about exercise and rehab and medication, I think that the underlying insidious onset of depression really needs to be addressed. On more than one occasion I’ve had a patient say, “What exactly happened? What did I do wrong here?” I think that that’s one facet of the ongoing care that we need to pay close attention to. You’ve heard about the use of long-term beta-blockers, ACE inhibitors, and I think it’s our job to make sure the patient understands what the implications are for longevity, and the importance of continuing to take their medication.
Cialis Professional
Calcium channel blockers; right now I consider this to be so uncertain that I really don’t include that in my post-MI patients, as far as their long-term management. I think that we have other medications that are more proven and time-tested and until we hear otherwise on a definitive basis, I personally tend to stay away from the calcium channel blockers for long-term management. Anti-platelet therapy is very important. You heard a little bit about the Plavix, which is now percolating down into our office, as far as a platelet inhibitor. It may have a small significance, a small and probably significant better profile than aspirin. However, it’s a lot more expensive. Aspirin is readily available. Everybody knows how to take it. It’s out there and I’m not sure it’s all that significant as far as long-term management with our patients. I think that we should never forget the benefit of Coumadin. We have a lot of patients out there that are in atrial fibrillation. They need to be at least evaluated to see if Coumadin 1 mg online therapy is appropriate for them, whether or not they have underlying co-morbid conditions that prevent the use of Coumadin, whether they will be able to take it correctly, if they will be able to come and get checked so that we don’t over-coagulate or under-coagulate them. That’s one of the medications that I think is still significantly underused and it’s based basically on the fear of the practitioner, as far as making sure the Coumadin is used correctly.