Both internal and external environments play a part for the human body in how we, as people, turn out either healthy or unhealthy in the nation that we live in and even as a world. External environments are the images of what makes up the nation or the planet earth at home including the outer space (a single entity in which air, water, and continents interrelate for mankind and more; but the important question is this: is it overall effective or not to life). Let’s take a metaphor in understanding this, an effective external environment for life is country life (ex. life in Virginia) for home/produce/life and an area of weather that is suitable for the human body as opposed to living in the North Pole (freezing ice cold) much more difficult to obtain an healthy external environment for the human body. The internal environment is referring to our minds and bodies which are primarily up to us, the people, in what we decide to be acceptable in how we live out our daily. Society determines what is considered ok as a habit and what is not, ending line how we treat ourselves daily. Yes drugs are not legal, so there are limitations (law). Thank God or we could be worse off with disease and illness in the U.S. Though we can control other things for example what we simple drink daily that can range from 1 can to a six pack of regular soda daily for some people (which equals high sugar content in the body) or using nutraSweet regularly (which can cause cancer), or even better-diet soda (Phenylketourics-Phenylalanine). Why is this on the soda can and what does that mean? It is to prevent a law suit since it can cause cancer. I could go on with unhealthy foods and drinks; ending line is we need to know what is in our foods and fluids we ingest, making smarts decisions on what we ingest and in how big a proportion from daily intake down to every meal you eat that day. To become a healthier nation to spread out into the world with living healthier habits in our daily living with occasional eating of things unhealthy could make a 360 turn in how our diseases and illnesses could go down in number.   There are diseases/illnesses in the top rank in the U.S. due to many with Obesity (Ex. leading to Diabetes II and even cardiac disease that can further lead you to a heart attack or even a stroke). To get out of unhealthy eating/dieting, with a little exercise daily or every other day (not necessarily work out but my hat is off to those who do) and keeping your weight in your body mass index would make a turn for you and so many others overtime. We have to start somewhere, just like technology did but this is much easier since we have the knowledge; it just has to be utilized (first from the home, into schools, into fast food joints to restaurants, to our government (who should not be the one deciding our health care system and insurance) and stricter rules through FDA (higher standards in what we eat). Put this all together and we call it SOCIETY. Remember society gives direction on what’s allowed in the community (simply t.v. to radio, what’s allowed in local restaurants, who are president is, and to what’s allowed in the house (mom and dad). We need to start nurturing our society a lot better (we don’t now). What will this do for the present couples, especially with children? It will make both age groups healthier with a better life and the same results for the future grand kids coming down the road. What will it do for you people single or just couples without children, like myself? It will give you all healthier lives and for all a change for the better in the percentage in diseases/illnesses (going down drastically) to the point of impacting our insurance costs in time for the better with how our health care system works (this wouldn’t be over night). We have to start somewhere. Let’s get our overall health to a point where we don’t need so much health care or the government to get involved deciding how our health care system runs but pay more attention to what is going on in wall street, wars we have to keep an eye on or even take part in looking into or getting our troops out of, etc… No matter if you are in a high or mid or low income bracket there are affordable foods that you can have in your diet with gradually increasing to 30 minutes of exercise daily or every other day in your life, of course in time. It’s just like watching TV, you just have to fit it in your life and in time it will become a regular part of your activities of daily living with not making you feel as if this is a burden but routine. If you want to live a longer life with helping to decrease disease in our country then make the move whether young, mid-age or even older. It is like a wound that our society over generations allowed to happen, in time. The ending result is 2/3 of our country is obese, do we want to continue making this wound larger? We already have caused a large number of obesity but like all wounds, time heals all wounds (if not completely than to a degree and in America’s case it’s a large one). We are now in a technology that knows what foods are high in fat, high in sugar, high in carbohydrates, high in calories, with what it can cause when foods like this are taken on a daily basis in all yours meals over a long period of time, which is obesity. We also know the ending result of obesity in based upon the kinetics of what it can create in the body, again overtime.   We are a stronger nation in all colors, races, ages, and sexes with knowing the knowledge of what to do.   Do you want a better fit body, family, grandchildren and even country than take the action NOW. For your goal in playing a part is one you need to be healthy or get healthier and without question you will feel better. Also, for the next decade & generation to be healthier it will help Americans in their lives all around (including our health care showing a spread of disease in lower percentage that is originally due to poor diet and activity choices by our people=again society’s choices, who are so important in helping to decide where the health of the present and future of the US people lie. America please help me turn this around. Should we let our government make the move on our health rather than us? Finally after so many years Obama’s health care law had to get involved because of the money aspect regarding Americans health took, taking a toll on our economy. I know I would want the people making the last move regarding our health care system, when we still have choices. If you care about this you would want to take part in joining me (at almost 50 y/o) to get healthier. If you are than go to healthyusa.tsfl.com and be a part of making our home a healthy USA with learning the knowledge of how to prevent or better treat your body even diagnosed if already diagnosed with obesity, coronary heart disease, diabetes II, high blood pressure, stroke, transient attack ischemia, and more). It is recommended to get clearance first from your M.D. if you decide to take this diet plan. How do we reach and stay at a healthy state in making our lives a grand ride on a roller coaster without falling off the track; and if we do fall off the ride (Ex. Have a trauma, like a back injury) if you have been healthy most or all your life the better the odds you will turn out. To reach that level internally we now all need to see what it is we are NOT doing best to our bodies regarding the daily habits of prevention (most significant factor) or regarding the habits of secondary-treating of disease or illnesses people have today (do you follow your diet, or are you compliant with taking your meds prescribed, etc…).   Prevention Habits would be stay fit (not necessarily a body builder fit), be ideal in your weight (BMI), eat and drink healthy, know good foods from bad foods, and practice healthy habits of living. If your at this healthy state already great and if you do unhealthy habits occasionally that is great also (Examples like eating Burger King, having shell fish, drinking alcohol and parting till 2am or so). If you need to learn how to reach this state or even learn how to stay in this level of health because of getting older or whatever the reason is than Dr. Anderson and myself as your coach can help you. Dr. Anderson through his book of “Dr. A’s Habits of Heath” and me as your health coach with take shape for life will teach you all about this. We can provide the knowledge, the foods you eat for 3 to 6mths to a couple of years, depending on what you want to lose; but in time you can even stop take shape for life and just buy healthier foods in the store using all 4 food groups (which the book reviews also with what foods in each group is the lean, leaner to the leanest and in what proportions).

I always say do anything legal in America within moderation and you should do fine but when we don’t negative feedback begins to start, which is what has happened to our country & even others with cancer, obesity, cardiac disease, diabetes, and more due to living on a regular basis unhealthy habits, poor activities of daily living and unhealthy normally in the diet So America let’s turn around for the better and join me. Take a peek at healthyusa.tsfl.com and check us out with guaranteed no hacking, no fee, no donation, or any BS. I hope I did shed light on someone and hope to hear from you soon. Thank you for reading at my blog and don’t hesitate with giving me your comments, they matter.

For your knowledge the top health problems in the USA are:

1-Heart disease Heart disease was the #1 disease affecting Americans in 2010. The World Health Organization’s (WHO) statistics showed 31.5% of women and 26.8% of men die of heart disease.

To prevent heart disease, become physically active, eat a heart healthy diet, and quit smoking.

2-Obesity Two-thirds of Americans are now either overweight or obese. Obesity has become an epidemic in the U.S. and leads to other diseases such as high blood pressure, hypertension, and diabetes. The best way to prevent obesity is through a well-balanced diet and physical activity.

3-Cancer The 2008 World Cancer Report predicted that deaths caused by cancers will nearly double by the year 2030. This means 27 million people will suffer from cancer by 2030 resulting in 17 million deaths every year. Experts believe the main culprit will be poor lifestyle choices. There are many forms of cancer, but limiting the intake of red meat and animal fat, exposure to the sun, alcohol intake, and knowing your family’s history can limit the risk of developing cancer.

4-Infectious disease Disease-causing germs such as bacteria, viruses, parasites or fungi spread diseases directly or indirectly from one person to the other – sexually transmitted diseases (STDs), HIV, etc. Infectious diseases are now the world’s biggest killer of children and young adults; they lead to 16.2% of worldwide deaths.  Simple things like washing your hands and preparing foods properly could prevent the chances of spreading infectious diseases.

5-Tuberculosis Around 2 million people die of tuberculosis (TB) every year. Researchers have shown almost one-third of the world’s population is infected with Mycobacterium tuberculosis, the bacteria that cause tuberculosis. The bacteria are spread through coughing and sneezing. Be sure to cover your mouth and wash your hands.

6-HIV/AIDS Nearly 25 million people have been infected with HIV/AIDS from 1981 to the present. According to the latest data from the Joint United Nations Program on HIV/AIDS (UNAIDS), an estimated 2.7 million people became newly infected with HIV in 2008, and 2 million people died of AIDS-related causes in 2008. Practicing safe sex and monogamy can prevent the chances of spreading or contracting HIV or AIDS. Your partner may look safe, but the only way to know the current status of yourself or your partner is by getting tested.

7-Lower respiratory tract infections Diseases of the lungs, such as pneumonia, kill more than 4 million people each year. Lower respiratory tract infections also include tuberculosis and whooping cough. Washing hands, and following a healthy diet and exercise routine will help keep the immune system strong in order to fight off infections.

8-Chronic obstructive pulmonary disease (COPD) COPD includes lung diseases that make breathing difficult. It is estimated that by 2020 it will be the third biggest killer in the world. Smoking is the most recognized cause for COPD but occupational exposure to dust, air pollution and certain inherited diseases have been known to cause the disease as well. Exercises built around strengthening your lungs, such as cardio, are a good way to prevent COPD.

9-Influenza An estimated 36,000 people die annually due to complications from influenza. Influenza, which is more commonly known as the flu, is a highly infectious disease that is caused by the influenza virus. Transmission of the disease is made through both airborne and physical contact. Hand-washing, covering coughs and sneezes, and avoiding people with the flu are a few ways to combat interception of the virus.

10-Depression Clinical depression is one of the most common mental illnesses; affecting more than 19 million Americans each year. Developing healthy habits such as not overworking, taking breaks, meditation, and exercise can help prevent depression.

As simple as it seems, a healthy diet, physical activity, and a well-balanced lifestyle can help to further prevent the onset of many diseases. Take control in 2013 and begin to live your best life now. 

According to the American Heart Association (AHA), more than one in three adult men has heart disease.

Knowing your own heart rate or pulse can be an important heart-health gauge.

American Heart Association

“In addition to relieving patient suffering, research is needed to help reduce the enormous economic and social burdens posed by chronic diseases such as osteoporosis, arthritis, diabetes, Parkinson’s and Alzheimer’s diseases, cancer, heart disease, and stroke.”

Ike Skelton (born December 20, 1931) is an American politician who was the U.S. Representative for Missouri’s 4th congressional district from 1977 to 2011)

Treatments for CHF:

Heart failure caused by an excessive workload is curable by treating the primary disease, such as anemia or thyrotoxicosis or hypertension or diabetes.  Also, curable are forms caused by anatomical problems such as a heart valve defect.  These defects can be surgically corrected.

However, for the common forms of heart failure due to damaged heart muscle no known cure (like a heart attack that damages the heart muscle where the attack took place on the organ) but prevention of it happening again can take place in many cases through treatment of the disease or illness with being compliant in following up with your doctor for the disease or illness and being compliant in following doctor’s orders.   The worst thing you can do is ignore them.  The treatment seeks to improve patients quality of life and length of survival through lifestyle change and drug therapy.

Patients can minimize the effect of heart failure by controlling the risk factors for heart disease they may have.  Obvious steps include:  Don’t smoke or quit smoking, lose weight if necessary, abstaining from alcohol, making those dietary changes to reduce the amount of salt and fat consumed.  Also, regular with modest exercise is also helpful for many patients; though the amount and intensity should be carefully monitored by a physician.

Even with lifestyle changes, most heart failure patients must take medication.  Many patients receive 2 or more meds.  Types of common medications given are:  ACE inhibitors, Digitalis, Diuretics, Hydralazine, and Nitrates.

These are some of the meds given for heart failure.   Not all medications are suitable for patients, and more than one drug may be needed.  Always review the list your pharmacist provides in the action, side effects, with instructions of how to take the drug to make it most effective in your body with what to look for while on this medication to keep you the patient most informed on what you should be aware of since your on the medication.  You should know what your taking.

Results of studies over the years have placed more emphasis on the use of drugs known as angiotensin converting enzymes (ACE) inhibitors.  Several studies have indicated that ACE inhibitors improve survival among heart failure patients and may slow perhaps even prevent the loss of the heart pumping activity.  This drug  prevents the transfer of your enzyme Angiotensin 1 to convert into Angiotensin 2 which prevents the vessels in your body to do vasoconstriction which prevents the pressure in the bloodstream to raise = high B/P (hypertension) but this medication prevents this from happening.  By the medication doing this it prevents stress to the heart; with vasoconstriction in causing the B/P to go high this now causes the  blood to get to the heart slowly and more difficult causing the heart to pump harder but the ACE inhibitor with allowing vasodilation (opening of vessels) keeps the pressure down to make the job easier= less stress on the heart.  Originally these medications where for patients in the treatment of hypertension but they help patients with heart failure, among other things, decreasing the pressure inside the blood vessels causing the heart to do its job easier.

Digitalis increases the force of the heart’s contractions, helping to improve circulation in the body.

Diuretics are for reducing the amount of fluid in the bloodstream and body by releasing them via the kidneys and having us void the excess of water out in our urine, these are useful for patients with fluid retention.

Those who aren’t prescribed or cannot take these meds already mentioned may be given a hydralazine medication and/or a drug in the Nitrate classification, each of which help relax tension in the blood vessels to improve blood flow.  Also, both Hydralazine and Nitrates function is they cause vasodilation in the vessels improving blood flow to the heart.

Sometimes heart failure is life threatening.  Usually, this happens when drug therapy and lifestyle changes fail to control its symptoms. In such cases, a heart transplant may be the only treatment option. However, candidates for transplantation often have to wait months or even years before a suitable donor heart is found.

Studies over the years indicate that some transplant candidates improve during this waiting period through drug treatment and other therapy, and can be removed from the transplant list.

Transplant candidates who do not improve sometimes need mechanical pumps, which are attached to the heart.  Called left ventricular assist device (LVADs), the machine takes over part or virtually all of the heart’s blood-pumping activity.  However, current LVADs are not permanent solutions for heart failure but are considered bridges to transplantation. Worldwide, about 3,500 heart transplants were performed annually. The vast majority of these are performed in the United States (2,000-2,300 annually). Cedars Sinai Medical Center in Los Angeles, California has performed the most heart transplants in the last three consecutive years performing 95 transplants in 2012 alone. About 800,000 people have a Class IV heart defect indicating a new organ.  The degrees of CHF are I, II, III and IV.  In learning more about CHF with heart transplants (including becoming a candidate for one) go to wwwtransplantexperience.com or even hearttransplant.com.

Another surgical procedure for heart failure that is available in America is cardiomyoplasty.  This is a surgical procedure in which healthy muscle from another part of the body is wrapped around the heart to provide support for the failing heart.  A special pacemaker is implanted to make the skeletal muscle contract.

Complications of CHF:

Through the Mayo clinic as a reference regarding complications their website stated: “If you have heart failure, your outlook depends on the cause and the severity, your overall health, and other factors such as your age. Complications can include:

• Kidney damage or failure. Heart failure can reduce the blood flow to your kidneys, which can eventually cause kidney failure if left untreated. Kidney damage from heart failure can require dialysis for treatment.
• Heart valve problems. The valves of your heart, which keep blood flowing in the proper direction through your heart, may not function properly if your heart is enlarged, or if the pressure in your heart is very high due to heart failure.
• Liver damage. Heart failure can lead to a buildup of fluid that puts too much pressure on the liver. This fluid backup can lead to scarring, which makes it more difficult for your liver to function properly.
• Stroke. Because blood flow through the heart is slower in heart failure than in a normal heart, it’s more likely you’ll develop blood clots, which can increase your risk of having a stroke.Tips on CHF:Closely follow your doctor’s instructions, being compliant with the instructions and taking your meds.Control your weight in making it easier for your heart, that’s in failure, to function better (less stress).Limit or stop alcohol consumption as your doctor informs you.The best defense against heart failure is PREVENTION!  Almost all the cardiac risk factors can be controlled by eliminating the bad unhealthy habits (smoking, obese, high cholesterol, high B/P, diabetes).
• Going to the doctor can be stressful but know he is there for you.  It is hard to remember everything you want to ask the doctor with everything you hear at your visit.  It helps to prepare a list of questions you may have and bring it with you at your appointment to address to the concerns you listed to the doctor.  In doing this it helps you with your appointment so you can record the answers by listing them on the paper you have.  Before you leave the doctor’s office, be sure you understand your condition, its treatment, including any medications your taking this doctor that he or sheprescribed for you with that doctor knowing any other medications you may be on through a different doctor to prevent side effects or adverse reactions occurring but if you forget this about the medications there is always your pharmacist you can ask, than your personal M.D. later.  With you knowing all this information you will see why it is so vital for you doing all these actions or interventions for your disease that your doctor prescribed or ordered and you’re more out to follow them as well with understanding the whole picture about the treatment for CHF.
• Of course, stop smoking permanently if actively smoking.
• Watch what you eat and how much.  Watch the diet intake of cholesterol and sodium that can cause a negative impact on the heart by causing stress to the organ through either high B/P=high sodium intake that causes vasoconstriction or high cholesterol intake frequently that commonly causes blockage in an artery.  Both high sodium or high cholesterol cause diminishing of oxygenated blood getting to the heart.  Without oxygen to our tissues or cells this causes tissue & cellular starvation (ischemia).  What is starvation to the heart=ischemia to the heart=chest pain (what we call angina).  Take a brittle diabetic, the furthest area from the heart is the feet the first area to experience starvation is the toes, foot or lower extremity which is why this is usually the first to be amputated if necessary (you usually see an upper extremity amputated due to trauma not disease).
• Immediately call your doctor of any significant change in your condition, such as an intensified shortness of breath or swollen feet or weight gain of 3lbs or more within one week.
• See your doctor regularly in evaluating your CHF.
• Some people’s symptoms and heart function will improve with proper treatment. However, heart failure can be life-threatening. People with heart failure may have severe symptoms, and some may require heart transplantation or support with an artificial heart device.”

If you are needing any guidance in how to lose weight through using all 4 food groups, with assistance in what to eat now to lose weight till you are in therapeutic range for your height rather than eating food from the market or if you need to understand how the body works with food and metabolism with where activity comes into play go to healthyusa.tsfl.com.  See what we can provide you in answering all these questions for you through Dr. Anderson and myself as your coach free.  SO LIVE AS HEALTHY AS POSSIBLE IN YOUR ROUTINE HABITS,  YOUR DIETING OF THE 4 FOOD GROUPS, MAINTAINING YOUR WEIGHT IN A THEREPEUTIC RANGE (look as calculating BMI online for free to find out what your weight range for your height is), and BALANCING REST WITH EXERCISE TO HELP DECREASE THE CHANCE OF GETTING HEART FAILURE.  Join me like many who are trying to live life healthier with making America a healthier home and we all should take part to help the health care system to be more effective for our society.  Recommended to anyone with disease before changing your diet, activity/exercise program review your changes with your doctor to get clearance first to maintain your safety.

We can fulfill this goal, the one step America is by getting healthier (through diet, exercise, and living healthier habits) which would impact cardiac disease by decreasing it in time which would decrease congestive heart failure. Learn more about CHF on striveforgoodhealth.com with learning how to reach this goal. Let us the people of America take part on decreasing disease and not just leave it the health care or government’s hands. Look at the results already and we the society need to take be responsible in being better for ourselves, our children and our future generations.

“God often uses desperate moments to wake us up. Only when things start to fall apart do we finally open our eyes.”
― Kyle Idleman, AHA: The God Moment That Changes Everything

Part 2 Congestive Heart Failure:Signs & Symptoms and diagnosing.

Heart failure can be ongoing (chronic), or your condition may start suddenly (acute).

Heart failure signs and symptoms may include:

• Shortness of breath (dyspnea) when you exert yourself or when you lie down
• Fatigue and weakness
• Swelling (edema) in your legs, ankles and feet
• Rapid or irregular heartbeat
• Reduced ability to exercise
• Persistent cough or wheezing with white or pink blood-tinged phlegm
• Increased need to urinate at night
• Swelling of your abdomen (ascites)
• Sudden weight gain from fluid retention
• Lack of appetite and nausea
• Difficulty concentrating or decreased alertness
• Sudden, severe shortness of breath and coughing up pink, foamy mucus
• Chest pain if your heart failure is caused by a heart attack
• To diagnose heart failure, your doctor will first ask you questions about your medical symptoms and history. Your doctor will want to know:

• if you have any other health conditions such as diabetes, kidney disease, angina, high blood pressure, or other heart problems.
• if you smoke
• if you drink alcohol and how much you drink
• what medications you are taking 
• Your doctor will also perform a complete physical exam. Your doctor will look for signs of heart failure as well as any other illnesses that may have caused your heart to weaken.

I saw many people who had advanced heart disease and I was so frustrated because I knew if they just knew how to do the right thing, simple lifestyle and diet steps, that the entire trajectory of their life and health would have been different.