Tuesday, May 29, 2012

The Battle Against Cholesterol – Chapter 6 (The Final Chapter, For Now)


Today will wrap up the mini-series about lipo-apheresis and cholesterol. There are no pictures, so previous warnings won’t be necessary except to say always discuss your medical situation with your doctors.

Kevin discovered in his mid 40s that his cholesterol had risen dramatically. He endured three heart attacks and an 85% blockage. He had a total of six stents installed over the past seven years. After all pharmaceutical avenues were exhausted, Kevin’s doctors enrolled him in lipo-apheresis treatments in an effort to control his cholesterol. The hope was apheresis would prevent any future heart attacks. 

Earlier this year, Kevin’s fistula matured and was ready to be used for the treatments. So far this year, he has had nine successful sessions. Each time he was treated, Kevin and Anthony were able to tweak settings so the treatments were more comfortable and took less time. After the fifth treatment using the fistula, Kevin discovered the lidocaine cream he used to numb his arm was actually causing mild nausea. He was frustrated since he still felt slightly queasy during the treatments. He researched lidocaine cream and did a few experiments by applying the cream when he did not have a treatment. He noticed he felt ill after about 30 minutes. When he washed the cream completely from his arm, the nausea subsided after 15 minutes. Since this discovery, he has stopped using the lidocaine cream. The needles hurt going in, but only for a few seconds.

During the past several months, Kevin also found a disturbing trend in his potassium level (thanks to one of his cardiac rehab nurses). To this day we still don’t have an exact answer for what caused the drop, but the suspicion is one of the newer medications or a combination of the medications. He ended up in the ER at one point because his levels had dropped too low, the supplements kicked in and caused a whipsaw effect. Thankfully he has stabilized and feels much better. The goal is to work with his cardiologist to get off some of the temporary meds he needed as a result of the small blockage from scar tissue around his latest stent.

Kevin has notified his doctors that he would be willing to participate in a study for patients with high cholesterol undergoing lipo-apheresis treatment. Our hope is the treatments will prevent any future heart attacks, and possibly reverse any existing plaque buildup in the arteries. Kevin still goes to his treatments every two weeks, and will continue to do so until medical science can create a drug that doesn’t cause debilitating side effects. We are both grateful for the fact that lipo-apheresis exists. Without it, the future was cloudy. With it, the days ahead are much brighter.

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