CSMLSM
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Can this simple treatment transform patients with POTS and Long COVID? - YouTube
Dr Sanjay Gupta
York Cardiology Aug 7, 2022. 23.13min
This video will be of interest to POTS, Dysautonomia, Long Covid, ME/CFS, HPA axis dysfunction/adrenal issues patients.
Start- What is POTS, how POTS is not really a diagnosis, talks of what he hears from his patients, goes over symptoms and how all symptoms of POTS is not covered by a POTS diagnosis and how he believes that dysautonomia better describes POTS patients symptoms. That a disequilibrium between the flight and fight systems (HPA axis) and the rest and digest (cannabinoids) systems is going on. How patients spend most of the time in flight or fight and very little in rest and digest, so always wired and tired.
2.32min- How do patients develope POTS. Genetic vulnerabilities/susceptibilities exist then usually an infection uncovers the vulnerability and then symptoms start to develope.
3.18min- Suggests that long covid is similar to POTS and puts forward the argument that they are the same condition.
3.42min- Why he says they are essentially the same condition.
5.56min- Usual optimal management for POTS patients.
7min- Talks about an intervention that can be transformative for some patients. Regular intravenous saline infusions.
7.21min- Begins to explain symptoms and how certain things can make the symptoms worse. Why patients have symptoms and how these are normally addressed and how saline infusions can help more. Blood pressure, thirst, electrolytes/lack of salts, this is how saline infusions come into the picture.
11.12min- Limitations of and how saline infusions improve POTS/Post Viral Dysautonomia symptoms.
11.35min- Is there any evidence for repeated saline infusions in POTS, talks about some research by Blair Grub from Toledo- 2017 Effects of intravenous saline infusion in patients with medication refractory POTS. Only 4 out of 57 did not feel they had benefited from saline infusions, the rest reported benefit across all domains of quality of life assessments. Most reported immediate improvement that lasted up to 3 days after the infusion. Many gained enough improvement to do things like physio that then further improved symptoms. In fact many could eventually discontinue the saline infusions and importantly there was no major adverse events from the intravenous saline.
Effects of intermittent intravenous saline infusions in patients with medication-refractory postural tachycardia syndrome - PubMed (nih.gov)
13.28min- Talks of no further research by others and that this is likely due to no money in giving saline infusions for patients symptom management. In his words 'its as cheap as chips'.
13.52min- Talks of benefits of this for patients and how he was keen to try this with his patients. How he found it difficult to persuade the NHS to fund this treatment. Talks of the reasons such as outdated wrong attitudes towards POTS patients and how current advice is just not good enough from doctors currently. How only when a patient of his wrote to his MP about the intervention, was he able to give this to patients following a letter to him by said MP saying that on humanitarian grounds it should be given to this person as she struggles so much and is missing out on life. This then allowed more patients to be prescribed it.
16.53min- Talks about approx 30 of his worse POTS patients he is treating with the saline infusions and the results of this. How the vast majority have found this simple intervention transformative.
17.39min- Feedback from patients in their own words.
I really like this guy!
What I believe... - YouTube
Why magnesium is so good for you - YouTube
Which magnesium should i take? - YouTube
Heart palpitations: Proof that magnesium works for ectopic heart beats - YouTube
Dr Sanjay Gupta
York Cardiology Aug 7, 2022. 23.13min
This video will be of interest to POTS, Dysautonomia, Long Covid, ME/CFS, HPA axis dysfunction/adrenal issues patients.
Start- What is POTS, how POTS is not really a diagnosis, talks of what he hears from his patients, goes over symptoms and how all symptoms of POTS is not covered by a POTS diagnosis and how he believes that dysautonomia better describes POTS patients symptoms. That a disequilibrium between the flight and fight systems (HPA axis) and the rest and digest (cannabinoids) systems is going on. How patients spend most of the time in flight or fight and very little in rest and digest, so always wired and tired.
2.32min- How do patients develope POTS. Genetic vulnerabilities/susceptibilities exist then usually an infection uncovers the vulnerability and then symptoms start to develope.
3.18min- Suggests that long covid is similar to POTS and puts forward the argument that they are the same condition.
3.42min- Why he says they are essentially the same condition.
5.56min- Usual optimal management for POTS patients.
7min- Talks about an intervention that can be transformative for some patients. Regular intravenous saline infusions.
7.21min- Begins to explain symptoms and how certain things can make the symptoms worse. Why patients have symptoms and how these are normally addressed and how saline infusions can help more. Blood pressure, thirst, electrolytes/lack of salts, this is how saline infusions come into the picture.
11.12min- Limitations of and how saline infusions improve POTS/Post Viral Dysautonomia symptoms.
11.35min- Is there any evidence for repeated saline infusions in POTS, talks about some research by Blair Grub from Toledo- 2017 Effects of intravenous saline infusion in patients with medication refractory POTS. Only 4 out of 57 did not feel they had benefited from saline infusions, the rest reported benefit across all domains of quality of life assessments. Most reported immediate improvement that lasted up to 3 days after the infusion. Many gained enough improvement to do things like physio that then further improved symptoms. In fact many could eventually discontinue the saline infusions and importantly there was no major adverse events from the intravenous saline.
Effects of intermittent intravenous saline infusions in patients with medication-refractory postural tachycardia syndrome - PubMed (nih.gov)
13.28min- Talks of no further research by others and that this is likely due to no money in giving saline infusions for patients symptom management. In his words 'its as cheap as chips'.
13.52min- Talks of benefits of this for patients and how he was keen to try this with his patients. How he found it difficult to persuade the NHS to fund this treatment. Talks of the reasons such as outdated wrong attitudes towards POTS patients and how current advice is just not good enough from doctors currently. How only when a patient of his wrote to his MP about the intervention, was he able to give this to patients following a letter to him by said MP saying that on humanitarian grounds it should be given to this person as she struggles so much and is missing out on life. This then allowed more patients to be prescribed it.
16.53min- Talks about approx 30 of his worse POTS patients he is treating with the saline infusions and the results of this. How the vast majority have found this simple intervention transformative.
17.39min- Feedback from patients in their own words.
I really like this guy!
What I believe... - YouTube
Why magnesium is so good for you - YouTube
Which magnesium should i take? - YouTube
Heart palpitations: Proof that magnesium works for ectopic heart beats - YouTube
