Haider Warraich
speaker
683 appearances
3 recordings
1 series
first heard Oct 2020
last heard Dec 2021
Haider Warraich’s voice in public audio — every appearance, attributed to the second.
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Appearances
We've trained our patients sometimes often very successfully and rightly to focus on the sodium and the potassium and the creatinine.
And these numbers gain this almost spiritual value in the patient's head where
you know, they feel that their entire well-being is tied to these numbers.
But I think part of what we need to put, part of what I often do is helping to shift the focus back on symptom relief, quality of life, and then just telling them that if you are volume overloaded, it doesn't matter to me what the creatinine is.
If I'm confident in my exam, and often the best way to, you know, this often comes up too, you know, how do we know if a patient's volume overloaded, checking the JVD, et cetera, et cetera.
Just ask the patient.
The patient lives in their body.
They know their body best.
I ask my patient, do you feel like you have extra fluid in your body?
And if they say yes, I just treat it.
I don't think I've
I love that.
And the responses that
get are pretty good?
They're very good.
They're really, really good.
Especially folks who've, I wish I could, this is going to be a study I would love to do.
But, you know, you have all these patients and we are twiddling our thumbs and we're thinking and we're putting them in all sorts of different angles.
And sometimes if I'm confused, instead of getting a right heart cath or looking at their IVC with an ultrasound probe, I'll just ask the patient, do you feel like you have extra fluid on board?
I first ask them, when you get extra fluid, where does it go?
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