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As I was researching information for this letter, I looked no further than some of the files that I have saved over the past three years. As it turns out, a lot of what I've kept has to do with caregiving. One of the recent statistics I found says there are over 45 million caregivers in the United States, a rather large number. A common thread among all caregivers, not just those of us who are or have been caring for someone with LBD, is the need for taking care of oneself. One of the best reminders of that is embodied in the Caregivers Bill of Rights. As a reminder to all, here it is: I have the right . other difficult feelings occasionally. To reject any attempts by my loved one either conscious or unconscious ; to manipulate me through guilt, and or depression. To receive consideration, affection, forgiveness, and acceptance for what I do from my loved one for as long as I offer these qualities in return. To take pride in what I accomplishing and to applaud the courage it has sometimes taken to meet the needs of my loved one. To protect my individuality and my right to make a life for myself that will sustain me in the time when my loved one no longer needs my full-time help. wear down a person and their ability to function and think clearly. Without being able to take the time to care for themselves, they're setting the wheels in motion for their own health to decline through stress, depression and a host of other ailments that inhibit their ability to properly care for their loved one.
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6. McCarthy PM. Ventricular remodeling: hype or hope? Nat Med 1996; 2: 859 Angelini GD, Pryn S, Mehta D, et al. Left-ventricular-volume reduction for end-stage heart failure. Lancet 1997; 350: 489. Batista RJ, Verde J, Nery P, et al. Partial left ventriculectomy to treat end-stage heart disease. Ann Thorac Surg 1997; 64: 634 Bocchi EA, Bellotti G, Vilella de Moraes A, et al. Clinical outcome after left ventricular surgical remodeling in patients with idiopathic dilated cardiomyopathy referred for heart transplantation: short-term results. Circulation 1997; 96 Suppl II: II-16572. 10. McCarthy PM, Starling RC, Wong J, et al. Early results with partial left ventriculectomy. J Thorac Cardiovasc Surg 1997; 114: 755 McCarthy JF, McCarthy PM, Starling RC, et al. Partial left ventriculectomy and mitral valve repair for end-stage congestive heart failure. Eur J Cardiothorac Surg 1998; 13: 337 Costanzo MR, Augustine S, Bourge R, et al. Selection and treatment of candidates for heart transplantation. A Statement for health professionals from the Committee on Heart Failure and Cardiac Transplantation of the Council on Clinical Cardiology, American Heart Association. Circulation 1995; 92: 3593 Torre-Amione G, Kapadia S, Benedict C, Oral H, Young JB, Mann DL. Proinflammatory cytokine levels in patients with depressed left ventricular ejection fraction: a report from the Studies Of Left Ventricular Dysfunction SOLVD ; . J Coll Cardiol 1996; 27: 1201 Diggle DJ, Liang KY, Zeger SL. Analysis of Longitudinal Data. New York: Oxford Science Publications, 1994. 15. Starling RC, McCarthy PM. Partial left ventriculectomy: sunrise or sunset? Eur J Heart Failure 1999; 1: 3137. Franco-Cereceda A, McCarthy PM, Blackstone EH, et al. Part left ventriculectomy is not an alternative to transplantation in end-stage cardiac failure patients with idiopathic dilated cardiomyopathy. J Thorac Cardiovasc Surg. In Press. 17. Fonarow GC, Stevenson LW, Walden JA, et al. Impact of a comprehensive heart failure management program on hospital readmission and functional status of patients with advanced heart failure. J Coll Cardiol 1997; 30: 72532. Leier CV. Cardiomyoplasty: is it time to wrap it up? J Coll Cardiol 1996; 28: 11812. Gorcsan J 3rd, Feldman AM, Kormos RL, Mandarino WA, Demetris AJ, Batista RJ. Heterogeneous immediate effects of partial left ventriculectomy on cardiac performance. Circulation 1998; 97: 839 Popovic Z, Miric M, Gradinac S, et al. Effects of partial left ventriculectomy on left ventricular performance in patients with nonischemic dilated cardiomyopathy. J Coll Cardiol 1999; 32: 1801 Bolling SF, Pagani FD, Deeb GM, Bach DS. Intermediate-term outcome of mitral reconstruction in cardiomyopathy. J Thorac Cardiovasc Surg 1998; 115: 381 Doughty RN, Whalley GA, Gamble G, MacMahon S, Sharpe N. Left ventricular remodeling with carvedilol in patients with congestive heart failure due to ischemic heart disease. AustraliaNew Zealand Heart Failure Research Collaborative Group. J Coll Cardiol 1997; 29: 1060 Massie BM, Fisher SG, Deedwania PC, Singh BN, Fletcher RD, Singh SN. Effect of amiodarone on clinical status and left ventricular function in patients with congestive heart failure. Circulation 1996; 93: 2128 and dss.
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