{"id":22917,"date":"2019-03-07T09:32:04","date_gmt":"2019-03-07T16:32:04","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=22917"},"modified":"2023-09-28T16:41:35","modified_gmt":"2023-09-28T22:41:35","slug":"and-thats-why-they-always-check-your-vitals","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/and-thats-why-they-always-check-your-vitals\/","title":{"rendered":"And that\u2019s why they always check your vitals"},"content":{"rendered":"
<\/div>

 <\/p>\n

\"Jim
Jim Leuenberger on the trail near his and wife Susan\u2019s home in January, where they walk several times a week. Photo courtesy of Jim Leuenberger.<\/figcaption><\/figure>\n

You know the drill: no sooner have you gone from waiting room to exam room for a doctor\u2019s appointment \u2013 for a fever or a tweaked ankle or lower back pain or whatever \u2013 than they\u2019re weighing and measuring you and listening to your heart and checking your pulse oxygen levels and blood pressure.<\/p>\n

What does any of this have to do with a fever or a tweaked ankle or lower back pain or whatever? In Jim Leuenberger\u2019s case (as with yours, most likely), nothing at all. But those routine checks can point the way to serious health problems. So it was with Leuenberger.<\/p>\n

Last May, Leuenberger\u2019s sciatic pain spiked to the point that he had his wife Susan make the short drive from their home to UCHealth Primary Care \u2013 Lone Tree<\/a>. The Navy senior chief petty officer turned Colorado Department of Transportation leadership trainer might well have grimaced through that pain and driven himself, but there was numbness all down his right leg, too.<\/p>\n

The UCHealth team in Lone Tree brought him back to an exam room and, as is standard practice, took various vital signs. His body temperature, blood pressure and pulse-oxygen levels were fine. But his heart thumped along at 145 beats per minute. That\u2019s a normal resting heart rate for a baby; for a fit 60-year-old such as Leuenberger, maintaining such a rate would normally take strenuous exercise. Medically speaking, that sort of an elevated heart rate is called tachycardia.<\/p>\n

Slow it down<\/strong><\/h3>\n

Perhaps the pain from his sciatic episode had masked it, but Leuenberger hadn\u2019t noticed his abnormal heartbeat. Dr. Luke Miller<\/a>, assistant professor of Family Medicine at the CU School of Medicine, told him that, while this wasn\u2019t an emergency, Leuenberger should get to a hospital for a more thorough workup. Susan drove him straight to UCHealth University of Colorado Hospital at the Anschutz Medical Campus (UCH).<\/p>\n

Leuenberger checked in and had some additional tests done in the UCH Emergency Department before being admitted to the hospital\u2019s Coronary Care Unit with fast atrial fibrillation (AFib) and heart failure symptoms. Once upstairs, Dr. Karen Moulton<\/a> , a UCHealth physician and associate professor Medicine-Cardiology at the CU School of Medicine, took over his care.<\/p>\n

\u201cHe was surprisingly tolerant of his fast heart rate, which was not easy to suppress with common medications such as beta blockers,\u201d Moulton said. \u201cHe was in a lot of pain from his sciatic, which was his biggest complaint.\u201d<\/p>\n

\"A
Dr. Dilip Raghuveer
Photo courtesy UCHealth<\/figcaption><\/figure>\n

Moulton consulted with UCHealth rheumatology specialists, who gave Leuenberger an injection to quell the sciatic inflammation. For his heart, they did a cardioversion \u2013 an electric shock to jolt the heart back into a normal rhythm.<\/p>\n

The cardioversion slowed down Leuenberger\u2019s heart, but there were, as Moulton put it, \u201csome extra beats, and we suspected he would easily go back into AFib.\u201d<\/p>\n

Cardiac cath <\/strong><\/h3>\n

Which happened overnight, albeit with a slower rate of AFib. A second cardioversion also failed to return his heartbeat to normal. Moulton referred him to UCHealth\u2019s Cardiac Electrophysiology<\/a> team, the largest in the region, which specializes in minimally invasive cardiac ablation surgeries for heart arrythmias. These procedures involve interventional cardiologists snaking thin catheters through the femoral artery near the groin up into the heart. Diagnostic catheters help isolate heart tissue whose faulty signaling is causing the irregular heartbeat. With the offending area located, a catheter delivering either heat or extreme cold modify the offending heart tissue to isolate or ablate away the tissue in question.<\/p>\n

Meanwhile, Leuenberger\u2019s sciatic pain persisted through the injection and the muscle relaxants prescribed by the UCHealth Rheumatology and Pain Management teams.<\/p>\n

\u201cI couldn\u2019t even walk to the bathroom. I couldn\u2019t put any pressure on my leg,\u201d Leuenberger said.<\/p>\n

Through his five days in UCHealth Cardiac and Vascular Center, Pain Management and Physical Therapy staff kept working on his sciatic. They inked spots on his back, rump, and legs to show Susan where key pressure points were so she could continue to work on her husband after discharge, which happened after the cardiac ablation.<\/p>\n

Back in \u2013 and back outside<\/strong><\/h3>\n

Cardiologist Dr. Michael Rosenberg, assistant professor Medicine-Cardiology at the CU School of Medicine, and internal medicine specialist Dr. Dilip Raghuveer<\/a>, instructor of internal medicine at the CU School of Medicine, \u00a0kept tabs on Leuenberger\u2019s heart and sciatic at UCHealth\u2019s Lone Tree clinic. As had been done at UCH, Rosenberg and Raghuveer coordinated to make sure that the medications used to treat the sciatic problem didn\u2019t interact with heart medications. Such coordination of care is common, Raghuveer says, given that perhaps one-third of the patients he sees have complex medical issues requiring collaboration among providers in Lone Tree or between those in Lone Tree and the specialists at UCH, UCHealth\u2019s academic medical center.<\/p>\n

With physical therapy and Susan\u2019s pressure-point massaging, the sciatic gradually improved. Leuenberger\u2019s AFib, though, returned. In late August, he was back at UCH for a second cardioversion, which again didn\u2019t quell the extra heartbeats, and then another cardiac ablation. That one seems to have solved the problem, he said.<\/p>\n

Months later, Leuenberger is back to feeling more like his former self again. His heart beats normally; his sciatic is much better, too \u2013 though, he adds, it\u2019s still a work in progress. He and Susan take advantage of sunny \u2013 and less-sunny \u2013 winter days and walk two-and-a-half to four miles on trails near their home in Lone Tree several times a week. He\u2019s grateful for the work UCHealth has done, he says.<\/p>\n

\u201cI can say that I\u2019ve had the best help \u2013 thorough in explanation, in follow-through, and in follow-up \u2013 and as far as just being honest with me,\u201d Leuenberger said. \u201cI said, \u2018Just let me know everything. I just need to know.\u2019 It was honest, sincere, professional care.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

  You know the drill: no sooner have you gone from waiting room to exam room for a doctor\u2019s appointment \u2013 for a fever or a tweaked ankle or lower back pain or whatever \u2013 than they\u2019re weighing and measuring you and listening to your heart and checking your pulse oxygen levels and blood pressure. […]<\/p>\n","protected":false},"author":23,"featured_media":22926,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[2923,495,3512,9167],"class_list":["post-22917","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-blood-pressure","tag-electrophysiology","tag-heart-and-vascular-care-cardiovascular","tag-specialized-services"],"acf":[],"yoast_head":"\nAnd that\u2019s why they always check your vitals - UCHealth Today<\/title>\n<meta name=\"description\" content=\"A doctor checked Jim Leuenberger's vital signs and found heart problems. 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He is author of \u201cA Beard Cut Short,\u201d a biography of a remarkable professor; \u201cThe Laser That\u2019s Changing the World,\u201d a history of lidar; and \u201cFrom Jars to the Stars,\u201d a history of Ball Aerospace.","url":"https:\/\/www.uchealth.org\/today\/author\/tneff\/"}]}},"coauthors":[{"id":23,"name":"Todd Neff","link":"https:\/\/www.uchealth.org\/today\/author\/tneff\/"}],"_links":{"self":[{"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/posts\/22917","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/users\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/comments?post=22917"}],"version-history":[{"count":10,"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/posts\/22917\/revisions"}],"predecessor-version":[{"id":71990,"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/posts\/22917\/revisions\/71990"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/media\/22926"}],"wp:attachment":[{"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/media?parent=22917"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/categories?post=22917"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.uchealth.org\/today\/wp-json\/wp\/v2\/tags?post=22917"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}