Patient GC (female, 78 years old) has a diagnosis of heart f…

Patient GC (female, 78 years old) has a diagnosis of heart failure with reduced ejection fraction. They are prescribed the following:   Lisinopril 40 mg once daily Bisoprolol 2.5 mg once daily Furosemide 40 mg once in the morning Spironolactone 25 mg once daily   Blood results are as follows: eGFR 75 ml/min/1.73m2 Sodium 141 (137-144 mmol/L) Potassium 4.6 (3.5-5.3 mmol/L) Creatinine 75 (60-110 micromol/L) Blood pressure is 120/80 mmHg They are clinically stable and have attended the heart failure clinic for a routine review. Which action would be MOST APPROPRIATE to optimise their treatment?

You are an enslaved African transported to a Caribbean sugar…

You are an enslaved African transported to a Caribbean sugar plantation in the 1700s. You are really down and out (for obvious reasons), but your buddy pats you on the back and says, “don’t worry about it… you’ll probably die a lot quicker than you would if we went to Virginia”. Why does your buddy think this?