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I’m a London girl now 🇬🇧London

on October 19, 2024

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The £2.82 Heating Blueprint: Precision Survival with EF 20%

"When your heart operates at 20% efficiency, you learn to value precision. Today, I’ve hit a specific tactical target in the 18A Bunker: £2.82 a day for gas heating. > That figure includes the daily standing charge. In this UK winter, keeping a fortress warm enough for Stage 4 heart safety without draining the bank is a balancing act. Here is the reality of the 104/52 blood pressure morning: Heating Efficiency: Mapping every unit of gas to ensure the boiler only works when it has to. Standing Charge Reality: Acknowledging the fixed costs (~90p/day for dual fuel) and fighting for every penny beyond that. The 'Clear the Bunker' Protocol: Focusing on existing resources to keep the mission sustainable. This isn't about 'cheap living'—it's about engineering a safe environment for a 20% heart. If you control the environment, you control the stress."

The Quiet Morning That Taught Me the Value of Solitude

One morning, I woke up earlier than usual — earlier than anyone else in the house. I didn’t have a meeting, a call, or a task. Just time. At first, I felt guilty. Shouldn’t I be doing something? But I stayed in bed, listening to the soft hum of the world waking up. The sunlight slowly spilled across the floor. The birds were chirping. My thoughts weren’t racing. It was in that quiet hour that I realized how rarely I give myself space to just be. No distractions. No agendas. No expectations. Solitude isn’t loneliness. It’s clarity. It’s a chance to hear your own thoughts, to notice your own feelings, and to recharge without outside input. Now, even ten minutes of intentional solitude in the morning feels like a small gift — a way to start the day grounded, aware, and present. Sometimes the world’s quietest moments teach the loudest lessons. Tags: #mindfulness #selfgrowth #presence #reflection #modernlife ✨ If this resonated, follow for one mindful insight each day — small stor...

🌪️ December 27, 2025: The Silent Storm—Managing Anxiety and Low Mood with LVSD

After the emotional hurdle of the holidays and the necessary routine "reset" yesterday, the physical system is hopefully calmer. But the battle against severe heart failure (LVSD 20% and NYHA Stage IV) is rarely just physical—it's profoundly mental. Today, I want to talk about the silent storm: the anxiety and low mood that become constant companions when you are housebound and dealing with a life-limiting condition. The Anxiety Cycle Living with a heart Ejection Fraction (EF) of 20% means you are acutely aware that your body is operating on minimal reserves. This leads to a vicious cycle: Symptom Spike: You feel sudden breathlessness or a familiar twinge of angina. Anxiety Trigger: Your mind instantly panics: Is this the 999 call? Is this the fluid retention getting out of control? Physical Cost: Anxiety spikes your heart rate and releases stress hormones, forcing your already weakened heart to work harder. This exacerbates the physical symptoms, leading to more anxi...

🎓 Heart Health Medication Series: Know Your Meds, Know Your Heart

🎓 Heart Health Medication Series: Know Your Meds, Know Your Heart Lesson 2: The Game Changer – Sacubitril/Valsartan (An ARNI) ⚠️ A Note of Caution This content is for educational purposes only and is NOT medical advice. If you have been diagnosed with a heart condition, you must always consult your Heart Failure Specialist Nurse, Cardiologist, and medical team for guidance specific to your treatment and care plan. For patients with HFrEF (like EF 20%), the combination drug Sacubitril/Valsartan (often known by the brand name Entresto) is considered a revolutionary and essential medication. It often replaces traditional ACE inhibitors or ARBs and is part of the "quad-therapy" regimen. What is Sacubitril/Valsartan? This drug is a unique combination known as an Angiotensin Receptor-Neprilysin Inhibitor (ARNI) . It combines two active ingredients: Valsartan: An Angiotensin Receptor Blocker (ARB) . Sacubitril: A Neprilysin Inhibitor . The Science: A Dual Action Strategy Valsart...

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💊 January 6, 2026: Beyond the Heart Meds—The Critical Battle for Symptom Control

We talk a lot about the major heart medications—the beta-blockers, the diuretics, the ACE inhibitors—that are essential for managing my $\text{LVSD}$ (EF 20%). But life with Stage IV heart failure is filled with a host of other debilitating symptoms that require their own careful management. This post is about the vital, daily battle for symptom control , which often falls under the umbrella of Palliative Care (a specialty that focuses on symptom relief, not just end-of-life care). The Secondary Symptoms That Drain Energy When your heart is failing, the body compensates in ways that cause constant discomfort. For me, the major secondary symptoms that cost me precious energy are: Chronic Pain/Angina: Even at rest, I experience frequent chest pain (angina) or general body aches from reduced circulation and constant inflammation. Breathlessness (Dyspnea): The persistent feeling of being unable to catch my breath, which spikes anxiety and drains physical energy with every labored inhale...

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The Winter Walk That Reminded Me to Slow Down

Yesterday afternoon, I took a walk through my neighborhood. The air was crisp, the bare trees swaying gently in the wind, and the faint smell of winter in the distance. Normally, I would rush — checking my watch, planning my next move. But this time, I slowed. I noticed the crunch of leaves underfoot, the patterns of frost on parked cars, the way the clouds moved across the pale sky. It reminded me that slowing down isn’t about stopping life — it’s about noticing it. When we pause, even briefly, the ordinary becomes rich and meaningful. Today, take a moment for a slow walk or a mindful pause. Notice the details that usually pass unnoticed. You may find beauty in what you thought was routine. Tags: #mindfulness #presence #reflection #selfgrowth #wintermoments ✨ If this resonated, follow for one mindful insight each day — reflections to help you slow down, notice, and find meaning in everyday moments. Support Raymond Year-Round Ray...

Làm điều mình thích là Tự Do Thích điều mình làm là Hạnh Phúc 💖

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