![]() Elise is a strong, calm, and positive warrior with an everlasting strong FAITH. Her family continues their journey to battle this cancer while choosing FAITH to keep them present and focused on their purpose. She immediately began her next treatment plan of chemotherapy and infusions. This September, during her routine follow up, her scans indicated that her cancer is coming back. ![]() In March of 2021, Elise completed her initial treatment plan and continued follow up appointments in Iowa City where the doctors determined her cancer was stable. ![]() Her parents -Scott and Laurie, brother - Jack, and Elise along with the dogs, Ace & Bear, have chosen to battle the cancer with FAITH over Fear. Prayers, phone calls, food, cards, t-shirts, and bracelets were greatly appreciated. The outpouring of support for Elise during that time was incredible. After her March diagnosis, her medical team in Iowa City developed a cancer treatment plan that included ongoing radiation and chemotherapy which occurred over the next several months. This diagnosis came after months of debilitating symptoms without answers. In the end, future ICU-AW research must focus on using a combination of modern performance-enhancing nutrition, anticatabolic/anabolic interventions, and muscle/exercise testing so we can begin to create more "survivors" and fewer victims post ICU care.In March of 2020 Elise Wischmeyer, who resides in Peosta, IA was diagnosed in Iowa City with an inoperable astrocytoma grade III brain tumor at age 13. Finally, exercise physiology testing that evaluates muscle substrate utilization during exercise can be used to diagnose muscle mitochondrial dysfunction and to guide a personalized ideal heart rate, assisting in recovery of muscle mitochondrial function and functional endurance post ICU. In the near future, evaluation techniques such as assessing lean body mass at the bedside using ultrasound to determine nutritional status and ultrasound-measured muscle glycogen as a marker of muscle injury and recovery could be utilized to help find the transition from the acute phase of critical illness to the recovery phase. We know burn patients can remain catabolic for 2 years post burn thus, anticatabolic agents (i.e., beta-blockers) and anabolic agents (i.e., oxandrolone) will probably also be essential. However, as is clear in elite sports performance, optimal nutrition is fundamental but alone is often not enough. Specifically, strategies must include optimal protein delivery (1.2-2.0 g/kg/day), as an athlete would routinely employ. or are we creating victims?" and "Do we accomplish 'Pyrrhic Victories' in the ICU?" Interventions to address ICU-AW must have a renewed focus on optimal nutrition, anabolic/anticatabolic strategies, and in the future employ the personalized muscle and exercise evaluation techniques utilized by elite athletes to optimize performance. These observations demand that we as intensive care providers ask the following questions: "Are we creating survivors. ![]() For those who do survive, the latest data indicate that 50-70% of ICU "survivors" will suffer cognitive impairment and 60-80% of "survivors" will suffer functional impairment or ICU-acquired weakness (ICU-AW). Further, given that as many as half of the deaths in the first year following ICU admission occur post ICU discharge, it is unclear how many of these patients ever returned home. His inspiration comes from fellow pilots and not wanting to. However, the evidence reveals that over the same period we have tripled the number of patients being sent to rehabilitation settings. Ed Wischmeyer has spent endless hours trying to figure out how to prevent pilots from losing control of their airplanes and crashing. Over the last 10 years we have significantly reduced hospital mortality from sepsis and critical illness. ![]()
0 Comments
Leave a Reply. |