Clin Med
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The management of heart failure has evolved to become a multidisciplinary affair. Constraints of time and resources limit the amount of counselling that is given to heart failure patients in hospital and, with the advent of community heart failure specialist nurses, there is a trend to move more of these services into the community. ⋯ In this study, patients' perspectives of a diagnosis of heart failure, their understanding of the diagnosis as well as what being diagnosed with heart failure means to them were recorded. Patients were questioned on whether the news of the heart failure diagnosis was broken to them in a sympathetic manner and how they felt about the information provided at diagnosis.
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Lactose intolerance, the inability to metabolise lactose in milk and dairy products is due to deficiency of lactase in the gastrointestinal (GI) tract resulting in multiple GI and systemic symptoms. Diagnosis requires a degree of clinical suspicion.