SNF PEPPER Reports Available for Download. To obtain your SNF's PEPPER, the Chief Executive Officer, President, or Administrator of your SNF should: 1. Review the Secure PEPPER Access Guide. 2. Visit the Secure PEPPER Access page at PEPPERresources.org. 3. Review the instructions and obtain the information required to authenticate access. 4. Click on the button to Access the Secure Portal. 5.
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: Shortness of breath (dyspnea) when you exert yourself or when you lie down.
Common symptoms associated with Carcinoid Syndrome include diarrhea, flushing of the skin, abdominal cramping, asthma, arthritis, niacin deficiency, swelling of the feet, and wheezing. Carcinoid Syndrome occurs in approximately 10% of all individuals diagnosed with carcinoid and can lead to right-sided heart failure.