Congenital Heart Disease questions

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J

JadeM

Hello,

I am a new member here and I had a few questions-- I'm not sure if anyone can help. I am 19 years old and have Congenital heart disease w/ repaired (ostium primum) ASD, mitral, tricuspid, and pulmonic regurgitation. I have also been recently diagnosed with mitral valve prolapse and hypertension. I had only mild symptoms since my repair until a year and a half ago when I had some minor symptoms. It has been progressing lately and my lips (and toenails) turn blue and I have problems especially when drinking liquid, bathing, eating, or being surprised/active. I get fatigued very easily and short of breath. I then went to the ER when my lips turned blue again and they told me to see a cardiologist because a congenital heart defect is causing the problem. I then went to a learning hospital which did not refer me to a cardiologist but did order an echo. No one read the results but me, as I asked to get the results sent in the mail. The place I was going to said they wouldn't see me for two months, regardless of the results, which showed a right-to-left shunt and recommended ordering a TEE. After a few weeks I was able to get them to do it and they said I had a PFO which was not causing symptoms. I then called them back to see if they might talk about the TTE results but they said I don't have a PFO or any other heart problems. I have had more than 15 echos and all of them have said I had what I mentioned above. They told me to go to a regular doctor. My tests still haven't been read (and everyone refuses to look at them) and I haven't been consulted or have seen a cardiologist. I am so frustrated because they are the only place I can find and I can't get on health insurance because of my condition. I have seen some changes myself on the echo and I do not know what it means. The last echo I had was done 5 months ago (it seems weird the numbers have changed so much in such a short amount of time, since they never have before). I am sorry for the ranting, by the way! My new echo shows this: mitral peak velocity 3.39m/sec (old peak velocity 1.1) doppler 2.76 cm2, right ventricle 2.3 (old 1.7) tricuspid rvsp 37 (old 33). I have tried going to another regular doctor and they told me they thought a heart defect was causing my symptoms by the ER and echo results and to go to a cardiologist. I told them my situation and they have been trying for several days to get them to make an appointment but they aren't having any luck. I just don't know what to do and I don't know what those numbers might indicate. Any suggestions would be greatly appreciated. Thank you for your help-- what a very nice site!
 
I think you need to take your results and grab the bull by the horns and call a few Cardiologists yourself! If you wait for these other numbskulls to do it, you might wait until well after your dead.
 
Hi, I am sorry you are going thru all of this. where did you have your first repair done? have you talk to the pediatric cardiologist who saw you before? I really recomend going to and adult congenital heart cardiologist or at least a ped cardiologist, since they have more knowledge of CHDs here is a link to some http://tchin.org/cardiology/index.htm#CS03
I also would call where you had the echo and ask for the written report or ask the doctor who orderred the echo for the report.
as for insurance If you still aren't on your parents I definately would look into medicare Good Luck Lyn www.caringbridge.org/nj/justinw
 
Hello,

Thank you for your replies. I wish I lived close to a CHD specialist! I had my surgery done at North Shore in Long Island, New York. The cardiologists are no longer there. I also don't (can't) get on health insurance. Thanks for the link! :)
 
Welcome to the site, Jade.

Have you checked to see if NY state has an insurance program for high risk adults? Illinois has one - the premiums are high, but certainly not exhorbitant compared to many private plans.

The other thing you might check is a catastrophic policy - sometimes the underwriting requirements are scant and you could get coverage for amounts greater than $10K or $25K.
 
Try acha.org they are a congeital heart web site they may have some more ideas. Cecily
 
sorry. achaheart.org. congenital heart web site

sorry. achaheart.org. congenital heart web site

I'm sorry the web site is achaheart.org. They may have some more ideas for you. cecily
 
Jade, I am so sorry that you are having such a tough go of it. That is one of my biggest fears - that Katie will have health problems later on as an adult and not be able to get insurance.

Just my two cents, but I would recommend getting an opinion from one of the larger pediatric heart centers who also treat adults with CHD. More are beginning to recognize that there is a real need for this specialty. Just send the copies of your last two echoes and your TEE. Contact them first, though. Also, most pediatric heart centers offer second opinions for free, but do doublecheck this. Once you get some answers on what you need done, then you can worry about the financial part.

Do also try the adult chd group Cecily mentioned or there are some resources listed at http://tchin.org/adults/index.htm I hope they can help you.

Many hugs and please let us know how it goes. Janet
 
Hi Jade! Welcome to the site - there is definitely a wealth of information available to you through all of the wonderful people here!

I was also born with a congenital heart defect, and I'm so sorry to hear about all the problems you're going through with doctors. I can imagine you're frustrated!

I just wanted to say as someone with pre-existing conditions, I never had problems getting health insurance. I always thought I would never qualify, and so did my mom as I was growing up, but I guess as long as you haven't been diagnosed with anything recently, they can't deny you - and then if you do have a "pre-existing condition" they can only exlude that from your insurance coverage for so long (12 months max).

I found a site with some more information for you to review: http://www.dol.gov/elaws/ebsa/health/4.asp

I can't imagine not having my insurance and having to pay for some of these tests we heart patients have to pay for completely out of pocket!

Best of luck to you, and I hope you get to see a cardiologist soon - I can't believe they're not even willing to see you, especially with your history!
Kerri
 
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