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Hello again boys and girls.... goodness, I've not been able to check the forum for a week and I'm still catching up on everyone's posts!!
Well, I'm back from my cardio visit for my "second opinion" and am really no better off than before I went. This guy also doesn't seem to think there is anything "abnormally abnormal" with my heart - and certainly not anything to be causing the severity of symptoms I've been suffering. I'm having frequent ectopic events... but that's nothing new; I've got really low blood pressure (90/60 - and that's when I'm stressing at the doctors!!)... but that's nothing new; I've got some leakage... but that's nothing new.... So why are things taking such a downward plunge???
When I suggested he check for pulmonary hypertension he told me there was absolutely no reason to think this would be the problem. I showed him my 2002 Doppler with readings "..consistant with pulmonary hypertension.." and his response was: "I don't want to say this is wrong, but I don't think it's an accurate report.". When I queried how he came to that conclusion, he said that because there is a degree of scarring on my valves, that my systolic pulmonary pressure of 41mmHz needed to be "adjusted" and that 20mmHz should be taken off - which would then put me well within normal range (..????..).
He also went on to say that because I had a BT shunt as a child, this overrides any issues with blood flow to the pulmonary arteries and was another reason he thought I wouldn't have PH. MY understanding of this, is that the shunt is a stop-gap measure until corrective surgery can be done, at which time the shunt is REMOVED!!
At this stage, he is arranging for me to do another exercise stress test and also to hook up to an event monitor. He might follow that up with an oxygen level test, but was incredibly reluctant to do a right heart cath. I told him that if nothing conclusive could be drawn from these other tests, I would be insisting on the RHC. He asked me what I wanted him to tell me.... I said "I want some answers. I WANT MY LIFE BACK!! I'll do whatever tests I need to, to rule things out until we can find out what the hell is wrong and get it treated".
So here I am..... still in limbo. Pergatory is going to be a breeze after all of this!!!
The only "positive" that really came out of it was confirming that my dizzy spells are probably being caused by my low bp. I asked if there was anything that could be done to help this (..and to see if that would then make a difference overall..) and he said the only thing I could really do would be to increase my salt intake (...at this point we hear Harpoon falling over in dead faint!!! ...). Hmmmmmmm..... not too sure about that!
Anyhoo, I guess I'm just going to have to wait and see how things go. In the meantime I'm going back to my GP to see what her thoughts are. I still might get her to refer me to a PH specialist. I'd rather someone who KNOWS what they're dealing with tell me I don't have it, than someone who THINKS they know what they're dealing with.
Oh well..... no excuse not to get started on my writing now. It looks like I'm going to have plenty of spare time up my sleeve for some time yet.
Cheers all,
Anna : )
Well, I'm back from my cardio visit for my "second opinion" and am really no better off than before I went. This guy also doesn't seem to think there is anything "abnormally abnormal" with my heart - and certainly not anything to be causing the severity of symptoms I've been suffering. I'm having frequent ectopic events... but that's nothing new; I've got really low blood pressure (90/60 - and that's when I'm stressing at the doctors!!)... but that's nothing new; I've got some leakage... but that's nothing new.... So why are things taking such a downward plunge???
When I suggested he check for pulmonary hypertension he told me there was absolutely no reason to think this would be the problem. I showed him my 2002 Doppler with readings "..consistant with pulmonary hypertension.." and his response was: "I don't want to say this is wrong, but I don't think it's an accurate report.". When I queried how he came to that conclusion, he said that because there is a degree of scarring on my valves, that my systolic pulmonary pressure of 41mmHz needed to be "adjusted" and that 20mmHz should be taken off - which would then put me well within normal range (..????..).
He also went on to say that because I had a BT shunt as a child, this overrides any issues with blood flow to the pulmonary arteries and was another reason he thought I wouldn't have PH. MY understanding of this, is that the shunt is a stop-gap measure until corrective surgery can be done, at which time the shunt is REMOVED!!
At this stage, he is arranging for me to do another exercise stress test and also to hook up to an event monitor. He might follow that up with an oxygen level test, but was incredibly reluctant to do a right heart cath. I told him that if nothing conclusive could be drawn from these other tests, I would be insisting on the RHC. He asked me what I wanted him to tell me.... I said "I want some answers. I WANT MY LIFE BACK!! I'll do whatever tests I need to, to rule things out until we can find out what the hell is wrong and get it treated".
So here I am..... still in limbo. Pergatory is going to be a breeze after all of this!!!
The only "positive" that really came out of it was confirming that my dizzy spells are probably being caused by my low bp. I asked if there was anything that could be done to help this (..and to see if that would then make a difference overall..) and he said the only thing I could really do would be to increase my salt intake (...at this point we hear Harpoon falling over in dead faint!!! ...). Hmmmmmmm..... not too sure about that!
Anyhoo, I guess I'm just going to have to wait and see how things go. In the meantime I'm going back to my GP to see what her thoughts are. I still might get her to refer me to a PH specialist. I'd rather someone who KNOWS what they're dealing with tell me I don't have it, than someone who THINKS they know what they're dealing with.
Oh well..... no excuse not to get started on my writing now. It looks like I'm going to have plenty of spare time up my sleeve for some time yet.
Cheers all,
Anna : )