Pre-op Roll call

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My echo tech is very careful. She takes her time, and it usually takes 45 minutes to an hour. And I ain't that sexy, so she ain't gettin' anything gratuitous out of it...

She goes over any questionable reads several times, and I frequently get that "worked-over" general bruising effect from the scans. I trust her readings. And yes, it's the same tech every time.

Eleven minutes is a travesty. I would complain to the hospital or lab where it was done - vehemently. You shouldn't get short shrift because she's running late or has a hot date after the appointment. If the hospital gets cheeky, contact your insurance company and complain. You may not realize it, but your insurance company pays a ton of money for that scan.

You're getting close to time, though. Keep an eye on your heart chamber sizes. While you don't want to rush into surgery, you absolutely don't want to let your heart get damaged to the point where it never fully recovers to its original capabilities. Go back through your past echo results (if you don't have them, your doctor must provide them because of HIPAA). Look at your heart chamber sizes, and how much they've grown (if they have) over time. Don't just go by whether they're outside of the norm now, but by how much they've changed in relation to yourself. (Ex. Say norm is 5. You start off at 3.5, go to 5.1. Much more meaningful than someone who starts off at 4.9 and goes to 5.1).

Also, no lifting heavy weights or shovelling snow with AS. No joke. Sudden or prolonged anaerobic stress can cause sudden demise. Snow shovelling, most weight training, or lifting heavy recycling cans or furniture may get you breathing hard, but are not really aerobic.

Best wishes,
 
I get my yearly echos at Cardio's office...Like, Bob, mine are always about 30-45 minutes....And, yes, they are very expensive..I always make sure mine are done after last year's date..so Insurance pays for them... ;) I requested after my last one..that I know what it was...Had a call from his nurse about 1 week later..Everything looked normal. ;) Bonnie
 
Karen, it seems that we have a "norm" here -- my typical echo's at my presend cardio's office seem to take 45 min. to an hour. They have two technicians, and I've been checked by both, so they have some "history" on my case. My first echo was done at a local hospital and didn't take as long. The measurements, however, were very similar. So, although we feel that a quick check is not appropriate, sometimes they are consistent with more comprehensive reads.

I'd still complain, though. You ARE the patient.
 
Thanks to all of you on this site! My husband (53 & diabetic) will have AVR this Friday (1/28), and the anxiety level builds with each passing day. However, the reassurance from many of your "stories" is extremely helpful. I pass it all along to my hubby as he presently hates computers (am hoping to perhaps change that during the 3 months the doc says he will need to be off work ;) ). What I seemed to derive from many posts in other areas, is that valve choice is a bit like the Pepsi/Coke debate--to each his own preference? Anyway, thank you again.
 
Karen,
I've had six echos over the past three years, and my sons have had two. It always takes at least 45 minutes; sometimes it's longer. The same two techs always run them, and I trust one more than the cardiologist. The amount of time you're getting seems woefully inadequate for a thorough report.
I think you're being short changed.
 
Mszoola,

We are glad to have you with us. Please let us know how hubby does, OK? Maybe we will get a chance to get to know him a little too. You all will be in my prayers for a successful surgery and good recovery.
 
Thanks....

Thanks....

I want to thank everyone for their replies. I knew in my "heart" that the 11 minutes that the tech gave me were a joke. I haven't contacted my PCP who sent me there yet but I will do so tomorrow. I am curious to see if he feels like I do. I will keep you all informed as things progress as you are the best resource around!
Thanks again,

Karen
 
Pre-Op Roll Call

Pre-Op Roll Call

Hello all. Please add me to your pre-op roll call. My pre-op will be on Valentine's Day (do you think they will give me a candy heart?) and my surgery will be February 16. I will be having a leaky aortic valve and an enlarged aortic root replaced (something called Bentall's Procedure). After sifting all the pros and cons, I am pretty much settled on a biological device. Did I mention I'm 63? This is a tough choice, and I am still doing all I can to learn about the options. I think I need to talk to the surgeon one more time.

So anyway thanks to all the good folks who post here. You are inspirational and comforting. Godspeed to all of you, including those also on the pre-op roll call.

Bob
 
mszoola,

Just want you to know that your husband was in my thoughts today, and I hope he did well.

As far as valve choice being Pepsi or Coke, I guess that makes the Ross Procedure RC...

Best wishes,
 
Hi Bob

Hi Bob

Welcome and I will put you on our calendar..for Feb. 16th... You will do fine..Just read as many pre op posts..about what you need to do to prepare yourself..for when you come home..The recliner, ect..Ask away..We are here to answer any questions you have..We are a Chatty bunch. :p But, you have to make us a promise..that you will have someone to post for you..soon, after, your surgery...telling us..that you did great. :) Which I'm sure you will do..I'm age 64..Had my surgery at age 61....Doing great with a Mech. valve and coumadin is no big deal. Just take 1 pill a day... :) Bonnie
 
Pre-Op

Pre-Op

Thanks so much, Bonnie. A thousand things are running through my mind, but it is very reassuring to know there are so many people who care. I am glad you are doing well with your mechanical valve. I am still going back and forth on that decision.

I'll do my best to get a post up soon after the surgery. Usually I'm the only one who logs onto this account. Maybe I'm being optimistic, but I was hoping soon after coming home from the hospital to send out some brief e-mails to friends.

Have read a lot of posts, but haven't seen anything yet about a recliner. Is that good to use when you return home? I have one in the basement, but guess I probably won't be walking down stairs at first. Maybe I should get some help and bring it upstairs.

Thanks again for your thoughts, Bonnie.
 
Hi Bob,
Have someone help you haul that recliner upstairs. Many people on this forum have attested to the benefit of a recliner in the first few weeks. Unfortunately, we didn't find this forum until after surgery and didn't have one. Dick found it very difficult to sleep in the bed for the first few weeks and spent a lot of time sleeping sitting up in a chair ( a comfortable chair,but not as good as a recliner would have been). The muscle pain he experienced was not from the sternum, but in the back and shoulders which we assume was from the way they positioned him for five hours during the AVR.
 
Bob

Bob

Start your own post.. on Pre-op on VR.com..I think you will find many people to tell you what to expect..before your surgery and after.. :) Just tell about yourself, ect. ..Don't be shy.. You will be surprised at the MANY replies that you will get. :) They will tell you what to do when you come home. Like, I said, we are a chattty group..Bonnie
 
You Go Girl!

You Go Girl!

Well, I took my health into my own hands today and marched into the hospital and asked to see the supervisor of the echo dept concerning my
11 minute echo. She was extremely helpful. She followed up by going over all the tests that I have had. The upside is that she said the dept will make sure that no one leaves there with the feelings that I had....
The downside is that she said my echo results are actually very clear and that they showed what they showed in spite of the shortness of the test.
So, I will still head off to Boston for the second opinion. I trust them up there and my PCP really wants this. They will make the final call on the timing of surgery.
Thanks to all who have responded....especially tobagotwo....who went way beyond what I would expect out of a total stranger.
I will keep you informed......
We're off to see the wizard...the wonderful wizard of....Brigham!
Thanks for this site!
Karen
p.s. I have only seen snow a couple of times in my life so this should be a treat?? I will borrow a coat!!
 
Dear Karen,
Who are you seeing at Brigham? Dick had his AVR there in December 2003. His cardiologist was Dr. Patrick O'Gara and his surgeon, Dr. Lawrence Cohn. We can't give enough praise to both of them as well as the hospital. If heart surgery can be a pleasure, they all certainly did their best to make it so! :D Wishing you the best of luck- you are headed to one of the best places. Better borrow a pair of snow boots as well as a coat!
 
Brigham

Brigham

Hello Phylis and Dick,

Thanks for the reply. I will be seeing Gilbert Mudge(cardiologist)....as for surgery....he will be the one to determine if it is time. If it is my first choiced would be Lawrence Cohn. The cardios here see it as big possiblility. My PCP is from there so the connections help and this guy was his mentor in school.
I am not sure where I will have surgery. You guys live alot closer than I do...
I am not sure how much that factors in.
I will keep you posted. I still don't have the appt. It is in the works.
Thanks again,
Karen
 
Hi Karen,
We were referred to Brigham and Dr. O'Gara by my daughter's friend who worked there also. When we met with Dr, O'Gara for the first time and it was determined that Dick needed the AVR stat, he asked us who we wanted and we said Dr. Cohn. He got right on the phone to him and that night when we returned to CT, there was a message on the phone with a surgery date 3 weeks hence. Many people on this forum have traveled long distances to access the hospital and surgeons of their choice. Randy is one who traveled to Brigham and Dr. Cohn from Pensacola, FL. I am sure if you private message him, he will be glad to tell you more info as to the logistics as we will as well. Best of luck and please feel free to private message any questions you may have.
 
Feb 22 is the date

Feb 22 is the date

I have known for about 5 years that my homograph would need to be replaced. It's hard to believe the time has finally arrived.

I am returning to UAB to my original surgeon for the "redo." Will have a mechanical this time in order to (hopefullly!) avoid a 3rd surgery.

Thanks, Betty, for organizing this list. It is comforting "talking" with others who are "waiting."

I find myself very emotional right now---tears come easily. I am trying to stay busy and calm---whew! quite a task
 
Man this isn't easy!

Man this isn't easy!

I think that I may have to accept that surgery is coming real soon.
I am headed to the surgeon today for a meet and greet.
I have a feeling that the anxiety may killl me long before the valve or the
surgery itself does so!!!
No matter how many times I read your reassuring words this is a tough nut to
choke down! It is good to see others in this section relaying the exact words of how I feel.
I am having this interview on advice of PCP. Then I will go to Boston for the second opinion (and retests) and a meeting with Lawrence Cohn (March 1) to see if I am a candidate for minimally invasive. At the last cath it looks like I am. I am still hesitant to go so far away from friend and fam for the surgery. How bad would it be to get on and airplane a week later?
Thanks for being there...
Karen
p.s. Bob....I canned the stress test here....it took them 8 days to call and set it up . If they want it in Boston we will see.
 
Sounds like you are more than ready and willing - when you admit that the anxiety may kill you before the valve and surgery do! :) Post surgery you will be reporting that it wasn't a walk in the park, but not as bad as your mind told you it would be.
Best wishes with your appointments.
 

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