Thursday, December 18, 2014
Wednesday, December 17, 2014
Tuesday, December 16, 2014
Hooray! I'm being discharged this afternoon with a recommendation for surgical aortic valve replacement. My cardiologist, Marty Keane, was formerly at Penn but he is now at Temple. He has recommended a surgeon that Temple just lured away form the Arizona Heart Institute, Gray Wheatley. Marty also gave me another name at Penn, Wilson Szeto, so I'll meet with both of them. I have time because I have to wait for any neurological damage from last week's incident to heal. It looks like my surgery will be around late January/early February, I feel good about everything and I feel good physically so I just have to stay healthy until I can get rid of the bad valve that is causing the problem.
Monday, December 15, 2014
This photo shows the new-style air bladder pressure dressing applied to my wrist at the cardiac catheter entry point just to the left of the green dot. Using the wrist is far better than the old-style groin entry because recovery is so much faster and far more comfortable for the patient.
I had both the TEE and the cardiac cath this afternoon. The staff here at the Hospital of the University of Pennsylvania is so expert that I got through everything easily with no discomfort or pain, contrary to my fears. While I do not have most of the results of the tests, I did find out that I do not have coronary artery disease validating my own prediction. Tomorrow I'll meet with my doctors and hopefully get the full test results as well as find out what the plan is to address my heart valve, and mini-stroke/heart attack issues.
Sunday, December 14, 2014
Update: I am NOT eligible for TAVR...it has not been approved for bicuspid valves, and it is not being done here as widely as the resident led me to believe. Nothing like getting your hopes up and then having them dashed within a few short hours.Also, the chest CT scan is needed to help in the evaluation of my dilated ascending aorta, however, it is uncertain whether or not it will be ordered based upon the results of the cath, etc.
Saturday, December 13, 2014
Friday, December 12, 2014
So I wait all day today, Friday for the heart catheterization, they prep me, take me down to the cath lab and....STOP. Because the brain MRI yesterday showed that I have suffered multiple minor strokes (!!!!) to be safe we need take a closer look at your heart valves to make sure there's nothing that can dislodge during the cath and cause a serious stroke. So I need a type of echocardiogram called a "TEE"...a trans-esophageal echocardiogram, where you get high then you swallow (gulp!) the transducer and they look at your heart valves internally. What fun! So if that wasn't bad enough they ask me questions about my esophagus...no problem until the question about swallowing...any problems? Well, I've had swallowing problems for years caused by who knows what, maybe my dilated ascending aorta? Anyway, that put everything on hold. No TEE, No cath...instead I had to go down to radiology and swallow a half gallon of barium while they x-rayed my esophagus! The other tests are on hold until Monday, MONDAY! So I' m stuck here all weekend with the prospect of the nasty TEE to look forward to before I can even get to the cath. Who knows when I'll ever get outta here!
Thanks friends for reading all this and for your love and support.