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	<title>Comments on: Were You Asymptomatic Upon Diagnosis Like Sherri?</title>
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	<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/</link>
	<description>Former Patient And Author, Adam Pick, Blogs About Heart Valve Replacement And Heart Valve Repair</description>
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		<title>By: Allen Raasch</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-117346</link>
		<dc:creator>Allen Raasch</dc:creator>
		<pubDate>Sat, 04 Feb 2012 03:55:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-117346</guid>
		<description>Approx, 5 yrs ago, I had an aortic valve replacement using a procine valve, It now seems that I am a candidate for another replacement due to calcification. I am now 71 yrs old.
A couple of questions, has the femoral artery technique using a bovine valve been used on &quot;redo&quot; surgeries?
And approx 36 hrs after my first surgery, I had fears that the nursing staff was going to kill me. My surgeon attributed this to sleep deprivation after the surgery, but I felt it was over medication. Anyone else have these thoughts?
Thanks, Allen</description>
		<content:encoded><![CDATA[<p>Approx, 5 yrs ago, I had an aortic valve replacement using a procine valve, It now seems that I am a candidate for another replacement due to calcification. I am now 71 yrs old.<br />
A couple of questions, has the femoral artery technique using a bovine valve been used on &#8220;redo&#8221; surgeries?<br />
And approx 36 hrs after my first surgery, I had fears that the nursing staff was going to kill me. My surgeon attributed this to sleep deprivation after the surgery, but I felt it was over medication. Anyone else have these thoughts?<br />
Thanks, Allen</p>
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		<title>By: Melissa McAuliffe</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-36199</link>
		<dc:creator>Melissa McAuliffe</dc:creator>
		<pubDate>Sun, 13 Feb 2011 01:55:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-36199</guid>
		<description>So the doctor finally returned my call regarding concern about infection causing the mitral valve problems. He just said see your GP and it is probably nothing.  And oh by the way Mitral Valve prolapse is very common and nothing to worry about! So now I&#039;m worried about nothing? And I also feel more short of breath than usual, but again not sure if it&#039;s just nerves.  I&#039;m going to watch my diet and make sure the sodium is low.  My B/P is already fine again and I have not peripheral edema so I&#039;ll wait the 6 months he suggested for a recheck.... 
And Lisa D, did you have the surgery?  Could they repair or did they have to replace the valve?  I would rather have repaired so I&#039;m not sure about waiting too long with mine issue.</description>
		<content:encoded><![CDATA[<p>So the doctor finally returned my call regarding concern about infection causing the mitral valve problems. He just said see your GP and it is probably nothing.  And oh by the way Mitral Valve prolapse is very common and nothing to worry about! So now I&#8217;m worried about nothing? And I also feel more short of breath than usual, but again not sure if it&#8217;s just nerves.  I&#8217;m going to watch my diet and make sure the sodium is low.  My B/P is already fine again and I have not peripheral edema so I&#8217;ll wait the 6 months he suggested for a recheck&#8230;.<br />
And Lisa D, did you have the surgery?  Could they repair or did they have to replace the valve?  I would rather have repaired so I&#8217;m not sure about waiting too long with mine issue.</p>
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		<title>By: Merilee Brown</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-36123</link>
		<dc:creator>Merilee Brown</dc:creator>
		<pubDate>Fri, 11 Feb 2011 21:45:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-36123</guid>
		<description>I am 64.  I had AVR in late October 2010.  My valve was replaced with St. Judes Mechanical Valve.  I am on coumadin and I am not going bald.   I have great energy.  I am attending aerobic water exercise class for an hour 3 times a week and I walk as weather permits.  I can do an hour easily.  I have a full time busy job.   I babysit my busy twin grandsons on the weekends.
Approximately five years prior to surgery I found out that my &quot;heart murmur&quot; was actually Aortic Stenosis.  My doctor included echocardiograms annually until it had progressed to a point that she thought I should go to cardiologist for further diagnosis.  We discussed symptoms and my activity level.  He indicated the symptoms he wanted to know about like more breathlessness, inability to do usually normal activities.   I was in denial for quite some time and stayed active.  I reached the point where I would go for a walk and had to stop and wait so I could catch my breath.   I actually was trying to force myself to keep exercising when the symptoms were profoundly obvious. (I was practicing denial.) As soon as I told him my symptoms, he followed up and  they scheduled surgery.  I had a great surgeon (Dr. Jeffrey Swanson)at St. Vncent&#039;s Providence Hospital Portland, Oregon.  I felt awful for several weeks and I was off work for about eight weeks.  The worst soreness was from the muscles being cut and it hurt a lot.  I did not get comfortable wearing a bra for some weeks.  I did have some success after about three weeks with a loose cotton exercise bra.   My surgery was through the sternum.  I had help at home for the first three weeks and I needed the help.  I had one day that seemed like depression but I have found exercising and getting enough sleep to be profoundly helpful at keeping myself peaceful.  Rest if you are tired and watch your diet.  Your body tells you if you are overdoing it.  I feel so much better than I did before this surgery and I am glad I did it.   I am so very grateful for an excellent doctor at a good facility and modern science.</description>
		<content:encoded><![CDATA[<p>I am 64.  I had AVR in late October 2010.  My valve was replaced with St. Judes Mechanical Valve.  I am on coumadin and I am not going bald.   I have great energy.  I am attending aerobic water exercise class for an hour 3 times a week and I walk as weather permits.  I can do an hour easily.  I have a full time busy job.   I babysit my busy twin grandsons on the weekends.<br />
Approximately five years prior to surgery I found out that my &#8220;heart murmur&#8221; was actually Aortic Stenosis.  My doctor included echocardiograms annually until it had progressed to a point that she thought I should go to cardiologist for further diagnosis.  We discussed symptoms and my activity level.  He indicated the symptoms he wanted to know about like more breathlessness, inability to do usually normal activities.   I was in denial for quite some time and stayed active.  I reached the point where I would go for a walk and had to stop and wait so I could catch my breath.   I actually was trying to force myself to keep exercising when the symptoms were profoundly obvious. (I was practicing denial.) As soon as I told him my symptoms, he followed up and  they scheduled surgery.  I had a great surgeon (Dr. Jeffrey Swanson)at St. Vncent&#8217;s Providence Hospital Portland, Oregon.  I felt awful for several weeks and I was off work for about eight weeks.  The worst soreness was from the muscles being cut and it hurt a lot.  I did not get comfortable wearing a bra for some weeks.  I did have some success after about three weeks with a loose cotton exercise bra.   My surgery was through the sternum.  I had help at home for the first three weeks and I needed the help.  I had one day that seemed like depression but I have found exercising and getting enough sleep to be profoundly helpful at keeping myself peaceful.  Rest if you are tired and watch your diet.  Your body tells you if you are overdoing it.  I feel so much better than I did before this surgery and I am glad I did it.   I am so very grateful for an excellent doctor at a good facility and modern science.</p>
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		<title>By: Melissa McAuliffe</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-36109</link>
		<dc:creator>Melissa McAuliffe</dc:creator>
		<pubDate>Fri, 11 Feb 2011 05:38:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-36109</guid>
		<description>I am a 54 year old RN with moderate Mitral and Tricuspid valve regurgitation...just diagnosed today.  I&#039;ve been dealing with slight nausea and occasional dizziness and feeling fatigued. The fatigue has been for years as I was diagnosed with fibromyalgia..now I&#039;m wondering how long I&#039;ve had this.  I still have the muscle weakness and tenderness attributed to the fibromyalgia, but the fatigue is all encompassing recently.  I think I&#039;m in denial and I know my finances can&#039;t take major surgery.  Even with insurance since it&#039;s HUGE deductible and out of pocket first.
The PACs and slightly higher blood pressure recently is what brought me into the cardiologist.  Holter Monitor confirmed occ-freq PACs but nothing else. They also seen a thin atrial septal wall and are concerned about PDA.  But I don&#039;t know why they couldn&#039;t diagnose that on echocardiogram?  Any feedback about that? Thanks for listening.  I&#039;m freaked and I thought I was so calm...</description>
		<content:encoded><![CDATA[<p>I am a 54 year old RN with moderate Mitral and Tricuspid valve regurgitation&#8230;just diagnosed today.  I&#8217;ve been dealing with slight nausea and occasional dizziness and feeling fatigued. The fatigue has been for years as I was diagnosed with fibromyalgia..now I&#8217;m wondering how long I&#8217;ve had this.  I still have the muscle weakness and tenderness attributed to the fibromyalgia, but the fatigue is all encompassing recently.  I think I&#8217;m in denial and I know my finances can&#8217;t take major surgery.  Even with insurance since it&#8217;s HUGE deductible and out of pocket first.<br />
The PACs and slightly higher blood pressure recently is what brought me into the cardiologist.  Holter Monitor confirmed occ-freq PACs but nothing else. They also seen a thin atrial septal wall and are concerned about PDA.  But I don&#8217;t know why they couldn&#8217;t diagnose that on echocardiogram?  Any feedback about that? Thanks for listening.  I&#8217;m freaked and I thought I was so calm&#8230;</p>
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		<title>By: Lisa Darr</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-6415</link>
		<dc:creator>Lisa Darr</dc:creator>
		<pubDate>Tue, 28 Oct 2008 18:14:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-6415</guid>
		<description>I am 35 years old and very active.  I was diagnosed with MVP with regurgitation at the age of 12.  I have never noticed any syptoms, but am now facing either MV repair or replacement depending on what the surgeon can make work.  I am an ER nurse at a busy county hospital, a snowboarder, and a cyclist, and never have had anything slow me down until I found out I need surgery.  The anxiety is almost unbearable.  My heart fuction is down and some dilation was noted on a CT scan and TEE.  I do not want to have any further damage to my heart, and I know recovery is better when people are more fit... but it is a lot to absorb.  Looks like surgery possibly in December.  There does not really seem to be much available in this area for minimally invasive surgeries in this area, and I do not think I want to travel, I want to have as many friends and family as I can.  Really glad to have found this site and I read the entire book the moment it hit my doorstep.  Thanks to all. -Lisa</description>
		<content:encoded><![CDATA[<p>I am 35 years old and very active.  I was diagnosed with MVP with regurgitation at the age of 12.  I have never noticed any syptoms, but am now facing either MV repair or replacement depending on what the surgeon can make work.  I am an ER nurse at a busy county hospital, a snowboarder, and a cyclist, and never have had anything slow me down until I found out I need surgery.  The anxiety is almost unbearable.  My heart fuction is down and some dilation was noted on a CT scan and TEE.  I do not want to have any further damage to my heart, and I know recovery is better when people are more fit&#8230; but it is a lot to absorb.  Looks like surgery possibly in December.  There does not really seem to be much available in this area for minimally invasive surgeries in this area, and I do not think I want to travel, I want to have as many friends and family as I can.  Really glad to have found this site and I read the entire book the moment it hit my doorstep.  Thanks to all. -Lisa</p>
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		<title>By: nancy mallinger</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-6410</link>
		<dc:creator>nancy mallinger</dc:creator>
		<pubDate>Tue, 28 Oct 2008 02:26:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-6410</guid>
		<description>Hello everyone!!
   Like all of you, I have been asymptomatic although I have had aortic stenosis since birth.   I have not followed up with a cardio for 30 yrs due to some traumatic issues as a child, but when I was in the hospital in March for what seems to be endocarditis, they did an echo and found that my stenosis was critical.  I have seen 4 cardios, who all gave different opinions of when I should have surgery (immediately, the next year or two, wait for symptoms, whenever I wanted).  I have decided to have it in 2 wks at the Cleveland Clinic, mostly because everyone is telling me I will need to eventually, so why not now while I am otherwise healthy.
   What I want to know is, will I feel any differently after?  I probably have been limiting myself physically for years, but I haven&#039;t been limiting myself any more recently, and I am able to do whatever I want to do (I can&#039;t run a marathon, but I&#039;m able to walk on my treadmill at a good pace for an hour, and that&#039;s just fine for me).  People will say that you won&#039;t believe how much better you feel, but it seems like an awfully big, complicated, risky surgery if nobody can be TOTALLY sure of the benefits.  For all anyone knows, I may have had this level of stenosis forever.
   Anyway, glad to get that off my chest.  If anyone can understand where I&#039;m coming from, it&#039;s you guys.  Good luck to everyone.  It&#039;s great to hear such positive things from you all.
            Nancy</description>
		<content:encoded><![CDATA[<p>Hello everyone!!<br />
   Like all of you, I have been asymptomatic although I have had aortic stenosis since birth.   I have not followed up with a cardio for 30 yrs due to some traumatic issues as a child, but when I was in the hospital in March for what seems to be endocarditis, they did an echo and found that my stenosis was critical.  I have seen 4 cardios, who all gave different opinions of when I should have surgery (immediately, the next year or two, wait for symptoms, whenever I wanted).  I have decided to have it in 2 wks at the Cleveland Clinic, mostly because everyone is telling me I will need to eventually, so why not now while I am otherwise healthy.<br />
   What I want to know is, will I feel any differently after?  I probably have been limiting myself physically for years, but I haven&#8217;t been limiting myself any more recently, and I am able to do whatever I want to do (I can&#8217;t run a marathon, but I&#8217;m able to walk on my treadmill at a good pace for an hour, and that&#8217;s just fine for me).  People will say that you won&#8217;t believe how much better you feel, but it seems like an awfully big, complicated, risky surgery if nobody can be TOTALLY sure of the benefits.  For all anyone knows, I may have had this level of stenosis forever.<br />
   Anyway, glad to get that off my chest.  If anyone can understand where I&#8217;m coming from, it&#8217;s you guys.  Good luck to everyone.  It&#8217;s great to hear such positive things from you all.<br />
            Nancy</p>
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		<title>By: Sherri Hendry</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-6401</link>
		<dc:creator>Sherri Hendry</dc:creator>
		<pubDate>Sun, 26 Oct 2008 13:40:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-6401</guid>
		<description>Hi everyone,

Thanks for all your valuable input!  Just an update, I have been referred to a surgeon due to my MVP status.  An Echo in September revealed that the leak has increased from 4.2 to 4.4 in 3 months.  My cardiologist feels that now is the time for the repair.  Said in general my heart is in good shape and had not started to dialate.  The chamber however is starting to show signs in enlargement.  With that being said, he stated I was a good candidate for the Da Vinci procedure which is what I had preferred if at all was possible.  I am now working on my appointment w/ a surgeon my cardiologist recommended for this procedures.  I&#039;m lucky because at this point I am going in for a repair (pending surgeon&#039;s review) and not a replacement.  My cardiologist feels that fixing the valve now before it becomes too damaged to repair is a good thing. And I couldn&#039;t agree w/ him more.  My Biscupid aortic valve is still functioning normally.  No leakage or sticking.  I feel truly blessed - for that and all of you as well as Adam.  Thanks to everyone.

Sherri</description>
		<content:encoded><![CDATA[<p>Hi everyone,</p>
<p>Thanks for all your valuable input!  Just an update, I have been referred to a surgeon due to my MVP status.  An Echo in September revealed that the leak has increased from 4.2 to 4.4 in 3 months.  My cardiologist feels that now is the time for the repair.  Said in general my heart is in good shape and had not started to dialate.  The chamber however is starting to show signs in enlargement.  With that being said, he stated I was a good candidate for the Da Vinci procedure which is what I had preferred if at all was possible.  I am now working on my appointment w/ a surgeon my cardiologist recommended for this procedures.  I&#8217;m lucky because at this point I am going in for a repair (pending surgeon&#8217;s review) and not a replacement.  My cardiologist feels that fixing the valve now before it becomes too damaged to repair is a good thing. And I couldn&#8217;t agree w/ him more.  My Biscupid aortic valve is still functioning normally.  No leakage or sticking.  I feel truly blessed &#8211; for that and all of you as well as Adam.  Thanks to everyone.</p>
<p>Sherri</p>
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		<title>By: Marion Crow</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-5883</link>
		<dc:creator>Marion Crow</dc:creator>
		<pubDate>Thu, 04 Sep 2008 00:46:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-5883</guid>
		<description>Dear Adam
As you will see by my response to Sherri I am recovering from mitral valve replacement.  I found your book really helpful and have shown it to my specialists.  I would like to produce something similar for New Zealand conditions, as there are a number of differences in our systems and also with the types of surgery available here.  We have not yet developed the less invasive techniques which are becoming available in the USA, our population being so much smaller.
It has recently been big news that an aortic valve has been replaced like a stent but this procedure is only likely to be used for older or frail people who would not be candidates for stenotomy.

I would appreciate permission to use some of the information in your book with acknowledgement to you.  I haven&#039;t yet started to plan how I would approach this task but I will have access to personal stories from NZ patients.  I discussed my desire for this project with a cardiac nurse specialist here in Christchurch.

You may be interested to know that in the South Isalnd of NZ there are cardio-thoracic nurses who work on the district following up and caring for patients in their own homes.  I had several visits from my local nurse during the first 2 weeks after discharge from hospital.  This was really helpful for encouragement and advice for myself and my carers.  She assessed the level of my pain relief at her first visit, the day after arriving home, and arranged further medication with my GP.  That made a huge difference to my ability to get moving.  Her regular visits included a check on blood pressure, heart rate, lungs and asking whether there were any problems, how was my INR level and warfarin dosage.  The weather was so wintry and wet that outdoor exercise was almost impossible - so walking up and down the hallway was the only exercise available until I returned to my own home with the loan of an exercycle.  We are now beginning to see some warmer weather with Spring approaching and I am enjoying being able to do some gardening for the first time since before Chrstmas.  I am planning to return to work in 3 weeks as a part time administrator.  

Thank you again for you helpful book and blog.
Marion</description>
		<content:encoded><![CDATA[<p>Dear Adam<br />
As you will see by my response to Sherri I am recovering from mitral valve replacement.  I found your book really helpful and have shown it to my specialists.  I would like to produce something similar for New Zealand conditions, as there are a number of differences in our systems and also with the types of surgery available here.  We have not yet developed the less invasive techniques which are becoming available in the USA, our population being so much smaller.<br />
It has recently been big news that an aortic valve has been replaced like a stent but this procedure is only likely to be used for older or frail people who would not be candidates for stenotomy.</p>
<p>I would appreciate permission to use some of the information in your book with acknowledgement to you.  I haven&#8217;t yet started to plan how I would approach this task but I will have access to personal stories from NZ patients.  I discussed my desire for this project with a cardiac nurse specialist here in Christchurch.</p>
<p>You may be interested to know that in the South Isalnd of NZ there are cardio-thoracic nurses who work on the district following up and caring for patients in their own homes.  I had several visits from my local nurse during the first 2 weeks after discharge from hospital.  This was really helpful for encouragement and advice for myself and my carers.  She assessed the level of my pain relief at her first visit, the day after arriving home, and arranged further medication with my GP.  That made a huge difference to my ability to get moving.  Her regular visits included a check on blood pressure, heart rate, lungs and asking whether there were any problems, how was my INR level and warfarin dosage.  The weather was so wintry and wet that outdoor exercise was almost impossible &#8211; so walking up and down the hallway was the only exercise available until I returned to my own home with the loan of an exercycle.  We are now beginning to see some warmer weather with Spring approaching and I am enjoying being able to do some gardening for the first time since before Chrstmas.  I am planning to return to work in 3 weeks as a part time administrator.  </p>
<p>Thank you again for you helpful book and blog.<br />
Marion</p>
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		<title>By: Marion Crow</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-5882</link>
		<dc:creator>Marion Crow</dc:creator>
		<pubDate>Thu, 04 Sep 2008 00:17:10 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-5882</guid>
		<description>Hi All

I&#039;m now 8weeks after my surgery for a mitral valve replacement.  I had no idea that there was any heart problem until I ent to see my General Practitioner (GP) because I had noticed mised hert beats when checkin mypulse rate at the gym.  I am a nurse and know that this is not necessarily a problem.  On checking my heart my GP asked if I knew I had a murmur - I did not - and she was concerned about this but not the pulse rate.  I made an appointment with a cardiologist but 2 days before I was lifting several parcels of books onto the Post Office counter and experienced some weakness; recovering while the postage was worked out.  However I felt tightness in my chest which conrinued until after I had been at work for nearly an hour so my boss, also a GP, sent me in to hospital as an emergency.   I was admitted for 2 days during which time most of the tests were run.  The Dr then came and told me that I had a moderate/severe mitral regurgitation ahich needed replacement but I was too fit to get it done in the public system! I was to be sent home with 6 monthly checkups and further decisions would be made accordingly.  
Thank goodness for insurance!  I made another appointment with the private cardiologist who followed up with a stress echo.  This showed my heart would not cope with the degree of leakage so I went on to have a cardiogram. This confirmed the degree of leakage and also showed my coronary arteries are fine.
I experienced the roller coaster ride of first diagnosis to surgery in less than four months!  I had been feeling tired before seeing my GP, but had also been busier than usual the previous year.  After the episode with the book parcels I started to develop some breathlessness and lack of energy but nothing that was much of a problem. 
I have been very grateful for Adam&#039;s book which I found really helpful though there are a number of differences here in New Zealand.  A big one being the two systems, private and public.  Without insurance there can be a realy long wait for non urgent surgery.  
Sherri, you may not read this until after your surgery,  I wish you well for your recovery period.  You will soon be back with more energy than ever.
Marion</description>
		<content:encoded><![CDATA[<p>Hi All</p>
<p>I&#8217;m now 8weeks after my surgery for a mitral valve replacement.  I had no idea that there was any heart problem until I ent to see my General Practitioner (GP) because I had noticed mised hert beats when checkin mypulse rate at the gym.  I am a nurse and know that this is not necessarily a problem.  On checking my heart my GP asked if I knew I had a murmur &#8211; I did not &#8211; and she was concerned about this but not the pulse rate.  I made an appointment with a cardiologist but 2 days before I was lifting several parcels of books onto the Post Office counter and experienced some weakness; recovering while the postage was worked out.  However I felt tightness in my chest which conrinued until after I had been at work for nearly an hour so my boss, also a GP, sent me in to hospital as an emergency.   I was admitted for 2 days during which time most of the tests were run.  The Dr then came and told me that I had a moderate/severe mitral regurgitation ahich needed replacement but I was too fit to get it done in the public system! I was to be sent home with 6 monthly checkups and further decisions would be made accordingly.<br />
Thank goodness for insurance!  I made another appointment with the private cardiologist who followed up with a stress echo.  This showed my heart would not cope with the degree of leakage so I went on to have a cardiogram. This confirmed the degree of leakage and also showed my coronary arteries are fine.<br />
I experienced the roller coaster ride of first diagnosis to surgery in less than four months!  I had been feeling tired before seeing my GP, but had also been busier than usual the previous year.  After the episode with the book parcels I started to develop some breathlessness and lack of energy but nothing that was much of a problem.<br />
I have been very grateful for Adam&#8217;s book which I found really helpful though there are a number of differences here in New Zealand.  A big one being the two systems, private and public.  Without insurance there can be a realy long wait for non urgent surgery.<br />
Sherri, you may not read this until after your surgery,  I wish you well for your recovery period.  You will soon be back with more energy than ever.<br />
Marion</p>
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		<title>By: Shell</title>
		<link>http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/comment-page-1/#comment-5796</link>
		<dc:creator>Shell</dc:creator>
		<pubDate>Thu, 21 Aug 2008 23:21:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.heart-valve-surgery.com/heart-surgery-blog/2008/07/23/asymptomatic-heart-valve-disease-diagnosis/#comment-5796</guid>
		<description>Hi all - I had an echo done to rule out a hole in my heart for another issue and that&#039;s when the Dr found that I had a bicuspid aortic valve.  She said that there is a little of blood leakage, but not too much to be worried about.  I have a little arrhythmia, but she said that was normal.  I go back in a year to get another echo. I&#039;m 30.  Is this something to worry about, or get a 2nd opinion about?</description>
		<content:encoded><![CDATA[<p>Hi all &#8211; I had an echo done to rule out a hole in my heart for another issue and that&#8217;s when the Dr found that I had a bicuspid aortic valve.  She said that there is a little of blood leakage, but not too much to be worried about.  I have a little arrhythmia, but she said that was normal.  I go back in a year to get another echo. I&#8217;m 30.  Is this something to worry about, or get a 2nd opinion about?</p>
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