4.13.2008

Matters of the Heart

For some time I have been experiencing unexplained fatigue during/after any exertion. Thinking back, it seems I may have had some early indications as far back as the '06 Assembly in Nashville, but I attributed it to southern heat, humidity, and lack of adequate rest. 

Upon visiting the doctor at my HMO, he did blood tests, X-Rays and put me on a low daily dosage of Atenolol + Simvastatin to control slightly elevated blood pressure and cholesterol. The symptoms -- uncharacteristic fatigue, reduced physical stamina, shortness of breath -- persisted, and the doctor ordered a Nuclear Cardiolite Stress Test. 

They were unable to do the treadmill version of the test because I have a just-discovered Left Branch Bundle Block. Instead, they did an IV Chemically induced stress-test, infusing a chemical (Thallium) that immediately put the heart into heavy stress mode, while they monitored my physiological responses. That was a very long six minute chemistry lesson. That was followed by 20 minutes laying perfectly still, flat on my back, with my arms extended over my head (you know... that relaxation position we all love.) while they imaged my heart in action. Those pictures were pretty amazing... like something from an episode of "House." But they revealed an area of my heart that caused the doctor (and me!) some concern, so they scheduled me for a diagnostic cardiac catheterization. Big fun! 

This had, obviously, put a serious crimp into my lifestyle. I had been forced to slow way down, and my wife had to take up the slack. (I couldn't even lift and carry the groceries from the car.) My professors have been very understanding and have extended some deadline grace on assignment submissions, as I could only work for brief periods without rest. I am supposed to leave for Korea next week, health permitting. 

They discovered 3 blockages: one 90%, one 95 and one 100% -- They actually stopped and called in the Cardiologist to see if they should transfer me for a by-pass! The blockages were scary and much more extreme than they anticipated. 

A praise report: Of course I was a little concerned over the costs of the procedure.... at $4,000/stent, and my HMO covering HALF. While I was in the prep room before the cath lab, a guy from the Cardio department walked up with a clipboard and said my pre-tests qualified me to participate in a clinical trial. If I signed off allowing them use a new stent in the final stages of FDA APPROVAL, that stent would be free, and the Plavix I would need to take daily for a year would also be provided. 

I signed. 

$2000 out-of-pocket saved + Plavix -- Shocked --not a cheap med. 

I give God all the glory for allowing me to stay alive and continue to function with such extreme blockages, and for it being detected and treated BEFORE I had a serious or fatal heart attack. The 100% blockage was left untreated, as the Dr. said the heart had spontaneously rerouted the blood flow around it. I believe that happened the night I was prayed for at a conference and felt incredible strength flow into my body.