Tuesday January 16 2024
Icie had an apt to have her yearly ekg/echo at 1:15pm.
Violet came along with us which was a lovely distraction. ā¤ļøWormy did well for her ekg. She was sitting up playing with the nurses hat. The hat had flaps that hung down that could be squeezed so ears on the hat would flapped. It was very cute and kept wormy happy during the short test.
After that we switched rooms and waited for the echo. A cardiologist we have never met from the practice we used walked in to talk before the echo. She was very nice and went over Icieās history with me before the echo took place. She drew a heart diagram on a paper towel for me to help visualize what she was going to explain. On a side note, I need to go through Icieās medical history box to put all the heart drawings Iāve received - if I even kept them.š¤
She talked about the regurgitation from Icieās pulmonary artery not having a valve. She said if 10 red blood cells (rbc) try to leave the heart 5 rbcs drop back down into the heart. Then the next pump, 15rbcs try to leave and then 5 drop back down again. It stressed the right side of the heart and that is what causes the right side to bulge. I never knew that till she explained it. She also talked about how in her cases she usually sees children having surgery to place valves in their teens, and not college age. She did say every cardiologist sees diff things and wormy could always surprise us and it can be held off till she is older but to think more in terms of teens for surgery again. She talked about how they decide to move forward with surgery and how there is a sweet spot as when to start stress tests and mris. We want the heart squeeze to be strong and not let the heart bulge to much before deciding to start moving towards surgery. If we wait to long and the heart gets to big in the one side it causes the heart to relearn how to squeeze strong again which is something we want to avoid.
She also told me that there was a change to Icieās ekg from the last test. Itās showing that her heart is taking longer to relax than it use to. She said it could be because Icie was moving around during the test so she wants to do a repeat in 6 months. If the echo showed things being stable that would not need to be repeated. After we talked it was time for the echo. The echo went very fast and the lady was nice as always. I canāt say enough how grateful I am for finding this group. I love all the cardiologists I have met and their team is equally as amazingly
After the echo we met with the cardiologist one more time to go over the results. She said the echo looked stable. The patch is holding and there are no leaks and her heart is pumping. strong. She said she was going to note that there is now mild stenosis in the pulmonary artery that is volume based. She said that there have been so many advances in procedures even since wormy had surgery that by the time wormy will need surgery again hopefully it can just be a cath procedure. We talked about how Icie has BAV also and she said it truly is rare to have heart disease in the left and right heart but not to worry about it since her valves look good. She said intervention may not need to happen for that valve till worm is in her 50-60s. That was pretty much it. I left the apt with more understanding of wormys special heart and one more drawling of a heart to add to the books. ā¤ļø











