So, today was my stress echo-cardiogram and follow up with the cardiologist. If you are sick of my medical/health misadventures, stop reading now. If you
want to tell me how much more you know than do I or my doctor, please don't go there. I'll be deleting those messages without a response.
The good news is that my heart is healthy. However, I have (as best I understand it) an adrenalin imbalance that I probably have had all of my life - my body makes too much. Only the past few years it has likely been exacerbated by stress and the high level of exercise I've been doing. This is what makes my heart rate go so high so quickly during exercise and when I am stressed (and the corresponding difficulty in returning to a normal resting rate). This is also one of the reasons I am so tired (heart is working too hard), and likely why I cannot progress with my workouts. It seems that I scored rather poorly on the length of time to achieve the target heart rate and then to get back to "normal" versus what would be expected for my age and fitness level. The imbalance is complicated by the fact that I likely do have damaged cartilage where my ribs connect to the sternum on my left side (has a big fancy name I don't recall right now). Cartilage does not heal well, so this may never really go away. When I breathe deeply and hard (when exercising or stressed), it pushes more against the damaged cartilage, thus, increasing my discomfort. Neither condition will shorten my life in any way. However, he gave me a prescription for a mild beta-blocker to address the adrenalin imbalance, which should help with the heart rate. I will see him in four months to see what this does.
The good news is that my heart is healthy. However, I have (as best I understand it) an adrenalin imbalance that I probably have had all of my life - my body makes too much. Only the past few years it has likely been exacerbated by stress and the high level of exercise I've been doing. This is what makes my heart rate go so high so quickly during exercise and when I am stressed (and the corresponding difficulty in returning to a normal resting rate). This is also one of the reasons I am so tired (heart is working too hard), and likely why I cannot progress with my workouts. It seems that I scored rather poorly on the length of time to achieve the target heart rate and then to get back to "normal" versus what would be expected for my age and fitness level. The imbalance is complicated by the fact that I likely do have damaged cartilage where my ribs connect to the sternum on my left side (has a big fancy name I don't recall right now). Cartilage does not heal well, so this may never really go away. When I breathe deeply and hard (when exercising or stressed), it pushes more against the damaged cartilage, thus, increasing my discomfort. Neither condition will shorten my life in any way. However, he gave me a prescription for a mild beta-blocker to address the adrenalin imbalance, which should help with the heart rate. I will see him in four months to see what this does.
He also thinks my gall bladder is a factor. Apparently (and none of the other doctors have said this to me) the gall stones I have are not only numerous,
but they are also much larger than most people get. He said he has to believe they hurt just because of how large they are. He said it is like having rocks
in your chest. One theory is that when I exercise or am stressed and my heart rate/breathing increases, it sort of "shakes up" the gall stones
causing pain. So, I go back to the surgeon next month to discuss the fate of my gall bladder. If I have surgery, it's no-big-deal one day outpatient
stuff. We'll see.
I don't know if this is a complete answer or not. But is it so much more than I've gotten thus far. He also thinks that the splenetic artery
aneurysm they spotted on the CT scan may be an erroneous finding. He suspects that when they do a follow up scan in a few months it will prove to be the
artery bending back on itself or something equally benign. But, even if it is for real, cardio doc says we just keep monitoring and so long as there is no
growth, it's all good and there is little risk because it is small. I love this doctor. He has such a great rapport with patients. There were several
others in the waiting room to see him and they were all talking about how well he explains things, his practical approach, friendly nature, etc. I want to
clone him.
Oh, best part! So, he prescribed this beta-blocker. I ask if there is any alcohol interaction with the drug. He looks at me funny. I tell him I am about to go on vacation to the beach and cocktails are a requirement. He says that's better than any prescription he could write me! Then he launches into this whole dialog about how women at my stage of life with two teenagers, a career, primary household responsibilities, caring for parents, volunteer work, and all that other life stuff, are the most stress-filled people on the planet. The good news is that a lot of the stress goes away when the kids go to college. Meanwhile, the stress takes a huge toll on our health and quality of life. He told me that I really need to find ways to reduce stress in my life. And, while he agreed that it was easier said than done, he did give me some suggestions. One I found hilarious. Doc: "Do you yell up the stairs to communicate with your children?" Me: "Is there another way to communicate with teenagers?" Doc: "Yes. You tell them that your doctor has ordered that you not do this any longer and that they must assume responsibility for being responsive to you. This is what texting is for. I don't care that they are upstairs. Texting will keep your heart rate and BP from escalating." So, I've been ordered to communicate with my teenagers via text. LOL
As you might guess, I am really relieved that there is nothing incredibly, seriously wrong with me. I feel vindicated that a doctor actually took me seriously and figured out at least one major issue that I have apparently been fighting all of my life (the adrenaline). Now, I just hope that the treatment really does some good. I'll have to think about the gall bladder surgery. I really do not want to be cut on, no matter how minor the procedure. And, my GB functions normally. But this doc, who I respect and trust, really does seem to think I should have it out. So, I'll think about it.
Thanks to those of you who have read through all of this and stuck by me no matter how whiney and stress out I've been over the past few months. I really do feel like a huge burden has been lifted from my shoulders. You see, what I've not shared publically is that my uncle died twenty years ago at age 45 of primary pulmonary hypertension, a hereditary condition. Most all of my symptoms matched. But, the cardio doc checked the pulmonary artery very closely during my testing and said mine is very healthy! YAY!!!!!
Now to get on with packing and stitching. Likely I will not post again until after I return from vacation and dry out. :D Be good while I'm away, or at least good at it!!!
Oh, best part! So, he prescribed this beta-blocker. I ask if there is any alcohol interaction with the drug. He looks at me funny. I tell him I am about to go on vacation to the beach and cocktails are a requirement. He says that's better than any prescription he could write me! Then he launches into this whole dialog about how women at my stage of life with two teenagers, a career, primary household responsibilities, caring for parents, volunteer work, and all that other life stuff, are the most stress-filled people on the planet. The good news is that a lot of the stress goes away when the kids go to college. Meanwhile, the stress takes a huge toll on our health and quality of life. He told me that I really need to find ways to reduce stress in my life. And, while he agreed that it was easier said than done, he did give me some suggestions. One I found hilarious. Doc: "Do you yell up the stairs to communicate with your children?" Me: "Is there another way to communicate with teenagers?" Doc: "Yes. You tell them that your doctor has ordered that you not do this any longer and that they must assume responsibility for being responsive to you. This is what texting is for. I don't care that they are upstairs. Texting will keep your heart rate and BP from escalating." So, I've been ordered to communicate with my teenagers via text. LOL
As you might guess, I am really relieved that there is nothing incredibly, seriously wrong with me. I feel vindicated that a doctor actually took me seriously and figured out at least one major issue that I have apparently been fighting all of my life (the adrenaline). Now, I just hope that the treatment really does some good. I'll have to think about the gall bladder surgery. I really do not want to be cut on, no matter how minor the procedure. And, my GB functions normally. But this doc, who I respect and trust, really does seem to think I should have it out. So, I'll think about it.
Thanks to those of you who have read through all of this and stuck by me no matter how whiney and stress out I've been over the past few months. I really do feel like a huge burden has been lifted from my shoulders. You see, what I've not shared publically is that my uncle died twenty years ago at age 45 of primary pulmonary hypertension, a hereditary condition. Most all of my symptoms matched. But, the cardio doc checked the pulmonary artery very closely during my testing and said mine is very healthy! YAY!!!!!
Now to get on with packing and stitching. Likely I will not post again until after I return from vacation and dry out. :D Be good while I'm away, or at least good at it!!!

People who also have something to say
Posted: 05/27/09 17:49:19
Does your heart just race and race whenever you get the slightest bit upset, and you can't calm down? I have that issue, and have been chalking it up to anxiety. Hmmm.
Enjoy your vacation, and congrats again to DD#2. That is super awesome!
PS: I do text Megan when she's upstairs in her room and I'm down on the couch. :-D
Posted: 05/27/09 18:34:43
Enjoy your vacation!
Posted: 05/27/09 18:50:01
That's too funny about the texting! That's one thing that I really don't do at all (yet). LOL
Posted: 05/27/09 19:02:48
I do text Kylie when she's on the opposite side of the house... LOL I *wish* my "geek-y" husband would embrace texting! He's still not with the times :(
Posted: 05/27/09 19:46:57
I'll join the chorus, I'm going to start texting Win. I'm so sick of yelling. For that alone your doc is brilliant. :D
90% of people seem to be thrilled when they get their gallbladders out. If you choose to have the operation I hope you're in the 90%. I'm so glad you finally got a doc that LISTENS.
Have a GREAT vacation and super huge congrats to DD#2. And of course to Mom & Dad who taught her all that stuff.
Posted: 05/28/09 01:55:24
Looking forward to seeing you in a few weeks.
Posted: 05/28/09 05:54:22
Posted: 05/28/09 06:59:49
And many, many hearty congratulations to your DD. Ya done good with that'n!!
Posted: 05/28/09 07:29:30
Also, if you can't do a little whining in your blog, what's the point of having one?
Posted: 05/28/09 09:53:26
on with your body. Doctors like him are few and far between.
I know you'll have fun on your vacation!
Carol
Posted: 05/28/09 12:31:35
Posted: 06/04/09 09:03:24
Glad to hear you are getting some answers, hopefully you have a great vacation and the medicine he perscribed to control the adreniline works for you. My mom had her gall bladder out a few years back and she had it done laproscopically (sp?) and it healed very quickly. Just wanted to mention that might be an option for you if the "cutting into you" is your big hurdle.