Medically-induced blargh

For those of you who have been following me on other social media platforms, rest assured that this will not be another rant about hives.

With that being said…

Several years ago, after many years of successful and ongoing treatment for high blood pressure, my doctor diagnosed me with mitral valve prolapse. To put it as simply as possible, one of the valves in my heart would occasionally fail to seal properly, allowing some blood to pool in a chamber instead of cycling through normally. Most of the time, I never even noticed it, but sometimes it felt like my heart would “skip a beat” as it moved the “extra” blood through my system. I was put on the “wait and see” program for this, since it isn’t an immediate concern – lots of people never even know they have this condition, and many that do live their whole lives without being treated for it.

On Tuesday, I went for a follow-up checkup on this condition, getting an echocardiogram – basically an ultrasound of my heart. I felt fine, the exam seemed to go fine, and I was on my way without a question or concern.

On Wednesday, I got a text from my wife saying the doctor’s office wants to speak with me right away. (I ran out of minutes on my cell phone, so they called the house, and she happened to be home sick.) They told me that as a result of yesterday’s test, they want me to contact one of their heart specialists to set up a consultation about the “dilation” they detected in my heart, and to discuss a possible surgery.

Heart surgery.

I’d known that valve surgery was an option as treatment; I know someone that had a valve replaced long before I’d even been diagnosed with my problem. Still, it’s not comforting news to hear. The rest of my day at work was spent doing not a lot of work, and trying to do not a lot of worrying, and trying really hard not to a lot of research online about my new diagnosis. (From what I saw, dilation refers to the heart swelling from being overworked, and is a step along the way towards heart failure (which doesn’t mean that it STOPS, it just functions below acceptable limits to keep one feeling well and healthy).)

I called the doc, and set a “first available” appointment for August 1st – ten days from now. After I hung up, I went through all of the symptoms I’d had in the last few months, and wondered if they were signs I missed (probably), or if the antibiotic I took back in June had anything to do with this (possibly), or how I’d deal with surgery… which actually didn’t bother me too much. I mean, I’ve had my gall bladder out, and my tonsils, and wisdom teeth. My dad’s had four different pacemakers installed, and just had a hole drilled in his head for a new cochlear implant hearing aid. I guess we’re sturdy stuff, and if it’s gotta be done, it’s gotta be done.

Still, the options I’ve seen for replacement boil down to: an artificial valve, which will mean taking blood thinners for the rest of my life (yay, more meds!), or a natural tissue valve, which won’t need thinners, but won’t last forever – another surgery to replace the replacement in the future. I also found valve repair as an option – plastic surgery, basically, to firm up the valve and make it fit better. Still, my condition is described in my paperwork as “moderate to severe mitral regurgitation”, so what are the odds that repair is an option? I had to keep reminding myself – don’t fret, don’t worry, it doesn’t help to worry, focus on the next step…

I made it home, promptly flopped down on the bed next to the wife, and took a short nap, too tired to bother fretting any further. After getting up, I did some more research on surgical options, and found a video of a woman who was in much worse shape than I am currently in (she couldn’t go up a flight of stairs without running out of breath), and she got away with just the repair surgery, not a replacement. So, that quieted down some of the more panicked voices in my head. A chat with Doctor Mom helped as well – they’re going after this early, you’re not showing serious symptoms, we’re here for you, etc.

So now I just have to get through the next ten days until I can see my new specialist about what to do next. I apologize in advance for anyone that I might annoy with any further fretting. I’ll try to keep it down.

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