Oh, my, but it's been far too long since I posted here!
Today, I'm tired, confused, and more than a bit frustrated. Let's see if I can keep this short. In 2004, a routine EKG before eye surgery indicated that I could have a heart problem. After a stress test and cardiac catheterization (that horrible test where they insert a catheter into an artery in the groin and run it up into the heart to see inside the blood vessels), it was determined that a very small branch of the right descending coronary artery was blocked 80%. It was too small to do angioplasty and insert a stent, so we went with managing the issue with medications. I had occasional angina, but it was no big deal.
About 8 weeks ago, I was having pressure and a burning feeling in my chest and upper arms, an aching in my lower jaw, and pain above my shoulder blade -- all symptoms of heart attack in women. Of course, it was on a weekend, so off to the ER we went. They informed me that what I was calling pressure and burning, they call chest pain. It was angina, but it was different than what I'd had before. They got it stopped, but I had to spend a night in the hospital. The cardiologist on call stopped in the next day, spent about two minutes listening to my chest, told me I had to stay another night for a stress test, and left. A bit later, the nurse told he he'd gotten to her station and, upon discovering that I'd been there for 24 hours, decided to prescribe 2 additional meds and send me home to do the stress test as an outpatient.
I made a 6-week follow up appointment with my regular cardiologist. As soon as I started taking one of the new meds, a beta blocker, I was short of breath with almost no exertion. That's a common side effect of beta blockers for people who have asthma. Decided to stick it out and see if it stopped. It didn't. Explained that to my cardiologist who replied that he didn't want to change meds at that point because he wasn't sure if the shortness of breath was the med or my heart. He wanted to repeat the cardiac catheterization. Oh, joy. Not.
He did the test on Thursday. Sedation was optional. I opted OUT so I'd be aware of what was going on and able to talk to the doctor. He was told that I wanted him to talk to me after the test. After the test, all he told me was that here were no changes needing angioplasty and stenting, but that there was atherosclerosis through most of the vessels in my heart. He then walked out. I was still on the table and in no position to go after him for more information. He told my husband that there was "diffuse plaque and larger pieces of plaque" throughout the vessels, and that he could foresee a piece of that plaque breaking off and causing me major problems in the future.
Now, the purpose of the test was to see if the shortness of breath is due to meds or my heart. He didn't address that with my husband or with me. I asked on of the nurses in the recovery area. She asked him about the beta blocker, and he told her to tell me that he wasn't going to change my meds; that I could talk to my family doctor or see him in two months to discuss the issue again.
WHAT? Is my family doctor supposed to be an expert on adjusting cardiac drugs? What about this atherosclerosis? Is there something I can and should be doing about it?
Now, mind you, that test was very, very painful. I declined any sedation so I could talk to him, but he didn't see fit to really tell me anything; nor did he give my husband any helpful information. So, essentially, I put myself through hell for this test which costs nearly $6,000 (about $1,200 of which is going to come our of our pockets), and don't know what to do now. No information from him, and I'm just supposed to ask my family doctor?
To say that I'm pissed off is putting it mildly. Part of it is the frustration of feeling that I have so few choices. There are several cardiologists here, BUT they're all in the same practice group. My only option if I want someone to behave like a professional and compassionate human being would be to go out of town for care. That doesn't seem like a good choice to me. It seems to me that I need to have a cardiologist here, not out of town.
So, that's what's going on here. How is YOUR life going?