Hi Everyone - I'm Back Home!!!

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Dawn-Marie

Hi Everyone ~ I'm FINALLY home...Yay!!! Thank you very much for all the prayers and well wishes....i appreciate them so much! I had some other issues that made me go into the hospital a couple days earlier than the planned surgical date of July 17th. I had surgery to take care of them and i'm feeling much better now.

As far as the scheduled aortic valve replacement, Dr. Strzalka told me he consulted with a new cardiac surgeon in Erie, Pa., and he told him that i would be way too high a risk to operate on. Dr. Strzalka was already worried that i would not get off the ventilator and this doctor confirmed his thoughts. Dr. Strzalka has talked with doctors at both Cleveland Clinic and Columbia-Presbyterian Hospital in New York City. One of the doctors told him i would be the ideal candidate for the Percutaneous Aortic Valve if i fit all the criteria. I thought it would be a simple matter of their getting copies and CD's of all my tests and then saying whether or not i was accepted. It's not that simple. I have to fit the criteria for the valve, which means my heart and the heart valve have to be just the perfect size. I'm not all that good at understanding lots of medical jargon, but i know now that i will have to go to Cleveland Clinic or Columbia-Presbyterian several times to be evaluated before i will even know if i meet their requirements. Medicaid had refused to cover the transportation, but Dr. Strzalka called them this week and managed to convince them to pay for all my transportation to whichever hospital i end up going to. I'm SO happy that he did this because this was what was preventing me from even having a chance to get the percutaneous valve.

Yes, i am scared of being a guinea pig, but i know now that this is probably my only chance of getting a new valve and living a quality life thereafter. I definitely do not want to be on a ventilator for life, and this appears to be my only chance. I guess the reason i don't like the thought of being a guinea pig is that i was one back in 1981 when i was the third person in the world to have what they called the world's first artificial spine. My doctor read about it in People and Time magazines and sent me down to Dr. Charles Edwards in Baltimore. He evaluated me in November and by March, 1981 he figured out what he could do to help me. He did 15 hour microsurgery to remove a huge cancerous tumor from my spine and right lung. He had hoped to remove it without paralyzing me (he said i only had a 5 percent chance of paralysis). Unfortunately, i did become paralyzed from T1 level down. My back has collapsed several times as the surgery was not perfected and i have had numerous surgeries for scoliosis. If i'd had the traditional surgery in our town, plus radiation, Roswell Park said i would have become paralyzed immediately, but i wouldn't have had all the issues with my back collapsing. But Dr. Edwards surgery was the only chance i had to not become paralyzed so i went for it. It's just hard to be a guinea pig again after undergoing all i have in the past, if you know what i mean.

I'm sort of in limbo now. Dr. Strzalka sent information to both hospital. Cleveland Clinic lost all the information, so they reforwarded it. He had hoped that they would be able to do a hospital to hospital transfer of me to Cleveland Clinic, but somehow Cleveland Clinic misplaced the information he sent them. They have it now, but he's going to be on vacation all next week. They were going to get ahold of him, but now he will be on vacation next week. I'm not sure if they will get ahold of me directly, or not.

Well, i think i'll be going for now. I need to get a few things done before my aide comes. I had a rough day yesterday. I had such low blood pressure and potassium levels that i fainted and was unconscious for over three hours. I've been loading up on Gatorade (what my nurse told me to do). So far today i'm not feeling too dizzy. Just happens when i move too quickly.

Thank you again everyone. I'll be back tomorrow. Today has been a crazy day, but hopefully, things will calm down now
 
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Gee, Dawn-Marie, what a mixed bag of news. I'm glad you're home, and I'm glad you're now in consideration for the percutaneous valve, but I'm sorry there has been a delay getting your medical information conveyed between medical facilities.
I'll keep you in my prayers until all these issues are resolved, and you're sporting a new percutaneous valve!
 
That's as close to excellent news as we can get for this Dawn-Marie. I'm so glad that medicaid is going to transport you. It's pretty hard to justify their leaving you in your area and getting substandard life saving care so I think the best thing is going to happen. Hopefully soon.

Take Heart,
Pamela.
 
Dawn, Thanks for the update. I know it must be frustrasting waiting for records that should be there and all the other unknowns. I hope you are a candidate for the Percutaneous valve. I was a little confused about the transportation, it seems like you might have to get testing at both hospitals, will medicade only cover the hospital you go to for surgery? IF transportation is a problem, there are orgs like Angelflights that can help, I beleve they will take the patient and 1 other person. Lyn
 
Thank you for updating us, Dawn-Marie. Your VR family is thinking of you constantly. This sounds like cautiously good news and I will keep praying for you that they determine you to be a perfect candidate for percutaneous valve. You are very brave lady and your spirit is magnificent. Huge cyber hugs and loads of prayers.......
 
Dawn-Marie,
Glad to see a post,pro's and con's of waiting,
but i bet the kitty's glad your home.
Think of you often and in prayers till this is all finished
for you,take care and rest up,drink that gatorade as nurses instructed
you to.Good thoughts and vibes heading your way:):)

zipper2(Deb)
 
Dawn-Marie, it's good to hear from you and we all appreciate the detailed update. That's terrific that the transportation issues are hopefully resolved; your doctor sounds like a very caring individual. Hoping things go well with the records reviews and you also have my very best wishes.
 
I will keep you in my thoughts and prayers Dawn Marie and I hope the good doctors can get this resolved for you.
 
Your courage

Your courage

is truly amazing! It makes me ashamed to complain about my post-surgery aches and pains, lack of sleep etc. I hope and pray that you meet the criteria and that everything goes smoothly for you.
 
Dawn Marie...I'm sure you are glad to be back home but I know you wish all of this was behind you. I'm glad you've got someone in your corner now who is trying to get things sorted for you. Keep your chin up.

Kim
 
Dawn-Marie!

It was so good to see your name pop up again! Your medical experiences boggle my mind. I wish I knew something helpful to say. It sounds like some of the medical establishment is at last giving you support--I hope that continues, and that there is no repeat of the lost records fiasco.
 
Hi again everyone ~ Thank you so much again for your support and prayers. It has really helped to know you have been there for me!

I'm finally feeling much better. After i posted on Saturday i fainted again at my computer and woke up a couple hours later leaning way over in my wheelchair. Then i was so wacky i just kept sitting there, forgetting i was home, and waiting for a nurse to come and help me. It took me about 10 minutes to remember i was home with my electric wheelchair and could move...DUH!!!

Dr. Fitzgibbon (Dr. Strzalka's associate who i called when i woke up from fainting on Friday) said i should have nurses come in every day since i had critical aortic stenosis, plus really low blood pressure and potassium (it's only 2.8 at the most). So far all they will do is send a nurse out once a week. Willcare told me today to buy an electronic blood pressure cuff and take my own blood pressure, so i am going to have my aide buy me one tomorrow. Laura (my nurse) is coming tomorrow and is going to do a blood draw to check my potassium (which will probably be low as it always is). I take potassium twice a day, but it still won't become normal. I had trouble with that and my blood pressure all the time i was in the hospital. My blood pressure was usually 65 over 38 to 43 (too low). They could never figure out why. But i was stable when i left so they let me go. They said i suffered from something on Friday afternoon called valvuular overstimulation (or something like that), and it shot my blood pressure way down to almost nothing and that is why i got dizzy and fainted. I'm not dizzy anymore, thank goodness. Just really tired, but Dr. Strzalka said that was par for the course because of my heart valve.

I'm not sure when i'll hear from Cleveland or Columbia-Presbyterian in NYC. I am only going to go to one of them for tests. They're both part of The Partner Study. Cleveland would be the best place, since it's only a 3 hour drive. NYC would be double the distance. They won't be sure if i even quality for the percutaneous valve until i go down there for a battery of tests. I guess my arteries have to be large enough to thread the new valve up through them. I've always been told that i have little arteries when i've had other heart caths, so i am praying they will accept me. Good grief, it took 4 times for me to get my blood gas done. My veins are the same. My left arm is totally useless for blood draws and my right arm isn't much better. I have good veins in my feet, so they did all the blood draws through them (easier for me as i'm paralyzed and i don't feel a thing!!).

Well, i don't know much else and don't know if i will for a couple weeks. I think they have to confer with Dr. Strzalka first after they go over all the information and CD's he sent them). But i found out today he's on vacation for 2 weeks rather than the 1 week i thought he was taking off. So, i may not hear a think until he's back from vacation. He told me i'll have to be patient. They told me back in November, 2007 not to wait to get this taken care of as my stenosis was critical. Here it is August and i'm still waiting. He told me i could have a heart attack or atrial fibrillation anytime and have my heart stop, so i'd like to get this done before that happens. It's not easy to keep waiting knowing it's so dangerous.

I'll let you know when i hear anything, which may be a couple weeks. Hopefully, one of the hospitals will think my tests warrant my going down for evaluation. I asked him while i was in the hospital if he would still operate if they wouldn't take me, and he just looked at me and didn't say a word, then walked out of the room, so i guess surgery is out for sure.

Bye for now, and thank you again. Please keep me in your prayers!

Dawn-Marie
 
Oh dear,Dawn -Marie,
It's hard to see you have to go through this,
Hate the fact your at home passing out like that.
Your posts convey strenght and means alot to us here
I wish you a million blessings and am praying your results
of all this (surgery) etc. come out victorious for you.
((((((HUGS))))) sent to you with strenght and healing.
you are always in my prayers.:):)

zipper2 (DEB)
 

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