Update: My wife made me call back and get a sooner appointment and the best they could do was a week later with a Physicians Assistant.
Meanwhile, late one evening i become short of breath, and, per the PA at the cardiologist i went to the ER. they did an Echo, EKG, Catscan with contrast, xray, and bloodwork. St Joes ER docs tell me there is a sound but nothing wrong. They send me home.
A few days later the PA/Nurse Practitioner checks my test results from the ER and puts me on a telemetry heart monitor for a few weeks.
I call back for the follow up to the heart monitoring and luck out and get a slot with my cardiologist.
after a review of the past and present echo reports my cardio is stumped as to why me porcine valve would be making more noise. all the echo measurements/readings seem within normal ranges. He takes a listen with his stethascope and seems puzzled again, saying that doesnt sound like normal turbulence. He listens around more and asks if i have been keeping up with my cycling. I have and have gotten really fast. He asks if im staying aerobic to which i explain that i am except for some of the very steep hills. long story short, he thinks i have popped one of the sutures that hold the valve in place and blood is squirting out the side.
He said come back in 6 months instead of 12 for another echo.