Dear All,
I hope all is well.
I have 3 sets of questions so please bear with me)
May 2019 Vmax 3.11 mean PG 22.69
May 2020 Vmax 3.37 mean PG 26.09
Nov 2020 Vmax 3.47 Vmax Mean 28.87
LVEF 70-75%
I am just learnng to interpret echoes.
1) I just came back from a new doctor in Bangkok; they looked at
my 3 echoes since my calcified aortic stenosis was found in May 2019;
they are saying VMAX is the best way to assess progression.
Normal progression rate is .3 a year and when you get to 4.0 then it's
considered severe. They said my progression is rapid, more than normal
and that I will be at severe in 1-2 years and need surgery 2-3 years after that.
Please look at my echoes and let me know further thoughts).
2) Can anyone detail the process from start to finish relating to aortic valve
replacement i.e pre op prep, op, post op prep and complications post op or op and what happens post op ?
What if you are flying 100% solo; what kind of help does one need at home post op ?
3) If one had AVS around age 60 mechanical or non ? TAVI/TAVR or OHS ?
How long do non mechanical valves last ? How bad is the ticking/warfarin with
mechanical ? I am vegan for my heart and my diet is largely made up of greens; does taking
warfarin really exclude greens ?
Complicating all this is living overseas without cardiac coverage; insurance in Thailand
can and will exclude PRE EXISTING i.e. cardiac conditions. Being utterly alone and single AND facing a potential
complete restart in the states at age 58 and all the grief of leaving everything behind in Asia
+ having to deal the with the hassles of restarting from ZERO in the USA at age 58.
Sorry for the long winded email. I have decisions I need to make quickly before my health falters
which will limit my ability to make drastic change.
I love Thailand and Asia but I have concerns about staying here especially if I can't get partial
or full cardiac coverage. The cardiac care is good for OHS but not as good for TAVI/TAVR.
Thanks for your thoughts and prayers.
Blessings to all of you.
Dave Pearl
I hope all is well.
I have 3 sets of questions so please bear with me)
May 2019 Vmax 3.11 mean PG 22.69
May 2020 Vmax 3.37 mean PG 26.09
Nov 2020 Vmax 3.47 Vmax Mean 28.87
LVEF 70-75%
I am just learnng to interpret echoes.
1) I just came back from a new doctor in Bangkok; they looked at
my 3 echoes since my calcified aortic stenosis was found in May 2019;
they are saying VMAX is the best way to assess progression.
Normal progression rate is .3 a year and when you get to 4.0 then it's
considered severe. They said my progression is rapid, more than normal
and that I will be at severe in 1-2 years and need surgery 2-3 years after that.
Please look at my echoes and let me know further thoughts).
2) Can anyone detail the process from start to finish relating to aortic valve
replacement i.e pre op prep, op, post op prep and complications post op or op and what happens post op ?
What if you are flying 100% solo; what kind of help does one need at home post op ?
3) If one had AVS around age 60 mechanical or non ? TAVI/TAVR or OHS ?
How long do non mechanical valves last ? How bad is the ticking/warfarin with
mechanical ? I am vegan for my heart and my diet is largely made up of greens; does taking
warfarin really exclude greens ?
Complicating all this is living overseas without cardiac coverage; insurance in Thailand
can and will exclude PRE EXISTING i.e. cardiac conditions. Being utterly alone and single AND facing a potential
complete restart in the states at age 58 and all the grief of leaving everything behind in Asia
+ having to deal the with the hassles of restarting from ZERO in the USA at age 58.
Sorry for the long winded email. I have decisions I need to make quickly before my health falters
which will limit my ability to make drastic change.
I love Thailand and Asia but I have concerns about staying here especially if I can't get partial
or full cardiac coverage. The cardiac care is good for OHS but not as good for TAVI/TAVR.
Thanks for your thoughts and prayers.
Blessings to all of you.
Dave Pearl
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