Second Opnion is Imperative-Please read my story!
Thank you all for your support. I feel compelled to share my story and strongly suggest that anyone that has been diagnosed with aortic disease get a second opinion with one caveat-if you were diagnosed by an aortic speciaist you may not need one. I was diagnosed with a 4.8 cm dialated ascending aorta in December of last year. My cardiologist is an excellent physician; however, I felt like there were gaps in his investigation-mainly, no mention of a Gated CT Scan. During my research I learned the Echocardiagram that indentified my dilation was prone to human error resulting in range bound accuracy. It is a good way to identify the dilation, but for accuracy in measurement-not the best. And we deserve the best.
I found the Aortic Disease Center at Stanford and worked hard to get a second opinion. I was put in touch with a Stanford Physician Assistant that specializes in aortic disease. I pushed for a Gated Ct Scan, and she agreed. She was very knowledgeable-she ordered a Gated CT Scan for my heart and my abdominal region. She needed to confirm that my abdominal aorta was not compromised. The good news is that the CT scan (the gold standard) measured my Ascdending Aorta dialation at 4.3 cm. This measurement was 0.5 cm less than the echo. More importantly, the scan located a 2.1 cm mass on my right kidney-potentiall cancerous. I am now addressing this diagnosis with a specialist at Stanford. The mass on my kidney may have gone unnoticed if not for the knowledge and experience offered by a specialist.
It is has been my experience that we need to be our own medical advocate. I trust the medical industry; however, finding a physician that specializes in your disease is crucial. My cardiologist is an competent physician, but that didn't stop me from questioning his technique. We are so fortunate to have support groups like this and AI to help us become more knowledgeable about our disesase. Keep asking questions!
Interested in more discussions like this? Go to the Aortic Aneurysms Support Group.
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Very good write-up!
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1 ReactionHello.....totally agree with "we need to be our own medical advocate", especially in the aneurysm realm! Too often the "expertise" of medical professionals is taken as gospel regardless. Expertise is a nebulous term. But each person in the aneurysm circumstance has their own threshold on what to do and what to know. Geography and economics also influences. BUT, knowledge is power and essential for the ability to help yourself as a patient. Best wishes to you all for your health journey!!
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4 ReactionsCompletely agree with the value of getting a 2nd opinion given the nature of aortic aneurysms. My experience was the opposite in terms of measurement. My local highly regarded hospital system initially measured mine at 4.2 in an echo. I went in for testing after my 65 yr old brother died suddenly from an unexplained cardiac event (no autopsy). Given the seriousness of the issue, I went to Mayo Clinic- they looked at the echo and decided to do a gated CT and it is actually 4.8. At that point, it was unclear if mine might be genetic- which could call for repair in the 4.5 to 5.0 range- So i did a virtual second opinion with Cleveland clinic. (about $1,800) They confirmed Mayo’s perspective. It’s now been decided that mine is not the kind of genetic issue that would call for early action. My next exam will be at Mayo in June, which is 1 year since my last measurement. My anxiety level is significantly reduced now that i’m confident that my situation is very low risk so long as i keep my blood pressure low and avoid straining when lifting. i do cardio 3 to 5 x per week and keep my heart rate between 120 and 130 during exercise. i started on zepbound now to help me get to my ideal weight. Finding out about our aneurysms is a shock- but it gives us a chance to take steps to minimize our risk.
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