Hello Everyone from Bangkok/Thailand, For the 1st time ever I have a time estimate of when I'll need surgery to replace my calcified aortic tricuspid valve. I ...Read more
Hello Everyone from Bangkok/Thailand, For the 1st time ever I have a time estimate of when I'll need surgery to replace my calcified aortic tricuspid valve. I am currently 59--estimate is 2 years for the surgery. So new valve at 61. I am pretty freaked out as the diagnosis says severe AS yet he thinks I have two more years until I need surgery (?) I am getting echos every 6 months althought the next one is in 8 months. He is thinking that I can go for a biological valve becuase he doesn't want to have me on blood thinners. I never discussed my concerns of blood thinners or ticking BTW. Estimate is 10,870 USD to 27.180 USD here at a top University hospital---more if I do it at private hospital. I am 100% on the hook for the bill as insurance will not cover pre existing. Other option is go back to the states, do it for free in LA/Califorinia where I think can get reinsured for free..I can do an Air Bnb and then bounce back to Thailand in a month or so (reasonable?) I've included my echo test results. Is two years a realistic window given the recent echo ? Further thoughts ? Thank you) David Pearl
Brady Busch Hello David.Who can perfectly predict the future?That's why the echo-cardiograms are done.I like the ... Read more
Brady Busch Hello David.Who can perfectly predict the future?That's why the echo-cardiograms are done.I like the idea of getting the work done in California,if that's available.
Arthur Schoeller Hi David. I am 67 and have been tracking my aortic valve, aneurysm, plus mitral valve issues for a LO ... Read more
Arthur Schoeller Hi David. I am 67 and have been tracking my aortic valve, aneurysm, plus mitral valve issues for a LONG time with, like you, semi-annual echo's and occasional MRI's. Aortic aneurysm has been a stable size over 10 or more years. It's not clear to me how they have done the "future math" for you! My last exam noted a decrease in my ejection fraction which was sufficient for my cardiologist to finally go get the surgery done. Not that I am an expert, but trending of ejection fraction is a key indicator on valve health and over time decline. So maybe give that a check. I have seen articles that say normal range is 50% to 70%. My last one was 52%, but it was the rate of decline since my last exam that has triggered my cardiologist recommendation for surgery. Since I have the aneurysm PLUS bad family history may all add up for a more assertive approach than JUST the ejection fraction. Hope this helps. I am going to have a MRI to tune up the echo finding, then possibly start surgeon interviews.
David Pearl Arthur totally understood at all levels..I just came into the severe category although I am not sure ... Read more
David Pearl Arthur totally understood at all levels..I just came into the severe category although I am not sure how this is derived as by most measurements the valve seems to be ok..I am getting a 2nd opinion today and maybe a 3rd and 4th as well as potentially seeing my doctor again....
Arthur Schoeller Hi David - let us know how the second opinions pan out, including any deeper insights into the ejecti ... Read more
Arthur Schoeller Hi David - let us know how the second opinions pan out, including any deeper insights into the ejection fraction metric to determine severity.
This is me doing an acting job for a Thai television series in Bangkok last Friday. I move to Thailand three years ago at age 54 dropped everything to move ...Read more
This is me doing an acting job for a Thai television series in Bangkok last Friday. I move to Thailand three years ago at age 54 dropped everything to move here)
For the 1st time ever I have a time estimate of when I'll need surgery to replace my calcified aortic tricuspid valve.
I ...Read more
For the 1st time ever I have a time estimate of when I'll need surgery to replace my calcified aortic tricuspid valve.
I am currently 59--estimate is 2 years for the surgery. So new valve at 61.
I am pretty freaked out as the diagnosis says severe AS yet he thinks I have two more years until I need surgery (?)
I am getting echos every 6 months althought the next one is in 8 months.
He is thinking that I can go for a biological valve becuase he doesn't want to have me on blood thinners. I never discussed my concerns of blood thinners or ticking BTW.
Estimate is 10,870 USD to 27.180 USD here at a top University hospital---more if I do it at private hospital.
I am 100% on the hook for the bill as insurance will not cover pre existing.
Other option is go back to the states, do it for free in LA/Califorinia where I think can get reinsured for free..I can do an Air Bnb and then bounce back to Thailand in a month or so (reasonable?)
I've included my echo test results.
Is two years a realistic window given the recent echo ?
Further thoughts ?
Thank you) David Pearl