View Single Post
Old 02-25-2013, 18:13   #45
Smokin Joe
Area Commander
 
Smokin Joe's Avatar
 
Join Date: Feb 2004
Location: Phoenix, AZ
Posts: 1,691
Conclusion?

To review:

1) Chest pain radiating from mid line over the heart area. Pain increased with shift in position. Pain was sharp and would shoot up the neck when ever I bent over or stood up. Pain felt like it was related or traveled via vascular i.e. my carotid artery up to the bottom of my chin and would stop there.

2) Low grade fever, sweats, chills, etc.



Update:

I saw the cardiologist today. His diagnosis is it is clearly pericarditis (and always has been). His opinion is that I have been bouncing around to different docs who lacked the skills to properly diagnose it. According to what I was told pericarditis is mainly a clinical diagnosis with the majority of the evidence in the proper reading of an EKG. And those who lack experience in what an EKG looks like with someone who has percarditis it can be over looked fairly easily. Additionally, he mentioned that the CT-A and echocardiogram may not have ever detected it even if there was an active pericardial effusion at the time of the test (depending on the severity of the effusion at the time of the test). Which makes sense b/c at the time of my CT-A and echo I felt great. The later detection of the effusion during an abdominal ultrasound demonstrates a significant effusion at the time of the test. <-- Which makes sense because I felt like total crap during that test.

Moving forward:

Due to the fact that I was never properly diagnosed and treated I run the risk of it reoccurring and it developing into chronic pericarditis (or something to that effect) where I would essential cycle through it throughout the rest of my life (funk dat). To combat that in the event it returns I have been given: Indomethacin and to hammer it at the onset, it should disappear after about 5 days. This should have been the treatment at the onset, which would have minimized the potential for reoccurrence.


My After Thoughts

1) In my case this was most likely developed from the coaxial virus as my business partners son had "Hand, Foot, and Mouth Disease" (same virus) shortly before I got sick. <--- I should have hammered this point to the docs, where as I only mentioned it in passing.

2) I should have trusted my gut and been a bigger advocate for myself, including challenging the doctors opinions that didn't mesh with my symptoms. I was attempting to be "helpful and compliant" this was a disservice to myself and family.

3) I'm not sure if this thread can serve as a learning experience for anyone here. But, I certainly hope so.

4) Adal, you were right, when I was really bad off I probably could have used a needle to the heart to relieve the fluid.... although I'm still glad I passed on that.

If anyone has any questions, fire away.

Thanks everyone who was involved and lent an ear to my little drama. Your help, helped me and I sincerely appreciate that! If it resurfaces I will update all.
__________________
"This is the law: The purpose of fighting is to win. There is no possible victory in defense. The sword is more important than the shield and skill is more important than either. The final weapon is the brain. All else is supplemental." - John Steinbeck, "The Law"
Smokin Joe is offline   Reply With Quote