Re: Stress Test - worth the effort?
- From: jason@xxxxxxxxxx (Jason)
- Date: Wed, 29 Jun 2005 07:14:52 -0700
In article <T0qwe.901$4m3.266@xxxxxxxxxxxxxxxxxxxxxxxxxx>, "Bill"
<xxx@xxxxx> wrote:
> "quietguy" <quietguy@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx> wrote in
> message news:42C21864.4C183E0A@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> > Visited a (supposed to be) cardiologist last week - he wanted me to have
> > a stress test, but I declined and he lost interest in having me as a
> > patient.
> >
> > I had a triple bypass 10 years ago, and since them have had stents put
> > in on 4 separate occassions. Same thing happens each time - I have the
> > angioplasty/stent then about 4 to 8 weeks later my angina and shortness
> > of breath returns - gradually gets worse and worse until I can only walk
> > (say) 20 metres before needing to take an anginine tab, then the tabs
> > are not enough to stop the pain and I go to hospital.
> >
> > I had the last stent in Jan 04, and am now at the point where I think I
> > need another op - pain on exertion (eg drying myself after a bath) and
> > pain after eating a heavy breakfast.
> >
> > So, I went to see this guy after getting a referral from the GP/
> >
> > I hate those stress tests as I think they may bring on a major heart
> > attack, and also it seems a waste of time and money. If the test turns
> > out bad I will need an angiogram/plasty to find and fix the problem, and
> > if it turns out good then I will need an angiogram to find the problem.
> >
> > Either way I will need the angiogram, so why go thru the hassle of a
> > stress test?
> >
> > As I live in the bush their is only the one so called cardiologist handy
> > - so a second opinion means a 1000km trip
> >
> > Any ideas, suggestions?
> >
> > David - who is of course on regular heart medication
> >
> >
> >
> >
> >
> >
> >
>
> It sounds like you are from Australia and I'm not quite sure how things work
> there, but I assume there are some similarities with the US.
>
> Here there are medical protocol issues. I recently had two stents put in. I
> was very sure of what was going on and it turned out I was right. But me
being
> very sure does not satisfy either the Dr. who is going to do the procedure or
> the insurance company. So I had to go through the process of making an
> appointment with the cardiologist and then getting a nuclear stress test -
> which showed a part of the heart was not getting enough blood.
>
> So there are rules the medical establishment and insurance companies impose.
>
> I suggest you might want to follow your Dr's. advice and take the test. Since
> your alternatives seem to be to take a long trip which may well put you back
> in the same boat. Or living with the problem which is likely to get worse.
>
> FYI, there are new types of stents out there, which you may or may not have
> had in 01/04, call drug eluting stents which are much less likely to reblock.
> And if you keep having new blockages, such as the one you suspect now,
you may
> want to see if there is anything more you can do to slow that process down.
> Diet and exercise are the first place to look.
>
> Bill
Bill,
Great post.
Jason
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