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Jacki's Journal

Journal Context matters

heart.gifQuick. Get me a cardiologist. My right ventricle is mildly dilated. My aortic valve is mildly thickened. And my tricuspid valve is mildly insufficient.

I’m sure this is all somehow medically insignificant. Otherwise my oncologist would not be telling me I’m good to go should I opt for a tummy tuck surgery (more about this tummy business later). If my heart couldn’t take it, surely he’d be warning me. The guy did save me from breast cancer, after all. He clearly knows what he’s talking about.

This morning, my good doctor e-mailed me a copy of my latest echocardiogram—that’s how I was able to pour over the details of this July 2006 report. I’d asked him for it as I continue to search my soul for guidance regarding my tummy, and he swiftly sent it my way. I wanted to know how strong my ticker is—both my year-long therapy with the breast cancer drug Herceptin and my four doses of the chemotherapy drug Adriamycin put me at risk for compromised heart function and so my heart was monitored for a bit. I wanted to know today, based on my last screening, how I’d fare under general anesthesia and how my heart would tolerate a two-hour surgery—should I go through with it.

I’m good to go, says my doc. Still, I’ve asked him for a bit of clarification. What does this troublesome wording—dilated, thickened, insufficient—mean, I want to know.

This is what I want you to know: Context matters.

More and more, we patients rely on information via the Internet or in this case of mine, e-mail. These methods of research are void of human contact and medical opinion and therefore lack context. Who knows, maybe a thickened aortic valve is a good thing. Maybe it’s not necessarily good but not bad either. I don’t know. Until someone clears things up for me, I will remain uncertain. That’s why I’m following up with my doctor. You should too.

Whenever you are concerned about your health, do your research, ask around, dig up all you can. Then talk to a medical professional who can iron out all the kinks in what you’ve gathered. Balance is always a good bet. Really, it is.

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Jacki

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