
I went to the cardiologist yesterday to find out if the swelling in my feet had anything to do with the condition of my heart. The good news is that my heart is doing fine in it's own distorted sort of way. My cardiologist's nurse was reluctant to give me an appointment until I explained to her that besides having a congenital heart defect and an established ischemia, I'd also undergone treatment with Adriamycin and Cytoxan. She grudgenly relented and I had an appointment. I woke up in the morning and wouldn't you know it the swelling had gone down to near normal, so I was a bit concerned that I was going to lack creduality. The appointment wasn't until 10:00, so my edema had a chance to recover a bit and by the time I went in my feet were reasonably swollen, though nothing like what they had been in the preceding weeks. I had an echo. My effusion factor was on the low end of normal where it has been since I finished chemo. My ekg was predictably abnormal in all the known places. My blood pressure was a bit high and I was asked to keep up with it for a few weeks (oops! I forgot to go downstairs and have it taken today.) My cardiologist came in after I talked with the nurse and looked at my feet. He asked what the dosage of Adriamycin was and was kind of shocked when I told him it was 550 mg. He said that was a large dose. Then he said that I was right to come in right away, even though the tests were normal. Then he wanted to do an echo of the veins in my legs and explained that if it was abnormal I'd need to be hospitalized right away. But even that was normal (Thank you God!). Then he asked me to come back in 6 months and sent me on my way. I left glad that I'd gone, for no other reason than I'd suspected for a while that my Cardiac-electrophysiologist specialist wasn't paying any attention to the effect that the chemo had on my already deformed heart. Now I know that he understands the ramifications of my treatments had on my heart.
In two weeks I still have the appointment with my PCP, and I'm glad that I can tell her that it isn't my heart. But after doing a google search, I'm not all together thrilled with the balance of what could be causing me to gain two or three shoe sizes every day. It is all things that I don't want to be diagnosed with. Not that I'd want to be diagnosed with cardiomyopathy or deep vein thrombosis; I just don't want a new diagnosis, or treatment plan, or medication or new doctors to try to keep in the loop.
On that same day I have an appointment with my Oncologist and I'll find out if my Surgeon is keeping him in the loop.
I guess I'm just going to have to put up with the Bozo feet for a few more weeks.