Skip to main content

Read your Own Medical Reports!

Doctors and hospitals don’t always make it easy to take control of your health. Last week, I had a CT scan of my heart. It was harder to get a heart scan than a mammogram, even though nobody in my family has ever had a breast condition more serious than a pimple. This effective, inexpensive but under-used tool in cardiac medicine takes pictures of your heart that show how much calcium is there (i.e., a calcium score). The more calcium you have in your arteries, the more likely you are to have a heart attack or stroke. In many cases, the calcium buildup, or plaque, can be reduced or prevented. Since my biological mother died of a massive stroke at 54, and many members of her family have or had heart disease, I thought it would be wise to have a scan before my own heart attack or stroke. That’s just good planning.

Everybody I talked to at the hospital wanted to know which doctor ordered the test and seemed confused because I ordered it myself; today I had to sign a release form to get a copy of my own heart scan report. It’s a good thing I did.

Yesterday, after I left a message at my doctor’s office to find out the results, the doctor’s assistant left a message that the doctor hadn’t ordered a CAT scan and she couldn’t find anything in my file. Ten minutes later, she left another message that my CT scan (not CAT scan) was okay, but since I had a small nodule on my heart that was consistent with smoking, the doctor wanted me to have another CT scan in a year.

In contrast, here’s what the report actually said:

Coronary calcium score of 0….[There is a soft-tissue] 2-mm nodule….Based on current internationally recognized recommendations, no specific imaging followup is recommended for nodules of this size, unless there is a history of smoking, in which case a 1-year…followup CT is suggested.

Since I’ve never had a cigarette in my mouth, I won’t be getting the one-year follow-up. I also know now that if I’m careful, I might be able to avoid any calcium in my heart and arteries.

The report also stated that there may be a small hiatal hernia, which the doctor’s office didn’t mention. That would explain my stomach problems.

I may keep this report on me. In case I ever have chest pains, I can show the doctors that it isn’t my heart, and avoid a $40,000 medical bill for indigestion or a pinched nerve.

Labels:

Comments

Post a Comment

Popular posts from this blog

Not Only Cheaper, But Easier

A while back, I wrote about saving money on break time coffee and snacks. I haven't done very well putting it into practice. But a post by James Clear today got me thinking about it again: Warren Buffett uses a two-list system to prioritize things. Check it out --and follow the instructions. Using Buffett's two-list system, two of the goals I ended up with were taking care of myself and saving $400 more per month than I already am. As I said, I've been wanting to save money, and the system made me really focus on this. I came up with 11 money-saving ideas, six of which had to do with food. Buying hamburger in bulk. Ranch Foods Direct sells one-pound packages of 80% lean pastured ground beef in bundles of 20 for a lot less than Whole Foods. Sprouts only carries super-lean beef that's grass-fed, and it's more expensive, too.  Not driving to Whole Foods. Whole Foods is out of my way, and saving a weekly trip saves gas. Coffee at home, tea at work. Tea is fr...
24 comments
Read more

Blog Lineup Change

Bye-bye, Fathead. I've enjoyed the blog, but can't endorse the high-fat, high-carb Perfect Health Diet that somehow makes so much sense to some otherwise bright people. An astrophysicist makes some rookie mistakes on a LC diet, misdiagnoses them, makes up "glucose deficiency," and creates a diet that's been shown in intervention studies to increase small LDL, which can lead to heart disease. A computer programmer believes in the diet and doesn't seem eager to refute it because, perhaps, scientists are freakin' liars and while he's good at spotting logical inconsistencies, lacks some intermediate knowledge of human biology. To Tom's credit, he says it's not the right diet for everyone, but given the truckload of food that has to be prepared and eaten, impracticality of following it while traveling (or even not traveling), and unsuitability for FODMAPs sufferers, diabetics and anyone prone to heart disease (i.e., much of the population), I'm...
24 comments
Read more

Palpitations Gone with Iron

Thanks to my internet friend Larcana, who alerted me to the connection between iron deficiency and palpitations, I doubled down on my iron supplements and, for good measure, washed them down with Emergen-C. It's a cold medicine with a mega-dose of vitamin C, plus B vitamins and minerals. I don't think vitamin C does anything for a cold (a friend bought the stuff and left it at my house the last time she visited), but vitamin C does help iron absorption. After doubling up on iron in the last three days, I feel back to normal. (I'd already been taking quite a bit of magnesium and potassium, so I probably had sufficient levels of those.) How did I get so low on iron? Maybe it was too many Quest bars instead of red meat when I had odd cravings during my dental infection recently. Maybe because it's too hard to find liver at the grocery store and I haven't eaten much of it lately. Maybe the antibiotics damaged my intestines . And apparently, I'm a heavy bleeder . ...
18 comments
Read more

Getting Over Palpitations

Note to new readers: please note I'm not a health care provider and have no medical training. If you have heart palpitations, I have no idea whether the following will work for you. Over the past several days, I've had a rough time with heart palpitations and feeling physically jittery. I was wondering if I was going to turn into one of those people who can't sit still. Not that there's anything wrong with that, but it would be a major lifestyle change. Kidding aside, something wasn't right and I really needed to get back to normal. I tried popping potassium pills like candy. I ate more. I doubled up on my iron dose. I went to yoga and even got on the treadmill at 6 AM yesterday. I tried the nuclear option of eating more carbs to stop peeing away minerals. Most of these things helped, but the problem kept coming back. A comment from Galina made me look up epinephrine, one of the drugs my surgeon used to anesthetize me Friday. First, the assistant at the surge...
16 comments
Read more

My Long-Term Experience Eating Safe (and Other) Starches

Years ago, before the Perfect Health Diet came out, I followed a program that involved eating quite a bit "safe starch." It was called Body for Life. It involved eating six small servings of carbohydrate along with six small servings of protein, plus two servings of fibrous vegetables per day. (A serving was the size of your fist or the palm of your hand.) There were six workouts a week (three weightlifting, three cardio) and one free day every week where you ate whatever you wanted and didn't exercise. In all fairness, these two programs are different: BFL allows certain grains, legumes and low-fat dairy and discourages fat. It doesn't call for a wheelbarrow full of vegetation. Nevertheless, my experience eating lots of fruit and lots of starch is relevant to the PHD because the amount and type of digestible carbohydrates are similar, and for the first few years, I didn't eat wheat except on free days. At first on BFL, I felt great. Before, I was continually...
17 comments
Read more