Yesterday we went to Maine Cardiology Associates for a scheduled appt for an EKO Cardiogram. This was a follow up to the one done 2-3 weeks ago which showed a small amount of fluid around Anne's heart. Drs weren't concerned with the amount of fluid found at that time, but scheduled this EKO Cardiogram so as to do a comparison.
A bit more fluid was found yesterday, and the Dr. (Dr. Z) (Sze) was concerned. He arranged for Anne to be admitted to Maine Med for additional testing which would determine whether a procedure would be necessary to remove fluid from around Annes heart or lungs.
Anne hasn't complained very much (I wish she WOULD complain more and sooner), but she has had chest pain and has been unable to exercise due to shortness of breath. She felt that she had pulled a muscle getting into the pickup last weekend, she was wrong. Now, this fluid is suspected to be causing the pain and shortness of breath.
If you remember, Anne has sufferred from both plural effusions (fluid near the lungs) and paracardial effusions (fluid near the heart). Now, several Drs are analyzing lots of numbers and test data, and they work as a team to share ideas and to agree on the best approach.
This morning Anne went to the 8th floor for a test where they inserted a catheter/wire thru the groin and pushed it up thru a vein near to her heart in order to check for pressure (from fluid), and determine how the heart was performing. This test did not 'hurt'.
Dr. Poulan completed this test and spoke with me and he said there was pressure around both sides of the heart. With that, he would recommend a procedure be scheduled asap to remove or displace the fluid from the area around the heart. It would be done via a small incision (a simple surgery). A 'window' would be made in there so fluid could escape from around the heart, and move to other areas of Anne's body where it can and should dissipate on it's own. Some of the fluid will be captured and sent away for testing, i.e. for pneumonia, bacteria, etc.. the fluid is said to be caused by inflamation from the surgery, i.e. just like any wound drains fluid.
At this point, the latest plan that the Drs have agreed to is to use a needle this afternoon, bedside, to remove fluid from the area near the left lung. They concur that this is the least invasive thing that will do Anne the most good at this time. They will observe her afterwards and this weekend to see how she does with that. If she worsens, there are other more invasive things that would be considered to solve the problem (alleviate the pain and eliminate the shortness of breath). At present, we wait for the bedside procedure to happen. The team of Drs are interested in doing this as soon as possible. Anne is resting comfortably.