Owen's Heart in nearly PERFECT Condition (Cardiologist)

[ofonorow]

If you have been following this thread http://vitamincfoundation.com/forum/viewtopic.php?f=3&t=13777&start=15 you ma rememberthat I, Owen Fonorow, age 64, CEO of the Vitamin C Foundation (https://vitamincfoundation.org) and long-time advocate of Linus Pauling's (heart) Therapy (http://PaulingTherapy.com), am preparing for a large hernia mesh removal surgery.

The surgeon also wanted assurance that my heart was in good enough shape for this major surgery, and I said I knew it was, but took advantage of the opportunity while hospitalized to have cardiologists find out. Results are in, http://www.vitamincfoundation.com/forum/viewtopic.php?f=11&t=13830&p=52083#p52101 and the same cardiologist who saw me in 2011 when my pericardium was filling with fluid (which turned out to be caused by adrenal insufficiency -- low cortisol!) told me that my heart condition is nearly PERFECT. Readings normal and no indication of future heart attack, no fluids, no blockages, etc. etc etc. ( )

Obviously this is good news on several fronts. (Thank you again Linus Pauling! Wherever you are.) For those unfamiliar with my family history, my father, the youngest of of many siblings, died of a heart attack at age 68. If my memory serves, he lived the longest out of all his siblings, but ALL his brothers and sisters died young of a heart attack.

[ofonorow]

4/12/2018 12:09 PM
Narrative

*Edward Hospital & Health
Services*
801 S. Washington Street
Naperville, IL 60540
(630) 527-3000

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Transthoracic Echocardiogram

Name:Fonorow, Owen R

Date: 04/12/2018 DOB: 01/02/1954 Ht: (70in) BP: 139 / 70
MRN: 0113475 Age: 64years Wt: (229lb) HR: 75bpm
Loc: EDW Gndr: M BSA: 2.21m^2

Sonographer: [deleted]
Ordering: [deleted] , MD

Referring:

----------------------------------------------------------------------------
History/Indications: CP, hx of Pericardial Effusion, COPD, Obesity.

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Procedure information: A transthoracic complete 2D study was performed.
Additional evaluation included M-mode, complete spectral Doppler, and color
Doppler. Inpatient. Room 519. Comparison was made to the study of
06/05/2014. This was a routine echocardiographic study. Transthoracic
echocardiography for ventricular function evaluation. Image quality was
adequate.

----------------------------------------------------------------------------

Conclusions:

1. Left ventricle: The cavity size was normal. Wall thickness was normal.
Systolic function was normal. The estimated ejection fraction was 55-60%.
There was no diagnostic evidence for regional wall motion abnormalities.
2. Mitral valve: There was mild regurgitation.
3. Left atrium: The left atrium was mildly dilated. The left atrial volume
was mildly to moderately increased.

Impressions: This study is compared with previous dated 6/5/14:
*

----------------------------------------------------------------------------
*
Left ventricle: The cavity size was normal. Wall thickness was normal.
Systolic function was normal. The estimated ejection fraction was 55-60%.
There was no diagnostic evidence for regional wall motion abnormalities.

Left atrium: The left atrium was mildly dilated. The left atrial volume was
mildly to moderately increased.

Right ventricle: The cavity size was normal. Wall thickness was normal.
Systolic function was normal.

Right atrium: The atrium was normal in size.

Mitral valve: Structurally normal valve. Mitral valve demonstrates normal
thickness leaflets. Leaflet separation was normal. Doppler: Transvalvular
velocity was within the normal range. There was no evidence for stenosis.
There was mild regurgitation.

Aortic valve: Structurally normal valve. Trileaflet; normal thickness
leaflets. Cusp separation was normal. Doppler: Transvalvular velocity was
within the normal range. There was no stenosis. No regurgitation.

Tricuspid valve: Structurally normal valve. Leaflet separation was
normal. Doppler: Transvalvular velocity was within the normal range. There
was no evidence for stenosis. There was mild regurgitation.

Pulmonic valve: Structurally normal valve. Cusp separation was normal.
Doppler: Transvalvular velocity was within the normal range. There was mild
regurgitation.

Pericardium: There was no pericardial effusion.
Aorta: Aortic root: The aortic root was not dilated.
Pulmonary artery: The main pulmonary artery was normal-sized. Systolic
pressure was within the normal range, estimated to be 29mm Hg. Estimated
pulmonary artery diastolic pressure was 13mm Hg.

Systemic veins:
Inferior vena cava: The vessel was normally collapsible and normal in size.
The respirophasic diameter changes were in the normal range (greater than or
equal to 50%).

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Measurements

Left ventricle Value Reference
LV ID, ED, PLAX (H) 6.3 cm 4.2 - 5.9
LV ID, ES, PLAX 4.2 cm ---------
LV PW thickness, ED, PLAX 0.9 cm 0.6 - 1.0
LV PW thickness, ED 0.9 cm 0.6 - 1.0
IVS/LV PW ratio, ED 1 ---------
LV ejection fraction 61 % >=55
LV E/e', lateral 4 ---------
LV E/e', medial 5 ---------

Ventricular septum Value Reference
IVS thickness, ED 0.9 cm 0.6 - 1.0

Aorta Value Reference
Aortic root ID, ED 3.6 cm <4.3

Left atrium Value Reference
LA ID 4.3 cm ---------
LA ID, A-P, ES (H) 4.3 cm 3.0 - 4.0
LA ID/bsa, A-P 1.9 cm/m^2 1.5 - 2.3
LA volume, S (H) 112 ml 18 - 58
LA volume/bsa, S (H) 51 ml/m^2 16 - 28
LA volume, ES, 1-p A2C (H) 112 ml 18 - 58
LA volume/bsa, ES, 1-p A2C 51 ml/m^2 ---------

Mitral valve Value Reference
Mitral E-wave peak velocity 0.51 m/sec ---------
Mitral A-wave peak velocity 0.75 m/sec ---------
Mitral E/A ratio, peak 0.7 ---------

Pulmonary arteries Value Reference
PA pressure, S, DP 29 mm Hg ---------

Tricuspid valve Value Reference
Tricuspid regurg peak velocity 2.5 m/sec ---------
Tricuspid peak RV-RA gradient 24 mm Hg ---------
Tricuspid maximal regurg velocity, PISA 2.47 m/sec ---------

Systemic veins Value Reference
Estimated CVP 5 mm Hg ---------

Right ventricle Value Reference
RV pressure, S, DP 29 mm Hg ---------

Pulmonic valve Value Reference
Pulmonic regurg velocity, ED 1.38 m/sec ---------
Pulmonic regurg gradient, ED 8 mm Hg ---------

Legend:
(L) and (H) mark values outside specified reference range.

----------------------------------------------------------------------------

Prepared and electronically signed by
[deleted] MD
04/12/2018 12:09
Lab and Collection
CARD ECHO 2D DOPPLER (CPT=93306) on 4/11/2018
Result History
CARD ECHO 2D DOPPLER (CPT=93306) on 4/12/2018

[Frodo]

I am happy about it. Congratulations and good luck from Germany, Owen.

[ofonorow]

Me too. With all the stress of almost dying Sunday (from low cortisol), and the prospect of major majorsurgery (a big hernia mesh removal) just ahead, and I'm getting older, I really had no idea how that evaluation of my heart for surgery would come out... A poor report was the only thing that would have kept me in the hospital. I was worried. I had a lot of chest pains, but fortunately all the lung issues were on the right side, so it was as it appeared - pain in the chest from the pseudo pneumonia (from my low cortisol)

The report in the above post is documentation, but i wish I had recorded what the Cardiologist who came to the room and gave me the verbal overview of what the report meant. I took away an almost PERFECT heart, especially for someone my age. (Thank you again Linus Pauling!)

P.s And for the record, when I had issues around 2010/2011 that led to the build up of fluid in my pericardial sac (noted on the above report) I has a full thallium stress test. They give you a contrast, and then you exercise, and they take pictures of the heart with and without contrast looking for "dark" areas, areas where the blood isn't flowing... All my areas all over the heart were bright - meaning, there was good blood flow everywhere throughout the heart. No blockages. That test (and my pseudo-pneumonia I supposed) is why I only had the doppler. When the cardiologist came by the room to give his verbal report back then, he simply said: "See me in 10 years."

P.s.s I probably have access to that Thallium stress test report via mychart... I should grab it.

[johnyascorbate]

That's great to hear that the ultrasound was normal, but the health of the arteries is looked at by a cardiac CT. I know you have a calcium score of 0, but that is only half the battle. I wish you luck with your surgery.

[skwoodwiva]

If you have been following this thread http://vitaminc.foundation/forum/viewtopic.php?f=3&t=13777&start=15 you know that I, Owen Fonorow, age 64, CEO of the Vitamin C Foundation (https://vitamincfoundation.org) and long-time advocate of Linus Pauling's (heart) Therapy (http://PaulingTherapy.com), am preparing for a large hernia mesh removal surgery, but I had a set-back - flu leading to a supposed massive chest "infection." (It wasn't a real infection, but we will start a topic on that later as i recoup. In short, an unintended failure of an IV/Cortisol in a controlled hospital setting - proved beyond a reasonable doubt that all my symptoms are due to my low/no cortisol output (aka adrenal insufficiency). However, with the correct hydrocortisone (cortisol) dose - all symptoms clear in 30 minutes - even fluid draining out of the lung!).

Ironically the good news is, it is now the FDA's job to figure out why my medication failed

The surgeon also wanted assurance my heart was okay for this major surgery, and I said I knew it was, but took the opportunity while hospitalized to have cardiologists find out. Results are in, http://www.vitaminc.foundation/forum/viewtopic.php?f=11&t=13830&p=52083#p52101 and the same cardiologist who saw me in 2011 when my pericardium was filling with fluid (which also turned out to be caused by low cortisol!) said my heart condition is nearly PERFECT. Readings normal and no indication of future heart attack, no fluids, no blockages, etc. etc etc. ( )

Obviously this is good news on several fronts. (Thank you again Linus Pauling! Wherever you are.) For those unfamiliar with my family history, my father, the youngest of of many siblings, died of a heart attack at age 68. If my memory serves, he lived the longest out of all his siblings, but ALL his brothers and sisters died young of a heart attack.

johnwen, you advised getting on antibiotics prior to this mesh removal. I just had a midline installed, will be self-administering an Antibiotic IV at home, and should be able to keep it going before, during and after the surgery.

Owen. Please describe your symptoms from the beginning?
Where did you notice the most swelling for example?

[Frodo]

That's great to hear that the ultrasound was normal, but the health of the arteries is looked at by a cardiac CT. I know you have a calcium score of 0, but that is only half the battle. I wish you luck with your surgery.

johnyascorbate

Do you think a cardiac CT is the whole battle? I don‘t think so. I‘ve always been tested by cardiologists before my long runs (marathons, 100 km and 24h). Ultasound, doppler, EKGs, cardiac CT and so on. Mostly by very renowned cardiologists. Everything was always OK. And yet I have been to heaven twice.
Even a cathether doesn‘t give you absolute certainity. You can‘t examine all the coronary vessels. And just think of all the collateral vessels - I am sure they have saved my life.

So, Owen
Firmly believe you are on a very, very good way. I have learned so much in the last 6 years. Also with the help of your website. I had the best doctors in Germany.
But I have also understood how important it is, to believe in success.

I am sure: Anyone who believes can do everything.
You always get, what you believe in (After my second visit in heaven, I have decided to learn it for my future)

[soflsun]

Great news, Owen!

How was everything else during the exam? Do you think the low cortisol caused the diabetes?

[ofonorow]

No, falling down the steps, the subsequent pancreatic lesion, and the split of my pancreas into two parts caused the diabetes. (I couldn't risk not having the pancreatic "lesion" removed - despite three biopsies that never found a cancer.)

All this had to happen the way it did for me to know what I now know.

Now the STRESS of that pancreatic surgery, along with Steve Till's death, and my genetics, certainly played a role in burning out my adrenals and my loss of ability to make my own cortisol..

[Johnwen]

After reading your report which looks pretty good, I did spot something that led to this question.
Have you ever had a pretty good electric shock or High RF exposure that you can remember anytime in your past?

[ofonorow]

Funny you should ask... My Holistic dentist HATES that I keep my cell phone in my pocket over my heart...



HOLY s##t With my near-death-induced 2 ER visits last weekend, I had 3 Chest-Xrays and 2 CT-scans - the scans on the same day, the chest xrays within the space of 7 days... Is that the kind of "RF" radiation you are talking about johnwen?


Aside, given all the other "Stuff" going on.. If you have any contacts in the hernia mesh removal world who we could consult.. That may be helpful. The group is expert, but they sometimes ask for University help.. Specifically.. When they removed my mid/pic line yesterday - I BLED LIKE CRAZY.. The nurse asked if I was on blood thinners... My blood doesn't seem to want to clot - remind me of that old discussion about the problem with my blood... I don't want to bleed to death as I apparently almost did when the mesh was first put in.. Maybe I need a temporary dose of Warfarin during/before surgery.

[Johnwen]

The reason I was asking about the shock etc. is the mild regurgitation of 3 valves. Although it’s list as a 9 in patient counseling which means Not to concern the patient by talking about it, because it’s not a big factor at that point and time. Which all means just wait till the next test and see if it progress’s or goes away!

Usually when this is present there is a slight dysrhythmia in the electrical system of the heart but this should have been seen on a EKG or the monitor they had you hooked up to in the hospital but it could be so mild that it would take a closer exam of the EKG to see it. A lot of times a prior electrical shock could have done some mild damage to the nerves. It’s not a big deal so don’t put it on your “Worry List!” Put the darn phone in another pocket!!!

Ever here of, “Von Willebrand factor?”

What we know is Cushing's syndrome is a cortisol-secreting adenoma in the cortex of the adrenal gland ie. Excessive cortisol!
So people with this problem have a problem with their blood clumping excessively.

Where as people with Addison’s which is a lack of cortisol, bleed excessively.

HMM see a connection Here??

YEP! Your drug of choice, Cortisol!

Low cortisol levels cause your blood to thin by reducing the proteins that make up VWF!

Now who had a problem with solu-Cortef in the hospital and their cortisol levels dropped and they felt bad??
Any ideas what happen to the clotting factors in his blood?
Could this be why his doc put him on higher doses to bring things back in line?
PS; It takes about 3 weeks to get things back in line with the clotting factors!

Some reading (abstract) how Cushing’s (Excess cortisol) effects this!

https://www.ncbi.nlm.nih.gov/pubmed/22688555

[ofonorow]

Thank you! Thank you! Thank you! Thank you!
I am titrating starting with 50 mg oral cortisol when I wake up... My blood sugar keeps dropping.. Was around 50 this a.m.
Surgery is set. Not publicizing the date.. If i don't make it - someone will post

[Johnwen]

THINK POSITIVE!!!!!

You'll be back and happy about IT!!!

You'll probably feel a whole lot better too!

of course this is after the pain of healing!!

[pamojja]

Our prayers are on your side. You'll be better. All the best.