Saturday, March 21, 2009
Wednesday, March 18, 2009
Good news...and more good news!
Okay, the first and best news: I don't currently have any signs of ARVD, so I'm off the hook for about 2 years. Two years isn't that long of a reprieve, but I'm so relieved to know that everything appears to be okay. It's like having a potential prison sentence delayed.
The second and still really good news: I have a date on Friday! I'm letting my hopes get too high this week that it might be a good date. However, the way I'm looking at it is, chances are, the date will end up sucking and the anticipation will have been the best part. So, I'm letting myself be giddy for 2 more days.
I have also selected a lender for my home purchase. I ended up talking to 6 people in total, and went with the one who I liked financially as well as personality-wise. I am going with Countrywide, which is in the process of being bought out by BofA.
I selected this gal because
1. she was friendly and not condescending
2. she was proud of the work she'd done for her other clients
3. she enjoyed telling me how she watches the rates very closely and locks in when they're at their lowest (she locked in some 4.25 rates back around Thanksgiving - the rate was only that low for about 30 minutes and she was on it!)
4. she says that she'll work with me on the closing costs to make them be what I need them to be
5. our personalities work well together
6. she brought in a rate among the lowest
7. it only helps that she says that BofA is buying them out - I always liked BofA
8. she is local and seems to know plenty about the business in this area
The second and still really good news: I have a date on Friday! I'm letting my hopes get too high this week that it might be a good date. However, the way I'm looking at it is, chances are, the date will end up sucking and the anticipation will have been the best part. So, I'm letting myself be giddy for 2 more days.
I have also selected a lender for my home purchase. I ended up talking to 6 people in total, and went with the one who I liked financially as well as personality-wise. I am going with Countrywide, which is in the process of being bought out by BofA.
I selected this gal because
1. she was friendly and not condescending
2. she was proud of the work she'd done for her other clients
3. she enjoyed telling me how she watches the rates very closely and locks in when they're at their lowest (she locked in some 4.25 rates back around Thanksgiving - the rate was only that low for about 30 minutes and she was on it!)
4. she says that she'll work with me on the closing costs to make them be what I need them to be
5. our personalities work well together
6. she brought in a rate among the lowest
7. it only helps that she says that BofA is buying them out - I always liked BofA
8. she is local and seems to know plenty about the business in this area
Tuesday, March 10, 2009
Shopping for a Mortgage
This last week I have started to talk with lenders about a mortgage. I used Lending Tree and I also asked friends to refer me to their banks/brokers.
It has been an interesting process so far. I have received four responses and none of them are exactly alike. There are 30 year conventional loans, loans with origination fees, FHA loans, etc.
But, what I've learned a few things.
First, some brokers and lenders can get lower rates than others. Period.
I compared a conventional bank's rates for the same day to another lender's and saw a .375% difference. That is money - my money - and I care. If you can't get me the lowest rate, we probably won't play ball.
Second, rates change quickly (especially in this market).
If you have to get quotes, do yourself a favor and tell the lender, I would like to get a good faith estimate based on interest rates current at (date and time). That way, you can see what rates all of the places have, side by side. If you get some quotes one day, and then a few more a couple days later, the market may have changed enough that the rates are different for all of the lenders.
Third, the lender's fees are what you are really going to be comparing (right after the mortgage type, if you have points or origination fees).
This is the place on the estimate is referred to as the 800's. (All of the lenders fees fall onto lines in the 800 numbering range.) One lender might have fees of $1120 total, bottom line. Another might have fees of $1650. The only difference is that one is taking a bigger commission for themselves. Keep your good faith estimate, they should stick pretty close to these charges.
And last, don't be afraid to ask.
Ask questions, even if they make you uncomfortable. Ask what this fee is, and what exactly it's for. You will probably get an honest answer. If it's easier for you, I would recommend emailing the lender, so you can phrase things very nicely.
Wait, this will be last thing. If a lender doesn't have the right kind of customer service attitude - dump them.
There is simply no reason, especially in this market, for a person in a customer service oriented job to not offer good customer service. I don't like when people assume I know nothing or provide a half-assed quote because they can't be bothered.
The players so far in my quest for quotes are:
Cherry Creek Mortgage Corporation
Bank of the West
RMC Vanguard Mortgage Corporation
Southwest Direct Mortgage
Joining the game soon:
LendingLadies.com
It has been an interesting process so far. I have received four responses and none of them are exactly alike. There are 30 year conventional loans, loans with origination fees, FHA loans, etc.
But, what I've learned a few things.
First, some brokers and lenders can get lower rates than others. Period.
I compared a conventional bank's rates for the same day to another lender's and saw a .375% difference. That is money - my money - and I care. If you can't get me the lowest rate, we probably won't play ball.
Second, rates change quickly (especially in this market).
If you have to get quotes, do yourself a favor and tell the lender, I would like to get a good faith estimate based on interest rates current at (date and time). That way, you can see what rates all of the places have, side by side. If you get some quotes one day, and then a few more a couple days later, the market may have changed enough that the rates are different for all of the lenders.
Third, the lender's fees are what you are really going to be comparing (right after the mortgage type, if you have points or origination fees).
This is the place on the estimate is referred to as the 800's. (All of the lenders fees fall onto lines in the 800 numbering range.) One lender might have fees of $1120 total, bottom line. Another might have fees of $1650. The only difference is that one is taking a bigger commission for themselves. Keep your good faith estimate, they should stick pretty close to these charges.
And last, don't be afraid to ask.
Ask questions, even if they make you uncomfortable. Ask what this fee is, and what exactly it's for. You will probably get an honest answer. If it's easier for you, I would recommend emailing the lender, so you can phrase things very nicely.
Wait, this will be last thing. If a lender doesn't have the right kind of customer service attitude - dump them.
There is simply no reason, especially in this market, for a person in a customer service oriented job to not offer good customer service. I don't like when people assume I know nothing or provide a half-assed quote because they can't be bothered.
The players so far in my quest for quotes are:
Cherry Creek Mortgage Corporation
Bank of the West
RMC Vanguard Mortgage Corporation
Southwest Direct Mortgage
Joining the game soon:
LendingLadies.com
Friday, March 06, 2009
House Shopping
I'm going house shopping tomorrow!
Ok, realistically, I'm probably more condo/townhouse shopping, but hey, it's all good.
I've been waiting for this day to come for so long. I thought it would have come sooner, but I'm afraid I took a detour called marriage a while back.
I'm so excited! I know that the places I'll be looking at won't be too terribly beautiful or nice, but I don't care. I'm going to try to remember to take photos of the places for my memory, so maybe I'll post them up here. Just think, by the time my lease is up at the end of July, I could be the proud owner of my own little spot on earth.
And just to make sure I start my day off right, after I visit with my friends, I'm going to get a massage. I'm a very happy girl!
Ok, realistically, I'm probably more condo/townhouse shopping, but hey, it's all good.
I've been waiting for this day to come for so long. I thought it would have come sooner, but I'm afraid I took a detour called marriage a while back.
I'm so excited! I know that the places I'll be looking at won't be too terribly beautiful or nice, but I don't care. I'm going to try to remember to take photos of the places for my memory, so maybe I'll post them up here. Just think, by the time my lease is up at the end of July, I could be the proud owner of my own little spot on earth.
And just to make sure I start my day off right, after I visit with my friends, I'm going to get a massage. I'm a very happy girl!
Friday, February 27, 2009
Cautiously Optimistic
Well, another minor delay came yesterday in getting my diagnosis. The doc who was supposed to read my MRI results has been on vacation all week. My doctor didn't realize this until I was already in the office (had already paid my $50 copay, of course).
So, he called the hospital and someone else gave him the opinion that my results looked "perfectly normal." So, while I'm going to get an official answer from the guy who specializes in diagnosing this disease, it is still very reassuring to hear that another cardiologist thinks my results are normal.
I have this feeling of duality - I am relieved but also keep thinking, "Are you sure?" I guess it's disbelief.
Once I get the all clear next week, I will rejoin my gym, try to cut back on eating so many frozen pizzas and try to get out of the funk I've been in.
Right now (smiles), everything is good.
So, he called the hospital and someone else gave him the opinion that my results looked "perfectly normal." So, while I'm going to get an official answer from the guy who specializes in diagnosing this disease, it is still very reassuring to hear that another cardiologist thinks my results are normal.
I have this feeling of duality - I am relieved but also keep thinking, "Are you sure?" I guess it's disbelief.
Once I get the all clear next week, I will rejoin my gym, try to cut back on eating so many frozen pizzas and try to get out of the funk I've been in.
Right now (smiles), everything is good.
Thursday, February 26, 2009
Finally - finding love again
I realized recently that I've begun to find love again. I'm starting to see the good in the world all the time.
I think I used to feel this way, but after going through a divorce (or maybe a better explanation is going through a not-so-great marriage) and then having a couple more men act like huge egocentric assholes, it's taken a while to regain this vision of the world (especially towards men).
I'm so glad it's back. Life is much more enjoyable with love in your heart.
I think I used to feel this way, but after going through a divorce (or maybe a better explanation is going through a not-so-great marriage) and then having a couple more men act like huge egocentric assholes, it's taken a while to regain this vision of the world (especially towards men).
I'm so glad it's back. Life is much more enjoyable with love in your heart.
Tuesday, February 24, 2009
Cardiac MRI
I went in on Friday to get my cardiac MRI. When I got there, they had me use the restroom and change into a gown.
They asked me if I'd ever had an MRI before. I answered, no, and they responded, "So you decided to start with the longest one, huh?" I couldn't believe it, but it would end up lasting almost 2 hours. In the tube.
After they assured me that they were not kidding me, they explained the process in detail. They spoke in low, calm voices, as if I were a skitterish horse and might bolt at any moment.
Since the order was for a cardiac morphology with and without contrast, they put in an IV line before I was slid into the tube. I asked Siegrid what it was that they inject into me to allow the contrast. She said that it was a rare earth element, a metallic fluid.
Once in the tube, there was a computerized program that told you when to breathe in - hold your breath - and then, relax. I had to hold my breath for approximately 15-20 seconds at a time and got maybe 5-7 breaths in between. This lasted for about 1 1/2 hours. Then, they injected the fluid, and had me hold my breath for a full minute (I lasted about 2/3 of the time, then slowly released my breath).
I kept falling asleep (yes - in a tube with loud banging noises that made it so I had to wear ear plugs) for a half second at a time. Then I would start suddenly when the machine made a noise or the voice instructed me to 'breathe in.' I would hastily breathe in, trying to catch up, my heart beating a little too fast because I was caught off guard.
When it was all over, I was stiff from laying so still. I was so glad to be done, glad that they could see the results right when the test was happening, so they knew it was successful. Glad that soon, I would have some answer to the question running laps in my mind: am I at a higher risk of sudden death?
This Thursday, I will know.
They asked me if I'd ever had an MRI before. I answered, no, and they responded, "So you decided to start with the longest one, huh?" I couldn't believe it, but it would end up lasting almost 2 hours. In the tube.
After they assured me that they were not kidding me, they explained the process in detail. They spoke in low, calm voices, as if I were a skitterish horse and might bolt at any moment.
Since the order was for a cardiac morphology with and without contrast, they put in an IV line before I was slid into the tube. I asked Siegrid what it was that they inject into me to allow the contrast. She said that it was a rare earth element, a metallic fluid.
Once in the tube, there was a computerized program that told you when to breathe in - hold your breath - and then, relax. I had to hold my breath for approximately 15-20 seconds at a time and got maybe 5-7 breaths in between. This lasted for about 1 1/2 hours. Then, they injected the fluid, and had me hold my breath for a full minute (I lasted about 2/3 of the time, then slowly released my breath).
I kept falling asleep (yes - in a tube with loud banging noises that made it so I had to wear ear plugs) for a half second at a time. Then I would start suddenly when the machine made a noise or the voice instructed me to 'breathe in.' I would hastily breathe in, trying to catch up, my heart beating a little too fast because I was caught off guard.
When it was all over, I was stiff from laying so still. I was so glad to be done, glad that they could see the results right when the test was happening, so they knew it was successful. Glad that soon, I would have some answer to the question running laps in my mind: am I at a higher risk of sudden death?
This Thursday, I will know.
Thursday, February 19, 2009
Under the Influence
I am under the influence. It's comical. I can see it clearly. I listen to a motivational/inspirational CD and I'm ready to conquer the world (I guess that means they're doing the job, right?). I read a story of someone who defies the odds and I want to, too.
I guess that my response is normal. The only thing that isn't exactly average is the pain the butt character trait that runs in my family. The desire to make money. To somehow break out of the regular 9 to 5 lifestyle, and live free...traveling and dining and kissing the cutest guys. Ok, the last part is an embellishment, but I want it still.
So, my sister got me going this time. She told me about a book she's reading (it's on my hold list at the library now) called the Four Hour Workweek by Tim Ferriss.
So, since I knew I would be waiting for his book for a while, I decided to check out his website. People who write books like this always have a website. And usually, the website is full of free, helpful information. Tim's website is definitely like this. He writes about all sorts of things: recommendations for becoming more efficient and effective, travel, how to lose weight or gain muscle, etc.
One of the ideas that I like is the definition of New Rich. I'm not sure who originally coined this phrase, but it's a concept that I'm sure will ring true with many.
It's not the millions of dollars that I'm after. It's the flexibility in my time, the ability to go travel, having a nice car, owning a home and financial security that I really want. That a a drop-dead gorgeous boyfriend who worships the ground I walk on.
And Tim talks about defining what you want and determining what it would cost to get exactly what you want. And, amazingly enough, it is less expensive than you think to get everything you want - if you go about it the right way.
I recommend his website to anyone looking for a new take on life. His own life stories are interesting to read and often times very entertaining. Check out the From Geek to Freak page. The title alone makes me laugh.
I guess that my response is normal. The only thing that isn't exactly average is the pain the butt character trait that runs in my family. The desire to make money. To somehow break out of the regular 9 to 5 lifestyle, and live free...traveling and dining and kissing the cutest guys. Ok, the last part is an embellishment, but I want it still.
So, my sister got me going this time. She told me about a book she's reading (it's on my hold list at the library now) called the Four Hour Workweek by Tim Ferriss.
So, since I knew I would be waiting for his book for a while, I decided to check out his website. People who write books like this always have a website. And usually, the website is full of free, helpful information. Tim's website is definitely like this. He writes about all sorts of things: recommendations for becoming more efficient and effective, travel, how to lose weight or gain muscle, etc.
One of the ideas that I like is the definition of New Rich. I'm not sure who originally coined this phrase, but it's a concept that I'm sure will ring true with many.
It's not the millions of dollars that I'm after. It's the flexibility in my time, the ability to go travel, having a nice car, owning a home and financial security that I really want. That a a drop-dead gorgeous boyfriend who worships the ground I walk on.
And Tim talks about defining what you want and determining what it would cost to get exactly what you want. And, amazingly enough, it is less expensive than you think to get everything you want - if you go about it the right way.
I recommend his website to anyone looking for a new take on life. His own life stories are interesting to read and often times very entertaining. Check out the From Geek to Freak page. The title alone makes me laugh.
Tuesday, February 17, 2009
Postponed, AKA Dealing with Insurance Companies - Yech!
I was all set to go to my cardiac MRI this morning. My doctor's office had called me last week to tell me that the insurance company said no precertification was required. But the hospital wasn't buying it. Apparently, this type of procedure always requires precertification. So, they called my insurance company to get it.
Long story short, I got involved this morning, found at least one more problem and had to reschedule my appointment to Friday.
What a pain. However, since I'm battling a bit of a cold/sore throat/sinus issue, I thought, perhaps it's better that I'm not trying to stay still in a tube.
On a brighter note, my dinner on Valentine's Day was excellent. Medium rare steak, cooked to perfection, haricots verts, and baked potatoes with butter and sour cream. Delish!! Add in some limoncello and life was excellent.
Long story short, I got involved this morning, found at least one more problem and had to reschedule my appointment to Friday.
What a pain. However, since I'm battling a bit of a cold/sore throat/sinus issue, I thought, perhaps it's better that I'm not trying to stay still in a tube.
On a brighter note, my dinner on Valentine's Day was excellent. Medium rare steak, cooked to perfection, haricots verts, and baked potatoes with butter and sour cream. Delish!! Add in some limoncello and life was excellent.
Friday, February 13, 2009
Robotic Once More
I went back to my doc's today. I kept sensing all sorts of small ironies about my visit. I would ramble on about them, but even I think that they're better left unsaid - they probably wouldn't make much sense to anyone else anyway.
I had an echo done (basically an ultrasound of the heart), and the technician was nice enough to tell me that everything looked good. My mitral valve prolapse hadn't changed, in fact it was very minor that she wasn't sure that she'd even call it that. It was wonderful to hear that.
I also had the Holter monitor reapplied (this time with pads for folks with sensitive skin - nothing like removing a bunch of stickers from your body after wearing them for two days, only to look like a terrible circular sucking leech has gotten ahold of you). I'll wear it again for 2 days.
Erin, the nurse applying the Holter, told me that they'd gone through and checked all of the cards in the monitors since mine had failed. She said it was rare for that to happen, and was apologetic. Somehow, I told her, it doesn't make me feel any better to know that I'm going against the odds, considering the odds of the disease we're looking at.
She also mentioned (like several of my coworkers) that Valentine's Day is tomorrow. I told her the same thing I'd told my coworkers. Ugh. Valentine's Day is a black holiday for single people.
Unless I can meet someone - anyone!! - to catch my interest in the slightest. I wonder where, statistially speaking, the best place is to meet a single guy on Valentine's Day?
I had an echo done (basically an ultrasound of the heart), and the technician was nice enough to tell me that everything looked good. My mitral valve prolapse hadn't changed, in fact it was very minor that she wasn't sure that she'd even call it that. It was wonderful to hear that.
I also had the Holter monitor reapplied (this time with pads for folks with sensitive skin - nothing like removing a bunch of stickers from your body after wearing them for two days, only to look like a terrible circular sucking leech has gotten ahold of you). I'll wear it again for 2 days.
Erin, the nurse applying the Holter, told me that they'd gone through and checked all of the cards in the monitors since mine had failed. She said it was rare for that to happen, and was apologetic. Somehow, I told her, it doesn't make me feel any better to know that I'm going against the odds, considering the odds of the disease we're looking at.
She also mentioned (like several of my coworkers) that Valentine's Day is tomorrow. I told her the same thing I'd told my coworkers. Ugh. Valentine's Day is a black holiday for single people.
Unless I can meet someone - anyone!! - to catch my interest in the slightest. I wonder where, statistially speaking, the best place is to meet a single guy on Valentine's Day?
Tuesday, February 10, 2009
"For as much as I've been showing my boobs...
in the last two weeks, I wish I were getting laid."
That was what I said to the two girls placing the sticky leads on my body for the SAECG this afternoon.
SAECG stands for signal averaged electrocardiogram, which is basically like a regular ECG (or EKG as some folks know them), but in a high-def kind of way.
I went down to University of Colorado Hospital, a big sprawling place, which looked pretty new. They are about 45 minutes away from me, but apparently, since this test is so rarely given, they're the only place around with the machine anymore.
I asked how often they performed the test and they said about once or twice a month. In fact, I think the reason that I had two nurses there was because one was learning how to do it because she'd never seen it before. And they said they'd been working together for a long time.
This was the third test out of the five that my doctor ordered for me. I did a stress test on Monday (I told my boss, I don't need a test, I can tell them - I'm stressed!). The nurse told me all through it that my heartbeat looked good and my blood pressure was good. My pulse did get up to over 180 bpm, which was pretty darn fast. But after I sat down, I could feel that I was having a lot of irregular heartbeats and could see them being recorded on the machine. My nurse didn't make any comments after that.
I have my echo on Friday and my MRI scheduled for Tuesday and then I'm done. By Wednesday next week, I should have a good idea of whether or not I have the heart disease in question. It's like Christmas in reverse. The waiting is so hard and I want time to go by faster, but I'm afraid of what I might find on the other side of this week.
That was what I said to the two girls placing the sticky leads on my body for the SAECG this afternoon.
SAECG stands for signal averaged electrocardiogram, which is basically like a regular ECG (or EKG as some folks know them), but in a high-def kind of way.
I went down to University of Colorado Hospital, a big sprawling place, which looked pretty new. They are about 45 minutes away from me, but apparently, since this test is so rarely given, they're the only place around with the machine anymore.
I asked how often they performed the test and they said about once or twice a month. In fact, I think the reason that I had two nurses there was because one was learning how to do it because she'd never seen it before. And they said they'd been working together for a long time.
This was the third test out of the five that my doctor ordered for me. I did a stress test on Monday (I told my boss, I don't need a test, I can tell them - I'm stressed!). The nurse told me all through it that my heartbeat looked good and my blood pressure was good. My pulse did get up to over 180 bpm, which was pretty darn fast. But after I sat down, I could feel that I was having a lot of irregular heartbeats and could see them being recorded on the machine. My nurse didn't make any comments after that.
I have my echo on Friday and my MRI scheduled for Tuesday and then I'm done. By Wednesday next week, I should have a good idea of whether or not I have the heart disease in question. It's like Christmas in reverse. The waiting is so hard and I want time to go by faster, but I'm afraid of what I might find on the other side of this week.
Friday, February 06, 2009
I Feel Like a Robot!
I went to my doc's office yesterday and got a Holter monitor placed on me. It basically consists of 5 leads (just stickers, with really good adhesive) placed on your chest in varies spots and then wires connected to them that join together into one plug and go into a small device. The computer device is about 4.5 x 3 x 1 inches in size and right now it sits in my jeans pocket.
It will record all of my heart activity for about 48 hours, at which point, I'll remove it and it will shut off. There is a small button on the top that I press whenever I feel like my heart is doing something funny, which kind of highlights that area in the readout to bring it to the doc's attention.
When they first put it on me, I was feeling very self conscious. It felt like someone was watching me and it was difficult to relax. I hesitated on pressing the button (I've learned that I have issues with expressing when I feel funny/bad, like I shouldn't tell others) initially, but now just go ahead, figuring, it won't hurt if they don't see anything special. Yesterday, the wires hung below the hem of my shirt and I felt like a robot, accidentally exposing my terrible android secret to the lowly humans surrounding me - would they rise up and kill me?
So far, I've managed not to pull off any of the leads, even in my sleep. I only have to wear it until tomorrow around 1pm. Thank God. Because I need to shower!! I can't stand having to skip a shower if I've sweated and we've been having glorious weather for a couple of days. Which means I've perspired. One day down, one more to go.
It will record all of my heart activity for about 48 hours, at which point, I'll remove it and it will shut off. There is a small button on the top that I press whenever I feel like my heart is doing something funny, which kind of highlights that area in the readout to bring it to the doc's attention.
When they first put it on me, I was feeling very self conscious. It felt like someone was watching me and it was difficult to relax. I hesitated on pressing the button (I've learned that I have issues with expressing when I feel funny/bad, like I shouldn't tell others) initially, but now just go ahead, figuring, it won't hurt if they don't see anything special. Yesterday, the wires hung below the hem of my shirt and I felt like a robot, accidentally exposing my terrible android secret to the lowly humans surrounding me - would they rise up and kill me?
So far, I've managed not to pull off any of the leads, even in my sleep. I only have to wear it until tomorrow around 1pm. Thank God. Because I need to shower!! I can't stand having to skip a shower if I've sweated and we've been having glorious weather for a couple of days. Which means I've perspired. One day down, one more to go.
Thursday, February 05, 2009
You Smell Good Enough To Eat...
Literally.
Anybody who knows me knows that I have an extreme fondness for cheeseburgers. I don't know exactly why, but they are heaven when they're good.
So imagine how much this tickled my funny bone when I saw it:
Yes. You too can smell like a flame broiled Whopper, courtesy of Burger King. Only $3.99, it can be found at Ricky's.
Anybody who knows me knows that I have an extreme fondness for cheeseburgers. I don't know exactly why, but they are heaven when they're good.
So imagine how much this tickled my funny bone when I saw it:
ARVD Dr. Visit #1
I went in to see my cardiologist for our initial visit. I was pleased with my experience.
Dr. Oza had me explain my family history leading up to my trip to talk to him. He was very thorough, asking for copies of autopsy reports and anything else that I might mention while I told the story.
He then told me what his experience is with ARVD. He has about 10 patients out of his entire clinic that have ARVD. He said that this number is a very low percentage of his patients (which is good that he told me, since I have no baseline). He says that he probably has more than anyone else in the Boulder area because they are all referred to him. (This is comforting.)
He told me what approach he would like to take (which basically matched the recommendations from Johns Hopkins). He told me that he'd like me to do a bunch of tests and then evaluate them, using contacts from Tucson (another place where they specialize in the disease) to confirm the findings, whatever they may be. He also said that if I wasn't comfortable with that, that he would be happy to provide a referral to either Johns Hopkins or UofA in Tucson.
So, I have four appointments already set up (echo, stress test, 48-hour Holter monitor, follow-up visit with Dr. Oza) and two more to schedule (SAECG and cardiac MRI). I have to get everything done by 2/18, when I go back to see my doctor for a follow up visit.
I mentioned to him that once I started to discover that I'd need to undergo testing, I'd stopped going to the gym (I was going 5-6 times a week) and stopped drinking my one lousy cup of coffee that I enjoy each day. He smiled, told me to go ahead and drink my coffee. But not to go to the gym until we have figured all of this out. I knew that, but it still freaked me out to hear him say that. I just feel like I'd been taking my life into my hands with every trip to the gym and I never even knew it. Oh well, I guess that's life...it's more about what you don't know than what you do.
Dr. Oza had me explain my family history leading up to my trip to talk to him. He was very thorough, asking for copies of autopsy reports and anything else that I might mention while I told the story.
He then told me what his experience is with ARVD. He has about 10 patients out of his entire clinic that have ARVD. He said that this number is a very low percentage of his patients (which is good that he told me, since I have no baseline). He says that he probably has more than anyone else in the Boulder area because they are all referred to him. (This is comforting.)
He told me what approach he would like to take (which basically matched the recommendations from Johns Hopkins). He told me that he'd like me to do a bunch of tests and then evaluate them, using contacts from Tucson (another place where they specialize in the disease) to confirm the findings, whatever they may be. He also said that if I wasn't comfortable with that, that he would be happy to provide a referral to either Johns Hopkins or UofA in Tucson.
So, I have four appointments already set up (echo, stress test, 48-hour Holter monitor, follow-up visit with Dr. Oza) and two more to schedule (SAECG and cardiac MRI). I have to get everything done by 2/18, when I go back to see my doctor for a follow up visit.
I mentioned to him that once I started to discover that I'd need to undergo testing, I'd stopped going to the gym (I was going 5-6 times a week) and stopped drinking my one lousy cup of coffee that I enjoy each day. He smiled, told me to go ahead and drink my coffee. But not to go to the gym until we have figured all of this out. I knew that, but it still freaked me out to hear him say that. I just feel like I'd been taking my life into my hands with every trip to the gym and I never even knew it. Oh well, I guess that's life...it's more about what you don't know than what you do.
Friday, January 30, 2009
When is exercise not a good thing? When you have ARVD.
About 8 years ago, my grandmother died. She had smoked and drank her whole life (always had a Bud in her coozee), so nobody was surprised when they said she had a heart attack. And my grandpa said it was a blessing in disguise because they'd found cancer in several places as well.
Last August, my cousin Donna died. Suddenly. At age 40, leaving behind a husband and children that she'd home schooled. When we heard about this - we were all shocked. After all, Donna was only 9 years older than me, a young person still.
When her sister Robyne started to look into her sister's cause of death, listed as ARVD or arrhythmogenic right ventricular dysplasia (with mitral valve prolapse listed as a contributing factor), she learned that it is a genetic disease, inherited from a parent. Of course, this meant a lot more investigation and testing to see if Robyne was affected, too.
When she started to do research, our Aunt Terry pulled out grandma's autopsy report and told Robyne what was listed as the COD. Arrhythmogenic right ventricular dysplasia. If we had known and been tested 8 years ago, Donna would still be here.
ARVD is a rare heart disease that causes fatty or fibrous tissue to develop where normal heart muscle should be. The abnormal tissue interrupts the electrical impulses being sent to your heart, telling your heart to beat. It is a progressive disease (gets worse with time) and about 75% of the people who have the disease will develop symptoms (which is a really high number). Everyone who carries the disease, which doesn't discriminate between the sexes, has a 50% chance of passing it on to their children. Again, this is a very high number and not very comforting.
Because having an arrhythmia greatly affects the chance that your heart might misfire, there are particular things you are told not to do. Exercise, or other strenuous activity is the first thing they eliminate. If you've ever heard stories of a healthy 20 or 30 something who suddenly dropped dead, this is probably the disease the killed them. Caffeine, nicotine, alcohol and even cold medications are limited.
To diagnose the disease, a person would undergo about 6 noninvasive tests. There is no one definite test that can be performed to tell if you have ARVD. Rather, it is a set of symptoms and indicators taken as a whole that diagnose it.
The most common treatment for a person with ARVD is to be put on a beta blocker and have an internal cardiac defibrillator (ICD) installed in their chest.
My cousin Robyne had it confirmed - she has the disease. She was put on beta blockers and just had an ICD installed.
My sister and I will be going through all of these same tests to see if we, too, have this disease. As it stands now, I was diagnosed with mitral valve prolapse and PVCs a couple of years ago. I can only think of Donna's autopsy and how mitral valve prolapse was a "contributing factor." And how PVCs are a symptom of ARVD.
It changes your whole perspective on life. You feel like you might drop dead at any second. It's difficult to go to sleep, especially when your heart is beating erratically from the stress. You feel every heartbeat thudding and wonder if it's going to stop suddenly. And if it does, will you have time to dial 911?
I have cancelled my gym membership, until I get this all straitened out. I find myself wondering...do I buy a house or do I run away to Europe to enjoy life before it's gone?
I think of the words I recently read in a book - I can't die now. I haven't even lived yet.
Last August, my cousin Donna died. Suddenly. At age 40, leaving behind a husband and children that she'd home schooled. When we heard about this - we were all shocked. After all, Donna was only 9 years older than me, a young person still.
When her sister Robyne started to look into her sister's cause of death, listed as ARVD or arrhythmogenic right ventricular dysplasia (with mitral valve prolapse listed as a contributing factor), she learned that it is a genetic disease, inherited from a parent. Of course, this meant a lot more investigation and testing to see if Robyne was affected, too.
When she started to do research, our Aunt Terry pulled out grandma's autopsy report and told Robyne what was listed as the COD. Arrhythmogenic right ventricular dysplasia. If we had known and been tested 8 years ago, Donna would still be here.
ARVD is a rare heart disease that causes fatty or fibrous tissue to develop where normal heart muscle should be. The abnormal tissue interrupts the electrical impulses being sent to your heart, telling your heart to beat. It is a progressive disease (gets worse with time) and about 75% of the people who have the disease will develop symptoms (which is a really high number). Everyone who carries the disease, which doesn't discriminate between the sexes, has a 50% chance of passing it on to their children. Again, this is a very high number and not very comforting.
Because having an arrhythmia greatly affects the chance that your heart might misfire, there are particular things you are told not to do. Exercise, or other strenuous activity is the first thing they eliminate. If you've ever heard stories of a healthy 20 or 30 something who suddenly dropped dead, this is probably the disease the killed them. Caffeine, nicotine, alcohol and even cold medications are limited.
To diagnose the disease, a person would undergo about 6 noninvasive tests. There is no one definite test that can be performed to tell if you have ARVD. Rather, it is a set of symptoms and indicators taken as a whole that diagnose it.
The most common treatment for a person with ARVD is to be put on a beta blocker and have an internal cardiac defibrillator (ICD) installed in their chest.
My cousin Robyne had it confirmed - she has the disease. She was put on beta blockers and just had an ICD installed.
My sister and I will be going through all of these same tests to see if we, too, have this disease. As it stands now, I was diagnosed with mitral valve prolapse and PVCs a couple of years ago. I can only think of Donna's autopsy and how mitral valve prolapse was a "contributing factor." And how PVCs are a symptom of ARVD.
It changes your whole perspective on life. You feel like you might drop dead at any second. It's difficult to go to sleep, especially when your heart is beating erratically from the stress. You feel every heartbeat thudding and wonder if it's going to stop suddenly. And if it does, will you have time to dial 911?
I have cancelled my gym membership, until I get this all straitened out. I find myself wondering...do I buy a house or do I run away to Europe to enjoy life before it's gone?
I think of the words I recently read in a book - I can't die now. I haven't even lived yet.
Sunday, January 25, 2009
Anatomy of a Romance Novel
I've been reading some romance novels lately. I find their structure and patterns reassuring with their predictability.
I decided that I should write down a few of the things that I've started to recognize in romance novels for my future reference. I wonder what it is like to write a book. I like writing in general, but find the idea of writing a full length novel or any sort daunting.
Nonetheless, here are my observations to date.
1. There is a strong female heroine. (I believe that this may be because more women than men read romance books and it is more appealing to women to have their character written as smart, attractive and brave - usually to a fault.)
2. The men are hot. (Why else would we read them, right?)
3. The men are usually macho, strong (physically and mentally), but also have something that needs to be healed. And of course, the heroine in the story is the only one who can heal him.
4. There is usually some big obstacle that one of the main character's must accept about their lover, and their lover is terrified that their partner either a. won't believe it or b. won't accept it and will therefore leave them. (They never do.)
5. The sex is always the best, most mind blowing sex they've ever had. (But I've realized it doesn't sound too different activity-wise than the sex I've ever had in my life.)
6. There has to be a situation where they face losing each other because of forces outside of their control.
I can't think of any more right now...I'll update this list later if I can recall anything else.
I decided that I should write down a few of the things that I've started to recognize in romance novels for my future reference. I wonder what it is like to write a book. I like writing in general, but find the idea of writing a full length novel or any sort daunting.
Nonetheless, here are my observations to date.
1. There is a strong female heroine. (I believe that this may be because more women than men read romance books and it is more appealing to women to have their character written as smart, attractive and brave - usually to a fault.)
2. The men are hot. (Why else would we read them, right?)
3. The men are usually macho, strong (physically and mentally), but also have something that needs to be healed. And of course, the heroine in the story is the only one who can heal him.
4. There is usually some big obstacle that one of the main character's must accept about their lover, and their lover is terrified that their partner either a. won't believe it or b. won't accept it and will therefore leave them. (They never do.)
5. The sex is always the best, most mind blowing sex they've ever had. (But I've realized it doesn't sound too different activity-wise than the sex I've ever had in my life.)
6. There has to be a situation where they face losing each other because of forces outside of their control.
I can't think of any more right now...I'll update this list later if I can recall anything else.
Thursday, January 22, 2009
Obtaining a Salvage Title in Colorado
I am living through a very interesting experience. I brought a car from California to Colorado
Wednesday, January 21, 2009
Green Chili
There are certain recipes that I've always wondered about. Wondered if I'd ever really make them or know what makes them so dang tasty (especially when there are lots of variations).
Green chile is one of those meals that have been an enigma to me. Maybe it's just because I've never been around someone who would cook this type of food, maybe not.
I have a coworker who is quite the dynamic man. He is a tall, slightly older, masculine guy with a sarcastic and, at times, pun-filled sense of humor. He looks like he might ride Harley's (and does) and doesn't like to take too much crap from people. On the other hand, he loves his wife and loves to cook, especially spicy foods.
Last week, he brought in a little bit of green chile and shared with me. It was the second time he's done this, probably because he knows what a food nut I am. So, at lunch, I asked him how to make it. And I loved his answer.
He told me how to make it, exactly, well, sort of. There were no measurements, just the process and ingredients. But my brain really likes this sort of recipe. I understand it, so it sticks with me longer and easier. So, forgive me if I don't give exact measurements. Perhaps in the end you will understand green chile just like me, which is even better than a perfect recipe.
1 pound meat:
I like pork, but basically, the rule is that you want to find about 1 pound of meat that will be fairly tender after being pan sauted and then stewed for about 30 minutes. Because I couldn't find a small pork butt/shoulder roast, I settled for a pork ribeye roast. It cost me about $7 at Walmart for a 2.25 lb roast. I cut off just under half of the roast to use for my chile and threw the rest in the fridge for another dinner.
Cook meat and then cook onions (1 small chopped), garlic (2-3 cloves minced):
I trimmed the big fat and cubed the meat. I cooked the meat over medium heat in my dutch oven, in a little bit of vegetable oil to prevent sticking. Once it was browned, I took the meat out and set it aside, added a bit (2 tablespoons) more veggie oil and threw in one diced small onion and a few cloves of minced garlic. Cook until the onion is softened a bit, but don't burn the garlic.
Add jalapeno, spices; then add flour for a roux:
Add in one chopped jalapeno, some oregano, a tiny bit of cumin, salt and pepper. Next, add in a couple of tablespoons of flour and cook until the raw taste of the flour is gone, but don't darken the roux.
Add stock, crushed tomatoes, chiles:
Next, add in about 1-2 cups of chicken stock (depending on how thin you like yours, I only did one cup and figured I could add more if I wanted it later), a can of crushed/diced tomatoes and your chiles. I used a package of roasted, peeled, seeded and chopped chiles from Walmart...they were in the freezer section and they cost $3.50 for 30 ounces. I used half the bag in my stew. Stir the bottom of your pot with your wooden spoon to get the nice fond up off the bottom (the brown coloring and bits stuck to the bottom of your pot from cooking the meat and stuff).
Add the meat back in and simmer for about 30 minutes or so, until the meat is tender and tastes a little more like the stew.
It is a very nice basic recipe that you could alter very easily, depending on your tastes.
Eat, Pray, Love
I think they could replace the title of the book I'm reading from Eat, Pray, Love to Fast, Slow, Slower.
This book is broken into 3 parts and perhaps it's my own enjoyment of the topic in the first section that made it more enjoyable. The author decides to take a year's journey, going first to Italy, then to India and finally to Indonesia. The reason? She is unhappy in her life after a difficult divorce and the realization that she doesn't want the things she thought she was supposed to want (kids, etc.). She has started to explore a spiritual side of herself and finally decides to make the trip.
The first leg of her trip, in Italy, is to spend 4 months experience pleasure. If you take into account that she's sworn off sex at the time, I think you could revise her goal to be something like, make friends, learn Italian and eat lots of great food.
Then, she is going to India in order to find and explore her spirituality. She goes to meet her guru at her ashram. This is where it's starting to slow down a bit and frankly, lose my interest. I guess it doesn't help this author any that I've just read about 10 books that have action, drama, love, sex and vampires. (See what Twilight started?)
And lastly, she goes to Indonesia to live with a medicine man that she met there the year before, to learn how to join the two ideals: pleasure and spirituality.
I think that many people have loved this book. But, on the other hand, I think that many people have been like me and my friends. The book starts well and then slowly -SLOWLY- goes downhill to a point where all of the momentum is gone.
I will finish reading the book however, to give it a fair chance and a real review. Who knows, maybe I'll get lucky and have to amend what I've written. I certainly hope so (or it's going to be a boring week).
This book is broken into 3 parts and perhaps it's my own enjoyment of the topic in the first section that made it more enjoyable. The author decides to take a year's journey, going first to Italy, then to India and finally to Indonesia. The reason? She is unhappy in her life after a difficult divorce and the realization that she doesn't want the things she thought she was supposed to want (kids, etc.). She has started to explore a spiritual side of herself and finally decides to make the trip.
The first leg of her trip, in Italy, is to spend 4 months experience pleasure. If you take into account that she's sworn off sex at the time, I think you could revise her goal to be something like, make friends, learn Italian and eat lots of great food.
Then, she is going to India in order to find and explore her spirituality. She goes to meet her guru at her ashram. This is where it's starting to slow down a bit and frankly, lose my interest. I guess it doesn't help this author any that I've just read about 10 books that have action, drama, love, sex and vampires. (See what Twilight started?)
And lastly, she goes to Indonesia to live with a medicine man that she met there the year before, to learn how to join the two ideals: pleasure and spirituality.
I think that many people have loved this book. But, on the other hand, I think that many people have been like me and my friends. The book starts well and then slowly -SLOWLY- goes downhill to a point where all of the momentum is gone.
I will finish reading the book however, to give it a fair chance and a real review. Who knows, maybe I'll get lucky and have to amend what I've written. I certainly hope so (or it's going to be a boring week).
Sunday, January 18, 2009
Where are all the cute guys in Colorado?
I'm beginning to miss the vacuum that I once lived in called Southern California. With the film industry, beaches and glorious year-round weather, the area attracted many very beautiful people.
At times it could be annoying. There were days that I knew if I never saw another blond with fake tits I'd die happier. But there were good sides, too. Like when you go to a restaurant and the waiter, host and cooks were all gorgeous. It would be dinner with a view.
Ever since I moved to Colorado, I find myself wondering if this is what the rest of America looks like. I can't help the fact that I'm not attracted the the guys that I've met here...but boy they want to take it out on my and tell me how shallow I am, etc. I would be more affected by these comments if they weren't talking to me based on the fact that they like my looks. Pot calling the kettle...well, you know.
I'm going to start spending some time in Boulder, because that seems to be a place that has more attractive folks. We'll see how that goes. Better than going to church and meeting someone and then admitting I'm a hypocrite.
At times it could be annoying. There were days that I knew if I never saw another blond with fake tits I'd die happier. But there were good sides, too. Like when you go to a restaurant and the waiter, host and cooks were all gorgeous. It would be dinner with a view.
Ever since I moved to Colorado, I find myself wondering if this is what the rest of America looks like. I can't help the fact that I'm not attracted the the guys that I've met here...but boy they want to take it out on my and tell me how shallow I am, etc. I would be more affected by these comments if they weren't talking to me based on the fact that they like my looks. Pot calling the kettle...well, you know.
I'm going to start spending some time in Boulder, because that seems to be a place that has more attractive folks. We'll see how that goes. Better than going to church and meeting someone and then admitting I'm a hypocrite.
Subscribe to:
Posts (Atom)