I worked out regularly before the attack and was in no major risk categories for the attack. After some tests (echo, heart cath) they determined there was no inherent heart disease and that I was probably suffering from viral myocarditis. I had been under alot of stress the previous months and getting run down due to over work. In fact the week before the attack I came down with shingles. I am fortunate that after 6 weeks of disability plus taking coreg and lisinopril my heart function returned to normal. I have not been on any medications since last summer and my last check up in January confirmed my heart function to be normal still. So I am extremely fortunate to have gone through this with no long term detriment to my heart.
Most of the bills were paid without problems and I don’t begrudge the co-pays I had to make given the total bill. However I have had problems with them paying the ER doctors bill. I went to an “in network” hospital but the doctor was not “in network”. They only paid about %25 of the doctors bill. I am sure it was due to coding problems because the explanation of benefits said basically the services for one charge were typically performed under another coded charge and they denied them.
I’ve gone round and round with the billing agency, the insurance company, etc. on this issue with no progress. I’ve appealed it once which was denied and plan to appeal it again. However I am trying to get better information for the next appeal.
I was wondering if anyone else has experienced problems like this and if so how you were able to resolve them (if you did successfully). I was trying to determine what might be typical (or as they say reasonable and customary) charges for and ER doctor providing approximately 1 to 1.5 hours of service for a patient suffering a heart attack.
I would appreciate any input anyone has on this subject. Thank you.
By ICD, i mean defib device. That shouldn’t be a problem as in EECP or ECP your heart beats normally. But all EECP centers are run by cardiologists who will know and you should make the nurse who runs the machine aware of it as well.
If there are any problem, there is a stop button on the control panel that releases pressure immediately and the machine is designed to stop on any abnormal heart beat. The nurses are always very attentive, especially for the first few teatments, after that they get a little slack, however that stop button is positioned so the patient can hit it as well.
but you should have seen the young Muslim woman’s face in Istanbul when my wife said, oh they are not for me, they are for my husband!
The first Cardiologist stopped EECP and refused to allow me to continue because of blisters. I told her my heart was more important than my skin but she refused to budge. I told her that maybe if I got some lycra pants like bicycle or ski pants it would help and she said it would be worse.
I got on the net and contacted the manufacturer of the machine and they told me to buy pantyhose and continue if I could stand it. She however would not allow it again till the blisters healed which takes two weeks even with the recommendation I got from Vaso Medical to continue with the pantyhose to cut the friction. I asked for another doctor but he told me he was too busy.
I contacted the doctor that had left there (Memorial) for American hospital and he said they were getting an EECP machine in a week, and I could be the first patient on it and I was. The other doctor was mad as hell, but I could care less, I told them when I left that she was not reasonable at all, and I think she got in a little trouble over it. I hoped that she learned that patients have a right to make decisions on their medical care as well as doctors.
In Canada I did the treadmill till I experienced angina then immediately got the ultrasound look at what my heart was doing under those stress conditions. The lower part of the heart stops working showing it is oxygen deprived. Angiogram won’t show this as it is not a quick procedure like ultrasound and you can’t just jump from the treadmill to the Angiogram table, obviously.
Did you misunderstand me? I jumped off the treadmill for ULTRASOUND not angiogram. Angiogram takes time to set up, you have to be preped, which means shaved and betadined to make the area sterile, then you go on the table and they insert the sheath into the artery and slide in the guidewire, then the catheter and inject dye into the left and right major arteries. All this takes time so there is no way to observe the heart working under stress. You can only do that with ultrasound because everything is in the same room and you can go right from the treadmill immediately to the table for the ultrasound look at the stressed heart.
In my case it was plain to see that under stress the lower part and posterior wall wasn’t working at all. A couple of shots of nitro and in a few minutes it was back to near normal.
My angina is definitely attributable to large occlusions in all the vessels both at proximal, mid and distal ends. So far the only thing that has saved me is the EECP, Granocyte and Nitro.
Here is a before and after angiogram.
Notice how some of the major arteries just abruptly end. Also you see in the lower left corner a very long one coming from the right side of the heart which is a collateral moving across to support both sides.
Notice how that collateral I was talking about has now occluded near the main branch but there is a horseshoe collateral formed to support it. This is the product of EECP. Anyone with angina should do EECP as it is non evasive. Women should wear pantyhose under the cotton stretch pants they give you. It helps cut abrasion, even I had to wear two pairs because of a rare skin condition. Diabetics need to do that as well.
Notice also the proliferation of new blood vessels. There are two sessions of EECP and this last picture was taken after the last one. Before the granocyte treatment, I had angina so bad I couldn’t breathe and would have died if I hadn’t had nitro. Nitro works in a few minutes and my wife had to get it for me because I couldn’t move. Obviously, you don’t have it very bad yet, but carry nitro so you don’t have to suffer. If you could see the whole angiogram, you would see when they injected dye in the right coronary artery, it traveling over to the left coronary artery and lighting up that side as well.
The kings in Americka probably won’t allow you to have granocyte but that is without any pain and quick. It takes two weeks to see results. EECP is 35 treatments and you can double up on them, like one in the morning and one in the afternoon, so you are looking at one to two months time for the treatments. Effects of EECP last for some 6 months. I think you could probably get granocyte treatments in Mexico or you could travel to Europe or Asia for them. They are expensive, the medicine costs at least $700 (i am from Florida and take payday loan here cause i have a bad credit history) and the blood tests as much or more. I am buying mine from SE Asia and having it shipped to me.
If you knew someone in Mexico you could probably have it shipped there, then go down and get the shots and tests and return. In England they send the medicine home with the patient and the patient themselves or a nurse injects it. I haven’t heard of any side effects at all other than bone pain and a short fever.
All of the tests taken (including the echo & the nuclear stress test) earlier made us think that I had a blockage on the left side. It was the angiogram that showed that the inactivity wasn’t due to a blockage but due to not having a left main coronary artery.
Has it been attributed to anything? I’m very worried about my doubatmine echo stress on Monday. I don’t talk about the pain much at home or how I feel so no one knows but I figure the doctor will figure that out by the test. I have a hard time believing that it’s angina and in the back of mind I keep thing, no it can’t be. And then I really worry, what else could it be?
It’s good about the free medical. Medical is killing me. I can no longer work so I pay out of my savings my insurance every month. It’s killing me. This whole thing is just so horrible.
I have Rheumatoid Arthritis and take nothing for my chest wall pain. Sometimes your right, eating is tough because of the pain but I’m good at just swallowing food down whole so no one will notice. Of course this adds to weight but I am more scared of frightening my family when they’re seems nothing anyone will do.
If you have heart problems always carry nitro in your picket in a small container. If you have angina then pop a nitro under your tongue and in a few minutes the pain goes away. Or if you feel sick to your stomach take one because your heart needs the oxygen.
After getting off the treadmill I was hurting bad but we had to see what the heart was doing under stress. When I left Canada, I couldn’t eat without taking nitro. I was taking 40 a day. I was getting desparate so I contacted this doctor in Russia and she told me that there was stem cell doctor in Moscow that she thought could help me. Well, what a bunch of capitalists but if it helps someone who can’t afford anything it is OK. He was a professor Doctor and worked with stimulating stem cells.
I pumped him for information since he spoke English and I hit the computer searches to see if I could figure out what he was doing. He told me he was going to have a cardiologist see me, and what a joke that was. She says they need to do bypass surgery and I said no, we have been over that time and again. The doctor told her that I knew more about my heart than the cardiologists did and she tried to convience me by explaining what they did for Boris Yeltsin with quad bypass and they could help me as well. I didn’t want anything to do with that, and the only way they were going to get me on the table was for stem cell injections.
Then the stem cell professor told me he would help me and we started “Granocyte” injections once a day for six days with two day weekend in the middle with blood tests to monitor the cell distributions. That was the cat’s meow, I went in two weeks time down to about 4 or 5 nitro tabs a day. Granocyte stimulates the bone marrow to produce the stem cells you need to repair your heart when directed in this case with citamines which to my knowledge you can only obtain in Russia. Granocyte is used all over the World but mostly for post chemo or radiation treatments to restore the immune system that is killed in the process.
The treatment is extremely effective raising your white cell count by a factor of 10. The only side effect they have noticed is bone pain and a short fever the first application. It is injected under the skin in the arm usually and in England they send them home with it to inject themselves like diabetics do. In England the medical care is really poor and you have to wait long times for operations as there is a shortage of Doctors, probably because they don’t get paid like Kings like here in the USA. Well, the Doctors in Russia are getting the same way.
However, medical care here is free and sometimes as good as the USA but the hospitals are poorly equipped and you have to buy all your own meds, syringes and IV kits ahead of time. I ordered a new supply of Granocyte out of Thialand and should get it soon. My wife is going to line up a Dr. for me so I can monitor the white cell count and I am going to see if I can’t get back to where I was before so I don’t have to worry about taking nitro. But I will never leave home without anymore, as if you start getting chest pains, you need it right away and it could help prevent serious heart damage in an attack situation.
The angiogram is still the best way to see any problems with the blood vessels and the action of the heart. Ultrasound is less precise with poor resolution and doesn’t show any distinct blood vessels. The beauty of ultasound is that it can be used in conjunction with a stress test to observe the heart under conditions of stress.
In Germany I did the treadmill till I experienced angina then immediately got the ultrasound look at what my heart was doing under those stress conditions. The lower part of the heart stops working showing it is oxygen deprived. Angiogram won’t show this as it is not a quick procedure like ultrasound and you can’t just jump from the treadmill to the Angiogram table, obviously.
During the angiogram not only is die marker injected into the individual arteries but also into the whole heart to observe it beating for signs of damage. However obviously no stress conditions can be set up on the angiogram table unless it is “white coat” stress and that is probably why they wear green operating cloths.
If you don’t have a copy of your angiogram, you should get it and look at it. Because they are two dimentional pictures, they use different angles to get a better idea of the extent of the occlusions as they may be irregular in shape and form. A really good website which explains all this procedure in infinite detail is:
This is a must read for all who have any question whatsoever about the angiogram and after reading what is offered here and viewing your own angiogram, you can converse on an intelligent basis with your cardiologist. Had I completely trusted my doctors, I would have had bypass surgery three times now and still not been any better off. Be informed so you can make rational judgments. I have not had bypass, have had two EECP treatments, and one Granocyte treatment, with another to follow soon.
which they give cancer patients to grow their blood cells. Same theory different drug.
As for eating like that’s got to be a millenium years old; that why warriors ate the heart of their enemy so they would be more courageous, I guess that medicine as to take their ideas from someplace and possibly it will work, at least it is better than standing still and just waiting. I think inactivity, waiting passively for something to happen, has to be absolutely the worst thing in the world, it makes you feel so out of control of the whole problem. As least you’re actively pursuing an idea.
I guess your angina is quite serious and not responding to much though? I imagine they’ve tried the obvious, diet 😉
But I already have a computer full of information on “Granocyte”. While culture and injection of thigh muscle cells is not new and probably first done in France several years ago successfully, it doesn’t produce the same kind of muscle cells you need. Heart muscle is different from other muscle and is very specialized and unique. While this cultured cell process works, it isn’t as effective as real heart muscle.
After a heart attack the heart puts out chemical attractants to home stem cells to it to repair it. One of the problems is that there just isn’t enough to do the job like it needs to be done. I don’t know if granocyte will do it, but it is a natural way unlike these artificial methods.
Russia makes what I think is a unique “citamine” for various organs which I think helps the homing of stem cells. The professor who treated me was optomistic about it. To my knowledge they are only found in Russia at this time. They are made of from the tissue of the organ that needs to attract the stem cells, which is the theory behind it, and so if you need a healthy heart you would eat heart. This is an old concept that is coming back into research in countries that aren’t stiffled by such organizations as the FDA, AMA and others.
By combining the citamine with the granocyte, it is hoped to concentrate the stem cells where they need to be.
I’ve known people who took 1000 mg/day and had no side effects. Only thing listed in the PDR is possible nausea at large doses.
I used to take 300 mg/day, but then found a brand that is dissolved in vitamin E and vegetable oil making it about 90% bioavailable instead of 30% for the normal powder or capsule form. Now I take 100 mg/day of this fat soluble CoQ-10.
Your cardiologist had better have heard of CoQ-10! She’s probably prescribing statin drugs which deplete your normal level of CoQ-10 along with the LDLs and should be prescribing CoQ-10 right along with the statins! The pharm cos don’t inform the patients of this “drawback” to their drugs, so the patients have to!
Heart cath gives by far the best info, but a new type of echocardiogram is supposedly in the works that can “see” the heart as if it were standing still, which is the biggest problem with using ultrasound.