Thursday, July 17, 2014

July 18th 2014
It is now nearly 9 months with our life on hold. 
Derry eventually received bi-polar medication that had acceptable side-effects and seem to be holding his moods in check. Untreated bi-polar worsens and to only be diagnosed at 58 years old is tragic, a lifetime of mood swings and bi-polar rages that got him into so much trouble - all unnecessary, years wasted in treatments that did no good, so much of life wasted!
But just when it seems we had reached the end of the road, Derry's blood pressure spikes again, this had led to so many changes in medication as it was presumed they were the cause, the Doctors decide to send him to a cardiologist for a check yet again, this time they find the problem; 

Hypertrophic cardiomyopathy (HCM) is an inherited disease of your heart muscle, where the muscle wall of your heart becomes thickened.   
It is a genetic condition caused by a change or mutation in one or more genes and is passed on through families. Each child of someone with HCM has a 50 per cent chance of inheriting the condition.
About 1 in 500 of the UK population has the condition, although most people who have it have few symptoms.

How does it affect my heart?

If you have HCM, the muscular wall of your heart - the myocardium - becomes thickened, making the heart muscle stiff.
This thickening makes it harder for your heart to pump blood out of your heart and around your body.
How thick your muscle is, and how much of your muscle is affected, varies from one person to another. The left ventricle (one of your heart's four chambers) is almost always affected, and in some people the muscle of the right ventricle also thickens.

To begin with they tried medication, this did not work. Derry was sent to have a pace maker fitted and the specialist at the hospital felt he may be a good candidate for alcohol ablation; 
Since its original description in 1994, alcohol septal ablation (ASA) has emerged as a minimally invasive modality for treatment of hypertrophic obstructive cardiomyopathy compared to surgical myomectomy. This catheter-based intervention relies on the injection of absolute alcohol into the septal perforator to induce a controlled infarction of the hypertrophied septum and consequently abolish the dynamic outflow obstruction.
At first it looked like it was successful but 2 weeks after the procedure Derry faints, tests prove it has failed and now he awaits a pacemaker.

It is hard to accept we are getting old and our bodies are failing us, we met so late and hoped we would have a few years of active life left to enjoy, I am stressing big time, it does not help that all I can do is wait. even though he has to stay under medical supervision most of the day, Derry visits almost daily , always with icecreams, chocolates or flowers. We sit and talk of the challenges that lie ahead, plans such as a traditional wedding have now down sized to a registry office. We have been together over 5 years now and it has been an almost daily struggle overcoming all the problems that have besieged us, having climbed so far up the mountain and the summit is in sight, you have to keep going. Pace maker in about a weeks time, please God let it be successful and an end to our problems.



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