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Newly diagnosed - PPH

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Sherry View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sherry Quote  Post ReplyReply Direct Link To This Post Topic: Newly diagnosed - PPH
    Posted: 08 Aug 2012 at 8:17pm
I have only been diagnosed by Hammersmith for a month and have to go back as day patient on the 10th August. 
 
I also have lung disease Emphasima (think I have spelt that wrong) but not related. Pulmonary Hypertension is Primary - if that is the right way of saying it.
 
I have so many questions but I can't think straight to put pen to paper.
 
I seem to have developed overnight dementia since being put on steroids - I cant remember anything anyone says to me or concentrate and my mind feels totally fuzzy - is this the steroids or the disease?Cry
 
I am on loads of meds - steroids 30mg a day long term - started off on IV for 3 days, Warfarin, and Revatio to name a few.  I will come back and list the rest soon.
 
I am really worried about this 6 minute walk test on Friday because I can barely walk from my living room to the kitchen.  When I can't breath I panic and when I panic I pee myself!  Dont suffer from incontenance at any other time.
 
Revatio for one month has made no improvement to my breathing at all -  how long does it take to start working?
 
I need to make a list for friday but as I now have to write everything down I have three notebooks full of lists and cannot get my head to function to make another.
 
I have so many unanswered questions - I will be back!
 
Sherry
 
I am 61 years old on Sunday and have been signed off work since February 2012.  SSP runs out 28th August and I will have to sign on for ESA.  Is anyone else claiming this?  I have applied for DLA as instructed but this takes an age.  They have written to my GP instead of Hammersmith so I bet I end up having to appeal.  I live on my own (apart from Millie my 2year old Patterdale Terrier and Gizmo my 18 year old cat).  I am scared.  Also suffer from dizzy spells and have blacked out twice.  I am on oxygen 16hrs a day at 4 litres.
 
Will keep adding bits as they come to mind!
 
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lpegram View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lpegram Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 9:58pm
Welcome to the forum Sherry.
 
I also have Primary Pulmonary Hypertension and go to outpatients visits at the Hammersmith. I have been diagnosed with PPH for 3 years (vertually to the day).
 
I still remember how very scary it is when your firsy diangosed (I also had black outs before treatment) and dizzy spells until my medication settled my symptoms down. I find my memory has got worse since diagnosis, I have to write things down & set alarms to remind me to take my medication so don't panic too much about that.
 
The thing with the 6 minute walk test is that it's not really a test, just an evaluation of what you can do. The specialist nurse will be with you, and you can go as slow as you need to and stop when you need to, you're always completley in control. They really don't mind if you can't go far. The specialist nurses who do the tests at Hammersmith are some of the lovliest kindest people i've ever met and will look after you.
 
Sorry don't know about ESA as I currently work, but there are many who are on this site who do claim. If you've got any questions just add them to the forum, someone is usually around to answer questions, ask anything, everyone on here are always happy to answer questions no matter how small you may think they are.
 
Take good care of yourself
 
Lynsey
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njm View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote njm Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 10:26pm
Hi Sherry and welcome.
I think we are all scared when first diagnosed so this is normal.
I forget everything so set alarms, write lists, and leave notes for myself on my phone - def the medication that does that. As Lynsey said don't worry too much about the walk test - they need you to try but if you can't get very far it still gives them the info they need.
I had to go for interview at job centre re incapacity but the staff were really understanding - it's necessary because of people claiming falsely.

Hope all goes well on Friday for you. Let us know how you get on.

Take care, Nic xx
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Rita Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 10:30pm
Welcome to the forum Sherry and you've come to the right place to get a lot of support. I was first diagnosed at Hammersmith and as Lynsey says they are a great bunch of people, and there is a chap there at Hammersmith that will help you with discussing benefits, he is really nice his name is Mike Jubb. The fact that you are forgetting things maybe that you are so overwhelmed with everything, when you get some answers you'll probably feel heaps better. Keep us posted as to how you get on, and please try not to worry too much.
Rita xxxx
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Post Options Post Options   Thanks (0) Thanks(0)   Quote staciep90 Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 10:39pm
Hi Sherry and welcome, you are defintitley in the right place.

I'm Stacie and I have secondary pulmonary hypertension and have done since I was 11 so back in 2001.

I wouldn't worry too much about the 6 minute walk test I haven't been able to finish one in about 4 years. You do as much as you can do and if thats only a minute then thats fine.

In regards to the Revatio I have been on it since 2009 and I haven;t found it's made a difference but my case is fairly advanced and it's working with my Bosentan to keep me stable. There are people that have found it can take a few months to work so that could be the case for you.

I claim ESA and DLA and Mike Jubb helped me out with this he's the social worker person with the Hammersmith so maybe when you go to Hamersmith next time you can ask him for some help. I probably wouldn;t have even applied if it hadn't been for him.

If and when you think of questions never be afraid to ask them.

Let us know how you get on and good luck
Stacie xoxo


Life is worth the fight :o)
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Sherry View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sherry Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 10:50pm
I have spent the last month reading everything I can find on this subject on the internet - trouble is I cant remember any of it!  I have read all of my medication sheets and cant remember any of that either.  I will get picked up on Friday by DHL ambulance because of the oxygen reaquirements - that is if they remember to arrive.  I missed my first appointment totally because they forgot to allocate the job to a driver and couldn't fit me in.  Second appointment was 2 weeks later at 10am - they finally got me there at 12.15pm and I got admitted from clinic as an emergency.  When I was discharged on the Friday night they were meant to pick me up at 4.45pm and they arrived at 11.05pm!  I cant take anyone with me in the ambulance and I wont remember what they say to me.  I have spoken to Mike Jubb on the phone several times and met him he is really nice.
 
I dont understand which hospital is dealing with what.  I was told that Hammersmith are just dealing with the PPH and I am under RBH for anything else - I dont know what anything else is!  My GP is in charge of the prescription for oxygen.  They dont really seem to be communicating with each other and I am really confused about who to ask what!ConfusedConfused
 
What is the difference between PPH and IPAH because both have been mentioned.
 
Just how short of breath will I have to get before they stop this test on Friday?  Do they monitor you while you are doing it or just watch.
 
Sorry - sooo many questions.
 
Thank you for your welcome.  I have been reading through everyone elses posts for days before I plucked up courage to join.
 
Sherry
 
Can you let me know how this post works pls?  Do I reply to everyone or just list once.  Thank you all so much for your comments.  I have felt very alone and really dont think that my family understand or have read any info on this 'condition'.  I have felt very alone and abandoned.  Mike Jubb told me that it is very rare and very serious.  I believe that I will die of heart failure not PPH and I am thinking that may be soon.  How do they judge how long you have to live?  Not that I feel that I have a life anymore as I have only left the house for doctor, hospital and dentist appointments since February when I was signed off work.  I feel that life is just get up, tv on, take meds, play ball in the garden with the dog, watch tv, have lunch, take meds, go back to bed, play ball, dinner, meds, tv, play ball, meds and bed.  Some days I dont even get dressed.  Some days I wake up with tears streaming down my face and dont know why!  Sorry for the rambling.
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote lpegram Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 11:07pm
They just watch you on the walk test and take you blood pressure and oxygen levels before and after the test, and they constantly ask if your feeling alright and if you need to stop. I think they'll say to you to stop when you feel you need to, someone correct me if i'm wrong but unless you get to 6 mins it will be you who decides when you can do no more.
 
After 3 years of diagnosis I am still confused of the difference (if there is one) between PPH & IPAH both were also mentioned to me, but I now get IPAH more than PPH.
 
Lynsey x 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sherry Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 11:16pm
I would think I will be gasping after 30 secs and that really will appear pathetic.  Then when I have to stop to breath as I say I panic and pee and that will be really embarassing.  Thank you for answering me I really wish I had joined earlier. 
 
 
Sherry
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jent Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 11:41pm
Sherry, what you need to remember is that you will now be getting treatment for your condition.  You have just been diagnosed and the doctors need to assess you so that they know what they are dealing with.    You are in an awful place at the moment, but as soon as the doctors have assessed you, they can decide on what they need to do for you.
 
My son has PH and I can remember when he was first diagnosed, I was desperate.  Four years on, he is stable and doing well.  Wait till you have seen the doctors.  Write down what you need to ask and try and take someone with you who can remember what they say.
 
This site is a great source of information and support.  Keep on posting and let us know what is happening.  Good luck for your appointment.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sherry Quote  Post ReplyReply Direct Link To This Post Posted: 08 Aug 2012 at 11:53pm
Sorry I have been rambling tonight.  I am just so relieved to speak to people that understand.  Thanks for reading.  I am going to bed now and will try to organise my thoughts before I post again.
Sherry
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Post Options Post Options   Thanks (0) Thanks(0)   Quote nicky Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 6:46am
The only input I can make is if you aply for DLA, send as much information you have to hand, be honest when filling in the form, take your time, fill it as if you are experiencing your worst day, and take a copy before submitting it. It does take a while to get our head round your diagnosis, but you are the right track with this website. Have been in your position as have many others on this web site. You will get much support from this forum.
Good luck.

Double lung transplant for PPH. Stroke. Bronchioliotis obliterans. Chronic rejection. Oxygen.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ken\'s Barbie Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 8:04am
So sorry to hear about all your problems.  Don't worry about the walking tests.  I could hardly walk the first time I went and they need a starting point to measure future improvements by .  

Good luck.  We've all been through the scary part xxxxx

In answer to your other question everyone reads these posts so don't worry about individuals
Good humoured positivity is far better than grumpy negativity
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sue Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 8:18am
Hi and welcome to the site
Like you I felt awful when first told I had PH. I realised I was really ill but now can take some comfort from the fact that I'm at last in the right place and they are assessing my options (I'm not on any meds as they think these will make my type of PH worse!!)
My son came up with a good idea for my meeting with the consultant which I so wish I had used - I use an iPod touch for Internet etc but also is able to record things!! I so wish I had brought it in with me and recorded the consultation as I'm sure I only picked up half of what was said! I certainly will next time.

Try not to panic - easier said than done I know but keep positive

Sue
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Karen Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 11:57am
Sherry Firstly welcome to the site and sorry to hear you are down at the minute please dont worry we all get like this from time to time. This illness is very daunting at times, Sherry I have had PH for the last 24years now. I am like Lynsey I was told in the beginning I had PPH now it is IPAH I still getting confused over it all after all these years. I can honestly say that now I am on the right meds and things seem to be going along ok for me. Talk to Mike Jubb at Hammersmith about the benefits and help you can get and try and go to the Conference with  a couple of family or friends need be it is such a lovely weekend and you can talk to other people there and get some more reassurance. Sherry please feel free to Private message me at any time if you want to ask me anything. Write down your questions you want to ask Hammersmith DR's they are all so nice and understanding. I go to Hammersmith too. Smile The main thing Sherry is stay positive and always smile. Take care xxx
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Peto Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 12:11pm
Hope your appt tomorrow will go OK and you get some answers, dont worry if you ask the same thing twice if you cant remember the answer they are used to it.  On my first 6 minute walk test I managed 31m in 2 mins, you can stop at any time and as many times as you like. 
 
Let us know how you get on and hope you feel better when you know whats going on.
 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote joanielg Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 2:11pm
Welcome to the phamily Sherry.  Hope everything goes okay with your appointment.  I'm in Australia but the disease is still the same.  PPH and IPAH are one and the same, PPH was known as Primary Pulmonary Hypertension and was the label originally given to PH that was not associated with anything else.  A few years ago, when they reviewed the PH classifactions PPH was renamed IPAH - Idopathic Pulmonary Arterial Hypertension - meaning know known cause.  Some doctors still use the old terminology which is gradually being phased out.

Aussie Joan Smile
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sherry Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 3:28pm
I can see I made the right decision joining this group.  You have all been so welcoming and friendly. Hug
I am going to try and get my head round my list for tomorrow and will post what I discover after my appointment.  Hopefully I will be home tomorrow night and wont be kept in this time!  (Going to take an overnight bag just in case). Confused
 
I went to surgery this morning for routine blood check for warfarin and had a bit of a funny turn.  I tried to walk from the car park to the surgery (not far at all) and came over really dizzy then panicked and couldn't breathe so they had to get the dr in. Came home and went back to bed.  Sleepy
 
Thank you all for being so kind.
 
Sherry
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Karen Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 3:53pm
Sherry we are all here for you and you are not alone. I do hope you are feeling better now, after your funny turn at the Drs. At least Hammersmith shall be able to help you tomorrow. I do hope it all goes well for you tomorrow x
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Post Options Post Options   Thanks (0) Thanks(0)   Quote kimmy16 Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 7:16pm
Hi Sherry, welcome to the forum, I am 48 years old with a hubby(married 27 yrs)and 2 sons, I have been diagnosed with Primary Pulmonary Hypertension on 19th July 2012, so very newly diagnosed.  I am still trying to understand it all and it is a bit scary, I am on Warfarin and oxygen at night and during the day when walking around, I am waiting for an appointment for Royal Brompton.  I have found this site and the facebook page really helpful and friendly.
kim pearce
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sherry Quote  Post ReplyReply Direct Link To This Post Posted: 09 Aug 2012 at 8:06pm
Hi,
Are you on steroids?  Dont know why I am taking them?  Have you been researching on the internet and frightening yourself silly like me?  Trouble is it scares me at the time but now I have forgotten everything.  Are you having memory problems?  What are your symptoms? 
 
Sherry
 
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