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Medical Forum / General / Cardiology / May 2008

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Coarctation of aorta, low iron

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NoReply - 16 May 2008 03:54 GMT
If someone has a bicuspid valve, aortic stenosis, and coarctation of the
aorta.... would any of those conditions cause serum ferritin or iron level
to be low? If so, how.. what is the mechanism?
Andrew B. Chung, MD/PhD - 16 May 2008 04:00 GMT
> If someone has a bicuspid valve, aortic stenosis, and coarctation of the
> aorta.... would any of those conditions cause serum ferritin or iron level
> to be low?

There would be an association.

> If so, how.. what is the mechanism?

Gastrointestinal AVMs -->  GIB

Be hungry... be healthy... be hungrier... be healthier...

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
http://groups.google.com/group/sci.med.cardiology/msg/cd9918679e6b3d6f?
NoReply - 17 May 2008 05:34 GMT
> > If someone has a bicuspid valve, aortic stenosis, and coarctation of the
> > aorta.... would any of those conditions cause serum ferritin or iron level
[quoted text clipped - 5 lines]
>
> Gastrointestinal AVMs -->  GIB

Brought my son to a new pediatric cardiologist today for a second opinion on
coarctation (he has an MRI scheduled). The good news is that he thought it
was just tortuous and not coarctated (I guess that's good news?). Then I
brought this idea up that you mentioned and the cardiologist told me "NO, GI
AVMs are not possible in your son" and further "stop trying to play doctor".

That doctor was very insulting. I only asked "could my son's low iron be
caused by GI AVMs?". I have met at least 50 different doctors in person over
the past 6 years (my son is 6), and I have so far had 3 of these encounters.
If they have to insult a patient in front of their son and wife to feel
elevated, that is very wrong.

To be honest, so long as I am not interfering, causing harm, delaying care,
etc. and I am only concerned about my son's wellbeing when told that he may
have something as serious as coarctation, then trying to educate myself
about the condition... honestly, is that "playing doctor"?

Now I wish his pediatritican could tell us why his ferritin was low and TIBC
was near the top. I have no idea what it means, and after this.. I almost
feel that I am doing wrong by reading about the condition.

Can anyone tell me why a doctor would look at a blood test that showed
feritin at 13 with a reference range of 22-322, and TIBC near the top (in a
child!) then turn around and tell the parent "all looks good" ? Of course I
have no idea what it means, but for GOD'S SAKE. I am learning to distrust
doctors more than politicians.

Richard

> Be hungry... be healthy... be hungrier... be healthier...
>
[quoted text clipped - 3 lines]
> --
> http://groups.google.com/group/sci.med.cardiology/msg/cd9918679e6b3d6f?
Andrew B. Chung, MD/PhD - 17 May 2008 10:37 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> > >
[quoted text clipped - 17 lines]
> caused by GI AVMs?". I have met at least 50 different doctors in person over
> the past 6 years (my son is 6), and I have so far had 3 of these encounters.

Be thankful such encounters have not been more often.

> If they have to insult a patient in front of their son and wife to feel
> elevated, that is very wrong.
[quoted text clipped - 3 lines]
> have something as serious as coarctation, then trying to educate myself
> about the condition... honestly, is that "playing doctor"?

No.

> Now I wish his pediatritican could tell us why his ferritin was low and TIBC
> was near the top. I have no idea what it means, and after this.. I almost
[quoted text clipped - 5 lines]
> have no idea what it means, but for GOD'S SAKE. I am learning to distrust
> doctors more than politicians.

Understandably.

Thankfully, LORD Jesus Christ remains in charge.

Since HIS resurrection and ascension to the right hand of GOD the
Father, all power and authority in this world has been given to HIM.

Laus Deo ! ! !

Be hungry... be healthy... be hungrier... be healthier...

Prayerfully in the awesome name of LORD Jesus Christ,

Andrew <><
--
http://groups.google.com/group/sci.med.cardiology/msg/3558812d72ab4e17?
 
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