{"id":74,"date":"2008-01-11T14:39:07","date_gmt":"2008-01-11T22:39:07","guid":{"rendered":"http:\/\/www.angieandjim.com\/blog\/2008\/01\/11\/meeting-my-new-new-cardiologistfinally\/"},"modified":"2008-06-02T15:48:43","modified_gmt":"2008-06-02T22:48:43","slug":"meeting-my-new-new-cardiologistfinally","status":"publish","type":"post","link":"https:\/\/www.angieandjim.com\/blog\/2008\/01\/11\/meeting-my-new-new-cardiologistfinally\/","title":{"rendered":"Meeting my NEW new Cardiologist&#8230;finally"},"content":{"rendered":"<p>So, rather than going to Dr. Anne Dubin (as Dr. Etheridge receommended), I have been referred to Dr. Daniel Murphy of the Stanford Adult Congenital Cardiology Clinic.  Initially, being referred to a new doctor all over again was discouraging.  We were worried (as faithful readers of past blog posts will recall) that our insurance was going to put up a fuss since, of course, Stanford is out of network for our medical group.  I was not looking forward to more weeks of phone calls, forms, and letters in order to get another new doctor approved.  I decided, before starting back at the beginning, to try sending an email to the Nurse Practitioner\/Office Manager for the Clinic explaining my situation.  Well, I went out on a limb and tried something new and different and &#8211; wonder of wonders, miracle of miracles &#8211; we found a friend with the best news we could get:  Andrea wrote me back within two days and said,<\/p>\n<p>&#8220;The American College of Cardiology has specific recommendations regarding the care of Adults with Congenital Heart Disease.  They were established at the Bethesda Conference in 2000.  Here is a link you might find useful <a title=\"Bethesda Conference\" href=\"http:\/\/www.achaheart.org\/bethesda.php\" target=\"_blank\">http:\/\/www.achaheart.org\/bethesda.php<\/a> &#8230;This means that your insurance needs to follow these guidelines or they are not adhering to current standards of care.&#8221;<\/p>\n<p>Basically, the Conference established that anyone with congenital heart defects <em>must<\/em> be given the opportunity to be treated at an Adult Congenital Clinic.  Any insurance that denies coverage for that opportunity is denying a basic necessity and right to that patient.  Furthermore, she told me not to worry about the insurance on their end &#8211; she would take care of the approval process!  She has been amazing, really.<\/p>\n<p>So, already quite pleased with Stanford, I finally got to meet Dr. Murphy.  Though very friendly and considerate, he is &#8211; in practice &#8211; very different from Dr. Etheridge.   He did not seem as interested in individual symptoms, but more concerned with the overall picture of my general health:   exercise, diet, hygiene, moods, habits, &amp; hobbies.  Maybe that&#8217;s just because this was his initial consultation with me.  He feels that I am stronger since the surgery and that he wants me stronger still.  Rather than, &#8220;Do as much as you feel up to,&#8221; his injunction was, &#8220;Do as much as you possibly can.&#8221;  He is also different from Dr. Etheridge in his opinion on Coumadin:  he puts just about every fontan patient on it, even when they don&#8217;t have extra risk factors (which I do).  He hasn&#8217;t prescribed it yet, but he basically warned me that I should expect it eventually.  I am not excited about it.  Very not.<\/p>\n<p>Overall, though, he seems really great and I&#8217;m glad to be working with such a supportive clinic.  Our visit prompted a family council about goals and now I am back to doing light Pilates exercises every day.  The first and foremost thing I&#8217;ve learned from Dr. Murphy so far is that <em>my health is up to me<\/em>.  &#8230;I haven&#8217;t felt like that about it for a long time, but it&#8217;s a good feeling.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>So, rather than going to Dr. Anne Dubin (as Dr. Etheridge receommended), I have been referred to Dr. Daniel Murphy of the Stanford Adult Congenital Cardiology Clinic. Initially, being referred to a new doctor all over again was discouraging. We were worried (as faithful readers of past blog posts will recall) that our insurance was [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"jetpack_social_options":[]},"categories":[8,14],"tags":[91,36,90,89,37],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p8WrW-1c","jetpack_sharing_enabled":true,"jetpack_likes_enabled":false,"_links":{"self":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/posts\/74"}],"collection":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/comments?post=74"}],"version-history":[{"count":0,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/posts\/74\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/media?parent=74"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/categories?post=74"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/tags?post=74"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}