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Date: Mon, 7 Feb 2000 16:56:03 -0500 (EST)
From: Steve Schultz <se2schul@un*.ma*.uw*.ca*>
To: techdiver@aquanaut.com
Subject: PFO test question and comment

I had a bad experience recently when I went to get tested for PFO.  They
tested me for the wrong thing - PDA, and then agreed to redo the test.
This was due to an incompetant doctor and lab technician that didn't
really know what a PFO was.

I went back recently and told them the exact procedure that they should
have followed which was inject saline that has been shaken up in air
several times into a vein.  It is rapidly injected, first while breathing
normally.  the procedure is then repeated six times, while exhaling hard
agains a closed glottis.  this raises the pressure in the right atrium and
will cause a jet of bubbles to go from right to left across a PFO.

THEY DIDN"T TO THIS

What they did when repeating the test did not involve the injection of any
saline.  They performed the 2D echo on me while I held my breath, but
pushed or contracted like taking a crap.  She said that doing this would
raise the pressure in the attrium and detect a PFO.  

My question is this:  Is that enough of a test, or do I have to do the
procedure that I outlined above??

BTW, anyone who wants a PFO test done with the saline as I described above
should NOT ask for a PFO test, but rather a Bubble study, a saline
injection study, or a contrast study.  Make sure your doctor and
technician know someting about what is going on.

Steve

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