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A replacement valve, partially of plastic and partially of muscle from a cow’s heart, slides up the tube, and snaps open, rather like an umbrella opening. It crushes the damaged natural valve, pushing it aside at taking over. Respecting my donor, I do make a point, whenever I see the cardiologist, of giving a loud, clear, MOOOOOO.For the basic imaging of a moving heart, conventional echocardiography is an excellent technique. It does not, however, tell the cardiologist about things that go wrong only when the heart is stressed, beating fast as in exercise.On another of my research hospital visits, I was a test subject for a new diagnostic procedure, cardiac stress testing using transesophageal echocardiography. What does involve?Conventional stress testingA very common type of stress testing is done to find scar tissue in the heart, destroyed by heart attacks, or areas that don’t contract under stress, because not enough oxygen-carrying blood gets to them from the coronary arteries. It would get us talking about work, and this would lead to other topics. We spent many free periods in the library talking nonsense and working. I did most of the work. Claire said things like, “Oh yeah, I get it. What answer did you get again? That’s what I got too.” She was copying my work, that was obvious, but I didn’t mind.There was no question that it was her looks that first drew me to her. Her hair was forever changing style but she never changed its colour—night sky black. She had dark blue eyes that she tried to hide with makeup and she always avoided looking directly at people.She wasn’t tall, not that that mattered to me, nor did she have the huge chest that was the fantasy of many a teenage boy. But to me she was perfectly proportioned. Many people thought of her as cute but to my mind that wasn’t the right word, I would have used ‘pretty’ instead. She was very, very pretty.The way she carried herself added to her appeal, I couldn’t say why, and her shyness added to the.
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