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This is especially useful for diagnosing heart failure, or a condition where the pumping efficiency is decreased. That may be treated with things including drugs, pacemakers, devices inserted through catheters, and surgery. Over the years, I’ve developing worsening congestive heart failure, effectively treated with echocardiography giving Superman-style X-ray vision, or the equivalent, to the cardiologist.About a year ago, my heart failure worsened, and was treated in a community intensive care unit. Part of the problem was that my aortic valve, through which pumped blood enters the circulation through the aorta, the largest artery in the body, was failing. I was too sick to tolerate open-heart surgery, the usual way to replace valves. In the intensive care unit (ICU), with guidance from both X-rays and ultrasound, a balloon pump was inserted, by catheter, into my heart. It supplemented the heart as a pump for several days, until I could tolerate a less invasive procedure to replace. My wife giggled through her nose. I missed the joke. He then said something to her that I missed as he came to her with all the familiarity of a lover. She laughed happily at whatever it was. Then he ushered her down the hallway into the bedroom and locked the door behind them. What the French fuck?! I thought to myself. I may be wobbly--okay, I was drunk--but he wasn't going to do this shit right in front of me, for crying the fuck out loud! I would show the both of them. I heaved myself off the couch and headed down the hall toward the bedroom door, but along the way I passed the bathroom. I was momentarily puzzled. I needed to pee, but I wanted to pound on the door. I debated for a few moments and frowned as I heard my wife's laughter and giggling from behind the door. Finally I chose the bathroom over the pounding and went in to relieve myself. After a very long piss, I wandered back into the hallway and began my assault on the door. I pounded loudly and yelled, "Let me in!" My.
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