Brian – Interview 06
Brian took part in screening for unrecognised heart valve disease in 2010. He was told he has a very small leak in one valve and was invited to attend a follow-up hospital appointment. We spoke to Brian after he attended each of the appointments.
We interviewed Brian twice about his experience of taking part in a new research programme involving screening for previously unrecognised heart valve disease. Brian and his wife were both invited to participate in the screening research. They both decided straightaway to take part, for their own health benefit as well as to help other people through the research. Brian’s wife told the staff she was worried she would have difficulty lying on her side for the screening, but they said they would give it a go anyway, and in the end they managed to get round the problem. She was told she had no heart valve problems, but Brian was told he had a small leak in one valve. He was reassured by the staff that it was unlikely to give him any major problems, and he is waiting to hear whether he will need a follow-up appointment at hospital and further tests.
Brian was already taking cholesterol-lowering medication, and also has diabetes. However, he went to the screening not expecting anything to be wrong, as he had only recently had some tests for pain in his chest and abdomen which had come back negative. He is not particularly worried by the results, but it remains a concern. As Brian says, You;ve got it in the back of your mind that something is there;, especially as there is some family history of heart problems. He also had polio as a child, which has now left him with some muscle wasting as a result of post-polio syndrome. He mentioned it to staff at the screening appointment, as he wondered whether it could have contributed to the heart valve problem, but they did not think it was significant.
We spoke to Brian for a second time after he had been to his follow up appointment, which he estimated took place about three months after his first screening. In the time between the two appointments, he neither thought nor worried about his initial diagnosis of a leaky heart valve. The second screening test, which he was told probes deeper; than the first, revealed that he also has a small leak on another valve. In spite of this, he was told that he had nothing to be concerned about; and was happy to accept this. As far as Brian is aware, he will not have to attend any further appointments. He assumed that his GP had been informed about his diagnosis, but has not discussed it with him.
Brian feels the staff were very good and explained everything very carefully. After his first appointment he felt he would have liked some information about heart valve disease because he knew nothing about it and does not use the internet. However, reflecting on his experience of screening after his follow up, he felt that he would not have liked any information as it may have made him worry unnecessarily. He said, The less I know about it probably the better;.
Brian is very glad to have taken part in the screening because he has been reassured that he has no serious heart valve problems, and recommends others to think positively about helping medical research. He reported that he has been approached to take part in other research projects, but has refused to saying, I’m doing the one that I think is most important;.