Skip to main content

Finding a PAH Treatment Plan That Works and Staying the Course

PAH Initiative’s diet, nutrition, and low salt article thumbnail

Finding a PAH Treatment Plan That Works and Staying the Course

How Mike Thinks About His PAH Medications and Works With His Doctor

Managing pulmonary arterial hypertension (PAH) can be overwhelming, but taking an active role in your treatment can make a world of difference. For many patients, such as Mike from Florida, making informed choices about medications and fostering open communication are key to living well with PAH. Over time, Mike has learned how to engage in proactive conversations with his doctor, especially when discussing his goals and possible treatment plan adjustments.

Knowing When It’s Time for a Change

Mike’s story began with a heart defect discovered in childhood, but it wasn’t until the age of 52 that he was diagnosed with PAH. At the time, he experienced severe water retention and fatigue. This led him to seek medical attention, and he was eventually diagnosed with PAH. After his diagnosis, Mike and his doctor tried various medications to manage his PAH. It took two years of trial and error before he found his way to the treatment options that were right for him. When Mike shared his water weight gain with his doctors, they ran tests and noticed he couldn’t walk as far as before. This prompted discussions about adding a medication to his existing treatment plan.

They discussed the types of PAH treatments and how they worked. PAH medications work in different ways to help fix one of several possible imbalances in natural substances. In the right amount and balance, each of these natural substances plays an important role in keeping the small vessels of the lungs healthy. Mike’s doctor suggested they add a medication to treat his PAH another way.

Mike’s doctor also provided him with several administration options to choose from. Today, PAH medications are available in oral (pills), inhaled, or injectable forms or through pump via subcutaneous or intravenous (IV) line. They discussed how each form had its pros and cons. The doctor ultimately left it to Mike to decide which would best fit his lifestyle. “The decision was in my hands,” Mike said.

Starting the Conversation With Your Doctor

Having open and honest conversations with your doctor is crucial when considering adding a medication.

“The reality is everyone’s body is different,” Mike said. It’s important to understand the benefits and risks, as well as how different administration methods might impact your daily life. For Mike, choosing an IV form allowed him to keep working full-time, which was important for balancing his work and personal life. “I worked as a finance manager and was balancing work and meetings,” Mike said. “My wife and I researched the options, and for me, IV felt more secure. When I have the pump on, I can only hear a noise every now and then. So that’s how I got to where I am right now.”

Monitoring Your Progress and Sticking With What’s Working

Regular check-ups and monitoring are essential parts of managing PAH. Mike visits his doctor every four months for evaluations, which include a six-minute walk test and other assessments to track his progress.

This helps his PAH specialist determine his risk status and whether his current treatment plan is effective or needs adjustment. “We watch the trend,” Mike said. “Is it improving, maintaining, trending down, or up? We use that information to inform adjustments to my care plan.”

Over the years, the topic of other treatment options has come up. Mike shared that every time the discussion happens, he feels even more sure that his choice for the pump is the best decision for him. “I don’t want to risk taking a step back. My treatment plan is working, and I don’t want to change it just to have the option to get into a swimming pool.” He also credits his wife for reminding him of how difficult it has sometimes been for his body to adjust to treatment plan changes. “My previous experience clinched my decision,” said Mike. “I don’t want to give up a treatment that’s working for me.”

In addition to medication, Mike has made lifestyle changes to support his health, including getting more exercise and adhering to a healthy nutrition plan. Over the years, he has lost a significant amount of weight, which has improved his overall well-being. “I feel a whole lot better without an extra 40 pounds,” he said. “My wife is a great cook and has been on this health journey with me all the way.”

Utilizing Resources and Support

Mike emphasizes the importance of understanding your test results and asking about the next steps to help you meet your goals. He also encourages other patients to actively engage with their healthcare teams. “Make sure you ask the doctor to give you the plusses and minuses of treatment options as they currently understand it,” he says. “If things don’t line up with what you understand, then speak up.”

Having a strong support system is also beneficial. Mike credits much of his successful management to his wife, who helps with his diet, and his faith, which provides him with confidence and resilience.

Being part of a patient community has also influenced Mike’s journey. As a former support group leader, he found value in sharing experiences with others and continues to focus on advocacy work through his role as an Ambassador.

By fostering open communication and being proactive in treatment decisions, Mike and others living with PAH manage their symptoms and achieve long-term health goals. Take an active role in your healthcare and work collaboratively with your specialist and healthcare team to navigate the complexities of PAH treatment. Trust in your ability to make thoughtful decisions and remember that, with the right support and resources, you can face the future with confidence and hope.

Learn more about PAH

PAH is a complicated disease that can be difficult to understand. We’ve broken it down for you with easy-to-understand information, simple graphics, and informative videos from a PAH specialist.

What Is PAH?

Learn about PAH Treatment Options

Explore the different types of PAH medications, how they work, and the forms available.

Learn More

You may also be interested in …

Ambassador spotlight - Peggy

Learn how Peggy renewed her competitive spirit after her PAH diagnosis and how she won't let an oxygen tank define her.

Competitive Spirit with PAH ⟩

What PAH risk status means to me

How has knowing their risk status helped Lauren and Karen better understand if their treatment plan is working?

Knowing your PAH Risk Status ⟩

Self-Care and healthy living with PAH

Living with PAH can be a big adjustment and taking care of yourself can make a big difference. But where do you start?

Self-Care and Healthy Living ⟩

Join the initiative!

X

Sign up to stay informed about PAH and the PAH Initiative. It’s quick and easy.

Yes, sign me up