He detected a heart murmur which is very common, but he still insisted I see a cardiologist for an echo-cardiogram and a stress test. The "echo" which was done at North Suffolk Cardiology, showed that I had Valvular Heart Disease which led me Stony Brook for cardiac catheterization which then led me to Cornell for a double valve replacement and a single by-pass. I never had any chest pains...my only symptoms were fatigue and shortness of breath. I owe my life to Dr. George Ruggiero and to his wife Tina for strongly urging me to see him in the first place. I thank them both from the bottom of my "healthy" heart for saving my life!!