Conversation: The conversation between human and AI assistant.
[|Human|] I am 43 year old female and have a bicuspid aortic valve. I work full time, but  I am so tired at the end of the day I have to rest when I get home. I feel dizzy at times, out of breath, I have stomach angina and the joints in my fingers are achy. Can I receive disability for this?
[|AI|]  Hi Admits a pleasure to answer to your query, as you have mentioned that you have a bicuspid aortic valve, and you feel tired at the end of the day. Now let me explain the mechanism happening in your case, aortic valve which is generally tricuspid is bicuspid in your case which means the opening will be less in your case due to which less amount of blood passes through the aorta when your LV pumps due to this less amount of blood is being supplied to your body. Due to this when you are physically active a SUPPLY DEMAND mismatch happens due to which you feel tired and dizzy at the end of the day. It can be taken care of with the help of meds up to certain extent but in case if you develop symptoms like giddiness or palpitations then it needs to be corrected by means of surgery. Now regarding the stomach pain usually cardiac pain does not refer below diaphragm so the pain which you are feeling is probably non-cardiac and for that you need to check with your gastroenterologist. And also get one Serum Uric acid and AS title done for your join pain. Good Luck