Sep 30, 2026

A Mom of Three, a
Hidden Killer, and the Specialist Who Saved Her
Balancing life as
a full-time teacher, wife, and mother of three, PAH patient, Wendy
Mercado, put herself last until her body forced her to stop. After
years of bouncing between doctors and medications, a PH specialist
finally sat down, drew her heart on paper, and said the words Wendy
needed to hear: We’re in this together. That moment didn’t just
change her treatment plan, it changed her
future.
My
name is Wendy. I am from Long Island, New York. I was diagnosed in
July of 2010, after my pregnancy with my twins. It was actually
about four years later. I had preeclampsia with the twins. Prior to
that, I had never had any issues with blood pressure or anything.
I've always been overweight and during the pregnancy I had high
blood pressure. The high blood pressure never went down. I was
seeing a group practice for the time in between the birth of my
children to the diagnosis. I was getting a different doctor every
time. I started getting swelling of the legs and shortness of
breath throughout that time. The response was, "You need to lose
weight." It was just a constant changing of medication and/or dose
of whatever medication they were giving me at the time for my high
blood pressure, but nothing really seemed to work, until the nurse
practitioner of the group finally said to me, "Have you seen the
cardiologist yet?" I look back at that time and I think, wow, I was
really dumb, kind of ignorant. How did I not think to ask for
that?
But I was a mom now of three kids and a full-time teacher and a
wife and a daughter and all the titles. I hadn't thought of that. I
always put my health last up until that point. So, I saw the
cardiologist and he said, "You need a right heart catheterization
immediately." He didn't really give me much information. He
attempted to do a stress test and that was a mess. I didn't do well
with that with the shortness of breath and everything else. I had
my right heart catheterization pretty soon after that appointment.
The cardiologist that did the right heart cath came in and told me
that I had severe pulmonary arterial hypertension. He just looked
at me and said, "If you were my family member, I would recommend
that you see this pulmonologist." He gave me a name, that started
this whole journey of trying to find out why.
I make the joke that pulmonologist sent me to all the
other-ologists and he sent me around the block and everywhere else
to try to figure out why I had this pulmonary hypertension. He
looked at me and he said, "Well, you are overweight, you need to
lose weight. But you can't do exercise because that'll put too much
strain on your heart and you could die." I've always been one of
those people that tell me I can't do something and I want to do it
now. My husband had just bought the girls Nintendo Wii. I started
doing Zumba at home, little by little. I also looked at my children
and I had done the Googling, which is always the biggest mistake. I
said, "Oh my gosh, I need to be here for my kids.” I needed to make
some changes in my lifestyle, too, with the help of the doctor and
medications.
Slowly but surely, I was exercising and changing lifestyle. I was
able to lose weight but that didn't change the pulmonary
hypertension. It became a lot of trial and error with the
medications. I remember being in recovery after one right heart
cath and my husband who also has some cardiac issues, he's got
AFib, his doctor saw me in the recovery room. He's said, "What are
you doing here?" I started telling him my story and he said, "You
really should be seeing a specialist. I don't want to say anything
negative about my colleagues but I think you need to see a
specialist. If I were you, I'd go into the city. And here is who I
think you should see." He gave me a name and I said, "Oh yeah.
Okay, I will." But I put it in the back of my mind, because I just
was like, that is something else to add to my plate at the
time.
I went to the follow-up for that right heart cath with my
pulmonologist and he said, "I think I need to send you to the city
to see a specialist." He gave me a name and it happened to be the
same name, and so that landed me in the office of Dr. Erika Berman.
I always tell her that her and her team saved my life. She sat with
me and she was like, "Well, do you know exactly what pulmonary
hypertension is? Let me just sit with you."
I just remember that first appointment vividly and she actually sat
there and she drew a heart for me and she showed me visually, "This
is what's going on with your body and this is what we need to do."
She took a lot of time to just sit and listen to me and my
lifestyle and about my family. She asked me what my goals were. I
just said, "Oh, I just want to see my kids graduate. I want to be
here." She said, "And you will be. We're going to make it happen.
Are you ready to be aggressive?" I said, "Absolutely, let's do
this." She and her nurse, Daniella, became my partners in all of
this, in addition to my family and my support system. We tried a
lot and we did clinical trials and I've tried almost all of the
medications at some point or another that are out there right now.
Some things worked and then they wouldn't.
I remember at one point I said, "The only thing I don't want, I
don't want to be on some sort of pump. I don't want to have my life
tethered to a pump. I don't want my life to stop me." I remember
the day that it was like, "This is where we're at. We really don't
have a choice." I started the therapy with the line in my chest and
that was a struggle to get used to, but I started to feel so much
better and it really helped me a lot. Through all of this, I became
a Zumba instructor and I was doing all of these things and I was
dancing. I was just like, "I just want to be a good role model for
my kids. I want them to see we're going to eat healthy and we're
going to make healthy choices. And this isn't going to stop me, I'm
going to continue living my life." That's what I did until my body
started rejecting the lines. That was really hard because it was
like, "Oh, I want to be off this pump. This is what I want." But I
was afraid of what was going to happen to my health.
In essence, what I was afraid of did happen. We had no choice. We
changed the lines so many times and I developed skin allergies to
the adhesives. It was just a lot in the four years. Finally, my
doctor said, "We can't do this anymore." I had the line taken out,
I want to say it was January 2021. I was low again with my
functioning and being short of breath again and all of that and
having to climb back up from that and finding the right cocktail,
the right mix of treatments. Fast-forward to now, I have a really
good mix going. We have a great therapy system working out for me,
a couple of different pathways. I'm feeling really good and my
pressures are lower than they've been ever since I was diagnosed.
I'm just in a good place, so I'm really thankful for that.
Mentally, it was a range of things because when I was first
diagnosed, all I heard was... Even though they said pulmonary
arterial hypertension, for me, all I heard was hypertension. I was
like, "Oh, there's going to be medication for that. It's fine." As
I started seeing the pulmonologist and he was sending me to all
these doctors, it was like living in blissful ignorance almost. I
didn't want to know. I was just like, "Okay, I'm just going through
the motions." Then, finally I sat down and I was like, "I need to
see what this is." That's when I Googled and I was like, "Okay, now
I'm scared." Because we know now that the information on Google is
old and it's outdated and it doesn't apply to everybody.
I think that's one of the biggest things that I've learned in this
whole journey is just everybody is different. What can work for
Jane is great for her and it's not going to work for me. What works
for me is wonderful and it's not going to work for Sue or anybody
else. That was the hardest thing for me, "Why aren't these
treatments working?" Once I met with my specialist and she did sit
down and draw it out, the one thing that she did for me that was
great was she made it clear that we were in this together and we
were a team and we were going to make this work. She was clear on
what I wanted and what I was willing to do, which at that point was
any and everything.
I want to be here for my kids. That's my goal. Whatever it takes,
whatever we need to do, I'm for it. She was like, "We're here for
you and we're going to make this work." I really don't know that I
would be where I am physically and also emotionally, because this
takes such a toll. I would not be doing as well if it were not for
that team. Just the fact that she was just like, "I'm clear on what
you want and I'm going to help you get there." She makes that clear
every time we talk. I'm very thankful for that.
I did reach out to my local support group. At that point, I was in
a really good place and I decided that I was going to do this big
Zumba fundraiser to raise money. I went into this meeting super
gung-ho, ready to meet other people, and super excited about the
prospect of putting together this fundraiser at my school, raising
awareness. I was just really excited about it. Like I said, I've
learned that everybody is really different and I know that I'm very
lucky. I'm extremely lucky to be where I am and doing the things
that I'm doing, especially this many years past my diagnosis. The
people in that room, there were a variety of people. There were
people that were on SubQ and looking great. There were people that
had their oxygen with them and everything in between. When it came
time to introduce myself and to talk about my story and what I was
excited about, it wasn't received well. Actually, one person said
to me, "I feel bitter that you can do this and I can't." It turned
me off and I didn't go back.
I did join some groups on Facebook. I remember there was this one
person in particular, she friended me. I was like, "Yeah, of
course. I'm going to accept these friends and I'm going to get to
know other people that are in my similar situation and understand
me in this situation that I'm in and this journey that I'm on." I
would post a lot about just being excited about Zumba, silly
things. I just remember her posting a lot like, "You need to be
careful. This is not good for your heart." It was just a lot of
really negative comments. I didn't feel that support.
Now, prior to COVID, I was invited for a while to participate as a
peer mentor. I was given this awesome opportunity to go talk to
people in other states in person. Those experiences were
phenomenal. I wish I had this closer to home. I was given an
opportunity to go and share my story and meet other people and
their caretakers. That, for me, was super special. But in terms of
finding a local support group or a local group, it has jaded me a
little bit. I will comment on some things in some of the groups on
Facebook, but I'm also very careful about what I write because I
get it, when I was down...because I always say, my journey has been
like a rollercoaster, there have been some great ups and there have
been some really low downs. If it wasn't for the support group that
I have, it would've been really hard. This takes such a toll on you
in every way possible. I'm careful about what I write in those
groups, because I don't want to upset anybody. But also, I remember
reading about one woman who was a runner and she ran marathons and
she had PH. Running is not for me, don't get me wrong, but I want
to be able to be like that too. For me, that was an inspiration and
that was what I was hoping for. It was a letdown to not have a
positive experience locally.
The one really great thing about my doctor is that she was just
like, "I'm going to make sure that you can do what you want, but we
need to have a very clear and open communication." She said, "One
of the things I really need you to do is I need you to start paying
attention to your body, and I need you to prioritize your health."
She said, "I need you to stop and self-assess. If you're feeling
short of breath, maybe stop." It was like a training for me almost,
because it really did force me to put myself first for the first
time, I think ever. It was like, "Now, I need to really listen to
my body and really pay attention."
I remember journaling a lot like, "Okay, I took this class today.
This is how I felt after." Then, when I got my Apple Watch, it was
constantly checking, "Okay, what was my heart rate like and how did
I feel at that moment?" There was a lot of just paying attention to
me and really just... I don't want to say listening to myself, just
really processing how did I feel in that moment. I am careful. I'm
not going to push myself too hard.
I'm also lucky in the place that I work out and that I exercise in,
it's a small business and we've created a community inside the
walls of that studio. I'm very open with them and they're the ones
that support me whenever I do fundraisers and things, so they know.
They're always there for me and every now and then I'll get a in
between songs, "Are you feeling okay? You look a little pale." Or,
"I saw you struggling for breath. Are you all right?" It's just
like, "No, no, no, I'm good." Or I'll take a time out and they're
okay with that. It really has become just really a training of me
paying attention to myself and knowing that if I push myself, it is
going to be a problem. So, I'm not going to do that. I'm not going
to push myself too hard.
That really came with talking to my doctor and my nurse a lot,
really just having them tell me like, "Okay, we're going to trust
you, but you really do need to pay attention to how you're
feeling." Between those conversations and also just exercise tests
in the office where I can get pushed a little bit more because I am
medically a supervisor, however you want to term that. So, they did
see, "Okay, she has progressed and she can do these things." It was
a lot of that.
When I was on the pump, I remember getting my box of supplies. I
remember one of my twins coming in and was like, "Mom, I'm going to
help you." I would sit there every month making my little baggies
of all the things that you would need for the day. I would just
pull out a Ziploc bag every day. I just remember her saying, "I've
watched you do this. I'm going to help you do this today." Whenever
I've done something new or I've had to have a nurse come to the
house, they're all here. I've made sure of that. It was important
to me that they know everything. I never wanted them to feel like
we don't know what's going on with mom.
On a personal note, my mom, she's still alive and... Thank God. But
she's got health issues and she won't share those with me and that
infuriates me. A couple of years ago she landed in the hospital, a
little bit of a scare. I couldn’t answer any of the questions,
because I don't know things. So, I was like, "I'm not going to have
that kind of relationship with my kids. They're going to know
things." They come with me to the doctor. It's so funny, my nurse,
she and I will chat about whatever it is that we need to chat
about, and then we start talking about our kids because now we've
been together so long and she's met all of my girls. She knows,
actually, my oldest is now a respiratory therapist. A lot of it is,
"I want to be like Daniella." Now, she thinks she might go back and
become a registered nurse so that she can become a nurse
practitioner someday and specialize in pulmonary care like my
nurse.
When I first got the line and I was in the hospital, the CVS nurse
came home with me and we had dinner first. I was like, "Wait,
before we even do anything, let's sit down and have dinner." Then,
okay, with the nurse, I said, "We're all going to have dinner
together." He sat down and he was like, "Okay. Well, everybody is
going to learn on how to keep mom clean and what mom needs." I'm so
blessed to just have the support system in my house but also within
my friends and my family, my community.
My family, they come with me to the doctor. They're doing all the
things. I just had actually a genetics appointment, because we want
to know if I have the type that's genetic and the girls are all
very interested. My oldest came with me, she had her own questions.
I feel like that's the only way I got through this. If I didn't
have that support, I couldn't imagine going through this and not
telling my kids about it. But I also wanted them to know mom has
this and yeah, it's really scary. It can be scary and it's very
serious, but it doesn't define who I am. It's not going to stop me
from my goals and what I do. I'm very lucky in a lot of ways and I
couldn't do it without that.
I think the best advice I can give to anybody is to, number one,
get a specialist. Without fail, you need to see a PH specialist.
It's a hike, she's not around the corner for me. Recently, my
doctor moved to a hospital, I call it upstate, people don't call
Westchester upstate, but I say that's upstate. I followed her
because I wouldn't be here without her. For me, it's really
important to, number one, get a specialist.
Number two, have that open communication. It's just important, I
think. Also, educate yourself. I'm always looking at what's new,
what's the latest and greatest out there. Thankfully, things are
developing. It's slow, but new things do come out to the market and
things have changed from when I was first diagnosed to now. One of
my present therapies is something that's very new, I'm very lucky
in that way.
I
also put myself out there for any kind of clinical trials or any
kind of research opportunity. Anything that I can do to help the
next generation. Or even if my kids were to someday be diagnosed, I
want them to have the best. Anything that I can do to help the
future is important.
Thank you for listening. My name is Wendy Mercado, and I'm aware
that I'm rare.
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