80 yr old mother had mitral valve replaced

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momof3

I am new here. Anyone out there that can talk w/ me about feelings after mitral valve replacement? She had it done 1/21/09. Is back in ICU for the 3rd time. She is so tired and weak and wants to sleep all the time. Wondering if she will get better. I am wondering if she is depressed? They say she had a small stroke during surgery but she can move left side just a bit weaker. Any thoughts on this would be appreciated.
 
Hi momof3 and welcome.
Is this your Mom? What have the doctors say? What was her health like before surgery?
With having surgery only 2 1/2 weeks ago, the body does need time to adjust and everyone does heal differently.
Other members will be around soon, as the weekend tends to be a little slow, but hang tough and ask any type of questions that cross your mind, but you do need to ask the doctors whats going on.
Good luck and please keep us informed - we'll help in any way we can.
 
Hi there, momof3. I can't help much with your questions about your mother, but it may help if we knew if she had any other medical issues - diabetes, anything like that, especially breathing/lung issues. Yes, it could be depression, it is quite common. Have you ben able to talk to any of the staff in ICU?? Could also be something as simple as low iron or red blood cells, they both take a beating during the surgery.

Have the re-admittances been because of heart issues? Why is she re-admitted - a-fib, low INR or what??

Anyway, I wanted to welcome you to the mad house !
 
Even younger patients feel like the Wind has been removed from their sails the first couple of weeks post-op.

It is VERY Important that she do the Breathing Exercises and WALK as much as possible, starting with only a few minutes several times a day.

Walking helps to expell the anesthesia and other drugs from the body.

The Breathing Exercises help to re-inflate the lungs and force out possible Fluid Buildup. Note that Fluid retention in the lungs can lead to Pneumonia which is why those exercises are so important.

Yes, depression following Heart Surgery in not uncommon. Family and Staff Support are very important.

There is another thread about the loss of another elderly parent in the last week. The details are sketchy, but an unwillingness to do his breathing exercises was reported, along with physical limitations (inability of his legs to support himself or walk).

Recovery is a SLOW process that requires some effort on the part of the patient. It starts with small but persistent steps. Unfortunately, laying in bed 'until you feel better' can lead to an unfortunate outcome. Please encourage your mother to follow the directions from her Surgeon and Hospital Staff. That is her ticket to going home.

'AL Capshaw'
 
Welcome to the forum, sending prayers and wishing all the best for your mum.
 
Welcome to VR. For the first couple of months post-op I felt like I was hit by a train. I felt worse before I felt better. Slept alot, etc. Some post-op depression is quite normal, too. Recovery was a real effort, but she needs to do her walks, breathing exercises, stretches, etc. It does get better with time. Wishing her the best for a smooth and speedy recovery.
 
Hi momof3,

Welcome to the forum.
I feel for you and your mother. Routine heart surgery is bad enough without having complications.

I also had to return to ICU three different times and I was only 55. The last time for 7 days and 5 of those on the ventilator.

I'd always been a strong person, didn't know what depression mean. As time went on I became pretty depressed. On day 18 I told my surgeon and Cardiologist if I didn't get out of the hospital soon I was going to jump through the window from the fifth floor. One thing that really depressed me was men 25 years older than me having AVR and going home on day 5! So yes, I can understand why your mother is depressed. Trips back to ICU will depress anyone and especially since she has had a stroke.

Wishing your mom the very best and hope she gets better soon.
 
There is an unusual phenomenon called ICU psychosis. When people are in the ICU, they are almost in a different world. Time means nothing, they are awakened at odd hours, their sleep is interrupted and they are often sleep deprived. They are, many times, on heavy doses of medications, there is all kinds of machinery and tubes attached to them and there are many disconcerting sounds from that machinery and from other patient's rooms.

Sometimes people are in terrible distress or even dying within earshot of the patient's room. Scary stuff.

Add that to all kinds of medical people poking and prodding and doing all kinds of tests, and the pain of the procedure itself.

One of the things I have read and actually done for my husband was to bring in familiar photos of family, friend, pets. And ask people to send cards, then you read the well wishes to your mom. Sit really close to her and read a familiar book to her, or the newspaper or just talk, gossip, whatever you have done as a normal part of her life in the recent past.

This helps the person see themselves in a more normal setting.

Also bring in a calendar. That was another hint. You can mark off on the calendar what day it is, and you can talk about the weather and what time of day it is and what is going on with your family.

With my husband, he was most concerned about the household bills and keeping the house books straight. So I brought those in and we went through them together.

If this is what it is, it will clear up when she becomes more stable and is transferred to a regular unit.
 
Thank you all for your replies. I will ad some more details. She before this was living alone and doing things w/ grandkids etc. At 80 she had never had surgery before or even be in the hospital before...so she really didn't have a clue as to what this would be like. As her only child and my dad and step dad have both passed on...this has been really hard on me!!
She did get back out of ICU today so I am hoping 3rd time is a charm. I have also asked the docs to look into a small dose of an antidepressant.
thanks much for your thoughts.
 
glad to hear things are going well for your mom.

My dad had a similar hospital/medical non-history, when he was diagnosed recently with blocked coronary arteries, he was about 75 years old and golfs almost daily, very active etc.. They kept asking him when he was last hospitalized, and it was when he was 14 years old with scarlet fever or diphtheria ! Never had surgery or a major illness. Fortunately, he was able to have a stent by cath and within a week was golfing again.

Wishing your mom and you all the best, she is lucky to have you to fight on her behalf.
 
Antidepressant would probably help. I've never taken any in my life but my wife has taken mild antidepressants for years. Maybe so she can put up with me.

Another problem was morphine in the hospital, I was on it so long they almost had a problem getting me off that stuff.

Hope your mother can stay out of ICU and recovers quickly.
 
If she never had surgery before, that explains a lot! This is the most traumatic surgery one can go through other then brain surgery. She got the motherlode of all for her first and it wouldn't surprise me at all if she's depressed. Just keep reminding her that with time, things will get better and keep her working at it.
 
Its a nasty op but it will slowly get better day by day one slow step at a time,but she will be so much stronger when she recovers.God help her.
 
I think we have had a breakthrough!! My mom's nurse is a traveling nurse who is use to heart & lung transplants, artificial hearts etc....things we don't see in South Dakota. Anyway she thought my mom was allergic to Tylenol so asked the doc's if they could take her off of it and try something else. My mom is totally different woman today. I am hoping this was our breakthrough and now we will move a bit quicker.
 
Just wanted to wish your momma well & so sorry that at her age she is having to go thru something as hard as OHS. I hope that she continues to do better as the days go by.

Best wishes to you both! :)
 
I am hoping her days become better and better. It is so hard to see my mother in that hospital bed. She has a good day then a bad night....today was a good day, so I am hoping that she has good night. We are also hoping that she will be accepted into our Rehab hospital. She is more awak and alert so I am hooing that will help. She wants a routine so badly she can taste it!!
She had a good day today, but still gets so very tired...and I am thinking that is maybe somewhat normal since now they have gotten the meds out of her system that were bugging her maybe she is just behind in her recovery....she is totally healed as far as stitches go so now we are just playing the waiting game.
Very hard to watch as an only child who teaches full time and has a family of her own. This is day 26 and it is starting to wear on me I think!! I am trying really hard to stay positive, but it is hard at times.
 
Last June my Mom had her Aortic valve replaced and a quadruple bypass. She was 3 months shy of her 81st birthday.
It takes time. She'll have good days and bad days. Revel in the good and don't let the bad get you down too much. Don't look at getting stronger day by day, look at week to week. She needs to do what she is able. She needs to eat when she can. She needs to do her breathing exercises and when they tell her to start physical therapy she has to do it.

Al Capshaw's post was right on.
Others here can tell you what it was like for them, I can relate to what it's like to see your Mom going through it. I became my Mom's coach. I made her do her exercises, I walked with her, Slow and short. It started out with walking from the living room to the kitchen, then in front of my house, then 2 houses, then around the block... Today, she is living on her own again and feels stronger than she did before surgery.

So there is light at the end of the tunnel. I hope she gets into the rehab facility soon. That will be a great step forward. Good Luck to your Mom and good luck to you too. Remember to take care of yourself too.
Jeff
 
Update on Mom

Update on Mom

We have had many good days and few not so good days too!! Mom did get into a Rehab hospital last week. She has been there 1 full week now. I was very frustrated at the beginning, but now am feeling a bit better. At one point a doc told me to plan for her to have 24 hr care everyday...I felt like I got hit by a truck. This doc made that statement after seeing my mom for 2 days. She was so weak in the hospital they didn't walk her much. In fact last Tues she walked 25 meters then 2-3 days later in rehab she walked 50 M 3 different times and they were wondering why she was so tired. I was like Oh my gosh do you not read the charts people!!!
I am hopeful we are now on the right path and Jeff I thank you for your post...you are very close to our situation other than my mom had a small stroke....but I think we are doing better every day.
This place is amazing and I am so glad I found you all. I wish you all the best.
 
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