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AtlantaPat

I've finally been scheduled for surgery at the Cleveland Clinic. April 5th, same day as Debbi. If we can get one more signed up for that day, maybe we'll be able to form a collective bargaining unit and talk down our final bills :)

Dr. Nicholas Smedira will be doing the surgery. His correspondence back to my cardio indicates he's pretty sure he can repair, rather than replace, my mitral valve.

We've solved the issue of possibly going up for this by myself: my wife will be there with me now. (As big a deal as OHS is in any family, it looked like we might have something even more serious looming. Thankfully though, we'll now be able to devote full attention to the surgery.)

I've been mostly lurking on VR during the few months since joining, soaking up the collective wisdom and advice of you all. I feel like the guy who slides into the back pew at church ten minutes late and never puts anything in the collection plate :rolleyes: Hopefully I'll have more to contribute once I'm on the other side.

One thing that has me sort of concerned is returning to work. Dr. Smedira's nurse said they generally end up prescribing between six and twelve weeks off, depending on the patient. What has me worried is that I may feel physically great at eight weeks or so and head back into the salt mine, but only find once I get back that my mind is trailing my body and I'm screwing things up!

The executives where I work have been extremely supportive of me through all the doctors appointments, etc these past few months, so I really don't want to let people down once I return. Anyone ever run into this? Feeling like you could run ten miles --in strictly physical terms-- but suspecting at the same time that you're performing like the Fourth Stooge when it came to mental acuity? Are there ways your spouse can track and test your mental ability to help figure out when the fog's lifted sufficiently? I think I mentioned in a post way back when that my job can become extremely stressful from one minute to the next. Not stressful in life-or-death terms like an ER physician's or an air traffic controllers or a SWAT team commenders, but stressful nevertheless. I don't doubt I'll be fine during the routine/ calm periods whenever I go back; it's the first time things hit the fan and I have to react that has me a little worried.

Pat
Mitral valve repair scheduled
4/5/06
Dr. Nicholas Smedira/ Cleveland Clinic
 
Hi Pat,

I can only tell you of my experience. I had my aortic valve replaced two weeks ago at Cleveland Clinic and I was back 100% mentally within a week. The surgeons at CC try their best to get you on and off the bypass pump as quickly as possible and that, in my opinion, is what makes all the difference in terms of mental functioning postop.

Good luck with your surgery. You will be in excellent hands.

Randy
 
Pat, you are going to be fine. To begin, you are in great hands with Doctor Smedira, matter of fact, tell him Ben Smith says hello. I was the first Ross Procedure he was involved in, so I am very sure he will remember me.

As far as your mental abilities post op.......everyone differs. I found myself at eight weeks asking people to repeat themselves, because I lost track of the coversation at some poitn and wasn't sure what they were asking of me.

But there are others who sail right through, again, it depends on the individual. Just don't rush yourself back to work and you will be just fine.

Take care,

ben
 
As Ben said, DO NOT rush yourself back into work. You may feel dynamite, but let me tell ya, your body may be that way one day and it will kick you in the butt the next. If the Doctor says 8 weeks. Take the 8 weeks. It's not going to do you or your family any good for you to return too soon and back slide. ;)
 
I had no problems mentally but I was not ready to go back to work physically for 12 weeks. As has been said, everyone is different. I didn't worry about work. More to think about with the surgery and I separated myself from my work so I could recover. Good Luck.
 
I scheduled my last OHS so I would be able to complete the month-end accounting for my company (from home) 2 weeks after my surgery. I was more than capable mentally but I was amazed at how exhausted I got just trying to use my brain. I truly believe it's all connected.
I think one needs at least 8 weeks to be able to coordinate the mental and physical. I did not return to the office until about 10-12 weeks after my last surgery (although I worked from home as I said earlier) and then I was only there part-time.
 
Hi, Pat

Hi, Pat

You live in Atlanta?..where and how long of a commute? I live in North Georgia, am an earlybird and watch the local traffic news out of Atlanta. Just awful:eek: ...Every morning, wrecks, delays, ect...My daughter calls me every A.M. on her commute into Atlanta.Always, sitting in traffic.:eek: If you have a long commute to work..I would say..at least, 2 months.. Let your sternum heal first.Daughter had a rear-end not long ago..in her NEW car.Lady said, I'm sorry...I didn't sleep good last night..:eek: ..Daughter said, her neck was jerked and hurt for several weeks.:eek: ...Bonnie
 
I like what I am reading....

I like what I am reading....

Hey Pat,
I didn't know you were going in for valve repair also. I think we are two of the luckier ones, but from what some have told me, I need to be prepared for replacement as well. I received a call today from the surgery people. I am Dr. Pettersson's only surgery so far on the 5th. Was told to expect to go in early. That sounds good to me. Less time to worry about it.I was told to be ready for a 3 day window of being taken early on the 4th or delayed til the 6th 'just in case of a more urgent situation.' I was also given my Monday and Tuesday schedules prior to Wednesday's surgery. I am feeling more comfortable with all the details...
Oh I was going to mention with us getting repairs vs. replacement, I am thinking maybe we will be on the by-pass machine a shorter period of time and have less of the spaciness. Let's hope so anyway. So very happy the other pressing situation in your life has been resolved. You deserve full attention now!
We'll have this behind us five weeks from tonight! Debbi
 
AtlantaPat said:
The executives where I work have been extremely supportive of me through all the doctors appointments, etc these past few months, so I really don't want to let people down once I return.

Pat, I had some flexibility when I went back, so I managed expectations of my boss and eased back in. My first day back was a Thursday, and I showed up about midday. Even though I'm a desk jockey, I was surprised how tired I became after a few hours. I worked maybe 10 am to 4 pm the next day (Friday), then had the weekend to rest up. I worked a few more half days the following week, then went to full days when I felt like I could do it. If your circumstances allow, I'd suggest easing back in like I did.
 
If possible, take plenty of time and try to go back half days. You may be pleasantly surprised that you'll function just fine with a minimum of exhaustion. But if you have good disability coverage, take advantage of it. You won't be sorry.

The exhaustion from concentrating on your job takes a toll - I found my mind simply shutting down. I'd have to turn to really simpleton stuff to give it a rest (there were parts of my job that didn't require mental gymnastics). So if your job requires mental acuity and you don't have the opportunity to flake out, I strongly suggest that you try the half time thing. You'll probably be of more value to your employer than if you mess up.

It's good to hear from you again and I'm glad you got your surgery scheduled & you're not going to try that "going it alone" thing. That worried me.
 
Good news about the possible repair, Pat. I added you to the calendar and look forward to hearing about another great success. I agree with all the others- don't rush it- enjoy some pampering for as long as you can.
 
Pat,

I had my mitral valved repaired by Dr. Cosgrove at the Cleveland Clinic on January 27, so I'm five weeks out tomorrow. I've actually been going back into the office for some half days for the last ten days or so. I have a lot of control over hours and schedule, so I didn't hesitate to slip in and out. I probably should have waited longer, but my job is one that has lots of issues "festering" at work and I knew that the longer I stayed away, the more time it would take to deal with them. So its a trade off.

My mind has been far ahead of my body. The minimally invasive procedure did seem to let my body jump back fairly quickly. As long as I'm sitting behind my desk or at a table, I can discuss issues and deal with most problems that came up in my absence. What I have a difficult time doing is initiating anything new. No energy to "get creative" and start projects.

I agree that the shorter time on the heart bypass pump is a major factor. I was "bubble headed" as someone described it for several days and had some visual disturbances that eventually went away, but it was a matter of days as opposed to weeks or months. But beware that this is sometimes two steps forward and one step backwards. Be patient.
 
Good advice...

Good advice...

Thanks, all. I hear a real consensus about easing back into work. Half days and maybe not a five day week to start. The bread-and-butter part of my job may not allow that, but I think there are some projects I can attend to that'll allow me to come and go as needed and work on at my own pace.

Ben, I'll say hi to Dr. Smedira for you. I'm going up to Cleveland this next Thursday and Friday for tests and a chance to meet him and cardio Dr. Brian Griffin (anyone been under his care?). The clinic staff said it's possible to just schedule directly for surgery and come up a couple days early for tests and appointments, but I wanted to go look things over and meet the people at CCF to help get my arms around what's happening.

Bonnie, I live in North Fulton and do battle with Atlanta traffic every morning and evening. It's every bit as bad as your daughter says:( . I've heard "six weeks until you can drive" a few times, but I'm a little concerned about driving in by myself (25 miles each way) even after the six weeks...because of the strain (mostly mental) of dealing with the traffic.

Pat
 
AtlantaPat and dj/utvolsfan

AtlantaPat and dj/utvolsfan

Just wanted to wish you well. You are so lucky to be getting a repair.
Your both in great hands, in a great hospital and I'm sure your will
be fine. Take care:)
 
You're on my calendar

You're on my calendar

and I will be thinking about you and praying for your speedy recovery. I think you will find that you'll be tired after working, but I am sure your wife can have dinner and a small glass of red wine waiting for you at the end of the day. I didn't have any problems with memory at all however,I don't think this is a problem with the robotic surgery and probably isn't with minimally invasive either. I started working half days which became full days too quickly. I would get to the office and something would come up and before I knew it the work day ended. My biggest problem at first was with the soreness of my incisions. You probably won't have this problem as I have heard there is often numbness. So good luck to you and let us know how things go! Cindy
 
AtlantaPat

AtlantaPat

I just left my daughter's house in Gainesville and was tellin her all about you..she works for HoneyBaked Hams in Duluth..she said that yesterday..FRIDAY..that it took her 1 hour and 20 minutes to drive 20 miles over to the Interstate ( I-985) into Gainesville.:eek: :eek: :eek: Maybe, when you return to work..you could ask for the first few Friday's off....Seems like everyone is trying to escape Atlanta for the lake, ect.for the weekend..Bonnie
 
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