Betty's Surgery

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Hi Betty!

Welcome home!!! Isn't it great to sleep in your own bed (even if it isn't adjustable???). Congrats on making it through your operation in style! Was so glad to hear that everything went well for you. Hopefully your muscle spasms will reduce over the next couple of days. Are you on meds for your atrial fib?

Way to go, my mitral valve surgery pard'ner!

Melissa
 
Thanks Nancy for the info. I just can't find a way to splint effectively to cough and deep breathe without tremendous pain. Now you have to figure in the wimp factor....;)
Thanks to all of you who have been so nice to me.

Paula, your call was absolutely appreciated, thank-you.

As far as the a-fib goes. I've been on the flecanide and cardizem about 8 or 9 months and the episodes of very rapid rate (160-180) have been generally in the minutes rather than hours. When they do an electrocardioversion all they do is re-establish sinus rhythm but it doesn't do anything to help maintain it. During this time my left atrium has continued to enlarge to the 5.5cm to 6.0cm range. This is about the uppermost limit of hoping to recoving and maintaining a post-op sinus rhythm. When I went into a-fib post op their first thoughts were to schedule cardioversion and hope the flecanide that was still on board (half life of flecanide being 5 and a half days....don't you just love the conferences that take place just outside your door :D ) would help too. They also gave me some soltolol (sp?).

When I then later went back into sinus rhythm everything changed. Dr. Glower said I may find myself having a hard time staying in sinus since the atrium is dilated and that could improve as the atrium naturally reduces in size over the next weeks and month but hopefully one day it may just stay there. I do feel better in sinus so that is my hope.

I'm back on flecanide. Not currently on Solotol nor cardizem. I'm not sure if I'm supposed to be or not, I'll have to check. I never woke up until they knocked and spoke my name so I could get as much information as possibile:D :D . I particularily liked the conversations of the cardiologists "I could make a case for..." regarding EKG interps and medication choices.

This whole thing has been better than I expected but I am so very glad to be home. I've slept uninterupted for hours and got up with very little help and now that the pain meds have kicked in and I've coughed, breathed and walked I find life to be absolutely wonderful.

Steve, take good care of the waiting room. It was the best place around for the last few months. I will still daily check in. Everyone was right......The wait is the hardest part. I am so so glad to be over the mountain! I guess I tried to wake up and see the scenery for myself during surgery but I don't remember that at all. I do remember being extubated but my focus was pain in my right eye from somehow getting scratched rather than breathing. So as far as the cards go I don't know.. I couldn't keep my eyes open to read anything. I was temporarily a "wild woman" but very little nausea in the whole post-op period. You guys were with me the whole time and I sure appreciated the company.

Melissa! You still sound so so good. When is your first check-up?

More later.
 
Great To Have You Back

Great To Have You Back

Hey Betty,
Glad to hear you are doing so well. Now it is all downhill from here. Have A Great Weekend!

Dave
_____________________________
Surgery: 4/21/03
Aortic Aneurysm Repair
AVR, with a St. Jude Mechanical
Heart Center of the Rockies
 
Hello Betty,

You sound GREAT! Congratulations on your successful surgery.

Jon made a comment about breathing not being your favorite activity. Please DO the breathing exercises daily as they help your lungs to reinflate fully, driving out any unwanted fluids from the lungs and chest cavity. I was told to use my incentive spirometer (the breathing exercise machine) for 10 minutes every two hours which I did faithfully after my second surgery. I learned this lesson the hard way after developing 'walking pneumonia' the first time around. You don't want to go there!

As far as the A-fib is concerned, I'm sure you understand this is VERY common following heart surgery. I had an event a few days after surgery and the nurse followed their Digoxin protocol 3 times with no effect. She sent me back to the ICU but by the time I got there, I had converted and the ICU nurse wondered what all the fuss was about. A few weeks later, I had a second and third episode. After the second, I went to the ER where they monitored me and sent me home after 3 hours when I converted on my own. After the third, I called my doctor and we agreed to just 'sit it out' unless I got worse or did not convert in a day or two. Sure enough, I converted on my own after 3 hours. I take a low dose Beta Blocker (Toprol XL 25 mg) and that seems to prevent further arrhythmias (which do come back if I go off the medication). Avoid Amiodarone until all other means have been exhausted because that drug can have serious side effects if taken too long.

OK, back to the normal recovery protocol:

Walk, walk, walk
Breathe, Breathe, Breathe,
NAP, NAP, NAP... (Naps are GREAT ! :D

'AL'
 
Congrats Betty...

Congrats Betty...

Betty,

I just got on-line again yesterday because my PC was in the shop for several days so I missed these posts.
So glad to hear that you are home and doing so well. Isn't it grand to be over the mountain and to be home?
Please continue the breathing exercises and avoid the evil sneezes. Do you have a heart pillow to ease the sneezes and coughs?

Get caught up on your rest... Enjoy the pampering....and don't forget to walk...

Hugs,
 
Coughing

Coughing

Betty,

I found when I felt I needed to cough really deep/hard that if my husband would put his arms around me from behind and hold firmly I cough much easier. This might help.

Take care,
 
Welcome Home!!

Welcome Home!!

Hey Betty!!

It's so nice to hear from you and know you are doing well. You sound wonderful!
 
I had something a little funny happen to me a couple of hours ago. I have been quite short of breath today and my legs are more swollen and my weight is up a couple a lbs. I have also been in atrial fib for more than 24 hours.

I decided I should call up the number given me on discharge and reach the Cardio-thoracic resident on call and run a couple of questions by him. Being drugged and a still a little pump-headed at present this seemed like a major challenge. My first call got me connected to a nice lady in Texas who has her daily challenge dealing with a phone number identical with Duke except with an area code of 914 instead of 919. A nine easily becomes a 4 in a doctor's scrawl. She said she gets calls from all over the world.

My second call got me to through to the Duke operator who then routed me not to the resident in charge but up the food chain to Dr. Glower's boss....the big chief ...a Dr. Smith. He was driving on highway 40 so we were on his mobile. He was really very pleasant about it all and said he would find some answers for me. He said everything sounded perfectly manageable and then asked how I like Dr. Glower, reminding me that he was his boss. I told him how wonderful Dr. Glower had been all week and then we laughed about the whole situation. I gave him some patient advice to keep both hands on the steering wheel and he promised he would.

Well, I received a couple of calls back within minutes with some medication changes and some reassurance that all was still going very very well.

It is starting to hit me that I am over the mountain and I am so happy about it!
 
Hey Betty,
Sounds like you are doing OK. It is helps when you get to talk to #1. Don't forget to do the breathing and walking. Take Care

Dave
_______________________________
Aortic Aneurysm Repair
AVR, with a St. Jude Mechanical
Heart Center of the Rockies
 
Hi Betty-

It still sounds like everything is going along well. Your heart is still "mad" at you, so it's still sulking. I hope you have some diuretics for the fluid gain. That should help on all fronts, and make your heart happier.

You are indeed, "over the mountain" and all these little glitches will disappear soon.

Take care,
 
Hi Betty, and Welcome back!

I've been out of town for a week and missed all the action. The boys kept us all up to date, but I wish I could have been there while it was happening.

Sounds like you're doing really great! Couldn't happen to a better person. I'll watch the Waiting Room, but please stop by every now and then to chat with the others -- they'll benefit from your experiences.

But for now, just follow all the advice from the gang who have done it already.

Be well, my friend! Our prayers have again been answered.
 
Hi Betty

Hi Betty

Welcome Home:) I just got back from visiting my age 89 year old Daddy in Alabama. You sound great..I don't think I came to computer until a week after I was home...Foggy:p :p :p I called QAS about the Protime..about a week after I was home. The lady called back and asked for all this info..I was surprised that I could get the info out of wallet, ect..and even talk..:p Took me about 3 weeks to want to see Grandson..Then everything seemed to be more normal everyday...I did walk outside a lot..Not like miles but little treks..here and there in neighborhood. Also used grocery store motor wheelchair for about a month. I was lucky to have a Hubby who really took great care of me.:) :) I was off pain meds in about 3 weeks..and Cardiologist took me off all meds after 3 week checkup...I am a firm believer to take it nice and easy for 4 weeks. and add a little everyday...:) :) First time I tried to clean mirrors in bathroom, ect. had a shooting pain..in shoulders. Scared the heck out of me.. By the way..I still have a great Hubby. He is cooking dinner for me now.:D 17 months later...:D :D :D while I sit here and chat with you...:) :) YOU.., too, take it nice and slow...Bonnie
 
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