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T

TIM W.

Hi all,
As you all know by now I came home Thursday. Had planned on being released Tuesday, but my blood gases slipped down to 82 - 85 and my doc wouldn't let me go until I got back into 90's. Wednesday I woke up, the nurse put the machine on my finger and I hit a 97!!! Yahoo!!! A short while later, the doc's assistant came in to go over the release instructions and to look me over once more. "Looks like you have an infection starting around your incision", she said. Started me on antibiotics, "just in case", and ordered a CT Scan to check it out. Turned out to be no infection, just tape sensitivity. So, I was released Thursday and it's great to be home!!!
Waking up with the tube in my throat wasn't as bad as I thought it would be. For those still waiting, just remember to pay attention to what the nurse says, follow her directions EXACTLY, and the tubes come out quickly. Everything the nurse says and does is like little "tests" to see how alert you are. Once she knows you are fully alert, she gets the tube out.
As my wife told you all, the worst of my pain was from the chest tubes. Each breath was a very, very painful experience. This caused me to use very light, quick breaths. Forget the deep breathing!!! I couldn't get the spirometer over 500!!! Then the nurse gave me a good dose of Toradol and I was in heaven. I was told it is an anti-inflamatory. They figured the chest tubes were inflaming some muscles along there path so they tried it and it was the best thing for me. I never had morphine again. I think I only had 2 or 3 shots of it and the rest of the way I got Toradol. Some in the "waiting room" may want to remember this and suggest it to there doctors. The day before release, I was switched to Relefen (another anti-inflamation) and it is working well for me.

Like most of the rest of you "veterans", I did end up with one nurse in ICU who "knew it all". Fortunately, I only had her for 4 hours because she was like an overlap nurse. I asked for a shot of Toradol, explaining the previous nurse tried it as a morphine substitute and it worked well. This nurse didn't like being told something from another nurse, so it was morphine or nothing!!! I am usually not a name dropper and unfortunately for her I never mentioned my cousins position to her (although it was in my chart, in big red letters. Must be she didn't read my chart too thoroughly either). To make a long story short, my cousin reported the incident to the ICU Nurse Manager.

My first walk scared the hell out of me, (day 2, ICU, 8AM) I went about 25 yards down the hall, then back to my bed. When I got back, I was really short of breath, light headed and dizzy. Come to find out later it was all caused by the chest tube pain and not breathing well enough as I walked. (Remember, the night nurse gave me morphine???) After the Toradol, my walking was great. Each hour, I walked a total of 560 feet. I thought it was a nice idea that the hospital had markings so you knew how far you were going.

Surgery details. My surgeon said the best way to describe my valve was "one of the nastiest he had ever seen". He said it had enormous vegitation all over it. He said there were 2 "strings of calcification" about 2 inches long he felt were ready to break away, turning into blood clots, and giving me a stroke. He felt we made the right choice for timing of the surgery. "Got it done just in time", he said. He was able to use the valve we decided on earlier, a Stentless Bovine. He used a 27mm. He said I will have a remarable increase in cardiac output. Diameter increased more than triple!!!

I don't know if I ever said this, but my surgery was done at Hamot Heart Institute in Erie, Pa. Dr. Stephen Pett was my savior, or did I mean to say surgeon:D

At 8 days post-op, I still have pain when I cough. I can't get a good, deep cough yet. However, I am getting enough "little coughs" to coax up the phlem from my lungs. My upper chest, neck, and shoulders are still sore, but only when I try to stand up, sit, or lay down. If I don't use those muscles, they don't hurt. I need a break for now so I'll finish this later. Thanks for all the support you sent for my wife and I and I am so glad to be on this side now!!!

I am going to post a message later on "For the Big Guys" that will have some helpful and useful info I wish I knew beforehand.
 
Welcome home, Tim! Glad you're steadily improving.

Almost all of my nurses were angels straight from heaven. I thought of one of them as Sunshine, because her smile brightened the whole room. But there were one or two who could have used some improvement. Maybe they are there to make the angel nurses seem all the more angelic.
 
Welcome home Tim

Good thing that the surgery was done when it was huh?

It's great to have you back with us now that you've been intiated into the fraternal order of the zipper club, I'm sure you'll have lots to contribute now.

Things will be slow going for a while, but just do what you can and listen to your body. It has a way of really revolting if you don't listen very well. :D
 
Congratulations, Tim. I was dizzy, too, trying to walk and getting off morphine was also my salvation. When I was immediately post-surgery (in CRU) standing up dropped my blood pressure so low they had to get me back down.

Those shoulders & back etc. muscles are a common problem, and the best you can do is to get your better half to give you a really good massage. My husband did that a couple times a day for about a week and the problem was solved. Oh, yeah, most likely the darvocet helped. I know some folks have professional masseurs (masseuses?) come to work those muscles. Wish I'd thought of that.

You sound REALLY glad to be home. Enjoy it and remember that your poor bod's had an enormous insult and needs time to recover. Try to find something to eat and drink that tastes good. See if you can concentrate on a book (boy, that's been a problem and I'm an avid reader). And keep us all posted.

Georgia

P.S. walk walk walk breathe breathe breathe nap nap nap
 
hi tim!
welcome home! i was so glad to see your post and read that you are doing well and in great spirits.
you must be so happy that the worst is over and you are now on your way to recovering.
please try not to do too much. take lots of naps and rest up, do your breathing exercises and some walking too.

so good to hear from you again.
stay well, sylvia
 
Hi Tim

Glad to see your post..... Georgia gave you those rules: WALK, WALK, WALK, BREATHE, BREATHE, BREATHE, NAP, NAP, NAP!!! Remember.....your wife needs naps,too!!!

You sound as though you're doing great!!! That spirometer is VERRRRRY important. I remember Tyce would cough after using it and definitely wasn't happy about it, but nonetheless he used it hourly for the first two or three weeks. Are you using your pillow?

Evelyn
 
Evelyn, my incision was a bit sore to hold the pillow against it. I told my surgeon this and he showed me a little trick. Halfway down the incision, using three fingers of each hand, lightly push in as you cough. After a couple tries, you figure out just how much pressure to use to compensate for the cough pressure. This makes most coughs pain-free. Hopefully, it will be useful for that dreaded first sneeze! My little girl gets a kick out of watching the yellow float go up and down in the spirometer. So this gives me a good reason to use it about every 30 minutes or so. I think it really helps. I can hit 2000 five times in a row!

Georgia, I guess I lucked out. My taste-buds stayed intact and I have not had anything yet post-op that does not taste good. If anything, coffee may taste a bit stronger, but that's easy to fix.

JimL, that is a wonderful way to phrase the nurse situation! My cousin is a cardiac surgery nurse and she is truly my angel. I'll print what you said and send it to her.
 
Hi Tim,good to see you posting again! you are a very strong person, to be only on an anti-inflammatory????? I must be a wimp, since I was on oxycodone for 6 weeks after my surgery! Lets see, first I need to welcome you to this side of the mountain and tell, you, it might be slow going right now, but time goes by, and you'll feel great in a couple of months! Next I need to welcome you to the bovine club. It's a club of people who have bovine valves. What brand is yours? Carpentier edwards here. Well, enjoy your time, and like evelyn said, walk walk walk breathe breathe breathe nap nap nap. I remember after my surgery anything would make me sleep! TV and a warm blanket, and I was OUT! Oh, and I always had my pillows too. Take it easy!
 
Hi Tim,
Glad to hear you are home. It sounds like everything is going just as it should. I've said this before, the first week after surgery, you feel like you have been hit by a train. The second week, an 18 wheeler truck. The third week, a bus. The fourth week, a car etc....Try to look at your recovery on a week to week basis, not day to day. You will definately see a lot more improvement that way. I had written a thread awhile ago about getting my appetite back after surgery. It is funny. You may be able to find it by doing a search for "a funny story". Please keep us all informed on how you are doing.

Take Care!
Gail
 
Hi Tim

Hi Tim

Great to hear that your home and doing well. You have said it best about the ICU nurses, if you have a good one they are like angels. I actually think they made a difference for me on how fast I went home. You sound like you have a great attitude concerning your surgery, which I think is very important in recovery. This past Friday I was 3 weeks post-op and my buddy and I went and played golf. He hit the ball until we got around the green, than I would chip and putt. It was fun and relaxing. Just make sure you get up and do something everyday no matter how you feel.. Take care and glad to see you posting again.
 
Hi Tim

Hi Tim

My 2 cents:D Weather is still bad up North...so just try to walk around inside house a few times a day...then in a week or so..try outside with some help.:) Take your pain meds..:D Drink a lot of juice..Let someone massage very gentle on your back to relax you..Computers, reading , t.v. made me have double vision..when I stood up..PLEASE do not get in a hurry to do anything for a month. You will pay for it..Driving, lifting, reaching out with your arms..sharp pain..but does go away shortly. I know Cabin fever is bad. with spring here..but after about 9 weeks..you can start doing a few more things. Just to let you know..I am age 62..1 year post-op this week. Took my age 10 and his friend for weekend..THEY, could NOT keep up with Granbonny. :p :p :p Kept falling asleep on me...biking, putt-putt..basketball..Nice and easy for first few months..:)
 
Tim

Tim

Welcome home Tim. You are now on your way to the healthy rest of your life. I will keep you in prayer for a speedy recovery. Good luck Peggy
 
For Joy

For Joy

Joy, I may have mislead you guys about my meds. I am taking 1 Lortab 10/500 (3x daily) along with the anti-inflammatory meds. I'm not strong enough to grin and bear it! Thanks for welcoming me to all the clubs.
 
Welcome back

Welcome back

Tim - Glad to see you are back and that all went well. Since I'm still in the waiting room, I appreciate all the verbage on your experience. I'll start another thread in a day or so re a recent experience with unimpowered nurses, but the important thing for now is to celebrate your success. Way to go ! Chris
 
Welcome back Tim and thanks for the tip on the coughing problem. Sure wish I had known that the first two weeks post op. Since everyone has been giving you all the good advice I'll just say welcome.
 
Home, Sweet Home

Welcome home Tim,

Now for the tough part...keeping things under control and not trying too much too fast.

Stay patient, have faith it will all work out fine. All should be pretty good in about three months or so. Then you can start to pick up the pace GRADUALLY.

Take care

jackc (Welland )
 
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