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debster913

Well-known member
Joined
Mar 31, 2005
Messages
1,117
Location
California
Hi, all--

Haven't written in a while; the past few weeks have been one heck of a rollercoaster ride! Here's an update (my apologies if it's a little long...):

Had the angiogram on April 25, which showed moderate leakage in my mitral valve as opposed to severe from the echo. (Some of you may remember my frustrated post on that). Then, my cardiologist decided to do another TEE the following week to compare it to the one from last year. What's funny is that this time around, I remembered the whole thing: swallowing the probe, everything. The TEE showed moderate to severe leakage. My cardio had even artificially raised my blood pressure during the test to simulate stress/activity. After the TEE, my cardio put me on limited activity since the rise in BP makes my valve leak more severely. Finally, just to make sure, my cardio had me do the Pulmonary Function Test to see if possibly my symptoms could be caused by asthma. Thankfully, I don't. He even said he thought I didn't have asthma, but he still wanted to make sure before he referred me to a surgeon. (But not before teasing me about being 25 even though I'll be 31 in a couple months. He's always been reluctant to pursue surgery for me because of my age.)

I saw the surgeon on May 9th, and he was very straightforward about wanting to go ahead and do the repair now. He even alluded to the fact that he believed my valve is worse than what my cardio thought. The surgeon can perform a minimally invasive surgery to repair my valve, though there is a possibility that I may have a mechanical put in if my valve is beyond repair. After ten days of waiting for a callback, I finally got my date: June 14th.

As many of you know, I've been symptomatic since April 11th. In the past month, I've learned that my valve is degenerative (myxomatous). I've always known that I'd need a repair/replacement someday, but was never clear on the whole dynamics of why other than the fact that the heart attack I'd had as a baby affected my valve (guess I hadn't been paying much attention to the details.)

The thing that is confusing to me is that I have my good days and bad days. There are days when I'm asymptomatic, but if I get cocky and start thinking I can "tackle the world," so to speak, I get worn out. Then, I have days when I wake up short of breath and have absolutely no energy all day. I have family members who believe that perhaps my valve is getting better on its own and wonder why I'm even having surgery if I'm feeling OK.

Have any of you ever experienced this with friends/relatives/co-workers? How do you react to something like that? Have any of you felt like that where you're OK one day, and couch-bound the next?

Anyway, keep your fingers crossed for me on the surgery...I've had a few stressful periods where tests have had to be canceled and rescheduled...hope that doesn't happen in this case! (I am very much looking forward to the day I can do things I haven't been able to do in a while!)

Thanks for your replies!
Debi (debster913)
 
Dear Debi,
I am glad that you have a date and you seem to have gotten good expert opinions. I will put you on the calendar for June 14th. I'm sure your experience with others who are not in your shoes is typical- that's why being able to vent on VR.com is so great! Sending you all our best wishes,
Phyllis
 
Debi

Debi

Everything happened so fast for me.. Honestly "I" didn't think I had symptoms..
of course I did, but I was able to justify most all of them.
I felt good at least I thought I did, and going for surgery, knowing that I was going to hurt and feel lousy for a few weeks wasn't a thrilling aspect.

but.. I can say that when the surgeon got in there he found my valve to be much worse than any of the tests revealed, and he told my dh that I would not have done well in waiting any longer. so that made me feel better about the decision to go forward quickly.

I think at least for me the thought of surgery and knowing the length of recovery felt overwheming..so it was better to just do it and get on this side of the mountain.
I too was a candidate for min. invasive, but I opted out for my own reasons..I have no regrets.
Praying that you find peace with your decision.
In a few months YOU will feel better than you do now!
please keep us posted!
 
debster-
Your roller-coaster ride unfortunately sounds very similar to many others on this site. Hopefully everything else will be straightforward from this point on.

One thing your mentioned was that you have woken up out of breath (nocternal dyspnea). I was largely asymptomatic before my surgery except for SOB during heavy exercise, and two bouts with the nocternal dyspnea where I woke up literally gasping for air. I remember them both VERY well and I was very, very scared each time.

Valves do not ever get better on their own. As you mentioned, it is common to go through periods where your symptoms get better or worse, but the underlying condition only gets worse with time. Luckily, I never had to deal with friends or coworkers doubting the condition and necessity for surgery. I definitely was "on the edge" emotionally during the diagnosing and surgery scheduling stages, and having someone act like surgery wasn't necessary would have damn near made my head explode. Do they think that you want to have surgery for fun?!?!?! So, in answer to your question, I guess I don't have a way to deal with those inconsiderate and uniformed people without violence. :)
 
Deb. Glad you have a date. Glad you are confident. Glad you are experiencing the ups and downs of symptoms because guess what?? You'll get to feel that way in recovery, too!! ;) You'll have GREAAAT days and then you'll sleep the next 2!! You'll think you've gone backwards one day then you'll wake up feeling 5 years younger the next.

The other great thing is that if you think people are fooled now, (hey, you don't look sick enough to be having heart surgery) ...... wait until they see you 2 weeks after your heart surgery!! They won't believe you've already been through it!! The doctors and procedures and state of the art care are letting almost all of us just breeze right through this.

Don't get me wrong. It's serious stuff. But honestly, I think you will be very relieved to have it all behind you this summer.

Keep posting with questions and concerns! You're young! You'll bounce back quickly!! :D :D

Best wishes!!

Marguerite
 
Debi,
Yep - had the major roller coaster in my backyard. There were days when I couldn't breathe unless I sat up in just a certain way and other days when I walked and hiked and raced our sailboat. However, in retrospect, I waited too long for my surgery (not that it was my choice) because my valve was unbelievably destroyed when the surgeon went in.
You are making the right choice to have this surgery now and I am glad you found a surgeon who understands that. Any symptoms can be too many when it makes even one day unacceptable.
We will see you through.
 
Debi, you're operating right on the edge now; your heart is just barely able to sustain your activity. When all's right as rain, you have a good day. When there's anything causing strain on your heart (allergies, a cold virus, whatever) you don't have any reserve; therefore, a bad day. The good days fool us at this stage.

Congrats on getting your date; Flag Day - everyone will have their stars-n-stripes flying for you! Be sure you indulge yourself for the next 3 weeks; good food, good drink, good friends. And avoid the naysayers at all costs; you don't need 'em!
 
Thanks for the replies! It is difficult to deal with people who have no idea what they're talking about--I think Mike said it best! Sometimes I'd like to scream/punch somebody out. Right now I feel on edge...not as nervous as before, but as the days tick down, I'm sure it'll start to sink in more: I'm actually having surgery.

You all have been a great support...this is an awesome website! :D

Debi (debster913)
 
debster913 said:
Thanks for the replies! It is difficult to deal with people who have no idea what they're talking about--I think Mike said it best! Sometimes I'd like to scream/punch somebody out. Right now I feel on edge...not as nervous as before, but as the days tick down, I'm sure it'll start to sink in more: I'm actually having surgery.

You all have been a great support...this is an awesome website! :D

Debi (debster913)

Debi,
you'll probably find yourself feeling more and more edgy as June 14 approaches. It so helped to have this forum to vent and share worries with--I think you'll find there's little you'll be feeling between now and then that others haven't felt during their time in the "waiting room". I got some xanax from my cardio--low dose--took it a couple of times when I felt myself getting wound too tight. It doesn't knock you out, just takes the edge off. I had some very very sick patients right before I had my surgery so work was kind of stressful.
You'll be glad you had it done after it's all over--the waiting is hard. I realize now I was more symptomatic than I was admitting. I feel great now, one year later!
 
Debi,

Congrats on your date for surgery! Thoughts/prayers coming your way.

As for feeling the symptoms vs not, I don't remember so well my 1987 surgery, but for my last surgery, I didn't know it at the time, but right after my grandmother's death in October 2002, I began to feel "extraordinarily tired". I figured it was just the stress of losing Gram ... among other issues of those days.

But then, at my November checkup, my cardiologist said that we "needed to check this again" ... and a few weeks later, I found myself back at the hospital doing a treadmill stress test, which revealed surgery was needed. Thus, those "extraordinarily tired" feelings were caused by my body ... telling me the valve didn't like me anymore ;).

*shrugs*

But, each of us feels these symptoms (or not, as the case may be) differently....



Cort, "Mr MC" / "Mr Road Trip", 32swm/pig valve/pacemaker
MC:family.IL.guide.future = http://www.chevyasylum.com/cort/
chdQB = http://www.chevyasylum.com/cort/quilt.html
"We got mountains to climb" ... Rod Stewart ... 'Broken Arrow'
 
Congratulations on setting the surgery date, Debi! Even though it's nervewracking, there's also some stress relief just to have the date set. I'll be thinking about you!

I have constant low-grade symptoms. There's always the underlying feeling of fatigue, SOB going up stairs and while walking (per my cardio's request), swollen ankles and feet...

I don't think I've had a day where I can barely get out of bed yet. I have no functioning tissue left of my pulmonary valve. I'm sometimes amazed that I don't feel worse.

I'm very lucky- my family and friends and coworkers have been very understanding. My supervisor even suggested that I work from home a couple of days a week to help with the stress leading up to my surgery (July 14).

Hang in there! You can always vent to us!
 
debster913 said:
He even alluded to the fact that he believed my valve is worse than what my cardio thought.


SAME EXACT THING HAPPENED WITH MY SURGEON. My cardiologist was kind of waffling, but the surgeon was very blunt - get-r-done RIGHT NOW, because "you are failing fast".

Must be a disease with these cardiologists, eay?
 
Yeah, I know there are plenty of cardiologists out there who wait until the last possible minute to refer their patients for surgery... but mine took my symptoms seriously right away and ran all the tests to make sure my symptoms were valve-related and not something else. As soon as he knew for sure that my valve was causing my problems, he referred me to a top-notch surgeon here in Southern California. That's what makes him an awesome cardiologist--that he actually takes the time to test and diagnose. After all, he could have just told me to come back in six months for my already-scheduled echo.
 
Debi. Your cardio sounds like a gem! You can start to look forward to the day when he comes into your hospital room and listens to your "new heart". Except for the smiles from those near and dear to you, that is definitely the most gratifying smile you will get.

Please come back and vent or whine or emote or do whatever you need to get you to your surgery day in one piece! It's an emotional time and we're here 24/7!!

:) Marguerite
 
Hi Debi,

I was 16 when my heart condition was diagnosed. Previously to this, my increase in symptoms occurred so gradually it was difficult to realize anything was wrong. I would get out of breath walking across the grass at school, or going up stairs. I didn't make any progress in gym class, but stayed at the same level of what I believed was "out of shape."

I learned from a girl at school that she had gone through heart surgery and I asked her questions. She talked about symptoms, and I realized I was experiencing a lot of them. My mom thought I was overly imaginative and didn't take it seriously.

I finally had the truth come to light so to speak because of a car accident I was involved in. The car I was in flipped over, and I went into the ER with pain from where the seatbelt was. The X-Ray showed the problem, and the Radiologist even stated I would have to have surgery. He ended up being right.

I had severe mitral regurgitation, due to rheumatic heart disease. My Heart Surgeon told me prior to surgery that if I didn't go through with the surgery, I would get more and more tired and I'd probably have died in my sleep because that would have been too taxing. He said I wouldn't make it to be 20. After the surgery, he said it was worse than he'd thought. I just turned 30 last month, and am grateful for each year that I have beat death.

I agree that 24 is young, but when you've actually had the surgery, you will be amazed at how much better you will feel. Good luck to you and I will keep you in my prayers.

Willow

__________________________________________________ _

Mitral Valve Replacement - St. Jude Mechanical Valve (9/1999)
Mitral Valve Replacement - St. Jude Mechanical Valve (8/1993)
Mitral Valve Repair (1/1993)
Diagnosis: Rheumatic Heart Disease
 
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