Hi, Sarah, my sternum was closed with clamps instead of wires so I had very little discomfort immediately after surgery. At the time, I was 59 and, otherwise, in good health. I, too, had no difficulty from the very first caring for myself, the two cats and a pond with 30 koi. Before surgery, I worried about how well I could care for myself once I left the hospital and arranged for my best friend to come for a couple of weeks. Just before the AVR, the shortness of breath and palpitations were making it difficult to do much of anything which really magnified my concerns. My friend arrived a week before surgery and it was really a comfort to have him there.
My AVR was on Tuesday. On Thursday morning, I awoke in my room having been moved from the ICU during the night. I was quite astonished to find that I felt really good; I felt very weak but good. My heart felt as though it was beating stronger than ever before but in a good way - not like the palpitations of just a few days earlier. The first walk that morning left me feeling exhausted but that improved with every hour. By Friday afternoon, I stopped taking any narcotics (I just didn't need them) and on Saturday in five strolls I walked a little over a mile in the hospital without any difficulty. Sunday morning I was quite ready to hear that I could go home and spent that night in my own bed without any difficulty.
I let my friend get meals ready on Monday but, as I told him at the time, I didn't feel fragile just weak. I still felt sore but there was no significant pain and walked outside that afternoon. One of my neighbors stopped me on my walk and asked "Aren't you supposed to be having heart surgery soon?" When I told him it had taken place the previous Tuesday, he was really shocked...."But you don't look sick! How can you be on your feet so soon?"
Sarah, heart surgery has changed a lot in past decades. Unless there are complications, you should be able to take care of yourself when you go home. Having someone with you at first is very reassuring but you probably will not need them to care for you. It is nice, however, to have the company of friends for a few days just in case there should be a problem. After the first week at home, since my surgeon didn't want me to drive for 5 weeks, I did rely on friends to give me a ride to the grocery store, the barbershop, and once in awhile just to go out and meet friends at a restaurant for a nice dinner away from home.
I spent most of those days at home, in the weeks before I could drive, maintaining a walking schedule and resting. The small tasks around the house were no problem. I couldn't carry a full laundry basket but I could make several trips with smaller loads. The cats were quite happy to have me at home all day and started napping with me in the recliner after walks. I didn't throw any dinner parties but I did invite friends over for coffee and cake every once in awhile and after the 2nd week, I made the cake myself.
I have to admit that the 6 weeks I spent at home were really very pleasant. Every day I felt stronger and it was so nice to be free of the pre-surgery symptoms. Driving again at 5 weeks felt quite liberating. At 6 weeks, I returned to work and began Cardiac Rehab. Just as it was good to have the weeks to recover at home, it was also nice to pick up the threads of my life and get back to a normal routine. The cats were despondent. Heart surgery was not something that I had planned for and I would have preferred not to need it. The valve replacement did not, however, turn out to be the terrible traumatic event that I imagined it would be. On the whole, it was rather anticlimactic. I don't know what a typical experience is, Sarah, but I hope your's proves to be just as routine as mine. Take care.
Larry