OHS one week from today

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M

mipagan

Perhaps I?m getting stupid, or making myself stupid (I tend to try to ignore that which I don?t like). I feel like I know nothing about my surgery which is a week from today (May 12th!!!) Isn?t that insane? I?ve asked my cardio a gazillion questions, I?ve read stuff on the internet, and yet I still feel like I don?t know things I should know, yet I am not sure WHAT I should know. As you can tell, I?m in the panic stage.

I have Pulmonary Atresia with Ventricular Septal Defect ? a form of Tetralogy of Fallot, I believe. I know I?m having my valve replaced, but I was also under the impression (perhaps mistakenly) that they were going to do something with the left pulmonary artery. They never called it PVR (perhaps there?s no PV to begin with, see I don?t even know that) though?I?m getting a valved conduit (homograft, my cardio told me, but she said it?s up to the surgeon ? does he make the decision when I?m on the table??) ? I know what a valve is, and I understand what ?conduit? means, but does this mean it?s more serious than just a plain valve? Is there a name for this procedure?

I, too, am another one who is worried about things like having kids later and scars on my chest, as I?m pretty young (26). But most of all, I?m just afraid of dying, or being worse off than before. I mean, I?ve made it this far without ever having surgery, when I was born in heart failure and was told I?d need surgery before 5. I was on 3 sports teams in HS, and basically my only problems every were that I got out of breath easily, have clubbed fingers/toes, and am cyanotic. So I?d just sit down and catch my breath and then continue on with things in the past. I?m not on ANY medication for my heart ? the most I have to do is take antibiotics before the dentist. I feel like I?m not doing as well as I used to, but part of me wonders if it?s in my head, or because I?m older, or I?m more out of shape, or I?ve gained some weight. It?s the chicken and the egg syndrome ? I?m I feeling worse because I?m out of shape, or am I getting out of shape because I?m feeling worse and can?t exercise as much?

I just don?t want to make a mistake. And here it is, about a week before and I?m just freaking out. I feel I?m doing this as a preventative measure, because what if I get worse and then I?m older and it?s more dangerous then?

Thanks for letting me get this all out. It sounds pretty whiny. I just don?t know what to do.
 
mipagan said:
Perhaps I?m getting stupid, or making myself stupid (I tend to try to ignore that which I don?t like). I feel like I know nothing about my surgery which is a week from today (May 12th!!!) Isn?t that insane? I?ve asked my cardio a gazillion questions, I?ve read stuff on the internet, and yet I still feel like I don?t know things I should know, yet I am not sure WHAT I should know. As you can tell, I?m in the panic stage.

I went through that about the same time -- you're right on schedule :)
mipagan said:
I have Pulmonary Atresia with Ventricular Septal Defect ? a form of Tetralogy of Fallot, I believe. I know I?m having my valve replaced, but I was also under the impression (perhaps mistakenly) that they were going to do something with the left pulmonary artery. They never called it PVR (perhaps there?s no PV to begin with, see I don?t even know that) though?I?m getting a valved conduit (homograft, my cardio told me, but she said it?s up to the surgeon ? does he make the decision when I?m on the table??) ? I know what a valve is, and I understand what ?conduit? means, but does this mean it?s more serious than just a plain valve? Is there a name for this procedure?
Just read something about "pulmonary atresia" on the web: http://www.americanheart.org/presenter.jhtml?identifier=1303 -- you should read about the "Fontan Procedure" and definitely pester your surgeon about what his plans are...

mipagan said:
I, too, am another one who is worried about things like having kids later and scars on my chest, as I?m pretty young (26). But most of all, I?m just afraid of dying, or being worse off than before. I mean, I?ve made it this far without ever having surgery, when I was born in heart failure and was told I?d need surgery before 5. I was on 3 sports teams in HS, and basically my only problems every were that I got out of breath easily, have clubbed fingers/toes, and am cyanotic. So I?d just sit down and catch my breath and then continue on with things in the past. I?m not on ANY medication for my heart ? the most I have to do is take antibiotics before the dentist. I feel like I?m not doing as well as I used to, but part of me wonders if it?s in my head, or because I?m older, or I?m more out of shape, or I?ve gained some weight. It?s the chicken and the egg syndrome ? I?m I feeling worse because I?m out of shape, or am I getting out of shape because I?m feeling worse and can?t exercise as much?

I just don?t want to make a mistake. And here it is, about a week before and I?m just freaking out. I feel I?m doing this as a preventative measure, because what if I get worse and then I?m older and it?s more dangerous then?

Thanks for letting me get this all out. It sounds pretty whiny. I just don?t know what to do.

I appreciate you having the courage to acknowledge your fear -- I have had the Ross Procedure done, its remarkable that you were able to do all that with no pulmonary valve and a severe disability in the right side of your heart. Its probably a good plan to have the surgery now if you are having symptoms -- recovery gets harder the more heart damage there is.

All the best to you -- all here are standing behind you. Keep posting and keep your spirits up.

Best Regards,
Burair
 
Welcome to our family.

Panic, fear, questioning - all very normal pre-surgery emotions. Expressing those emotions is not being whiny - it's just being human.

It sounds like you have covered things with your doctors and do realize this is the best thing to do for your health. You just need to get past the scary part and find the calm that so many of us do prior to surgery. It will come, just give it a few more days.

You are right - your health will deteriorate and symptoms will get worse. It is much better to have things fixed while in better health.

Follow through - you will be fine and you will thank yourself once you have recovered.

Please stay in touch and God bless.
 
Hi there,
Being in panic mode at this stage is to be expected. We were running around like headless chickens 1 week before Ernie's op !!
You have the advantage of joining this web site before your op, it is an absolute Godsend,with lovely people and wonderful, encouraging & informed advice.
Looking forward to hearing that you are out of hospital and all has gone well.
Very Best Wishes for a speedy recovery
Ernie & Wendy
 
As someone who's 4 days away from surgery, and in general, feels pretty well informed, I'm still in the "freaking out" stage myself, although it's balanced with a "let's just get this over with" mindset as well. I have a busy weekend coming up which will help keep me a little distracted. But I imagine Sunday on the drive home is when it will really hit me (and Monday when I drive up to meet my SIL to go to Cleveland). I'm going today to get a massage as my "gift" to myself to help me relax a little.
Just keep talking about your fears, let folks help you. You'll have lots of folks offering to do things for you, just let go and have them do whatever. Friends are feeling so helpless at this point, all they can do is what might seem like little things to you but for them, it's what they CAN do to help you through this. Lean on them, your family, and your God. We'll get through this. I'll be thinking about you on Thursday. I decided last night I have to feel OK by Thursday night so I can see the season finale of "The Apprentice" :cool:
 
Welcome aboard Mipagan.

Yep, it sounds like you are right on schedule for going into Open Heart Surgery. :eek:

While I'm not familiar with your particular heart issues, I want to assure you that correcting the problem is usually the BEST scenario. Just be glad you live in a time and place that doctors CAN fix your problem. There's no getting around it, heart surgery is MAJOR surgery, but it is a highly refined art with exceptionally high rates of success.

Try to focus on how much better you will feel AFTER your recovery with no more shortness of breath and greater energy.

If you have another meeting with your surgeon, ask about the risks (and benefits!) of the surgery and what he expects / hopes for your outcome.

You may also want to ask about medication to help calm your anxiety. Your doctors understand that and will want you to be as calm as possible before going into surgery.

Just remember, the 1200+ members of this website represent 1200+ SURVIVORS who are all better off after having had surgery to correct their heart defects.

In the mean time, try to stay active and think about other things. (I wasn't very good at that either, BUT knowing several co-workers who had been through bypass surgery who were now doing well gave me hope that I would soon be another one of them).

Best wishes,

'AL Capshaw'
 
PapaHappyStar,

I saw your surgeon and cardio - I'm having Dr. Quagebeur's (spelled wrong, I know :) ) counterpart do my surgery at Columbia Presbyterian - Dr. Ralph Mosca. I see that your cardiologist is Dr. Rosenbaum too, I met with him once, but must admit I refused to ever see him again (he was so condescending to me and my father I could not bear to have him, though I know he is a wonderful doctor). I was followed for years (as a kid) by Dr. Constance Hayes and now by Dr. Deborah Gersony there. If you don't mind me asking, what was your experience of surgery at Columbia Presbyterian?

Heh, sorry, I just saw those names and was excited that you've been there! :)

Thanks for all your advice, I'm going to go read about the Fontan procedure.
 
Hi,
Have added you to the calendar. You've come to the right place for support and advice and we wish you the best results for the beginning of a great new life. You will be "back in shape" before you know it!
 
you are getting there, tho. Like we all did. We hope somebody can report to us after your surgery? We always like to know how our friends are faring.

OUr prayers go with you. GODSPEED!
 
mipagan said:
PapaHappyStar,

I saw your surgeon and cardio - I'm having Dr. Quagebeur's (spelled wrong, I know :) ) counterpart do my surgery at Columbia Presbyterian - Dr. Ralph Mosca. I see that your cardiologist is Dr. Rosenbaum too, I met with him once, but must admit I refused to ever see him again (he was so condescending to me and my father I could not bear to have him, though I know he is a wonderful doctor). I was followed for years (as a kid) by Dr. Constance Hayes and now by Dr. Deborah Gersony there. If you don't mind me asking, what was your experience of surgery at Columbia Presbyterian?

Heh, sorry, I just saw those names and was excited that you've been there! :)

Thanks for all your advice, I'm going to go read about the Fontan procedure.

I had an e-mail exchange with Dr. Mosca -- sounded like an overall good guy, I've characterized Dr. Q as being somewhat "crusty" but he is one of the best pediatric heart surgeons around. I think Mosca is an excellent choice for your procedure -- look here for more information about the ped. and congenital heart surgery dept. at NYP:

http://cpmcnet.columbia.edu/dept/surgery/Cardio/PedCTSurg/PedCardSurg.htm

I think Dr. Rosenbaum comes across as somewhat haughty -- maybe some insecurities there -- but he really knows his stuff and can be quite demanding on behalf of his patients during hospitalization -- a good guy to have on your side. I even talked to Dr. Gersony on the phone after surgery and she was extremely nice, covering for Dr. Rosenbaum at the time.

I had a good result, so I have no lasting complaints about the hospital -- its a big hospital though, and you need someone to be vocal on your behalf so your wishes are heard. I should add that I am a terrible patient and any hospital would have had a hard time with me ( I pity the hospital... :) )

The people you are seeing are very, very good and I am sure they will do a great job on you -- I think you may be able to stay in the children's hospital -- I would ask if this is possible, I liked the look of the childrens hospital much more than the adults...

Please keep me ( us ) updated on your progress -- let us know how things go at the hospital.

If there is anything I can do to help please dont hesitate to e-mail : burair.kothari at gmail.com. All the best -- I know you will be in good hands with Mosca and associates.
 
Mypagan, I am not familiar with your particular case, but I do identify with your description of your activity levels and being out of breath. I've been there and done that only I thought I had asthma...was treated for it since about 2 1/2.

I would be willing to bet that you will be amazed at how good you feel after the surgery even though you think you don't have symptoms. Even 5 years after surgery for a bicuspid AV, I am still amazed when I do something that would totally wind me and do it just breathing a little heavier than normal and recovery time is unbelieveable.

Good luck and I'll be sending prayers your way as will many of us. I too hope you keep us posted.
 

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