A few things after my first open heart. I was a great speller with something like a photographic memory. I would know exactly when I last saw a patient several years before. The date and time. I occasionally testified as an expert witness and would not need to refer to the notes. It was pretty great as the opposing lawyers knew quickly they were in trouble, if they tested the boundaries of that. I lost most of that and its a bit worse now 23 years later. Also a tremor evolved in my left hand when pointing at items, which I noticed when showing radiographic images to folks. Not my right side at all. I still have this but can work around it. Finally, I could do extensive calculations without a calculator. I now have calculators wherever I sit. I will transpose numbers and have to focus hard on picturing what I saw to not do so. For some reason, nothing got worse after the next two procedures, which is good. I am aware that mri's on tavr patients, for example, show something that can be called damage which is thought to be clinically insignificant.