I've been in hiding for the past few weeks as I focus on recovery. It's been an interesting journey. I'm now 4 weeks post surgery, and to be honest, I'm actually not feeling any better than I was pre-surgery...is it too soon yet? I was doing well up until a few days ago, and managing daily 40 minute walks, at a reasonably brisk pace, but suddenly I just didn't feel that I had the stamina anymore. The last few days I have had to decrease my walking time and speed, as I have just been too tired. I had been managing the stairs in my house ok, but in the last few days, am starting to be a bit short of breath again by the time I get to the top. I've also noticed that my resting heart rate is often around the 100bpm, when it was closer to 70 just after surgery and in the first few weeks. I did have an episode where my heart rate increased to about 150bpm one morning, but was still in sinus rhythm, and it settled down after about 20 mins. Today I felt a bit "woozy" when I did the stairs one time, but the other times, just a bit tired. I constantly hear my heart beat, and feel it thumping in my chest, which is what I was experiencing before my surgery, and I guess I expected that to settle down. I do recall that I felt quite improved by 4 weeks after my first OHS, but this time round seems much different. Now I'm worried I may have pushed too hard too soon, although I felt fine. I have a GP check this week, and see the cardiologist next week so hopefully I will get some answers then.
One thing that has been a real difficulty for me is pain in my left shoulder. I noticed this as soon as I woke after surgery and it is so bad that my range of motion is severely limited by pain. I actually wonder whether I might have a rotator cuff injury, as it is particularly bad when the shoulder moves in any rotation. I cannot even dress/undress independently, and pretty much just can't use the left arm at all. I have read that shoulder pain is quite common, and I don't recall having it first time around, but I'm very worried that I'm going to end up with a frozen shoulder. I am supposed to go back to work in 3 weeks time, but at this point, if the shoulder doesn't improve, there is no way I could do my job. For those who have experienced shoulder issues, did it last long and was there anything that helped improve it? I do plan to see my physio once the sternum is healed. I have tried to do a few light exercises for strengthening the rotator cuff, but my sternum is too sore just yet to do those so I need to wait for that to improve first. Of course, I have lots of odd aches and pains around the rib cage and clavicle which I expect will gradually settle, but those are more nuisance factor rather than debilitating like the shoulder is.
My scar is healing well, with only a small amount of scab to come off yet, but I have a lot of numbness on one side of the scar, right across my chest. In some areas, the skin is absolutely numb, like I have been injected with local anaesthetic, but in other areas, the skin is particularly sensitive, so I'm finding it difficult to tolerate the feeling of fabric against the skin. I'm guessing that it will just take time for the area to enervate again and I just have to be patient. I have found that an ice pack does help when it becomes unbearable, but any other suggestions would be very welcomed.
Mentally, I have had to come to terms with the fact that I wasn't able to have a mechanical valve as I wanted to and had decided on, due to my blood issues (thrombocytopenia, history of bleeding). I was prepared for the mechanical but at the last minute, a round table conference with my specialists and surgeon resulted in the strong recommendation to not have a mechanical valve. I guess that was the right decision, given what happened post surgery (low platelets, haemolysis, 5 transfusions, and multiple bags of platelets) but now I am mentally grappling with the idea that I am now going to be faced with a 3rd procedure sometime in the future. I am gutted by this, as I truly wanted this surgery to be my last. But that is not to be, and I am finding it hard to move forward from this. I found this last experience to be quite traumatic and on day 2, it hit me very hard that I would have to do this again. So I'm trying to look at each small step forward as a win and focus on getting as many wins as I can, and to keep my focus as positive as possible, and push the idea of a 3rd surgery into the back of my mind.