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A

AlonnolA

Hello all -

AVR was last Tuesday. I was released Saturday and got home on Monday afternoon.

The surgery took 8 hours, due to the existing scar tissue and apparently unexpectedly low clotting potential which caused me to lose about 300 cc's. But I guess the extra time was well worth it because from then on my recovery has been remarkably fast and trouble-free.

I was woken up around 10 PM at ICU, and was sitting up in bed and moving out of ICU by Wednesday morning (they said they would have move me sooner but didn't have a bed).

I spent Wednesday in the "step-down" unit.

By Thusday morning, I was sitting in a chair and taking short walks. I spent Thursday night in the regular cardiac unit, which was a semi-private room just next door to the step-down room. My roommate was a guy who had gotten a complete heart transplant, and was about to go home after recovering in the hospital for about 2 and a half weeks, and was truly inspiring to talk with.

The next morning, one of the surgeons came in and told me that the VIP floor had spare rooms, and the cardiac floor needed to free up some beds, so he was sending me up there. The VIP floor is nicer, but the staff there don't specialize in any particular type of medical issues, so they only send patients there who don't need special care. He said that since I was doing so well, I was his top candidate.

So I ended up spending the last night (Friday night) across the hall from where Bill Clinton stayed. I had a carpeted private room with a large flat-screen TV. The end of the hallway was a full-width, full-height window looking south down the Hudson onto Manhattan and the Palisades - the sunset was amazing! The lounge had a glass-enclosed waterfall and was a huge room with a piano and lots of seating (which was important, because a bunch of my family came to visit me that day, and we basically took over the place). And the patient food came from the restaurant that was on that floor. That restaurant was my father's favorite place to eat, and I think he tried almost everything on the menu by the time I left the hospital.

I was released on Saturday, but had to see my cardiologist again on Monday before going home. So I spent Saturday and Sunday at my mother-in-law's house in the Bronx (where more people came to visit, and took over her place - she, in her usual good-naturedness "whipped up" a tremendous amount of excellent food and homemade cookies for everyone), and then we headed home on Monday afternoon.

I had quite a bit of pain when they switched me from the anesthesia to percocet. When they switched me to Tylenol, the pain actually improved.

Monday's Echo showed some pericardial fluid, so my cardio put me on a small dose of Indomethacin (he said it is an Advil-like drug that is an anti-inflamatory, but it is also a pain killer), so now I have almost no pain. At first I was concerned that the pain blockers would allow me to move around so much that I might open something back up, but my cardio says I shouldn't worry about that as long as I don't do anything crazy.

I'm switching from 5-minute to 10-minute walks today. I do get short of breath a little at the end of a 10+ minute walk, or going up and down the steps a few times. I suspect this is somewhat related to the pericardial fluid.

The top of my sternum has a pretty big bump on the left side. Looking around this forum, it seems some people were left with theirs and other had it go away eventually. It feels a little strange right now though - sort of like a lump in my throat.

I seem to be getting "pressure headaches" which I thought was due to my slightly elevated blood pressure (greatly elevated compared to pre-op), but the cardio says it could be the meds. Anyway these seem to be getting weaker and less frequent - usually right when I wake up in the morning.

bp preop was 120/30 or less. Post-op it has trended from 110/70, up to 125/90, and within the past day back to 120/80
pulse rate has been pretty steady post-op, around 100-110, which seems somewhat high to me.

I'm back on Lisinopril like I was preop so hopefully that will even out the pressure and then I can stop it.

My voice is a little hoarse, I guess from the breathing tube. But it seems to be improving so hopefully will be OK in another couple of weeks.

I have another Echo scheduled with my secondary cardio up here to follow up on the pericardial fluid. I'm hoping it will be much less by then.
 
Welcome home. It sounds like you are doing great and that's what we all like to hear! We also wish that all the vr.com members could get to experience the executive suite- what a treat - bet you almost didn't want to go home!:D Best wishes for a continued uneventful recovery and success with the second echo. Keep us informed.
 
Welcome home and glad you are doing so well. Nice hospital treatment, it certainly helps to make you feel better when you are so well cared for.
I'm just two weeks post-op and have that big lump you mentioned. I was told it would go away over time. If not, well it's a small price to pay for what was necessary. Continue the walks and increase the distance daily. You'll still get tired after each one, but it's hard to believe how it helps the recovery process.
 
Welcome home. While it's odd to be saying it.....what fun! The VIP floor. It was very interesting to hear about it! Glad you were in such good shape to be their top choice for an upgrade!!

Sounds like all is going very well. Don't hesitate to field questions and concerns here.

Yes, that lump. For some reason, I always felt like they'd left a cage in there, or something. Such an odd feeling. It will get better with time.

Take care. You sound great! Good job!!

Marguerite
 
I'm glad that you're home, Alon. You'll have a few more rough days, but they will get farther and farther apart as the days pass.
 
way to go

way to go

You sound like you are doing great. I hope you continue to improve at this rapid rate.
 
Welcome home!
the VIP room sounds nice;)
You sound like you are recovering vey nicely! As for the pressure headaches, some of those could be related to the pericardial fluid, I had some of them too. It should get better.
Take it easy..and keep us posted!
 
My goodness, you sound like you are doing great. I couldn't even concentrate very well because of brain fog, and you wrote so well telling us about everything. Amazing. Keep up the good work. I had headaches for quite a while after my AVR. I thought if was just something that went with the recovery part of the surgery itself.
 
the bump

the bump

Thanks for all the great messages.

Even though my mother was at the hospital every day with me, somehow I never expressed concern about "the bump" to her. Anyway, I spoke to her about it yesterday, and she said she remembered one after my last surgery (1982), which we didn't expect would go away but which eventually did (6-12 months later). That jogged my own memory of it. I vaguely remember feeling my collar often after that surgery (I was 12 at the time). So hopefully it will eventually go down again this time too. Either way its not a big deal in the grand scheme of things.

bp is back up 128/88. My wife has been taking it every morning before going to work, so we're going to check it again later today to see if time of day makes any difference. I'm not too worried about it, but since I'm an engineer I figure it would be interesting to gather performance data.

Headaches seem to be getting less severe and shorter.
 
Welcome Home!! Good to hear you are doing so well, especially for us in the waiting room! Let us know how your doing from time to time.
 
Congrats on a successful procedure....

Congrats on a successful procedure....

and an awesome recovery do far. The rest of us LOVE reading these stories!! Very inspirational - thanks for taking the time to share!!
Best wishes for continued success.
 
update

update

Friday's echo exam in Albany was a bit strange. My NYC cardio called for the results and was told they found "minor effusions" so now we don't know if they myocardial fluid went down or not. Seems like it must have, but I'll try to check for sure my local cardio's office on Monday.

Based on that assumption, my cardio had me reduce the anti-inflammatory meds.

My wife's been taking my blood pressure every day, and suddenly the last 2 days it's been low (90/70) and I've been taking naps and had a couple of episodes of lightheadedness. I spoke to my cardio yesterday and he told me to stop the lisinopril and increase salt intake, so hopefully that will help the pressure even out in the next few days (this morning it was still low).

This morning I had a brief episode of partial blindness - the lower part of my vision in my left eye for about a minute. I do have dry-eye but I've never experienced anything like this. I figured it might also be related to the low blood pressure. Has anyone had this as an effect of their heart issues or surgery?
 

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