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alex c.

Hi everyone, I had my aortic/mitral valves replaced on Nov. 16th and was discharged on Nov. 20th. I have been feeling good the last 2 days, from the 20th to the 24th I had a lot of flu like symptons; cold sweats, headaches, changing temperature, but thats gone now and I feel WAY better. My chest still feels really tight and I feel like I'm always walking hunched over. I try to straighten out my back as much as I can without stretching my chest. When I sleep, sometimes my back is so tired I lay on right side. Is this too early to do? I don't feel any pain or discomfort, but don't want to damage anything with my wired sternum.
 
You sound great!! I was told to try not to walk around hunched over (by the hospital nurses) and that nothing would be hurt by feeling a little stretching....just be very gentle and slow to reach what you consider not hunched over, and proceed while walking, sitting, etc. in that position. I think a little stretching is actually good. PLEASE, though, check with the surgeon's office. I'm sure there is a surgeon's assistant who is there to answer any of those questions. There really are different ways to be stitched up these days.....it's best to get the word from the professionals.

I couldn't sleep on my side for months as it just wasn't comfy, so can't comment on the sleeping thing.

Keep up the good work!!! :D

Marguerite
 
Your body will tell you when it's all right to sleep on whichever side, or you stomach, for that matter. There is no rule about it. Some people find they need to sleep in a lounge chair or similar for days or weeks, others sleep fine in a bed right from the start (I did). If it feels all right, go ahead. You may find that trying your left side gives you palpitations or just a really uncomfortable or painful feeling for a few weeks or months, so you might want to skip that for now. And you may not want to lie on your stomach for a while, just because it's hard to get up out of it. However, there is no rule that you have to sleep on your back after OHS, and no damage should be done if you don't.

As far as stretching your chest, you absolutely should not remain in a hunched-over position or sitting in an armchair in a way that makes your chest concave (slouching). You need to breathe fully, and slouching will prevent you from using the lower portion of the lung lobes. In some cases, the very base portion of the lung there can collapse from being forced down by the ribs and fuse together permanently. Your lungs are recovering from surgery and anesthesia nearly as much as your heart is.

You may feel that you're protecting your chest by not stretching it at all, but you are setting yourself up for possible extended, even permanent rib pain, such as costochondritis. You need to expand your rib cage, to ensure your rib cage heals in the right shape and the cartilage, tendons, and tiny muscles regain their proper relationships with each other, and to ensure that you're breathing properly. Practice breathing with your entire lung capacity as many times a day as you can remember to do it (meaning slowly breathe in ALL the way).

Your chest is wired together with stainless steel. What you are avoiding are violent or weight-bearing movements, such as opening/closing a car door, picking up a gallon of milk (a pint is a pound - it's over your limit), handling anything over your head (even be careful shampooing), or thoughtlessly pushing yourself up from a prone or seated position. Simple motions won't cause any problems.

To loosen up your healing chest muscles and tendons, you do need some movement. Begin stretching slowly and carefully. Don't stretch past your limits, but do stretch your limits just a little. Don't use rapid or vigorous movements, as they may be difficult to control at this point. Don't use any weights of any kind. As things loosens up, try gingerly twisting at the waist from side to side. Again, slow and gentle are the watchwords. Try doing these things briefly, but at numerous times during the day, such as every time you get up. As the great Satchel Paige once advised, "Sort of jangle around when you walk, to keep yourself loose."

Nothing can guarantee you won't ever have chest pain later, but some activities like this can help avoid unnecessary pain from shortened tendons and intercostals (tiny muscles that run between the ribs).

Sit up and stand up straight, shoulders up and back, just like your mother told you. You should be able to do this even right after surgery. You breathe better and you heal straighter. Make it the way you want it to be when it heals solid.

Best wishes,
 
... what he said

... what he said

What Bob said is very consistent with what the surgeon said ("you can't hurt anything if you don't do anything crazy"), and what my neighbor the physical therapist said ("stretch a lot and work at keeping a good posture").

In the little book they gave me to take home, they had an excercise that called for raising your arm from your side until it was over your head, like when you do jumping jacks, but slowly and one at a time. I was afraid to do it because it made my chest feel like it was stretching apart. My neighbor the PT said it was a particularly important excercise to do, though you may not have that full range of motion the first week or 2.
 
You sound like you're doing great on your own already! I found that even though your chest area feels better to slouch over, your back muscles will soon start screaming from it, and that hurts way worse than any chest pain. I also found that after a few days, I just could not stay on my back another minute, so I started sleeping on my right side with a real soft afghan against my chest so I wouldn't accidently roll over, and it kept my shoulders from hunching together. Deep breaths will actually start to feel good if you inhale real slowly. You can feel your lungs start to work again. It's easy to get in a habit of taking shallow breaths, and then it's harder to stop it.

You've only been home for five days, so don't push yourself to get "normal" too quickly. Enjoy the resting and all the attention while you can.
 
A neighbor brought over one of those foam..type pillow, for reading in bed.that I used for about 2 weeks at night.I was sleeping in a twin bed that family brought down from guest room.Lower to the floor. made it easier to get in/out.....I happened to remember..that we had my M/I/l's cane..and asked hubby to bring it up from basement. It helped me to walk ..straight upwards..when I ventured outside in the yard..Around the 2nd week.....Take it easy...Nap a lot during the day..if you are not sleeping well at night. Bonnie
 
Hey Alex,

Your sounding great! Your chest feeling tight is normal. I still think they sewed me one size too small :D

You should definitely try to keep the best posture possible. Let it stretch, just don't overdo it. Increase it as you can.

I couldn't sleep on my back for weeks. Actually, I could sleep on my back, the problem was I couldn't get up again :p:D ;)

Take it easy and get well!
 
I was also told not to hunch over when I was in the hospital. As for sleeping positions, after the first couple of nights on my back at the hospital, not sleeping at all (not that I ever sleep in the hospital), I finally learned how to force myself to my side and to change sides by using all kind of muscles in my back I didn't even know I had!:D I was always afraid of forcing my chest, so I just learned how to turn without doing that.
 
Glad you're doing so well!

My surgeon gave me some exercises to do -- very gentle exercises that sound like nothing if you haven't just had your sternom split down the middle. They kind of stretched my sternom but in a very gradual and slow and gentle way.

I also was very strict about working with the spirometer, every hour as I was instructed.

The surgeon also told me not to lift, push, or pull anything over five pounds for the first 6 or 8 weeks. He also did not want me to drive for eight weeks and he told me to use a large pillow in front of my chest when riding in the car. I think this concern was primarily because of the potential of an airbag going off.

I slept in a very nice and firm recliner when I got home from the hospital, and eventually slept on my back in bed with my head elevated, and eventually my right side, and eventually my left side (maybe after the first or second month), with the occasional funny heart beats. I was very aware of those wires holding my sternom together and I didn't want anything to grow back crooked:eek:!
 
I just had my mitral and aortic valves repleced on Nov. 1st and I also experienced a couple of episodes like you describe whe I felt very dizzy even though I was sitting with my feet elevated in a rec;iner and I broke out into a cold sweat and my temperature dropped to 94 degrees. My husband was there and I asked him to take my temperature.
The first time it happened was evening and it lasted for five minutes or so. I decided that since I had an appointment with my cardiologist the next morning I woukd talk to him about it. He told me it was caused my a sudden drop in blood pressure and the it happens. That's why he said that I can't drive yet. Iasked him what I should do if it happened again and he said to lie down with my feet up and try to relax and breathe slowly and it would pass. Sure enough, I had another episode that evening and I did as he suggested.
That was close to a week ago, and so far I haven't had a repeat.
Today, I was feelig pretty good and I asken my husband to take me to Walmart where I drove one of those motorized scooters and looked arounnd for Christmas gift ideas and I enjoyed it a lot. It felt good to be out doing normal things again. I hope all goes well for you. It does get better.


Marcie
 
Thank you all for your responses!! This forum is truely composed of amazing, caring people. I don't know what I would have done without it. I will continue to stretch very carefully, try to straighten my back as much as possible and take a lot of slow, deep breaths. I was even thinking of going to the gym next week and getting on a bicycle or walk for a bit on the treadmill. I am going to ask my surgeon first, but I feel I can do it safely. Now if there was only something I could do to make these valves quieter ........:rolleyes:
 
Alex. Are you going to get signed up for cardiac rehab? It's a wonderful way to get back into the exercise regime while being carefully monitored and pushed at a safe pace. Our hospital had someone come by with all the info before I was released. Please do not go off on your own without your doctor's permission, or unless you are really really confident that you know how to guage your heart rate and such. And please look into the rehab. At the very least, you will meet some lovely, caring people who live in your own extended community who have been through similar experiences. And the rehab therapists are wonderful, kind people, too! If for some reason your insurance doens't think they need to pay for it, check back with us....they almost certainly DO need to.

Keep us posted!! :D

Marguerite
 
Marguerite, yes, I am going to go to cardiac rehab also. My insurance will pay for 14 sessions. I think I am going to start this week. I was thinking of going to my gym nearby because the center for the rehab is a bit far, and when the roads are bad here because of the snow, I will prob. go to they gym instead. I met my surgeons nurse today. She said I look great, and I can go to the gym as long as I don't use my arms. I'm pretty familiar with all the equipment at the gym, so I think I will be ok.
 

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