Ramblin Gramps back in the day...

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SumoRunner

Well-known member
Joined
Oct 25, 2006
Messages
941
Location
Latham, NY
I acquired the damaged valve from two bouts with rheumatic fever at ages 5 and 10. We're talking 1953 and 58 now, so there wasn't much they could do about it back then. I remember the pediatrician telling my mother while I was within earshot that I could lead a fairly normal life up to about age 40, but after that there was a big question mark. The fixes we all know and love today simply weren't available 40 years ago.

They had some strange medical procedures at that time too. Strange in today's terms, but the medical profession was still just learning about the new "miracle" drugs. I was placed on penicillin prophylaxis. That is, a regular preventative dose. At first it was a shot once a month, a huge canister sized injection - or so it seemed to a 10 year old - of penicillin. Later it went to two tablets a day. You know, the way they want everyone to take aspirin daily now, that's what they wanted to do with antibiotics in the 50's. This continued up through high school in the mid 60's. Maybe even later. I can't recall just when they stopped.

Now, I know what you're all thinking. Taking antibiotics all the time can be counter productive. They didn't know that then. They do now because they found out from guys like me. I used to tell my doctor each year, "Y'know Doc, anytime I go off these penecillin pills for even a couple days I immediately catch a nasty cold or flu." Now we know why don't we? But I got caught up when they finally stopped the program by being sick almost constantly for a couple years. Luckily by the time I got married my immune system was more or less recovered. My wife taught elementary school and a class full of 8 year olds will possess every disease known to man on any given day and they don't mind sneezing it all over you either.


The thought process among MDs back then was also that you would have to take it easy, never overstress yourself and maybe you would last longer. So I was condemned to a sedentary life, or so it began. I learned differently much later. I couldn't do high school sports. I did attempt to try out for cross country running once but with the first physical I was shunted aside and told to stop. It kept me out of the Army a couple years on. I'm old enough to have been called up by the draft board. Younger folks have no idea how much fun the old military draft process was. I showed up for the physical at the induction center as requested. Guess who was the consulting physician on the local board. Yeah, my old pediatrician. I was shunted aside and handed a 4F (unfit for military duty) classification. On the plus side, had I gotten through, I would likely have been in Viet Nam in time for the Tet Holiday in 1968. History buffs and old-timers might recall that was not exactly a holiday for the troops.

And so it went, at least in the early days. Things are different now, but I'll save that for another day.
 
Jack,
I fully understand what you are referring to.
I am ten years older than you, so how many here would have a clue what it was like for people our age.
We were in the middle of World War 2, there was very little medical available to us. Most doctors were trying to save our military.
Rich
 
Yeah, but most the the truly anguished posts on here seem to be from much younger folks. That's mostly who I write these screeds for.
 
Jack

Jack

Remember the old saying..when you get old..you can remember..things from 50 years ago..but, not what happen yesterday?:D I remember about ..1950..my sister was age 5..We were at grandparents house in Alabama..VERY rural area of Alabama .and she got so sick..that the Country doctor told my Mom..to keep her high faver down..or it could turn into Rheumatic Fever...I was a scared age 10 year old..but that name..Rheumatic Fever..stayed in my mind..all these years..We had to spend the night..and remember my Mom fussing with Aunt about the only fan in house to be put on my sister...Aunt was more concerned about the electricity bill.:eek: ...I think they had just got electric services down there.I remember that we left the next day..to go home..Cannot remember what happen after that..just the name..Rheumatic Fever. thought my baby sister was going to die..yet, she is alive today and doing great..with no heart problems.:) Point trying to make..yes, even old country doctors knew way back then..60 years ago..about Rheumatic Fever.....Bonnie
 
Hi Jack, I couldn't help but respond after your post. Because some of the things you said were so eeirly familiar that I had to kinda stop and think things were A LOT different back in the day but I had some of the same experiences years later. I had rheumatic fever at age 12 and I was on penicillin prophylaxis from age 13-18 and that was 1996-2001. I was taken out of phys. ed and put in the "special" gym (with the physically challenged and pregnant teen girls), I was also given my first elevator pass in school, so I wouldn't have to climb stairs in between classes. Nothing physical. It seems as though with all the medical advancements made in those years a lot of the advice from doctors didn't seem to change much. Maybe it's the rheumatic fever guidelines that didn't change. I just found it very interesting and please continue rambling. I like hearing of peoples experiences, obviously that's what this site is made of.
 
I find it difficult to believe they still do that. I thought it was discredited decades ago.

I remember the year after going off the penicillin prophylaxis I took 8 weeks of sick leave, not from any one major thing, just one little thing after another. Many years later when I was going in for the open heart surgery and was planning on taking the full 6 weeks off, I checked my records and found that I had taken only 2 sick days in the previous 18 years.
 
When I entered the University of Wisconsin (go Badgers!) in the fall of 1977 I was put on pennicillian prophalaxis because the cardiologist at the university health center said I needed it "because it is a big school and there's a lot of germs around here". At some point during my college years I was told that it wasn't necessary to take pennicillian every day, just before dentist visits. Sounds like your dr's had you off it before then. Thankfully I didn't have the resulting years of colds that you did, I was only on it for maybe 2 years.

Still, through all the various Dr's they all acted like the murmur was no big deal and as long as I didn't catch another round of strep or other infection in the heart that I was good to go forever, well, you know what I mean. None of them mentioned issues later in life :confused:

Rheumatic Fever age 12 - Now 47
3+ MVR - Markedly dilated left atrium.
2+ AVR, 2+ TVR
Surgery - soon?
 
Ramblin Gramps is a pen name I've used a couple times in articles I wrote for the Hudson Mohawk Road Runners Club. It's a fun name because I really am someone's gramps and I really do ramble. Grandson number one actually calls me Gugga since he can't get the whole name right just yet. Now my daughter delivered a second grandson last Sunday, Shane Goldberg, 8lbs 8oz, newest resident of the town of Glenville, NY, for me to spoil rotten. Boy do I have some stories to tell them as they grow.

Anyway, previously I told about the early days, but that stops somewhere in the early 70s. That's when I decided to take control of my own life. I didn't want to "take it easy" for the rest of my life. I wanted to live a full, active life and I knew I could and I knew by then that the medical profession was not always acting in my best interest.

I learned that there were new procedures for replacing damaged valves. The first ones were tried in the 60's and by the 70s were no longer considered experimental, although still risky. I learned that new research was beginning to reveal that exercise was good for the heart, even one with a minor defect such as mine. What a concept.

So I determined to get myself in shape. Good heart shape. I started to run in 1973 and continued on and off for several years. Not a whole lot and not with any high intensity. About 1.5 to 3 miles at most and since I didn't time myself, I had no idea at what pace, just casual jogging. Plus I did a bit of other normal exercise stuff, sit-ups, push-ups, light weight lifting.

And I felt good for the first time in my memory. I wasn't sick all the time. I could bound up a few flights of stairs with little effort. I could hold my own lifting normally heavy things that any other man would normally lift. I was, I don't know how to say it otherwise, just normal, and that felt great.

By 1978 I began running road races, having boosted my weekly mileage to 25 or 30 on average. I ran 5K's, 10K's, 15K's even a half-marathon (13.1 miles) and I started to run them hard too. The highest intensity races were the short ones of a half mile or one mile. I got close to 6 minutes flat for the mile but never broke through. By then I was in my mid-30s. I also continued doing other stuff too, even tried a Triathlon in 1986. Now I never intended to be an incredible hulk or anything either, but by that time my own Mom started calling me Mr. Muscle. Simple things like 50 push-ups a day for 10 years can do that. You don't have to go bench press 250 lbs. Long term consistency is the greatest developer.

I ran most of my best times when I was 40 and 41 years old. That's how long you can continue to improve. But sooner or later mother nature will turn the tide on you. By then you don't really mind, or I didn't. I don't know about you. And though it was not obvious to me the aortic valve was deteriorating, so by age 43 it was time to get it fixed.

When I started down this path in 1958, there weren't any good fixes. Now, by 1991 it was somewhat routine. My trust in the medical profession was restored. They had made a lot of progress. We both had. So I thought back to the conversation I heard between the pediatrician and my mother when I was ten with him saying I could lead a relatively normal life but by the time I was in my 40s it would start to give me trouble. He was right all along. Maybe he was smarter than I gave him credit for. The only mistake he made was the advice to "take it easy".

The way the valve deterioration finally came to a head was another long rambling story, which I wrote in excruciating detail some time ago. I have a series of those articles which I wrote also for the H-M RRC at the time it happened and again later as I passed 5-10-15 year anniversaries of my OHS. No sense in detailing it here, you could find them by going to the home page in my profile.
 
An interested topic!! Just wanted to mention my own experience - I had MVP diagnosed at 13 but was told by many doctors over the years that it was a "benign" condition - EXCEPT for when I had a superannuation medical done by an elderly cardiologist in 1988 - his report said that I had only mild prolapse and mild regurgitation but that there was a small chance my condition could cause problems in 20 years time. Amazingly enough he is going to be just about spot on with the timing.

P.S. 20 years seemed so far away at the time :confused:
 

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