emotions after surgery?

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M

MNmom

Hopefully this is the right spot for this question- how common is it really to become depressed (or just emotional) post OHS? At this point (2 days prior to surgery) I feel like waking up will be so relieving and joyful, how could i possibly be depressed? Though I suppose I should know that clinical depression is chemical- is it due to a chemical imbalance after surgery, or is it more just emotional because you can not do what you are used to doing? Again, I feel like I will be thrilled to have woken up, and will take anything!
:confused:
 
Let me assure you that it's perfectly normal to go through a period of post-surgical depression. In fact I believe the condition "cardiac depression" accompanies a majority of open heart surgeries. It seems to happen a lot less often with coronary artery bypass surgery since usually the patient feels a lot better immediately after surgery, while OHS takes a lot longer to recover, and you know that your life now depends on some prosthetic valve, a length of dacron or some other cloth tubing, or (in my case) a dacron ring reinforcing a pieced-together remnant of the mitral valve I was born with.

In addition, it's frequently a result of the heart-lung bypass most of us are connected to during OHS (in my case 62 minutes). It does weird things to peoples' brains. Some feel perfectly fine after waking up, but even they experience memory problems. Others, like me, have lots of up and down days, plus slightly more profound memory problems--but my intellect has survived intact. Then there are a few who develop permanent deficits of some kind, nothing really specific, but it's almost like 10-30 IQ points have been shaved off their intelligences. One common thread, though, is the depression. If you're already susceptible to clinical depression--be prepared--you're probably going to get a humdinger of one. I did. Be sure your family, friends, mental health support, pastors all are there for you. Don't be ashamed of even taking some sort of antidepressant for a period of time if your doctor/counselor/psychiatrist recommends it. It's not an absolute that you'll get a severe depression, though--in fact knowledge that it may happen and why it may happen may help you fortify yourself against letting the depression overwhelm you.

Yes, it's major surgery, so your body is probably sending a message to slow down and take it easy--it's saying "Hey, I'm healing here--give me a break!". Depression, sometimes, is our minds' ways of saying 'slow down this is too much.' Sleep 14 hours and cry it out a bit if have to, then try to get some smiles into your life--watch a comedy--just not too funny--I know--laughing too hard just doesn't feel that good on OHS incisions. Maybe a cheerful show--something rated G like Chitty-Chitty Bang-Bang, or Sound of Music would be nice. Listen to some cheerful music--I like Grand Canyon Suite, or music from movies such as Field of Dreams, Star Wars, Star Trek, or some classic Bing Crosby style musicals. If you're so inclined, cheerful Christian or other religious music could help fortify your soul during this trying time.

If you write in a diary or journal in some other way, might as well take it up again, and put your thoughts on paper (or on screen)--it helped me gain some perspective on what had happened to me. Perhaps even just coming here to this support website will cheer you up--since we all can relate to what you've just been through in many ways. When we say "We understand how you feel," it's true. It isn't some pitying platitude--we DO understand and have the scars and mended hearts to prove it.

If you can get a view of outdoors, look at the green trees and grass of late Spring and enjoy the life you can see. Life is life--just knowing you're still here to see it can bring a special spark of joy even now.

One thing, though, that I've heard and believe to be true after my own experience, is that you should limit the amount of time you spend with lots of different people besides your (let's presume you're married--I don't know if that's true or not--so forgive me if I'm wrong here) husband--even children (again your username suggests this) can be difficult to deal with at this time. My mother flew in from out of state and took care of my children in Buhl (about 130 miles from the hospital) during my entire stay at the hospital (8 or 9 days) and only my wife was there with me--my mother did not bring them to see me--I merely spoke to them on the phone a couple of times. Then I was ready to see them when I was sent home. Even so, I could only take them in short bursts for the first few weeks. Gradually I resumed normal time with them (yes I admit they still tax my strength more than before surgery, but that's just me, but normalcy is returning even there).

Finally, it does come to an end. A few weeks or several months, but either way it does go away. The post OHS cardiac depression will pass, though it may come back at odd times for a time after surgery--but usually only bad for a day or two--then back to recovery. Most of the longer term post OHS people here are doing fine now as I will pray that you will do, too.

Take Care, and God Bless--You're in my prayers.

Chris
 
Depression and Cognitive issues are not uncommon following OHS.

Two things that have been found to minimize cognitive deterioration are Good Filters following the Heart Lung Machine, and SLOWLY raising body (and especially brain) temperature following surgery. These would be good topics to discuss with your surgeon prior to surgery.

I have read 2 different theories on why raising body temperature too rapidly can cause cognitive deficiencies. One theory was that gases are released by the blood if warmed too rapidly, causing 'mini-strokes'. The other had to do with the brain not dealing well with being warmed too rapidly. Supposedly, an increase of only a few (5 or 10 minutes) to the normal temperature 'ramp-up' prevented this problem.

I remember 'coming to' following my second OHS and being pretty alert on awakening. I found 'waking up' to be a nice UPPER, realizing that I had "made it"! :)

Best Wishes and Good Luck on your surgery!

'AL Capshaw'
 
THIS HAs been an ongoing discussion in VR over the years. depression and heart problems can go hand in hand. If it gets to where you think it is unmanageable you might consider some medical help with it. Please discuss it with your doctor. Blessins.........
 
I had some cognitive issues but the fog lifted and has not returned, in my opinion:rolleyes::D....my wife would argue that point:)....Many people find themselves on the emotional roller coaster but not all.....I did not have a lot of that....sure I got down when my recovery was not going as fast as I thought it should....but it was right on schedule, not my schedule but on schedule none the less.....And I'm with you...the gratitude was there...the better I felt the more grateful I was.....I'm wishing you the best.....Godspeed.
 
I am three weeks post-op from my AVR. I have good days and bad days. Much of it comes from not getting a good nights sleep, I get cranky. But some times I just feel like I am penned up not being able to do anything.

I am a big reader, yet because of the "fog of surgery", I couldn't read anything for a good week after I got home. THAT was depressing me. TV was just idiotic and I got chills when I went outside to sit.

I sometimes get a little cranky with my wife, but God bless her, she has been my saving grace during all of this. I don't WANT to be cranky, it just comes up out of no where.

Let your support group know that there will be good days and bad days. Keep small goals in mind and keep track of the changes after the surgery no matter how small they may be. (i.e. first time sitting outside, first time taking a shower by yourself, first time sleeping on your side, first time making your own dinner, etc)

Dwell on the positive and you will overcome the negative.
 
...Again, I feel like I will be thrilled to have woken up, and will take anything!
That was my first thought, "Well, I made it!"

About the fourth day post-op, I went into some kind of horrible panicky worry mode that I believe might have been related to too much pain meds, but it was fairly brief.

I don't ordinarily suffer from depressed thoughts but I did have some fairly gloomy days off and on when I got home from the hospital. Some of that was external though--we live in a rural area but I had to be readmitted to the big city hospital for a few days for a complication and when we finally got home again, our home barely survived a horrible wildfire. I also recall suffering from some post-op high nervous tension within the first couple of weeks post-op in that I watched a couple of kiddie movies and was very disturbed about what was going to happen to the little characters in the movies.

Cognitively, I'm also usually a reader but I couldn't concentrate on reading at all for awhile. I read here pre-op that it's a good idea to not be writing checks and such early on post-op and I personally found that true--the concentration on that kind of thing, for me, was difficult. But I think any cognitive issues have resolved for me.

I hope that wasn't too much info :) .

Like Strudell mentioned, rest and proper sleep is extremely important, of course. Do I recall correctly that you have small children? If so, do you have reliable help with them post-op?
 
Ernie had anxiety attacks, depression, and was very emotional after surgery.
It gradually calmed down, it was difficult to deal with at first, because we didn't realise that is was so common, but it is amazing how many people suffer from this.We just took things one day at a time.
All the best
Wendy
 
Depressed?

Depressed?

As others have noted in their posts, the depression thing post-OHS is pretty normal. I was diagonsed with a form of post-traumatic stress syndrome a couple of months following AVR surgery. It hit me like the proverbial hammer when it got me. My recovery was going extremely well and was fairly fast paced. All it took was a situation where I felt badly about having to let a long-time employee go. The night it triggered, I could have killed myself and not even thought about what I was doing.

The answer for me was to go on meds for awhile. The meds didn't dramatically alter my mood, but they did help take the edge off when lots of negative stuff was going on. I think I did the meds for about six months.

-Philip
 
I was also thrilled to wake up and realise it was over when I heard my valve ticking. After a little while I then became rather demanding, which is not usual for me. Thankfully that stage only lasted a short while and I was most grateful for the undivided attention I was getting. For a few months after surgery I was rather quiet and spent alot of time just observing everyone around me and not really interacting with the world around me...eventually I got back to normal.
 
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