Hubby had his first OHS in 2009 (at age 45)- BAV replaced with a carbo medic mechanical valve - surgery uneventful, and a beautiful recovery. Almost a year to the day, had a major brain bleed - surgery, coma, etc. Second OHS in December, 2010 (clot formed on mechanical valve and was throwing emboli to the brain). Second surgery far more difficult; medtronic, freestyle, porcine tissue valve placed. Despite numerous complications, extended hospital stays, etc. he has had a most amazing recovery! We are scheduled for his 'annual' at the end of March - up until this point, my husband has always been very positive and upbeat, recognizing that there is only so much he can control. This time, he is far less positive, and has expressed concern...I listen, and try to better understand, but he has trouble articulating exactly why he is concerned this time. I'm hoping those who have actually been through this, (more than once) can share some wisdom, on how I can best support him. I sometimes think it's the waiting that is the hardest part, but also believe that positive thinking is important to one's overall well-being; that being said, I'm not in his shoes...Thanks for your perspective.