After open heart valve surgery, it is very common for the patient to be incredibly aware of all the potential problems that occur during the recovery. For me, my awareness to anything and everything problematic was sennnnnn-sational.

To some extent the patient is entitled to a little bit of neurosis.

I mean, open heart surgery is pretty invasive and pretty serious.

For me, I had aortic and pulmonary valve replacements (via the Ross Procedure) ^[1] due to a bicuspid aortic valve ^[2]. Thus, my chestbone was split, my heart was cut open and my heart valves were replaced.

Accordingly, I was incredibly cautious to do anything that might infringe on my sternum healing. In my head, I replayed the same thought, over and over and over again… “Don’t break. Please don’t break.” As I would later learn… I would not break.

However, that did not stop my fascination with potential issues and roadblocks to healing.

In particular, I noticed a distinct ‘clicking’ sound when I got in and out of bed. I’ll never forget the first night I heard it. I was getting into bed when I heard… “CLICK!”

I immediately looked at Robyn (my fiancee).

“Did you hear that?” I said with concern.

“No,” she said, “What is it baby?”

“My chest… It just clicked,” I said with more concern.

She assured me that I was fine and we went to sleep.

A few days later the same thing happened when I got out of bed… “CLICK!”

“Could something be wrong with my chestbone? Did something go wrong during the median sternotomy? ^[3] Are my wires not tight enough?”

It started to drive my crazy. I ‘clicked’ here. I ‘clicked’ there.

I really thought something was wrong going into my seventh week post-operation.

I was so concerned that I went to see my surgeon, Dr. Vaughn Starnes at USC ^[4]. I explained my neurosis and Dr. Starnes assured me that it was normal.

With that, I was completely comforted knowing that I was not going to break.

Guess what?

Now, fifteen months after my valve replacement… I’m still ‘clicking’.

It doesn’t hurt.

It actually feels good.

Almost like a good knuckle crack!!!

Keep on tickin!