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Restarting The Heart After Surgery… A Fear For Barbara’s Husband

Posted by Adam Pick on August 5th, 2008

I’ll never forget my reaction when Doctor Vaughn Starnes explained to me the procedure for cooling, stopping and restarting my heart.

“So let me get this straight,” I emphatically questioned the gray-haired guru, “You’re going to stop my heart, cool it, fix it and then restart it using an electric shock?”

Doctor Starnes paused, looked calmly into my eyes and then replied with a simple, unemotional one-word response, “Yes.”

“Ohhhhhhhhh-kaaaaaay,” I slowly muttered in a humble daze as I pondered the magic of modern medicine.


Dr. Vaughn Starnes Using A Defibrillator To Restart Patient’s Heart

After this doctor-patient exchange, I processed the facts quickly. My sternum would be broken. My heart would be stopped. I would be put on a heart-lung machine. My heart would be cut. My aortic valve would be replaced. Then, my heart would be restarted with a defibrillator. Needless to say, those facts generated MASSIVE AMOUNTS OF FEAR in me.

Today, I know this fear is common in most patients and most caregivers. Barbara just wrote to me, “Adam – I am writing because my husband is scheduled for aortic valve replacement in two weeks. He has some fears even though we have confidence in his surgeon and cardiologist (Richard Shemin will be his surgeon at UCLA, and Larry Yeatman is his cardiologist at Santa Monica- UCLA). His fear is that his heart will not start-up after it is stopped during the surgery.” Barbara concluded with, “Is this a common fear?”

As I have written before, fear can be transformed into a helpful acronym – F.E.A.R = Fantasized Experiences Appearing Real. On that note, you should know that I have yet to personally hear of one patient whose heart failed to restart following cardiac surgery.

I hope this helps decrease the fears associated with hearts failing to restart following heart valve surgery.

Keep on tickin!

Adam Pick
Written by Adam Pick A dad, a husband and a patient, Adam Pick founded this website in 2006 to educate you about heart valve surgery from diagnosis to recovery.
You can get the latest updates about heart valve surgery from Adam at his Facebook, and Twitter pages. Click here to email him.

 


Becca Allison says on August 5th, 2008 at 6:01 pm

Barbara,
I don’t have the facts (Adam probably does) on how many successful restarts there are after surgery; I just know mine started back up without a hitch and two weeks after surgery (aortic replacement)is still going! It’s amazing how many are just fine, but doctors have been doing open heart surgery for over twenty-five years! Best advice is – get facts, but don’t dwell on them overmuch. You have chosen the best surgeon you can. When worry pops up, just reassure yourself as best you can. Prayer works really well for this, and if you have folks who will lay hands on you and pray for you, all the better. Let go of trying to control the operation – you can’t – and trust those who are doing it.
I’m doing great after my surgery! You will, too.
Becca

 


Dave Richards says on August 5th, 2008 at 8:32 pm

That acronym is spot on. I myself am the proud owner of heart that had a double valve reconstruction four weeks ago. After being diagnosed with MVP six years ago, my doctors told me that I would require surgery at some point in my life. Eight weeks ago, the prolapse worsened and the inevitible came to fruition. F.E.A.R. took hold of me as I told myself I was facing my own mortality. My surgeon pulled me out of that tailspin with his calming self-assurance and incredible humanity. Adam’s book, a comprehensive insiders look at what we’re all facing or have gone through, also helped to lessen the fear and mystery of the whole process. Can we talk? Without surgery, what’s the prognosis? If the answer is “not so good”, then get ready to be happy. You are truly blessed, you are lucky to be the beneficiary of groundbreaking procedures pioneered by surgeons 30 years ago and improved upon ever since. If it were 1975 right now, most of us probably would have required a heart transplant. My god, can you imagine going through such a thing and just how lucky each and every one of us are? Barbara, everything will be OK.

 


Alicia says on October 18th, 2010 at 6:26 pm

Hi, my name is alicia I had a tumor removed from the surface of my heart and lungs. I wonder when doctors stop my heart was I considered dead or unconscious. My heart was with restarted a defibrillator. Can someone answer this question?

 


Karen Sanchez says on July 21st, 2013 at 10:01 pm

ACLS teaches not to shock asystole. In surgery though that is how you restart the heart if it doesn’t start beating spontaneously from warmed blood circulating. Why does shocking the asystolic heart restart the heart if it’s true asystole ? Thank you. for the answer. KS

 

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