On June 12, 2010...
Hi Ricki,
I know what you mean about the time flying by. Can't believe that its 10 days for me already. Like you, I tire very easy, and find myself getting a little out of breath, but feel I'm not drinking enough, so will take a page out of your book and start drinking more. To be honest, I didn't have an appetite or want to drink anything, and I realize that I must make myself do so. Otherwise, I'm doing really great. I see my family doctor for a followup on Monday.
Diana
On June 10, 2010...
Hi Ricki

I'm so glad to read your cheerful posting this morning. It sounds as if you are doing well and certainly you have a wonderful frame of mind. Good for you. Praying for your continued healing.

Cheryl, Ontario
On June 10, 2010...
Hi Ricki - so good to know that you are progressing well. Thank you for the update.

Joy V.
On June 10, 2010...
I'm SO HAPPY that everything is going so well!! You're an inspiration to anyone facing major-serious surgery!
Emily
On June 10, 2010...
Hey Ricki,
It was good to read your latest entry. Kimberly has been home for two days now, and is still in quite abit of pain. It was good to know that there is some light at the end and I believe your writing will give us both some insight of what to expect over the next two weeks.
It's good to know that things are getting better, and thankfully, you had a good caretaker in your husband.
Keep going
David and Kimberly
On June 10, 2010...
Glad to hear recovery is going well. I have a little treat for you I got in Belgium. Hope to see you back in action soon.

Steve
On June 10, 2010...
Good Morning Ricki
Was about to write to you as we haven't had a post for awhile. Such good news that you are doing so well. Keep up the good work. I know what you mean about the size of the potassium pills as I have been on them for years along with my daily diuretic. Keep up the good work.
Fran Z
On June 10, 2010...
I don't think a moment goes by when Jodi and I don't think about you. We're so glad you're doing well and hope to see you very soon. /J
On June 9, 2010...
Hi Ricki,
I really appreciate your info. I am going to get more aggressive with my doctor. I really resent having to get upset to get what is rightfully mine, but that is life!
Did you have to have cd's of your tests? Also, who is your Doctor at the Cleveland Clinic? My doctor's office made the comment that the list of what they want is quite extensive, so I felt giving them a little time was fair, but they have had over two weeks to deal with it.
Can you elaborate on the consultation when you first went to the Clinic. I would really like to know what will happen. Thanks Linda S.
On June 2, 2010...
Hi Ricki,

I am glad to hear you are doing well. I had alot of fatigue at first myself, but Cheryl is right, listen to your body and don't overdo it. It will get better and better each week. I continue to pray for you and your family during your recovery!

Melany
On June 1, 2010...
Hi Ricki,

The fatigue you are feeling since you've arrived home is completely normal. Just listen to what your body tells you, and don't overdo things.

I have been there, and have learned from my own experience. The first few weeks at home can be tricky to navigate.

I'm almost 6 months post-op (mitral valve replacement), feeling good and getting stronger all the time. But I'm still learning to pace myself. Give it time!

Susan Murphy
Overland Park, KS
On June 1, 2010...
Ricki,

Glad to hear your visit with your internist went well. It seems that you are well on your way to a full recovery.

Isn't it great that the surgery is a thing of the past? Take care.

Elaine
On June 1, 2010...
Great Ricki. Guess I don't need to weigh in on fluid retention as it seems you have the opposite. The most important suggestions I believe are to use your spirometer and move. Walk for 10 minutes or so a few times a day in your home if necessary, especially if you're a little leery about walking outside without your husband.In the begining I always felt more secure walking outside with Pete, especially as I became more short of breath. Keep healing and doing so well.
Fran Z
On June 1, 2010...
I'm so glad things are going well. Bravo!! You'll get better and better every day.
This has been a great way to keep up!!
Emily
On June 1, 2010...
Hi Ricki

Glad you visited your doctor for reassurance. Praying for your continued recovery without any problems.

Cheryl, Ontario
On June 1, 2010...
Hi, Ricki,

I'm glad to hear you're home and that you're catching up with your internist. You're such an active person I know it'll be hard to rest, but you can do it, and the end of summer will be here before we know it! You go girl!

Cindy
On May 31, 2010...
Hi Ricki

Great to hear you are progressing but I just thought I'd dash off a quick note about the exhaustion. Keep a watchful eye on your weight just in case you are building up fluid. If you are you should eventually feel pressure in your chest. I would think Fran will be weighing in on this one because she is certainly the queen of fluid retention and exhaustion. If you don't hear from her soon, you might write in her guestbook and ask. You've been through a lot so maybe you are just expecting too much. Be cautious.

Cheryl, Ontario
On May 30, 2010...
Ricki,
Glad to hear you are home and all went well. I hope your exhaustion gets better. You will be in my thoughts and prayers.
Kimberly S.
On May 30, 2010...
Hi Ricki,

It's good to be home! Sleeping on your side, that's a real big step. It's hard to gauge what makes us tired and how often. This is going to take time and you will find there is no set pattern. Somedays you will feel great, rested and looking forward to the next day at the same level. Forget it. Let your body tell you either to get going or to relax. Are you sleeping through the night? I am having a hard time getting more than a good 5 hrs. which is affecting my mood and stamina. Trying all kinds of otc sleep aids and hopefully a good nights sleeps is in my future. Your strength will come back but at your bodies timetable. So, take it easy and listen to your body. A good afternoon nap maybe all you need to fuel the next day.

Sandy

On May 30, 2010...
Hello Ricki,
Oh, I'm so happy to hear from you. Sounds like your doing great strides. Even tho I haven't had my surgery yet, I have had numerous other surgeries. Just remember, your body has gone through a tremendous ordeal. Not to mention your trip back home, puts a great deal of stress on your body. It will bounce back, just take one day at a time and try to increase a little each day. Listen to your body, it will tell you when its had enough. It hasn't even been 2 weeks yet. I think your doing wonderful in a very short amount of time. Give your body a chance to regroup. Your strength will come back. Each day will get better.
You will continue to be in my thoughts and prayers. Keep up the good work.
Thanks for telling me about the breathing tube. That's the only thing that really terrifies me. The rest I can handle. Silly isn't it? But, if you could do it, I can too!
Diana
On May 30, 2010...
Ricki
Don't think the fatigue is not all that unusual. Just remember, you are now out of the "safety net" of the hospital and emotions enter into it also. I think now that you're home and you have less distractions you are able to thought process more than you could in the hospital and the enormity of it all may hit like a ton of bricks. You know that even though you don't feel like it you do need to walk a few times a day. Just start off doing it in your home and time yourself. You'll then know how much you're progressing. Can't stress using the spirometer also! Prayers for continued healing.
Fran Z
On May 30, 2010...
Good Morning Ricki,
Was thinking about you and hoping that your doing well and getting settled in at home.
I'm down to countdown time again. 3 days and counting.
Diana
On May 28, 2010...
Ricki,

Thrilled you are back in Greenville. Welcome home!!!

Beth
On May 28, 2010...
Ricki happy you are on the road to recovery and are healing.
love,
Juan
On May 28, 2010...
Ricki,

My dear happy you are healing, stay strong.
On May 27, 2010...
Hi Ricki

Wishing you a safe journey home. Glad things are well with you.

Cheryl, Ontario
On May 27, 2010...
So happy to hear you are on your way home and your "new" life with your "new" heart:)
Kimberly S.
On May 27, 2010...
Congrats on your next step, homeward bound! Look forward to hearing from you once you get all settled. Be safe!
Diana
On May 27, 2010...
Ricki,

All of us at Capital Design are happy that everything is going well. We continue to look forward to your updates. Safe travels home!!

Mark
On May 27, 2010...
Dear Ricki,

Fantastic news! It will no doubt make you feel much better to be home with Ron. Have a wonderful weekend and relax.

Cindy
On May 27, 2010...
I'm so glad to hear that you are going home. Safe travels to you and Ron. I admire your strength!

Love,

Barb
On May 26, 2010...
Ricki,

Sounds to us like you're doing really well! Please don't hesitate to call on us, if we can do anything for you when you get back home. In the meantime, I picked up some champagne today and we're chilling it for you and Ron when you are ready.

All the Best,

Bill & Dinah
On May 26, 2010...
Hi Ricki

I think the pain you experience has much to do with your pain tolerance and fear of pain. I have a high pain tolerance so on the third day after surgery switched right over to Tylenol Extra Strength and that's what I used at home. Bear in mind that going without pain meds when you are having pain isn't going to help you heal faster because you won't want to do your exercises and walking. I recommend buying whatever you think would normally handle the pain. What would you take for a dandy headache? I found percocet made me feel sick and weak. Good luck.
Cheryl, Ontario
On May 26, 2010...
Good Morning Ricki,
In answer to your question, maybe if you tried taking 1/2 the dose of percocet, that might help with the wooziness. And that way, instead of taking it every 4 hours, you will be able to take it every 2 hours, because you have cut the dose. Anything would be better than nothing at all, right now. Or, maybe take 1/2 the dose with extra strength tylenol. Check with your doctor to make sure that would be ok. Let me know how you make out.
Heading home today, that is fabulous! Way to go! I'm beginning my countdown, 1 week from today, I pray! I really hope so because making the bed is a chore now, and have to sit down and let the pain and breathlessness subside.
Keep up the good work, girl, your doing a great job.
Diana
On May 25, 2010...
Ricki,

When I was in the hospital I was on morphine than percocet. Couldn't tolerate the percocet as I broke out in sweats. The medicine was than changed to dilaudid (generic hydromorphone). This helped taked the edge off the pain.

Glad you are awaiting discharge. Each day does get better.

Elaine
On May 25, 2010...
Ricki,

In the hospital they were giving me oxycodone and a perscription for that when I was released from the hospital. I only took one of the pills from the script, the morning of my first day at home. I switched to Extra Strength Tylenol and it worked well for me. I took 2, 3 times a day. I realize everyone's pain tolerance is different. Thankfully, I wasn't in much pain.

Frank Dvorsky
On May 25, 2010...
OOPS! forgot to sign my name. Sandy

I too liked that torandol and they did the same with me. I did get very nauseous the first morning in step down when they gave me my pain meds way before breakfast. That stopped real fast when I found out you shouldn't take that stuff on an empty stomach. I did the same routine at home; eat first before your first pain med.

When do you fly home?

Sandy
On May 25, 2010...
Hi Ricki,

Fran is right about the doctor/patient thing. Dr. Gillinov put me on Oxycodone. I was concerned about the addiction and everyone said to discount that and deal with the pain. Take the meds before the pain gets out of hand. I was prescribed two Oxy every 4 hrs. and I took them, last two before bed. I did renew the scrip when I got home. I took them for about 2 1/2 weeks with skipping and prolonging the time until I quite.

This must have worked for me since I can't recall serious or long periods of pain. Then again my pain tolerance could be different.
On May 25, 2010...
Hi Ricki,

Toradol is great, but it is six injections and done. Toradol is a high powered Ibuprofen, so it is really a potent anti inflammatory more than a pain releiver. I started it in ICU, so was done early on day 3. When I went to Percocet, two pills at a time made me loopy, so I went to one pill every four hours and did fine. I felt Percocet was easier to adjust to than Vicodin (which I have never had, but wanted to avoid it on reputation).

I was able to discontinue Percocet by day nine post up as my pain was minimal, even with a median sternotomy. I was (am) taking three Ibuprofen 3X a day to deal with Pericardial Effusion, so that is probably helping the inflammation as a whole. Each individual is different, so keep working with it till you find the relief you need. I hit my three week post op anniversay tomorrow.

Hope all is going well on J6. Say hello to Theresa and Lauren if they are your nurses, they were wonderful for me.

Good luck,
Mark Long
Kleer, TX
On May 25, 2010...
Hi Ricki
Even though we were both at the Cleveland Clinic, different doctors order different pain meds. Dr Gillinov ordered Vicodan for me. I only used one, 2 or 3 times a day and definatly took one at bedtime. Because I take Coumadin I was not able to use any of the ibuprofen type drugs and Tyenol didn't seem to do much. After a couple of weeks I no longer had any pain and just took the Vicodan for sleep.If you read Adam's book, do you remember that he became addicted to Vicodan? My cardiologist switched me to Tylenol with codeine which I again take for sleep. Still have pain in my left shoulder blade area and that takes the edge off so I can fall asleep. One day soon I plan on needing nothing for pain. It's different for everyone and it may be that taking the Percocet with food and plenty of water will help if you're not already doing that and with time our bodies do adjust. Hope it works out and so glad you are being discharged.
Fran Z
On May 25, 2010...
Hi Ricki

Have been enjoying reading your journal entries. I can well imagine how frightened you were when you hit that wall. You are probably going to find that once you get home and the pain from the incision subsides, you're going to start noticing pain everywhere else big time. There are a lot of little physical feelings that are going to be new so try and embrace them and know that is just you healing. I think you are doing amazing.

Keeping you in my thoughts and prayers.

Cheryl, Ontario
On May 25, 2010...
Chicken tikka masala and naan in Madrid, in your honor tonight. Next time we'll do it together. Glad things are going well and see you next week,
On May 25, 2010...
Hi Ricki,
I was going to ask you if you felt any difference after surgery with the shortness of breath, the tightness in the chest and the pain. I'm glad to hear that it passed for you. I know that its scary. Your doing so well, you have to remember that your body went through an enormous amount of stress recently. It all takes time. My thoughts and prayers are with you.
Diana
On May 25, 2010...
Wow, what a scare! When we're feeling well (or okay) it is easy to forget the trauma our bodies have been through with our valve surgeries. Maybe you will need to consider taking your pain medication a little more frequently and possibly before boarding your plane so you will be as comfortable as possible. Do you have a direct flight from Cleveland? Hope you will use the wheelchair at the airport. You'll get VIP treatment there, they are so used to heart patients from the CC. I carried my heart pillow on board with me and it helped with the couple of coughs that I had. You have been brave and have done well. Can't get over the fact that the lasix took off so much fluid so quickly. It took 3 weeks (even with a double dose of my diuretic) before I was at pre-op weight. Praying for you to have a smooth recovery going forward. Any idea when you're being discharged?
Fran Z
On May 25, 2010...
Hi Ricki,
Glad to hear that you are doing better day by day. Sounds as if your doctors are making all the necessary medication adjustments in response to your input, and that is a very good thing. Just take it slow and take your rest seriously. Pub Board will celebrate your recovery in style you can be sure.
Best, Joan
On May 25, 2010...
OK, so when can you have chocolate??????
On May 25, 2010...
We love hearing from you and knowing that things are going well and that you are being such a good patient. Bob approves of what he reads from you and Ron. We have been in Philly, DC, and New Haven, CT these past 2 weeks but have been keeping track of you postings. And we are thrilled with your progress. All the gitchell's, Mumford/Gitchell; and Dorfman/Gitchell's send their love and good wishes to you.
Love, Debbie and Bob
On May 25, 2010...
Great to hear, Ricki!
Yes, recliners are wonderful.
I also recommend adjustable beds--(I have them at both houses) that allow you to sit up, fully supported, and watch TV, read, etc. You can also sleep with legs elevated (or other body parts as needed!!).
Keep on improving! Thanks for updates.
Emily
On May 24, 2010...
Ricki,

You don't know this but your posts have been my rock. My husband, who is 39 will be having an aortic bicuspid valve replaced in 3 days. We are originally from Cleveland and I SO wanted him to go to the clinic and recover with our family that still lives there. He wouldn't hear of it. So, we are having this done in AZ. My husband is of the mind set that ignorance is bliss, I am of the Knowledge is power pursuasion. I am so glad you are doing well. You have been in my prayers.
On May 24, 2010...
Starbuck's coffee cake AND ice cream AND rapid healing? Who could ask for more? All of this is great news, Ricki! We're all continuing to send good vibes from Iowa.... Pat M.
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