Clare's Journal

Last night I went into A-fib. 2 years post up, I was not expecting it. I called the cardiologist's exchange. He had called me back within 10 minutes. Of course he told me to go to the ER. Then he called the ER at least 2 times to check on me and give the doctor advice by what meds to give me. Spent about four hours at the hospital and got to come home last night thanks to my cardiologist.

I stopped at the lab on my way to work for my Warfarin check. I was talking to an older gentleman while I was waiting. He has a mechanical valve also and was there for the same thing. He says his valve surgery was 40 years ago and his valve is still going strong. He looked great for his age.

It's amazing how we mark time following OHS. In the beginning we use days, then weeks, then months and finally, today, I can use years! My AVR and aneurysm repair was 2 years ago today. To say things are back to normal is pretty accurate for most things but, some things have changed. I think my son is a little closer to me. He worried so much about everything at age 7 when I had surgery that he doesn't want to go through that again. My oldest put up a wall so she wouldn't get hurt if something happened. We are just getting through that wall now. My baby had to grow up really quick. She could no longer be carried (she was 4 but still). She and I spent many days home alone with each other. She took care of me in those first weeks. I have a little bit of a different outlook on things. So in most ways, the heart surgery is something in the past that i don't think about every day. In other ways, it is the event that made things they way they are now. It's been a wild ride. I don't remember every detail of tubes and wires anymore. I have put that behind me. (Or, I am old and forgetful). I do remember how my friends and family helped in so many ways. I remember all the doctors and nurses who cared for me along the way. 2 years and I am genuinely grateful. So glad to have this community for support.

Back in August I went to a plastic surgeon about my scar. It was raised, red, itchy and very sensitive at 19 months post op. She recommended scar strips (did that) and kena log injections. After much debate about warfarin and the kenalog, the two doctors developed a plan. I had the injections directly into my scar about 2.5 weeks ago. It was painful while she was injecting me despite the numbing cream. So, the big question, did it work. My scar is definitely flatter. It does not itch anymore and is not sensitive to the touch. It is bruised from the injections so it is dark purple for now. I am planning to cancel the next set of injections. I am not bothered by the cosmetic aspects of the scar and have so much relief that I don't think I need to go through all that again. If anyone has questions, please ask.

My scar is still red and raised 19 months after surgery. My husband reminds me that my aneurysm is gone and the valve repaired so it doesn't matter. However, some days I am jealous of people whose scars have faded. So, I have talked to a plastic surgeon. Basically, my body was overzealous on the healing and produced too much scar tissue. She also said that it is best to work on the scar within 6 months of surgery (so I have waited a little bit long). She recommends the silicone scar strips instead of the creams. She said she felt the patients got better results. There are other options for me but they all sound painful and it is truly a cosmetic issue so I am not sure how far I will go. Hopefully this information will be helpful to some of you.

I got a letter today from On-X the maker of my valve. The FDA has apparently approved reduced anticoagulation for the On-X valve. The letter says 1.5 - 2. I guess I will see what the surgeon says..

I have officially registered for my second post op half marathon. I will be doing the Go! St. Louis half in April. As always my goal is to cross the finish line. Of course I would also like a better time than the one in October. Training is underway.

It is so hard to believe that it has been one year since my Open Heart surgery. I am so thankful for my team of doctors and nurses. My family has always been supportive. I still use the OHS as a reference for when events happened. For example, my daughter was talking about something yesterday and said "you know, that was when you had just come home from your surgery". The experience has changed my attitude and outlook on life in a positive way. Normal is different than what it was before surgery but normal is still great. Ticking away here in Missouri.

As I lie here, alone in the hospital, (Husband is home tending the 3 kids), I have time to reflect on 2014. I met my surgeon for the first time on 12/29/13 so just a year ago. I was comfortable from the start. Surgery was a short 10 days later. All that has happened since then has been shaped by my surgery and my new outlook on things. I met some goals like the half marathon but didn't quite meet other... only 984 of the 1000 miles I wanted to walk this year. Both my surgeon and cardiologist stopped by to see me even though they didn't have to. Happy with the choices I have made. Sad to be missing the new year with my kids but am looking up to a good 2015. Happy New Year everyone.

So, for some mysterious reason my INR hit rock bottom when I had it tested today. Got to go back to the hospital for a heparin drip. Will be spending the night.

That is the day I learned I would need surgery right away. The cardiologist called and gave me the news. He had already talked to a surgeon. Things moved so fast after that. What a wild and crazy year it has been.

Did a walk/run of the Hot Chocolate 15k today. Emotional time for me. Did the same race last year about 10 days before I knew I needed surgery. I pushed hard today and my time was slower than last year but I was happy I was able to do a 9.3 mile race less than one year after open heart surgery.

Wow....what a roller coaster this has been. I still think back to this time last year. I was getting ready for Christmas and felt good. This year, I am doing the same Christmas stuff and feeling good. The difference is the scar on my chest and my repaired valve. Time does keep moving.