Thought I would share the latest on my progression with all my symptoms and struggles with ANS recalibration. I hit 20 weeks post op yesterday. I am still struggling ...Read more
Thought I would share the latest on my progression with all my symptoms and struggles with ANS recalibration. I hit 20 weeks post op yesterday. I am still struggling through migraines, nausea and heavy head all accompanied by some stomach discomfort.
I’ve read and being told that valve patients can struggle until the 6-7 month period with this, especially with a thoracotomy where they move a lot a stuff around and affect many nerves and the nervous system. I am now 9 days into 10 mg Nortriptilyne, they are hoping this can be a bridge while my system recalibrates. That it will hopefully reduce migraines and subsequent symptoms. Of course I need to now get over the early side effects of that medication which they say is usually by day 14 or so. Always something.
my heart is doing very well. In rehab and running 4Km a day (2.4 miles) they have me sticking to 135-140 bpm for now. Now, if I can get everything else to catch up, I would be so grateful. All things of course I did not expect pre-surgery but I guess a surgeon‘s job is mostly about the heart and not about everything that accompanies it which I have learned the hard way.
Trying to stay positive, even though there’s many bad days, but I’m trying to rejoice in the good days where I have no symptoms and hoping that more good days start to outweigh the bad days sooner than later.
Robert Miller Yes, they tell you nada about the recovery. Maybe they don't want to scare patients too much. Maybe s ... Read more
Robert Miller Yes, they tell you nada about the recovery. Maybe they don't want to scare patients too much. Maybe some patients prefer it this way. I would have appreciated knowing a bit more, just the basic/obvious things, but I guess everyone's situation is different. And they get sued because they didn't disclose every single possible complication that someone might experience. So better don't say anything.
While I don't know what "ANS recalibration" is, the fact that you do 4km of running a day is a very positive sign. I had a few symptoms like lack of appetite for a couple of weeks, some headache/muscle pain for maybe a month due to the way I slept, etc. Your symptoms seems different and much longer lasting, though. The stomach discomfort might be due to medicine. Check if it is different if you take it after eating or drinking something.
David Martin “Autonomic Nervous System” , something I now know way too much about. The vagus nerve is struggli ... Read more
David Martin “Autonomic Nervous System” , something I now know way too much about. The vagus nerve is struggling to recalibrate but that’s where I’m told 5-7 months and that complete recovery is a year
Geoff Curtis For the first 6-8 months I would get ocular migraines every day. I still get them occasionally, but ... Read more
Geoff Curtis For the first 6-8 months I would get ocular migraines every day. I still get them occasionally, but not as often. I am 17 months post mini-sternotomy
Robert Miller @David Martin, thank you for the clarification. I have never heard of "Autonomic Nervous System" and ... Read more
Robert Miller @David Martin, thank you for the clarification. I have never heard of "Autonomic Nervous System" and had to google it. It seems pretty common but not for the duration you mentioned. However, you seem to do fine in regards to heart rate and I assume blood pressure, heart rhythm, etc. So that's a good sign. I can't really add any valuable information but keep that positive attitude.
Richard Munson If you read about the vagus nerve it is an eye opener. One diagnosis we got for shadows seizures alwa ... Read more
Richard Munson If you read about the vagus nerve it is an eye opener. One diagnosis we got for shadows seizures always after vomiting was that it affected his vagus nerve causing the seizure. It was one of a few diagnoses, the other being epilepsy.
Rose Madura I've mentioned this before I think but my Dad had this and would pass out whenever he vomited and my ... Read more
Rose Madura I've mentioned this before I think but my Dad had this and would pass out whenever he vomited and my Richard has the same thing last time he got sick. Several things can trigger it, I think.
J Alexander Lassally I'm curious if a TCA will help or add side effects / impacts. I do think it will improve with time, ... Read more
J Alexander Lassally I'm curious if a TCA will help or add side effects / impacts. I do think it will improve with time, and I also do think your surgeon hit "something" in there while manipulating. You're one of the unlucky few.
Fidel Martínez Ruiz Hey Alexander I don´t understand which means "TCA" , Can you tell me, please?
Grace Mason I think TCA is a drug classification Fidel. Hope it helps you David.
I am 16 weeks post thoracotomy mitral valve repair struggling mightily through autonomic nervous system recalibration and I’m wondering if anyone has experienced ...Read more
I am 16 weeks post thoracotomy mitral valve repair struggling mightily through autonomic nervous system recalibration and I’m wondering if anyone has experienced this
David Martin Nausea, dizziness, GI issues, headaches to migraines and I’m told it’s common through a thoracoto ... Read more
David Martin Nausea, dizziness, GI issues, headaches to migraines and I’m told it’s common through a thoracotomy and can take up to 6 months to stabilize. It’s honestly been the worse part of recovery and certainly was under discussed. Thanks for any feedback to anyone who can share.
J Alexander Lassally Hey David - so sorry (really, I am) for your outcome so far. I am 24 months... The thoracotomy surge ... Read more
J Alexander Lassally Hey David - so sorry (really, I am) for your outcome so far. I am 24 months... The thoracotomy surgery is difficult in its own right because they literally "sneak" into your heart and a lesser skilled surgeon can "f-up" and hit critical nervous system architecture. I will say that some of what you express could be post bypass trauma - migraines, dizziness etc... The nausea not so much. It does seem like every patient has their own signature of weirdness post surgery - some of which is in your list... Hope that helps - sort of....
David Martin Surgeon is renown actually. Bedside manner not the best but from everyone and everything he is one of ... Read more
David Martin Surgeon is renown actually. Bedside manner not the best but from everyone and everything he is one of the best when it comes to mitral valves. I am lucky to live in Ottawa as the Ottawa Heart Institute is where you want to be in Canada.
I keep getting told my heart is doing well and that thoracotomy affects many things in the body especially the nerves and nervous system and that it takes time. All unadvertised of course. It’s been frustrating and exhausting.
Kathy Blank How’s your heart rate and BP? I had more issues with that and some fainting and heart rhythm issues ... Read more
Kathy Blank How’s your heart rate and BP? I had more issues with that and some fainting and heart rhythm issues- I don’t think we realize how much stress our body goes through- hope you feel better soon!
David Martin HR and BP great, my cardiac rehab is going well, well into zone 2 and 3, I feel best when exercising ... Read more
David Martin HR and BP great, my cardiac rehab is going well, well into zone 2 and 3, I feel best when exercising it’s the in between that is brutal. I am a 52 year old fitness fanatic so I went into this hoping to get back in a realistic time frame but this ANS stuff is all unexpected 😔
J Alexander Lassally David, it takes a long time to recover. Realistically, 6 months minimum to be sort of back to self. I ... Read more
J Alexander Lassally David, it takes a long time to recover. Realistically, 6 months minimum to be sort of back to self. I was 51 when I had it. Just for reference, I think at 1 year I felt about 80% of my old self.
David Martin Alexander, did you have those symptoms also? Hearing from someone who lived through this i feel ... Read more
David Martin Alexander, did you have those symptoms also? Hearing from someone who lived through this i feel might help!
Kathy Blank I never had any ans issues but just read about them in an online search. Does your cardiologist offer ... Read more
Kathy Blank I never had any ans issues but just read about them in an online search. Does your cardiologist offer any insight? I wonder if an electrophysiologist would be the specialist to help you manage this? I had some heart rhythm issues and my electrophysiologists helped me manage the exact diagnosis and some dehydration related issues I was having. Good for you for keeping physically fit- I did 3x per week for 12 weeks to get back to running and strength training!
David Martin I have also read a lot about ANS instability for up to 6 months after thoracotomy. I struggle with th ... Read more
David Martin I have also read a lot about ANS instability for up to 6 months after thoracotomy. I struggle with the lack of help or guidance on the matter. I did inquire this week with my cardiologist and waiting on feedback on who would be best suited for support in this matter
Kathy Blank Keep searching- think of how many others you will help once you get this and managed!!!!
Dr. Alfredo Trento is a world-renowned cardiac surgeon that has performed over 4,000 heart valve operations that include minimally-invasive techniques.
I’ve read and being told that valve patients can struggle until the 6-7 month period with this, especially with a thoracotomy where they move a lot a stuff around and affect many nerves and the nervous system. I am now 9 days into 10 mg Nortriptilyne, they are hoping this can be a bridge while my system recalibrates. That it will hopefully reduce migraines and subsequent symptoms. Of course I need to now get over the early side effects of that medication which they say is usually by day 14 or so. Always something.
my heart is doing very well. In rehab and running 4Km a day (2.4 miles) they have me sticking to 135-140 bpm for now. Now, if I can get everything else to catch up, I would be so grateful. All things of course I did not expect pre-surgery but I guess a surgeon‘s job is mostly about the heart and not about everything that accompanies it which I have learned the hard way.
Trying to stay positive, even though there’s many bad days, but I’m trying to rejoice in the good days where I have no symptoms and hoping that more good days start to outweigh the bad days sooner than later.
While I don't know what "ANS recalibration" is, the fact that you do 4km of running a day is a very positive sign. I had a few symptoms like lack of appetite for a couple of weeks, some headache/muscle pain for maybe a month due to the way I slept, etc. Your symptoms seems different and much longer lasting, though. The stomach discomfort might be due to medicine. Check if it is different if you take it after eating or drinking something.
Hope it helps you David.