Jim's Journal

It is now six months later, and for the most part, all is fine (except for COVID 19 restrictions). When going upstairs, sometimes, but not always, I will run out of breath and need to take a minute or two to catch my wind. The same will occasionally happen when walking up a slope. I live in a 3 level house so transiting stairs is commonplace. I do 40 minutes on a stationary bike daily, and walk a mile or two regularly.

Also, I will occasionally become light headed when going to a standing position after sitting. The feeling goes away after a minute or two. It seems to usually happen at around noon after a brisk workout and reading the news. Most often this occurs when the BP is about 105/55. Is it diet / hydration? Breakfast is a protein, berry and banana shake.

Is anyone encountering either of these two? I am taking BP meds, Eliquis and flecanaide.

5/8/2020 Posting
Three weeks plus a day...that is how long since the surgery on 4/16. Two weeks since coming home on 4/23. Recuperating takes lots of patience as the body does a lot of healing. I am past most of the pain and discomfort from the sternum, and I have a very nice 12 inch scar. The discharge instructions say to walk 30 to 40 minutes per day, so I am doing my best on that score. Marge took me out for a 20 minute walk on Paseo del Mar twice, so that will be a regular activity. We will go out later today. I saw both the Surgeon and Cardiologist this week, with thumbs up from both. The Cardiologist picked up some heart flutter on the ekg, so on 5/28 I go in for a cardioversion procedure to shock the heart back into a good rhythm, about a 10 minute procedure. Meanwhile, he has me on rhythm medication. The surgeon knew that correcting the afib was 50/50 in surgery, so there is no surprise that it only worked for a few weeks. The heart muscle changed its' geometry during healing, and the size and shape of the heart affects how the electrical signals transit. Now if I could just find a way to deal with the post surgical insomnia.......Thanks for all of your positive comments, they all help.

5/29/2020 FB Posting
Well, it is about six weeks since the open heart surgery to replace the aortic valve, repair the aorta, an relocate a couple coronary arteries, plus some other stuff. I now have an Edwards Lifesciences Model 11500A 27MM aortic valve stitched in with a Dacron sheath to repair the ascending Aorta. Along with the Stryker chromalloy titanium left knee replacement, I am feeling a bit like the Arnold the Terminator, but without the muscles. Maybe next I can get an AI cerebral implant.

A couple weeks ago, in a follow up with the cardiologist, Dr Carlson, he detected some atrial flutter in the EKG. He scheduled me for a cardioversion shock treatment on May 28, and prescribed the anti-arrhythmic Flecainide, a very powerful med. So yesterday, while anxiously awaiting my Frankenstein conversion, getting all plugged in and wired up, they ran the EKG, which showed no AFIB, so the cardioversion was cancelled. Quite the near end to a remarkable journey, which started on Jan 21 during my first visit to Dr Carlson, when he took one look at my EKG, and without pause, told me I was in serious trouble.

I am now walking an hour a day, climbing stairs with ease, and starting cardio therapy (PT) next week, three times a week for twelve weeks. I am a bit short winded at times, but that will eventually go away as my conditioning improves.

This has been a deep spiritual, emotional and physical experience. Marge has been a wonderful caregiver these past 5 weeks. Due to the virus situation, no visitors were allowed in the hospital, so I can only imagine how Marge and the family dealt with the sparse communications coming out of the ICU for two and a half days. I was very fortunate to have excellent cardiologist, surgeon and surgical staff.

Two weeks Ago…….. I thought a bit about doing this post, but decided to go ahead with it as most of my immediate family is quite aware, so this is reaching out to my friends. On 4/16, I spent 8 hours in the Cardiac Care OR at Torrance Memorial as the very talented team of surgeons worked on my heart in what is termed a “Bentall Procedure” to repair a blown out ascending aorta, aorta valve, etc. Search the term to learn more about the procedure. The Aorta had ballooned to 6.8 cm when a normal diameter is 2.5 cm. It was set to rupture at any time, so I was spiritually and mentally ready for whatever was to come my way, no fear, no trepidation, just Faith. After the Thursday Surgery I spend 3 days in the ICU and 3 days in post, getting discharged last Thursday. I am home now, recovering, a 4 to 8 week deal. Maybe I will be out golfing and hitting my driver in a few months!