Steven's Journal

Two years since my (second) valve surgery (AVR Edwards Bovine). Everything is going great. Just returned from a long game of pickup soccer and feeling good!

Had an Echo this morning and everything is looking good for the Bovine valve (good = same as last time, trace leaking which is not concerning the cardiologist).

1 year anniversary with my Edwards bovine valve. A bit of bad news, the valve has a small leak but not where a leak would be expected. On a regular echo it looked liked a paravalvular leak (on the outside of the valve). TEE showed that it was inside the valve but not in the center. The leak is pretty minor for now so we will watch and wait (check back in 4-6 months from now) On to the good news. I otherwise feel fine, heart function and size is normal. I am off on a big vacation in a week that will include a 12 day hike in the alps!

Just got back from the cardiologist. My sternum is healed and my echo results look good. My left ventricle is back down to basically normal (that was fast!) and my murmur is gone. The bovine valve looks good. My EF is a bit lower than normal, it was 55 preop and it is down to 45-50 but without the regurgitation which was letting about half back in.

Tomorrow is 6 weeks. Sort of hard to believe. I went for a "jog" (didn't go too far and a good deal of walking involved) this evening since the weather was nice and I am eager to get back on the soccer pitch. It seems like it is a little ways off still but I think this was a good first step. Recalling last recovery I think I was a little further along at 6 weeks though I had a smaller incision that time. I have been back to work for almost 2 weeks which has been good. The first week back I really missed the couch but this week not as much. I have an echo next Thursday and a visit with my cardiologist a week from Tuesday. Hopefully everything is looking good.

It has been a little over two weeks and I am feeling pretty good. Overall I think recovery is going even better than last time (outside of the first couple of days, which were a bit tougher due to the tubes having to stay in longer). I walked over 4 miles total yesterday and felt great. Working on getting back focus and energy. Thanks to friends, family and neighbors for all of the support!

They almost made us stay the weekend for an x-Ray on Monday but they saw the look on our faces and talked with the cardiology fellow who has been looking after me and they let us go. The drive was no problem for me, we made good use of rest stops. At home getting up to the second floor (a couple times already) was also no problem. Last time i was released from the hospital on day 4 and was in bad shape when I got home. This time saying in almost a week I feel pretty fine now that I am home. Pain is mostly in the arms and some other collateral damage areas. Still some discomfort all around but feeling pretty good overall.

I get the feeling that my stint as guest blogger is nearing its end. Steve picked up his phone this evening and checked his own email and texts, which has to be some sort of modern-day surgery recovery milestone. Other milestones from the day include: Steve was freed from the drainage tubing contraptions midday. One was removed completely; the other two ports were disconnected from the yards of tube and the plastic box things and attached to small plastic bulbs to catch the remaining drainage. Once that was done, it was less hard to stand up and move around a little. Steve also took his first walks down the hall this afternoon. We're going to go again soon, after he wakes up from a nap. Gloria

Steve is 3 days out from surgery now. Yesterday was a hard day, with little identifiable progress. A bright spot was Bridget's visit from the sixth floor. Yesterday Steve ate a little, but nothing tastes good as a result of the anesthesia still in his system and all of the other medications. (For the sake of science, urination was also one of yesterday's achievements and everyone was relieved that there was no need to recatheterize like last time around). Steve still has all of his chest tubes in. Two of the three continue to collect some drainage, so it is likely he will keep those two another day. All of the tubing makes it even harder to stand up and move from chair to bed (as each tube is attached to its own plastic box contraption), and the whole tubing situation is just very annoying but necessary. The goal for today, in addition to losing at least one of the drainage tubes, is to walk a little in the hallways. I am sure it will be hard, but I think getting out of the room and feeling progress will be really good for Steve. Steve was amazed to hear that his photo from yesterday morning made it to Facebook and has over 1,500 comments - he's not quite ready to read them all, but it will be a nice thing to do when he's feeling a bit better, and he continues to appreciate the supportive notes. I think we're likely to be here at the hospital until Wednesday, but that's really just a guess. Gloria

Steve and I are both pleased to report that he is out of the ICU and into a private room in the cardiac step-down unit. I just read him my journal posts from yesterday and all of the comments and guestbook posts. Steve sends his thanks! (and shout out to Adam Pick - thanks for creating this community space!) Steve is napping now. He is feeling a bit more pain in his chest after the move from ICU to the new room, which is hopefully just a result of the extra exertion that it took to move from bed to bed. His drainage tubes will remain in until tomorrow, because there's still a lot of drainage from the chest, but once those are out it will be easier for Steve to start moving around, little by little. Having been through this once before, Steve is already diligently doing his breathing exercises about once an hour.

Steve's mom and I got to spend about 2 hours with Steve in the ICU this afternoon. We saw him briefly just after he arrived in the ICU at about 3 p.m., while he was still intubated, and then we had a longer visit after the breathing tube was removed. We were able to give him ice chips and then water as the anesthesia wore off and he became able to handle them. We also read him a few of today's text messages from friends and family, which he appreciated. While he couldn't quite keep his eyes open, he managed to grimace (appreciatively!) at all of the promises of hugs, and he wanted me to remind you all that he just had his chest cut open and can't hug for a while. We didn't quite get through all of the messages today, as he tired out, but I am happy to have some material on reserve for the morning. The ICU nurses seem to think that he will likely get discharged from ICU tomorrow and moved to a step-down unit in the afternoon. Fingers crossed. -Gloria

Steve is out of surgery. We met with the surgeon, Dr. Johnston, who told us that everything went smoothly. He replaced Steve's aortic valve with an Edwards Perimount valve, which is a cow tissue valve. The hope is that if the tissue fails in the future, it can be replaced through a less-invasive transcatheter procedure. We will get to see Steve briefly in ICU in the next hour - he will be pretty out of it for the rest of the day, but I look forward to sharing your messages with him when he's more recovered. -Gloria

Hello friends, family, and HVJ community! Just wanted to update you on Steve's surgery. Surgery started at 8:50 this morning, and at 11:26 they started the major portion of the surgery. We expect it will take a couple more hours, and we hope to see Steve in the ICU by around 5 this evening. -Gloria

Early start tomorrow. If 2012 was any indication Gloria will bee keeping you updated regularly. Cannot express enough how much I appreciate the support from friends, family and members of this community. Looking forward to getting back out onto the pitch,on my bike, and into the backcountry. Surgeon told me not to cancel my October backpacking trip in Oregon. We will see.

Just finished. Not nearly as bad as I thought. They went through my right wrist so it's tough to type on my phone. Just like to thank everyone for support and well wishes!

It has been a while since I have updated this. I didn't think I would be using it this time around but it is both a nice way to update friends and family and an amazing community of fellow HV friends. It has been just over 4 years since my previous surgery, an attempted AV repair, and I have known since a few weeks after the surgery that the repair didn't take and a follow up surgery would be coming and I am pretty thankful I got 4 years (though I was hoping for 5 at the time). The last 4 years have been pretty great, probably the best 4 I have had, so I am feeling okay going into the surgery because I know OHS will not really slow me down. If anything my physical activity has increased (fairly significantly) since the surgery. The plan is for Dr. Johnston at CC to put in a bioprosthetic valve. Even though this will mean another surgery in the future I am hopeful that I can get at least 10 years and that the next surgery will be valve-in-valve TAVR. This will allow me to keep playing soccer, which I started playing extensively after my last surgery (up to 4 days a week). I might have a few more posts between now and the surgery but Gloria (now my wife!) will be keeping everyone updated during surgery and in the early recovery. She is pretty excited about yoga on the roof at Cleveland Clinic. Wishing everyone whose surgery is coming up or has just happened the best and maybe I will see some fellow HVJers walking the halls in Cleveland.

Hey everyone, Is anyone out there who has gone through or is going through surgery a federal employee? It is open season and since there is a chance I will need surgery again I am trying to choose an insurance that will allow me the most/best hospital options with reasonable coverage. I would appreciate any input. Otherwise, I am doing great. Been up to pre-surgery standards (which was good for me) for a while now. Back on my bike and playing soccer. I hiked old rag a couple weeks ago and felt fine. Thanks, Steve

Hey everyone, Sorry I haven\'t posted in a long time. At this point it has been easiest for me to not think to much about everything. I saw the cardiologist last week and everything is the same as last time, which I guess is about as good as I could have hoped for. No second surgery for now. The plan is to monitor every three months. I am otherwise feeling great. I will post again if anything comes up. Love you all, Steve

Sorry for the long delay on the update. I am still alive but not so great news from the echo. Looks like there is still leaking. I don\'t know too much at this point but am going in for a follow up echo in Sept. Plan for now is to just go on and not really think about it much. I am otherwise feeling great with my recovery. Hope everyone else is doing well.