Dear Blogosphere,
For those of you who are worried about me because I haven't blogged in a few weeks ... and my last entry was about my heart attack and upcoming by pass ... ta-da ... I survived. Worry no more.
My surgery was delayed about a week, rescheduled three times, but it eventually happened. The first two delays were because my blood being too thin for surgery. The last time it was delayed, one day more, due to another patient whose needs were more urgent than mine. I was bumped. I was in the hospital for 13 days waiting. It was like being in a hotel, if the staff came into your room several times a day to stab you. That is what it felt like. They drew my blood everyday. I had an IV attached to a pole and I took it with me around the room as well as when I walked laps with around the ward. I had an awful view from my room so I enjoyed walking down the hall to see the outside world. I am grateful for internet connection because the television was pretty bad; why watch a movie if every tenth word is bleeped and ever ten minutes it is interrupted with a commercial? I made best of the situation with Hulu and HBO-Max on my IPad. I even got in a Zoom job interview.
Not being a people-person, I am more inclined to complain about a group of people than not. That being said, I can't really find anything to complain about the nurses. They poked me with their IVs, shots, woke me to give me drugs etc. They did all this while being very professional and quite pleasant. There were a couple of annoying incidences, but nothing worth repeating. I tried to remember all their names but there were so many of them and they all wore masks, so this was difficult.
I was shaved the night before the surgery ... my chest because it was opened to get to the heart, my legs for the veins they were going to take from them and my beard for the anesthesia. This is the first time I have been without a beard in over 30 years. They had already shaved me once before so there was only a week and a half of growth to deal with. The first time, it took about two hours. I am a hairy guy. I also had to wash my entire body with some some sterile pads and clean my nostrils with a Q-tip to make sure I didn't have the MRSA virus present. This was the 24th of January. I slept well and awoke the next morning to find a bunch of nurses in my room, doing what nurses do. My wife showed up shortly after. I was heading to surgery.
During a coronary artery bypass surgery, the surgeon removes a piece of blood vessel from the patient's leg, chest, arm, or belly. In my case it was both my legs. They had problems finding a good vessel in one of my legs so they had to take one from my arm. Then the surgeon uses that piece of blood vessel (called a "graft") to reroute blood around the blocked artery. The surgery is called "bypass surgery" because it bypasses the blockage. This surgery has a 1% fatality rate and a 1% chance of causing a stroke in the patient. These numbers scared me, one in a hundred is too high when I could easily be that one. But that 1% is usually someone very old and sickly and I was the second youngest patient in the cardiology ward and still reasonably healthy. So I felt good about it. This didn't stop me thinking about my death and how I'd be leaving my wife and son. There must have been about 20 people in the Operating Room buzzing around me. So much activity prevented me from thinking about it too much. They scooped me onto a metal table and connected me to the machines. I was asleep shortly thereafter.
I awoke at about three the next morning in the Intensive Care Unit (ICU). I was on a lot of drugs, but still in some pain. I could feel a stinging pain in the incisions in my legs, arm and chest. I had a tube in my chest as well, a catheter and two IVs in my arm. It was pretty awful. I am amazed that by 6AM I was able to stand up (with nursing assistance) and walked a step over to a recliner that was next to the bed. By early afternoon I was out of the ICU and in a regular room. This was amazing because I remember back in the 1980's when my father had his first bypass, he was in very rough shape for a few days. The progress they've made is stunning.
One of things that changed is that they wake the patient as soon as possible now. They find that the healing is quicker when you are awake. Also, the incisions in the arms and legs are much smaller than they used to be. One of the nurses told me that patients used to complain that most of the post-surgery pain was coming from the arms not the chest. It may be because the surface area is much smaller in the arms and legs than on the chest. Also, the arms and legs are used much more than the chest. So they make very small incisions now in the extremities because the large incisions are just not needed and patients are more comfortable. I have not researched any of this information. This is all from the many conversations I have had with many of the medical professionals that came into my room.
The stay in the hospital, post-surgery, was surprisingly not that long. I spent more time pre-surgery than post. I had surgery on Wednesday and I was home by Sunday. I was walking around the ward again alone just a couple days after surgery. The hospital food was surprisingly pretty good. I learned, after being there for almost three weeks, what to avoid on the menu. When I ordered, the person on the phone would tell me if I was over my carb or sugar limit for the meal. This was good practice for my new life. My post-heart attack life means keeping close track of calories, carbs and sugar. I have an app on my phone that tells me when I am over or approaching my limit.
We had a long list of things to go over to get out of the hospital. I was not allowed to lift anything over a ten pounds for a month. That is about the weight of a gallon of milk. I am also not allowed to sit in the front seat of the car when I travel. Of course, this means no driving. These rules are because my chest is not completely healed. I also had a pile of meds that have to take for a variety of reasons. I have to walk for five minutes several times a day which is very tedious when you can't leave the house. My yard, driveway and road are very icy/snowy and it's 13 degrees today ... hence, I don't leave the house.
I guess if you have a heart attack in Vermont, January is the best month because there isn't a lot you can do here anyway this time of year. It has been a month since the surgery. I've been outside the house only a few times, mostly for doctor's appointments. I've taken walks to the front yard to meet the boy at the bus stop. I've walked to the compost bin and the wilderness camera on my land. My big trip this past weekend was to our town's annual Winter Fest where I enjoyed some good company and the chili cook off. I'm hoping by the Spring I will be running again and most of this is behind me.
