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What is normal?

  • 1.  What is normal?

    Posted 07-30-2024 13:41

    Hi, so I had CABG4 on June 20. I'm 55, was in decent shape... started having what felt like really bad heart burn, then my got to where it was pounding, etc. Went to the ER, they did an angiogram, determined I had a 99%, 95%, 80 & 70 % blockage. Within 12 hours I was going under for CABG4. Recovery has gone well so far. Walking a mile daily, working part time. I'm at 5 1/2 weeks from surgery now. Last week I had follow up with Cardiologist and he said everything looks great, see you in a year (I do have to go back for an ultrasound to get a pressure baseline). 

    Anyway, my question is about healing... my chest incision has been having way more feeling... random sensations, sort of a pulling sensation across my chest, sensations like it's waking up also, like when your hand has gone to sleep and is waking up. As I'm writing this it kind of sounds like "well yeah". But at the same time, I have paranoia about all the feelings I feel in my chest and "is it just healing" or what? Ontop of that there's the slight depression of feeling like I'm not getting better, increased emotions, feeling like I'm being depressing toward my wife (I'm typically pretty positive). etc. 

    Is all of this usual?

    Mike 



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    Michael Leonard
    Medford OR
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  • 2.  RE: What is normal?

    Posted 07-30-2024 14:31

    Mike,

    You're a very lucky guy being so active less than six weeks after OHS. You may have forgotten that your cardiologist told you full recovery takes 9 months to a year. Be patient with your body and give thanks that  your recovery is going so well after major surgery.

    Good luck,

    Vic 



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    Victor Fabry, Founder
    Healed Hearts of New Jersey
    Short Hills, New Jersey
    fvfabry@gmail.com
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  • 3.  RE: What is normal?

    Posted 07-31-2024 11:54

    Hey Mike.  The emotional feelings you are having can happen.  Please speak to your cardiologist or primary care physician about them.  I went through the same thing.  It was months before I got help because I just did not know.

    You went through a life altering event.  Sounds like your are doing great physically!  It is a lot process emotionally.  You are not alone on this. 

    Mike Kennedy
    Fort Worth, TX



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    Mike Kennedy
    TX
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  • 4.  RE: What is normal?

    Posted 07-31-2024 13:06

    Thank you both veery much for the replies. Yesterday was a bad day LOL I was able to talk it through with a friend/mentor and be heard and dump a lot of emotion that I guess had built up! I also reached out to my PCP.

    Appreciate your replies!

    Mike



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    Michael Leonard
    Medford OR
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  • 5.  RE: What is normal?

    Posted 08-01-2024 10:59

    I suspect that most of us who have had a sternotomy sense concern about sternum integrity while we recover.  My surgery PA had me in for four visits, during the last three, she listened to chest during a cough to detect any clicking and thus looseness in the sternum wires.  Those served to reassure that healing was progressing normally, and thus reduce anxiety.

    If you are not being checked for wire looseness, you might request it of the surgeon's staff to help assure you that all is well.



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    Arlyn Stewart
    White Oak TX
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  • 6.  RE: What is normal?

    Posted 08-02-2024 07:37

    Mike,

    I am 4-1/2 years out from CABG3X that was done under similar circumstances. It should have been 4X but the one artery was too small to fix. I thought I had recurring esophagus spasms, went for the stress test and ended up with the cath and being told if I left the hospital I wouldn't make it back. As was said by others, you have gone through a surprise scary experience. I had a tough time getting my lungs to feel like I could take a full breath for a while. You need, I'm guessing, 12 weeks to "recover" to give it a 1-year to 1-1/2 year time period before you feel "normal". It was explained to me that the sensations that you feel are your nerves and other parts repairing themselves and working together. Think about it as an orchestra with instruments and players that are repairing themselves at their own pace, and then having to all get back on the same page. Of course, always let your doctors know what is happening. My chest still feels a little "tighter" than it used to but you will get used to all of it. You will get to the point where you don't think about it at all for weeks. You have been through a lot, and it takes a lot of time. 

    Good luck. While I understand the experience brings on negative feelings and worry, you'll realize you won the life lottery after a while. For now, concentrate on rest and prescribed exercise for the first 3 months.

    Joe 



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    Joseph Scuralli
    Wayne
    973-696-5809
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  • 7.  RE: What is normal?

    Posted 09-01-2024 14:40

    Hi Mike 

    I had a similar procedure 16 months ago, along with a Mitral valve replacement.  From my experience, and many questions I asked of my medical team along the way, it sounds like your symptoms are normal.  The impulses you're feeling are nerve endings that have been cut, along with the healing of the arteries they took from your chest wall to use on your bypass.  They probably took one or two from your leg(s) too. 

    It takes time for all those nerves to settle down.  For me, it took about a year. 



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    Michael Brown
    Retired
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  • 8.  RE: What is normal?

    Posted 09-05-2024 09:35

    my husband had cabg3 about 6 weeks ago.  He went in for an angiogram & came home with a triple bypass.  He's 77 &  Due to several issues, including the artery clips coming off one valve the first night & almost bleeding to death, he ended up in ICU for a week.  Some days he feels like his recovery will take forever, but I tell him, don't look at how you were yesterday, look at how much you've gained in a week.  that took on a whole new perspective for him.  He's out walking twice a day now, & will start cardiac rehab next week.  Last night he said something about he felt really bad about how all this has affected my life.  I told him, I'm fine & very happy to still have him with me.  I do think tho, that he is having some depression & he's going to talk to a therapist about it.  Hopefully that will help.

    I can see how anyone going thru that would be depressed from time to time, so as sort of an outsider, I say, get some help if you feel the need.



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    Karen Friedel
    Cleveland GA
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  • 9.  RE: What is normal?

    Posted 09-05-2024 11:37
    Hello Karen:

    Depression in cardiac patients happens more than most people think.  I think too many patients are never informed of this possibility.  This was a traumatic experience for your husband as well as yourself.  

    He may want to take an antidepressant (I took them) and go to therapy (which sounds like he is).  He should be screened for depression (PCP or cardiologist can do this).  Most importantly, make sure he feels comfortable talking about it.  The hardest part is admitting you are suffering from depression.  It takes a lot of courage to come forward.  

    Below is a video a cardiac rehab nurse posted on my LinkedIn feed:








  • 10.  RE: What is normal?

    Posted 09-05-2024 20:33

    He had PTSD so is already on a antidepressant, but maybe DR will want to increase for awhile.  he has a video appt tomorrow.   And You're right, the Dr never mentioned a thing about depression, or really a lot of things he probably should have.  Thanks for your support.



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    Karen Friedel
    Cleveland GA
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  • 11.  RE: What is normal?

    Posted 09-06-2024 10:50

    Hello Karen,

    I'm sorry to hear that your husband is experiencing mental heath struggles following his surgery. Mike is right that the mental health aspects of recovery from open-heart surgery are often not thoroughly discussed or prepared for. I've been a heart patient all my life and had my first heart procedure-a catheterization-when I was 11. Even though it was a relatively minor procedure, it was terrifying for me as a child, and I don't recall any discussion from my medical team about the mental aspects of recovery.

    When I was 24, I had my first open-heart surgery to replace a valve. Due to complications, I also received a pacemaker and was told I would be 100% dependent on it. I wasn't informed about how this would impact my life or mental health. Now, at 61, I've worn out six pacemakers and had two more open-heart surgeries to replace the same valve. The physical recovery from these surgeries was much easier than dealing with my mental health struggles. For years, I didn't realize I was experiencing major depressive episodes, often triggered by traumatic events related to my heart condition and congestive heart failure.

    I've been on depression medication for 25 years, and after being diagnosed with PTSD and Major Depressive Disorder, I've spent the last two years in intense therapy. I'm deeply grateful for the freedom I've found through therapy. I've learned to take my life one heartbeat at a time and to find gratitude in each beat. As my mentor once told me, "Die on the day you are supposed to die and live on the day you are supposed to live."

    What your husband is going through is normal, and his reactions to the recovery process are also normal. Recovery from heart failure and surgery should be approached holistically-addressing the body, mind, and spirit. As a caregiver, it's important for you to also take care of yourself, as the surgery affects your life too.

    I don't wish people luck but hope and pray for effort. Recovery is a challenging journey that requires physical, mental, and spiritual work. While we're often advised on exercise and diet, processing the experience mentally is just as crucial. PTSD and major depression can be subtle foes if not treated properly.

    Warm regards,

    OneHeartBeatTalks



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    David Apilado Sr. (oneheartbeattalks)
    Retired
    Vallejo California
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  • 12.  RE: What is normal?

    Posted 09-06-2024 11:03

    Wow.  You've had a long road of it.  I'm happy you've found therapy helping.  I think my husband will find it useful too.  I do agree that Drs should pay a little more attention to just the physical part of how their surgery affects the patient & explain it could cause depression & to consider talking to someone about it.  And yes, it definitely affects the caregiver.  Everyone says I'm a strong person, but they don't realize the stress it causes on us.  I said something last night about my stress level & my husband so casually asks, why would you be stressed!!!  Oh well, as you said so well, live one heartbeat at a time.  The best of everything to you.



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    Karen Friedel
    Cleveland GA
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  • 13.  RE: What is normal?

    Posted 09-09-2024 08:03

    I think you may find that your husbands upcoming or now underway cardiac rehab will provide greater attention to post surgery depression.  



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    Arlyn Stewart
    White Oak TX
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