Wednesday, March 5, 2014

Prelude to rehab and recovery…

I began this blog many months ago around the theme of “recovery” after having suffered a hemorrhagic stroke. That resolved and I have gone on to even greater things!

Nearly three weeks ago I underwent open-heart surgery. Isn’t that a cool and sexy title?  It used to be an experimental, only-for-the-few kind of procedure. Today it is common, offered to even 95 tear old farmers! I have known it was coming for some years, but an angiogram this winter nailed it down: an aortic valve replacement and “a” bypass. Instead of having to wait until late March for the procedure, I was called in on February 10; just five days after my spouse had a hysterectomy! Confronted with this complication, and having no family within hundreds of kilometers, we sat down with our neighbours to see if they could help us. The remarkable story of their response is another blog entry soon.

The surgery itself was six hours long, and involved not one, but three bypasses. The value was replaced with bovine tissue. (I must develop a new respect for cows.) The Mazankowski Heart Institute in Edmonton provides with lots of preparatory literature. One booklet describes the operation in graphic detail. I set it aside in short order. The other two are very helpful if you read them closely and carefully.

I was released from “the Maz” on Saturday February 15, at least a day earlier than they should have, in my opinion. The night before I cam home, I experienced an adverse reaction to a drug I had been using as a sleep aid for over two decades. It obviously “collided” with something I was taking in hospital. My perspective altered drastically; everything looked like it was made of pastry, and it was going to burn soon. I had to get out. The female nurse ahead of me suddenly appeared to be a witch, and the tall Filipino nurse behind me became a black giant. I was shackled and trapped.

Fortunately, the female nurse was able to talk me down to the point where I could recall adverse drug experiences when I worked in the Centennial Centre in Ponoka. I agreed with her, and settle down. Soon after that, I went for a schedules walk through the healing garden next to my unit. Upon returning, I couldn’t find my room. I kept entering rooms where I was told, “No, no, this isn’t your room!” Ultimately, a nurse led me home.

In my view, these two experiences should have triggered a review of drugs, and at least another day to evaluate things. In stead, I was sent home, scheduled to take the same drug at home. And so I did. And chaos developed. The inside of our home was suddenly purple, and pastry, and would burn. I began throwing things around the living room, dashing outside in the snow mostly naked to lift a garbage can! In time, my wife’s blazing eyes began to frighten me, and I settled down in bed, while she cleaned up the broken glass. All was quiet for a time. About 1:30 in the morning, I thought it would be a good idea to shave! And so I did, quietly, after which I went to sleep. My spouse and my physician took over my medications, sorted them out, and now administer them. For the first time in my adult life, I am not in charge of my meds. All of which might have been avoided had I been kept in hospital for another day to evaluate the drug situation. I then spent another eight days in the Wetaskiwin hospital.

I have cause to read the literature given to patients over the past two weeks. It’s like reading the fine point in a contract: “Oh, so that’s what it means!” For example, one sentence stood out for me on first reading. “You will feel quite unwell for the first 3 or 4 weeks…” Right. That means some days will be shitty, and others just like you’ve given blood six times. Various “normal” symptoms are mentions – depression, anger, exhaustion, etc. They don’t prepare you for the waves of stabbing pain in your back ribs that can last for hours, and which no over-the-counter medication even touches. Think of the worst stitch you have ever had while running, and imagine it in endless waves. Sometimes lying down relieves, sometimes not. The pain is described as “angina like” pain. No fun. No relief. Exhaustion soon follows as the pain wears you down. More about this later.

At first this terrified me, as I could think of no reason for it. Notice: brain not working. The Mazankowski said it sounded normal, but since it had lasted 8 hours, I should go to an emergency and have it checked out. So I was off to Wetaskiwin ER. They were absolutely terrific. They checked out every possibility, including a blood clot, and sent me home the next morning with the assurance that this was, indeed, “normal pain symptom, post op.” From there, my rehab program began.


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