Posts Tagged With: cardiology

Today I had my pre-operative procedures at the hospital

What with my heart surgery scheduled for next Thursday, today I went in to the hospital for some “pre-admission” procedures and consultations in anticipation of that upcoming operation. The more minor of the procedures that I experienced today included a chest X-ray; an EKG (electrocardiogram); and bloodwork. Although I normally hate having blood taken, and although my heart sank when I saw how many vials the nurse was going to fill (which would mean that the needle would be in for a relatively long time), this morning’s bloodwork barely hurt at all. So that was an unexpected bonus.

My consultation regarding the anesthesia

It probably helped that I was distracted while the blood was being extracted from my vein; because while that was going on, a nurse was simultaneously briefing me on some details regarding the anesthesia that I’ll be given at the outset of my surgery. That hospital is nothing if not efficient. 🙂 Anyway, I did have a lot of questions for the nurse, in light of the fact that I’ve never been under general anesthesia before. She also gave me some instructions to help prepare my body for the anesthesia. (In addition to the standard requirement of fasting from midnight the night before the surgery, an example of those instructions was that from now until after the surgery, I shouldn’t taken any anti-inflammatory pain medications, commonly referred to as NSAIDs, which is an abbreviation for non-steroidal anti-inflammatory drug. In the United States, among the popular painkillers that are classified as NSAIDs are Advil and Motrin.)

Also during my colloquy with the nurse, I mentioned that I’m a singer and that I therefore hoped the anesthesiologists would go easy with the breathing tube that will be jammed down my throat during the surgery, in order to avoid damaging my vocal cords. (Yes, I told the nurse about my World Karaoke Tour. :)) Relatedly, we discussed how, as is standard in heart surgery, I’ll still be “intubated” (that is, the breathing tube will still be inserted down my throat) when I wake up in the operating room. While my surgeon believes in “extubating” (removing the tube) very quickly after the patient regains consciousness, I expressed concern that until the extubation occurs, I may feel like I’m choking. The nurse offered that if I want to minimize the risk of harm to my vocal cords, I should refrain from struggling with the breathing tube before it’s removed. Sound advice, I’m sure; but how will I have the presence of mind to remember it when I’ve just been knocked out for four hours and I’m feeling groggy and disoriented?

My CT-scan and a missed photographic opportunity

After all of that was finished, I had to walk several blocks to another of the hospital’s buildings, where I underwent a computed tomography scan, usually abbreviated as a CT-scan. My CT-scan involved the following steps:

• I drank several cups of water.

• An intravenous (IV) tube was attached to one of my veins.

• While lying on my back, I was slid into a cool machine with the appearance of a vertical donut. Via some blasts of radiation, images were taken of my chest, abdomen, and pelvis areas.

• A “contrast dye” was then injected into me through the intravenous tube, and more images were taken inside the donut-esque machine. You may have heard that when such a dye is pumped into a patient’s vein, the patient experiences a warm, tingly feeling throughout his body for a couple of minutes. That proved to be the case with me.

Here I am with the IV tube in my arm immediately after the completion of the CT-scan.

Here I am with the IV tube attached to my arm immediately after the completion of the CT-scan.

Things didn’t go completely smoothly during my CT-scan. Continue reading

Categories: Uncategorized | Tags: , , , , , , , , | 5 Comments

The die is cast: I’ve scheduled my heart surgery

34414285_sFriends, as you know, I found out in April that I need open heart surgery to repair a leaking valve. That surgery has now been scheduled. It’s happening on the morning of Thursday, September 10. And it won’t surprise you to learn that I’ve chosen the less invasive, robotically assisted version of the surgery, as a result of which the surgeons won’t have to fracture my sternum to access my heart. So I should recover swiftly, once I get through it.

Once I get through it.

I’m still apprehensive about becoming a cardiothoracic surgery patient, for the reasons I enumerated in my previous post. But since the condition of my heart is only worsening over time, there was no benefit to be gained from putting off the surgery. So I took the plunge and called the surgeon’s office to get placed on the calendar. The result: shortly after Labor Day weekend, at a time when millions of Americans are looking forward to the season premieres of their favourite television shows, I’ll be checking into the hospital for some pretty major stuff.

Preoperative procedures

As the operation approaches, as is common with surgeries, I’ll have to undergo some preoperative procedures. When I signed up for my surgery, I was told that I should plan on experiencing the following procedures in advance of my actual operation: Continue reading

Categories: Uncategorized | Tags: , , , , | 2 Comments

When real life intervenes: my heart-stopping medical journey

8001817_lI was supposed to be in China today. Since last summer, I’d been planning a trip to China and Taiwan (which was probably also going to include Mongolia), for which I was going to depart this past Saturday. By now I probably would have already walked along the Great Wall, and today I was to fly to Xi’an to see the famed terra cotta warriors. But I’m not in China now; I canceled that trip. Instead of that geographical journey, I’ve embarked on a medical journey. This is the story of an unanticipated medical diagnosis that I received this spring; the life-saving surgery that I’ll need in light of that diagnosis; and how I’m adjusting to what lies ahead.

Last month, my world was turned upside down. For the first 45-plus years of my life, I’ve been fortunate enough to have never required an overnight hospital stay — let alone a surgical procedure performed in an operating room. I’ve never been under general anesthesia. Never have I even been hooked up to an intravenous tube. Part of the reason that I’ve been able to travel so frequently during the past few years is that I’ve enjoyed robust health.

But a little more than one month ago, on a Friday afternoon in a cardiologist’s office here in my home city of New York, everything changed. On that Black Friday, I learned that I need to undergo open heart surgery.

What necessitates my surgery is a leaky mitral valve, which can develop from mitral valve prolapse (MVP). The mitral valve, so named because it resembles a mitre (a hat worn by bishops), connects the heart’s left atrium to its left ventricle; MVP occurs when that valve doesn’t close properly. MVP is actually relatively common, and according to the Mayo Clinic, “In most people, mitral valve prolapse isn’t life-threatening and doesn’t require treatment or changes in lifestyle.”

My form of MVP, however, is less benign. Continue reading

Categories: Uncategorized | Tags: , , , , , , , | 6 Comments

Blog at WordPress.com.

%d bloggers like this: