The Day of the Operation

Part 1

After my blissful sleep at the hospital I went and had my shower with the strange solution. I think I was still in a daze. I had many doctors again visit me in the morning. My surgeon came to visit me around 11am. He was all scrubbed up in his surgeon gear. I asked him what time likely the operation would commence, as I though it was scheduled for about 6pm. He told me they wanted to get started early and I would probably get going around 12:00pm.

Another Russian doctor came to discuss the operation also. She had paperwork on her screen that I had to sign. I remember there being an option about the operation being filmed for future reference. She just ticked this box for me without asking!

There were constantly doing ECG’s and bloods at this times. The nurses came to put my valuables in an envelope. I was a bit annoyed that I didn’t get a locker to myself. My suitcase had been taken away at the beginning.

I think around this time I was assigned my own nurse. She had the same name as me which I took to be a lucky sign. She was nice and we were chatting away.Then all of a sudden they came to get me for the operation. As they started to wheel me down one of the nurses said to another one ‘ we need to sort out the bra for after’. They then muttered something about a 40D. The.se are special post surgery bras that fasten at the front.

As I was wheeled down to theatre I think I said a few Hail Marys to keep my mother happy. They parked me outside the theatre. I remember there was an array of Philippine nurses who I have to say were all amazing. At this point a rather stern Phillipino nurse came out and looked at me and said ‘right who have we got here then’. They then transferred me to another operating table and wheeled me into the operating theatre.

To be honest a lot of people would be terrified at this point but i had been here so many times before it didn’t seem such a big deal. I had already had surgery as a young child (which i don’t remember) and I had had the TOE and groin procedure 2 years before.

My line in my left arm had been set up. I gazed up and saw the Japanese anaesthetist. I think he said he name was Tomokoto or something. They both introduced themselves. That was that…the lights went out and i don’t recall a thing.

Motivation

Yesterday i tried to do some bits on the computer but i literally feel braindead sometimes. This is brainfog on a different level. I also feel like my eyesight has significantly deteriorated since I had the operation. I must get this checked.The scar is quite itchy.

I try day to day to pick up the pieces of my life. This is good therapy for me. Pardon me if my writing seems confused. I am going to go right back to the start to journal what I remember.

I brought far too much to the hospital. I remember thinking “God, most people get to go to the hospital to have a baby. At least they get a prize at the end. What will i get.. a new scar”.

My elderly parents dropped me to the hospital where we had lunch. I felt quite guilty in a way to put this burden upon them. Having not being in a relationship at the time. I brought a suitcase. We then went up to the ward to check in. I was given a bracelet and shown to my bed. I don’t think there were many women around at that point. My parents probably stayed about another 20 minutes. We said our goodbyes. It was at this point that it began to get real.

It was just me on the ward at that point. There was a girl to the left of me with her mother. She was talking to doctors and I was eavesdropping. From what I could make out she was having a gallbladder procedure. I remember the doctor explaining this was very painful. She was also having something done to her heart.

A couple of nurses came here and there to check on me. They told me i would have my last meal at 6pm and i was to not eat from that point until the operation. I wondered around the hospital a bit to get my bearings. I watched as the ward slowly filled up.

A couple of different doctors came to visit. There was so many of the it was hard to keep track. I tried to get comfortable and get used to where everything was.

I specifically remember the anaesthetist paying me a visit around this time. He was a very serious Japanese guy. He kind of sobered me up and brought me to the reality of what was about to occur. He said to me it was really important that I get a good night sleep, the night before the operation, otherwise it is not good if I was “stressed” in the operation. This freaked me out somewhat. I shook his hand and he said “don’t worry we will take good care of you”.

After this I think I had a bit of a cry. It was all getting a bit much. I spoke to the nurse about getting a sleeping tablet for later. She said she would ask doctor. I also had a nurse come and give me this solution. She said I was to wash myself with it that night, including my hair and I was also to wash myself again in the morning. An impending sense of doom began to arise within me.

I had my dinner around 6. I remember being pleasantly surprised by it. Later in the evening they moved me to another ward. This ward was full of ladies and some that that had just come from surgery. I remember directly across from me there was an Indian lady. She had a tube up her nose and looked to be in a lot of pain. She had a morphine button which she kept pressing. I remember the staff came and a placed a board under her to take an x-ray. I did try to talk to her but I don’t think her English was that great . She mentioned something about a valve.

To the left of my bed was an elderly English lady. She introduced herself and said she had heart failure. She had a scar where she had a procedure. I think it was something to do with her aorta.

I tried to settle but it was quite a weird and unsettling experience. I was watching my programmes on my phone and tried to do some reading. I went and had my shower and then later the nurse came with my sleeping tablet. I’m glad it wasn’t temazepam. It was a mild sleeping tablet. I drifted off into a lovely sleep but I was still awoken throughout the night for the nurse to do their checks.

3 Months Post Surgery

So..wow, it will officially be 3 months since my surgery for ASD correction via open heart surgery and what an experience and a half. Initially I wanted to write a diary of the experience day by day but that did not turn out to be practical.

I am now going to work with the notes I have made and what I can remember. It has been so hard to even pick up my laptop but today I made a massive effort.

The main thing I am fighting atm seems to be the massive depression that I seem to have slipped into. Apparently it is a normal thing post surgery. I felt so motivated before surgery and was in the middle of a course. I just do not have any motivation or willpower at the moment.

I was told by my surgeon that it could take up to a year to recover psychologically from surgery. I just feel like i am drifting along in a never-ending laziness induced psychosis of never ending Netflix.

For the first month after surgery I just slept and slept and slept. After 2 weeks at home I went out for my first walk which was exhausting. Then this like massive depression kicked in. Almost like your brain/ body has suddenly processed the massive trauma it has experienced. I would describe it like feeling like you have been “hit by a train”. Then looking in the mirror constantly trying to accept/ adjust to your new friend. Your new scar.

When people said “oh your personality might change after surgery” i thought oh no, not me, I am really strong and really resilient. I will bounce back to my normal self in no time. I feel like i have died and this new person has taken over my body. I feel like a shell of my former self. I feel vulnerable, isolated, wary, introverted. Pump head is a real thing.

Why do I have to deal with this?

Recently, I have been contacted by an old friend who wants to date me, but in the cruel ironic twist that is life I have had to distance myself because it’s just wrong timing and realistically, what lad wants to date a partner having open heart surgery?

These are the kind of conversations I have to go through in my head. It’s bad enough having to deal with my first scar in relationships, but that scar has had almost 40 years to heal, and it’s not that bad. After 40 years, that scar is not red and raw, it is the same colour as my flesh.

I often liked my scar as it made me unique and I often thought it looked like a spear. I often fantasized that I was some mystical warrior. My scar is like my identity, like an old friend, and now they are going to take that old friend away and give me a new imposter.

Now I have to start again with the scar trauma, and it is not an easy thing to deal with, especially with immature/ shallow men. Maybe I should either give up up on men and devote my life to animals or become a lesbian.

Some might say if he doesn’t support you, then he’s not worth it, but I just don’t want to be a burden to anyone. I constantly feel like I am bringing people down, and I can’t stand the pity and how people treat me differently after they find out. I also can’t be bothered with setting myself up for rejection. So i reject them first, and then they wonder why I cut people off and why I am so weird. It is just easier this way.

Then i think what is the point in anything then? Is there a point in having this operation at all if I’m just going to be Frankenstein afterwards?

Pre Med Nurse

Yesterday I had a call from the “pre-med” nurse. She just asked me a barrage of questions about which medications I take. Currently, I am taking Trelogy and Sertraline. Although i hate taking antidepressants, I have to admit I need them at times. I don’t take them properly and i know most doctors would moan and say, “You have to take them properly.” i don’t want to. I take them as and when i need them, which is usually around my time of the month for a few days or when i can’t deal with my dysfunctional family.

I can experience very dark depressing suicidal days. I always have and I always will.

The nurse explained that after the surgery I will not hear from the surgeon for 6 weeks, and then I will not hear from the cardiologist for 6 months.

They asked if I was scared of needles! This made me scoff. How could I be scared of needles when I’ve been a pin cushion most of my life? I have actually become very desensitized to a lot of things in life. Needles don’t bother me, however, I don’t like it when they take the blood gas. That really hurts, and sometimes you get inexperienced nurses trying to do it who aren’t very good at it. They have to stab you hard to pierce the artery to get the special blood to get your blood gas.

She then went on about getting a “dental review” as your gums have to be in a decent condition before cardiac surgery as any infection that enters the gums can go straight to the heart. I have always had to have an antibiotic an hour before any treatment.

I have the dentist on Friday as I have a cracked tooth. Hopefully its just a small cavity. Sometimes my life just seems like never-ending torture and pain. Torture from the dentist, torture from the hygienist, torture from my mental health, pain from my menstrual cycle. Does it ever end?

She mentioned about whether i had ever had a blood transfusion, which, to my knowledge, i haven’t. I will have to attend the hospital the night before the operation so that they can take blood. She also mentioned something about visitors can’t stay overnight.

I then asked her if i would need to have a catheter, to which she replied “yes”. This scares me. Just the thought of it. I also asked if they could schedule the operation so that it doesn’t coincide with the period, to which she replied, “Probably not”.

Just feels like I have a lot of battles ahead. Sometimes I feel so tired of fighting. It’s exhausting.

4th August

Today I am frustrated. I was supposed to have an appointment at St Thomas’ Hospital with the surgeon; however, when I arrived at Paddington, I received a phone call from the hospital to rearrange the appointment for 2 weeks time.

So frustrating when you get your head around something and its cancelled. I had even compiled a long list of questions:

How long will the surgery take?

How painful will the surgery be?

Have there been similar cases to mine? If so, what happened?

How long will i need to take off work?

How much will it improve my quality of life?

Why can’t you do keyhole surgery on me like in America?

What complications could i have?

Why didn’t the surgery work when I was 3 years old?

How will you be sewing me up inside?

How will you get to the hole in my heart?

How will this affect my menopause?

Will i need any further surgeries?

How traumatic will it be as an adult?

What if I’m in agony will you give me strong painkillers?

Will I be able to fly long distance after?

Will you be able to reconstruct my breasts?

How long will the operation take?

How long will it extend my life?

What will happen if I don’t have the operation?

Do you recommend I have the operation?

The list could go on forever…….

6th August

Sometimes I feel so betrayed by everyone. Even my own family. I feel alone. I feel abandoned. I feel misunderstood by everyone. I feel friendless, rejected. I don’t feel anyone understands what I’m going through. I have always been labelled the “difficult” one.

Even my own family arranged to go on a big holiday together without one thought of me. Is there really a point in being part of a society that puts perfection above everything? What quality of life will I have? Even my life up to now has been difficult because being “disfigured” and “different” has had a devastating effect on my life.

Up until the age of about ten, my scar never really bothered me. It was only when I when I started going into puberty that the problems began. You see, whatever way they cut my sternum affected the way my breasts developed, leaving my breasts asymmetrical. This always bothered me. Not so much the scar as it has faded with time, but the asymmetry. I am not sure is this is common for people who have open heart surgery. I mean in theory, i could get it fixed with an implant, but life always seems to get in the way.

Yes, I have had relationships, but none of them have ever really worked out. I have always felt deeply insecure about this. I’ve always felt that deep down, whoever I was dating was always looking over their shoulder for something better. I am a complex person, and at the age of 44, I have decided that relationships are just not for me. This has led to more loneliness.

Full Steam Ahead

Today I successfully met up with the surgeon Dr X at St Thomas’ Hospital in London to discuss my future “hole in the heart” operation.

He seemed like a very nice doctor, which was reassuring, as not all doctors and surgeons are so friendly. After introductions, I went into full attack with my questions. Firstly, I asked:

“So why didn’t the operation I had to close the hole in my heart work the first time”? If I can jog your memory, I had my first open-heart surgery at the age of 2 and a half in the early 80s. I am now in my 40’s.

He simply replied, “Sometimes it just falls apart.”……. What falls apart? What the hole that was sewed up, fell apart? I always felt it was my fault somehow that i was facing another surgery. Back in the early 80’s, hospital follow-up or after care wasn’t exactly to the standard it is today.

My mum was simply told to “let her get on with her life”. She said the aftercare was “non-existent”. I always kind of assumed I was “fixed,” so in my younger days I lived my life to the full, let’s say, without thinking of the consequences. I was a bit wild in my youth, but no more or less than anyone else.

I did ask one of the doctors once if my wild lifestyle in my early years could have contributed to the hole reopening, but was reassured that no, it is merely “congenital,” whatever that means.

I then asked, so, how will you be fixing the hole in my heart? To which he replied, “We will be using a patch of leather from a cow.

How long will the operation take? To which he replied about 4 hours, including a heart and lung machine.

“Will you have to stop my heart”? For which he replied Yes we will have to stop your heart for about 20 minutes. I was like, “Oh my God,” this is getting really real now. I am basically going to be dead for 20 minutes.

I then asked the usual when, where how questions to which he replied it might take place in a few months.

I asked if he recommended I have the operation, and he said yes, i should have it as I will only deteriorate in time.

He mentioned something about blue blood, and that’s why my oxygen is low. It is currently about 85.

Finally, I asked,? “Will it improve my quality of life?” Yes, most definitely, he said. It should boost your oxygen to 100 percent.

So here we go on my road to heart surgery………….. Full steam ahead.