This is not the first Movable Type weblog I've had. I began one a little over 2 years ago. It went for not quite a month, and had about 16 entries total. I created it for a small but very interested audience. I've gone back and re-read it twice in the last week. Here is the entry from June 27, 2002 (slightly redacted). It concerns Doc M, my boyfriend (as I refer to him in blogville)
After Surgery--NOMINAL!!!!Doc M is out of surgery--which went really well. The Ross Procedure valve replacement (the one he wanted to have and the one that Bruce Reitz, MD, wanted to do) is what did in fact what he got. And it went well. (YAY!)
He's in the ICU right now. All open heart surgery patients are listed as "critical" in the first 24 hours or so. But his numbers look good. Here's the timeline of the day --so far, a long one.
- 4:30 wake up (yawn--eek)
- 5:30 arrive at hospital for pre-surgery prep.
- 6:45 ish, they wheeled him off for anasthesia
- 10:30 or 10:40 or so we got a report of how it was going-- the aortic valve had been replaced by the pulmonary one (in the Ross Procedure, Doc M's his own heart valve donor, offering his healthy valve from the low-stress position of heart-to-lung to go in the high-stress aortic position), and the replacement of the pulmonary valve by a new one (homograft, from a human cadaver).
- 12:00 noonish, we spoke to Dr. Reitz, who told us that surgery had gone well; he was off the heart-lung machine and his heart was beating on its own, and that we'd be able to see him around 1:00 - 1:15.
- 1:30 we saw him in the ICU; he was still unconscious from the anasthetic
- 3:30 Thanks to K, a doctor friend of Doc M's, I got to pay an unscheduled visit to see him just as he was first coming to... very groggy.
- 4:00 I came back with P and D, Doc M's sister and brother-in-law for the regularly scheduled visit (every 2 hours at the top of the hour); Doc M recognized all and nodded in response to comments and questions.
He's still on the ventilator/respirator that's used during surgery, so he can't talk and the tube's damn uncomfortable. It should come out in the next few hours.
I saw the anesthesiologist just as I was headed down here to this computer (yay for Stanford; they've got a wee Cyber Cafe in the hospital cafeteria, so I've now got blog!!), and he said that everything went very well from the anesthesia end, and that Dr. Reitz was very pleased with how the surgery went.
The valve that came out was calcified (Reitz gestured to indicate the outer ring of the valve), and the opening was small and the valve wasn't really opening or closing... so though Doc M wasn't abundantly symptomatic (standard symptoms: shortness of breath, dizziness and pain-in-the-chest; Doc M experienced muscular fatigue whenever he tried to 'put on the gas' while riding his bike uphill), that valve was in bad shape.
So... for those who aren't familiar with "nominal," it's space industry speak for normal, expected conditions. In other words, optimal. Freaked me out when I first heard it. I have repeatedly told Doc M that things are "nominal" and he nods in response. :D


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