Starting Cardiac Rehab

cardiac-rehab-fairfax

 

It’s started finally!   Tuesday, March 26, 2013 was DH’s first day in Cardiac Rehab, just over 8 weeks post-op.  This was an “intake appointment”, and much longer than the normal ones will be.

We got to choose when the future class would be – either Monday-Wednesday-Friday at 7:00 am or Monday-Wednesday-Thursday at 1:00pm.  Anyone who knows me knows that I chose the afternoon class.  I just didn’t want to get up that early and have to deal with early morning rush hour each of those days.

Diana, the intake nurse was very nice – in fact, everyone we met was.

First things first – money.  We found out that his insurance would pay for most but that there would be a $15 copay each session.  However, we did get a parking voucher saving us $5 on the parking garage.

Description unavailable

Description unavailable (Photo credit: pennstatenews)

We got a packet of information on all kinds of things, including food guides – what to eat, what not to eat.  Hooray!

I noticed a poster showing the image (right) for choosemyplate.gov.  I looked at that site when it first came out – and I’m looking again!

Diana was the one who set up the class times, as well.

Next was Claire, a nurse.  She checked all the meds and vitamins that DH takes.  She said that saw palmetto interfered with one of  his prescriptions and she suggested we take the list to CVS so that they can look for other interactions.

She did an EKG,  checked pulse in several locations, looked at the  scar, checked blood pressure on both arms (sitting and standing), listened to the carotids.

BP was  136/64 right,   112/60 left,   119/70 standing left.

She made an appointment with the dietician for Wednesday April 17 at  2:30, after a rehab class.

Turns out that there are patient meetings on the second Tuesday of each month.  We’re getting very busy with patient meetings, Mended Hearts and rehab plus doctor appointments!

 

They were out of t-shirts his size so we got one that was very large.  Another one will be forthcoming…sometime.

These shirts are special because they have a pocket for the portable EKG machine over the heart in addition to the obligatory logo on the back.  As luck would have it, DH was wearing a t-shirt with a pocket.

DH was hooked up to the EKG.  I gathered that he’ll do that himself in the future.

Next up – Shelly, an exercise physiologist.  She talked a bit, asked DH how often he got new shoes.  She said that it should be every 6 months.  Who knew?

She said to drink water every 15 minutes while exercising.

DH started off slow – Treadmill 5 minutes; Bike 15 minutes; Walked on indoor track for 4 laps

When he was done, we went to the Healthy Heart Cafe for a bit of lunch.

Wednesday, Day 2

We got there in plenty of time.  DH turned out to be the only person in this class, at least for now.

He did his exercises but was told he needed to eat breakfast in the future – his blood pressure was too low.

It’s becoming a habit – when he was done, we went to the Healthy Heart Cafe for another bit of lunch.

I had bought him a Groupon for a local garden shop as a Christmas gift.  Of course, I had no idea then that he wouldn’t be doing much gardening this year.  In any event, it was going to expire on March 30, so we went there after rehab and got a few things 🙂  They may all become house plants – we’ll see!

Absolute exhaustion by the time we got home.

Monday – Seven Weeks Post-Op

Things are really getting more normal here as time goes on.  7 weeks ago, I never would have imagined it.

DH still can’t drive but he asked to borrow my car one day last week and I said NO.  Soon, though.

He’s able to put sweaters over his head now, a big improvement from a few weeks ago when he was cutting t-shirts in half and wearing 2, or using a safety pin to hold everything together.

Next Tuesday, March 26, he’ll go for his first cardiac rehab.  I don’t know if they schedule the “real” ones then, but this is more of an intake meeting and a test to see where he before he can get started.

I’ve started resuming my regular activities – on Saturday, I went to a 5-hour with no problem and I wasn’t spending my time worrying, either, although some mornings when he wakes up late, I’ll go check to be sure he’s breathing.


One thing I’ve done as part of our more healthy eating – I bought a soymilk maker.  I had one in my cart on amazon.com for a while, watching the price.  Then, one day, they didn’t offer it anymore.  I kept searching on amazon for several days and the next version became available.  I put that in my cart and watched.  On Wednesday, the price dropped to $119 – $20 less than the first one I’d wanted.  I jumped on that and ordered it Wednesday.  Thursday, it went back up to $139 so I played that right!

The soymilk maker arrived on Saturday and I made almond milk first.  Today, I have soybeans soaking right now and will make the first batch of soymilk in about an hour.

Bob's Red Mill

Bob’s Red Mill (Photo credit: Wikipedia)

I just went on amazon to get a link to the one I got and found the price back to $119!  It comes with a small bag of Laura soybeans to get you started but I’d already ordered Bob’s Red Mill.

Yesterday, I was singing in the choir at church and DH decided to go along.  Before church, so many of the choir members and others went over to give him a big hug and say how well he looked.  During prayer request time, he stood up to thank the church for their prayers and folks started clapping.

After church, we decided to stop for breakfast in a newesh restaurant in the neighborhood.  While waiting in line, some neighbors also arrived.  They said they hadn’t seen either of us for a while.  I mentioned DH’s heart attack and it turned out that other man had had one too, about 15 years ago.  They had lots to talk about.  The other guy did a kind of at-home chelation which sounded a bit odd but it worked for him to remove calcium deposits.  It didn’t sound like anything I’d want to try!

This morning I was teaching piano and one of my students is the associate pastor of my church.  He said how powerful that DH stood up yesterday and demonstrated the power of prayer.

Not much else here – everything’s pretty normal except for not driving or walking the dog but those things will come.

Hooray!

Monday – Five Weeks Post-op

day-mon

Today went pretty well.  DH did some computer work with an employee.  After about 2 hours, DH rested his eyes for a bit while the other guy finished up.

I took the opportunity to go out to do some grocery shopping.  Exciting stuff!

A few phone calls, then DH napped some more – a bit of computer and you know the rest!

Girl Scout Thin Mint cookies

Girl Scout Thin Mint cookies (Photo credit: Wikipedia)

Sometime before this adventure started, DH had ordered 2 boxes of Girl Scout cookies.

Those arrived this evening and DH said he’d have “just one”.

I didn’t check how many he had but I saw that 4 (the typical serving size for Thin Mints) is 125 mg of sodium.  Possible trouble looming.

Maybe I’ll have to sacrifice myself and eat them all first 🙂

day-tues

Today was a pretty good day.  DH actually did some more work got a testimony ready to file, then some napping.  He went out with a friend to meet some others and actually had half a cup of coffee for the first time since surgery.

While he was out, I went to bell rehearsal to sub for someone else.  A very odd feeling to be subbing in my own group but they’re getting ready for a festival and someone has to ring my position – and it can’t be me.  I won’t be able to be away overnight for a while.

It was nice to be back, even briefly 🙂

day-wed

Up early in the morning for the stress test on the treadmill at the cardiologist.  I dropped DH off at the front door.  By the time I’d parked and gotten upstairs, he was already hooked up to the monitors but they wouldn’t let me go in.

Apparently, he passed with flying colors, all the way up to a 7% grade so he can start cardiac rehab as soon as we can get it set up!

On the way home, we saw my mom out walking so pulled over to say hello.  She was on her way to the library.  She had an appointment with her oncologist next Wednesday and she had been dithering about changing that in case DH’s rehab was on Wednesday mornings.  I told her not to change it – she might change TO the rehab date.  As it turned out, the oncologist had cancelled her.  Problem solved.

We decided to be brave and went to Bob Evans for breakfast.  DH did fairly ok with veggie omelet, egg beaters, fruit plate and dry whole wheat toast.  Another step in getting out into the real world again…

day-thurs

Last night didn’t go well.  I tossed and turned all night.  DH started trying to sleep in our room and went to the recliner about 1:00am, then back to the room about 4:00am.  About 8:00am he was in the recliner again so I guess he didn’t sleep well, either.

The day was like most days – a lot of napping and working.

DH called rehab and he can’t start for 2 weeks.  A bit disappointing 😦

I cleaned out our pantry and got rid of all the canned foods with sodium in them.  I took some to my mom, then took the rest to church to send to Western Fairfax Christian Ministries.

I went to church choir.  They’re getting ready for Holy Week and Easter so there’s lots of new music to learn.  I’m starting to feel less mole-like.

day-fri

Another lazy day.  We were going to go to the mall to walk but work and naps got in the way.

DH is sitting in his recliner listening to some app that will teach him Spanish.

Our son came home and DH actually went with me to Union Station to pick him up from the train.  I parked as close as I could so it was a short walk to the escalator, then another walk, another escalator and a longer walk.

DH was hungry so we went to get some Jamba Juice.  Even though the store was open, they said that they were cleaning up and closed.  DH went into Starbucks against my better judgement and got some kind of strawberry muffin thing.

On the way home, he wanted to go to McDonalds so I went through the drive-through and got 3 shamrock shakes, a grilled chicken sandwich for DH and a quarter pounder, no cheese for me.

Going out into the world is going to wreck all my careful food planning over the last 4 weeks!

day-sat
I woke up at 4:00am with a raging headache, possibly from that shamrock shake.  I’m not used to all that sugar any more 😦  It’s too bad – that’s about the only thing I really like(d) at Mickey D’s.  Oh, well.

At 11 we had our first Mended Hearts meeting.  That went pretty well.  I actually talked some – DH, of course, talked more.  I found it ironic that the snacks included no coffee but the raffle gift was a coffee cup.  HMMM…

It was good listening to other patients and caregivers talking about some of the issues we’ve gone through.

day-sun

 

Today was a take-it-easy day, a bit of TV, napping and playing piano duets with our son.  At night, we took him back to the train station.  Later, DH said that his chest was hurting a bit, probably from so much walking in the train today and Friday and the walking through the parking garage and hospital on Saturday.

Hopefully, a little Tylenol will help.

Next report next Monday…