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From: Chuck Holst <cholst_at_bitstream.net>
subject: [Paddlewise] Coronary bypass recovery
Date: Thu, 12 May 2005 16:42:28 -0500
On May 3 I had an unanticipated quadruple coronary bypass operation, which
involved splitting the breastbone apart to get at the heart. During the
wrap-up phase the surgeon stitched the breastbone back together with silver
wire and glued the incision together. Until the bone knits (about six
weeks), I'm not supposed to pick up, push, or pull more than five pounds,
and I have to be care not to apply any differential pressure to the two
sides of the chest when getting into and out of bed (no rotating from the
waist!). Aside from that, I'm feeling pretty chipper. 

Has anyone on Paddlewise had a similar operation? If so, my wife would like
to know how long it took before you were back in your kayak again. In my
case the damage to the coronary arteries was discovered before there was any
damage to the heart muscle, so I am anticipating pretty much a complete
recovery.

Chuck Holst
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From: Bob Carter <revkayak_at_aptalaska.net>
subject: Re: [Paddlewise] Coronary bypass recovery
Date: Thu, 12 May 2005 20:46:38 -0800
 Chuch wrote
...my wife would like to know how long it took before you were back in your 
kayak again. In my
 case the damage to the coronary arteries was discovered before there was 
any
 damage to the heart muscle, so I am anticipating pretty much a complete
 recovery.


Chuck,
First I am glad this was caught before there was heart damage and I pray for 
a quick recovery. The answer to your delema is obvious.
Buy a double kayak, put your wife in the bow and you in the stern. She 
paddles and you work the rudder pedals.
This way you exert no force on your chest and your wife gets great aroebic 
exercise! Have fun being queen of the nile.

Bob
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From: sluf <kmkenney_at_cccomm.net>
subject: RE: [Paddlewise] Coronary bypass recovery
Date: Thu, 12 May 2005 22:05:45 -0700
Now that's how you turn a negative into a positive. Imagine 
paddling a double and not worrying about clacking paddles 
together. That's pretty stress free-- 
PS: Get well soon! 
R/ 
Sluf 


Chuck, 

First I am glad this was caught before there was heart damage and 

I pray for a quick recovery. The answer to your delema is 

obvious. 

Buy a double kayak, put your wife in the bow and you in the 

stern. She paddles and you work the rudder pedals. 

This way you exert no force on your chest and your wife gets 

great aroebic exercise! Have fun being queen of the nile. 



Bob
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From: Michael Daly <mikedaly_at_magma.ca>
subject: RE: [Paddlewise] Coronary bypass recovery
Date: Fri, 13 May 2005 10:36:02 -0400
On 12 May 2005 at 22:05, sluf wrote:

> Now that's how you turn a negative into a positive. Imagine 
> paddling a double and not worrying about clacking paddles 
> together. That's pretty stress free-- 

Just don't bring water skis.

Mike
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From: Darryl <Darryl.Johnson_at_sympatico.ca>
subject: Re: [Paddlewise] Coronary bypass recovery
Date: Fri, 13 May 2005 08:24:16 -0400
> On May 3 I had an unanticipated quadruple coronary bypass operation,
> which involved splitting the breastbone apart to get at the heart.
> During the wrap-up phase the surgeon stitched the breastbone back
> together with silver wire and glued the incision together. Until the
> bone knits (about six weeks), I'm not supposed to pick up, push, or
> pull more than five pounds, and I have to be care not to apply any
> differential pressure to the two sides of the chest when getting into
> and out of bed (no rotating from the waist!). Aside from that, I'm
> feeling pretty chipper. 
> 
> Has anyone on Paddlewise had a similar operation? If so, my wife would
> like to know how long it took before you were back in your kayak
> again. In my case the damage to the coronary arteries was discovered
> before there was any damage to the heart muscle, so I am anticipating
> pretty much a complete recovery.
> 
> Chuck Holst

It has not happened to me (I had an Angioplasty which took care of my 
immediate problems), but I have known several people who have had the 
procedure.

The main issue is the age of the patient. Younger people will 
generally heal faster.

The next issue would seem to be the overall fitness of the patient. 
Those with more highly developed musculature of the chest will 
generally recover faster.

Note my use of the word "generally" in both cases.

I would definitely not want to push the recovery too fast: I don't 
know what the consequences of an badly knitted breastbone would be, 
but I doubt they'd be pleasant. If the bypass went as well as you 
seem to think, it would seem that the breastbone is your main 
concern. Give it proper time. Check with your doctor regarding what 
constitutes safe exercise once your six weeks are up.

Good luck!!
-- 
  Darryl
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From: Steve Cramer <cramersec_at_charter.net>
subject: Re: [Paddlewise] Coronary bypass recovery
Date: Fri, 13 May 2005 08:46:48 -0400
Chuck Holst wrote:

> On May 3 I had an unanticipated quadruple coronary bypass operation, which
> involved splitting the breastbone apart to get at the heart. During the
> wrap-up phase the surgeon stitched the breastbone back together with silver
> wire and glued the incision together. Until the bone knits (about six
> weeks), I'm not supposed to pick up, push, or pull more than five pounds,
> and I have to be care not to apply any differential pressure to the two
> sides of the chest when getting into and out of bed (no rotating from the
> waist!). Aside from that, I'm feeling pretty chipper. 
> 
> Has anyone on Paddlewise had a similar operation? If so, my wife would like
> to know how long it took before you were back in your kayak again. In my
> case the damage to the coronary arteries was discovered before there was any
> damage to the heart muscle, so I am anticipating pretty much a complete
> recovery.

You're in fairly good--well, at least notorious--company: Derek 
Hutchinson had a quad bypass in January and was teaching in mid-April, 
possibly before. He was making a big deal about it at the East Coast 
Festival, claiming he was wearing his PDF extra tight to be sure all the 
stitches held together. At one point he did a deep layback brace and sat 
up patting his chest to be sure he was in one piece. "Don't worry, 
Derek," I assured him, "at least your heart's in the right place."

Steve
-- 
Steve Cramer
Athens, GA
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From: Joyce Family <tfj4_at_comcast.net>
subject: Re: [Paddlewise] Coronary bypass recovery
Date: Fri, 13 May 2005 21:17:51 -0500
My best wishes to you Chuck as you recuperate.  But this may be an
appropriate time to remind people to ask their doctors about CT scans of the
heart.  A lot of asymptomatic, fit people are discovering incipient
atherosclerosis through such heart scans, and with timely intervention they
can perhaps nip the problem in the bud.  These are new tests, slightly
expensive, but they are gradually winning approval as a good, hard
diagnostic tool.

TFJ
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From: Chuck Holst <cholst_at_bitstream.net>
subject: RE: [Paddlewise] Coronary bypass recovery
Date: Mon, 16 May 2005 17:18:17 -0500
My thanks to all who sent me their wishes for a speedy recovery. In fact, I
am recovering quite well, though I will still be restricted in how much I
can lift, push, or pull for another four weeks. I am currently going for a
prescribed 13-minute walk twice a day, with an increase of a minute a day.
Otherwise, I am taking it pretty easy, getting a lot of napping and reading
done.

As Tom pointed out, not everyone with a heart problem has symptoms. In my
case, it was a slight discomfort in the chest, which could have merely been
acid reflux, combined with a brief bout of lightheadedness and my family
history -- my father died of a heart attack at 52 -- that sent me to the
emergency room. I could have easily ignored it. At the hospital my EKG
proved normal, and I began to wonder if I didn't just have an overactive
imagination. But then my family history caused the cardiologist on duty to
order an angiogram -- and the angiogram revealed the blockage.

Doug Lloyd said: "Wow, your almost a stitch-and-glue kayaker now!" I say
there is no almost about it. If a wired-together chest and glued-together
incision doesn't make me a stitch -n-glue kayaker, I don't know what does!

John Winter: No problem. Paddlewise wouldn't be Paddlewise without a debate
about stabililty. 

Finally, for anyone looking for entertaining reading during a similar
recovery, I cannot recommend Terry Pratchett's Discworld novels too highly.
If you haven't encountered Pratchett before, he is a blend of P.G. Wodehouse
and J.K. Rowling with bits of the Marx brothers, Lewis Carroll, and Thorne
Smith thrown in -- and more.

Chuck Holst

-----Original Message-----
From: owner-paddlewise_at_paddlewise.net
[mailto:owner-paddlewise_at_paddlewise.net] On Behalf Of Joyce Family

My best wishes to you Chuck as you recuperate.  But this may be an
appropriate time to remind people to ask their doctors about CT scans of the
heart.  A lot of asymptomatic, fit people are discovering incipient
atherosclerosis through such heart scans, and with timely intervention they
can perhaps nip the problem in the bud.  These are new tests, slightly
expensive, but they are gradually winning approval as a good, hard
diagnostic tool.

TFJ
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From: Melissa Reese <melissa_at_bonnyweeboaty.net>
subject: Re: [Paddlewise] Coronary bypass recovery
Date: Fri, 13 May 2005 20:30:20 -0700
Hi Chuck,

On Thursday, May 12, 2005, at 2:42:28 PM PST, you wrote:

> On May 3 I had an unanticipated quadruple coronary bypass operation,

I just wanted to add my best wishes for a timely and full recovery!
While I'm here, I'll take the opportunity to thank you for your great
GP carving plans! So many paddlers around the world are now enjoying
their lovely self-carved paddles as a result of your fine work! :-)

Get well soon!

-- 
Melissa
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