for the next 32 days and who knows how many hours and minutes.
Some of you know and some of you do not, tomorrow I am getting the hole in my heart patched up. If you remember last May we discovered I have a
PFO, well it turns out this is not the case, and luckily we found out before anything serious happened.
I haven't said much about how I have been feeling, the past few months, because it's not something I have wanted to talk about. But since my
last race in October I have not been myself. I have been able to ride 2 times a week and that was it, and most of the time I was extremly fatigued. I was so happy in December when we found out finally what was causing the
low blood pressure, fatigue and everything else. What I didn't let you know was when I had the seizure and my heart stopped during my table tilt test, I didn't fully recover for a good week--things were not great. By the time I started to feel better I had my nose surgery.
As most of you know the
nose surgery went well, but it took 2 weeks to get out of bed, and another week of half days before I felt really good. What I didn't write about was what happened 2 weeks after my surgery. It was the final day of recovery, and I was feeling pretty good. I was cleaning the house and preparing to go back to work the next day. As I was doing all of this I all of the sudden got a thunder clap headache. The headache was so bad I could not think--all I wanted to do was lay down and hope the pain would go away. I did this, and fell asleep, but do not recall the falling asleep part. When I woke up a few hours later I was numb on the left side of my face down to my arm.
At first I thought I had slept funny, but after time passed by it remained numb--like novacane from the dentist. Royce and I decided I probably should go to the hospital and have it checked out. I went reluctantly, because I did not want to bother the hospital. I figured I would be fine, but was not 100% positive. I think I wanted to be fine, and did not want to acknowledge something was wrong.
At the hospital, they did some tests. I had a CT scan, and xray and eventually an MRI. All of which was to see if I had, had a stroke. You see the symptoms I had were classic symptoms of a stroke. Lucky for me I did not. I did have an infection in my nasal cavity, and a lesion on my brain. These 2 things got me sent to my ent the next day, and then a referral and appointment to the neurologist. The ent gave me a special antibotic spray, and got me in to the neurologist within 2 days.
At the neurologist we discussed my past medical history. I also was able to show her my MRI from last May to make a comparison. What was noticed was the lesion was there before, but a little bit bigger, and there was more white matter. Not a lot, but a little. She knew I had a PFO, so she recommended I see Dr.
Sherman Sorenson a cardiologist in Salt Lake. He has worked on many PFO's (thousands) and knew he would be able to help me. I was able to see Dr. Sorenson in about a week.
At my appointment with Dr. Sorenson I underwent another
test, called a Trans Cranial Doppler test.
The test is a new test which measures brain artery blood flow by using safe ultrasound echo probes placed on the surface of both sides of the head. If microscopic bubbles injected through an IV shunt past the lungs to the left heart, TCD detects and counts each bubble as it appears in the brain arteries. When the test is over you are then given a rating from 1 to 5, with 1 being no bubbles get through, and 5-300+ bubbles getting through. I was a 5 plus.
What this means is I am at high risk for a stroke, and I do not have a PFO. Instead I have a
fossa/fassa (I can't remember the spelling even though Dot told me). A fossa is a hole without the shunt. Which means even when my body is at rest I can have blood pass through to my left atrium, and skip going the right direction. Which as I said means I could have a stroke. The technical term is
Atrial Septal Defects (ASD).So what needs to be done?
I am currently taking Plavix. This is a blood thinner, which causes bruising and a few other side affects, but is worth it so you reduce the risk of a stroke. The other thing I need to do is get the hole plugged up. That is what I am doing tomorrow.
Tomorrow morning the doctor is going to go up my femeral artery and measure the hole with a balloon. From there he will get the right size of patch, go back up and put the patch in place. And I will not be fully sedated for the whole thing!
Once it's done I have to stay in the hospital overnight, and then will be released the next day to do normal activities as long as there is no physical exertion involved. I am not allowed to ride my bike for one week. After one week I can ride, but must take it easy, and I cannot lift anything over 50 pounds. Also, there is no riding my mountain bike for a month! I am somewhat bummed about no trail riding, but at least I will get to ride something after a week.
So what does this mean? It means hopefully my low blood pressure and stuff will partially resolve. It means I can start riding regularly and start losing all the weight I gained from lack of being able to ride. It means I should have more energy and not feel so fatigued--my circulation should be better as well as my breathing. The best part it means I have greatly reduced any chance of a stroke, and by doing so I will have many more mountain bike rides to come and longer to be with my family.
Pictures from my last ride on the BST...at least for 32 days.