Older Folks and Vaping Back Porch - Part Seven

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Bea-FL

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Two more of my orchids are open now :wub:. Sorry they're a bit fuzzy :(

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Flowersoul

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pwmeek

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Just to confuse things, during the pre-op exam, the doctor found Atrial Flutter (AFL), so there was a big kerfluffle about whether I could stand to be anesthetized for the cataract operations. It turns out that expert opinion is that, yes, I can go through with the cataract operations, but then I MUST get something done about the AFL. This means maybe medication for the AFL, blood-thinner medication (@ $400/month forever), and maybe another heart-catheterization (yeecchhh) to ablate (burn) a gap in the nerve cycle to kill the short circuit that is causing the flutter. As Bette Davis is reputed to have said, "Getting old isn't for sissies."

Well, on March 8 I went in to get my second eye done (meaning that doing something about the AFL would be put off until the beginning of April. So I'm lying on the gurney, having two different docs draw cryptic marks around my eye with indelible marker, getting the numbing drops in my left eye (a lot of them, and they sting a bit). (Those marks are really tough to get off.)

IMG_0879_c600.jpg

(Squinty-eyed dude, ain't I?)

I begin to doze off (I nap a lot during the day, so not unusual), and suddenly my heart rate drops to 25-30 BPM and the monitor alarms begin shrieking. I hear someone yell "Get the crash cart!" (It turned out that they didn't need it) and suddenly there are a dozen people around the gurney.

Once I was awake (and slightly hyper), my heart rate sped up a bit, but the cataract doctor declined to begin the procedure. A bunch of phone calls and discussion and suddenly I am in an ambulance being transported from the Kellogg Eye Unit to the Emergency Room and then to the Cardiology Unit at U-Mich Hospital (close by). The doc who was planning to do an ablation (in April) to try to cure my AFL has offered to stay beyond his usual hours on a Friday (including the OR staff) to do my ablation right now. Since I haven't been on three weeks of blood thinner to prepare, I also need a trans-esophageal ultrasound echocardiogram (TEE) to be absolutely sure that the AFL has not allowed a blood clot to form in the misbehaving atrium. (The TEE staff also agrees to shoehorn me into their already full Friday schedule.) Kudos to everyone at both divisions of the U of Michigan Health System! (All three, including the Emergency Room staff.)

I get to wolf down a meal at 10 PM and drink some water (I've been fasting and not drinking in anticipation for the cataract surgery) only to begin another day of fasting and not drinking. I'm getting seriously thirsty. At one point they gave me a 21 mg nicotine patch which I take as an indication that they do not consider nicotine to be incompatible with everything else that is happening. So while all this is going on, I'm stealth vaping every chance I get with my low VG, high nicotine vaping equipment, and exhaling into a small terrycloth towel (which they have not taken away for some reason). People keep coming in to check the heart monitor, since too big a puff causes a bit of tachycardia; I figure that the problem is too slow heart rate, so a little tachycardia is a good thing. (Note that hospital policy is No Vaping anywhere, and local County Ordinance is No Vaping anywhere smoking is not allowed. I'm talking serious stealth.)

At any rate, both procedures went well: they found no clot; and the ablation stopped the AFL completely, although I still have a very irregular heartbeat - the timing between any two beats is completely different each time, but the average is generally around 60 to 70 when I am at rest. They cut me loose about noon on Saturday, but I will have to go back to be fitted for a portable 12-lead EKG rig that I will have to wear all the time for a while. (That department does NOT work on weekends.) Now I will have to wait two or three months to determine when it is safe to temporarily stop the blood thinner so I can try again to get the second cataract surgery done. (News at eleven. When and if.)
 

pwmeek

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So, other than that, how are things going?
Not bad, really. I'm "up" enough to be posting here. I had to laugh a bit when the Social Worker who interviewed me (they always ask (old people) about things like, "Do you feel safe at home?") asked me to rate my general health and without thinking too carefully answered "Generally good". I've just been rushed to the Emergency Room and am being crammed into several busy schedules, but I still think "Generally good". After all, I'm 74 and there are a lot of people sicker than me.
 

DancingHeretik

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My niece's twins at one month. Lida on the left, Aidan on the right. Ain't they something!

View attachment 728399
Beautiful little angels!
Well, on March 8 I went in to get my second eye done (meaning that doing something about the AFL would be put off until the beginning of April. So I'm lying on the gurney, having two different docs draw cryptic marks around my eye with indelible marker, getting the numbing drops in my left eye (a lot of them, and they sting a bit). (Those marks are really tough to get off.)

IMG_0879_c600.jpg

(Squinty-eyed dude, ain't I?)
You're so cute! So, are you still walking around with those marks? You might want to leave them to make sure they operate on the correct eye!
pwmeek said:
At any rate, both procedures went well: they found no clot; and the ablation stopped the AFL completely, although I still have a very irregular heartbeat - the timing between any two beats is completely different each time, but the average is generally around 60 to 70 when I am at rest. They cut me loose about noon on Saturday, but I will have to go back to be fitted for a portable 12-lead EKG rig that I will have to wear all the time for a while. (That department does NOT work on weekends.) Now I will have to wait two or three months to determine when it is safe to temporarily stop the blood thinner so I can try again to get the second cataract surgery done. (News at eleven. When and if.)
I know it's irritating to have to wait. But, life and death stuff comes first! I'm glad it got taken care of.
 

Nermal

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"Do you feel safe at home?") asked me to rate my general health and without thinking too carefully answered "Generally good".

I know what you mean. I have an annual visit with the VA scheduled. They ask me the same thing. Also ask if I'm feeling depressed and whether I am being abused. I actually think that's a good thing, but I'll never let on that I ever feel the least depressed.
 

pwmeek

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<snip>I'll never let on that I ever feel the least depressed.

Ha! I always mention that. Some of those social workers are pretty cute and it passes the time better than trying to ignore the TV that they always leave running in the background.
 

Bea-FL

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Well, on March 8 I went in to get my second eye done (meaning that doing something about the AFL would be put off until the beginning of April. So I'm lying on the gurney, having two different docs draw cryptic marks around my eye with indelible marker, getting the numbing drops in my left eye (a lot of them, and they sting a bit). (Those marks are really tough to get off.)

IMG_0879_c600.jpg

(Squinty-eyed dude, ain't I?)

I begin to doze off (I nap a lot during the day, so not unusual), and suddenly my heart rate drops to 25-30 BPM and the monitor alarms begin shrieking. I hear someone yell "Get the crash cart!" (It turned out that they didn't need it) and suddenly there are a dozen people around the gurney.

Once I was awake (and slightly hyper), my heart rate sped up a bit, but the cataract doctor declined to begin the procedure. A bunch of phone calls and discussion and suddenly I am in an ambulance being transported from the Kellogg Eye Unit to the Emergency Room and then to the Cardiology Unit at U-Mich Hospital (close by). The doc who was planning to do an ablation (in April) to try to cure my AFL has offered to stay beyond his usual hours on a Friday (including the OR staff) to do my ablation right now. Since I haven't been on three weeks of blood thinner to prepare, I also need a trans-esophageal ultrasound echocardiogram (TEE) to be absolutely sure that the AFL has not allowed a blood clot to form in the misbehaving atrium. (The TEE staff also agrees to shoehorn me into their already full Friday schedule.) Kudos to everyone at both divisions of the U of Michigan Health System! (All three, including the Emergency Room staff.)

I get to wolf down a meal at 10 PM and drink some water (I've been fasting and not drinking in anticipation for the cataract surgery) only to begin another day of fasting and not drinking. I'm getting seriously thirsty. At one point they gave me a 21 mg nicotine patch which I take as an indication that they do not consider nicotine to be incompatible with everything else that is happening. So while all this is going on, I'm stealth vaping every chance I get with my low VG, high nicotine vaping equipment, and exhaling into a small terrycloth towel (which they have not taken away for some reason). People keep coming in to check the heart monitor, since too big a puff causes a bit of tachycardia; I figure that the problem is too slow heart rate, so a little tachycardia is a good thing. (Note that hospital policy is No Vaping anywhere, and local County Ordinance is No Vaping anywhere smoking is not allowed. I'm talking serious stealth.)

At any rate, both procedures went well: they found no clot; and the ablation stopped the AFL completely, although I still have a very irregular heartbeat - the timing between any two beats is completely different each time, but the average is generally around 60 to 70 when I am at rest. They cut me loose about noon on Saturday, but I will have to go back to be fitted for a portable 12-lead EKG rig that I will have to wear all the time for a while. (That department does NOT work on weekends.) Now I will have to wait two or three months to determine when it is safe to temporarily stop the blood thinner so I can try again to get the second cataract surgery done. (News at eleven. When and if.)
So glad you are feeling "generally good" and the AFL is gone. But I'm sorry you have that portable EKG to look forward too. I'm thinking it must be the same thing I had to wear 24/7 for a month because I have a heart arrythmia. It was the biggest pain in the toosh…but it did its job :).

Good luck with the next cataract surgery:)
 

Semiretired

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Now I will have to wait two or three months to determine when it is safe to temporarily stop the blood thinner so I can try again to get the second cataract surgery done.

Glad you are feeling better. Definitely sounds like your body needed more time between the surgeries to re balance. Hoping that the next round does not bring any unwanted adventures...
 

Janet H

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Well, on March 8 I went in to get my second eye done (meaning that doing something about the AFL would be put off until the beginning of April. So I'm lying on the gurney, having two different docs draw cryptic marks around my eye with indelible marker, getting the numbing drops in my left eye (a lot of them, and they sting a bit). (Those marks are really tough to get off.)

IMG_0879_c600.jpg

(Squinty-eyed dude, ain't I?)

I begin to doze off (I nap a lot during the day, so not unusual), and suddenly my heart rate drops to 25-30 BPM and the monitor alarms begin shrieking. I hear someone yell "Get the crash cart!" (It turned out that they didn't need it) and suddenly there are a dozen people around the gurney.

Once I was awake (and slightly hyper), my heart rate sped up a bit, but the cataract doctor declined to begin the procedure. A bunch of phone calls and discussion and suddenly I am in an ambulance being transported from the Kellogg Eye Unit to the Emergency Room and then to the Cardiology Unit at U-Mich Hospital (close by). The doc who was planning to do an ablation (in April) to try to cure my AFL has offered to stay beyond his usual hours on a Friday (including the OR staff) to do my ablation right now. Since I haven't been on three weeks of blood thinner to prepare, I also need a trans-esophageal ultrasound echocardiogram (TEE) to be absolutely sure that the AFL has not allowed a blood clot to form in the misbehaving atrium. (The TEE staff also agrees to shoehorn me into their already full Friday schedule.) Kudos to everyone at both divisions of the U of Michigan Health System! (All three, including the Emergency Room staff.)

I get to wolf down a meal at 10 PM and drink some water (I've been fasting and not drinking in anticipation for the cataract surgery) only to begin another day of fasting and not drinking. I'm getting seriously thirsty. At one point they gave me a 21 mg nicotine patch which I take as an indication that they do not consider nicotine to be incompatible with everything else that is happening. So while all this is going on, I'm stealth vaping every chance I get with my low VG, high nicotine vaping equipment, and exhaling into a small terrycloth towel (which they have not taken away for some reason). People keep coming in to check the heart monitor, since too big a puff causes a bit of tachycardia; I figure that the problem is too slow heart rate, so a little tachycardia is a good thing. (Note that hospital policy is No Vaping anywhere, and local County Ordinance is No Vaping anywhere smoking is not allowed. I'm talking serious stealth.)

At any rate, both procedures went well: they found no clot; and the ablation stopped the AFL completely, although I still have a very irregular heartbeat - the timing between any two beats is completely different each time, but the average is generally around 60 to 70 when I am at rest. They cut me loose about noon on Saturday, but I will have to go back to be fitted for a portable 12-lead EKG rig that I will have to wear all the time for a while. (That department does NOT work on weekends.) Now I will have to wait two or three months to determine when it is safe to temporarily stop the blood thinner so I can try again to get the second cataract surgery done. (News at eleven. When and if.)

WOW, that was quite an unexpected adventure! I'm glad they took good care of you and here's hoping you can get that 2nd eye done and over with soon.
 

MikeE3

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Well, on March 8 I went in to get my second eye done (meaning that doing something about the AFL would be put off until the beginning of April. So I'm lying on the gurney, having two different docs draw cryptic marks around my eye with indelible marker, getting the numbing drops in my left eye (a lot of them, and they sting a bit). (Those marks are really tough to get off.)

IMG_0879_c600.jpg

(Squinty-eyed dude, ain't I?)

I begin to doze off (I nap a lot during the day, so not unusual), and suddenly my heart rate drops to 25-30 BPM and the monitor alarms begin shrieking. I hear someone yell "Get the crash cart!" (It turned out that they didn't need it) and suddenly there are a dozen people around the gurney.

Once I was awake (and slightly hyper), my heart rate sped up a bit, but the cataract doctor declined to begin the procedure. A bunch of phone calls and discussion and suddenly I am in an ambulance being transported from the Kellogg Eye Unit to the Emergency Room and then to the Cardiology Unit at U-Mich Hospital (close by). The doc who was planning to do an ablation (in April) to try to cure my AFL has offered to stay beyond his usual hours on a Friday (including the OR staff) to do my ablation right now. Since I haven't been on three weeks of blood thinner to prepare, I also need a trans-esophageal ultrasound echocardiogram (TEE) to be absolutely sure that the AFL has not allowed a blood clot to form in the misbehaving atrium. (The TEE staff also agrees to shoehorn me into their already full Friday schedule.) Kudos to everyone at both divisions of the U of Michigan Health System! (All three, including the Emergency Room staff.)

I get to wolf down a meal at 10 PM and drink some water (I've been fasting and not drinking in anticipation for the cataract surgery) only to begin another day of fasting and not drinking. I'm getting seriously thirsty. At one point they gave me a 21 mg nicotine patch which I take as an indication that they do not consider nicotine to be incompatible with everything else that is happening. So while all this is going on, I'm stealth vaping every chance I get with my low VG, high nicotine vaping equipment, and exhaling into a small terrycloth towel (which they have not taken away for some reason). People keep coming in to check the heart monitor, since too big a puff causes a bit of tachycardia; I figure that the problem is too slow heart rate, so a little tachycardia is a good thing. (Note that hospital policy is No Vaping anywhere, and local County Ordinance is No Vaping anywhere smoking is not allowed. I'm talking serious stealth.)

At any rate, both procedures went well: they found no clot; and the ablation stopped the AFL completely, although I still have a very irregular heartbeat - the timing between any two beats is completely different each time, but the average is generally around 60 to 70 when I am at rest. They cut me loose about noon on Saturday, but I will have to go back to be fitted for a portable 12-lead EKG rig that I will have to wear all the time for a while. (That department does NOT work on weekends.) Now I will have to wait two or three months to determine when it is safe to temporarily stop the blood thinner so I can try again to get the second cataract surgery done. (News at eleven. When and if.)

Well that seems quite the adventure with a good outcome ... Wow!
 
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