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Old 06-08-2007, 01:52 AM   #1
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BYPASS PROBLEMS, Please Help

G'day to everybody........

Im a young man 44yo and I live in Australia and am looking for some help from anybody who may have experienced what I am going through and what they done about it.
On the 22 of April 07 I had a quadrupal bypass done and my surgeon said to me while i was still in the hospital that everything is ok and I will be a new man soon. I don't know what I am suppose to expect out of this operation, how fast that I will heal, how quickly I will feel better, etc....,today I was suppose to go back for a followup with the surgeon and I set out to get the train, I drove to the station and i started to walk 100 meters to the station and founf that today my post condition is worse that it has been, I got very puffy, out of breathe and chest pains and slight pains in the heart, I went back home and spent the rest of the day in bed feeling sick and feeling tired.
I was a smoker before the operation but have not smoked since having it, I am finding that I cannot walk for very far distances, I am 84Kg in weight, 5'10", I may be a little deconditioned, whenever I try to do anything I am out of breathe and get the chest pain, even putting on a pair of shoes will do this to me, I have spent the last 3 years looking after some disabled people and I was very physically inactive in this job, I have spent the last few weeks searching the internet to try and find an answer but cannot, I have not had much luck in seeing doctors or specialists to find an answer, I am very scared of what is happening to me and I know that the courage I had to find to go through this operation I am not sure I could do it again and am finding myself thinking that I am not going to have any quality of life anymore and am thinking that I would be better dead, I have prayed to God to help, I begged Him to be with me at the operation, Im still in pain from the operation, they took the arteries from my left leg, arm and chest to use in the operation, I have found some pretty damming stories about graft failures and leaking grafts, the surgeon promised me I would be a new man and that he would fix me up and I have heard people telling me of other people that have had a bypass and how they are on top of the world, I just want to cry, I have put up with this pain for 8 years and then finally went and faced my fear and had the operation but I still feel the same as before the operation but worse now and I can't do anything where as before i could do things but still get chest pain but not as bad as now, has anybody had these same feelings from a bypass, please help with anything you can..........Colin

 
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Old 06-08-2007, 08:41 AM   #2
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Re: BYPASS PROBLEMS, Please Help

G'day Colin, I had a triple bypass in feb 2002 at the age of 62 and after 45 years of non stop smoking. I live in Carnarvon on the other side of the country and even though our personal specifications vary quite a bit, I think we could swap some notes which may give you some realistic hope for the future. If you want to give me your e-mail address I'll tell you why I think it is the best thing I have ever done and I told my Dr the other day that I would rather have another bypass before a Total Knee Replacement which I had in March last year. In the mean time don't give up mate as an old car with a new engine is better than an old car with worn shock absorbers, believe me I know.

Cheers.......Simo

 
Old 06-08-2007, 09:00 AM   #3
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Re: BYPASS PROBLEMS, Please Help

Cowboy,

You are going to have to have a cardiologist determine if any of your grafts are failing. Nuclear stress test or angiogram will be required.

Maybe with luck you can have any problem cleaned out via catheter rather than another open heart job.

You should have your ejection fraction measured to see how well your heart is pumping.

Really though, maybe it IS just a matter of being deconditioned after 2 months of doing nothing after the surgery. Why not try walking a little more every day or even several times a day. You might surprise yourself.
My friends legs ached whenever he walked after they harvested a vein for over a year after triple bypass.
Also a lot of your chest pain might be becasue they sawed open your chest and then wired it shut...that takes a LONG time to heal.

Have you had any follow-ups with your cardiologist? He might be able to reasssure you.

 
Old 06-09-2007, 12:41 AM   #4
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Re: BYPASS PROBLEMS, Please Help

Quote:
Originally Posted by Lenin View Post
Cowboy,

You are going to have to have a cardiologist determine if any of your grafts are failing. Nuclear stress test or angiogram will be required.

Maybe with luck you can have any problem cleaned out via catheter rather than another open heart job.

You should have your ejection fraction measured to see how well your heart is pumping.

Really though, maybe it IS just a matter of being deconditioned after 2 months of doing nothing after the surgery. Why not try walking a little more every day or even several times a day. You might surprise yourself.
My friends legs ached whenever he walked after they harvested a vein for over a year after triple bypass.
Also a lot of your chest pain might be becasue they sawed open your chest and then wired it shut...that takes a LONG time to heal.

Have you had any follow-ups with your cardiologist? He might be able to reasssure you.

Thankyou for the replies...........My deconditioning is 3 years in the making not 2 months, I have tried to walk everyday but found that after only a few minutes I was getting out of breathe and the chest pains would start and if I continued to try and walk then it only got worse and very very painful and I would have to stop and wait about 3-5 minutes for the pain to go away and my chest to settle down, it feels no different to what I was feeling before I had the operation only now it is more severe, I have seen the cardiologist once so far and he said that it could be from the smoking but he is sending me on the 19th of June to have an ultrasound to see if anything is wrong with the grafts, they didn't tell me any of this before I went into the hospital that the grafts could fail or something else may go wrong with the operation, do you think that severe deconditioning could cause this type of pain and if so do you know what it is that is happening in the chest that causes it, I had a CT scan and that showed a sligh colapsed left lung and a small amount of fluid which is quite common I have been told after this type of operation, the Cardio told me that people usually come good around the 7 week mark and Im coming up to that amount of time since the operation, Im sitting here shaking my head thinking about what has happened, not knowing exactly what is going on doesnt help does it hey, anyway, any more suggestions would be very much appreciated about the deconditioned thing, it would be so good to feel great again and get out there and live life again, it has stopped me from working for the last year and a half and I became even more inactive, Thankyou..................Colin

 
Old 06-09-2007, 09:45 AM   #5
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Re: BYPASS PROBLEMS, Please Help

Colin,
If the pain is very similar to the pain before the bypasses, then the odds are that the same artery is occluded again/still.

The echogram will show whether your heart is pumping efficiently and if it is structurally okay. It will NOT show any occlusion in the grafts or any clots at the graft junction.

If the doctor thinks the pain is from OTHER than the chest wall incision, then he should do a nuclear scan to see if all areas of your heart are getting the proper amount of blood under stress that is sufficient to cause your pain.

A horrible possibility is that they bypassed all the arteries EXCEPT the one that was blocked...that would fall under the umbrella of malpractice/incompetence.

Deconditioning SHOULDN'T cause pain, just fatigue and weakness. If the pain is from the incision site, it should feel DIFFERENT in kind from what you experienced before the surgery.

Did you have a heart attack?

 
Old 06-10-2007, 01:24 AM   #6
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Re: BYPASS PROBLEMS, Please Help

Lenin...........thankyou for your reply, I did have a heart attack in 2001 and they put a stent in, I was told though when they did this that i had another blockage further down the artery butthe Doc said he would not fix it at that time but I would eventually need to have it stented, so the years passed, I felt ok at first but then when i stopped being active I started to get these feelings in the chest whenever i did something in exersion, I put up with it till recently and had it checked out and thaey said that i had a 90% blockage and a 80% and a 70 % blockage and unstable angina so I agreed to the bypass and I was suppose to have a triple but when I woke up they said I had a quadruple, I go to the rehab this week for my assesment to start the program, they're gonna be in for a suprise when they see I can't walk 50 feet without chest pain and have to stop, same feeling but more severe as before the operation.
When I came out of the hospital I did not have any help from anybody and so I had to shower myself and get dressed, I had to cook myself and do my washing and hang it on the line, I had to start to drive before 4 weeks were up, I know I had a very difficult time having to do all of this and it hurt when I tried to do any of it every time, I don't know if I may have strained anything but as time has gone by the pain is getting worse and coming now when I do the slightest thing and it makes me feel sick, I don't get an aching arm or sweats, I do get a tightness in the throat/neck and the pain in the chest where the heart is, the incision site is naturally sore but the pain is not from that, thats just a dull ach from the breast bone and cut and I feel numb from the mamery artery gone from the chest and sometimes a ach from the left lung I can feel and when I take a deep breathe I can feel an ach in the left lung, it's getting me down, really down, I went to church this morning but felt depressed about how I was feeling, I don't know what it is like to feel good, I have forgotten carrying this around for 8 years, I hope it gets fixed and I can have my life back again, Im only 44yo and feel like my life has come to an end and I will have to spend the rest of my life feeling like this and unable to do anything again, I have read alot of peoples stories on these forums and i feel so sorry for what happens to people and how it takes away their quality of life, Thankyou........Colin

 
Old 06-10-2007, 06:37 AM   #7
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Re: BYPASS PROBLEMS, Please Help

Colin,

Give it some more time before you make any judgement calls or allow yourself to get too depressed. It's only been 6 weeks since your body went through a brutally serious procedure.
It DOES sound like your heart has been damaged, perhaps irreparably with that old heart attack, but it's possible that a lot of your pain and discomfort are part of the normal healing process...we are all different in our healability.

Make SURE they give you a straight answer on what your ejection fraction (pumpiing efficiency) is, and is your heart being completely suffused with blood when you try exercise...if not WHY not. Don't let them off the hook without straight answers. Ask how much damage was done by the old heart attack.

Are you taking any cardiac or high blood pressure drugs now?

On the upside, you may be AMAZED to see how much capacity you can gain back with a diligent program of daily increasing exercise and weight control.

Last edited by Lenin; 06-10-2007 at 06:39 AM.

 
Old 06-12-2007, 03:02 AM   #8
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Re: BYPASS PROBLEMS, Please Help

G'day Lenin...........

Thankyou for your reply, I am on meds, I take Cartier (Aspirin) 100mg. 1 per day / Lipitor 40mg 1 per day/ Minnax 50mg, 1 per day / Somac 40mg / 1 per day / Plavix, 1 per day / Coversyl , 10mg, 1 per day.....I use to be on Anpec 240mg but the stopped that after the bypass and I have found that when I had the bypass my BP was good, the best its been for many years 120/80 but now it has slowely creeped up again and is around the 140-150/ 85-95. I am aware of my heart beat mainly at night time, can feel it beating away. Am going to the rehab on Thursday and will tell them everything that has happened and see what they come up with, I will certainly throw the questions at them that you have suggested I do, and I will do it and when I see the Cardio next Tuesday I will do the same with him, I don't want to do any walking until I see the rehab people and they do the assesment and see what they say first and if by next week when I see the Cardio man and he gives the all green I will start to walk then if I know that nothing is happening inside my chest, will keep you posted and let you know what the rehab says, Thankyou for all your suggestions and support........Colin

Last edited by AussieCowboy; 06-12-2007 at 03:05 AM. Reason: forgot one tablet

 
Old 06-14-2007, 06:17 AM   #9
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Re: BYPASS PROBLEMS, Please Help

G'day Lenin...........

Went to rehab today and they said that they could probably guarantee that there is nothing wrong with my heart and that if the grafts had failed in any way I would know it, they put my problem down to being severely unfit/deconditioned and that it will take a little while with their help and what they are going to get me to do and I should come good, she said that there is a possibility that there could be some diseased smaller veins in the heart that might be causeing the pain when i do anything but with exercising and getting fit this will minimise the pain because I will get more oxygen to the heart over time, anyway she said that I should go see the surgeon to get reassured that my heart is ok and so i made an appointment for next Friday to see him so at the moment Im feeling a little better about this but will make sure i get the answers i am looking for about what is happening, thankyou for all your help and support throughout this very worrying time, I guess I don't understand the severity of what they did to me with this operation and just what I have to do to heal and the time it will take, she reakons 'll be fine and I will be able to do most things again but it will just take some time, small steps, Thankyou..........Colin

 
Old 06-14-2007, 06:58 AM   #10
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Re: BYPASS PROBLEMS, Please Help

Dear Aussie, Please Go See Your Cardiologist Pronto. You Know Your Body The Doctor Doesn't. My Brother Also Had Quad By-pass, His Was In 2004. He Had His First Heart Attack And Stint At 32, He Just Turned 46. Every Year He Went For A Nuke Stress Test. In 2004 He His Stress Test Said Everything Was Fine, 2 Weeks Later He Was Having Emergency Open Heart. About 3 Months After The Surgery He Kept Say He Was Having Chest Pains When Doing The Least Little Thing, Of Course Dr's Keep Saying It Was Normal Since He Had The Surgery. He Had Another Serious Heart Attack, He Lost One Of His By Passes. A Few Months Later He Again Complained About Chest Pains And Shortness Of Breath, This Time They At Least Did A Stress Test - Said Everything Was Alright- Not- 2 Days Later He Had Another Heart Attack Lost Another By Pass. A Few Months Ago He Started Having The Pain Again- This Time He Insisted On A Heart Cath. He Had 95% Blockage Of Another By-pass. Because Doctors Think That Just Because One Patient Did Well All Will. My Brother Knows His Body He Just Had To Make Them Listen To Him. Because Of His Cardiologist He Now Has To Make A Decision To Either Go On The Transplant List Or Die. He Has Chosen To Die. Please Go To Your Cardio And Insist On A Heart Cath. You Have The Right. If Everything Turns Out To Be Ok Then Great On Thing You Don't Have To Worry About-less Stress For You And Your Heart. And If There Is A Problem Then You Can Fix It Before It Slowly Kills Your Heart Muscles. Good Luck-

 
Old 06-22-2007, 12:44 AM   #11
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Re: BYPASS PROBLEMS, Please Help

Went to the Surgeon today for my first visit since the bypass in April, told him I was getting pain the same as before the bypass, he put it down to using the mamery atery because the pain is where he said that he took the artery but one thing stumps me and i could accept that answer if only one thing wasn't happening, I still get the pain in the same place as before the bypass and I still have that pain radiat to the neck and jaw same as before the bypass, the feeling is no different, NO DIFFERENT as what I was getting, I had to walk from the train station to his practise and it near killed me with pain in the chest and neck/jaw, I had to stop twice on the way back to the train station and wait for it to settle (like angina).

Cardiologist said yesterday that the grafts were fine as I had an ultrasound done on Tuesday just gone, blood is flowing well through the heart, I went for a walk 2 days ago and got no pain and I felt so happy that i could do that and not get tyhe pain and i thought that maybe something was starting to heal and it was going to go away now but today when i went to the surgoens appointment it came back and I felt so depressed. Surgeon reakons 3 months and things are usually back to normal, well it's only been 2 months but he did say that things can go wrong, well isn't that just what you need hey, I have 5 weeks of rehab left, we'll see how it is by the end of that, one thing though that annoyed me about my visit today with the surgeon, he couldn't even look at me when he talked to me, strange I thought, anyway this how it is at the moment with it all, Thankyou.........Colin

 
Old 06-22-2007, 05:58 AM   #12
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Re: BYPASS PROBLEMS, Please Help

Quote:
I still get the pain in the same place as before the bypass and I still have that pain radiat to the neck and jaw same as before the bypass, the feeling is no different, NO DIFFERENT as what I was getting!

Quote:
she said that there is a possibility that there could be some diseased smaller veins in the heart that might be causeing the pain
My BIGGEST fear for you is that tying these two quotes together might lead to the conclusion that, after ALL you went through, they missed the vessel that was causing the pain in the first place. That would be criminal.

The way to ascertain what's what is to have a nuclear stress test, preferably by an uninterested party to see of your entire heart is getting a good blood supply.

I'm glad, at least you had that one good day of walking without pain...it;s a good sign.

 
Old 06-26-2007, 06:40 PM   #13
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Re: BYPASS PROBLEMS, Please Help

G'day Lenin..........ended up in hospital on Monday with excessive high BP 226/135, doctor said to admitt myself and get it monitored and try different meds to see what will work to keep it down because it's always high but not this high, hospital kept me there for 6 hours then sent me home at 2:30am, nice of them to do a thourgh check on me, they reakon that there is nothing wrong, x-ray was fine, blood was fine, they didn't know why i would be getting the chest pain though and said to make an appointment again to see cardiologist and tell him which I have already told him but was shrugged off, not to my suprise though, we are living in an uncareing world hense uncareing attitudes, I have no idea anymore what to do about this, the rehab lady says i will be fine just give it time, ok, I will and then what, surgeon said to give it 6 months and if i still get the pain to go and see him and he will crack me open again and fix it, nice that my life is just a game to some people, i was hopeing i would be settled back into work in 6 months not sitting around wondering if I was still going to be getting chest pain from his failed operation, surgeon said he was happy with the result, yeah thats only because Im still walking around and not laying 6 foot under so of cause it was a success to him, as far as Im concerned it has failed to date because he couldn't even tell me why I was still getting the pain and nobody else that I have seen can give me an answer, its always pass the buck to someone else to figure out, anyway this is how it is????????I don't have anymore answers to this, Thankyou...............Colin

 
Old 06-26-2007, 06:45 PM   #14
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Re: BYPASS PROBLEMS, Please Help

Quote:
Originally Posted by Lenin View Post
My BIGGEST fear for you is that tying these two quotes together might lead to the conclusion that, after ALL you went through, they missed the vessel that was causing the pain in the first place. That would be criminal.

The way to ascertain what's what is to have a nuclear stress test, preferably by an uninterested party to see of your entire heart is getting a good blood supply.

I'm glad, at least you had that one good day of walking without pain...it;s a good sign.
Lenin..............I will look into having this stress test by an uninterested party, thats sounds like the way to go, I will ask the doctor today about it, Thanks.....Colin

 
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