Saturday, May 31, 2008

Away - Week 13 - Road Trip



This was my last week before my return to work and as planned I went on a road trip: Vancouver and Seattle to be exact. My plan was to hang out with friends, walk around the respective cities, sample the local cuisine and maybe do a little shopping.

I left Ottawa last Friday afternoon. I had a couple of glasses of wine in the lounge prior to departing with every intent to fall asleep immediately in my seat on the airplane. Once on the plane, I sat down, placed my book in front of me, arranged my bag of candy (in flight necessity) for quick access and put a little Jack Johnson on the iPod. Without fail it was lights out. I woke somewhere over Alberta with my habitual smacking of the lips and a slow revolving look for someone to bring me something to drink. With my drink in hand I reached for the candy and started a rapid fire insertion of sweet morsels into my mouth with little chewing or swallowing. Pure bliss.

It was at that point that I noticed a significant pain in my left upper rib cage. The best way to describe it is a stitch (you know the kind you get when you run too hard). The problem is the stitch didn't go away. I was a little worried because it was making deep breaths somewhat painful. I wasn't too worried because of the explanation the rehab doctor gave me about the fact that they had cracked my chest open and I would experience all kinds of weird sensations for the next 6 months as my muscles and bones moved back into place. The candy probably didn't help either--we're talking a movie theatre size pack of Sour Patch Kids consumed in about 30 minutes.

Unfortunately the stitch didn't go away until Monday and it then graduated into my shoulders. I started on the Advil and Tylenols so that I could enjoy my trip. In Vancouver I visited with my sister and family and I stayed with my friend D. D. lives downtown and walking distance to everything. With D. the first order of business is always food. When I got off the plane we went straight to an all-you-can-eat sushi place. The following day we went to a place called the Banana Leaf. If you go to Vancouver you need to go to this restaurant (http://bananaleaf-vancouver.com/). You will not be disappointed. D. and I also did a little donut comparison: Lee's bakery on Granville Island vs. Honey's in Deep Cove. Each has their distinct style. Lee's is melt in your mouth, light, I could eat 3 dozen in a single sitting style donuts. Honey's is a caky, freshly dipped in honey, sinfully good 2000 calorie pastry, where if you can eat more than one you may end up writing you're own blog about heart surgery. Personally, I decided that Lee's was my favourite.

I was hoping to take some cool boat or hovercraft from Vancouver to Seattle, but poor planning and schedule convenience swayed me towards taking the bus. I had a good book and a pile of music I had ripped at D's. Four hours later I was in Seattle. I hadn't seen my friends F. and M. for almost 2 years and it was great to be at their place just hanging out. While we were having dinner the first night M. mentioned to me that she had not had a poutine in 2 years. I decided then and there that I was going to make poutine in Seattle. All I needed was proper cheese curd. It ain't a poutine without cheese curd. On Thursday I took the bus into downtown Seattle and walked up to Pike Place Market (picture above). If you like food, you this place is a must visit.

While I was walking around I noticed Beechers Handmade Cheese (http://www.beechershandmadecheese.com/). Hmmm... I wonder if they make curd. I didn't any curd on display so I asked. "Do you have plain cheese curd?" The woman behind the counter said "sure do". "Would you mind if I test it?" She looked at me funny. "Taste it, I mean." She handed over a nice piece of curd. It was solid and cool to the touch. So far so good. I put it in my mouth: salt (but not too salty) and squeaky. "Perfect!" I said. She set me up with container and it took all my self control not to mow through the cheese on the bus and make up some story about how the yanks don't make curd cheese. I made the poutine that night along with some pan fried haddock. I think it was a success.

On Friday I made a quick visit with F. to the Seattle Space Needle and then hopped on the bus back to Vancouver. Saturday morning I was back on the plane and headed for home. Sunday I woke to no pain in my shoulders or chest. Funny.

This trip was a great way to transition back to my regular life.

As I re-read the above paragraph's I realize I don't sound too much like a guy that just had heart surgery: donuts, bags of candy and poutine. Aside from some of the pains I feel, being winded when I climb a hill or stairs and remembering to take the medication I don't really feel any different than before. I have to say seeing the scar in the mirror kind of freaks me out occasionally.

Sunday, May 11, 2008

Home - Week 10 - Bike rides and downward dogs

This week started with meeting the rehab doctor, Dr. P. The appointment is part of the overall rehabilitation plan and it consists of a complete physical examination with a thorough medical review of my current cardiovascular status including blood work. According to Dr. P. I have "the blood pressure of a teenager", my heart and lungs sound great and I should be able to return to the shape I was in the past.

The highlight for me was the blood work. Two numbers are real important: LDL and HDL. These numbers indicate the cholesterol levels in my bloodstream. In December last year my LDL (bad cholesterol) was 4.09 and my HDL(good cholesterol) was 1.36 . For someone without a valve problem and blocked arteries, these are not terrible numbers, but for someone that was in my condition the LDL needed to be 2.0 and HDL 0.9. I'm happy to say my LDL is 1.1 and HDL is 0.79. The HDL is a little low so I will be adding Salmon Oil to my supplements and my increased activity should help get that number up. The good LDL number is probably a result of the Lipitor which means I'll have to continue taking that pill for a while. I hope that in my meeting with the cardiologist in June we will be able to reduce the dosage.

Although there is no change to the Lipitor dose, we were able to reduce the Metoprolol from 100mg to 50mg a day. Metoprolol is a Beta Blocker and it helps reduce blood pressure, angina and risks of having a heart attack. It's other affect is that it keeps my heart rate (HR) down. I figure with my overhauled pumper and a good exercise plan I'll get this one off the list in June. Currently I exercise at an HR of 120 with little perceived exertion. I'd like to start taking that number up as my fitness returns however the Metoprolol will affect the effort. After talking about this with Dr. P. he recommended a reduction in the Metoprolol and said that my cardiologist will need to make the call on cutting it off completely.

At the end of our meeting I got some other things confirmed: (1) I could get back on the bike; (2) I could go back into the gym and start resistance training; (3) I can go back to Yoga without issue; and (4) there would be no problems with sports like paddling. I mention this because of my continuous paranoia about my chest bone. The Dr. explained to me the healing process and also said that the bone actually heals stronger than the original bone. I don't know if I buy that 100%, but it still makes me feel good.

That was Monday. Needless to say I walked out of the OHI with a significant bounce to my step. I have been on the bike twice this week and aside from a little muscle pain, an embarrassing cadence and harry legs, I'd say I did OK. I have also started my yoga sessions again. So far I'm getting my downward dogs in every second day. Let's just say that my flexibility needs work. The breathing was smooth, the transitions between positions was smooth, but the positions were not stellar, including the downward dog. I have learned, especially with yoga, that with practice everything gets smooth.

I finished the week off on Friday with buying a sea kayak. Remember that paddling question above, there was a reason. For a long time I have wanted a sea kayak and today I finally picked it up. I won't actually start paddling until mid June, but I'm pretty pumped about the whole thing.

This week was a good week.