Matters of the Heart, Part 27

As I said in Part 26, you know there’s always an extra story… nothing is ever as simple as we think. It’s always an adventure! And you just can’t make this stuff up!

Ben’s pacemaker surgery was to have been 2-2 1/2 hours. And true to the estimates, it took just a little over 2 hours. Not bad. Maybe he could even go home that night?

His doctor came in to the waiting area shortly after the attendant had told us it was over and he was in recovery. Dr. I immediately came over to us, telling us the surgery had gone very well; the new pacemaker was in and working perfectly. He’d decided to leave the other one in and set it at a lower rate as a backup, just in case something happened to the new one, which he had no expectation of happening. Sort of like a back up emergency generator, to my way of thinking.

But there seems to always be a but…

And there was. He then said when they finished the procedure and started bringing Ben out of the anesthesia he noticed his left eye was quite red. He’d taken a picture of it and showed it to us, and explained he’d sent it over to a colleague who’s an ophthalmologist to get his opinion. As well he should have.

Ashley and I looked at it, and told him that happens from time to time because of the iritis he’s had for over twenty years, so we really weren’t overly concerned. Usually just a tiny broken blood vessel or a flare up which is handled with eye drops. And you could tell Dr. I was relieved to hear that.

And in typical Ashley to doctor conversation she made sure Dr. I sent her the picture because she thought it was “cool”. Which led to them discussing what he’d done for his daughter’s third birthday that morning, and ended up sharing pictures of his family trip to Dubai and riding camels in the desert!

As you can tell, we do have a great doctor here! In fact, after he left, one of the women in the waiting room asked for his name and contact information because she was so impressed with him!

And we weren’t real concerned about Ben’s eye. Until we saw him.

By that time, even though he was still pretty much out of it, and his eyes weren’t opening a lot, the eye looked visibly swollen on the outside. It had never looked like that before when this happened. And since it was the eye that he’d had the cornea transplant in several years ago, I started to get very concerned.

And when Ben came to enough to talk to us he said the eye felt like it had something in it, and he couldn’t really see out of it very well. We explained what the doctor had said, but how much he heard at that point I have no idea.

But when he finally stated opening his eyes, that left one looked the worst I’d ever seen it. Almost black-red. The bottom part of the eyeball was actually swollen out a little over the bottom eyelid. It was scary looking. And the area on his face around it was turning black as well. Ashley of course was concerned then, but took more pictures and sent them to several of her friends who are nurses and surgical assistants to get their opinions.

And of course, I was a wreck. I could tell from the monitors his pacemaker was doing exactly what it was supposed to do. But that eye…all I could think of was that somehow something had happened to the transplant!!!

Because of our doctor contacting his colleague it wasn’t long until two doctors, a resident and an intern, came over from the EVMS ophthalmology department with a pack of equipment to take a look at him. I was so glad to see them!

They spent almost an hour looking him over. Testing his vision (which in the left eye wasn’t good!), dilating his eyes and checking the transplant and his retina. At one point I was so upset all I wanted to do was go out in the hall and cry! Thankfully a couple good friends were texting me and keeping me focused.

They finally told us the transplant was fine and it appeared to be just a broken blood vessel from the blood thinners he was on, but they needed to go back and consult with their team to be sure. Relieved? Yes. Still worried? Of course.

And all the while, his eye was looking worse and worse.

Dr. I came back in and told us he’d talked to the ophthalmologists and agreed that it was a broken blood vessel from the blood thinners. And fortunately it wasn’t a retina bleed which would’ve left him blind in that eye. Another doctor would be in later to double check him, though.

He also mentioned there was something called a Watchman that he had used for other patients as an alternative to taking blood thinners which could be implanted in the heart to prevent clots. And we could discuss that later. In the meantime Ben was to stay off the blood thinners until his follow up appointment.

That Watchman sounded like a good possibility to me! But as Ben said, it would mean another surgical procedure, even though it was done through the groin like his last valve replacement. And he’d be the one having to go through another surgery!

So much to think about. And we thought this was the end of it all…

Later that afternoon as I was getting ready to leave after 12 long hours at the hospital, another ophthalmologist came in to see him and check his eye. And she confirmed it was definitely a broken blood vessel from the blood thinners, and that it would most likely look worse before it got better…in about two weeks. And let me tell you, by then it looked really bad!

It’s now been a little over a week since the surgery. His eye is finally starting to look better. He still has one more week of not driving, which is making me crazy. His heart rate is normal, but he still has shortness of breath, although not nearly as bad as it was. And he’s still a bit sore off and on from the procedure.

Life is starting to return to normal. Somewhat. We are looking ahead to him being totally back to normal.

And to an answer concerning other alternatives to the blood thinners, as we don’t want to risk anything happening to his vision.

As I’ve said many times, never a dull moment.

Stay tuned. There’s more to follow….

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