Heart Health Cardiac Rehabilitation
Cardiac Rehabilitation starts with the level of activity you can tolerate. But ... more
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Sometimes it is tough to keep it up every day. Worse, people try to convince me to slow down, telling me in their uninformed non-expert opinion that missing a day won't matter.
But exercise frequency does matter, and personally, I can't just skip days. I've backed off and done that, and I get more tired more easily in just a week of reduced or a few skipped workouts. My heart is trying to shut me down. So I try to exert control, and improve. Why try to balance, when I can improve a little more every day ?
For those reading, DMW is a true and valuable resource for Cardiac rehab, and exercise and health in general. Anyone is doing well, to seek his advice.
We have been pleased that he has shared his insights with us at the Heart Health Fuhrman Ornish website. We have benefited from his dietary insights, which are magnified from his personal experience with his particularly severe heart disease.
His case history is a fascinating story of severe heart disease, overcome with determination and intelligence. For anyone concerned with heart disease, he will be happy to provide his highly educated expertise, in a helpful and understandable way.
Best regards, EngineerGuy
DMW
When I came out of open heart surgery they had me sitting in a chair within 8 hours and 36 hours later had me WALK out of ICU.
Then they put me in a wheelchair for the ride to the 10th floor and to my room.
I had daily walks after that while in the hospital even with all my drain tubes attached.
I continue them still. It is hard some days though and have days with more energy than others.
What is the rest of your story ? Is this recent surgery ? What is your rehab progress like ? Do you push to fatigue ( I don't ) ? D you use a heart rate monitor ? Have you read much of my other posts ?
If I stay away from fatigue, every day is good.
DMW (56 and 57)
I also had a single bypass done. Two 22 months ago I had an angiogram to check the valve for internal heart pressure and to take measurements for the size of valve. I had clear arteries then. But an angiogram this June showed a partial blockage in just one artery. Doctor said it looks more like something "flipped up" in the artery than clogging from cholesterol. So they bypassed it.
I start formal rehab Monday. For now I just walk 15-30 minutes 3 times a day. My driveway has a hill so I walk slowly up that this week.
I have read some of your other posts. I am thinking of getting a heart monitor to use when not exercising @ rehab.
Some days when we go the 30 miles to the Dr. we go shopping. If we are gone too long I am very tired by the time we get home. Yes I need to stay away from fatigue.
What are your diet and other heart related lifestyle issues ? You can essentially become almost as healthy as you want to, with careful adherence to recommendations from doctors and medical research, not all of which reaches the general public.
Plan to have hard and easy days exercising. What's nice about the SUUNTO T4C, the monitor I use, is it provides a dynamic 5 day plan with built in hard days, easy days, moderate days and rest days. It has many levels, and different programs within levels. Suunto refers to Training Effect, the total effect of a workout on training.
Be a little careful and consisent, and you'll be doing more and more every year.
My diet has been pretty good I was diagnosed with diabetes 5 1/2 years ago with bg of 400 and A1c at 13. In less than a year with diet and exercise and Metformin, I got it down below 6 and have maintained 5.5-6 ever since. I am currently doing it with diet alone but am missing being able to exercise much.
I will have to watch my cholesterol better. 2 years ago when I had an angiogram to measure pressure inside the heart due to the defective valve my arteries were clean. But this time there was a small partial blockage so they did a bypass using the left mammary artery in the chest wall when they did the valve replacement.
I did lots of research into diabetes and health when i was diagnosed.
I also hike in the mountains of our area, many times @ 2-4,000 feet elevation and off trail.
I am anxious to get back to some easy hiking and just maybe an easy snowshoe in Dec of Jan. We usually have 6-12 that go as a group for 2 or 3 a year. I was slow last Jan. but was able to go on one at Snoqualmie Pass from 3,000' to about 4,500 feet uphill. Coming back down was the easy part. But not for me this year.
I'm amazed at the fitness level I have achieved in 4 1/2 years.
I don't use my hrm on easy walks, but I do with the rest of my training.
The first month of rehab is slow, but things begin to get easier the 2nd month, and you can start doing more serious work after that.
Keep a rehab diary, so you know what you did each day, and can make upwards adjustments every couple weeks.
You might skip the snowshoeing this year, but be ready for next year.
DMW
Since I am not working there is no money left after paying mortgage, utilities and food.. Gas and meds come from savings.
Having a diagnosis of a defective valve 15 years ago stopped any and all attempts to get or raise my disability and life Ins. despite good health and a long term prognosis before anything needed done. Many people live 20 years with artificial valves but it doesn't matter to insurance companies.
So I cannot afford a watch that costs $150-180. I did get a cheap one but now I see that it doesn't provide continuous monitoring, only when you push the button.
In just 6 1/2 more weeks my docs will tell me to go to work. At work I am expected to carry or pull 50# welding machines up ladders and lift up to 100#.
I am not sure I will be ready and not sure where I will find a job that is easier.
Snowshoeing is what is giving me a goal to work for. I will make it an easier hike and let the others break trail. My avatar is from last winters hike up Snoqualmie Pass, with a bad valve yet.
Definitely something easier this year. I have 4-5 months to work towards this goal.
Not at a desk job, I don't think the doctor will recommend you resume work that soon. You might be lucky to go up a ladder by yourself, let alone with 50 lbs at 8 weeks. I was in good shape just prior to surgery, but not as strong as you, I'm sure.
No doubt you were very strong before hand. Just tell the rehab folks what your goals are, and they will let you know what may be possible. They are accustomed to babying little old ladies, and will treat you no different. Liability issues. So to do more, it will have to be careful, and on your own. You might be able to convince the rehab folks to push you more, due to the nature of the work target you have.
I opted to do my own recovery, and did very well. I had collected enough exercise equipment over the years, at least to keep a desk jockey pretty fit.
How is any residual chest pain when you use your arms at this point ?
I will look for a better one.
Yes the rehab is treating me a little like the old (er) people there. I usually bike @ 10 rpm above the target range they set and it is still easy. I will see about maybe some more increases next week. I walk more than they have me down for also.
Yes I do get some chest and back pain from the arm exercises I am trying to add more movement on my off days, but low intensity. I did 3#weights Friday, very easy on arm curls but when I reached overhead.....OUCH. I guess I need work there.
I still get some pains in my back close to two vertebrae and sometimes just under the right shoulder blade. They must have really cranked me open. I do have a short incision on my chest... Just under 6 inches.
On a good note:
the four chest tube incisions now give me one part of a six-pack abs look :) Now I just have to add the other part to get that six-pack of abs.
I saw an open heart surgery on PBS years ago. The sternum was sawn and was spread about 7-8 inches wide. On live TV, the spreader snapped out and the chest slammed back shut. A surgeon caught the spreader in mid-air and started over. It jumped out when almost to max spread, and they had not started anything else yet.
Start slow on strength things. As healing get closer to completion, strength exercises will get easier to do.
http://www.amazon.com/Omron-HR-100C-Heart-Rate-Monitor/dp/B000A5CEUO/ref=sr_1_9?ie=UTF8&s=hpc&qid=1281414445&sr=8-9
A $32 heart rate monitor. I had a similar model about 6 years ago as a backup to my SUUNTO. It had to be with 30 inches of the two pieces to record. Now its 30 meters.
I replaced the band, the monitor still works, and is continuous.
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