Heart To Heart

Edition of 4/15/2006

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HeartToHeart - Volume II, Issue 4 - Identify Your Unique Coping Style

Assess your coping style. Ask yourself what you need to know to be self-assured before the surgery date, and in what amount of detail.

Heart To Heart - Volume II, Issue 4 - Identify Your Unique Coping Style

Volume II, Issue 4 - Identify Your Unique Coping Style                   April 15, 2006

This free online monthly newsletter is published on the 15th of every month by
Maggie Lichtenberg, PCC
Recent open heart surgery patient and thriver




Identify Your Unique Coping Style

Share Your Experiences

Free Heart Surgery Phone Support Group

Upcoming Speaking Events

A Letter from My Surgeon

More Praise for the Book

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Heart patients and loved ones find my website both before open-heart surgery, or once they are home recovering.  Lately, I've had more sign-ups to Heart to Heart from those facing open-heart surgery.  So my selection of a topic for this month is taken from Chapter 1, "First Steps for the Patient," from The Open Heart Companion: Preparation and Guidance for Open-Heart Surgery Recovery.  The book's Table of Contents is on the website www.openheartcoach.com.

Identify Your Unique Coping Style

It’s important to recognize and honor our unique predispositions. As far as hearing advance medical information, for example, the pendulum swings from those patients who want to be informed about every grizzly medical detail to those who don’t want to know a thing, traversing all variations in between.

Assess your coping style. Ask yourself what you need to know to be self-assured before the surgery date, and in what amount of detail. This way, if you are especially anxious, or if certain visual mental images will wreak havoc in your dreamland, you can let health professionals know where you stand and thus prevent unpleasant encounters with those whose job it is to help you.

Personally, I fall into the more nervous side of the equation. I preface many conversations with this request: “I need to let you know that I don’t do well hearing about every medical (or even dental) detail. I will be fully present to respond to what you need me to do, how to move my body, etc. But I ask not to hear an in-depth description of any procedure, particularly while it’s going on.”

For example, I learned that an angiogram—one of the tests required before many open-heart surgeries—is an x-ray examination of the heart and associated blood vessels following the injection of a contrast dye, and for me knowing only that much was enough. Another heart patient might have wanted more details about exactly what the procedure involves, but, knowing myself, I chose to end the discussion there, and for me it was empowering to set a boundary that served my needs and temperament. The more I established boundaries with each pre-op or hospital staffer, and combined that with “learning the ropes,” the more I increased my self-confidence and reduced my stress for the operation to come.

 

Journaling can be a wonderfully satisfying antidote, as evidenced in this writing from Susan in London, UK, now five weeks past her surgery.  Who can’t relate to this story?  At first, Susan wrote:

"I have just read Vol 2 Issue 2 of Heart To Heart, thank you very very much. I feel so alone in hospital (Kings College Hospital London) One is well looked after and cared for, but my op should have been cardiac catheter method (due to having 3 ASD's, not one, so this was not possible.) Two days later I had open heart surgery to repair the holes.

"A buddy system would be good where you are introduced to someone who has had the same op. Knows what its like/not sleeping, funny dreams, even to be told to expect some depression. So far my GP has yet to do an ecg, listen to my heart, take my blood pressure! All he does is give me another sick note for more time off work, not that I could work at the moment. As you say in the article there are days where I have energy and days when everything is a bit of an effort. It’s 5 weeks and 4 days since my op, and I don’t know how I should be feeling. Sure I have colour in my cheeks but get me to walk 300 yds and I'm pooped. People ask, what do I do all day? Bits of housework, try and read (have been reading a Harry Potter book for 3 weeks now). Sometimes my husband makes me feel as if I'm making a fuss and should be back to normal. I'm not yet -- maybe soon, eh? I wish you were in the UK. HELP please."

Then this followed:

"Thank you very much for responding to my email. I did some writing the other day where I described my feelings. It’s entitled "Wilderness Weeks," the weeks between leaving hospital and starting cardiac rehabilitation (Thursday 13th April). 

"The pain has almost gone, yet my heart aches.

"I thought I would be jumping for joy, full of renewed life, energy, happiness…

"NO, I'm tired, sad, restless. Not unhappy just ???????????? nothing really.

"I wish I knew what to expect, I've never had open heart surgery before.

"Friends ask what do I do all day? Not much really, part of me wants to, but ........its all too much effort. I'm not lazy, usually. I’m used to working 8+ hour days.

"Last week I did do some vacuuming. Two days later I had bad pains…

"At A & E I was told I had over done it, told to rest and take anti-inflammatory tablets (as well as all the others).

"I tried to drive my car, got to the end of the road and had a cry (make that huge sob) then came home. (I have driven the length of the UK on my own with no fear.) 

"So is it fear? Am I still ill? I expected to feel so very different.

 "I did enjoy the warmth of the sun the other day though so......Maybe one day soon"

                                 — Susan J. Self, Crowborough, Sussex, UK

Please Share Your Experiences

Please email me at Maggie@openheartcoach.com observations and experiences that will be informative to others, like the commentary from Susan, for future issues of Heart to Heart or for a future edition of The Open Heart Companion.  Please include your first and last names, city and state.  Thank you!

If you have purchased and used the E-Book or the paperback book, The Open Heart Companion, please let me hear from you.  What sections of the book were most useful to you?  Where did you wish I would have included more information?  What helped you the most, and why?  With your permission, I would love to share your story or your review of the book.


Free Heart Surgery Phone Support Group

I am currently leading a free monthly heart surgery support group for both caregivers and patients. It is by telephone for one hour on a teleconference line that we all call into. The next call will be Tuesday evening,May 9, 2006, 9:00 PM to 10:00 PM Eastern time (or, depending on your time zone, beginning 8:00 PM Central, 7:00 PM Mountain, or 6:00 PM Pacific). For a complete description and to register to receive the call-in number, go to http://openheartcoach.com/PhoneSupportGroup.html.


Adult Congenital Heart Association 2006 National Conference
September 15-17, 2006
San Francisco, CA                                www.achaheart.org

I will offer a Breakout Session
"What to Do Before Your Date with Open-Heart Surgery "


Please see Calendar
on my web site for additional speaking events.

The paperback book as well as the E-Book version of The Open Heart Companion: Preparation and Guidance for Open-Heart Surgery Recovery are now available. Click here for the book's description. Click here for ordering the E-Book, the paperback book, or both together at a discounted price.

An excerpt from a letter from my Mayo Clinic Surgeon, Dr. Joseph Dearani

"... The Open Heart Companion is a superb accomplishment and a very practical guide for patients requiring heart surgery.  It is extremely well organized, very informative, and provides a profile for how we (medical profession) can do it better.

"The perspective of someone who has experienced a particular situation is often more insightful than that of experts with formalized training.  In fact, experience brings its own expertise and that's what is in your book.  Your words have helped me become a better surgeon, not in the operating room, put in pre- and post-operative care — thank you. ..."

     Joseph A. Dearani, Cardiothoracic Surgeon, Mayo Clinic
           (written March 22, 2006)

Advance praise for The Open Heart Companion

"This passionate and personal guide will help you both survive and thrive after open-heart surgery.”

              Mehmet C. Oz, MD, pioneering heart surgeon and author of
                   Healing from the Heart


“The Open Heart Companion is must reading for anyone who requires open-heart surgery. Written by a life coach who has been there herself, The Open Heart Companion will help you get the most out of this dramatic and life-changing experience.”

               Christiane Northrup, MD, author of Women's Bodies, Women's Wisdom


"The Open Heart Companion is just that -- a book that acts as a loving, wise, and comforting partner who gently guides you through the stages of preparing for and successfully completing open-heart surgery.  A life-saving gift filled with invaluable resources, real-life stories and must-know information, this book is required reading for all patients and loved ones."

       
Cheryl Richardson, author of Take Time for Your Life


"This beautifully written, comprehensive and absolutely accurate account of how to go into, come out of, and recover from open heart surgery is a must for patients and physicians alike. I plan to keep a supply on hand for my own patients, confident that they will find it, as I did, immensely instructive and helpful.

                Marianne J. Legato, MD, author of The Female Heart:
                      The Truth about Women and Heart Disease


"A terrific resource for those undergoing open-heart surgery, both for the preparation and the recovery period.  Drawn from dozens of patient and caregiver interviews, the book is filled with specific exercises and insights to make the open-heart experience easier on the patient and loved ones."

               Amy Verstappen, President, Adult Congenital Heart Association (ACHA)


“The lessons herein are applicable to anyone with a challenging medical or surgical condition, not just those with heart disease. Because it outlines a series of plans for thoughtful and collaborative action, this book will be equally useful for patients and for those assisting in the care of a family member or friend…I am grateful to at last have a guide I can recommend not just to my patients and their families, but also to my medical and nursing colleagues as we strive to improve the care our patients receive.”

               Kathleen Blake, MD, cardiologist at The New Mexico Heart Institute
                  From her Foreword to The Open Heart Companion:
                      Preparation and Guidance for Open-Heart Surgery Recovery

I look forward to receiving your feedback –

Warmly, Heart to Heart,

     Maggie

Click for ordering information: The Open Heart Companion: Preparation and Guidance for Open-Heart Surgery Recovery 

 


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Maggie Lichtenberg, Publisher
Open Heart Publishing
4 Cosmos Court
Santa Fe, NM 87508-2285

Website:OpenHeartCoach.com