[edited out]
I'm not completely going off all medications. They too me off the milrinone which was a medication that was helping my heart function at a higher rate. Helping with the squeeze. They took me off that in order to see what the numbers looked like once the med completely left my system.
They have reintroduced the meds they took me off of when I came in here. Entresto, spironolactone, jardiance etc. They def are not taking me off all the medications, that would likely lead to very bad circumstances or rapid decline. I will get another echo in the morning and hopefully be released. They will still need to remove my pic line before I go as well.
I have been out walking the halls a little and I am a little concerned with how much I should push myself at home. My defibrillator goes off at 180 heart rate and while walking the halls I have been spiking 160 heart rate.
I would surely be worried about getting your heart rate even above 120 for sustainable periods of time until you figure out your exercise tolerance which might not be very great until you build up to your level .. which yeah might be a moving target as you hopefully improve, but you should not want to have any set backs come through your own over doing it... and causing damage or even suffering from an incident in which you need to be revived, whether it is through the internal device or someone having to come to your rescue and there could be damage to your heart and to your brain if you end up losing blood circulation for decently long periods of time... Of course, clotting is another issue, and they likely are attempting to transition you from sedentary state to a moving state and by the time they release you (if they do in the near future.. days or whatever it is), then they likely are going to have decent confidence that they have moved you around enough in which any clots that might have been present would have dissolved into most likely not existing.. never can be 100% sure on a lot of these kinds of things.
So then at some point, you should be eligible for exercise therepy.. maybe 30 days.. and maybe even longer.. which should help you in determining your excercise tolerance and your comfort in exercising.. .and surely, some kind of a device like an Apple Watch or a Fit bit or something would likely end up paying for itself in terms of helping you to both monitor your levels and to attempt to have some control over your levels.. of course, if there is some kind of an incident, sometimes you cannot completely control it, but if your body gets used to higher and higher levels of exercise tolerance, you are likely to get some ideas about when you might have ended up pushing yourself too much and even you might feel some of the beginning stages of instability by having more palpitations, or just feelings of queasiness. and sometimes what is going on in your body might not exactly show up in your pulse or blood pressure.. which probably they are wanting you to monitor those on a regular basis too.. ..
...at least, there can be some empowerment in being able to monitor those things, especially in the beginning of your transitioning from hospital life to home life and likely you would have goals to be self-sustaining and to NOT have to go to doctors appointments on such a regular basis, so maybe for a while it could be that you are going to the hospital several days a week, if we might consider exercise training within that, but then after several months, you might be able to reduce to every couple of weeks and then maybe even once every couple of months, once a quarter, twice a year.. .. and gosh.. that would be pretty sustainable if only twice a year, then you have truly gotten somewhere if you are able to get your ejection fraction to consistently stay in the upper 30%s.. and if you can get even higher than that, then praise the lord.. or whoever...and part of the reason they seem to take so many tests that are somewhat measuring the same thing from a different angle is that there can be measurement variance if relying on one or two tests, so sometimes you have to be careful if you might get a few tests that are showing real high left ventricle ejections fractions because there could be some measurement variance both in terms of how it was measured or they might have caught you at a time that is not very representative of your overall state of ejection fraction... so yeah of course, those stress test ejection fractions will show your measurements upon rest and upon stress.. but even there can be variance in that too depending on how well you rested or how well you have eaten or even if you are under stress.. and I am not even saying stress is bad.. but surely in lower doses, and if you are constantly feeling stressed, then that could end up having effects on your measurement but also your recovery..
......not that it seems that anyone has any kind of a convincing explanation regarding why your particular physiology circumstances changed in some ways that were not really expected, and surely it might have had to do with putting you in such a state of rest for such a long time that allowed recovery and whether your heart can tolerate going back into stress without starting to enlarge again might be something that everyone who is paying attention is wanting to try to figure out. and they might not exactly know what had triggered.. but maybe they will come up with some explanations and you can even help them in terms of your reporting back your ongoing symptoms/recovery and learning more about your condition so that you are able to engage.. and also maybe not getting into a situation in which you feel that you are getting tricked into a treatment status that you have not chosen.. of course, your choice regarding how much to attempt to learn and monitor and also to figure out the ways to get back and forth with the doctors because they can have some good intentions, but they are somewhat bounded by telling you within the standards of care what to do, and they are not going to tell you to eat low carb high fat diet, even though that is likely what is good for you.. .. and in the end, you are the one who has to figure out the balance for yourself that you want.. and I understand it can be quite frustrating to deal with standards of care that insurance companies impose including authorizations, non-authorization and then surprise bills .. what the fuck, you are not covering that? those kind of things. Get to strength and self-reliance so you minimize how much you need those fuckers.. even if some might be good intended.. and sure, you likely have a condition in which you are likely going to need insurance and medical treatment and options like that because it is not likely that you can just fix your situation by your own lifestyle balances that involve diet, sleep and exercise and monitoring those preventative and power building aspects...oh, and by the way, there are some functional practitioners who might not be covered by regular insurance that could help you in measuring.. but if I were you I would try to make sure that I am in a good state with my medical measurements before going to get those other outside of the system measurements.. which could take a year or maybe two years before you might want to potentially consult with some functional practitioners who will run some of those non-standard blood tests and to have those kinds of quack-potential discussions.
Please extend my greetings to your wife and tell her that a young boy from the rural area of Africa is acknowledging her love and care
Nice one... hahahaha
It is really great to have these kinds of people who are willing to work through these kinds of matters.. . and sometimes they might even point out various ways that they are not going to (or don't want to) help you, which can surely be a good thing in terms of space and self-reliance, too.