If you’re selected as a candidate for LVAD surgery, here’s what you can expect leading up to the procedure and the steps involved:
Before Surgery:
Whether you are in the hospital already or coming from home, here’s what will happen in preparation for the LVAD surgery:
- Arriving at the Hospital:
- If you’re already in the hospital, you’ll just wait for the surgery date.
- If you’re coming from home, you’ll be given clear instructions about where and when to go to the hospital.
- Personal Belongings:
- Upon arrival at the hospital, you’ll need to remove any personal belongings, such as jewelry, valuables, or any items that could interfere with the surgery or recovery. This ensures everything is secure, and you’re ready for the procedure.
- Changing into a Hospital Gown:
- You’ll be asked to change into a hospital gown, as it allows the medical team access to your body and helps maintain a sterile environment in the operating room.
- IV Insertion:
- An IV will be started to administer fluids and medications, such as antibiotics and anesthetics, before and during the surgery. This is standard for most surgeries.
- Fasting:
- You will not be able to eat or drink for a period before surgery, usually around 12 hours. This is to ensure your stomach is empty and to reduce the risk of complications during the procedure, such as aspiration.
Additional Steps:
- Anesthesia:
- You’ll be put under general anesthesia, meaning you’ll be fully asleep during the procedure.
- Pre-Surgical Tests:
- Right before the surgery, there may be additional tests to check your heart function and ensure everything is in order. This could include an ECG, blood tests, and other final checks.
This process is designed to ensure that you are fully prepared for the LVAD implantation, with all your medical needs managed and monitored. The surgical team will take care of the details, so you can focus on resting and preparing mentally for the procedure.
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What to Expect After Surgery:
The aftermath of LVAD surgery can be intense, but with the right mindset and support, recovery becomes manageable. It’s important to remember that everyone’s experience is different. Consult with your medical team if you have concerns.
- Initial Recovery and Anesthesia:
- When you wake up after the surgery, you will still be under the effects of anesthesia. This means you won’t feel any pain immediately, and you won’t be aware of what’s going on.
- The first memory some patients have is when nurses start to remove the breathing tube. This is typically a quick and painless procedure.
- However, as the anesthesia wears off, the reality of the surgery sets in. You will feel pain, and it can be significant—some nurses describe it as feeling like you’ve been in a bad car accident. But, rest assured, it’s not as unbearable as it might sound, and the medical team is there to help manage your discomfort with medications and other supportive treatments.
- Pain Management:
- While the pain will be real, it’s important to remember that it’s temporary. Nurses and your care team will be available to assist with pain management, ensuring you’re as comfortable as possible during your recovery. Their goal is to keep you comfortable while also helping you get back on your feet.
- Recovery Timeline:
- Every patient’s recovery process is different. For some, it may take weeks or even months to feel fully recovered, while others may be able to leave the hospital in less than a month. It’s crucial to understand that this timeline can vary greatly based on individual health, healing speed, and how your body responds to the LVAD.
- Your team will be with you every step of the way, offering guidance and support through your recovery.
- Getting Out of Bed and Moving:
- As soon as it’s safe, your nurses will encourage you to get out of bed and start moving. While this might feel difficult initially, it’s an important part of regaining strength and getting your body back to normal function.
- Physical therapists (PT) and occupational therapists (OT) will visit you regularly. These professionals will work with you to improve your mobility and teach you how to perform daily activities, such as dressing, bathing, and walking, while adjusting to life with the LVAD.
- Learning About the LVAD:
- During your recovery, the VAD coordinators will be your key support team. They will help you understand the LVAD system, including the alarms, emergency procedures, and the maintenance required to keep the device functioning.
- The VAD coordinators are typically skilled in breaking down complex information and ensuring that you feel comfortable with the technology you’ll rely on. You’ll have training sessions and practice with the equipment, so you’re well-prepared for life with the LVAD.
- Preparing for Life After the Hospital:
- As you progress in your recovery, your team will begin preparing you for life outside the hospital. You’ll be given the tools, knowledge, and support to continue your recovery at home. The goal is for you to regain as much independence as possible while managing the LVAD and taking care of your health.
- The Importance of Attitude:
- As with any major life change, your attitude plays a significant role in your recovery. Your mindset will influence how quickly and effectively you adjust to life with the LVAD. It’s easy to feel overwhelmed, but taking a proactive approach—just like Tom Brady approaching the game—can set you up for success.
- Tom Brady didn’t get where he is by taking things easy or avoiding challenges. He embraced each step, each moment, with determination and a focus on improvement. You can do the same with your recovery.
The Road to Recovery:
While the process can be slow and may have its ups and downs, each day that passes will bring progress. Remember, recovery is a journey, and each step forward is a victory. Be patient with yourself, trust in your medical team, and stay focused on your long-term health and goals. The LVAD is a powerful tool that will help you regain your life and improve your quality of life.
Keep pushing forward—one day at a time.
