September 25, 2020

Surgery Day

We got up at 3 am. Kurt had to shower with special soap, we got all our stuff together and headed to the hospital. We got checked in, he got prepped and they took him back about 7 am. Kissing him goodbye was so hard! I was able to stay strong for him until after they rolled him away. Then I might have cried.

Since I was the only one allowed to go back with him into pre-op (and it was such an early time), my dad, Karen, uncle, aunt and cousin didn't come to the hospital until a little later. Maybe between 8 and 9. It was so great to have them all with me. They all helped keep me calm, distracted and entertained. We got lunch and then headed back to the waiting room.

At 12:30 the surgeon came out and said everything went great! It was as easy as it could have been, everything went smooth and he didn't see any signs of complications. Such a relief! I just had to wait for them to get Kurt settled in the Cardiac ICU (CICU) and then I could see him. After what felt like FOREVER (really maybe 30 min), they called me back and I was able to be with him. He was still asleep and intubated. 

Kurt did NOT want to be left alone at the hospital. That was a big deal to him. "Just don't leave me alone!" so I was so happy to finally be with him. They don't let family stay in the CICU but I was going to try my hardest to stay. My plan was to be as nice, respectful and out of the way as possible. Every time they came into the room, I backed up against the wall and let them have their space to do what ever they needed to do. I had a little stool in the corner that I could sit on and that's where I would retreat to. 

The nurse that brought me back started explaining to me how I could call and check in on him and I very nicely said that I didn't want to leave. She explained that they don't let family stay and I very nicely explained that he didn't want to be left alone in the hospital and that I wouldn't leave - I would either be in this room or (if they kicked me out) in the waiting room. She didn't seem to like my answer very much but I was very nice and sweet about it so she didn't say too much but I'm sure was planning my boot from the room later that night. 

The afternoon was spent balancing meds, checking drains and encouraging him to wake up. The nurses were in the room a lot so I spent a lot of time on my little stool in the corner. I would propped myself against the wall and try to close my eyes for a little bit. Not the best way to get rest. 

He woke up and was extubated. He was in a lot of pain. We learned from our experience in 2014 that pain meds don't work so good in Kurt. It takes a lot to get the pain under control and this was no different. He just kept asking when he could have more pain meds, even if he just received some. He asked every person that walked in the room, "can you get me some pain meds?" even if it was a person from hospital admin. 😄 The nurse was giving him everything she could but he was still hurting. 

I remember he could have ice chip and he loved those! I just kept feeding him more and more ice chips. His mouth was so dry from the surgery. This picture was taken about 6 pm that night. 


Kurt had 2 nurses; let's call them nurse A and nurse B. (Nurse A is who brought me back and who I nicely explained to that I wanted to stay.) Well, after hours of sitting on the stool, nurse B said "let me find you a better chair to sit on." Hallelujah! She rolled in a nice, reclining chair that was heavenly! (You know, hospital heavenly. Not something that you would actually want in your house but definitely heavenly compared to the stool!) She asked me if I needed anything and was so sweet. Nurse A was nice too just not as accommodating, I guess. She seemed like the stricter one.

The day proceeded and we finally got Kurt settled and comfortable about 9 pm. They turned out the lights and the plan was to let him rest after a very restless afternoon/evening. No one had kicked me out yet so I quickly went to the bathroom and then came back and curled up in my recliner to try and finally get some sleep . . .  but Kurt's room was very noisy! He had drains hooked up to pumps that bubbled so it sounded like we were inside a fish tank. He asked a few times that day "what is that noise? What's bubbling?" Plus all the machines for medicines beeping, and different monitors doing stuff, etc. It was noisy. 

I had a hard time falling asleep so I just laid there listening to everything. After a little while I noticed his breathing changed and I thought that he must have fallen into a deep sleep finally but as I listened to his breathing I thought "that just sounds weird" so I glanced at him. He was looking at me and then laid his head down and closed his eyes. That was weird. He had a lot of pain meds in him so I thought it might be caused by the meds. When my mom was on a lot of pain meds during her cancer treatments, she did some weird things too. I closed my eyes but his breathing just didn't sound right so I looked at him again and he was staring at me. I will never forget that face. As I mentioned, he was heavily medicated so he looked drugged but his eyes looked like he was screaming for help. I knew instantly that something was wrong. I literally jumped out of my chair and started asking him "Hon, can you hear me?" "Kurt can you say something?" "Kurt, are you okay?" He couldn't respond at all. Nothing. Just laid there staring and doing this moaning breathing thing.

Nurse A heard me kind-of yelling at him and came running in. Nurse B came running in. I remember backing up against the wall because they were on each side of his bed trying to talk to him and figure out what was happening. 

Shock is a funny thing. Time moves weird. You remember things weird. I remember asking nurse A if Kurt was having a stroke. She said they weren't sure yet. 

Since Kurt had had a lot of pain meds, they thought it could have been caused by too much meds so they gave him a medicine that would cancel all pain meds instantly. They injected it into his IV and you could see the second that it canceled those pain meds. While he couldn't respond verbally or physically himself, his body reacted to all the pain he suddenly felt. That was so hard to see. When he didn't improve after that, they called a stroke alert. 

He was able to move his left arm and leg when they asked him to move them but nothing with the right side. 

I called my dad at 10 pm and told him that I thought Kurt was having a stroke and asked him to come back to the hospital to be with me. I also called Kurt's sister, April, to let her know what was happening. She said they would come to the hospital too (they lived an hour away so it would take them longer to get there). 

I remember sitting on the edge of my recliner in shock. Nurse A brought me a warm blanket to hold and another to wrap around my shoulders. She got down eye level with me and was so kind. I think she said something like "we got him. He is in the best place to take care of this." And I think she also explained shock to me and what I was experiencing and the what would happen with Kurt. I don't remember this too well. 

I sat in my chair and just watched everything. There is a system of steps that happen when a stroke alert is called and I just watch in stunned silence. People came in and out of the room. Asking Kurt to do things. Assessing him. Then more people. And more people. 

My dad and Karen arrived and sat with me. The nurses took Kurt for a CT scan about midnight. We went and sat in the waiting room. April, Rick and Makana showed up a little after they took Kurt down. They just missed seeing him. The nurse said it would be 20-30 minutes. 12:30 came, no report. 12:40 came, no report. At 12:45 I called the nurses desk to ask what was going on. They had just received the report and yes, it was a stroke and they needed me down in CT to sign some papers. We were all escorted down to CT.

They brought us in an empty waiting room and said everyone could wait there and they took me back. I was so anxious to see Kurt again. We could see his bed down the hall and I wanted to run to him but the security guard said he had to talk to the nurses first. They said yes, I could come see him. He was still in the same condition, breathing weird and not responding. I asked if his family could come see him and they said yes. It was a very tearful event. We all told him we love him and that he was going to be okay. He had just hit a little speed bump, that's all. (What a speed bump!)

They took us back to the waiting room. A neuro-surgeon came out and explained that what Kurt needed was the drug to bust up the blood clot that was in his brain but he couldn't have it because he just had major open heart surgery. Giving him medicine to bust clots and thin blood would be very bad for his recovery from the heart surgery. He said that Kurt's best chance was for them to go in through his groin and all the way up into his brain and TRY to remove the clot. He explained all the risks (which were a lot) and asked me to sign the papers. I remember looking to April and asking "what do I do?" I felt like I was signing a paper that would cause more damage to Kurt. I signed it, the doctor walked away and I lost it. I remember just sobbing. We all sat there in shock. Like, this isn't happening. This can NOT be happening. 

At 1 am, just 12.5 hours after he was rolled out of one operating room, he was rolled back into another one. It was the longest 2 hours ever. We just all sat in this cold, empty waiting room. I curled up on a couch-like-bench thing and tried to sleep but I couldn't. The hospital staff brought us some waters and sodas. I tried to sip a 7 Up but I didn't get very much in me. 

At 3 am the doctor came out and said they were able to remove the clot, that Kurt was heavily sedated and that he would be moved back into his room in the CICU. 

Since I had been awake for 24 hours straight, it was decided that April and Rick would stay with Kurt so he wasn't alone, that I would go home and get some rest and my dad and Karen would follow me home (to make sure I made it okay). I waited for them to bring Kurt so I could see him before I left. He was out cold and would be for awhile so I gave him a kiss and went home. 

We left the hospital at 3:30 am and I got home at 4 am and crawled into bed to try to sleep. I got 1 hour of sleep before I was up and going again.

September 24, 2020

Let's start at the beginning

Wow, it's been awhile. Life has been . . . hard, crazy, upside down, insane . . . I don't even have words for it but I remember that I always loved blogging. It was therapeutic for me and so I thought I would give it a try again. I know no one probably reads blogs anymore so this is probably just for me. That's okay. If you have happened to stumble across this, Welcome Back! 

To explain what's been happening we have to start at the beginning. Way, way back at the very beginning.

You may remember that 6.5 years ago (in 2014) Kurt had a health issue. You can read about that here, here and here. The short story is that he had a dissected celiac artery with an aneurysm. He spent 3 weeks in the hospital, had the crash cart called on him twice, and had several procedures attempted to fix it and all failed. They ended up deciding to leave it alone. Over the years, he has been followed by a vascular surgeon. We see him every 6 months (usually in February and August). So they have just watched it and it has remained stable. 

Fast forward to February 2019. We had our usual check up appointment with the doctor and when reviewing the abdominal CT scan, he mentioned that the radiologist noted that they saw the bottom of Kurt's lungs and there was a spot in his right lung. The doc said we should follow up with Kurt's primary doctor about that. The primary ordered a chest CT to see the lung better. That found 3 issues: 1) his ascending aorta was enlarged, 2) he had a cyst on this thymus (his what? what is a thymus? 🤷‍♀️) and 3) a spot in his lung. We were sent to 3 different specialists - a cardiologist, a thorasic surgeon and a pulmonologist.

The cardiologist said that yes, the ascending aorta was enlarged but not too bad so he would scan him again in a year and see how it looked. Awesome! Easy peasy. We were used to that because of his celiac artery.

The thorasic surgeon and the pulmonologist weren't so easy. They both ran test after test trying to get better images of the other 2 issues. They ran MRIs, CTs, PET Scans, etc. And while everything showed that those 2 spots looked benign and okay, they also showed something else. Over the months of scans, each scan mentioned that ascending aorta, which we expected. What we didn't expect was that each scan showed that aorta getting bigger and bigger. A few of the results:

March 29 ~ 4.3 cm
May 15 ~ 4.5 cm
July 25 ~ 4.7 cm

While the ascending aorta was in the reports, neither the thorasic surgeon or pulmonologist brought it up to us. I guess they were more focused on their specific issues. It wasn't until our next check up appointment with the vascular surgeon in August that he mentioned it. He said something about another aneurysm and we were like "What?! Wait, what are you talking about? Another aneurysm?" He show us the most recent report and said he thought it was large enough that we should follow up with the cardiologist again. So I called and made another appointment with him. 

The cardiologist said yes, that it was concerning that it was increasing but he also said that each test (MRI vs.  CT vs. PETScan) each read things a little differently so there could be some discrepancy in the numbers. To really know it's actual measurement we should take Kurt into the heart cath lab and go in through his wrist and up into his heart to get accurate numbers and see if anything else was going on inside his heart. So we scheduled that. We found out that: 1) the actual measurement was now 5.0 cm and 2) Kurt had a bicuspid aortic valve.

Usually heart valves have 3 little flaps that open and let the blood through. Kurt was born with his aortic valve having only 2. Which means that as the blood flows through, the flaps can't open like 3 flaps would and so the blood can get distorted as it goes through and can cause the ascending aorta to enlarge and become an aneurysm. He has had it his whole life and no one ever found it before this.


If someone with a normal valve has an ascending aortic aneurysm, the threshold to replace it is 5.5 cm or bigger. We were under that. However, if you have a bicuspid aortic valve, that threshold drops to 4.5 cm, which we were over. So surgery became more urgent. The doctor said we should get it fixed sooner rather than later, especially with how quickly it was changing. Basically, if his ascending aorta ruptured, there would be nothing we could do to save him. 

What's the fix? Well, a major open heart surgery. They have to replace the valve and the ascending aorta.

The surgery was scheduled for October 23, 2019. Not going to lie, we were nervous. The plan was that after surgery, Kurt would be in the Cardiac ICU for 1-2 days and then moved to the cardiac floor in the hospital for about 5 days. His sister, Jenny, offered to come out and stay with the kids during the week that we would be in the hospital, which was an absolute LIFE SAVER! I have no idea how we will ever be able to thank her enough!

My uncle, aunt and cousin came up to support us for surgery day too. We are truly so blessed with such awesome family! The night before the surgery we had a big family dinner.


I can't forget to mention what an absolute blessing it was that we found this! Kurt had ZERO symptoms. There was no reason to check his chest for anything. If that CT hadn't seen the bottom of his lung. If that spot hadn't been there (turned out to be scar tissue). If those doctors hadn't run so many tests during the summer months so we could see the growth. If his vascular surgeon hadn't mentioned "the second aneurysm." So many events lead to the fluke finding of this. It was a blessing that we found it before something catastrophic happened.


This picture is from the night before surgery. I just look at it and think that this cute, little couple has no idea what what's in store for them.