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Re: Post-ICD Recovery

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Pat raised some familiar questions...

Issues most ICD patients have experienced.

> His device was implanted almost four weeks ago,

> and he is still experiencing a great deal of

> discomfort at the site, although the bruising

> has disappeared. Is this common?

I would say it is NOT uncommon. Now on my

second ICD... four years after implant... I STILL

have considerable discomfort. In my case, that is

mostly around the lead as it passes under the

breast... (I have an abdominal placement)

> The seizures were caused by ventricular

> fibrillations. As a result, his doctor has

> notified the DMV to withhold driving privileges.

> Does this happen to everyone?

It depends on the state. Here in Florida, we

are (supposedly) not to drive for 6-months after

the implant. It is not so much to determine what

we do when the ICD delivers therapy... but WHAT

CAUSES the delivery of therapy.

For example: The potential of shock while driving is not extremely

dangerous... but episodes of V-Tach (my situation) or seizures (your husbands')

does present a significant risk.

> He is on many medications, even after the ICD:

> hytrin, digoxin, capoten, isosorbide, dilantin,

> lasix, potassium, aspirin, pepcid...

Pretty routine complement... I think I can match one for one... with most of

your Rx matching mine for reason: Examples: for Aspirin's anti-clot action, I

take Coumadin. For lasix, I am on dyazide, etc.

Bring your medication questions to our weekly ZapChat... 8PM EST Thursday.

That is a major topic of our " online *realtime* support group... we may have a

pharmacist on lione with us this week!

Stay well....

Duff

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Hi Pat...and all...

Read your post and please tell your husband to " hang in there... " I had an

ICD implanted August 8, 1998 and am just feeling better the last few weeks.

Sometimes I think it has to do with how much skin there is to put it

under--I'm a female and 5'4-1/2 " and weight 120, so the whole darn " box "

sticks out, but the pain eventually lessens but I doubt it completely goes

away. My arm also gave me trouble and sometimes I still feel pain in it. I

think this happened during the transplant because I was a bit black and blue.

I don't know much about seizures or the resultant coma, but I know that having

the ICD is like having an emergency room in your chest, and should he go into

V-tach or V-Fib the device will shock him out of it.

You didn't mention your husband's diagnosis. Is it CHF? It almost sounds

that way with the meds. I have cardiomyopathy and am on Aspirin, Prinivil,

and Lanoxin, but since I have no fluid build up, I am not on potassium or

lasix. Sometimes these drugs are necessary. I would like to point you both

to another wonderful heart site on the web...it is called Jon's Place and here

is

the URL: http://www.geocities.com/Heartland/Hills/2571/heartforum.htm. It is

a great place to learn a lot about heart medicines, nutrition, diet, etc. Jon

is a patient himself and I have been corresponding with the group there for

over a year.

I, too, cannot drive. The device was put in and tested in August and then

retested in September--all seems to be well. It has not discharged. In

December I go for a routine checkup and reading of the device and think that

perhaps then the doctor will permit me to drive. I really never passed out,

or blacked out, but felt like I might. I do drive locally to the supermarket,

but that's about it until I get his OK.

Are you both happy with your Cardiologist and your husband's care? That is

very important. Altho it sounds like he is being well taken care of. There

is another web site that my doc has, it is called " arrhythmia.com " and it is

on the web. He is from St. Luke's Roosevelt in NYC. There is some nice info

there, too. And Guidant also has a web site that you can probably get from a

search engine or from Zappers (Duffy's Place). (Guidant is a mfg of these

ICD's).

Pat ...I want to wish you and your husband well. Thank goodness he was in the

doctor's office. My thoughts and prayers are with you both. Take care, Lee

Roush from northern NJ.

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Patty S Pulasky wrote:

>

> Jon:

> Thank you for encouraging our questions. Mine concerns my

> husband's post-ICD recovery. His device was implanted almost four

> weeks ago, and he is still experiencing a great deal of discomfort

> at the site, although the bruising has disappeared. Is this common?

> Also, his ICD was necessary due to seizures in the

> doctor's office, resulting in cardiac/respiratory arrest,culminating

> in a four day coma. The seizures were caused by ventricular

> fibrillations. As a result, his doctor has notified the DMV to

> withhold driving privileges. Does this happen to everyone? (This was

> the only time he had had seizures.) Are seizures still to be

> expected?

> He is on many medications, even after the ICD: hytrin,

> digoxin, capoten, isosorbide, dilantin, lasix, potassium, aspirin,

> pepcid...I haven't noticed communications mentioning this many

> drugs. Thanking you in advance for your assistance.

> Pat Pulasky

> ------------------------------------------------------------------------

>

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