Carpe Diem

In keeping with my overall theme of seize the moment, I bid farewell to my commentary and narration of my heart attack and subsequent plumbing repairs and the recovery from all of that. God has given me an extended life. What will I do with it?

These past few days and weeks have been remarkably suited for riding. This single fact has caused me to be down a bit. I cannot ride. At first I felt little like riding but as I heal I become more anxious to do it every day. It is a goal. It is a quest. In February and in March I was beginning to ride a few miles and then a mile or so more before the universe made me stop and discover where the pain was coming from.

I need to work on stamina first. It is surprising how winded I get just walking around my little condo’s parking area. But I must pay attention to how my body is healing and what substances will help it to heal. In the hospital I was getting a calcium drip for a couple days. Debbie suggested that I should drink milk and eat cheese to accomplish a similar effect.

The simple joy of chocolate milk, I used to drink this as a child. In the hospital I was given Ensure. I found that the chocolate variety pleased my pallet. There is a chocolate variety of Bailey’s Irish Cream. Those two together can only improve the value and overall flavor profile of chocolate Ensure. This might be adult Ensure. I will try this later.

Mom said to me long ago after one of her hospital stays that Ensure or Boost is not too bad if you mix it with a little milk. It tasted like a low end milk shake.

I will drink more Ensure and maybe add some Bailey’s. And I will walk more. Stay tuned.

Carpe Diem.

Miraculous

Miraculous Pain in the Ass (a Diary)

Debbie made this comment the other day about my recent myocardial infarction/ angioplasty/ cardio arterial bypass graft activity. I have to agree. I have complained to the medical folks steering my care that I am personally amazed that I do not feel worse than I do. The whole process has been a miraculous pain in the ass (or chest – but I felt little pain in my chest after all the chest tubes came out.)

  • March 19, 2026 – Sun shining, high of 70 or so. A good day to ride the bike and get used to the trail again. Pain in my chest and left arm that I wrote off as winter stiffness and out-of-shapeness, was not to be ignored. I did ignore it for a bit. I stopped at my “turn around” point and sat on a bench along side of the trail.
  • March 20, 2026 – a little pain here and there but nothing of note but distracting enough that I could not ignore. Debbie insisted I make a doctor appointment. I did.
  • March 21, 2026 – Pain in my chest and left arm with a vengeance while I was beginning to assemble a porch glider that was purchased online a few days before. I sat down. Debbie looked at me while I insisted that I did not need anything other than to sit for a bit. The look on her face told me that I should be taking this more seriously.
  • March 21, 2026 – I drove myself and Debbie to the hospital and walked into the ER at Jewish Hospital part of the Mercy Health system in Cincinnati. I announced that I think I am having a heart attack. They brought me a wheelchair and things happened quickly.
  • People work in the hospital on the weekends. This destroyed my theory that nothing would happen before Monday. Nevertheless a cardiologist ordered several diagnostic tests all aimed at discovering why I was feeling what I was feeling. I was put on a hepron drip and aspirin to keep me from plugging up before the eventual solution could be executed.
  • March 22, 2026 – About 5:15 in the afternoon I sent this email message to the stock club membership. — Hey guys; It is unlikely that I will be at the meeting tomorrow. Sorry about the last minute notice but I’m in the hospital. Denny has my proxy. Paul
  • March 23, 2026 – Monday. Early in the morning I had an angioplasty diagnostic test to determine what was wrong. A stint or two was not going to fix me. As previously reported one artery was 99% blocked and another was 95% blocked.
  • March 23, 2026 I was trucked (literally) over to Mercy Anderson where they specialize in cardiac arterial bypass graft surgery (CABG). I took my hepron drip with me.
  • March 23, 2026 – This was the week for CABG surgery. I had to wait for my turn which was scheduled for Friday. I needed it but I was in too good of shape to go first. No one ever said this out loud but the thought was there. I settled into the cardiac care ICU room C221. Debbie stayed with me overnight the night before the surgery.
  • March 27, 2026 – Three days of the cardiac diet in the hospital got me here. The food is not bad it is just boring. Days go slow in the hospital. A cardiac burger has little maybe no salt involved in its cooking. Otherwise it is perfectly edible. “Worth his salt” is a comment from Roman times. Nothing to eat past midnight. I did not miss it.
  • March 27, 2026 – In the late morning Becky a nurse practitioner with big hands joined us in C221 to chat about what was coming soon. The first surgery of the day was going quicker than expected. They would come get me soon. Debbie and I waited. David showed up to wait with me. Sarah showed up to wait with me. They did not come to get me soon. It was more like two hours later.
  • March 27, 2026 – Early afternoon Becky reappeared with another nurse to push me to the operating theater. I scooted onto the operating table. The anesthetist remarked to Becky that I was too high up the table. She grabbed my feet and said she was going to move me down. She did. Big hands. Moments later it was lights out.
  • March 27, 2026 – about 9PM – Wendy from the breathing department said to me, I’m going to do a little suction and then pull the breathing tube out. I was still a little groggy but she did what she said. I was breathing again on my own. Debbie had left my phone and my glasses with the night nurse after peeking through the C221 glass door. I could talk which surprised me a bit. At 9:30PM I called Debbie to report that I was still alive and kicking. I called her first because I knew she would be worried overnight otherwise. We always – since we met – call each other at night to say good night. I actually slept that first night.
  • March 28, 2026 – about 3:30AM – a lab technician showed up to draw blood and make sure that I was awake.
  • March 28, 2026 – About 5AM – two NPs showed up with their very own portable bedside x-ray machine. They sat me up to take a chest picture to be sure I was still screwed together. The My Chart report says yep, all good. They left to go wake up the next patient. The night nurse helped me to sit up in my chair about 6AM. This became my morning routine for the next four days or so.
  • March 28, 2026 – a little after 7AM – rounds. Several bright cheery young women appeared to take over the day shift and find out from the night shift any important stuff about the patient – me. Another morning routine began.
  • March 29, 2026 – 3, 5 & 7AM – pretty much the same as March 28th. The times may be off slightly but the 3:30AM blood draw was very consistent as was the morning x-ray. On this day I think I got a shower in the morning by Austin, Austin is an incredibly gentle nurse on the night shift. Austin stayed in my room overnight March 27-28 after my surgery. He monitored my numbers and laughed when I told Debbie after I woke up, “I’m still alive, baby!”
  • March 29, 2026 – physical therapy folks appeared to get me going and walking a little bit in the room. Occupational therapy showed up to ask a lot of questions about my home and to offer suggestions about staying in the tube.– which is their way for saying do not use your arms for anything like pushing up out of a chair.
  • March 30, 2026 – 3, 5 & 7AM – pretty much the same as March 28 & 29. Either a nurse or a PT person showed up every couple hours to walk me around the hallway. There are practice steps overlooking the hospital lobby. The more I walked, the closer I came to going home. I was feeling better. I found some underwear to put on in my backpack that David had brought. No longer was my butt hanging out for all to see when I walked around.
  • March 31, 2026 – discharge day. Taylor, the day nurse, came in with her trainee, Emily, to go through this book I have been filling in for several days now at home. Scott and David and Zachary came to give me a ride home. Emily went to find a wheel chair to give me a ride to the front so that I could get into my car. Scott had left his car at my house and drove my car to the hospital. I rode home in the back of the car. The medical folks were concerned about the airbags. Zachary went home with Uncle David.
  • April 1, 2026 – April Fools Day – I am home. I do not feel too much from the surgery. A little sore here and there. Debbie came over to stay with me for the next several days. David also stayed with me for a week. Sarah came and made soup. It was heavenly.
  • April 2, 2026 – People came to feed us. Debbie cooked her award winning and legendary meat loaf. Denise, Debbie’s sister, made her special scalloped cheesy potatoes and ham. It was much better than green eggs and ham (Sam I am.) There was a lot of it so Debbie and I ate it for lunch and dinner for a couple days. I think I ate the last of it a week or so later.
  • April 3, 2026 – Kristin, a work friend of Debbie’s, brought her special soup also called Paula Dean’s chicken noodle soup. It was excellent even though Kristin made it without the alcoholic beverage in it. In case you were wondering – see below
    • For the Stock;
      • 2 1⁄2 to 3 pounds broiler-fryer chicken, cut up
      • 3 1⁄2 quarts water
      • 1 onion, peeled and diced
      • 2 teaspoons Italian seasoning
      • 1 teaspoon lemon-pepper seasoning
      • 3 garlic cloves, minced
      • 4 bay leaves
      • 3 chicken bouillon cubes
      • Kosher salt, to taste
      • Freshly ground black pepper, to taste
    • For the Soup
      • 7 cups sliced carrots
      • 2 cups sliced celery, leaves included
      • 2 1⁄2 cups uncooked egg noodles
      • 1 cup sliced mushrooms
      • 3 tablespoons parsley, chopped
      • 1⁄3 cup cooking sherry
      • 2 teaspoons fresh rosemary leaves, chopped
      • 1 cup grated Parmesan cheese
      • 3⁄4 cup heavy cream, optional
      • Salt and pepper, to taste
      • Crusty French bread, for serving
  • April 4, 2026 – I found the ice cream in the freezer. This is the beginning of 4 long weeks of no driving and depending on my kids and others to drive me around. Debbie kept telling me how good I was doing. I think she meant that I was not complaining about my lot in life.
  • April 5, 2026 – Easter Sunday. I stayed home. Although I was feeling better each day, I did not feel up to church. I thanked God for Debbie and her persistence at chasing me to the hospital to be checked out.
  • April 6 – 10, 2026 – Debbie went back to work. David hung on for a couple more nights and ultimately moved home. I was on my own for a few nights.
  • April 10, 2026 – Debbie returned for the weekend and to be sure I did my exercises. Over time she has arranged her working schedule so that she has a 4 day weekend. During this time in our relationship she has cleared her grandmotherly duties to take care of me. For that I will be forever grateful. On this day we resumed our charcuterie board lunch and planning session for the rest of the weekend.
  • April 11, 2026 – It was a great day for a walk in the park so we did just that. We chilled for most of the weekend.
  • April 13, 2026 – Debbie returned to her grandmotherly duties during the day. We went to dinner in the evening.
  • April 14, 2026 – Debbie returned to work. The physical therapy sessions continued and the visiting nurse came to assess my progress. Rhonda laughed when I told her that Debbie referred to her as the exercise nazi.
  • April 14 – 17, 2026 – I continued a routine of taking care of myself. Showering everyday and gently washing my chest wound. Monitoring my blood pressure and heart rate. Getting up to walk in the parking lot. I did not do this as much as the log book wanted me to do that but it is a boring activity and occasionally I napped instead.
  • April 19, 2026 – Sunday. Debbie and I went to the Kenwood Theater to see “Hail Mary” a peculiar movie about some sort of star eating bacteria and one man’s quest to solve the problem. Entertaining but an odd story line.
  • April 22, 2026 – Wednesday – The anniversary of Cheryl’s death. Scott, Zachary and I went to visit Cheryl’s columbarium niche. Her flowers are in full bloom.

Debbie remarked that this has been a miraculous pain in the ass a couple days ago and she is right. It still feels strange to me that I am feeling so good after the surgery that was performed on me. I had two bypass grafts added to my heart plumbing by Dr. Lynn Seto who is, apparently, a skilled heart surgeon.

Dr. Seto, thank you and your team for your excellence.

Carpe Diem.

A Couple More Days

Seems like every time I want to close my eyes for a small little tiny nap some health person is encouraging me to get up and move around.

Today the occupational therapist had a gap in her schedule and just as I pushed my chair back to NAP position the phone ran.

May I come and assess your functionality? Sure why not. I will be here.

It actually makes me laugh. All the attention about a little thing like cardiac arterial bypass graft surgery. CABG “cabbage” is the term used by the cutters. All week long I have kind of complained a little that I did not feel all that bad and that is true. Most of that seems to be due to something described as a freezing nerve block that will wear off over time as my body heals.

Every day is a bit better and today is much better.

Today on the way home from the cardiothorasic surgery visit we stopped at one of my favorite diner chili parlors to get a 5-way for lunch. If you live in southwest Ohio you do not need more description.

Carpe Diem.

3 AM Sometimes

Day Six and Beyond

A major surgery makes one think about things one might not think about.

I awoke from a nap this afternoon wondering what God had in mind. I imagine that we all have these thoughts occasionally. What is the big picture? Or is there a picture? I could feel the love from people near me in my life.

Love is a powerful emotion. It is freely given.

The person that I am with, Debbie, is staying with me to help me through this piece of the recovery journey. After Cheryl’s death I did not think that I would feel the same way for anyone again. Debbie makes me happy. It is that simple. Loving someone is a connection between souls. It is deeper. She is here with me through this recovery and I am more concerned for her health and well being than my own. Love is a two-way street.

Last night a spontaneous gathering arose as David, doing his master chef on the grill, invited his brother and family to join us. Love was in the air then too.

My sister and I talk every day. This is something we have not done since we were children. There are three time zones between us which adds certain amount of thought process on my eastern end when I want to initiate a communication. It seems to work out though. Love figures into the process.

It is as though the love that I radiated out during my previous life before my heart attack is returned as I need it. A simple beautiful concept, love the people around you and they will love you back.

These past few days as I recover post-surgery, I am overwhelmed by love.

I am grateful.

Carpe Diem.

Days Four and Five

Fourth day and Home

Open heart surgery – cracked open my chest – the whole thing – has come a long way since Mom had it many years ago.

I woke up about 9pm after surgery on Friday. The breathing specialist took the plastic tube out of my mouth and lungs. A little one, two, three and its out. Wow I am hoping to never have that experience again. There were four other drain tubes still in. two around my lungs, two around my heart. And to keep with the twos I had a double bypass.

I could talk so the first thing I did was call Debbie when the night nurse whose name was Austin gave me the phone it was great to hear her voice and I knew she would sleep better knowing that I was still my annoying self. I thought she would spread the word that Paul was back.

What a long slog this will be. The nurses and physical therapy folks – Emma and Amy – don’t leave you alone. The first day was simply sit in a hospital recliner chair until its too much. And they talked about keeping my elbows near my body, move in the tube is phrase that they use to help you remember. When they cut your pectoral muscles and your breast bone apart, your body tells you. There is that little pulling sensation in your chest that says – hey, hey, hey we are are healing down here – that will remind you to be careful.

On the Fifth day

What a remarkable feeling it is to sleep in one’s own bed. There is the added bonus of not getting poked in the arm somewhere at 3:15AM because they need another blood test. The chest x-rays at 5AM were also reduced to none at home.

I am truly amazed at my own progress.

I think I will stop here but God taught me two things; exercise is good for all recovery and do not ignore chest pain. I do have a greater appreciation of life.

Carpe Diem.