My heart skips, skips a beat

THERE IS A MASS IN THE HEART. I actually don’t even really recall the word ‘mass’ being said, I was focussing more on waiting to hear the results of the bunch of scans I had post chemo and to find out what was next, which we now know was radiotherapy. But as radiotherapy was ending, people naturally wanted to know what was next.

And I already knew because in the week between finishing chemo and starting radio, I ended up having a bunch of tests – an echocardiogram, an ECG and a 24-hour ECG – called a Halter ECG and a cardiac MRI – all because they had seen a mass in my heart when they were doing my other scans. I was put on blood thinners in mid-November as soon as they found the mass, and it wasn’t until I had a call mid-week from a cardiologist – a new man in my life, that I started to think, oh, maybe this isn’t all that great!

I was given four options as to what the mass could be:

  1. It was my cancer – although he thought this was unlikely as the PET scan hadn’t lit up anywhere near my heart
  2. It was a blood clot – unusual to have it where it was but not unheard of
  3. It was just my heart and it was a bit weird, and;
  4. It was a myxoma – a rare cardiac tumour – which he told me was unlikely as it would be like being struck by lightning twice.

By the end of the week, after all the tests, I went to see the cardiologist Friday night and was told I had an left atrial myxoma. It’s a rare type of cardiac tumour which is benign and is usually found in the top chamber of the heart. About 75% of them tend to be found in the left chamber (atria) and grow on the wall that separates the right and left sides of the heart.

I was happy to hear it was benign, which means it doesn’t spread around the body like cancer does, but they do have other complications. They aren’t a solid tumour and therefore pieces of it can break off and end up in the blood stream – causing strokes or pulmonary embolism. In fact, I was told I was lucky as most people only find out they have myxoma when they have had a mini stroke!

I got back to the flat and told mum and dad. Mum cried and said she wanted them to stop finding things. I laughed. Looking back, I think I was in shock, I mean, it was super unlucky but that is what made it so funny. 

So, the stage was set, I was told, they would get a crowbar and jimmy open my chest to remove the tumour, but that it would be done after radiotherapy. My first concern was training for rowing the Atlantic.

Whilst I was undergoing radiotherapy, I was told that exercise was off as they didn’t want to do anything that could cause a piece of the tumour to break off, but the main concern was it would be around 3-4 months before I could bench press etc as the sternum needs time to heal – not ideal. 

Anyway, fast forward to post radiotherapy and I had a date set for the operation. In what felt like a last minute reprieve, I received a call the week before surgery from a surgeon who performed the operation in a less invasive way. Essentially, cutting through the muscles between the ribs to reach the heart rather than the sternum.

It did mean having a ton of other access points – namely through the femoral artery and jugular, and whilst it would still mean a 4-6 week recovery, I would be able to lift weights a lot quicker due to the sternum not being cut. After 40 minutes talking to the surgeon, I decided I liked the cut of his jib – a nice nautical reference for those in the know, and by the end of the day, I had a date and was due to go in on the Thursday for the operation.

Thursday morning, I’m in my usual get up and I meet my surgeon for the first time and the anaesthetist. She starts telling me about all these cannulas and other tubes they are going to put in me – thankfully once I am under, but it’s because I am going to wake up with a ton of them and wonder what is going on! I walk down to theatre and next thing I wake up in the ITU (Intensive Trauma Unit) and I feel like death!

My throat is raspy and sore from the tube that’s been down it, I feel like I’ve been hit by a bus. Here you have a dedicated nurse – mine is Sally – such a wonderful lady and she puts up with a lot from me. I’m on Fentanyl because I have a not so stellar reaction to Morphine as Dana and Louisa will attest – I get super-hot, itchy and my skin feels like it’s on fire, which meant that dana and Louisa ended up wiping me down with wet wipes when we found this out! 

I have three tubes coming out of my neck, my chest hurts like hell whenever I breathe courtesy of the chest drain and general pulling and cutting and I have pacing wires which have been inserted through my chest and are connected directly to my heart and to an external pacing box, which delivers a current to the heart to make it beat normally.

The next few days pass in what feels like a blur, I’m asleep way too much apparently, which sees me coming off the IV Fentanyl and it being put on PCA – which is Patient controlled analgesia – I find myself clicking that button way too much, but there is only so much you can get out. On day 2, a lovely antipodean physio comes round to announce we are getting out of bed. The idea terrifies me, not least because I am attached to so many things, but also because of the pain, but I’m told its essential to protect the lungs, and so, with a number of people assisting, I somehow make it to the chair.

I’m also forced to cough and deep breath every time the ward doctor comes round, which is broadly met with the phrase ‘now cough properly’ or ‘now breathe deeply’. It’s not just me, I hear it from the other patients too whose shallow breathing is a result of the pain.

My chest drain is filling up and filling up and I’m told that I’ll have to go on the CPAP machine (Continuous positive airway pressure) if my breathing doesn’t get deeper and I can’t cough. Sally tells me that this is not fun after surgery and will hurt like hell because of the chest drain. She convinces me that I need to start breathing deeper for the doctor when he comes round if I want to avoid it. So, when he does his next round, I breathe as deep as I can and muster up the weirdest fakest smile, which sees a reprieve from the contraption.

Fast forward to Saturday and they take one tube out of my neck, which felt like it was being tied off – I had all the weight of Sally on me to stop the bleeding for what felt like an eternity. They also removed my chest drain and I was moved to the ward.

On the ward, I’m starting to feel like hell, I’m off the Fentanyl and all they can give me is paracetamol as codeine etc are morphine derivatives. At around 730pm, they take me down for a chest x-ray, wanting to check all the air is out of them. I persuade the on call duty doctor to give me a sleeping tablet, however, when he arrives back with my medication for the evening at 11pm, and I’m knocking it back, he says my surgeon and his tag team are coming into see me and the drain is going back in.

This reeks of the time I boarded the plane home from New York to London and it was the first time I’d taken Ambien (sleeping tablet). As told, I took it 30 minutes before boarding the plane, then at the last minute they said the plane was delayed. Had to get a random dude to wake me up for boarding – was excruciating.

My surgeons number two’s favourite phrase was ‘this might hurt in a minute’, I genuinely would have had at least a tenner for the number of times he said it. He also kept saying, relax – having someone put a tube between the lung and the chest wall is not relaxing. I mean it wasn’t pleasant when I woke up with one in me, but even less so, when someone is putting it in and you’re awake. Anyways, I like to think I must be super strong, because I managed to bend the tube – which was not ideal, as it meant it had to come back out and go back in again. Honestly horrendous, I couldn’t speak, it literally took my breath away, and if I did say anything, it was a 4-letter f word, followed by a mumbled sorry and a delightful nurse asking if we should give her anything more than paracetamol – after she said it a second time, I found my words – ‘give me the drugs’. The reason the chest drain was going back in was because of a pneumothorax (collection of air), this or fluid can cause issues with breathing and can stop your lungs from working properly, so I went along with it – not that I had much choice.

As I lay there waiting for the drugs to numb the pain, my surgeon asked if I wanted to see the tumour. He’d said he’d sent it off for testing to ensure it wasn’t cancerous but to him it looked like typical myxoma – and there on his phone it was for all to see – what a strange world we live in but I was keen to see what it looked like! Finally, at 1am, I slept – uncomfortable as I was, the drugs took over and did their thing, and I fell asleep listening to the antiques shop on Headspace.

The next few days were a combination of the physio coming to get me out of bed and force a totter up the ward hall, sleeping, more scans of the chest and a 2 hour session that involved the nurses washing me, changing my dressings and bed and getting into my PJs.

My fave phrase post my first shower was ‘you look so pretty now’ – which made me laugh but for which my ribs and lung were not grateful for.

And so, a week after I arrive, I get the chest drain removed and I finally leave hospital. The staff were amazing, literally unbelievable and I was pain in the backside. That said, by this time, I’m glad to get out of there, to breathe in fresh air and see people other than the hospital staff. 

I still feel like I’ve been run over, I’m swollen, out of breath, cannot walk for more than 5-10 minutes and even that is at the speed of someone triple my age, but in any event, am happy to have had the surgery.



Comments

  1. Another great piece of writing Kat. Hard to believe that was the less invasive option(!) but great that it offers the shortest recovery. We hope you are able to get to training soon.

  2. I found this blog incredibly difficult to read, so goodness only knows how you got through it all. I am constantly amazed by your strength and courage. The Atlantic Challenge is going to be such a walk in the park after this. xx

  3. You are so strong in the face of all the “findings” in your life. All my prayers go to you and we all hope that it gets better day after day. Assia like we say in Cameroon

  4. I agree with Kathryn W that the Atlantic Challenge will be a breeze after this (don’t tell Craig F that).
    I’m in training for my Hadrian’s Wall walk and will be hoping to donate the funds from that to your ocean challenge.
    Keep strong Kat x

  5. Hi Kat
    Such incredible strength, bravery and openness (quite literally in those pictures!!!!) to have gone through this but also to share it.
    So much respect to you.
    Your strength is simply astounding.
    Sending you good vibes and positivity xx

  6. Kat,
    As Kathryn W has said, very difficult to read but uplifting all the same. Thank you.
    Thirteen years ago ‘the big bad wolf’ took a kidney, then half a lung , later this year they will take the other half so I can sympathise.
    Take one day at a time.
    Best Wishes
    JE. Legs 6, 7 & 8

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