Cynthia's Summer Adventure

This blog will chronicle my journey through the process of septal myectomy surgery at the Mayo Clinic in Rochester, MN. My surgery is currently scheduled for August 11, 2006.

Thursday, August 31, 2006

3 weeks out

So because I have so little to say, I have been saving it up for one entry a week.

I am getting stronger every day. This week I have been taking two walks a day. 20 - 30 minutes in the morning, and the same in the evening. The cough has pretty much diminished to an occasional problem. I suspect it may take several weeks to totally fade away. My one difficulty of the week was that I had another few episodes of arrythmia on Sunday. My local doctors increased my beta blocker a little bit on Monday, so hopefully that will continue to do the trick. It seems to have been ok since then.

I have gone out to lunch a couple of times this week, and tonight Vince and I even attended a screening of "Little Miss Sunshine" at MGM. It was nice to see a few folks, and the movie was quite funny. The only bad part is that it hurts my sternum to laugh too much!

Jesse has been attending camp at his preschool this week and playing with friends and Vince has been back to work in between running Jesse to school and doing the shopping and cooking (that is when nice folks from the temple and relatives have not brought food:)

And the most interesting thing that happened this week is that the Corporate Communications folks at Mayo stumbled across this blog and want to reprint excerpts from it in a Mayo publication. An auspicious beginning to my incipient career as a writer.

Goodbye until I can collect enough interesting things to say......

Cynthia

Saturday, August 26, 2006

Weekend Update

Sorry I haven't posted anything for the last few days, but there is really not too much to say. I have been hanging around the house taking a couple of 20 minute or so walks around the neighborhood a day.

While I still have that annoying cough, it seems to be better and not as gut wrenching. Hopefully in a few days it will be all gone, but I will continue to vigilantly watch it.

Vince and Jesse are settling back in. Jesse will go to camp at his school next week. Yesterday he had a playdate at the house of his best friend Maor.

Hopefully I will be starting cardiac rehab in the next week or two. I am waiting for the good folks at Cedars-Sinai Cardiac Rehab to call me back. Unfortunately, Cedars has not caught on to the organizational efficiency of the Mayo Clinic.

Until later....

Cynthia

Wednesday, August 23, 2006

Back Together Again

Well, Jesse and Vince returned this evening. Jesse is full of energy, plus he grew almost an inch!

I am still coughing alot. It is quite a nuisance. I went and saw my local cardiologist today, Dr. Robert Siegel. He is quite pleased with my progress generally, and he prescribed some cough medicine. Hopefully that will do the trick.

My stupid move of the day was taking a fall off of an unstable stepstool that I decided that I needed to use to put away a pillow in the top shelf of my closet. As I lay there on the floor, feeling like a moron, I realized that I guess I really need to ask for help - something that is not really that easy for me to do.

Jesse calls, so I am going to sign off. Back to life, back to reality......

Monday, August 21, 2006

Hanging in the house....

So, the last couple of days have mostly entailed puttering around the house. Vince has been busily grocery shopping for lots of iron containing foods, while I have been watching a movie or two, reading a novel, and, oh, yeah, spending alot of time running my mouth on the phone. Something I am sure that none of you readers can imagine.

Tomorrow morning, Vince is on a flight to Tulsa to go and collect Jesse and they will return together on Wednesday evening, that is if they can fit all of the new Pokemon cards that Jesse has collected in Tulsa into his luggage.

Don't worry, I won't be alone while he is gone. My mother will come over to spend the night with me and during the day I have Marta, the very capable lady we hired to fill in while our regular nanny, Janeth, is on maternity leave.

I am feeling stronger every day. I have a little dry cough which is more annoying than anything else, but otherwise, no problems.

That's it for now.

Sayanara.

Cynthia

Sunday, August 20, 2006

Greetings everyone from my HOME computer with the DSL working! The last several days at the hotel having to use dial-up were annoying, but hey, if I had to have issues, I was happier to have them with a little suitcase misplaced on the way there, internet connection issues, and yesterday, the car service we arranged for to pick us up didn't show so we had to take a cab.

Oh well.

The flying, which I was really worried about in advance, was no problem. We took a Lincoln Town Car to the airport in Minneapolis, I got a wheelchair from the curb, and the airline pretty much took care of me. I was able to walk onto and off of the plane at the gate, but really didn’t want to mess with security and the long long long terminals at MSP Airport.

Since I have an ICD (pacemaker), I cannot go through the regular security line and require a pat down. I asked the girl not to touch my chest – I told her that I would be happy to show it to her, but because the incision is still new, and the sternum is not healed, I would prefer no touching, so I got to go to a little draped room and do a Drew Barrymore to I am sure what was a less appreciative audience than David Letterman, not to mention that the goods are accented with scars and bruises!

Physically, I am doing o.k. I actually slept for 10 hours last night with only a couple of momentary breaks, so that was quite nice. My new least-ugly-in-the-store La-Z-Boy Recliner was quite comfy with a comforter and a few pillows.

My only complaints now are that I am still having sporadic episodes of arrythmia that seem to self convert. I had a 3 or 4 minute run of a-fib on Friday at the hotel just after seeing both Drs. Ommen and Dearani for my goodbye clearance.

I actually managed to find Dr. O’s number, call him, and get him on the phone while the whole incident was happening. Then, while I was talking to him, it reverted to a normal rhythm. He told me that as long as they just lasted a few minutes and self converted, he wouldn’t change anything, and that I was ok to fly home, so that is what happened, and that is what I did.

I am also getting a periodic pain in my chest which feels sort of like what I used to feel from obstruction, and sort of different. It doesn’t seem to be caused by exertion, and may be caused by arrythmia, but I am not sure. I guess it could also just be the muscle hurting where it was sheared off.

O.K., off to have some delicious, low salt, high iron breakfast.

Bye,

Cynthia

Friday, August 18, 2006

Thursday/Friday - getting ready to come home.

Sorry for not posting on Thursday. I didn’t have the energy after we came back from a full day of touring around Rochester.

I spent some time in the morning making travel arrangements for our departure Saturday (hey, by the way, does anyone want to pick us up at LAX on Saturday around 4:10??? If so, please e-mail me at my regular e-mail if you know it, or at the one for the blog: hypertroph AT pacbell DOT net). We need a large-ish car as I have to sit in the back seat, and we have a fair amount of luggage.

Around lunch time we went down to the clinic/downtown area. Vince dropped me in the front, and there they will just loan you a wheelchair. No driver’s license, clinic number, or i.d. of any kind required. They are just here to serve the patients. Pretty nice, Anyway, I got a chair right away, and waited for Vince to park. Then, we roamed around the underground subway system connecting the Mayo, various hotels around it, and the many, many stores in the tunnels. It’s sort of like Montreal’s subway system, but on a much smaller scale. Anyway, we had lunch, shopped, and then went back to the clinic where we looked at much of their amazing art and some of their historical exhibits.

I walked like I was supposed to. Every now and then Vince would just dump me out and make me walk a stretch. Well, not really dump and make, but I have to say, shopping and browsing around stores and touring museums is a much greater impetus to walk than just walking from the hotel room to the front desk and back every so often.

Today we are scheduled to have a last look-over by the doctors, and then tomorrow, its off to the Minneapolis airport where we WON”T have any liquids. Man, the good old days of traveling are apparently gone forever.

Wednesday, August 16, 2006

Wednesday's Report

Hi everyone,

So today's biggest challenge was that the internet at the hotel was down so we were reduced to dial-up. Remember that noise? I had forgotten it. Apparently, we were the only folks in the hotel who actually remembered that there even WAS dial up. Vince even remembered to pack a phone cord, so that is what we are doing.

Today was pretty ok. We took a little drive around Rochester in our rent a car, had lunch in a restaurant and came back to the hotel to visit with Pamela, a resident of the Twin Cities who had a valve replacement by Dr. Dearani a month ago. Pamela has a blog on this server called thehartchronicles.blogspot.com and I found her through my obsessive reading of various heart websites in preparation for this event.

That's about it. Still really weak. I feel pretty ok when sitting and resting, but like a rag doll when walking around. Hopefully this will soon improve. Thanks to my friend Laura (Eatwell from the HCMA) who is a dietician, I have been eating lots of iron containing foods before the surgery, so now, I won't eat anything unless it is on the iron containing list and is also low salt. Ahhh, I long for the days when I was just obsessed with fat grams.

Oh well, until tomorrow....

Cynthia

Tuesday, August 15, 2006

Tuesday late afternoon - Post hotel nap post

So now it is 5:30 or so. I just woke up from my nap in my nice comfy bed at the hotel using a bed wedge to elevate my head with lots of pillows. My Peachhead friend back in L.A., Andrea Koepke (if you don't know what Peachhead is, you will have to ask me later) loaned me her pillow of this type that she used after her OHS in January. I thought about bringing it with me to Rochester, but it was just too huge, and I already had too much luggage, so I decided that we would buy one here for $35 or so (actually, there were priced cheaper here than anywhere else I priced them) and just leave it when we left. Vince could not get over the waste factor of doing this. It was driving him nuts, so finally, this morning, as I was sending him over the the Mayo Clinic store to buy the pillow, I came up with the idea of leaving the pillow with Rabbi Michelle Werner (who, by the way, is closing escrow on her house here today! Mazel Tov!) and letting her give it to the next needy person. He was ok with that, so I got to take a nice and comfy nappy in the hotel on my pillow this afternoon.

So, I awoke from my nap, and am snacking on these really good dried blueberries and sunflower seeds (soaked to wash the salt off) while Vince is out at the store. As we were leaving the hospital, a person stopped us at the pharmacy as I was being pushed by a Mayo escort in a wheelchair. This person had a big box for me which appparently was sent to me in the room, but we left too fast to get it. It was a giant box of goodies (lots of high iron/low salt snack and dried foods) sent by my co-workers at MGM. How nice was that? I really appreciate that all you MGM people, and I thank you as I crunch on your blueberries and replenish my iron. Vince is going to be cooking me a nice pasta dinner from some more of the dried goods in the box. I think I see the hands of my MGM pal Stephanie H. on this as the company that sent the box was in Connecticut, but I am not sure.

There was a comment on my latest blog entry from Deb, the great day nurse I had for my 3 full days on the floor. All of the nursing care here was superb. Very friendly and attentive, and I have to say, puts Cedars to shame. At Cedars the doctors are great, but from my personal experience, G-d help you if you are an inpatient. Here, they are all really on the ball, very consciencious, and nice to boot. Apparently there was also a male ICU nurse named Jason who I never actually laid eyes on (I was out of it the whole time he was taking care of me) but I hear from Vince that he was superb and put up well with Vince's "High Functioning" personality and incessant questioning.

Alright, I am going to sign off now and take a walk. I have my nice little inspirometer to blow into, and to answer CJ's comment who went through this whole process a couple of weeks ago, I managed to get the little thingy up to 1550 m.l. today, which I considered to be quite an accomplishment. Pursuant to CJ's advice, I got one to try out when I was waiting for the cath early on Friday morning before the operation, and the highest I could get it then was 2000 m.l.

Tuesday a.m. report - possible discharge this afternoon

Hi everyone,

So, here is today's haps. Last night, just for a little excitement, I had a little short run of a-fib (atrial fibrillation, for those who are not up on the short hand heart terminology). It only lasted 30 beats or so, but an alarm sounded on my monitor, and the charge nurse ran in to make sure that everything was o.k. Nothing like a little pre-bed time excitement.

Well, since they had just given me some i.v. magnesium to settle down my heart's electrical system, and I recently taken a 150 mg. Norpace.

While I was writing this, Dr. Dearani's nurse practitioner came to get me because she needed to fill out my discharge instructions and orders. I am saving this post and will continue it later.

Monday, August 14, 2006

Monday report

So, today, I am feeling a bit better in some respects, and not as well in others. I stopped taking narcotic pain killers as I think they were adding to/causing the nausea and vomiting, so I am down to just Extra Stength Tylenol, and the tummy situation is much improved. The incision doesn't really hurt too much either.

My pacemaker settings have been turned down from 90 beats per minute to 60 which is where I was before. This seems to be causing alot of pvcs, or premature heart beats which are uncomfortable, but not really dangerous. I am on a magnesium i.v. drip now to see if it helps.

I am going to be having another echocardiogram tomorrow, and if all is well, and the arrythmias calm down, I may be getting out of the hospital tomorrow to go stay at the hotel across the street. I will then see both my surgeon and my cardiologist on Friday, and then fly home as scheduled on Saturday, hoping that the NW Airlines flight attendants are not on a wildcat strike and that this new no fluid policy is not expanded or problematic.

That's it for now. Later guys....

Cynthia

Sunday, August 13, 2006

Sunday afternoon

This is my second, or third walk if you include the shower I was allowed to take earlier this afternoon. The shower was allowed much earlier than my previous surgeries, and was much appreciated.

Fever is still an issue, but they say its not abnormal. We were watching "Must Love Dogs" on the pay per view. It is not very good.

OK, back to walking now.

Later update.....I took some more pain medicine and threw up again. This nausea is not very fun. I think I am just going to stick to Tylenol, deal with the pain, and hopefully stop puking. YUCK!

Later.

C.

Sunday Morning Update

Well, the bad news is that I had a little fever last night - about 101.5. It seems to have subsided this morning after taking a few Tylenols. Hopefully it is no big deal. They are doing lots of cultures to make sure that it is nothing.

I got the catheter out this morning, managed to eat a couple of pieces of toast and a little scrambled egg, and walked with Vince down to the computer terminals. Vince is worried about the lack of computer security with the laptop (not to mention the intermittent wireless access). I am supposed to walk 5 times today. We shall see.

Thanks everyone for your encouragement and support.

Saturday, August 12, 2006

I'm BACK!!!

I'm BACK!!!

I am in the step down room. Still rather nauseous. A little apple juice stayed down after puking up the gingerale and water this a.m.The chest tube came out about an hour ago. Still have the pacer wires and PICC line. I am writing this from my bed. The wireless access is intermittent and the pulsox makes it hard to type.Out of surgery for 24 hours. I have stood a couple of times, and just walked a few steps.

Later, C.

P.S. That Dearani is a rock star. Gradient 0 and all through the aorta!

Friday, August 11, 2006

Alright, this is really it.....

Update - 4 a.m. Friday, August 11.

I tried to sleep for awhile, and I think I actually even caught a few zzzzs, but it is just after 4 and I decided to get up.

To everyone at MGM, especially Stephanie, I spent the night listening to the meditation CD that you gave me. My third eye is now open and has received the light it was sent. As you know, not my normal shtick, but I must say that that CD is very relaxing and did help me calm down and fall asleep for a little bit.

I have to report to the hospital at 5:45, and first, I have to take a shower and scrub myself with this cleanser for 10 minutes. I had to do it last night also. 10 minutes is a LONG time to stay in the shower scrubbing.

Well guys, I guess this is really it. I don't think that there will be any news until dinner time or so (that's Central Standard Time for all of you west coasters). Vince will be posting updates.

See you all on the other side, and thanks, everyone for their support.

Cynthia

Thursday, August 10, 2006

Surgery tomorrow..

Hi everyone,

Just a quick update. I met with Drs. O. and D. today. The show is on for tomorrow. They are gonna do a cath first (to make sure that I don't also have blocked arteries and need a bypass), and then the surgery in the mid-day. The cath is optional, but Dr. O decided that he would rather do it considering my history than not do it and find out later that there is some other problem.

The other weirdness is my obstruction is greatest at mid-cavity and not at the top of the septum which is typical. According to Dr. D. this is called a "lemon" septum. I always knew I had a lemon, but now it's official!

Dr. D. said that he may not be able to cut away all of that obstruction through the aorta, so he might additionally have to go back and make a second incision through the apex of the heart and take out the rest.

He is not sure what he will do, and will know more when he is in there. He said that if he didn't take away all of the mid-cavity obstruction, my symptom relief might not be complete, so he says the better approach is to make a second incision.

Well, that's why I chose him. It's all up to him now. See you all on the other side.....(I could write more tonight if I can't sleep. We'll see. Right now Vince and I are gonna go and eat dinner.)

Wednesday, August 09, 2006

The Mayo experience....

Wow. What a day. That Mayo Clinic. Where to start….That place is unlike anything I have ever experienced. I felt like I was in a sci fi movie.

So to get you started, they send you a packet in the mail including an appointment card which gives you a time and a place to appear where you are given your itinerary for your visit. Tests are scheduled one after the next and are at appointed locations throughout the clinic which is comprised of a complex of ten or so buildings congregated together in downtown Rochester. To get from the hotel to the clinic you take one of the fifty or so shuttle buses that run during business hours. They start at one end of the strip beginning at St. Mary’s Hospital (where I will soon be residing) and pick up patients and their caregivers from all of the different places of lodging, and drop them off at the clinic and the two hospitals where Mayo admits patients. There is a surreal moment when the buses stop to take on several passengers wearing surgical masks at the Gift of Life Transplant House which houses the immuno-suppressed patients recovering from organ transplants. Then, the shuttle continues on to the Ronald McDonald House, and another hotel or two until it deposits the assortment of humanity assembled on the shuttle at the clinic motor court, a covered area in front of two impressive looking art deco buildings.

Once inside, I proceeded to my appointed destination. I picked up my schedule, and proceeded to my first appointment – a fasting blood test. I got into a line of about 20 people checking in at a desk. I quickly moved to the front of the line and was told to proceed through the doors behind the desk. Outside the doors behind the desk were about 5 rows of approximately 35 chairs each. There were 30 or so people interspersed in these chairs. I opened the desk to the lab expecting to find a small waiting area. Imagine my surprise when I found approximately 300 chairs lined in rows – almost all were filled with people. Technicians emerged one by one from behind little cloth curtains just like the Wizard of Oz calling patient after patient. I finally had my turn, and after 5 or so vials had been sucked out of my arm, I got a little gauze tourniquet like everyone else, and off I went to my next appointment – a chest x-ray.

The chest x-ray station was like a train depot. Patients were called in groups of three, and brought to little changing rooms looking much like a department store changing rooms – (just like Neiman Marcus in San Francisco except for the steel handicapped accessibility bars on the walls) darkly stained wood, clothes pegs, mirrors, and complete with a little locker key on the outside to turn and wear around your wrist so that your valuables and clothes stay protected while you are off being zapped. Once in the changing room I found a royal blue paper gown with 3 arm holes along with detailed instructions for putting on the gown. I was told to open the door my dressing room and to wait inside until they were ready for me and then they would come and get me. I was then escorted to the x-ray machine, zapped, and then allowed to move on to my next stop - the EKG station.

The EKG routine was much the same as the x-ray routine. The same dressing rooms and group protocol – just different dressing gowns – these were cotton and snapped in the back. The EKG had 12 leads and was done in a small room where once again there were numerous others just like the one I was in.

Apparently, the process ran so efficiently that I was done with my initial tests 2 ½ hours before my scheduled echocardiogram. Therefore, I went to the echo desk and asked if I could get moved up. They were able to shift my appointment to the echo lab at St. Mary’s hospital right away, so back I went onto the shuttle to St. Mary’s.

The echo lasted for about 2 ½ hours. I have never in my life had such a thorough echo, and I have had LOTS of echos. The techs reviewed all of my past echos and reports for 20 minutes or more to see what to focus on, and they pushed and pushed on my chest with various shapes and sizes of transducers. My poor chest was sore when they were done. But wait a minute, they weren’t really done. They took a break in the middle to “review the dailies” so to speak. Like a director supervising the final cut of a film, a supervising doctor came in to get some “reshoots” and make sure that they got all of the footage that they needed. Finally, they were done, and I was allowed to go home.

Since I was finished with my testing for the day, I went back downtown, had lunch at a nice Italian restaurant where I had a friendly chat with the wife of a cardiologist from the Midwest. Her husband is hospitalized with a crippling depression unresponsive to standard therapies. She brought him here to the emergency room and he has been hospitalized ever since.

Back at the hotel, I spoke with the mother of a 37 year old woman who is about to have her leg amputated. Next to her was a woman from San Francisco whose husband has some weird fungal infection usually found in gardeners which has taken over his body which was misdiagnosed and treated in San Fran. Everyone has an incredible story. Many if not most have been poorly treated or mistreated by some doctor at home. I am so so so so so so so so so so fortunate to have amazingly incredible doctors both in L.A. and here. I can’t tell you how great I feel to have been proactive in getting here to Mayo but along with the full support and blessing of both of my own doctors.

I am sitting here in the hotel lobby typing this and waiting for Vince to arrive. He should be here momentarily on the shuttle from Minneapolis. He left Jesse in Tulsa, and when I called a couple of hours ago, Jesse was happily watching the Sponge Bob movie with his cousins and eating ice cream. Well, I overheard a few outbursts, but I think Carol has it well under control.

Tomorrow, the test results, consults with doctors, and plans for the big show on Friday. To be continued………………

Tuesday, August 08, 2006

Made it to Rochester

Update - I made it here to the hotel. Apparently we didn't tip the NW skycap enough, because one of my bags didn't make it. It got on a later flight and should catch up with me later.

Also, Vince got a call from the brand new Rabbi of the one synagogue in Rochester. You gotta love that Jewish geography thing. Sandra (my stepmother) and my Dad met a guy from Rochester at their New Orleans synagogue last week. He notified the rabbi about my situation and she is going to come see me in the hospital, but apparently she doesn't have her clergy credentials yet so she has to be personally invited.

OK, that's the update for now. I am going to go do some recognizance around the neighborhood.

En route to Rochester....

I am composing this blog entry while on board the plane to Minneapolis and enjoying a nice bottle of Gatorade that I brought on board for myself. Let’s just say that the last couple of weeks have been a little challenging vis-à-vis my health, and even the mildest amount of dehydration is not my friend. Can you say.....TIMBER!!!!! So, in order to (hopefully) ensure my safe arrival in Rochester and avoid any potential disasters along the way, I am drinking and drinking and drinking some more.

So, here are the latest happenings….

Yesterday (Monday) morning I got up early and brought Vince and Jesse to the airport bound for Tulsa. I held it together pretty well for most of the weekend while I packed Jesse’s stuff and explained to him what was going on, but once I left him at the airport I lost it a little bit. Let me just say that there is a cashier at the Target in Culver City who got a lot more than she bargained for when she amiably commented “you are out shopping early this morning.” Anyhow, she is now praying for me

So, I spent the rest of yesterday running errands and having lunch with my mom (who, in case you didn’t know, been part of the post-Katrina New Orleans diaspora and has now relocated to Los Angeles where she currently resides at Westwood Horizons where she is known by the other residents as “The Kid.”

Last night after dinner I called the hotel we are staying at in Rochester to confirm the reservations (again!) and the desk clerk graciously appeased my neuroses when I explained to her that I was having open heart surgery on Friday, my husband and son had left that day, and I was alone in my house with nothing to do but obsess on the traveling details. Proving that what they say is true about those Rochesterians (is that what you call a person from Rochester?) she even offered to talk to me again last night if I wanted to call her back later. I got her name, found out that she was working tonight, and I told her that I would be visiting her in the lobby for a long session tonight. I suggested that perhaps she should block out the time. We have a session set for 7:00 p.m.

Then after a last minute reassessment and suitcase addition (I weighed my suitcase on my new digital scale and found out that it weighed over 70 lbs! – a girl’s gotta have all her stuff around when she is having her sternum cracked open!) I went to bed where I slept until the late hour 4:00 a.m. Yeah, that insomnia kicked in last week. I am sure it will be in residence for awhile.

My friend Sherry Saffer Garfield was going to take me to the airport, but due to some logistical issues, she asked if her husband Bruce could drive me instead. This is one of those true life is weirder than fiction stories.

Bruce lived in the apartment building I lived in when I first moved to L.A. 16 years ago. He and I used to hang out together in the Melrose Place-ish complex whenever he and Sherry were off during their long on again - off again courtship). Well, after awhile, they decided to stay on and to have two girls. We all became members of the same synagogue, and a few years ago when I was having my brain surgery, I find out from the Rabbi that Sherry has recently received the exact same diagnosis and had been through the same thing. Suddenly, my former nemesis became my lifeline and confidant. Go figure…..

Anyway, Bruce got me to the airport in plenty of time, I was luckily able to curb check my 2 bags (each weighing in at less than 50 lb. thereby avoiding $100 in surcharges – my digital scale has already paid for itself) at the bargain rate of $2/per bag (Northwest is in bankruptcy – they also sell the meals on the plane for $3) – Please let’s all pray that they use some of my $4 to settle the labor dispute they are currently engaged in with their flight attendants before its time to fly home or else I may be stranded in MN.

I am now sitting on the plane with my laptop crammed in my face, so I think I am going to wrap up for now. Once I arrive in Minneapolis, I am going to take a shuttle bus to Rochester in time for my session with the desk clerk tonight.

Tomorrow, I have a full day of tests at the Mayo Clinic beginning at 8:00 a.m. Vince is scheduled to fly into Minneapolis tomorrow night and meet me in Rochester around 10. On Thursday, we have consults scheduled with Drs. Ommen and Dearani, and maybe another test or 2. Surgery is scheduled for Friday. I don’t know the time, etc. yet, but when I do, I will post it.

Hasta Luego…..

Cynthia