from Jodi
- by LoveHorses
- 2024-02-13 13:35:50
- General Posting
- 446 views
- 6 comments
I signed up a few days ago and yesterday and today I was unable to login in. I emailed the help center email. in the interim I started a new log in so I can still interact with the club.
I am scheduled for thurs or fri for a PM and am nervous. I am a woman with large soft breasts (not overweight) and now concerned about the leads healing with the breast movements.
I am 65yo
I think I will sleep on my couch and not a bed I am nervous to have too much movement in my sleep for PM and lead healing.
Also, what happens if after a decade or in the future if leads need to be replaced . I understand this is a major life threatening procedure.
I dont have a choiceas far as a PM- I have 3rd degree heart blockage.
any comments and help what to do is much appreciated.
thank you
6 Comments
Healing Leads
by Julros - 2024-02-13 15:18:18
Hi Jodi,
I suggest sleeping in a recliner, if that is possible. Also, use pillows, to prop up your arm, shoulder and breasts as needed.
The scary stories about lead replacement are just that. There have been amazing advances, and you may never need lead replacement.
I have had a lead removed, to upgrade to a defibrillator coil, (my choice) and it went smoothly. They took precautions, were prepared fot adversity, but nothing bad happened.
You make have trouble tolerating a bra initially, and a front hook bra may be more comfortable. I left the strap off my shoulder at first.
A decade in the future
by Lavender - 2024-02-13 18:12:05
Lol! Worrying about a decade in the future shows me how positive minded your subconscious is! You're already anticipating a replacement in a future decade! Let's do one day a time. You're going to be ok. 😉
Nerves
by Penguin - 2024-02-14 09:54:17
Hi again Jodi,
It's OK to be frightened. Most of us felt that way when facing our first implant. It's also natural to question excessively if you're very scared and to worry about the future and what having a pacemaker may mean.
There's a lot of misinformation around and sometimes rare events (like lead dislodgement and premature lead replacement) can seem to be more frequent than they genuinely are. Online forums make it easy to research these issues and clearly people who have problems with their PM are more likely to use a forum than the vast majority who are able to lead a normal, healthy life with a PM. Try to remember to press your internal 'edit' button when looking at online information and listening to hearsay and the accounts of others because most horror stories are not common.
Large breasts which shift when you move / exercise / lie down are more likely to affect your scar than your leads. The weight of your breast tissue can pull on the scar and this causes concern for some women and sometimes discomfort. The leads don't get pulled by the exterior shifting weight of breasts.
I found that a very soft sleep bra (supportive one) was most helpful to stop any tugging / pulling whilst the scar was healing. Btw. my scar (on the outside) had healed pretty well within a week or so and scar tissue had formed. Yours should heal similarly.
Please try to take this one step at a time. It's new, it's scary but unfortunately it's also necessary. You will be ok but treat yourself gently whilst you get your head around it all.
Best wishes.
Janene
by Charbookles53 - 2024-02-16 20:12:31
Thank you for your experience. I too feel what other people consider minor pain to be excruciating, then, im labeled a drug seeker!! Really?? Ive rarely ever taken opioids in my life, last I remember was after a car accident at age 16 and after my PM surgery I was given a shot, at the time, I really wasn't having much pain and even said so and the nurse said , well you should take it because once we move you to the recovery area, where I stayed for 6 hours, I would only be able to get Tylenol. That's so confusing, they label me a drug seeker, I tell them I really didn't need a shot at that time but was told I should take it, seriously?? I never ask for pain medication, after my hysterectomy, when I was discharged home, I dealt with Tylenol, I cannot take Ibuprofen due to kidney issues. It was terrible to say the least! But it was my choice, I have a family history of alcoholics so I don't want to be addicted to anything. Back to the point, lol, your message helped put me at ease, Im 6 months post op with my pacemaker and it absolutely has been hurting so badly I have been in tears sometimes. I have a very difficult cardiologist that doesn't answer questions or give me information, in and out in 2 mins, I timed him! He has ignored my concerns, the nurse writes patients complaints of pain and everything I say but I read online in MyChart the doctor writes patient has no complaints under what the nurse wrote!! He writes lung sounds are clear, heart beat regular, abdomen soft and non tender, this cardiologist has not once used a stethoscope on me, never has touched my abdomen, how does he know I have clear lung sounds and heart rate SOUNDS regular when he doesn't listen to my heart or lungs!? I had bradycardia with a heart rate in the 39 area and was passing out and after 2 years finally got my pacemaker but was given zero information on what to expect, what exercises I could do to not get frozen shoulder, what's normal or what isn't normal and I've just been frantic and filled with anxiety!! My pacer literally feels as if it's going to poke through my skin now and it was never that way before, I know this most likely will not happen, lol, but it is sharp in 1 area. I just now found this forum, thank God. I research everything! My PCP advised me to stop googling because that is the cause of my anxiety, well no, my cardiologist not answering my questions nor feeling the area where my pacer is and writing things he never did down on my medical records is what caused my anxiety! My PCP is wonderful though, he felt the area and told me the catching feeling I was feeling when I would lift up from a lying position is scar tissue catching under my collarbone, my pacer is about a quarter inch down from my collarbone and I know it wasn't that high up to begin with but x-rays show it's in the proper area, at the time my PCP felt the area the sharp area wasn't there. He told me to never let anyone tell me what I'm feeling is in my head, he said I know my body better than anyone, his advice was for me to be more assertive with my cardiologist and demand answers. I touched my incision site just last month and my cardiologist basically yelled at me don't touch, don't touch?! It's healed, my hands were sanitized anyways! It's very scary for us and having a very uncaring cardiologist is extremely frustrating. He says the numbers are fine, the transmissions he gets are fine, then I said well im sorry for being a worrywart, he said you should be a worrywart, wait what?! Why?! Walked out of the room. Unfortunately, this office is the only one in my area that takes my insurance and the practice will not allow me to see another cardiologist in this office which is absurd. But thank you for your information, I'm going to stop worrying so much, I do want an explanation for the pain that I consider to be a 7 out of 10 but am told im exaggerating. 🤦 You did put me at ease, maybe with the scar tissue and healing process that is what is causing the pain. God Bless!
Leads replaced
by Finn - 2024-03-01 09:13:19
I will stay away from the breast issues being a 60 yr old male.
i had to have my leads replaced after 8 years, implanted,2009, replaced 2017.
i won't lie, it was a longer recovery period but mine were fractured and had to be replaced. Need a Dr that does many of them each year.
Hopefully yours will last 25 years.
my leads were from St jude, tendril was the manufacturer.
good luck , Finn
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Member Quotes
Since I got my pacemaker, I don't pass out anymore! That's a blessing in itself.
Would you like to know the benefits of a pacemaker?
by Gemita - 2024-02-13 14:38:37
Jodi, I see you have created multiple accounts now and I really don’t know who you are any more? Are you still using FEB2924HEART account or were you unable to login under this user name?
I have tried to reassure you privately as have other members. I don’t know what else we can tell you?
If you can only see the disadvantages of having a pacemaker you need to speak to your team quickly for guidance before you agree to a procedure that you might later regret. However, since you have 3rd degree heart block, it would appear you need a pacemaker.
Leads may last for 15 or more years and replacement is not a major life threatening procedure, particularly if carried out by an experienced surgeon. Sometimes they leave an old non functioning lead in place and place a new one in the same vein if there is space.
Your large breasts will not be a problem or cause difficulty. You just need plenty of padding and pillows to cushion them to make you feel comfortable while you sleep at night and hopefully for a short period until you heal (at around 6 weeks).
It sounds as though you will need some professional help for your fears of what “could happen”. We could all focus on “what if”. I would rather focus on the benefits of a pacemaker and improvements to your quality of life and there will be many. Would you like to start a new post on what benefits you can expect from a pacemaker?