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My suffering and relief - Before and after TAVR.

I am Ramanathan, a 69 years old retired Maths professor. I had a long history of COPD. In 2013 January I was diagnosed with a heart condition known as Aortic Stenosis, a narrowing of the heart valve which caused severe breathlessness and fatigue. I came to know that patients diagnosed with severe Aortic Stenosis had a life expectancy of only 2 to 5 years.

The remedy was to get the Aortic valve replaced. I approached a reputed heart surgeon of a highly reputed hospital seeking his help for the aortic valve replacement. But he was not willing to operate on me in view of the extremely high risk due to severe COPD.

While browsing the internet I happened to read about a new procedure called TAVR. But it was not available in India at that time and it had a first year survival rate of only about 60-65%.

I had to be on medical treatment since I did not have have any other options available. My condition was worsening year after year. From December 2016, I started to have severe symptoms including recurrent chest pain, severe breathlessness, incessant cough and fatigue that resulted in repeated hospital admissions. I was not able to sleep due to the cough. I could not lie flat on my bed and I had to lie down in an inclined position. My disability was so severe that I could not walk even 15 - 20 steps. Even talking was difficult for me because of the cough and breathlessness. My condition was so bad that even at my home I had to be put on Oxygen for all the 24 hours. While in the hospital I was admitted in the CCU repeatedly. I had completely lost hope on any chance of survival. That is when my family doctor Dr. (Major) Parthasarathy advised me to consult Dr. Sengottuvelu of Apollo Hospitals and informed me that he is an expert who has done several successful TAVR procedures.

I met Dr. Sengottuvelu. He assessed my health condition and explained me that TAVR is the only option available for me and it will definitely improve the quality of my life. I was evaluated for suitability of the procedure. Again after conducting several tests I was informed that my anatomy had a high risk factor even for TAVR, which worried me more. Due to the high risk, several other doctors advised me agaist TAVR.

I had less than half mind to go for the procedure initially. It was very costly and the risk was very high. I had very limited resources. It was an unbearably huge financial burden on me. I could not make a decision and was very much hesitating to proceed. Dr. Sengottuvelu and his team of doctors explained the procedure and its pros and cons to my family members, relatives and myself. It was also felt that if I don't undergo the procedure, the suffering and repeated hospitalization will continue till the end affecting the daily lives of my people. That will also be a financial burden for us. My family members and myself had a prolonged discussion on this matter and l finally agreed. The support of our relatives and family friends during this crisis had a strong positive emotional effect on me. Also the logically strong counseling by Dr. Sengottuvelu and his team had a great impact on me.

The TAVR procedure was done on 11th February 2017. I went through the procedure under general anaesthesia without any problem. There was no pain or any significant discomfort. I felt very much better immediately after the procedure. The incessant cough and discomfort disappeared. I was able talk effortlessly. All the physical and psychological stress had vanished. The crisis had blown over. The recovery was miraculous. Within five days I was discharged from the hospital. My whole family and relatives were very happy to see me walk and do all my routine activities.

Words are not enough to express my gratitude and happiness. I had a second lease of life. I will be always grateful to Dr. Sengottuvelu and his team for the patience and the time they spent with me and the extreme care they provided with meticulous planning. I am also thankful to Apollo hospital and the nursing staff who took care of me during my days of crisis.

Today is 10th October. 8 months have passed since my TAVR procedure. I am perfectly normal. I am able to walk more than a kilometre effortlessly.

Thank you Doctor for all that you have done for me.
N Ramanathan

UPDATED ON 14/05/2024

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