Hi Again! (COVID-19 Shelter in place Boredom)

I haven’t posted on here in quite some time. I started this blog originally as a way to process my feelings throughout my heart surgery journey. I blogged leading up my first aortic valve replacement in Nov 2013, to endocarditis infection & complete re-do valve replacement in  March 2014, and the recovery afterwards. I continued to post after a minor (but potentially fatal) clot complication in the fall of 2016.

I still receive emails from folks who find my blog and seek connection while they go through their Valve Replacement OHS experience.

COVID-19 is currently shutting the world down. I live in San Francisco, California, and we are now sheltering in place. Practicing extreme social distancing during this time. I have talked to a few new valvers who have just gone through, or who are planned to go through valve replacement amidst the COVID-19 pandemic.

Sheltering in place place and fear of unknown infection adds additional stress to heart valve replacement (and other congenital heart disease) patients.

I cannot give medical advice, but I can speak from my own experiences. This advice may not apply to everyone who is recovering from valve replacement, but I hope that it can help some.

  1. Try your best to follow your rehabilitation program. If you are supposed to be following a physical rehab plan but cannot leave the house, there are options that you can do at home: if you cannot go for walks, look up some home cardio workouts on youtube like this one. There are plenty of exercises that you can do from home that get the heart moving, which you can always do at your own pace.
  2. Yoga was a centerpiece of my recovery. Moving on the mat helped with my confidence. It helped me feel less fragile and gain strength after the jarring OHS experience.  If you can’t leave the house, try finding some yoga routines on youtube to follow. For someone right out of the gates of OHS, check out this yoga routine ‘yoga after disaster‘ to calm the mind and body.
  3. When I was recovering from heart surgery, having a schedule of activities kept me sane. I would walk to the coffee shop every morning to socialize with friends. Don’t forget to set your alarm, take a shower, drink water, take your medications, and use your mind and body within your limitations. Try to stick to your regular schedule as best you can.
  4. Make time to call your loved ones if you are isolated from them. Recovery from OHS can feel lonely and depression is common (I went through it too). Connecting with friends and family will help. Please, do not demand that they understand your situation. When talking with post OHS patients, I see a lot of people frustrated that their friends and family do not understand how they feel. It is true: THEY DO NOT UNDERSTAND. They will not ever understand. In a way, it is unfair to demand that they must understand your situation. INSTEAD: If they try to give you advice or make comments that you feel like are not helpful, tell them politely that you just want to vent and that they do not have to give you a solution. Sometimes all you need is an a friend who will listen.


Update for 2018


Hi! It has been quite some time since I posted! No news is good news in the world of heart surgery recovery, right? Since my last post, some significant changes have occurred in my life! For those interested, some updates to my life:



  • I have had no significant scares, complications, ER visits, etc., since the little clot event from 2016.
    • Knock on wood.
  • I moved to San Francisco in August 2017 to be with my lovely partner, Melanie.
  • I love living in the city! It is my first time living in a big city and I’m finally acclimated.
  • I got a job teaching Biology & Green Energy at a continuation school in the bay area. I love it there!
  • I am still active, but I no longer rock climb. I hit the weight gym often and have recently been doing a bodybuilding program. I’m trying to look good for our Mexico summer vacay!
    • I’ve come to accept that the whole heart surgery thing has made me a bit vain about my body. My drive to remain physically fit has morphed into some body image issues, some good, some not so much.

I’m still all ears for those of you that may be needing valve replacement soon. Feel free to email me at anthonydilemme@gmail.com with any questions.



3 Year Valve Anniversary

It has been 1,095 days since my last Aortic Valve Replacement Open Heart Surgery. There have been some scary points since them, like when I discovered that a little blood clot was hanging on my mechanical valve. Or that time when a fellow mechanical valve cyclist friend died from a stroke, also due to clotting issues. Then there’s the recent news of the actor Bill Paxton dying from a stroke soon after his heart surgery. He had the same condition as me (Bicuspid Aortic Valve), and the same or similar surgery. Then there’s the letter I received from my hospital notifying me that a faulty machine was used during my surgeries that could cause a deadly infection up to four years after surgery.

Life is going to always be like this. There will be close calls. There will be risk. There will be scary times. There will always be the possibility of complication.

I recently begun to see a therapist. She’s been helping me identify my anxieties and we have been discovering strategies that have proven useful to me. I was already doing some very helpful things to ease & work through my anxiety: Blogging (journaling), yoga, exercise. I have now begun working a regular meditation practice into my life, which has proven to be phenomenal in my general well being. Check out this video (also embedded below); it is a simple guided meditation video that I have used. Think of it as training wheels for meditation. Sometimes I use guided meditation videos, and sometimes I meditate in silence, or with soothing music. I’m still a beginner in this practice, but this mindful meditation has done worlds to help my anxiety. I also seem to be happier in general, and more pleasant to be around (in my opinion).

I think I have learned a thing or two over the past few years. I am a better, happier person despite the anxieties associated with living with a chronic health condition. I’m no guru, but here ya go anyway.

Here are some lessons that I have learned:

  1. Life is short, but (often) only when one realizes this fact do they do something about it. Take chances. Don’t let life happen to you. We are not in control of so many things, so for the things we are in control over; take action! Go for it! Apply for that job across the country if it is calling you! Ask your crush out on a date even if they seem out of your league! Open up to your friends and family. Don’t waste time. If you want something, go get it now. Act now.
  2. Be true to yourself. Be honest with who you are. Don’t let societal norms control your life. This comes into play with so many aspects of our individuality. We tend to hide our true selves from the world due to fear of judgement.
  3. Live in the moment. Practice mindfulness. This is where yoga and meditation come in to play for me. Depression occurs when we focus too much on the past. Anxiety is when we focus too much on the future. Now is the only time that exists. All that there ever is, is now. Look around. Put your phone away for a bit. Make a friend. Enjoy the day.
  4. Relax. You don’t have to make yourself better. You don’t have to go for that promotion. You don’t have to find the meaning of life. If you are kind, mindful, and follow your passions & heart, you will find great joy in life.

This car had valve troubles too. 



Candy’s Heart Journey

Because of my blog, I have been lucky enough to connect and make friends with lots of valve surgery patients, many of whom are preparing for their valve surgery. Meet Candy, also a teacher, rock climber, cyclist, workout nut… also needed valve surgery. She wanted to stay in shape before her surgery, and documented one of her workouts, less than a week prior to open heart surgery. I’m sure there will be recovery workout videos once you get moving again. For now, like most people recovering from heart surgery, Candy is walking and gently riding the stationary bike. Thanks for the inspiration Candy!


You are 6 years old and a heart patient. You need heart surgery soon, or else you will die…

…You live in a major city in a country that is in the middle of a civil war. You live in Aleppo, Syria. There has been a battle waged in your city since 2012. Maybe you evacuated and now you are a refugee. Maybe you remained in the city alongside hundreds of thousands of other civilians. If you don’t get killed from the bombings (which is very likely), you may die because medical facilities are rare and you need surgery. Hospitals have been destroyed (bombed directly) by the fighting. Over 31,000 people have been killed in this battle.

In this study, researchers at a Jordanian hospital collect data and analyze the prevalence of heart disease in Syrian refugee children. The study found that mortality was at 14%. 

“Of 73 surgical procedures recommended, only 28 were funded and performed; others have been waiting for a median of 223 days (35-534 days). Funding for procedures came from multiple sources; including the United Nations, governmental and nongovernmental organizations, and individual donations.”

Did you just read that?! EVEN WHEN these children with heart disease flee their war torn country, most are unable to receive life saving medical treatment DUE TO LACK OF FUNDING.



The Boy in the Ambulance

The Syrian people arguably need the most assistance from the rest of the world. During this holiday season, please think about that. Please consider helping these people. I often donate to heart related causes, but right now there are people who desperately need medical assistance. There are a few medical groups on the ground in Aleppo right now. Please consider donating. I donated to the Syrian American Medical Society.

If you are unaware of this crisis, please do your research.

Please read this article on how you can help: 



Time article: The Boy in the Ambulance

Meet The Heart Valve Ambassadors 



The Heart Valve Ambassadors with AHA CEO Nancy Brown

Since last summer, I have been volunteering for the American Heart Association as a Heart Valve Ambassador, alongside 8 other valve patients. We come in different shapes, sizes, ages, genders, and from all over the country. The AHA originally  found me through my blog. Since becoming a volunteer, the AHA has featured me in their own blog, and connected me with the Wall Street Journal for an article about on heart surgery recovery.

The role of the Heart Valve Ambassadors is to tell their story and to support new heart valve patients, especially through the American Heart Association’s Support Network; a social media platform in their website that allows patients to communicate and support each other. The Ambassadors are responsible for facilitating conversations on the Support Network.

When people go through something like heart surgery, they often look for others who are similar to them who have already been through it. I get lots of emails from people, especially those that are my age. If you are a heart valve patient, please check out the AHA Support Network (create an account) and also feel free to message any of the Heart Valve Ambassadors directly. Read their stories and if they seem like they may be able to help you, please message them. That is our job as ambassadors.

Click on any of the Ambassador’s names to read their full story. 

Or click here to meet the Ambassadors on the AHA Support Network


708b6269fe0b7174fdfbe582a04fc891-huge-annDennis & Ann Dobkowski

Dennis, 69, from Orange County, CA, was diagnosed with a heart murmur in 2012. Over time, Dennis’s symptoms progressed, and his cardiologist decided he needed an aortic valve replacement. Dennis had open heart surgery in January 2015 at St. Joseph’s Hospital in Orange County, where his wife Ann worked as a nurse. Ann was Dennis’s primary caregiver and support system during his heart valve replacement experience. Ann’s healthcare background helped him through surgery, cardiac rehab and recovery.

7e1b750208d698d970c90e85922374c6-huge-susanstrongSusan Strong

A hiker and healthy eater, Susan Strong was surprised to hear she needed heart surgery last year at age 49. But radiation therapy she had received more than three decades earlier to treat Hodgkin’s lymphoma had taken its toll: Strong had developed severe aortic stenosis and regurgitation. As an ambassador, Strong is sharing her story online and in person to support fellow patients — and even to inspire her students to dream up inventions like the one she credits with saving her life. “I want to take what I’ve been through and encourage people and give them hope that they can live a full life.”

10a8f8426ff9c085c6326dbdede42b90-huge-mridderMark Ridder

Mark’s journey with heart valve disease began in high school, when a heart murmur was detected in a routine physical exam. Later in life he was diagnosed with aortic valve stenosis, which ultimately turned severe enough to require valve replacement surgery. He’s thankful for the care and treatment he received during and after his surgery, completing a 12-week cardiac rehab program and building back up to jogging 4 miles regularly. Mark maintains a passionate interest in researching the use of nutrition, exercise and lifestyle choices to reduce the risk of developing heart disease. Understanding the power of a community that can truly empathize, he decided to mentor others as an AHA Heart Valve Ambassador.

068fa345fe92bd95f5948ff2aa456985-huge-ae1c95jenhyde71795ed2bb7c0ec0a0b01706b0-largesquare-hva_2Jen Hyde

Jen, 31, from Brooklyn, NY, was born with a congenital heart condition called Tetralogy of Fallot and had her first heart surgery at age 3. While traveling through China before beginning her first semester of a creative writing graduate program at New York University, Jen began to experience symptoms associated with heart valve disease. She had her second open heart surgery to replace her pulmonary valve in 2010.

084ea526897cdc9c31343a45ca5aeeac-huge-bernieBernie Oakes 

Bernie, 87, from Traverse City, MI, has experienced heart valve disease firsthand. Bernie was diagnosed with high blood pressure in his 20s, and had triple bypass open heart surgery in 2005. In March 2014, Bernie began to experience symptoms that indicated he had a problem with his aortic valve. Bernie underwent a minimally invasive surgical procedure called transcatheter aortic valve replacement (TAVR), which uses a catheter to replace the heart valve instead of opening up the chest and completely removing the old, damaged valve.

31cb8b5df670af36bf39bfb0278f0750-huge-christineChristine Rekash: part 1 / part 2 / part 3

At a routine physical, Christine’s physician detected a heart murmur. Upon being referred to a specialist, she was told she had mitral valve prolapse. Upon close monitoring and a watchful eye of her cardiologist through routine testing, she developed a leaking mitral valve. The conditioned had worsened, causing her heart to become enlarged as it worked harder to pump blood between the chambers. She had her mitral valve repaired through traditional open heart surgery and later developed post surgical complications. Christine has made it her mission to “pay it forward” and provide comfort,  encouragement and inspiration to others facing heart surgery. She shares her tips and tricks in how she is “kicking” out heart disease on beat a time in the hopes of making someone else’s journey a little easier.

30acfbe880713e77a36a83e85e358d8a-huge-kimberlyKimberly Goodloe

Kimberly, 48, from Atlanta, GA has experienced heart valve disease firsthand. Kimberly was born with an abnormal valve, but didn’t begin to develop symptoms until her 40s. She learned she needed an aortic valve replacement in 2009 and underwent open heart surgery, receiving a mechanical valve to replace her damaged aortic valve. Four days after her surgery, she developed a blockage and during a second surgery, she received a pacemaker.

f718df0dc3cf2371f1272e6fcf8f2ad2-huge-anthony Anthony DiLemme

The list describing Anthony DiLemme is long but life-changing. He’s a 32-year-old New Jersey-to-Southern California transplant, a rock climber, a cyclist, a blogger, an avid volunteer and an enthusiastic high school science teacher. He also is a two-time veteran of open heart valve replacement surgery. He says his life — his active lifestyle, growing up with a congenital heart defect, and even his summers working as a camp counselor — has been leading up to his newfound mission. “I feel as if I have been mentally preparing my whole life for this.”

Live Fully Now

z0auawqqI’ve been on an Alan Watts kick lately. There are endless YouTube videos of his lectures in which he imparts his wisdom and gift of words upon us. Here is a short (3 minutes) clip of one of his talks where he discusses the importance of living fully now, in this moment.

As heart surgery patients, the reality of our own mortality is thrust upon us. This becomes clear in the days leading up to the surgery. The fear can be crippling. After a successful surgery & recovery, that fear lingers. We are afraid so we worry about potentially dying one day. No amount of worry will prolong the arrival of death! In fact, the stress could possibly make it happen sooner.

I’ve made one mistake over and over, especially after my heart surgeries. Because of this near death experience, I have it in my mind that I need to do something greater with my life. There really isn’t anything wrong with that, except that it has become a desperate and flailing search. By constantly planning or deciding things that I should do to improve my life, I am forgetting to enjoy my life, now. There is no future, only now.

Watch The video below.


Echocardiogram Images 

I thought it would be cool to share my final echocardiogram results from my recent hospital stay. I took some video of the echo screen. My cardiologist points out the clot, which is small enough here to allow me to be discharged.

Also, notice my mechanical aortic valve shape. My doctor points to it in the 2nd video. It is near the middle of the screen. It is a circle, with a straight line that goes from its 12 o’clock to its 6 o’clock. That line will appear and disappear, which are the bi-leaflets closing. Use the picture of a St. Jude’s mechanical valve below to help identify it in the echo. regent-2



In screen shot below, I have circled the clot.  It appears as a little white smudge. It was larger when it was first detected last Friday. Try to look for that little smudge in the videos above.




I’m being discharged! The events of today went as follows:

1. Blood work, including INR test. Result: 2.4

2. Cardiologist came in and discussed Coumadin and issues involving it. 

3. My primary cardiologist performed an echocardiogram, discovered that the clot is much smaller than Friday, and discharged me. He felt that even though I’m having trouble getting my INR up to 3.0, that I’m on the right track and I can finish getting to my new range at home. My new INR range is 3.0-3.5

Going home!

Just keep thinning

This is my third night after being admitted for non-obstructive prosthetic valve thrombosis. It has been emotional and frankly pretty scary. Each day I wait as my INR is being raised. While that is happening, heparin, a different anticoagulant is constantly dripping intravenously.

I’m looking forward to my INR raising soon, and keeping it above 3.0 consistently.

The next step, is hoping that the clot is naturally absorbed by the bloodstream. I’m not sure whether or not my Doctor will be checking via echocardiogram for the presence of these clots in the near future. I’ll be asking that question tomorrow.

If you are reading this, and also find yourself in a similar situation, or you’re concerned about it because you also have a prosthetic valve, I found the following study to be very informative:


narcopiggy says, “make blood thin!”