A couple posts ago, I mentioned an email correspondence I had with Dr. Lawrence Creswell, a cardiac surgeon who blogs about athletes’ hearts, and athletes with heart problems. His recent post, More on Athletes and Bicuspid Aortic Valve (BAV), dives very deep into the various issues that someone like me thinks about and needs to make decisions about. It is a very thorough post. Dr. Creswell’s blogging helps heart patients everywhere, not just the ones that he gets paid to treat. He touches many hearts (beyond the hearts he touches). See what I did there? That was a heart surgeon joke. In all seriousness, this is what the internet is for. Dr. Creswell ends his post with some points that he also made in an email to me:
“Athletes will ask when they can return to their sports….
…Unanswered questions include: Can a bioprosthetic valve wear out more quickly than expected? Does the (unreplaced) aorta enlarge over time? If so, how quickly? Do medications like beta-blockers limit any potential harm? We just don’t know.
Yet I’m personally aware of a good number of athletes who’ve returned to endurance sport after operations of various sorts for BAV, presumably after discussion with their doctors. Athletes should have detailed discussion with their doctors about any prudent limitations to exercise after operation and settle on a mutually agreeable plan.”
I think Dr. Creswell is saying two things here. On one hand, he feels that heart valve replacement patients should not do certain sports, including endurance cycling and rock climbing, and on the other hand, many patients are going to do it any way, as long as their docs give them the proper low down. I think most athletes are willing to take that risk. I understand that there isn’t enough data out there for some doctors to completely release their heart valve patients into the world of extreme and endurance sports. The thing is, and as Dr. Creswell reluctantly acknowledged, some of us are completely willing to be the lab rats. Quality of life includes doing the things one loves to do, not necessarily living to be 105.
Inspired by Dr. Creswell’s post, and after some reflection, I decided to do my first video Blog (Vlog) while slacklining. Thanks for watching! I call it ‘Slackline Confessional’.
Fun little side note, moments after I posted this video, I hopped back on my bike and almost got clobbered, sending me over my handlebars to avoid a collision with a truck backing out of a driveway. Moments of clarity are often quickly replaced with the harsh reality that is life!