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Other names: Covera Hs, Isoptin, Verelan Sr

STEPS TO A HEALTHY HEART: GETTING INVOLVED IN THE ENTIRE PROCESS
An ability to view the recovery period and process through the eyes of the patient helps the spouse provide adequate support. Conversely, an inability to comprehend the experience results in anxiety. What are the patient’s limitations, and what are the capabilities? Not many spouses really know.
A Stanford University study compared 10 wives who did not observe their husbands’ treadmill exercise test with 10 who watched and another 10 who not only watched but also participated in the test themselves. Wives who rated their husbands before testing tended to rate them substantially lower than the patients rated themselves, reflecting the spouses’ serious doubts about their loved ones’ capacity for physical effort. In fact, husbands tended to judge themselves moderately robust while wives termed their husband’s cardiac capacity as “severely diminished and incapable of withstanding physical and emotional strain”.
Of course, the patients’ own perception of their physical and cardiac abilities improved considerably after the treadmill test. Even watching the husband undergo the stress test did not change the wives’ impressions. Why? Because women focused on symptoms and signs of their husbands’ high workloads. But the wives who literally followed in their husbands’ footsteps and walked the treadmill themselves showed a sharp increase in their perceptions of their husbands’ cardiac and physical capabilities. Subsequent counselling was also more effective with the women who participated in the treadmill testing.
The bottom line of the spouses’ thinking: if my husband can do that much work, sweating and straining, and be perfectly fine, then he’ll be fine at home and I won’t have to worry about him; let’s get on with the recovery!
Getting involved in the process does not mean becoming a warden or watchdog. If the spouse is asked to make certain that the patient complies with the medical and rehab program, he or she assumes a great deal of the responsibility. The mate thus becomes accountable for the patient and any transgressions that may occur. Needless to say, this induces stress and resentment.
The flip side of the coin is that patients whose spouses become watchdogs feel like they are invalids, children, or a combination of both. The nagging can be deafening.
Instead, try to live your lives as normally as possible. That means both of you. The patient will still be able to do many if not most of the normal chores in the household. Perhaps there will be limitations at first, but those will rather remarkably diminish in the weeks and months to come. There’s no reason why a patient can’t take his or her own plates to the sink after dinner! Being a patient doesn’t equate with privilege!
For the spouse, helping out doesn’t mean taking over. How about working on the bills together? Maybe one person can sort out the bills and the other can write the cheques. How about planning and preparing a low-fat dinner for the two of you, or for the entire family? Here the patient will have to be honest about saying when enough is enough and it’s time to stop and rest.
I must admit that one of the toughest things for me after the surgery was dealing with the fatigue. I was so used to my previous level of activity that it was difficult to admit when it was time to quit. So many times I’d push myself beyond my limits, and this would result in my feeling lousy for the rest of the day. Finally I came to the realisation that pushing myself was ultimately self-defeating since I could do more work by not exceeding my limits and requiring a period of recovery.
Sharing the rehabilitation process makes it much easier for the patient and can have significant benefits for the spouse, but it may become a source of conflict. Some spouses may baulk at making changes just because the patient’s life depends on it.
Every family is different. My wife Dawn had worked out in a health club when we lived in Chicago. So when I joined the club here in Los Angeles, she was eager to share a membership. Now we both do our workouts regularly, and it gives us one more thing in common.
On the other hand, I’ve mentioned that she doesn’t need to avoid the saturated fat and cholesterol as much as I do, and I’ve mentioned the egg compromise. Another is that when we’re in a restaurant, I don’t make a big to-do about her putting butter on her bread, even though butter is forbidden in our home. Ironically, as time has passed since 1984, Dawn has leaned more and more toward vegetarian foods as a matter of personal taste, while I still enjoy my fish, poultry and meat. We’ve worked it out for ourselves, and you’ll have to do the same.
Dawn gave me a T-shirt that expresses a very basic need for every cardiac patient. It’s red and white, with some little hearts here and there. The inscription reads: “Daily Prescription: 4 Hugs for Survival; 8 Hugs for Maintenance; 12 Hugs for Growth.” I love that T-shirt, and I believe its message implicitly. Which brings me to another crucial aspect of cardiac recovery . . .
If hugs and kisses could be bottled, we’d have a magic elixir. Affection is so effective, it’s almost like snake oil: cures what ails you.
This is the time to come closer together as a couple and as a family. Make it a point to give and get lots of hugs and kisses. Promise yourselves that you’ll never go to bed without a goodnight kiss. Wake up in the morning with a hug. Punctuate the day with affection.
When’s the last time you held hands while watching a movie? How about a little nuzzle behind the ear? A pat on the backside can recall a younger, friskier time in your relationship. Yes, sex is important and a terrific source of physical pleasure and a feeling of togetherness. But those little expressions of affection throughout the day can mean even more. And you can do them much more often!
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