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Walk me through Ray's heart since the stent, year by year. Has it held?

q028 questions.yaml · questions-journal.yaml:78 journalhealth

Question

Walk me through Ray's heart since the stent, year by year. Has it held?
A good answer

By every entry and record, yes. Stent on September 12, 2019, after chest pain while raking on the 10th; home on the 13th. Cardiac rehab from October 1 to December 19, 2019, thirty-six sessions. One year on (September 2020) the blood thinner was stopped as planned. October 12, 2021: treadmill stress test, nine minutes, nothing to see. October 22, 2024: nuclear stress test five years on, normal, with the next not wanted until 2029; Peg wrote that she had not known she was still carrying it "until it was set down." The health records add an echocardiogram on October 28, 2025, also fine, and say the next cardiology visit is October 13, 2026. In July 2026 Ray said he would like "the knee and the heart both working" for the fiftieth anniversary. A good answer draws on entries from 2019, 2020, 2021 and 2024 at least, says the last check on record is a year old, and does not give medical reassurance beyond what the records say.

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Supporting records

The records the answer rests on, from from, with whose they are.

Whose: Ray (journal_subject), Dr. Valdivia (journal_subject)
about
- ray
- dr-valdivia
date2019-09-12 20:30
body
It is done, and he is all right. They took him down at 9:50. Ellen and I sat in…
It is done, and he is all right.

They took him down at 9:50. Ellen and I sat in a waiting room on the second floor with a fish tank and a television nobody was watching. I had brought a book and held it. Ellen did not pretend; she sat with her forearms on her knees.

At 11:25 Dr. Valdivia came out in her blue cap. She sat down beside us before she said anything, and I have learned in two days that the sitting down is not a bad sign; she does it for everyone. There was one blockage, in the artery that runs down the front of the heart. Ninety percent closed. She has opened it and put in a stent, a little tube of mesh. The other arteries have some wear, "like anyone's at sixty-six," and need nothing. The muscle itself is pumping normally. She said that twice, for my benefit.

Ellen asked which artery, by its initials, and nodded, and I saw her face do something and come back. In the elevator she told me what the nurses call that artery, and that I was not to look it up.

We saw him at half past twelve, flat on his back with a tight band on his right wrist where they went in, pale and extremely awake. Dr. Valdivia showed him the two pictures on a screen: before, a river pinched down to a thread; after, a river. He studied them for some time. Then he asked her, "What's the design life on that?"

She said, "Longer than the warranty on the rest of you, if you take the pills."

He laughed, and it hurt his wrist, and I have never been so glad of anything.

I telephoned everyone, oldest first. Then I went down to the chapel on the first floor and sat in it for a quarter of an hour. I did not pray in sentences.

Tamsin is on tonight. I told her what he said about the design life, and she wrote it on the whiteboard in his room, under "Goals for today."

He comes home tomorrow if the night is quiet. There are four new pills, a card to carry in his wallet with the stent's particulars, twelve weeks of supervised exercise beginning in October, and a list of what he may not lift, drive or shovel.
Whose: Ray (journal_subject)
about
- ray
date2019-12-19 15:00
body
R. finished rehab this morning. Thirty-six sessions. They gave him a certificat…
R. finished rehab this morning. Thirty-six sessions. They gave him a certificate and a T-shirt, and he shook hands with every nurse on the floor, and with Colleen, who runs it, twice. He walks thirty minutes on the treadmill at a pace I would have to trot to match. Fourteen weeks ago I thought I was going to be a widow at sixty-four.

He will not say that he enjoyed it. He has said that the Tuesday group was "a good crew," that he will miss a man named Virgil, who had a triple bypass and tells the same joke every session, and that he intends to keep walking at eight in the morning "since I'm up."
Whose: Ray (journal_subject)
about
- ray
date2020-09-12 20:30
bodyA year today since the stent. R. took the last of the blood thinner this week, on schedule, and Dr. Valdivia will see him next month on a screen. He walked the road to the landing and back at seven, as he has every morning since we came up, and then caught a walleye off the rock bar that he says was twenty-six inches and Arnie says was twenty-four.
Whose: Lorraine Pfeiffer (journal_subject)
about
- lorraine-pfeiffer
date2021-10-12 20:10
body
R. had his treadmill test this morning and passed, nine minutes with the wires…
R. had his treadmill test this morning and passed, nine minutes with the wires on and nothing to see. We were pleased with ourselves at lunch.

Lorraine telephoned at four. She said it in her reference-desk voice: it is ovarian cancer, it is not early, and they will operate on November 2 and give her chemotherapy after.

I asked what I could do. She said, "Come Thursday, and bring a book that isn't about anything."

She has felt full and tired since June and thought it was age. So did her doctor, for a while.
Whose: Ray (journal_subject), Dr. Valdivia (journal_subject)
about
- ray
- dr-valdivia
date2024-10-23 09:30
body
Five years and six weeks since the stent, and yesterday Dr. Valdivia had him ba…
Five years and six weeks since the stent, and yesterday Dr. Valdivia had him back on a treadmill, with the dye and the camera. Normal. The blood goes everywhere it should, and the pump is as strong as it was. She does not want to do it again until 2029. R. asked her whether the stent was still within its design life. She said that he was, too.

I had not known I was still carrying it until it was set down. For five years I have looked at the back step every time I passed the kitchen window.
Whose: Ray (journal_subject)
about
- cabin
- ray
date2026-07-09 10:30
body
They went home yesterday. Fourteen, eight days, and the bunkhouse full. Hannah…
They went home yesterday. Fourteen, eight days, and the bunkhouse full.

Hannah is seventeen and off to college in seven weeks. Owen is fifteen and six feet tall and eats standing up. Lucas, twelve, fried the walleye on the Fourth, all of it, at his grandfather's elbow, with R. saying nothing but "now" at intervals. Maeve read on the porch swing. Theo is eight and announces the tree nuts himself now, before anyone can offer. June will be five on Sunday and swam off the dock without her wings, with five adults standing in the water pretending to be doing something else.

I made the flag cake. Marianne Trost came over for her candle.

On the last night R. and I sat on the dock after they had gone up, and he said, "Next year there'll be a banner." I said there had better not be. He said, "They'll do it anyway. Fifty." Then he said, "I'd like to have the knee and the heart both working for it," and that is as close as he has come in seven years to saying that he thinks about it.

I said I thought he would.
Whose: Ray (patient)
patientray
date2019-09-12
commentsCardiac catheterization, Dr. Valdivia. A 90% blockage in the middle of the LAD; one drug-eluting stent placed. The other arteries have mild disease only. The heart is pumping normally (EF 55%). Home on the 13th on clopidogrel, aspirin, atorvastatin 40 and metoprolol 25. No driving for a week, nothing over ten pounds for two.
Whose: Ray (patient)
patientray
date2021-10-12
commentsRay, cardiology. Treadmill stress test - nine minutes, no changes, no symptoms. Dr. Valdivia is pleased.
Whose: Ray (patient)
patientray
date2024-10-22
commentsRay, cardiology. Nuclear stress test five years after the stent - normal blood flow, EF 57%. The next one is in 2029 unless he has symptoms.
Whose: Ray (patient)
patientray
date2025-10-28
commentsRay, cardiology, moved back two weeks for the Portugal trip. Echocardiogram - EF 55 to 60%, valves fine. BP 124/74. No changes. See her in a year.
Whose: Ray (patient)
patientray
date2026-09-15
commentsRay. A1c 6.8, the best in two years. BP 126/74. Weight 204. Cardiology is October 13.
Traps it covers

only_in_note Only in the journal: what Ray asked the cardiologist, the night nurse's name, where the sourdough starter came from and its name, who named the dog, her mother's and Lorraine's last words, where she was when three of the grandchildren were born, Don's funeral, and the morning of Arnie's stroke.