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In open heart surgery, they have to cut through the center of the breastbone and hinge it open to get to the heart. When they have reepared the heart, they then put the patient back together. The sternum is fastened together with surgical wire and then the incision is closed.
That breastbone hurts like HELL when the patient coughs, which s/he is encouraged to do as frequently as possible to avoid contracting pneumonia. The bone ends, although wired together pretty firmly, tend to grate a bit and shift and it's a sensation like none other.
Best thing to do (I used to always advise my patients this) is to get a firm flattish pillow, teddy bear, or other item, hold it as firmly to the chest as you can and brace yourself as you cough. The Big Dog is very likely quite uncomfortable, just now, but hopefully they have him on good pain relief and he's got a good attitude about it all.
What the family needs to know (and the patient, too) is that bypass curterh affects the body, but most importantly, the MIND! A meed cooperative patient may become irascible and assertive, a bold person may become fearful, and scariest of all (this happened to a dear friend of mine) sometimes even politics change!
I shit you not! Guy I knew was an anarchist, dyed-in-th4e-=wool red diaper baby, about as far left as one could go. After his heart surgery, he freakin' FLIPPED! He ended up a right wing, button-wearing, narrow minded repuke! I was absolutely gobsmacked! He voted for Pat Buchanan in the elction and regularly got into fistfights with liberals on the bus! I warned him that if he continued on, I would cut him off, completely as I had NO desire to be punched out by the guy. He kept on and I dropped him like a hot potato! Last I heard, he weas working in the current Boosh campaign! Completely bonkers!
OTOH, I saw a fellow (my father in law) who was sweet, sensible, home-loving and practical, get involved with a floozie, sell his house, throw OUT all the family photographs, genealogical records, and heirlooms, and disinherit his only child, his daughter when he hitcherd up with the golddiger! She took him for every cent! I savbed what I could from the wreckage, but I knew I was licked when he put a sterling silver tea tray out for the garbage man! I rescued it and the rest of the heirloom silver (over 5K worth!) but while I was busy with that, he threw out several oil paintings, hand carved Japanies shojii screens and probably about half a million bucks worth of stuff! Just threw it out! Heart bypass surgery can drive a sane person whacko and I don't have a clue as to WHY!
So yeah, the Big Dog may not be out of the woods for at least a year!
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