We met with the cardiologist today to evaluate how Paul is doing and to review the results of the nuclear adenosine stress test. The test showed that he had good blood flow to the heart and that the heart was functioning well in light of the coronary heart disease and the sluggishness of his right ventricle.
He encouraged Paul in his efforts to slowly increase his exercise but reminded him that an injury to the heart is significant and requires time and patience and that it's best to resist pushing too hard in order to avoid losing traction in continued recovery. He reiterated that heart attacks of this nature are life-altering events and that the process of recovery takes time--at the very least least 8-10 weeks of concerted rest before re-entry and about a year for heart recovery.
Overall, the doctor was encouraged by the progress Paul has made since he first saw him in the hospital a month ago. They will meet again at the end of January to re-evaluate his health. Until then the daily activities will include rest, exercise and more rest.
We've been in Idaho for just under 3 weeks now. Rest, the bright sun, blue sky, exercise and the absence of stress have been the perfect equation for increased stength. Although, Paul still has some days that are better than others, his foundation of stamina is growing. The doctor and he will develop within the next several weeks a reasonable plan for how and when he will re-enter his pastoral responsibilities.
