When she said that, a light bulb went off in my mind because in
Speaker:1990, 34 years ago now,
Speaker:I had a case of acute pericarditis, which meant
Speaker:that my pericardium, which is the sac that surrounds your heart and
Speaker:protects your heart, became inflamed, probably from a
Speaker:virus. We don't know. I was traveling. I was on
Speaker:an overnight train in Spain, coming from. I had been in
Speaker:Morocco, and while trying to sleep, my chest started
Speaker:to close down, my breathing started to get painful,
Speaker:and so I hopped off the bed and I walked back and forth in
Speaker:the train like I would do if I was spinning
Speaker:from too much alcohol or something and just try to bear down and get
Speaker:through it. But it just kept getting worse and worse.
Speaker:Hello, and welcome back to another episode
Speaker:of Open Heart Surgery with Boots. Oh, my gosh.
Speaker:We are coming up on the two year anniversary of when I even had
Speaker:this idea of starting a podcast for open
Speaker:heart surgery. And hilariously, I didn't even listen to
Speaker:podcasts, and it just kind of came to me like this
Speaker:existential nudge. And here
Speaker:I am two years later, and what you don't
Speaker:see is Michael Mori, who is my engineer in the
Speaker:background, who helps me edit these episodes.
Speaker:And I think I'm making his job easier because I'm saying less
Speaker:ums. So thank you for sticking with
Speaker:me all this time and thank you for continuing to come back.
Speaker:Please do consider supporting this podcast on Patreon. You
Speaker:can find the links in the show notes. This is definitely not
Speaker:done for free, and I have been so happy and
Speaker:honored to keep this podcast going. But it does feel
Speaker:good when I see support coming from willing
Speaker:donors. And if you sign up for the second or third
Speaker:tier, then you get to be a part of the Zoom community, which
Speaker:I'm just now getting going. So be sure to go check that out. And
Speaker:you will absolutely make my year if you become a Patreon
Speaker:supporter. But, oh, my goodness. Enough jabbering.
Speaker:Let's get to today's episode with Jeremy Rothenberg. Jeremy,
Speaker:welcome. You're coming to us from Ashland, Oregon,
Speaker:and I could not be more tickled to have you. And you
Speaker:are, my gosh, I think my second or third friend that I've made actually
Speaker:through substack, so substack for the win.
Speaker:Nice. Jeremy, will you please introduce
Speaker:yourself and kind of set the scene of, like, who you are,
Speaker:what you're about. You have overcome an incredible
Speaker:story that I have never heard of before. So I'm even more excited
Speaker:about that. I mean, I'm not Excited about what happened to you, but I'm excited
Speaker:to have your story on the podcast. But first, set the
Speaker:scene of who Jeremy Rothenberg is. Oh, thank you.
Speaker:So happy to be here and talk to you after listening to you for so
Speaker:long. Who I am. I am an
Speaker:acupuncturist and Chinese herbalist, and I'm
Speaker:also a wellness coach. I sometimes call myself an
Speaker:executive wellness coach because I work with executives
Speaker:and creative professionals and mostly in the tech industry. We're. Once
Speaker:upon a time, I used to work and I live in
Speaker:Ashland, Oregon. Moved here about six years ago
Speaker:from Oakland, the Bay Area and California, where
Speaker:I had an acupuncture practice for 10 years and before that
Speaker:did about 15 years doing various types of producing and
Speaker:product managing in the. In the. In the tech industry. Yeah. Do you want me
Speaker:to go on from there or. Well, I just gotta say, that's quite the
Speaker:pivot. Yeah. Well, this. This all plays.
Speaker:Plays nicely in, in this whole story. Just very briefly
Speaker:on that. You know, working in that world, I
Speaker:felt that I wasn't really doing what I was meant to
Speaker:be doing in life. Even though I liked it. It was. It was fun,
Speaker:smart people. I was making a good amount of money. I always felt drained,
Speaker:and I always felt like I was losing energy rather than gaining
Speaker:energy. And at one point, I had an
Speaker:experience where I started having panic attacks after
Speaker:having my heart starting to skip a beat.
Speaker:So one day. I'll just tell a quick story. One day I was
Speaker:working a small job as a favor for my
Speaker:cousin over the Christmas holiday, and I was
Speaker:qaing back then, what was CD
Speaker:ROMs know like
Speaker:for? Yeah, and. And it was such a. It was
Speaker:such a repetitive job that I really wasn't that happy
Speaker:about doing, but I was. I was doing it anyway. And I. My. I felt
Speaker:my heart started to skip beats and it.
Speaker:It like threw me into a panic attack. Why? Because weeks before
Speaker:that, I had just come home from visiting my father on the
Speaker:east coast after he had quintuple bypass
Speaker:surgery with Dr. Oz. And yes, it's
Speaker:that Dr. Oz what he was back. Back then when he
Speaker:was still a top cardiac surgeon in New York
Speaker:before he became the character that you know him as.
Speaker:And my father had quintuple bypass surgery, which is
Speaker:like, I think as many as you can possibly have. And I had these
Speaker:skipped beats and suddenly something came in my mind that something was wrong with
Speaker:my heart. And I had these panic attacks which led
Speaker:to me working briefly with an energy healer
Speaker:who set me completely at ease Set my
Speaker:heart completely at ease. And I realized, you know what,
Speaker:two things here. One, I have to learn to do what he did.
Speaker:And number two, I have to do what I know that I'm supposed to be
Speaker:doing in life, which is helping people and working directly
Speaker:with the mind and the body rather than on
Speaker:these interactive products, you know, that I, that I was
Speaker:working on for in the tech industry. That was the beginning of this
Speaker:story, to be quite honest, because it will come back, we'll come back to understand
Speaker:that those immediate, those skipped beats were a
Speaker:result of something that led to the surgery that I had last
Speaker:year. And I'm still stuck on Dr. Oz. I honestly forgot
Speaker:he was, he was. Actually a top
Speaker:surgeon, I believe, at Columbia Presbyterian
Speaker:in New York City. I'm gonna have to dig into that separately.
Speaker:He. He really. Okay, that's for another time.
Speaker:That's. Yeah. So it's just an interesting thing. Yeah.
Speaker:So, okay, yeah, you've set the scene, but like, give us the
Speaker:big overarching picture of. Well, first of all, how old are
Speaker:you? So I'm 55 years old now. That was
Speaker:back in 2001 or
Speaker:2002, when I first started feeling these
Speaker:heart related symptoms that I just.
Speaker:And I had those checked out and they were checked out to be normal. They
Speaker:were called PVCs, premature ventricular contractions.
Speaker:People have them. It wasn't considered an
Speaker:issue. It was only, only looking back 20 years now that I
Speaker:realized that maybe they had something to do with this issue
Speaker:of my pericardium. Yeah. Which, which. That's the great
Speaker:segue into giving us the big picture of. Give us
Speaker:the 50,000 foot view. And then we're going to go back and connect
Speaker:some dots and help the listeners understand your
Speaker:process. Yeah. So last year, well, In
Speaker:August of 2023, I was
Speaker:diagnosed with liver cirrhosis, which
Speaker:was as astonishing as it could possibly be because I didn't
Speaker:have any symptoms of liver
Speaker:cirrhosis. And I was only
Speaker:investigating my liver because
Speaker:a year before that I started having atrial
Speaker:fibrillation. And atrial fibrillation is when the atrium of your
Speaker:heart start to beat wildly. And
Speaker:it's usually not a life threatening situation, but
Speaker:it can cause blood clots, which can cause stroke. So there
Speaker:is concern about it. I tripped into
Speaker:atrial fibrillation two weeks before my daughter's bat
Speaker:mitzvah in, in 2023
Speaker:and didn't come out of it for three
Speaker:months. Because I live in a small town, I
Speaker:couldn't get to see a cardiologist for Three months. And because
Speaker:I was in pretty good shape, it didn't really affect me that much. The only
Speaker:reason why I knew that I had the atrial fibrillation is because my apple watch
Speaker:told me I did. You know, it alerted me and said, you have atrial fibrillation.
Speaker:I started measuring everything and I realized, oh, my. My
Speaker:resting heart rate is now 30 beats above what it was
Speaker:before. And when I exercise, everything goes about 30 beats higher
Speaker:than it did before. So I ha. I eventually had to get a
Speaker:cardio version, which is a shock, like a defibrillator, but in a,
Speaker:you know, in a surgical environment. And I did that.
Speaker:January 2024. And that's reset my heart
Speaker:rhythm. And that was great. And I talked to my cardiologist and I said,
Speaker:hey, many years ago, I was tested for life
Speaker:insurance, and they came back with the blood test,
Speaker:and everything was normal except this one liver enzyme called
Speaker:ggt, which they normally don't test for. But when
Speaker:it's high, mine was kind of off the charts high. When it's high, it can
Speaker:signal that you might be an alcoholic or you might have some, like,
Speaker:bile duct issues. So the life insurance people are.
Speaker:That's. They cut you out. And I was shocked about that.
Speaker:And I talked for. To doctors, any doctor I would see over the next
Speaker:bunch of years, I would ask about that. And they all kind of shrugged their
Speaker:shoulders and they're like, well, if everything else is normal, your alt ast,
Speaker:the other liver enzymes, which are normally checked, they're normal. It's probably just
Speaker:who you are. You probably just have a weird GGT level. And so
Speaker:I went on with my life. Never didn't really think about it too
Speaker:much. But I asked my cardiologist at this point, I said, you know, I
Speaker:have this high GGT thing. Could this have anything to do with my atrial
Speaker:fibrillation? And she said, well, she didn't know. She did some
Speaker:tests, came back, everything came back negative. She sent, then sent
Speaker:me to a GI people, and I had coordinated
Speaker:my cardio version to be at the beginning of the year so that I could
Speaker:use up my deductible immediately so that I could,
Speaker:you know, use my insurance that year as much as possible. And so
Speaker:my deductible was up. I said, okay, I'll go do a bunch of lab tests.
Speaker:That's fine. And so I went to see a GI person,
Speaker:went through all these lab tests. Some of them started coming back a little off.
Speaker:Had an ultrasound of the liver or of the
Speaker:abdomen. And that said, like, you know, there were some blood flow issues in the
Speaker:liver, so we did something called a
Speaker:elastography ultrasound, which measures the. The
Speaker:flexibility and the density of, of an organ. So
Speaker:that was. Say that again, slower elast.
Speaker:Elastography, like elastic
Speaker:elastography. I've never heard of that. I hadn't
Speaker:either. And. And that comes back with a scale of
Speaker:zero to four for liver fibrosis, four
Speaker:being cirrhosis. Liver cirrhosis. Mine came back at
Speaker:four. And I remember, you know, reading that
Speaker:result at my kitchen table and just my jaw
Speaker:dropping to the floor. This is weeks after a very, very
Speaker:close friend of mine died from cancer. And I was like,
Speaker:wow, my turn. And
Speaker:that was shocking. Absolutely shocking roller coaster
Speaker:because why would you have liver cirrhosis?
Speaker:Right? I was not an alcoholic. I generally
Speaker:eat a, you know, healthy, generally low carb
Speaker:diet. There's no way I had a fatty liver or anything like that.
Speaker:So we assumed that it must be like some kind of autoimmune
Speaker:disease. We checked for autoimmune hepatitis,
Speaker:hepatitis, anything under the sun. All of it came back a little
Speaker:inconclusive, but mostly, mostly negative.
Speaker:And interestingly, where I live. Right, you don't. The. What
Speaker:I found out is you have a certain level of medical availability
Speaker:here, and then there's a certain level that you have to travel for. There are
Speaker:no hepatologists, which is a liver specialist in the Rogue
Speaker:Valley, where I live, at all. So when I got this diagnosis,
Speaker:I, I remembered that a close friend of mine worked in liver
Speaker:transplant at UCSF in California, in San Francisco. And so
Speaker:I contacted her. She quickly had me contact
Speaker:a hepatologist that she worked with. And I didn't have out
Speaker:of network insurance. I could only stay in Oregon. This woman, Dr.
Speaker:Lai, she is kind of my savior. She. She consulted with
Speaker:me for free, and she thought about
Speaker:it. She, you know, looked at the results of everything that I had. And she
Speaker:said, you know, there seems to be some kind of issue
Speaker:with blood flow. You really should have your heart
Speaker:checked for pressures. It could be something
Speaker:like constrictive pericarditis or something
Speaker:in that realm. And when she said that,
Speaker:it, it, it, you know, a light bulb went off in
Speaker:my mind because in 1990,
Speaker:34 years ago now, I had a case of
Speaker:acute pericarditis, which meant that my
Speaker:pericardium, which is the sac that surrounds your heart and protects your heart,
Speaker:became inflamed, probably from a virus.
Speaker:We don't know. I was traveling an overnight train in Spain,
Speaker:coming from. I had been In Morocco. And while
Speaker:trying to sleep, my chest started to close down, my
Speaker:breathing started to get painful, and so I hopped
Speaker:off the bed and I walked back and forth in the train
Speaker:like I would do if I was, you know, spinning from too much alcohol or
Speaker:something and just try to bear down and get through it. But it just kept
Speaker:getting worse and worse. So we got off the train prematurely in
Speaker:Barcelona, went to a hospital, and that's where
Speaker:eventually they discovered that I had what they
Speaker:said was acute pericarditis. I'd never heard of that before. And they said they
Speaker:couldn't really do anything but give me ibuprofen and rest.
Speaker:And eventually left the hospital, went home to New York.
Speaker:This was. I was so fatigued after that for a few weeks.
Speaker:It was. It was really monumental thing. I remember very, very clearly. But
Speaker:after that, I forgot about it. Hmm. Completely forgot about. Didn't.
Speaker:Didn't follow up with any Doctors. I was 21 years
Speaker:old. And so the rest of my life up
Speaker:until now, what probably happened was the inflammation
Speaker:and the response to the inflammation started to calcify the
Speaker:pericardium, harden it to. To what that the surgeon
Speaker:would describe as bone level
Speaker:calcification. No way. And,
Speaker:yeah, it's like breaking it off, you know, like, and
Speaker:literally cracking it off of my heart. Some of it was
Speaker:so. Was. Was deeply intertwined
Speaker:with the heart muscle, and so that part couldn't come off. So
Speaker:this is now we're talking about your open heart surgery? That's right.
Speaker:Yeah, yeah, yeah. So the. So she.
Speaker:She was like. I emailed her back and said,
Speaker:wow, you know, I had this thing, cute pair card is. And
Speaker:she. And she responded to me. She was like, wow. I was. I was even
Speaker:a little hesitant to say that to you because it was such an out there,
Speaker:even know, kind of textbook diagnosis that you would do in a. In
Speaker:a class or something like that. It's not something you really see in. In
Speaker:reality. And you know, from there that was. There
Speaker:were a bunch of tests had to happen. After that, we had all my
Speaker:care moved up to OHSU in Portland, you know, where I had
Speaker:a catheterization to check the pressures in the heart. I had a
Speaker:heart MRI to, you know,
Speaker:to really just make sure that this was what was going on.
Speaker:And the only treatment for it is surgery, which is
Speaker:a. Called a pericardiectomy. Okay, so hang on.
Speaker:Before we get to the pericardiectomy, when you did
Speaker:all those heart tests in Portland, did they all
Speaker:show that your. Your heart needed some serious Help. They all
Speaker:showed exactly what she said. Constrictive
Speaker:pericarditis. So what it is, if you think about it,
Speaker:it's just instead of that pericardium being flexible
Speaker:and when your heart beats it, it moves with it. It's
Speaker:now hard, so your heart doesn't have as much
Speaker:space to open and close. Okay.
Speaker:So what it does, what you see on a
Speaker:catheterization, from my understanding, is you see
Speaker:a certain pressure signal so that when the beat comes in and goes
Speaker:out, normal thing would run rise and fall in a particular way,
Speaker:and this would rise and fall in a different way. And they call that
Speaker:like a square root sign. And it, you know, mine
Speaker:was textbook. That. Very clearly
Speaker:that. And also the, the, the MRI very
Speaker:clearly showed this calcification. Also,
Speaker:years ago, because I have a lot of heart issues
Speaker:in my family, I had what's called a calcium test,
Speaker:which is a CT scan that everybody should actually have.
Speaker:It's very inexpensive, it's not covered by insurance, but it
Speaker:costs a couple hundred dollars, maybe two or three hundred dollars, and it tells you
Speaker:about the calcification in your arteries and it gives you a sense of, like,
Speaker:how dangerous your situation is, you know, for, for heart
Speaker:disease in general. But the, the cardiologist who I met in,
Speaker:at OHSU in Portland showed me the pictures from that calcium
Speaker:test, which nobody had showed me the years before that I had taken
Speaker:it. He said, yeah, there's some calcium in your arteries, but look at the, look
Speaker:at your pericardium. It was, it was thickened and it was.
Speaker:The calcium was all, all in there. And nobody had
Speaker:ever said anything about that to me. Was it in the report?
Speaker:It said, in the report, it said something like, yeah,
Speaker:pericardial calcifications, but didn't say it in any way
Speaker:that made it sound dangerous. That I had a. I
Speaker:think I had an echocardiogram 20 years ago
Speaker:that also came back with some pericardial
Speaker:calcification. Nobody ever made a
Speaker:deal about it. I never thought about it until now. So all of the, all
Speaker:of the tests were very clear in suggesting this is what it
Speaker:was. You're not the first person, and even myself,
Speaker:everyone I've had the honor and privilege of interviewing for this
Speaker:podcast. Almost every single person, if they
Speaker:do read their report, you know, the report is usually not
Speaker:sounding alarms. It's just reporting facts of what the radiologist
Speaker:sees. But then the cardiologist
Speaker:usually doesn't get excited
Speaker:or is overly incentivized to, to
Speaker:educate us on what is found in a Radiology report. And so
Speaker:what I always say, and I think you would agree here, it's
Speaker:don't take our doctor's word for it, like go back and read our own
Speaker:reports and then ask questions. You know, like, Dr.
Speaker:Google can get us into trouble and it can
Speaker:dysregulate us. So you need to be able to go and
Speaker:like research what these terms mean from like a grounded,
Speaker:calm nervous system. Because there can be things on
Speaker:Dr. Google that can be scary. So it's a fine line
Speaker:of, of educating ourselves, but then not overly educating
Speaker:and jump to the conclusion that we're going to die tomorrow.
Speaker:Well, let me tell you about chat, Dr. Chatgpt.
Speaker:Ah. Because what I did with all of my test
Speaker:results that came in is I fed them into this AI chatgpt
Speaker:and it would, it would come back with like all the, like
Speaker:act very specific recommendations about
Speaker:what this could possibly be. Right? So when you look things up on Google,
Speaker:obviously you get these very broad issues,
Speaker:right? You could be dying from this, that and the other thing.
Speaker:ChatGPT like looks at the lab tests and say, well, these lab tests suggest
Speaker:that it could be this or it could be that. And then, you know, put
Speaker:more, put more information and more information, more information. So it
Speaker:definitely helped me push my local GI
Speaker:to help me get a liver biopsy, which she was
Speaker:actually weirdly reticent to do
Speaker:because it kept telling me, you know, you might have cirrhosis, you
Speaker:might not. The, the elastography is not the, the last
Speaker:word on this. The gold standard is to get a piece of your
Speaker:liver basically, and, and see what that says. And so we did that.
Speaker:The good. Yeah, the good news with that just, by the way, is that
Speaker:that came back a step lower than cirrhosis. That came back
Speaker:saying I had maybe like level three as opposed to four,
Speaker:which still bad, but not really on the edge of liver
Speaker:failure, which I was thought it might be for a few weeks.
Speaker:Right. Wow. Well, thanks for connecting the dots. And so,
Speaker:yeah, bring us to the day of heart surgery. Like, this is just
Speaker:amazing. So here you are in Portland. Yeah, so I would. So I
Speaker:drove back. So Portland's about four and a half hour drive from where I live.
Speaker:I went up and back to Portland probably six
Speaker:times in, you know, a few months to meet with
Speaker:the first with the cardiologist, then with the surgeon,
Speaker:then with the surgeon again. I was a little afraid
Speaker:to have the surgery at ohsu because
Speaker:pericardiectomies are very rare or somewhat
Speaker:rare. So even at a place like ohsu where
Speaker:they do heart transplants, they only do a handful of
Speaker:pericardiectomies a year. So I was looking
Speaker:to, I was talking to the Mayo Clinic, I was
Speaker:talking to the Cleveland Clinic. These places do
Speaker:them on a regular basis. This would require me to get
Speaker:different insurance. So I was going to have to wait till the, after
Speaker:the beginning of the year after my catheterization,
Speaker:which was in November, they called
Speaker:me somewhere around Thanksgiving and said,
Speaker:you know, surgery, we're scheduling you for surgery on the 12th of
Speaker:December, which was like two weeks away, you know, a little more than two weeks
Speaker:away. And, and I had been investigating these other
Speaker:path. So I really, I was a little nervous. But on the way
Speaker:to. From my last consult with Dr. Tobias,
Speaker:who was my surgery surgeon, I talked to another
Speaker:doctor, Dr. Greason at the, at the Mayo Clinic, who
Speaker:is like one of the foremost surgeons for this type of surgery
Speaker:in the country. And he was very kind, very generous with his time
Speaker:and, and, you know, led me to understand,
Speaker:after peppering him with as many questions as I could, that I
Speaker:was going to be okay at OHSU with, with this doctor.
Speaker:And then that was, that was just a week before
Speaker:the surgery. I met with that doctor again, asked him a few more questions,
Speaker:and then we were a go for surgery. The same year that
Speaker:I had the cardioversion
Speaker:to start with. Luckily for me, this, you know,
Speaker:from an insurance point of view, I had already reached my out of pocket maximum.
Speaker:This surgery was now going to be paid for. And then it was just
Speaker:preparing for surgery. And, and I had already been doing that a bit by
Speaker:listening to your podcast, which I found extremely helpful to,
Speaker:you know, to, to listen to other people's stories, your
Speaker:story, and understand how people prepare and
Speaker:what could happen afterwards. Some of which on your story
Speaker:was, was concerning and, you know, the wires
Speaker:is what. Is what comes to mind, having to
Speaker:have those taken out. And then I also downloaded
Speaker:these on the request of my stepmother who was
Speaker:with my father at that Dr. Oz surgery. She told me about
Speaker:these guided meditations. I'll have to
Speaker:look up that one's name. But I did these guided meditations
Speaker:about, you know, the week or two before
Speaker:the surgery, which just were all about getting the nervous
Speaker:system to relax, to trust the
Speaker:surgery and the surgical team. Her name is Bella Ruth.
Speaker:Oh, yep. I use Bella Ruth Nappersteck as well. She's quite the name.
Speaker:Yeah, yeah, yeah. Those were, those were really
Speaker:profound for some people. Might be a little New agey
Speaker:sounding and it's very soothing kind of thing. But from. I found that to
Speaker:be quite remarkable. I went into the
Speaker:surgery as calm as I could possibly be. I
Speaker:really had. I surrendered to the whole thing, which is
Speaker:a practice that I, you know, work with people on in my, in my own
Speaker:coaching practice, which is radical acceptance and
Speaker:surrender, which is just recognizing this is happening now
Speaker:I can either resist it, you know, and suffer, or
Speaker:I can let go into it and, you know, let
Speaker:my body handle it. Yeah. So that, that
Speaker:led up to the 12th of December in 2023, which is
Speaker:when I had seven hour surgery and I was on the five
Speaker:hours. Yeah, they got to go in there
Speaker:and scrape this thing off piece by piece all around your
Speaker:heart, you know. You know, what I'm envisioning right now
Speaker:is like a raw egg and
Speaker:the surgeon's trying to chip away at just the shell because you say it
Speaker:was so calcified and then the yolk is your heart.
Speaker:That's exactly it. That's exactly it. So when.
Speaker:So on the heart by heart lung bypass machine, you know, the heart stops
Speaker:so it's easier to do that. But obviously there's dangers being on the heart
Speaker:bypass machine. And that was some of the stuff I was very concerned about because
Speaker:yeah, there's post surgical issues with
Speaker:cognitive pump head. They call it pump head.
Speaker:Okay. Yeah. So I was afraid of all of that and it went
Speaker:off without a hitch, I guess. And you know, here I am,
Speaker:obviously to tell the story, dude, seven
Speaker:hours. I think seven hours. Besides my dad,
Speaker:my dad's quintuple bypass was eight hours. And I think
Speaker:you're now my like, yeah, you're. You win number number two
Speaker:for, sorry, really long heart surgeries. Geez.
Speaker:I just, I'm just taking a minute to take all that in because it. I
Speaker:have so many questions, but it's just a lot to take in.
Speaker:Thank you to your liver for letting us know that you needed
Speaker:help for sure. And thank you to that amazing hepatologist that
Speaker:helped you connect the dots. And thank you to you who was
Speaker:incessant in asking questions and not
Speaker:accepting, you know, these answers that didn't resonate with
Speaker:you. And I think that's a really big.
Speaker:I'm taking so much away from our conversation today already. But
Speaker:that's. That just continues to drive home for me and
Speaker:hopefully those listening that like our intuitions are
Speaker:everything. We are in the driver's seat of our health
Speaker:care and if something doesn't feel right, we have
Speaker:the right to continue to pursue
Speaker:other avenues. And that's what you did, thankfully. A hundred
Speaker:percent. Yeah, 100%. And. And from this
Speaker:experience, I recognize the, you know, the dislocated nature
Speaker:of our healthcare system. Unless you're in like a managed care facility
Speaker:of some kind like Kaiser back in California, you have
Speaker:to make some leaps sometimes between, you know, your
Speaker:local person and a specialist and then maybe,
Speaker:you know, a distant hospital, and that's on
Speaker:you. Basically. They'll make a referral, but that will just get lost
Speaker:a lot of times. And so pushing through the medical
Speaker:system gently but firmly and calling back and
Speaker:calling back and calling back, and you think you might be bothering people,
Speaker:but they're busy and they need to. They need to realize
Speaker:that, that you need help and you could slip
Speaker:through their cracks. And it's really, really important. I would just, for
Speaker:anybody listening to push pretty hard when
Speaker:you know that you need something. Yes. And I had to do the same.
Speaker:And I'm having flashbacks of
Speaker:how tiring it was to pick up
Speaker:the phone when my heart had any. Had hardly any
Speaker:juice left. I mean, it was so under oxygenated and here I'm
Speaker:still having to pound the pavement. And, you know, it was
Speaker:interesting and it doesn't seem like you had this
Speaker:mindset, but I had to really tune out my
Speaker:loved ones who said, just be patient. Wait, let them
Speaker:come to you. And I was like, no, I can tell
Speaker:I don't have much time left. And it's
Speaker:hard to find the courage, but you have
Speaker:to. To tune out what? We've kind of been
Speaker:conditioned to believe that we aren't allowed to be in the driver's
Speaker:seat, that we aren't allowed to be the squeaky wheel. But you're right.
Speaker:I mean, especially in today's health care system. Post
Speaker:Covid. Yeah, everyone's tired, everything's
Speaker:understaffed. So it really is on us
Speaker:to. To be in the driver's seat and get us to where
Speaker:we need to go. There's a difference between, you know, being
Speaker:a hypochondriac and then not knowing what you're really
Speaker:need and not knowing what's going on. But when you know
Speaker:that, that you have something going on, you need the help.
Speaker:You know, driving towards that. That help is, Is
Speaker:everything. Yes. Yes. So in the moments
Speaker:we have left, we, you, you're, you're.
Speaker:Obviously you made it through your surgery. And
Speaker:what date was your surgery? It was December 12,
Speaker:2023. Okay. Yeah. It was about six. Six weeks later,
Speaker:driving up to Ohsu to meet with the cardiologists when I
Speaker:decided that I would start Training for the Mount Ashland Hill
Speaker:climb. This half marathon thaw up a mile
Speaker:from my town to the top of Mount Ashland. Because I hadn't been.
Speaker:Nobody called me from cardiac, you know, physical therapy or
Speaker:whatever they call that. I forget. Cardiac rehab.
Speaker:Cardiac rehab. We tried a bunch of times to get in touch with them and
Speaker:I just couldn't. And I was like, you know what? I'm going to do my
Speaker:own cardiac rehab and I'm going to do this thing
Speaker:because I don't know if I'll ever be able to do it again if I
Speaker:don't do it now. And you know, that started,
Speaker:started this, this sensation and the feeling of, of time
Speaker:and life being very, very precious and, you know,
Speaker:to, to really decide what you want to do, what I want
Speaker:to do and not let fear and,
Speaker:you know, disbelief get in the way of me doing, doing things.
Speaker:So I started training for this, this thing that I would do
Speaker:six months after surgery, which I didn't know if I could actually do or would
Speaker:actually make it. But I started running in the dark
Speaker:and the cold in February. And you know, at 6:00 in the morning, I would
Speaker:go out to a track and walk around, you
Speaker:know, halfway around, stop or whatever and eventually
Speaker:maybe jog around a little bit, you know, eventually,
Speaker:week by week, day by day, working up to, to this
Speaker:big summiting of this mountain in four hours from the bottom,
Speaker:from the, from our town to the top of this mountain. It was quite, quite
Speaker:the experience. And so you did it, you, you did the half
Speaker:marathon? I did that, yeah. January, I mean, on June
Speaker:8, which was my daughter's birthday, she wasn't happy about that at all, but she
Speaker:met me up to, at the top and did the last, the last
Speaker:mile, which is the steepest mile up the ski mountain to Mount
Speaker:Ashland. And yeah, I did that. And
Speaker:I'm continuing to run and I get up in the morning still.
Speaker:Now it's getting dark again, doing, running in the dark. And that was one
Speaker:of the things I could never do before the surgery that I didn't
Speaker:know why I could never run long
Speaker:distances. And now I can do 4, 8, 10, 12
Speaker:miles without thinking about it too much. A whole new lease on
Speaker:life. It's like your heart has so much room now. It's just like,
Speaker:yes, it's totally. And I really felt that for
Speaker:a while, really. And I can still feel like I can most
Speaker:of the time feel my heart beating into my chest just because
Speaker:it has so much room now to
Speaker:expand. How has this changed you? Spiritually well, it
Speaker:has definitely given me this sense
Speaker:of the preciousness of life. Right. It's really
Speaker:just I had, you know, I worked on this
Speaker:myself in the past. I think about death
Speaker:maybe more than the average person. You know, I work in health care.
Speaker:My friend died of cancer last year.
Speaker:It has brought me even more into the
Speaker:present, into the present moment. And
Speaker:it's as though I feel like a demand on my
Speaker:system, you know, for whatever. Whatever it is that wants to be
Speaker:expressed as me, through me in this life is
Speaker:much clearer and definitely feels demanding about
Speaker:it. So there's more of me that I'm getting out of the
Speaker:way and allowing this to, to come through as clearly as
Speaker:possible. So it's like this open heart surgery is
Speaker:brought clarity. It opened my heart, you know, in a certain
Speaker:way. You know, my heart was always the guiding
Speaker:source for me, you know, when I had those skip beats, you know, 25 years
Speaker:ago or whatever, and always feeling into my heart to try to understand
Speaker:what it is that I want. And my heart was constricted,
Speaker:literally constricted. Right. And so what was that doing to me
Speaker:psychologically, what was that doing to me spiritually? It's hard to
Speaker:exactly say, but there's definitely this sense of, of
Speaker:unburdenedness and openness
Speaker:and possibility. And like I said, there's this kind of
Speaker:sense that some, you know, everything that I've thought about
Speaker:wanting to do or, you know, whether it's with work or with
Speaker:life or, you know, the community, like I, I gotta
Speaker:do, because there's not infinite amount of time
Speaker:here. What's one piece of advice
Speaker:you want to give to heart patients coming after you? Well, I would
Speaker:definitely say, you know, bottom line is we should all be regulating
Speaker:our nervous systems, you know, really, really understanding
Speaker:and working with this part of us that is
Speaker:deciding for us really whether we're safe or whether
Speaker:we're in danger and trying to get past a lot of
Speaker:what we experience as danger, which really isn't, you know, and,
Speaker:and then, and then being able over time with some
Speaker:regulation, with some strengthening, to be able to actually deal with the
Speaker:actual danger when it comes. Right. So that you don't overdo
Speaker:it. Most people, I notice,
Speaker:are overreacting in their lives to
Speaker:the just incredible amount of stimulus coming in into our
Speaker:systems every single day. All the information, you know, all the issues
Speaker:around politics or world issues and
Speaker:wars and, you know, down to our bank accounts
Speaker:and paying rent and, you know, dealing with our loved
Speaker:ones. Right. All of this stuff creates this sense that we're in
Speaker:danger and our, we're, our nervous systems are hyped up
Speaker:too, too often for too long. And so getting ourselves to
Speaker:relax, to learn how to breathe properly, to strengthen our
Speaker:bodies and to, to be able to root in, in a sense of,
Speaker:of, of peace and ease will
Speaker:help any of us not become hard patients, number one. And then if
Speaker:you are a heart patient, help, help soothe and heal.
Speaker:And when we relax, when we get that nervous system to relax, that's when our
Speaker:body repairs itself and our, our body and mind can
Speaker:connect and rejuvenate. Beautiful.
Speaker:And how do we find you? How can
Speaker:listeners find you? Because you help people with this. Yeah. So I
Speaker:work directly with people on this. You can go directly to my website,
Speaker:jeremyrothenberg.com I also have a channel on
Speaker:Insight Timer. I teach meditation, lead meditations. So
Speaker:I think that's insidetimer.com Jeremy Rothenberg and
Speaker:we can include, I guess links. I'll have all that in the show notes for
Speaker:listeners. Great. Yeah. So I offer people free
Speaker:coaching sessions when they're available and we can have
Speaker:a 30 minute talk about what's going on for you and give you some free
Speaker:coaching and see what's available for you.
Speaker:Wow. Incredible. I hope listeners will take you up on that because
Speaker:you are just an absolute joy to speak with and, and I
Speaker:so appreciate your willingness to be vulnerable and
Speaker:be seen, be heard and share your story because none
Speaker:of us have to go through this alone. And I know that
Speaker:your story of hope, inspiration and healing will help many others.
Speaker:So thank you, Jeremy. Thank you so much. It's great talking to you. I really
Speaker:enjoyed it and you've heard it here. You will find Jeremy
Speaker:Rothenberg in the show Notes. Please do consider reaching out
Speaker:to him. And if you have never used Insight Timer, I
Speaker:love it. It is such a great tool
Speaker:and there are so many different like options on there to
Speaker:listen to Jeremy. They have just like singing bowls
Speaker:and I don't know, it's like all kinds of bells and whistles that can help
Speaker:us through kind of the interesting time we find ourselves in here on
Speaker:planet Earth. So thank you so much for joining. Joining
Speaker:us today with open heart surgery with boots. Please be sure to come back next
Speaker:week. I've got another episode queued up for you.
Speaker:I know you're going to love it. Until then, I love you.
Speaker:Your heart is your best friend.