I ran across a current study that once again indicates that depression is a factor in congestive heart failure. It claimed fantastic numbers regarding the odds against recovery of the condition when depression is heaped upon the sufferer. The numbers were not good at all. This only makes sense given depression is a contributing factor in heart disease. It’s a nasty one-two punch. Both conditions are also sneaky destroyers, hard to detect and easily attributed to other things in life, all while tearing it down bit by bit. I myself have danced on the edge of clinical depression more than once, and can identify it pretty well. Thrown a full-blown case of congestive heart failure into the mix and the potential for disaster looms large and very, very real.
The proposal in my case to make a direct repair with a triple bypass surgery plays directly into this, as does my reluctance to proceed with it at this point. It is well documented that, for most patients, heavy depression follows the procedure. This is not only due to the recovery process. That can be remedied with therapy. It can be from the nature of the procedure itself. While a heart/lung machine used during the operation keeps blood and oxygen flowing while the heart is out of commission thus keeping the body alive, it is not without consequence. It seems that in many cases, the constant flow (as opposed to the natural on-off beating of the heart) brings about changes in the brain itself: “fuzzy” thinking, memory loss, and depression, to name the big ones. Given my knowledge of my own personal landscape, this fact makes me pause.
Again, the logic escapes me on many levels. Again, it all seems to be going in circles.