Penny MacDonald of Visalia is full of life and would never shy from starting
conversations with strangers. However, an unforeseeable event immediately
changed her from vibrant to inactive. Penny has no memory of her heart
attack or the life-saving procedure she received at Kaweah Delta. “I
remember going to work at 6:30 a.m. on a Monday, and waking up in the
hospital on a Friday,” said Penny. In between, Dr. Aditya Verma,
a cardiologist at Kaweah Delta, gave Penny a stent to open a blocked artery
and restore blood flow.
Kaweah Delta immediately takes patients, who come to the emergency department
with a suspected heart attack, to the cardiac catheterization laboratory.
“We treat a multitude of cardiovascular illnesses in our cath lab,”
said Geide. “Stenting of the arteries of the heart is the most common
procedure done there.”
“It seems crazy because I can’t remember it,” said Penny.
“But, here I am to tell you about it.” She may not recall
her hospital stay, but Penny has wonderful memories of the follow-up care
she received from Kaweah Delta’s outpatient cardiac rehabilitation
program. “Everybody cared,” she said of the staff. “I
went to a wonderful place for three months and it’s a blessing.
I would highly recommend it to anybody.”
“Cardiac rehab is designed to help patients get back to life,”
said Connie Chamberlain, cardiac/pulmonary rehabilitation manager at Kaweah
Delta. “This program is so important because the readmission rate
can be quite high for heart conditions such as chronic heart failure.
We have to ensure that cardiac patients, like Penny, are compliant with
their medication and nutrition plan. Research has shown that when patients
participate in cardiac rehab after an acute event, their life expectancy
The multidisciplinary team of health care professionals who work with patients
like Penny may include a cardiac nurse, dietitian, exercise physiologist,
and social worker. Strategies for better heart health taught by the team
include instruction on physical activity, proper nutrition, stress management,
and how to implement healthy habits for life.
“They had me walk slowly at first and slow is something I didn’t
like,” said Penny, affectionately known as Mother Bread and Penny
from Panera. “I’m a go-getter and I do what needs to be done
right away. However, gradually they allowed me to go faster. I went from
a 2.0 speed and 3.5 elevation on the treadmill to a 3.5 speed and 10 elevation,
and that’s a good pace for me. I don’t need to go any faster.”
Penny learned the importance of easing her pace. “I’ve slowed
down a lot since my heart attack. Going to rehab helped me learn how to
do what’s best for me. Trust me, the girls at rehab taught me how
to slow down and I have.”
“When patients are done with rehab, we reinforce that now it’s
up to you to keep the momentum going with what you’ve learned,”
said Chamberlain. “We give them a home exercise program and invite
them to join The Lifestyle Center’s Healthy Heart Class which is
lead by an exercise physiologist and adds a social aspect the patients