The One Percent Heart

← The One Percent Heart16 sept · 1 h 10 min

Mechanical Heart Valve vs. the Grand Canyon | Bob Smith Returns!

Mechanical Heart Valve vs. the Grand Canyon | Bob Smith Returns!16 sept1 h 10 min

<p>Three weeks after a helicopter lifted him out of the Grand Canyon, Bob Smith went climbing.</p><p>Bob is back on The One Percent Heart. Last time he told us about El Capitan. This time he is halfway down a fourteen day run on the Colorado when a rapid called Horn throws him out of the boat and drives him into a rock wall. He is on warfarin for a mechanical aortic valve, which makes bleeding much harder to stop. The &quot;just a bruise&quot; joke in this episode is doing a lot of work. It was a hematoma that nearly doubled the size of his glute, and it ended his trip on a National Park Service helicopter.</p><p>There is an ER doctor who cannot work out why a man on blood thinners would be on that river at all. There is a week alone in a Flagstaff hotel while his friends finish without him. And there is Joe, in California, who found Bob&#39;s Instagram before his own heart surgery and wanted to hear it from someone who had already been through it. That last part is a lot of what adult CHD looks like now. Patients calling patients, because nobody wrote the manual.</p><p>The accident is part of the story. The life he intends to keep living is the rest of it.</p><p>📺 CHAPTERS<br>00:00 Cold open and introduction<br>00:54 Who Bob is, and what&#39;s in his chest<br>03:02 What sport climbing actually is<br>05:26 What a fall feels like on blood thinners<br>08:22 Nosferatus: the cave route in Mexico that made his legs bleed<br>14:30 The candy store mentality<br>17:00 Drezden ruptures a tricep<br>18:52 Fourteen days on the Colorado River<br>21:02 Horn Rapid<br>22:52 Thrown from the boat<br>26:42 &quot;I&#39;m not really sure if I can move&quot;<br>30:16 One light beer at 115 degrees<br>32:08 A glute that doubled in size<br>35:14 Calling for a helicopter<br>37:23 Warfarin, INR, and bleeding into the muscle<br>39:14 Twenty five minutes to evac<br>41:59 The helmet debate<br>44:58 What an impact would mean for the valve<br>47:00 Turning down the painkiller<br>50:59 CT scan and two bags of plasma<br>55:44 A week alone in Flagstaff<br>56:46 Back on the wall three weeks later<br>58:22 The ER doctor who didn&#39;t get it<br>1:01:09 Joe, and the calls before surgery<br>1:05:34 Why he hates bucket lists<br>1:07:42 Where to find Bob</p><p>▶️ WATCH BOB&#39;S FIRST EPISODE<br>Rock climbing El Capitan with a mechanical valve: <a href="https://youtube.com/watch?v=zBLi5I8fq0c">https://youtube.com/watch?v=zBLi5I8fq0c</a></p><p>🔗 FIND BOB<br>Instagram: <a href="https://www.instagr