Cardiac Success: Dawn Overcomes Sinus of Valsalva Aneurysm and Bicuspid Aortic Valve
Hey Heart Buddies! A heart murmur, congenital aneurysm of sinus of Valsalva, ruptured sinus of Valsalva into right ventricle, bicuspid aortic valve, persistent left superior vena cava and pacemaker... all in one extraordinary heart...
This week, I talk with my friend, Dawn Anderson, about her extraordinary heart health journey. Living in Adrian, Minnesota, Dawn shares her experience of discovering and surviving a rare aortic aneurysm and bicuspid aortic valve at age 41. Despite facing multiple challenges, including depression and the stress of losing her job, Dawn emphasizes the importance of self-advocacy and seeking support. Her story highlights the necessity of listening to your body and staying informed about heart health. Dawn and I met through WomenHeart which is a non-profit providing education and support to female heart disease patients. Don't forget to subscribe!
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Transcript
Welcome to Open Heart Surgery with Boots, where we explore the
Speaker:journey of heart health through the eyes of those who live it every
Speaker:day. I'm your host, Boots Knighton. And in season
Speaker:five, we're focusing on what it truly means to
Speaker:thrive. We'll dive into cutting edge medical advances,
Speaker:share powerful stories from both sides of the stethoscope,
Speaker:and learn how to be better advocates for our own health.
Speaker:From candid conversations with cardiac patients to
Speaker:insights from dedicated healthcare professionals, each
Speaker:episode brings you closer to understanding the complex world
Speaker:of heart health. Whether you're navigating your own cardiac
Speaker:journey or supporting someone who is, you're in the right
Speaker:place. So let's get to today's story.
Speaker:Hello, welcome to Open Heart Surgery with Boots. I
Speaker:am your host, Boots Knighton. And today I am bringing
Speaker:you my new friend, friend Dawn
Speaker:Anderson from Adrian, Minnesota, which
Speaker:is the Nutcracker capital of the world.
Speaker:And dawn and I just recently met through
Speaker:Women Heart, which is a national organization I've
Speaker:spoken about prior to this episode and
Speaker:previous episodes. And Women Heart is a
Speaker:wonderful nonprofit organization that focuses on women with heart
Speaker:disease. So I encourage you to check them out. But thanks to
Speaker:them, they brought Don and I together and
Speaker:we had the best time at the Mayo Clinic at the Science and
Speaker:Leadership symposium. So welcome, Dawn. Thank you for being
Speaker:here today. Thank you for inviting me. Now
Speaker:tell us first, Nutcracker Capital. That is
Speaker:quite the distinction. Well, Adrian itself isn't
Speaker:exactly the Nutcracker Capital, but the a town 15
Speaker:miles from here that I work in and was, well, grew up
Speaker:in, La Verne is being designated, or wants
Speaker:to, as the Nutcracker capital of the world. A lady
Speaker:who is quite elderly had collected
Speaker:nutcrackers and she donated them all to the
Speaker:Historical society, the society of which she was
Speaker:the president. So they accepted them and they
Speaker:decided to use that as a, a gimmick to
Speaker:attract people to the town. And they are actually right,
Speaker:well, this spring building a 65, 70 foot
Speaker:tall nutcracker off the interstate to draw people
Speaker:in. Wow. Wow. And then there's like Wall
Speaker:Drug, which is in the Dakotas, and now the Nutcracker
Speaker:Capital. That is so funny. It's
Speaker:pretty interesting, that's for sure. And there's definitely
Speaker:opinions on both sides about what, whether or not they want the town to
Speaker:be called that. But it right now, that's what the
Speaker:powers that be are rolling with. So, you know, there are worse things to be
Speaker:worried about, things to be
Speaker:called 2025. Yes, yes,
Speaker:there could be worse distinctions for a hometown that is for sure.
Speaker:Yes. Well, and I am just here for
Speaker:your accent, and I. I just adore you. You have
Speaker:just the brightest spirit. So thanks for coming on and
Speaker:sharing your story. And your story is so
Speaker:unique, you know, for myself, for those who are just now joining
Speaker:this podcast and have just found me, welcome. I'm so glad you're here.
Speaker:And if you want to know about my story, you can go back and listen
Speaker:to episodes one and two. I have three different
Speaker:defects, one which has now been corrected, but Don might
Speaker:beat me. And I want you to know that dawn is
Speaker:doing great, and that's why I wanted her to. To come on
Speaker:today, because you. You are such a beacon of
Speaker:hope and inspiration. So if you could just give
Speaker:us kind of like the 50,000 foot view of your diagnosis to
Speaker:start us off. Sure. I was actually
Speaker:41, and I had had four
Speaker:children via C section. I had
Speaker:had a couple of abdominal surgeries.
Speaker:And the spring of 2011, I had to
Speaker:go back and look, I was thinking it was in, like, February or March, but
Speaker:it was actually sometime in May. I started to feel
Speaker:short of breath, and I didn't even realize it at the time because
Speaker:sometimes when you're living it, it's so normal that you
Speaker:don't realize. So, yeah. So I went to the
Speaker:doctor thinking that I had seasonal allergies. I'd
Speaker:never had them before, but I thought that must be what it was.
Speaker:And. And I went into the primary care clinic, and he put the
Speaker:stethoscope on my chest, and his eyes got big. And
Speaker:he said. And I said to him, you know, well, I'm here because I. I
Speaker:need an inhaler for my. I think I've got seasonal allergies. And he
Speaker:said, oh, no, you need a cardiologist.
Speaker:And. And that was the impetus that
Speaker:started my heart journey. What did he hear?
Speaker:What was like, the. The clue? Well, I had
Speaker:a rare aortic aneurysm. And we did not know
Speaker:it at the time, but it had burst. I was walking around with it.
Speaker:And so he heard. And I'd heard sometimes when I was
Speaker:young, you know, that sometimes they would hear funny things,
Speaker:you know, a murmur here and a murmur there, but nothing ever
Speaker:stuck. So what he heard was the blood
Speaker:flow definitely not going the right way.
Speaker:And so that was May of
Speaker:2011. And I underwent a lot of
Speaker:tests because what it turned out I had is so rare
Speaker:that it took a lot of tests to find it. So that
Speaker:was. That's kind of the short version of how my story started.
Speaker:Right. So now, what were those tests? Now
Speaker:we can go into the longer version because, I mean, it is quite the
Speaker:path. Yes, well, all the tests. And
Speaker:I actually went. When I went in to meet with the
Speaker:thoracic surgeon, he got out this big old thick
Speaker:book. It looked like an Encyclopedia
Speaker:Britannica from the 70s. And he flipped it open to this page
Speaker:and said, this is what you have?
Speaker:And I said, have you ever seen this before? Oh, once, way
Speaker:back in Texas or something like that. And it was interesting
Speaker:because when I went in for my CAT
Speaker:scan, which of course, you know, is very common, and anyone with
Speaker:heart disease has testing done every year and, you know,
Speaker:to check things. So I went in and.
Speaker:Or for my sonogram. I guess at some point the
Speaker:sonographer's eyes got really big and she
Speaker:just kind of said, well, just a minute, I'm going to step
Speaker:out. And anyone that's ever had something like that, you know that that's
Speaker:a red flag. And she came back in with someone. She said, well, I just
Speaker:wanted someone with more experience to help me. And
Speaker:I thought, oh, okay. So what they determined I
Speaker:had was a sinus of
Speaker:Valsalva aneurysm. And I'd been born
Speaker:with it and. And no one had known. And at some
Speaker:point, and my primary doctor actually called me
Speaker:and apologized because I'd been in for regular checkups for different
Speaker:things and it had never shown up. And all of a sudden, apparently
Speaker:it burst. And the doctors wanted to know, did you have intense
Speaker:pain? Did you have. And I said,
Speaker:no. So we have no idea when this
Speaker:burst, usually common is that you. If you have
Speaker:this, you know, you have it your whole life and die and they never know.
Speaker:But otherwise it's usually a medical emergency
Speaker:for any aneurysm to burst. And. Yeah, yeah. So I
Speaker:was walking around with it and that was in June,
Speaker:I believe, and I didn't have surgery to correct it until
Speaker:July. So it was a couple months of tests
Speaker:and ruling this out, and ruling that out. And so that
Speaker:was the first diagnosis. And they also determined that I
Speaker:had a bicuspid aortic valve. So they didn't
Speaker:know whether or not they would have to replace that. So I
Speaker:underwent an open heart surgery and they
Speaker:repaired the aneurysm and decided that my
Speaker:valve was still functioning well, they didn't want to
Speaker:replace it at the time. And so that was.
Speaker:That was the first thing. And then later
Speaker:on, well, that started me on a journey where I would
Speaker:have, like, weakness and passing out. And I
Speaker:asked the doctors about it and they kept saying, well,
Speaker:you know, no, you're all right. And my, my heart rate was in, like
Speaker:the 30s and 40s, and I am not an athlete. That's an
Speaker:athlete's heart rate. And they kept saying, no, you're fine, as long as you're doing
Speaker:fine. And I said, well, you know, I'm not doing fine. Sometimes I get dizzy
Speaker:and pass out. And so I think four years
Speaker:later, I passed out at work and went to,
Speaker:you know, a different doctor who said, you know, oh, you need a pacemaker.
Speaker:And I felt so valued then because I had tried, you know,
Speaker:I didn't know if it was a pacemaker that I needed, but I had tried
Speaker:to get them to acknowledge that a 30
Speaker:and 40, you know, heart rate is not what I
Speaker:should have. And so then I had the pacemaker
Speaker:implanted, and they determined that possibly where
Speaker:they put the patch for the aneurysm
Speaker:was right near the SA node, which instigates the heart
Speaker:rate. They almost wonder if something happened there.
Speaker:Okay, but I'm just thinking about how you went four years
Speaker:advocating for yourself, and it took passing out at work
Speaker:and getting in front of a different medical provider. That drives me crazy
Speaker:hearing that. Yep. Yes. And. And, you know, and I actually
Speaker:passed out several different times. And they just said. They kind of
Speaker:poo pooed it. And. And I just said, you know, well, what happens if,
Speaker:you know, if I do this while I'm driving or something? You know,
Speaker:Exactly. And. And all I did was. Yeah. When I passed
Speaker:out at work, the. That was the second time I made an
Speaker:appointment and went right over to my main clinic, but just happened to see a
Speaker:different provider. And he's the one that said, no, let's
Speaker:get you set up. And I said, thank you. Okay, so then how long
Speaker:did it take to get the pacemaker? That didn't take very long at all.
Speaker:That's a good. I mean, I can't remember the timeline. I
Speaker:mean, that's a. I mean, it's not a huge
Speaker:ordeal, but actually, when they placed
Speaker:the pacemaker, they discovered another problem with
Speaker:my heart. And that is when they discovered that
Speaker:I had. And I have to make sure I say this right, because sometimes I
Speaker:say it wrong. A persistent left superior vena
Speaker:cava. And that means that when they put the
Speaker:pacemaker and they generally put it on your left side and where the
Speaker:wires go through in your veins, they got to
Speaker:my left superior vein, and it couldn't go anymore.
Speaker:And so they had to pull the wires back out. And apparently that is. I
Speaker:Mean, it functions fine, but it is in
Speaker:backwards. So then they had to restart and put
Speaker:the pacemaker on the right hand side and go through different
Speaker:veins. So that was another surprise. And
Speaker:these are all congenital defects. So I've had these since birth.
Speaker:And, you know, you just don't know. You don't know what's going
Speaker:on inside this human body. Exactly. And at what
Speaker:age were you in 2011 when all this was
Speaker:discovered? I was 41. Yeah. And see, I was. I
Speaker:was 42 when I began my journey. Yep, yep. Yeah. And
Speaker:that's just something I really want to drive home today is
Speaker:people. It's interesting. I'll get people who will, like, almost make a
Speaker:confession to me that, like, my community here and the Tetons,
Speaker:like, I don't listen to your podcast. And I'm like, I. That's
Speaker:fine. You don't have to. They're like, I'm not a heart patient. And. And I'm
Speaker:like, no pressure. I mean, and it's so. It's so sweet that people, like,
Speaker:feel like they need to confess to me, as if I am able to even
Speaker:notice or tell when people are, you know, specific IP addresses
Speaker:or whatever. But. But I do gently
Speaker:push back a little, and I say, I did. I thought I was
Speaker:fine until I was 42. And all these people are, like,
Speaker:binging on, like, murder and all these, like, Dr. Death and
Speaker:all these other podcasts, and I'm like, so
Speaker:don't you want to be educated on your heart more than murder?
Speaker:But, yeah, anyway, and it's interesting that we're
Speaker:discussing this on January 29th, because, of course, we're right
Speaker:on the cusp of February, which is Heart month,
Speaker:and. And one thing that during heart month, and
Speaker:as women heart champions, we've learned
Speaker:that, you know, education, you just don't
Speaker:know when or if it will be
Speaker:your turn or your time. So that's something very important
Speaker:that men and women have to remember, is
Speaker:that you just never know when you might all of a sudden be walking
Speaker:the path of heart disease. Right, Exactly. And it
Speaker:will hit you like a semi truck. At least
Speaker:it did for me. So let's talk. Let's touch on that a little bit,
Speaker:if you're willing. The short time I've known you, you're just. You're just
Speaker:so full of grace. And you're the classic Midwest,
Speaker:Midwestern personality, which I love. You embody the
Speaker:movie Fargo as far as Frances McDormand, and I love
Speaker:that. But I. I have to know,
Speaker:like, did you get upset like, how did you
Speaker:cope with this? Like, what was it like for you to learn about all of
Speaker:this? I, I think, to be honest with you,
Speaker:that it was that I, I didn't, I didn't at all
Speaker:grasp the concept of the seriousness of it.
Speaker:I, at the time I worked in public health and so
Speaker:I would Google all the time. You know, every time I had a test, I'd
Speaker:go on my portal and I'd say, well, I wonder what that could mean. And
Speaker:may as this, I think until I actually
Speaker:had to face the open heart surgery, I did not
Speaker:grasp the seriousness of it because I'd had it for so
Speaker:long. And what really hit it home
Speaker:with me is that because
Speaker:of course the aneurysm is very rare, but the
Speaker:bicuspid valves are not that uncommon. So
Speaker:each of my kids had to be tested to make sure
Speaker:that they didn't have it. That was an eye opening
Speaker:experience because as a parent it's okay
Speaker:if I go through struggles because I know I can handle
Speaker:it. But to find out that, well, this might be affecting my
Speaker:children that I didn't like, but
Speaker:it turned out they all turned out all right. But I did
Speaker:in the last few months read that
Speaker:children of people that have had
Speaker:aneurysms, even though like my kids have all been had
Speaker:the testing and found that they don't have
Speaker:the valve, when they turn 30, they
Speaker:should have another one to determine
Speaker:that something hasn't developed, like an aneurysm
Speaker:hasn't developed. So now trying
Speaker:to tell my adult children, who, you know, may or may not
Speaker:want to believe me, that just do a baseline test
Speaker:because you don't know, you have a higher rate
Speaker:of possibility of developing an
Speaker:aneurysm. Yeah, yeah. This is where
Speaker:sometimes ignorance is bliss. But at the same time knowledge is power.
Speaker:But ignorance, knowledge is power. It's like going back
Speaker:and forth. Yes. And then you just want to learn
Speaker:all you can about what is going on with your body and
Speaker:what you can do to change and to fix
Speaker:and to, and to teach
Speaker:others so that, that if they're walking the
Speaker:same road, that there is hope out there and that
Speaker:there's support. And that's one thing with the women heart.
Speaker:I'm so glad like you that I found that organization
Speaker:because the support and the knowledge is just
Speaker:unbelievable. Yeah, it really is. And they, they bring
Speaker:in the best and the brightest from like the Mayo Clinic and
Speaker:incredible learning. And I had
Speaker:Dr. Lara Suarez Pardo on in
Speaker:December talking about cardiac psychiatry, which
Speaker:was amazing. And I hope to have a Few of the other members that we
Speaker:got to meet here in 2025. So with
Speaker:your open heart surgery, how was your recovery? My
Speaker:recovery actually went really well. I got very
Speaker:lucky. And it's kind of interesting because we
Speaker:had kind of heard or known that the place that I worked at
Speaker:was going to be going through some changes and that several of us may
Speaker:be laid off. And while I was in the hospital
Speaker:recuperating, my supervisor came and I thought that she
Speaker:was there to visit, which I think she was, but
Speaker:she also was there to let me know that when I get home, my.
Speaker:My. The yellow slip or white slip or whatever, you know, would
Speaker:be in the mail. So. Oh, bummer, you know. Yeah,
Speaker:yeah. And. And so here I am, you know, and
Speaker:so I went back to work earlier, but, I mean, I felt okay. And
Speaker:I also worked in health care with a whole,
Speaker:you know, I told the doctor that I'm so very safe,
Speaker:I'm in a bigger town, I'm with
Speaker:all nurses. And I felt good.
Speaker:So I went back to work sooner than what they recommended, I
Speaker:think after just five weeks instead of the eight to 12 that they
Speaker:want, mainly because I knew I was going to be losing my job
Speaker:in just a few months and I had a lot of bills
Speaker:to pay. So that really. That
Speaker:there was more stress because of that and having that
Speaker:go on, too. And you don't think that negatively impacted your
Speaker:recovery, though, in the long term? I don't.
Speaker:I think that something very positive came out of it, actually,
Speaker:because one time when I was in. I
Speaker:think, I know you've done podcasts about cardiac
Speaker:depression, and I think I was in
Speaker:cardiac. I was in depression and I didn't realize it. And one time
Speaker:when I went in just for one of my. Not to the cardiologist, but to
Speaker:my primary care doctor, she just sat me down and said, dawn, think
Speaker:about all of what you've been going through.
Speaker:And she said, I think it would be beneficial for
Speaker:you to start on an antidepressant because you're losing
Speaker:your job. You've just undergone major surgery.
Speaker:And that was something that I needed, that I
Speaker:didn't even realize. I was
Speaker:depressed and I did not know it. And that medication has made a
Speaker:huge difference in my life. It made me.
Speaker:I've told so many people that I'd probably quit taking my
Speaker:heart medications before I'd stop taking my
Speaker:antidepressant, because I didn't know and I
Speaker:wouldn't actually, but I didn't know
Speaker:how much better my life was going to be. And
Speaker:so it, technically, it actually worked out to my
Speaker:benefit because the doctor kind of recognized, you know, you're under
Speaker:a lot of stress, Don, and you aren't. You don't realize
Speaker:it. Yeah, yeah, yeah.
Speaker:That's, that's a couple of times I've heard you say,
Speaker:like, you didn't realize how serious it was at first and then you didn't
Speaker:realize you were depressed. And I, I bring that
Speaker:up because I experience the same thing. And when you're
Speaker:in, when you're in this like extreme pressure
Speaker:cooker of going from thinking your heart is
Speaker:fine to not, it is a five alarm fire
Speaker:and you're just trying to figure out what needs to be done
Speaker:and what needs to happen next and who to go see for this and that
Speaker:and get all your ducks in a row. You don't have time to
Speaker:really be aware. You don't have time to
Speaker:focus on what's on the peripheral. You are just focused at
Speaker:what is right in front of you. Staying alive.
Speaker:Staying alive. And that makes that.
Speaker:Yeah. And that can affect, you know, well, obviously my mental health, but
Speaker:my physical health. I mean, it just.
Speaker:The waves just of how it impacts your
Speaker:life and your livelihood. It. Yeah, it's. It's something else how
Speaker:that can happen. Yeah. So I just want to normalize that for
Speaker:people because you're not the first person I've had the pleasure and honor
Speaker:of interviewing who has reported the same
Speaker:thing. It's, it, it is just so much to manage.
Speaker:And I just aired a episode with Keena,
Speaker:another heart champion of ours, and
Speaker:she said the same thing. She didn't cry until
Speaker:like, oh, shoot, what did she say? Four years
Speaker:later after her heart surgery. And once, the day
Speaker:it hit her, she just cried for a really long time. Like
Speaker:all of a sudden her body was just like, okay, it's time. I'm going to
Speaker:cry now. I'm going to really feel what I need to feel about
Speaker:this whole thing. And what was ironic was the day I
Speaker:interviewed her was the day of my four year anniversary
Speaker:and. Or it was right around there and I
Speaker:was, it was hitting me in a whole new way. My own heart
Speaker:journey four years later. And I've been, you know, I've been
Speaker:working with the same therapist since 2014 and
Speaker:so. And I have huge awareness skills and
Speaker:I'm. And I'm still figuring this out and just
Speaker:still kind of unpacking the journey. I just want to normalize
Speaker:all that. I think it's just
Speaker:such an ongoing process. And
Speaker:it's interesting when you say how it hits you. I don't know if
Speaker:you've done any podcasts on heart survivor guilt
Speaker:or if that is something that you've. You know. But I had
Speaker:a friend, someone that I know who literally is the
Speaker:same exact age as me, we share a birthday,
Speaker:and her husband had a heart
Speaker:emergency, ended up in the hospital and
Speaker:passed away. And I
Speaker:suffered what I call cardiac depression.
Speaker:I had survivor guilt. That. Why. Why
Speaker:him? Why not me? You know, so that was
Speaker:another wave that hit me and. And completely out
Speaker:of the blue. I was not expecting that, you know, because. And he's
Speaker:a good man, a good husband. Why
Speaker:him? And why. Why not me?
Speaker:And so that is something that I have. I
Speaker:definitely struggled with. And that was
Speaker:in 2017, when he passed away.
Speaker:So that. So six years in. So, yeah,
Speaker:survivor guilt. Yeah. I haven't
Speaker:recorded an episode on that, and I need to, because one of my
Speaker:dearest friends from childhood died of a massive heart attack in her
Speaker:sleep at age 48 the day before Thanksgiving
Speaker:this last year. And she had two kids, a husband, loving
Speaker:community, and I'm just like, why did I get to live? You know? So,
Speaker:yes, I. Yes, it is a thing. It is absolutely
Speaker:a thing. And I think that's just when we're facing our own
Speaker:humanity, and that's when the questions are bigger than our pay
Speaker:grade. Yes, you're right. And we. We will never
Speaker:know, you know, we will never know why. But it's
Speaker:interesting how something like that that you don't even
Speaker:think of can just hit you so
Speaker:strongly out of the blue. Oh, yeah. Yeah, it's a thing.
Speaker:And any emotion that comes up for us is valid, and it's
Speaker:just our psyche just processing. And I
Speaker:think the greatest gift we can give ourselves is grace, mind, body,
Speaker:spirit. Yes. And not just us, but others, too.
Speaker:Yes, I'm still working on that, Dawn. I'm still working on that.
Speaker:Any parting advice for those coming
Speaker:after you? And I like people who. A lot of people listen to this
Speaker:podcast that are just now starting out on their journeys. And for those
Speaker:just starting out, what. What do you want to tell them?
Speaker:Listen to your body and don't be afraid to ask,
Speaker:don't be afraid to question, and don't be afraid to advocate for
Speaker:yourself that it's very important because you, you
Speaker:know, you're normal more than anyone
Speaker:else. So if something doesn't feel right to you, say
Speaker:that. Stand up and yell. I need to be listened to. And I
Speaker:know you've talked about that multiple times, Boots,
Speaker:but. And also, don't be afraid to reach out. You know, get
Speaker:education, get support. There's so many people out there that are
Speaker:living with heart disease
Speaker:and the support, you might not realize it, but it
Speaker:is out there. And there's people that are willing to
Speaker:help you walk the journey. Women, heart champions,
Speaker:volunteers, educate yourself
Speaker:and ask questions. Yeah. And it's
Speaker:amazing to me, dawn, how many people are so anxious to help
Speaker:that just really want to make it better for
Speaker:those coming after them. And I think of you and all the other
Speaker:guests that have been willing to be vulnerable and share your stories
Speaker:on this podcast. And that is a way of helping those.
Speaker:So thank you for your willingness today. Well, that is no problem.
Speaker:You know, I am no different than anyone else. So you just,
Speaker:you know, you just don't know. And we need the heart
Speaker:to love, to live. So take care of your heart and don't
Speaker:be afraid to ask someone and share it
Speaker:with someone. I can't think of wiser words to end with. So
Speaker:thank you, Dawn Anderson, coming at us from near
Speaker:the Nutcracker Capital. Yes,
Speaker:you'll have to look it up sometime. La Verne, Minnesota, the Nutcracker
Speaker:capital of the world. And thank you again, listeners,
Speaker:listeners, for being here today for supporting this podcast.
Speaker:If you would consider there are two different ways that you can
Speaker:financially show your support. You can join our Patreon
Speaker:community, which I'll put in the show notes, and
Speaker:also you can buy me a coffee. That is a website
Speaker:where you literally can, like, go to buy me a coffee and throw
Speaker:a little bit of support my way. It really does make a difference.
Speaker:This is not free. I'm doing this from the goodness
Speaker:of my heart. But it is a lot to carry financially,
Speaker:so your support matters. And don't forget to
Speaker:subscribe. I don't want you to miss another episode of Open heart
Speaker:surgery with Boots. Please be sure to come back for another
Speaker:episode. And until then, remember that I love you,
Speaker:you matter, and your heart is your best friend. Amen.
