Well, this was unexpected.

G

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So, Tuesday night my wife and I finished off some her delicious homemade chili. I'm at the computer trying to conclude a story, and I notice my entire shoulder girdle tightening up and I begin trying to stretch to relieve the stiffness.

Then, my chest begins to hurt. I mean, really hurt. Indigestion? Maybe so, maybe not. I get more or less horizontal in my recliner to see if a shift in body orientation will help. No dice, so I call for my wife, a nurse, and tell her, "This really doesn't feel right." By now, my upper back is hurting on the right side and I'm grabbing and massaging my right arm. When I start to complain of a headache, she says, "Let's go."

15 minutes later, I'm in the ER and they're popping the first of three nitro tabs under my tongue. Blood pressure is a rather astonishing 226/125. (A personal best. I'm so proud.) Somewhere in there they wheel in a portable x-ray and shoot a film of my chest. I tell my wife, "Honey, I love you, but if this turns out to be your chili I'm not eating it again."

The third nitro does the trick and I'm wheeled off for a CAT scan with contrast dye. By the way, that is the damnedest feeling when the dye hits--face flushed and so did my asshole. Don't know whether that says more about the dye or me.

Back to the ER and the pain is returning. One more nitro tab and two shots of morphine later, I'm being admitted to a specialized heart wing. Oddly enough, my cardiac enzymes didn't show any elevation that would suggest damage.

A fairly miserable night ensues--I'm not in any pain, but I'm awakened at least twice, maybe three times for labs and another two or three times for vitals. Total effective sleep--maybe 90 minutes. They're pumping me full of clot-busters and anti-coagulants. I'm peeing in a plastic urinal--not one of my fetishes.

In the morning, they tell me that the cardiac enzymes have risen slightly so I'm scheduled for a cardiac catheterization at 11AM. The procedure goes very well (I refused any sedation; the pain was negligible) although the cardiologist was about 45 minutes late. My wife was not happy.

Upshot: 90% blockage in one branch of a cardiac artery. Time for a balloon angioplasty and insertion of a drug-eluting stent to hold things open. Close the femoral artery (where they inserted the cath) with a nifty resorbing clip. Total time since arriving in the catheterization lab: 90 minutes.

Diagnosis: mild myocardial infarction (heart attack).

Back to my room, where I'm informed that I'm staying another night (SOP for stents). Ah, well. I sleep for a few hours, and after awakening slowly and carefully stand up, whereupon I notice a pool of blood on the floor, some on the sheets, and more around my groin. Nothing's spurting, though, so I ring for the nurse and try not to bleed over anything else.

Nurse comes in, checks it out, and figures that the bandage over the incision became saturated and then all the blood ran out when I stood. Charming. I figure maybe the anticoagulants have played a role in this.

The rest of the day/evening goes well; eat, doze, sleep, stare at TV, repeat.

This morning, I'm discharged early with a boatload of instructions, four medications, and an incision that has thankfully decided not to gift my crotch with further red daubings. Hurts, though, and the bruising is spectacular. Off work till Monday, take it easy until then.

How's by you?
 
Sheesh! What an experience. Yay for modern medicine. Glad you're ok, gnome. :)

What you need now is a welcome home bowl of chili. :D
 
Damn.

Very glad you're home safe. :rose:

And kudos to you and your wife for taking this seriously and getting you to the hospital quickly.
 
Sorry to hear that. Glad you are taking it in stride, though.
 
Healing thoughts your way!!

Glad it didn't end up being more serious than that, and glad you went to the hospital right away. :rose::rose:
 
Keep interested in your condition.

Apart from anything else, it means you'll be monitoring what it is, but above that it keeps things impersonal and your intellect engaged - much better than depression. :rolleyes:
 
Yikes! :eek: I'm glad you're doing better.

A stay well :kiss: from the good little witch.
 
Thanks for the well-wishes, folks. I guess it's a cautionary tale, as well as a way of exorcising demons.

I'm something of a pain in the ass as a patient; I'm unfailingly polite, but my general medical knowledge is about on par with that of an RN (my wife tells me) so I'm always asking "What is it?" and "Why are you giving it to me?"

:D

I've tried my wife's chili and found it spicy, but innocent. Still, it may be a while before I feel like attempting it again...
 
Which particular blood vessel was it? If it was the one I'm guessing you should buy a lottery ticket.

I had a similar problem a few years back but had to have surgery because it was a double blockage.

I have often wondered if the hot flush you get when the dye is injected can be compared with the rush drug takers get. I have had an angiogram twice. The first time a very pleasant nurse provided manual pressure to my groin for an hour afterwards to prevent bleeding. The second time some miserable so in so had invented a clamp to do the job.

Best of luck with it.:)
 
Which particular blood vessel was it? If it was the one I'm guessing you should buy a lottery ticket.

I had a similar problem a few years back but had to have surgery because it was a double blockage.

I have often wondered if the hot flush you get when the dye is injected can be compared with the rush drug takers get. I have had an angiogram twice. The first time a very pleasant nurse provided manual pressure to my groin for an hour afterwards to prevent bleeding. The second time some miserable so in so had invented a clamp to do the job.

Best of luck with it.:)

I think I could point to the arterial branch on a chart but can't recall the name; and, I have $8 a week budgeted for lottery tickets. Just because. :)

My wife said that the clamp is better than a nurse having to put her fist in someone's groin for 30 minutes to prevent bleeding, but bemoaned the fact that nurses can no longer play with the wound by releasing pressure long enough to watch it squirt. I think she was kidding...
 
Thanks, Cv.

You know, I'm convinced that people go into medicine in part because they're closet sadists. I mean, if the bruising around my groin and on my thigh were the result of BDSM play, somebody'd be going to jail!

But these people get paid for it...

:D
 
I'm very pleased to read this simply because that means you were around to write it.

Recover quickly ya stubborn bastard... ;)
 
Hi GdP,

I'm glad you didn't ignore the signs of a heart attack. You and your wife are very wise. Don't forget, ladies, we present symptoms differently than men most of the time. If in doubt check it out and that goes for everyone. The enzymes a heart attack produces can still be detected up to 36 hours after an incident, try to get to an ER sooner than that though. You've seen here what early intervention and treatment can do in the case of a genuine heart attack.

I've been in the cath lab three times. Wasn't lucky enough to go the wrist route or get the plug; I have a problem absorbing that stuff anyway and have wound up with infections from it. I wonder if they had used removable catgut and taken the stitches out in a couple of weeks if those problems wouldn't have been avoided. Moot point though.

I felt the heat in my belly and groin first, much like I was releasing my bladder and then the flush follows the heart beat on the second heart contraction. I watched mine on the monitors. My reasons were because they were going to perform open heart surgery on my valves anyway so they wanted to go in with as much forewarning as possible, no blockages but a dilated aortic root and a defective valve (twice grrrr). Hopefully this one will last long enough for the science to allow off bypass pump and non-invasive surgery.

I was bruised because of a hematoma, the first time I had a cath since the carefully nurtured clot let go and bled inside my leg. The nurse had to reach in and pinch the heart side closed for 30 minutes before she could let go to reclamp. I had an eggplant coloured bruise, extending from just below my right boob down to below my right knee. No wrapping around to speak of but it lasted over 6 weeks and went through every ugly shade of yellow and green ... eeew. :) Thankfully, it was just a bruise and not putrefaction. If it had been closer to Hallowe'en I could have gone zombie.
 
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Holy crow! Glad you're okay! :kiss:

So it hurt on the RIGHT side? I always thought it was the left? :confused:
 
Thanks, Cv.

You know, I'm convinced that people go into medicine in part because they're closet sadists. I mean, if the bruising around my groin and on my thigh were the result of BDSM play, somebody'd be going to jail!

But these people get paid for it...

:D

Enthusiasm is good in this instance, right? ;)

Glad you're doing well, Gnome. :rose:
 
Holy crow! Glad you're okay! :kiss:

So it hurt on the RIGHT side? I always thought it was the left? :confused:

Nope. According to my attending, there's a really wide variation in symptoms in MIs which can easily include right-side pain.

Of course, as a committed liberal, I'm somewhat miffed about my body's choice of symptoms.
 
Nope. According to my attending, there's a really wide variation in symptoms in MIs which can easily include right-side pain.

Of course, as a committed liberal, I'm somewhat miffed about my body's choice of symptoms.

*snerk*

Well it's good to know... I had gall stones with my first pregnancy and would have thought gall bladder on the right... heart on the left... but now I know it could be heart on the right, too! (They hypochondriac in me rejoices. :eek: )
 
*snerk*

Well it's good to know... I had gall stones with my first pregnancy and would have thought gall bladder on the right... heart on the left... but now I know it could be heart on the right, too! (They hypochondriac in me rejoices. :eek: )

Then my work here is done. Glad to be of service!

;)
 
*snerk*

Well it's good to know... I had gall stones with my first pregnancy and would have thought gall bladder on the right... heart on the left... but now I know it could be heart on the right, too! (They hypochondriac in me rejoices. :eek: )

In women symptoms of a heart attack can feel more like indigestion.

Then my work here is done. Glad to be of service!

;)

Glad you're okay.
 
Glad you're okay.

Thanks.

Next step--cardiac rehab! I argued that I've joined a gym and that I have my very own nurse.

They countered that my nurse doesn't have an EKG handy. (That was really reassuring! Honestly, the thought had never crossed my mind.)

I riposted that I have peripheral neuropathy and permanent muscle damage from taking statins, and that one size doesn't fit all when it comes to exercise.

They moved in for the kill by stating that these ladies take a very flexible approach.

Fuck it. I'm too tired to argue, and least their clinic is only four blocks from my office. We'll see.
 
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