Past Monday Anniversaries

Sharing again this year since it’s another Monday.

Today I am hugely thankful that the last major issue we had here was in 2013 when Tom had his heart attack.  That event caused me to start a whole new blog to post about our experiences.

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Adapted from https://maryomedical.com/2013/02/08/the-beginning/

January 27, 2013 was our 40th anniversary.  DH called me and said he was leaving a conference in Washington, DC and we’d go out to brunch when he got home.

The next thing I had heard was that he was in the ER with a suspected heart attack.  I rushed to the ER and found him in his cubicle.  He’d had 3 nitroglycerine pills by then and figured he could go home.

Wrong!  They had him stay overnight at the hospital.  January 28th, they decided to send him by ambulance to Fairfax Hospital for a cardiac catheterization and possible stent.

At the end of that, the surgeon came into my waiting room and said that he needed triple bypass NOW.  Three of the arteries were 100% blocked.  They got me calmed down to see him in the OR.

He was trying to get odds of not doing this surgery and just leaving then.  Finally, I said that he would do this surgery, we weren’t going to fool with this.

I really lost it when they asked me if we had any children and I said 1 son in NYC.  They called him at work in New York and had him get there as soon as possible.  I’m sure he could hear the fear in my voice.

They wheeled DH off for surgery and I waited again.  Luckily, 2 church friends came and sat with me and our pastor arrived about 8:00PM.  Our son arrived about 8:30PM after taking the Acela and a taxi directly to the hospital.

The surgery was over about 9:00PM but when we saw Tom, he was still under anesthesia.  They kept him that way until the next morning since he was too confused when they woke him up.

Long story short (too late!) – he got out of the hospital on the 31st and I played nurse 24/7.   He couldn’t drive/go anywhere for 6 weeks, and then there were 12 weeks of cardiac rehab.

One of the things that came out or cardiac rehab was becoming friendly with 2 other couples (although one of them has since split up).  We go out to dinner every couple months…and none of the surgeons would be happy about our choices.

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A slightly different take on the events, written 3 weeks later on the same blog.

Icy Days and Mondays…*

* With apologies to Karen Carpenter!

I know I’m not supposed to “relive” events.  I have done that too often with my Cushing’s and cancer adventures and I’m told that reliving causes nearly as much stress as the original event.

So, I plan to write down my memories here and try to let them go…

It all started on Sunday, January 27, 2013 – our 40th wedding anniversary.  I picked up my mom and went to church so I could sing in the choir.  DH went to a meeting of some sort on Benghazi.

After church, I stopped off in the church office for a goodie bag that the Staff Parish Committee had left.

Dropped my mom off at her house and went home.  I put the goodie bag on the dining room table and logged onto the computer to do some work.

I got a couple text messages from DH:

Text message

I figured I’d take a nap until DH came home for that late brunch.

The next thing I hear was my phone ringing, a call from DH.  He was in the ER at Fair Oaks with a heart attack.  OMG!

I immediately leaped up and rushed out the door.  I called one of my pastors and got to the ER in record time.   When I arrived, he was in a bed, all hooked up to monitors, fluids and such.  He was awake and feeling pretty well thanks to the nitroglycerine they had given him immediately after arrival.

When we had a chance to talk, it turned out that he had been in his conference and realized his chest was getting tight.  He found the hotel’s store and bought aspirin – 3 for $11.00 which he thought was extravagant.  He bought them and took them anyway – and probably saved his life.

On the way home, he was feeling pretty good so he stopped at the mall to buy an anniversary gift.  The salesgirl in Zales didn’t know that ruby was the stone for the 40th anniversary and was kind of ribbing DH for waiting until the last minute to buy a gift.  He walked out of there, felt more tightness and headed to the ER…where he called me.

DH was feeling pretty well thanks to the nitroglycerin and aspirin plus whatever else they had in the IV and wanted to go home.  The staff said no way – he had to stay overnight so he could be monitored.

The “automatic clock” on the wall said it was Monday.  Other rooms said Sunday.  Hmmm

A trainee EMT came in to ask some questions as part of his learning process.  Every time DH mentioned the word “Benghazi”, his blood pressure spiked about 40 points or so.  That term became verboten ever after.

My pastor stopped by and we had some nice chats and prayers.

Time passed, tests were done, doctors and nurses stopped by.  Finally, DH was moved to his room upstairs.

About 9 or so I went home and found our dog huddled by the front door – I had left so quickly I hadn’t left her any lights on.  I imagine she was quite worried.

I can’t even remember what I had to eat for dinner but I really wanted something chocolate.  On a whim, I looked in that goodie bag and there was a double-sized brownie.  I think I ate that in record time and it really hit the spot.

Ice

Monday morning (for real!), I checked the weather and found that school was starting late because of icy conditions.  I put on boots and took the dog out.  It seemed to be raining – if it’s raining, it must be warm, right?  So I didn’t really pay attention (and I had other things on my mind!) and completely missed seeing the black ice.

Next thing I knew, I had fallen on one knee, my cell phone in my pocket bruised my other thigh and my left arm hurt where I’d reached out to catch myself.  Luckily, I hadn’t let go of the dog’s leash.

I ended up sitting in a puddle of icy water for a long time, figuring out how to get up.  I finally sort of crawled up the trash can that was sitting in the driveway.

The dog had an abbreviated walk, I changed my wet, cold clothes and headed to the hospital.  I was showing DH my knee and one of the staff bandaged it up for me.  I told him I hadn’t fallen at the hospital and wouldn’t sue but I guess he wanted to be sure.

(Today, Monday February 18, my knee still has a huge lump under the skin and hurts when I touch it, although I’m no longer limping,  The bruise/pain from cell phone finally went away)

The hospital staff decided DH should go to another hospital which is world renowned for its work with heart cases to have a heart catheterization and possible stent.  DH was ready to walk out to my car to drive him to Fairfax Hospital.  He wasn’t thrilled when he was strapped to a gurney and out to an ambulance instead.

I headed over in my car.  They’d changed the entrances to the hospital since the last time I was there and I couldn’t find the “Grey Entrance”.  Finally, after wandering around for a long time, I found it.

I saw DH in the prep room where they got him ready for the heart catheterization – then they rolled him away after explaining all the things that could go wrong.

I went out to the waiting room, got some coffee and a sandwich and hunkered down with my iPad.

Eventually, my beeper went off and I was called back to the room where DH had been prepped.  The surgeon was there this time.  She said that 3 arteries were nearly 100% blocked and they needed to do emergency triple bypass.  They also needed me to convince DH of this since he was figuring he could tough it out.

I started crying but she said I had to get myself together and convince him NOW.  I had to put on scrubs and off I went to the OR.  I got there, DH was on the table trying to figure out the odds if he didn’t do this surgery.  All the medical staff said that he had  a very low chance of survival without the operation.  He still wasn’t sure.  He wasn’t afraid to die.  Tough Guy, Yadda Yadda.

One of the nurses asked me if we had any kids.  I said only one, in NYC.  She said I should call him and get him here ASAP.  She even dialed the number.  I talked to DS at work and he agreed to come right away.  He was pretty scared, too.  He later revealed that he had been crying on the train ride.

I went back to the OR, told DH that DS was coming and that he was going to do the surgery like it or not.  I signed the paperwork and sent him to a very scary surgery.

It was about 4:30 by then and I needed to take the dog out again.  They said I could go home – surgery wouldn’t be over until about 8:00PM or so. Got home, took the dog, made sure that there were lights on, and headed back to the hospital.  Another pastor from my church called.  He said he’d be by the waiting room later.

Two friends from the church office texted me to say they were coming over to sit with me in the waiting room.  They got there about 6:30 and we decided food might be a good thing.  We headed out, following a variety of directions and signs and walked for a l-o-n-g time.

My knee was killing me.  We got to the cafeteria and found out that it was closed.  the 24-hour one was elsewhere.  We finally found that, got some food and my cellphone rang.  The surgeon would be coming out soon to talk to me.

We hustled back to the waiting room and the surgeon came out about 8:00 with good news.  Successful surgery!  DH wasn’t awake yet but we could see him about 9:00PM.

The pastor arrived about 8:30, then DS got there about 8:45.  Finally, they said we could see DH although he still was asleep.  My friends left, pastor and DS went in to see him in ICU, sleeping so peacefully with so many lines attached.  The pastor prayed, then left.  DS and I decided to stay to see DH awake.

About an hour later, the ICU tech said they were going to keep him asleep overnight so we went home.

Monday

Tuesday, January 29 – DS called the hospital fairly early and found that DH was still a bit agitated so they were keeping him under a bit. I took the dog out and we got ready to head back.

I got a call that he was waking up but agitated.  He kept fighting with the nurses on the day of the week.  He kept saying it was Monday, even though it was Tuesday.  Surprise, surprise.  The calendar on the wall hadn’t been changed.  It still read Monday.  No wonder that’s what he thought!

We stayed all day, though nurses, techs, doctor visits and such.  He was in ICU so was monitored very well.  DH was quite confused and repeated himself a lot.  He wasn’t quite sure what had happened.

Monday

Wednesday, January 30.  DH had been moved from ICU into a regular room and we had to follow visiting hours, even though we were family.  We could visit at 11 and had to leave at 1, then back for 6-8.  Actually, this worked out well since I was able to take my first nap since this whole ordeal began.

DH had called DS early in the morning and  said he “needed” his cell phone to make some work calls.  Luckily, DS talked him out of that, saying that he could say some wrong things, given his temporary memory issues.  Thank goodness!  I didn’t want him spending his days talking on the phone.

We got there about 10:45am and they still wouldn’t let us in due to “flu season”.  I’m not sure how we could give him the flu in those 15 minutes before official visiting hours.

I glanced at the whiteboard on the wall where the nurses’ names, doctor’s name and such were written.  Unfortunately, no one had changed this whiteboard since Monday, so that’s what it still said.  <sigh>

We visited – DH got to eat a bit and had started having lines removed.  He thought he might put his shorts on so went into the bathroom to do that.  Unfortunately, he managed to pull the IV out of his hand and bled quite a bit.  The nurse sent him back to bed and said no more of that!

A representative from the group Mended Hearts stopped by with information and a heart-shaped pillow.  They have meetings the first Saturday of the month, so we might go to some of those.

The first pastor dropped by again and we made plans for Friday to pick up DH’s car which was still at the ER.  No one else I know could get it – it’s a standard shift car.

Not much else – visiting, napping, improvements every day.

Not Monday

Finally, it’s not Monday!  Nowhere, nohow.  Just Thursday, January 31 after 4 days of Monday.  Hooray!

DS had a headache so I went to the hospital alone.  He was going to come for the nighttime visiting hours.  As it happened, DH came home this day after lots of testing, last minute X-Ray, discharge notes, complaints about the night nurse…

We got home about 5:00PM.  Yea!

Now the real work began – visiting nurses, medications, doctor visits, rehab.

Since it’s no longer Monday, this post is over 🙂

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Whew!  There was a lot more after the surgery – visiting nurses, cardiac rehab, so on and on.

I am hugely thankful for my pastors, friends, family, people who brought us dinners, all the doctors, nurses, surgeons, visiting nurses, rehab personal, Mended Hearts, ambulance folks, aspirin, nitroglycerin, insurance, Fair Oaks Hospital, Fairfax Hospital, everyone involved in any way with this escapade.

Five orange pumpkins sit in a row in front of a distressed, wooden background.

What a Week!

Following last Friday’s Emergency Room Adventure, I have seen both a thumb surgeon and a heart specialist.

Wednesday, was the thumb surgeon.  Surprisingly, he accepted the xrays from the hospital and their diagnosis:

A closed avulsion fracture of the right thumb phalanx means a small piece of bone at the end of a thumb bone (phalanx) broke off, usually where a tendon or ligament attaches, without the skin breaking. Treatment often involves splinting, rest, ice, and physical therapy, aiming for healing within weeks, but surgery might be needed for significant displacement or instability to restore full function, preventing chronic weakness or arthritis.

So far, so good.  He recommended a hand therapist who would make me a custom cast which I will wear for 6 weeks and see him again to decide the next steps.

I have called twice and sent a message to this person with no response.  If I’ve heard nothing by Monday, I guess I’ll have to go to the second recommendation.

 

Yesterday, Friday, I went to the heart specialist.  They actually did call me to remind me that the ER wanted me to have this appointment ASAP.

They redid the EKG, asked lots of questions, took my blood pressure several times.  Now, they’re worried that my blood pressure is possibly too low (112/ 68 mmHg) so they may lower the meds that the hospital gave me.

I still have bloodwork to do, an appointment with them in 2 weeks and another in 6 months.

All in all, really good news.

It Was a Day Like All Days. Or, Was It?

This is the followup to yesterdays post Good News for Me! Drinking Coffee in the Morning Reduces the Risk for Death.

Friday, January 2, 2026 started normal enough.  I went to Pender to practice my upcoming piano-organ duet with a friend.  Then, I was going to the local stand-alone emergency room to check out my thumb.

No big deal, right?

The practice went well and I went home to pick up DH to go to Inova-GoHealth Urgent Care – Greenbriar to see about my painful thumb.  This is the same thumb from my May 17 post but a different problem.

Last weekend starting Christmas Day until Sunday, December 28 we had been to NYC to visit our son and his family.  Leaving Sunday evening, we got to Moynihan Station to take the train home.  Because I had a rolling suitcase, we took the ramp to the train hall instead of the stairs.

It’s unclear what happened next but I know DH fell on the ramp and knocked me over as well as a sign.  My hand was still wrapped around the handle of the suitcase and was hurting quite a bit.

Fast forward to yesterday – my thumb was still hurting so we headed off to the Inova-GoHealth.  They do the usual, weight, height, review meds, take blood pressure.  A bit high.  Take it again – higher still.  Tech person calls in doctor.  Higher again.  He says that they can’t help me or my thumb.  I have to go to the real hospital emergency room.  NOW.

So, we drive over to the ER.  I found that my keys set off the metal detector. While I was signing in with my referral papers, they called me back to triage.  BP is higher again (mine was now over 200/90!).  White Coat Syndrome, maybe?

 

According to google:
“White coat syndrome (or hypertension) is when your blood pressure spikes to high levels in a doctor’s office due to anxiety or stress about the visit, but returns to normal at home, marked by elevated readings (>140/90 mmHg) in the clinic but normal readings (<135/85 mmHg) elsewhere, requiring home monitoring to prevent misdiagnosis and potential long-term risks like heart issues.”

Symptoms

  • No symptoms at home: The primary sign is normal blood pressure outside the clinic.
  • Anxiety/Stress: Feeling nervous, anxious, or stressed during a medical appointment or when a blood pressure cuff is applied.
  • Elevated readings: Blood pressure consistently over 140/90 mmHg in the office, but below 135/85 mmHg at home.

Causes & Risk Factors

  • Anxiety: The stress and fear associated with medical settings, doctors, or past negative experiences.
  • Stressful environment: The clinical setting itself triggers a physiological stress response.
  • Risk factors for hypertension: Being older, overweight, or having certain chronic conditions can increase risk.

Management & Prevention

  • Home Monitoring: Regularly checking blood pressure at home or using 24-hour ambulatory monitoring to get accurate readings.
  • Stress Reduction: Identifying and addressing the sources of anxiety about doctor visits.
  • Lifestyle Changes: Adopting healthy habits like a good diet, exercise, and managing stress.
  • Provider Communication: Talking to your healthcare team to rule out actual hypertension and avoid unnecessary medication.

Why it matters

  • Misdiagnosis: Can lead to unnecessary hypertension treatment.
  • Increased Risk: Even temporary spikes can strain the heart, potentially increasing long-term risks for heart attack, stroke, and heart failure, say Adventist Health and American Heart Association Journals.

So, I was put in a room and all kinds of tests were started, lots of blood taken, EKG leads applied, more blood pressure monitoring.  This went on for a couple hours, just watching numbers fluctuate.

Then – finally – the long-coveted x-ray of my hand!

Some more monitoring,  Various medical staff told us what some of the numbers meant.  A doctor came in.  One of the staff told him that he was concerned/confused about my EKG results.  The doctor came back and told me that he was going to do a consultation with a cardiac doctor about the EKG.

More monitoring.

The doctor finally came back and said that we could go home.  BUT.  I have to call their cardiac doctor ASAP on Monday morning followed by their recommended Orthopedic Surgeon, followed by my PCP.  I saved some time with all this and arranged the PCP through MyChart.

The nurse came back to remove the EKG leads and give me some Losartan and HCTZ  (hydrochlorothiazide) pills.  I couldn’t hold the water to take the pills so I handed it to DH.  Of course, he immediately started drinking my pill water.

Got the water back, clothes back on and finally on our way home.

Total time: 7 hours.


Test results

And that thumb?

An avulsion fracture fragment.  Google says: “An avulsed fracture fragment is a small piece of bone that breaks off from the main bone, pulled away by a strong force exerted by a tendon or ligament, often during sudden movements in sports, leading to pain, swelling, and instability, with treatment ranging from rest and casting for small fragments to surgery if the fragment is large or significantly displaced”.

Everything else normal except “Regarding her elevated blood pressure, patient has some interesting changes in her EKG while she is here including left bundle branch block but then back to sinus rhythm. No cardiac symptoms. Cardiac workup otherwise reassuring including troponin. Normal creatinine in regards to elevated blood pressure. I will discuss with Virginia Heart cardiology but generally with think that discharge on blood pressure medication outpatient follow-up might be reasonable”.

So,

Maybe more after the cardiologist, maybe surgery after the Orthopedic Surgeon, maybe just a weird day for me.

Good News for Me! Drinking Coffee in the Morning Reduces the Risk for Death

Did drinking coffee save my life yesterday?  More on that after I reflect more on the events of the last 24 hours.

This morning, from my email:

Drinking Coffee in the Morning Reduces the Risk for Death

Key takeaways:

  • Morning coffee drinkers had a 16% risk reduction for death from all causes.
  • Morning coffee drinkers who consumed between over two to three or more cups achieved the greatest benefits.

People who drink coffee in the morning have a lower risk for death from all causes compared with those who do not drink coffee at all, results from an observational cohort study published in the European Heart Journal showed.

The association between morning coffee consumption and reduced mortality risk appeared especially strong with respect to CVD, according to researchers. Meanwhile, the analysis revealed that those who drank coffee throughout the day did not achieve the same mortality benefits as morning drinkers.

“While moderate coffee drinking has been recommended for the beneficial relations with health based on previous studies, primary care providers [should] be informed that the time of coffee drinking also matters, beyond the amounts consumed,” Lu Qi, MD, PhD, a professor at Tulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, told Healio.

Current research suggests that coffee consumption “doesn’t raise the risk of cardiovascular disease, and it seems to lower the risk of some chronic diseases, such as type 2 diabetes,” Qi said in a press release.

“Given the effects that caffeine has on our bodies, we wanted to see if the time of day when you drink coffee has any impact on heart health.”

In the study, Qi and colleagues assessed links between mortality and coffee consumption — including the volume and timing — using data from the National Health and Nutrition Examination Survey from 1999 to 2018.

The analysis comprised 40,725 adults who had given dietary data of what they consumed on at least one day. This included a subgroup of 1,463 adults who completed a detailed food and drink diary for an entire week.

Overall, 48% of the cohort did not drink coffee, 36% had a morning-type coffee drinking pattern — primarily drinking from 4 a.m. to 11:59 a.m. — and 16% had an all-day drinking pattern.

The researchers found that, after adjusting for factors like sleep hours and caffeinated and decaffeinated coffee intake amounts, morning coffee drinkers were 16% (HR = 0.84; 95% CI, 0.74-0.95) less likely to die of any cause and 31% (HR = 0.69; 95% CI, 0.55-0.87) less likely to die from CVD compared with those who did not drink coffee.

People who drank coffee all day did not have any risk reductions vs. those who did not drink coffee.

The amount of coffee consumed among morning drinkers also influenced risk reductions, as researchers reported HRs for all-cause mortality of:

  • 0.85 (95% CI, 0.71-1.01) among those who consumed more than zero to one cup;
  • 0.84 (95% CI, 0.73-0.96) among those who consumed more than one to two cups;
  • 0.72 (95% CI, 0.6-0.86) among those who consumed more than two to three cups; and
  • 0.79 (95% CI, 0.65-0.97) among those who consumed more than three cups.

Study results showed similar patterns for mortality from CVD, “but the interaction term was not significant,” Qi and colleagues wrote.

The researchers identified a couple of study limitations. For example, the analysis used self-reported dietary data, opening the potential for recall bias, while they also could not rule out possible residual and unmeasured cofounders.

The study did not explain why morning coffee consumption reduced the risk for death from CVD, Qi said in the release.

“A possible explanation is that consuming coffee in the afternoon or evening may disrupt circadian rhythms and levels of hormones such as melatonin,” he said. “This, in turn, leads to changes in cardiovascular risk factors such as inflammation and [BP].”

Qi told Healio that regarding future research, “more studies are needed to investigate coffee drinking timing with other health outcomes, in different populations, and clinical trials would be helpful to provide evidence for causality.”

References: