There are some doctors I choose not to thank but most have helped along the way.
Adapted from http://www.maryo.co/giving-thanks-day-3/
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.
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.
A slightly different take on the events, written 3 weeks later on the same blog.
* 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:
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.
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.
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.
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.
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 🙂
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.
I love this quote and I wish more doctors would understand this:
It is your life. As your doctor, my job is to guide, not order or command. It is about you, not me. You are the patient. I am the teacher and healer.
This article says differently:
Wake up and smell the coffee beans. Many of us start the day in this manner, but sometimes that caffeine kick we’re after doesn’t actually kick. Turns out there’s a good reason – if you’re missing out on an energy boost from that morning cup, science has the answer.
The daily coffee habit isn’t just a delicious ritual, it’s also a vehicle for the planet’s most popular psychoactive drug, caffeine. People the world over rely on this central nervous system stimulant for its ability to keep them alert, despite the myriad side effects including possible anxiety and heartburn (everything in moderation, people).
However, as anyone who’s not a coffee addict will attest, humans are perfectly capable of staying awake without chemical help. This is thanks to our own internal chemistry, and, more specifically, a hormone called cortisol.
As with any hormone, cortisol has several influences on the body, and is most commonly associated with metabolism. Produced in the adrenal cortex above the kidneys, it also plays a role in our stress and alertness levels.
And this is where it gets really interesting. Research has found that cortisol has a natural peak-and-fall cycle in the human body, with the highest levels occurring on average between 8 to 9 am.
Cortisol – and therefore your natural, unaided alertness levels – are important to consider in relation to your caffeine intake. Right when you wake up, your cortisol is already on the climb, which means that the morning coffee shot is going to have a lesser effect.
“If we are drinking caffeine at a time when your cortisol concentration in the blood is at its peak, you probably should not be drinking it,” writes neuroscientist Steven L. Miller. “One of the key principles of pharmacology is use a drug when it is needed [..] Otherwise, we can develop tolerance to a drug administered at the same dose.”
So drinking coffee first thing in the morning makes you more resistant to its effects. Of course, if you’re just drinking it for the taste, go nuts.
But when should you enjoy your coffee, then?
To optimise your coffee break, it’s best to have it between 9.30 and 11.30am. Because cortisol levels peak and rise a couple times during the day, your next window of alertness is between noon and 1pm, and then again between 5.30 and 6.30pm.
Drink coffee in-between these times to reap maximum caffeine benefits, but don’t leave it too late in the day if you want to get a good night’s sleep.
Am I likely to change my habits? Probably not. My cortisol levels have been screwed up for over 30 years anyway!
Read the whole report at https://maryomedical.com/2015/annual-report/
Sorry for the pun-ny title again! Like our new diet, this post is really low/no salt. It’s just a followup on our Monday car adventures and has nothing to do with heart stuff so feel free to stop here.
My plan had been to get contact AAA on Tuesday for either a jumpstart or tow but it was one of those icy/cold/freezing rain days so I put it off until Wednesday. I didn’t really have anywhere to go, anyway.
Wednesday morning, I tried my car again, just in case. Nothing. I tried DH’s car, too. If his worked, I might follow the tow truck and use that. Nothing for his, either. It hadn’t been driven since it came home from the ER. <sigh>
I used my AAA app to contact them and sat in the car to wait. I didn’t want to rile Mimi up any more than necessary. Joe, the Advanced Automotive driver dispatched by AAA called DH about 15 minutes later to say that he was about 2 minutes away. I’m not sure why he didn’t call me, though.
He took a look under the hood and asked me the usual questions if I’d left the lights on (DUH), had been listening to the car radio while waiting, etc. I have way too much experience from living in Milwaukee to run down a battery like that.
He gave it a short boost and the car started. Hooray! He asked me to turn it off and start it again. Nothing. Another jump and another start. He checked the alternator. That was fine.
He had three options: tow the car to a mechanic, get a jump start and drive to a mechanic or he could replace the battery for $125. A no-brainer, I chose replace the battery. He said it would be about 30 minutes, so I went back inside.
After about 10 minutes, he knocked on the door – and riled up the dog, just what I was trying to avoid – and said he’d never replaced the battery on a Cruiser. To do so, he’d have to remove the air filter and several hoses.
I went out and took a look. The hoses looked fairly important so I told him I’d go with the second option – jumpstart and drive to the mechanic. I was very impressed with his honesty.
I finally got to Fair Oaks Chantilly Chrysler without incident, checked in and hunkered down with my iPad and coffee. 90 minutes later, they told me everything had checked out and they had a new battery. Their’s was only $120 – unfortunately, all the other electrical checking was another $175 😦 Still worth it to have a car that starts.
A quick stop at Walmart for essential dog food and home to find DH napping. Time for a nap myself!
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