I have returned to work now after a long absence, which included a bit of a setback which delayed me from doing so for an extra week. So now, hopefully, this means things have settled down to a point such where it’s safe to note what all has transpired for me through most of September and October. I’m still struggling for the correct and accurate words for this whole period of trying to process all of the changes for what is becoming my new normal, and facing the new realities of now living with a coronary condition. People have been wondering what happened to me, and I felt compelled to set things straight, as I hate being some subject of rumour and speculation. Me being me, I also don't like repeating the same sordid story verbally a thousand times, over and over again. It’s why am writing this out. Besides, as with having had clotted-up lungs from embolisms a few years ago, talking excessively seems again to be very energy-sapping for me. So here it is, finally: my detailed account of what actually happened for others to read on their own time.
As much as I really
don’t want to chronicle any of the dreadful things going on during this
ridiculous year of 2020, this subject has been too significant for me to simply ignore. It was too life-threatening not to ignore, and it necessitates some form of course corrections here on after. I
hope it serves as a cautionary account for people who may have experienced
similar initial symptoms, especially to my family members, since, by the looks
of it, what happened to me appears to be primarily derived from genetic factors.
Q1. So, what happened?
A1. In mid-August, I had an incident where I had some
bewildering chest pains, which just happened to coincide at the instant of
drinking a hot beverage. I thought I just somehow scalded my esophageal
tissues, with the pain and discomfort being concentrated right in between my
throat and stomach, where one would naturally expect to be afflicted after such
an ordeal. The worst thought I had was that perhaps I had some sort of
diverticulitis occurring, where the hot fluid had collected and was searing me
in a central spot along the tract at that particular moment. I added no
more drama or concern to it and sloughed it off, with no more than a self-warning of
smartening up and drinking tea more sensibly. Days went on, and I then began
noticing more upwellings of uncomfortable pressure in my chest.
“Oh great, now after that tea thing, maybe I did damage to some nerve controlling the upper valve of my stomach.”, I speculated. I thought I was then just experiencing some prolonged bouts of acid-reflux as a consequence. I did try to arrange an appointment for a clinical visit; but given that the pandemic was taxing resources and services at my (and every other) clinic, I was just told to visit the hospital. I was stubborn, because I sure as hell wasn’t going to risk exposing myself to a possible Covid-19 hot zone just to be treated for what I assumed to be acid-reflux – honestly, would you? I opted instead just to self-medicate with antacids, even though I honestly didn’t really know what heartburn really ever felt like. I honestly can’t remember ever having it at all. The other thing that made me discount the seriousness of the situation was my own personal history to (wrongly) reference from, that is, of the time when I had pulmonary embolisms in both my lungs. Yes, I had similar pressure feelings in the chest, but I wasn’t having any of the laboured breathing or dizziness, thus making me think that nothing really bad was happening to anything more vital. My denial of it being something worse was pretty much fixed in me mentally, given that I wanted to avoid a hospital visit by any measure.
I began noticing that the frequency of the pains came whenever I was
more active, and then subsided when I just took 5-10 minutes to settle down. By
this time, a long stretch of some long-awaited holiday time was approaching,
and I resigned myself to focusing on relaxing and enjoying that time, again
sloughing this issue off.
“Maybe this discomfort will just disappear during and after my holiday time. Ample time for this reflux issue to fix itself.”, I thought.
Since there really is no where to go during a pandemic, relaxing was about the
only thing I could do. The pain still lingered a bit, but I was also gradually starting
to notice how depleted my overall energy was becoming; it totally dissuaded me from trying to make manifest any projects I had been dreaming about, and other activities. The
symptoms subsided a lot with less activity; with that happening, Hence, I further
disregarded the chest pains as being part of a bigger issue given their lessened
occurrence. I went back to work as expected once my holiday time passed. Once
the more rigorous usual scheduled activity was going on, the pains returned, with more intensity.
I went home that evening, swearing to myself that I would go to the emergency
ward if things didn’t improve. On the morning of Tuesday, September 15th,
2020 , I did just that. . .
Q2. What was the
result at the hospital?
A2. A long goddamned wait is what happened at the hospital – I
was side-lined in the ER unit for a day and half! The chaos with accommodating
for the Covid precautions was part of the issue, I’m sure. I was
given an ECG, but it showed my heart rhythms being somewhat normal, so negative ECG readings for anything traumatic to my heart was probably also why I was put
in triage for far longer than I should have been. My lab results, however, told
a very different story. They showed that my body was churning out the hormone tryponin,
which was a major indicator of some real distress going on with my heart. After all
the blood tests, and finally getting to the catheter lab, and then
echocardiogram imaging, it was determined that the anterior descending coronary
artery in my heart was over 90% blocked. It was disappointing news to say the
least. What ultimately was determined was that what I was actually experiencing was angina, resulting from what is known as an n-STEMI coronary event: a fancy
technical way of saying that I had an atypical form of having a heart attack.
Thankfully, anything that could have resulted in infarction or any permanent necrosis
of myocardial tissue was very minimal, if it ever even occurred at all. Luckily, I managed to get to the
hospital just in time before the blockage was complete; avoiding something even
more devastating, or even lethal.
Q3. How was this
treated?
A2. I was expecting
to get a stent inserted in my artery during my first trip to the catheter lab.
However, the procedure was halted because another anomaly was found.
Apparently, I had an older, more chronic accumulation of a blockage formation farther
down the length of the same artery that they were going to fix. This one happened
gradually enough such that my own heart was triggered into performing its own
natural angioplasty to deal with it; and had created a subset of
what are known as collateral arteries on its own to bypass this older blockage. This new
discovery necessitated a consultation with a group of cardiologists to figure
out to deal with this. A renewed plan of action for an adequate alternate stent procedure was
settled on. Catheters were needed in both my arm (brachial) and my leg
(femoral) for trip number two to the catheter lab. Initially, two stents were
going to be applied, a procedure that was estimated to take about three hours.
Luckily, during the application of the first stent, the older blockage managed
to dislodge and clear itself away with the renewed flow of blood and pressure
in that section of the artery, resulting in only a procedure that lasted for
only 45 minutes.
Q4. How is the recovery
going?
A4. The same answer as for whenever I have to take time to
recover from anything medical: too bloody slow! I had to harshly remind myself, to look at my bruised, swollen, purple arm, the site of the catheter insertion: that this was
a reflection of the hemorrhaged clotted state that my heart was actually in
after being probed at and poked around, and trying to adjust and accommodate
for lots of blood thinners for a bit of new steel meshing. Each day is at least a
small step forward towards some progression for the better. The weird sensations
of post-operative twitches and aches are lessening. The energy I lost is
returning, and at a more predictable pace: more so than the time I was
recovering from the pulmonary emboli. It has been a sobering look at how really
run down I was actually getting through the whole situation before I had the
sense to get to the hospital. I’ve sticking to my rehab plan as best as I’m
able to so far. Even though I am back to work, trying to resume a more normal
rhythm of life, I still have a few weeks to go yet before I get to a place
where my stamina is fully restored. The most bothersome thing that I’m trying
to reconcile with is that despite the fact that I personally have been trying
to opt for a healthier diet and lifestyle, and doing whatever I could to avoid being
a either a vector or victim of the novel Corona virus, this slow ticking bomb
latched itself to me anyway. Such is the way luck seems to be going during the
year of 2020.
Q5. What does moving forward look like?
A5. The following things are going to be my new normal:
- No more being dismissive of any sort of chest pain/uncomfortable pressures ever again
- Shifting my diet away from excessive triglycerides (less red/fatty meat), less sodium (though I never really strongly craved salt); and instead consuming more fibre (fruits, vegetables, grains, nuts, seeds)
- Less alcohol
- A better effort to reduce my BMI
- Being even more diligent about preventative measures with the pandemic virus, as those with heart problems are speculated to be statistically more susceptible to suffering the more severe life-threatening symptoms in the spectrum of Covid-19 acquisition.
- Learning to relax more; not being always so fidgety with some need to be engaged with some senseless form of busy-work
- Ditching negative people, especially those who have nothing better to do than regurgitate toxic ignorance, outlandishly dramatic political viewpoints, and conspiracy theories.
- Trying not to think too far ahead into the future; shutting off the news is important for that
- Overall, a better pursuit for peace in my life. It’s a hard and challenging thing to do during these times, but it must be done.