So, there we are, back in the ER a second time. This time there is some major concern, since my GP actually told us to go there immediately, but didn’t say why. Time passed, more blood tests were drawn, another chest x-ray, and then an echo cardiogram was done.
This is where they squirt this disgusting and ice cold goo onto your body, then squish it around with something that sort of looks like a hand vac. My heart is naturally enlarged, and the muscle mass of it all is at least two and a half times a normal adult heart. I was born like this, but it had never caused any serious problems before. While the test continued, I started to get worried that this was it – the time I was warned about as a boy when my heart would start to wear out from being overly muscular and pumping so much harder than a heart should.
As a child, doctors said to me that a day would come when my heart would become too tired to work properly anymore. They said it was a certainty considering the fact that my natural blood pressure was 150 over 90, and living like that from birth makes the heart work too hard. This time that would come, however, was said to be in my fifties. So, as the goo dribbled down the side of my chest, I started to fear the worst.
When I got back to my little room in the ER, trays were being set up, and utensils were being carried into the room. It seems that one of the radiologists who looked at the chest x-ray my GP took, saw something called a pneumothorax. This is when there is air in the chest cavity, and is very serious because it could cause the lung(s) to collapse. To fix it, a hole must be made in your chest, and a tube shoved in to help the air escape. Needless to say, I wasn’t thrilled about having my chest opened.
The ER doctor, a man with no bedside manner other than a weary and distracted scowl, said we would start the procedure, but he wanted to get a CT scan of my chest first. Off I went to sit in a tube for twenty minutes, while my fiance got to sit back in the room staring at the surgical equipment and worrying. I was worried, too.
I got back after the scan, and following fifteen minutes of sweating fear, nurses came in and started opening the utensil packages. Soon after, the doc came in and told them to stop. The scans showed no pneumo-thorax, and he couldn’t understand how the radiologist could’ve thought that. So, I dodged a huge bullet, but that still meant the radiologist was a complete boob, and I was still undiagnosed.
The doc gave me IV Lasix because I had alot of fluid in my lungs, and then he told me that from what he saw, I didn’t have pneumonia, or a pneumothorax, but actually congestive heart failure. Yes, I can hear the suspenseful “DUM Dum dum…” too.
I was admitted for four days, so they could drain all the fluid out of my lungs, and do some tests to figure out why a thirty year old, relatively in shape, extremely active man would have CHF. After all the blood draws, and EKGs, there weren’t many answers, so as soon as the lungs were more clear and the tightness in my chest subsided, I was sent back to our little room at camp to play more video games and endure the torture of the sound of children’s laughter. I had an appointment to see a cardiologist in another far off city the following week, so I just had to wait.
Halfway through that week, I started to feel a little relief, and we started to take short slow walks, go to a mall in a remote town, and I started to take out the garbage and do household chores again. About a week after being released from the hospital the second time, I was feeling well enough for us to go spend the morning at a mall in New York. We walked around, held hands, chatted about what was going on at camp (the Girl worked in the office so was privy to all sorts of sordid gossip) and took turns going into stores that interested us.
To top it all off, we went and had lunch at a franchised ice cream/classic American cuisine restaurant – Friendly’s. We go there, and every time we say we’re gonna get some really yummy treat off the dessert menu, but after eating all the really tasty entrees, we’re always too damn full to partake in the very thing that Friendly’s is famous for. This visit was no different. As the last few bites were chewed, I started to feel a tightness in my chest, and a very heavy feeling in what I could only assume was my lungs. Somehow, over the span of a meal, my lungs had filled with fluid again, and my heart was going ape shit. So was I.
We drove back to camp, because i thought I could just wait out the discomfort and avoid a trip to the hospital. When we got back, it was extremely bad, though, and I went straight to the camp doctor – who was out. So, the nurses went into panic mode, put me on oxygen, and called 911. After waiting a half hour (the camp is so remote that ambulances are never timely) paramedics arrived and prepped me for the trip to the hospital. My heart was behaving rather erratically, so they gave me nitro pills more than once to try to regulate the beat.
Hlafway there, the ambulance pulled over and a second paramedic jumped in. had no clue how that person got there, but was in too bad a shape to care at the moment. They did another echo cardiogram right there on the side of the road, gave me more nitro, and started to look very worried. I also noticed an aching in my left shoulder and the side of my jaw. I was terrified that I was having a heart attack.