Tuesday, November 15, 2011

Because I like to do things the easy way

If you're going to get really sick, do it in a hospital.

Went into tachycardia this morning at work. Normally, the intermittent tachy is my heart rate shooting up to 120-130, the wind being knocked out of me for a breath, and the episode ends within a few minutes.

Today we learned new tricks. Like how to jump all the way up to 152. And to just not be able to breathe all together.

When I felt it hit, I went to a vital sign machine and checked my heart rate and O2 sats. O2 was fine despite the fact that I couldn't breathe. Heart rate sucked. And the world was starting to get really foggy and all spin-y. I sat down against the wall and called my charge nurse, told her I was in trouble. She came in, saw my heart rate and my serious lack of breath and grabbed a wheelchair. She checked my blood pressure and we all got a shock at the numbers 140/100 coming up. Down to triage I went.

Within 5 minutes, I was stripped down getting an EKG and my vitals taken again. And taken to a room where I was hooked to a monitor. The episode started dying down then (about 25 minutes total), but I still felt like crap (well, when your heart runs a marathon for 25 minutes....). Labs, x-ray, urine, monitoring, another EKG. As it turns out, there was something wrong during that first EKG. There was an abnormality in my rhythm, which is news to me since any time I've ever been monitored, everything has been sinus. But then, we've never done an EKG during one of those episodes either - never been able to catch it.
So, while everything looked fine by the time I left, we're still going to follow up with the cardiologist to get a full work up and see if there is something there that I should be concerned about.

--

Quick rundown of things to come:

Tomorrow: primary care doc at 0745. Dentist/specialist for a root canal (possibly 2) at 0945. School at 2. (and I'm thinking a short nap when I get home at 4.)

Weekend will be gloriously filled with rest.

Monday: Gastroenterologist. And there is only one thing on the agenda: FIX MY TUMMY! I'm discussing a Nissen (which, we had scheduled a couple years ago and then canceled at the last minute to yank out my gallbladder) to cut off the reflux. And the j-tube, because I can't even eat pureed foods without feeling sick and horrible and about ten kinds of dead. Nothing but clear liquids and that's not healthy.
If he won't do it, I'll find another GI who will listen to reason.

For tonight: a book and bed. Because I have to be up stupid early tomorrow and I kinda had a long day today.

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