Tuesday 4 February 2014

The Original Heart Attack (well, not that original...)

To start this blog I thought I would go back to the original problems using some notes that I wrote at the time. In the two and a half years since I have learnt a few things about surviving and even living well after a heart attack but I have also made a few mistakes along the way which, I hope, may be helpful to readers.
It started on a Saturday about two and a half years ago. I was laying in bed and trying hard to swallow but somehow finding it very difficult. Swallowing, hmm, not normally the greatest of achievements but in this case it was proving mare than a match for me. After an hour or so my somewhat fuzzy brain gave up the struggle and fell to sleep despite the difficulties.
The Sunday was a bright and clear day, or at least at the start. I busied myself with the normal comings and goings of existence until around about half twelve. I had arranged to chat to a close friend on the internet. Only problem was, when I finally did so, my voice had changed. Not substantially, not hugely, but definitely changed.
My initial reaction was that I was coming down with the symptoms of one of those annoyingly slowly developing colds that I seem to be a victim to every couple of years. Monday was fine though, even pleasant as I recall, no obvious symptoms but…..Tuesday….I got out of bed for an hour and promptly got back in again!
I seemed tired beyond belief and yet I could not think why that should be the case. I slept until early afternoon, got up for a couple of hours and promptly slept again! I had planned to go out for some coffee based chatting and general all round socialising but my lack of energy made the prospect much less inviting than would normally be the case.
Angela, the lass who was staying with me at the time, was due to go to London on the Wednesday and so, despite feeling a tad fragile, I found myself at the centre of our great metropolis enjoying a mug of Starbuck’s coffee in Great Russell Street. I seemed to feel relatively good although still aware that I had some kind of bug. We took the hydrofoil down to Greenwich and enjoyed a rather copious but very tasty (and reasonably priced) Chinese curry at Tai Won Mein.
The next day, Thursday morning, I treated myself to a hearty bowl of oats only to find it disagreeing with me. It felt a little like indigestion but was more in the chest than the stomach. Angela had not risen from her pit at that time and so I was just checking e mails and such like when I became aware of just how uncomfortable I was feeling. I tried shifting position, laying down across the couch, turning around the other way but… nothing I did seemed to stop this discomfort.
I returned to bed to try to sleep it off but throughout the day I experienced an ever present discomfort. It seems strange now, looking back at it, that I did not understand what was happening to me. I think many of us share a common tendency in such a situation, namely to rationalise the obvious with more banal explanations.
That evening, at around seven, I was due to dine out with several friends at The Castle in Woodford Green but the feeling was now quite oppressive, so oppressive in fact that I thought it wise to forego the culinary pleasures of a Harvester and instead just take it easy at home.
At around eight that evening a friend of mine, Keith, rang and began what was planned to be a long and in depth conversation about life, the universe and everything. Keith is a modest guy but often has some very interesting and challenging views. They are usually couched in polite and non-combative language but can be quite surprising all the same. Normally, I enjoy the pleasures of ruminating on various issues with him but, on this occasion, the more he spoke the more uncomfortable I felt. My chest was getting tighter and tighter and it was becoming progressively harder to breathe.
After a couple of minutes the cold sweats started. The beads were running down my face and off the end of my nose. I felt terrible. So terrible in fact that it was becoming obvious, even to me, what was happening.
“Keith, excuse me, sorry for interrupting but I am not feeling so great. Could you call again in half an hour and, if I don’t pick up, call an ambulance?”
Keith was a little shocked but agreed to comply. As I put the phone down I was feeling worse by the second. ‘This is madness,’ I thought to myself, ‘if you are feeling that unwell then you should be phoning for an ambulance yourself!’
The operator at the other end of the line was efficient, advising me to leave the front door open (very wise) but then not to do anything at all. I unlatched the door but thinking I may be detained sometime, dragged my body upstairs to collect a kindle and a mobile phone. Fourteen steps…..felt like the side of a mountain! By the time I returned to sit on the next to bottom step I could hardly breathe at all and the world was beginning to disappear into yellow and black blobs.
The ambulance was prompt thankfully and within a minute or two I was ensconced in the back with an oxygen mask over my mouth and nose. The crew were chatty, bright and optimistic, almost annoyingly so, but they did a good job.
“We don’t think you’re having a heart attack’” I was informed reassuringly. Funny, I was pretty sure I was. The taste of the oxygen was just a little unpleasant, almost unnatural. One feels like taking the mask off and gulping great lungfuls of good, fresh air but….even in the somewhat confused state I found myself in I realised that this was not a good idea.
On reaching A & E I was rushed into the resus (resuscitation) unit. My skin was punctured in various ways, samples were taken and questions asked. Funny how, when one’s mortality is starkly revealed, everything becomes more precious. Looking around, I was aware of wanting to see every detail, to take it all in. If this was to be the last of my life I wanted, even in that situation, to live it well.
After a while, all such thoughts were put to one side as morphine was injected into my arm and I slipped softly into a kind of gentle oblivion, still conscious but, to a large extent, out of pain. Oddly, I remember finding the voluptuous curves of the young female doctor particularly attractive at this point. It seems that even at such moments in a man’s life some instincts remain fully intact.
I was assigned to the main cardiac ward , Elizabeth, at Whipps Cross Hospital. My bed was located close to the nurse’s station and, during the night, I would listen to snippets of their conversation, hanging onto normality, whilst also being aware of the rhythmic and high pitched beep of the apparatus that was constantly monitoring me. Every now and again it would emit a shriller tone and red lights would flash. My heart rate in particular seemed very inconsistent. At one moment, as I endeavoured to relax, it would be around 65 and the next, responding to the slightest of movements, it would shoot up to 130 or so. I remember feeling that this was of some concern at the time…
In the morning I was greeted with seemingly good news: “The test results came back and they were positive.” ‘Good,’ I thought, ‘Nice to know they were positive, I wonder what was happening to me then?’
“Yes,” the nurse went on to affirm, “they were positive. You have had a heart attack!”

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