My Night in the Hospital…or how I got a first hand look at our health system.
I found the following at Wikipedia – Atrial fibrillation (AF or afib) is the most common cardiac arrhythmia (abnormal heart rhythm) and involves the two upper chambers (atria) of the heart. Its name comes from the fibrillating (i.e. quivering) of the heart muscles of the atria, instead of a coordinated contraction. It can often be identified by taking a pulse and observing that the heartbeats don’t occur at regular intervals. However, a conclusive indication of AF is the absence of P waves on an electrocardiogram (ECG or EKG), which are normally present when there is a coordinated atrial contraction at the beginning of each heart beat.
I have had episodes of AFib for the last eight years or so. The first one sent me to the hospital as did one about four years ago. Most of the time the heart “converts” back to a normal rhythm on it’s on, and right away. This most recent one lasted for over 24 hours.
As I mentioned in my blog this morning, I do not usually life blog. But I think it is important for people to be aware of this problem, know what to do if it happens to them, and also to talk a little about my health related experience, something that is very much on everyone’s mind right now.
If you are expecting a horror story about long waits, bad care, or anything like that, you’re reading the wrong blog. My experience was excellent from start to finish and the people both in the Emergency Room and in the Cardiac Care unit at Mountainside Hospital deserve the highest praise and respect. I asked many of them what they thought about the health care debate going on and what they think of our health care system and I’ll share that with you shortly.
I started feeling the familiar fluttering at about 8am or so, as I was making my commute to work. I got unusually short of breath on the walk from my car to my office, but I was sure this would pass. I had far too much stuff to do on Friday and also needed to prepare for an uncoming trip to Salt Lake City on Sunday. Other episodes had passed quickly, this one would, too.
As the day wore on, I though “Maybe if I get up and walk around a bit, the breathing will help.” Oxygen often helps get things back to normal. In fact, the first thing they do for this is put you on oxygen and do an EKG, obviously.
More time goes by. I was not thinking that this was actually the longest episode I’d ever had. The longest one before this was a few hours, now it had been four. It was not intense, as it had been in the previous two times that sent me to the hospital, but it was persistent and ongoing. Perhaps lunch would help.
Ok, lunch didn’t help. Now, I know what I had to do. I was hoping against hope this wasn’t happening. I finally realized, as I began to get hot and the shortness of breath was ongoing and not just when I was moving around, I had to go to the hospital. I didn’t want all the excitement of an ambulance, plus I felt ok – except of course for the shortness of breath and palpitations. I drove myself to the hospital. I knew I wanted to go to Mountainside because this is where my cardiologist went.
If any of this ever happens to you – do yourself a favor, DO NOT DO ANY OF THE THINGS I DID. IF THIS HAPPENS TO YOU – GO TO THE HOSPITAL RIGHT AWAY!
I told the person at the ER what was wrong and they took me in to triage right away. Before I knew it I was on my way to a heart monitoring room in the ER. The people there took EXCELLENT care of me. They did lots of tests, took blood, ran an IV, and made me feel comfortable that I was being well taken care of. Everything they did was in an effort to get my heart beat to “convert”, which is what they call it when the beat goes from the fibrillation state to a “sinus”, or normal state. It was clear to them that it was not happening so they told me I would be staying.
I have never spent a night in the hospital up to that point.
The interesting thing was that my pressure and pulse were all really good. The medicine they were giving me for that was doing what it was supposed to. It was the beat that was irregular.
Basically, instead of my heart beating bum-bum / bum-bum / bum-bum / bum-bum….. it was beating like bum / bum bum bum / bum bum / bum / bum bum bum bum / bum / bum / bum bum. You get the idea.
Eventually, and it was not that long, they moved me out of ER and into the Cardiac Care wing. The people there was amazing also. Throughout the night they woke me to give me medicine, take blood, check my vitals, they were monitoring me, but even with all the intrusions, I slept between and slept pretty good. I think a great deal of that had to do with my comfort level with the care I was being given.
When I woke I wrote the previous blog.
After that I saw the cardiologist who worked full-time in the area. He explained to me that things were not returning to normal and that they wanted to do an echo cardiogram. After that they wanted to put me out and do a thoracic echocardiogram, which is where they put a tube down the throat and look at things from the inside, to make sure there is no clotting. If all looked good, they would take the tube out and do a Cardiac Conversion, which is where they put two pads on my chest and then send a shock to the heart to get it back in rhythm. This is much more common a procedure than you might think.
So they got me down to where they were going to do this procedure, everything was being made ready, we were doing the echo cardiogram, and just as they were about to decided to sedate me, I converted. My heart was again beating regularly. Everyone was happy, none more so than I. They took a few more images on the echo and I was on my way back up to my room.
Mom was waiting when I got back to my room. She drove over an hour, even though I tried to tell her not to – but I knew she wouldn’t listen. I knew I was fine, and was going to be fine, but moms are moms (and we should all be glad for it). I was impressed I talked her out of coming out Friday night. Anyway, it was great, and comforting, to see her when I got back. Not only because it was great to see her, my mom and I are quite close, but I knew it was good for her to see me, and to see that I was ok. It was also great for me to be able to give her the great news.
The monitored me for a while, all stayed well. I have to go for some regular check ups over the next few weeks, and will probably need to see my cardiologist annually from now on. I even got the clearance to go on my trip if I feel up to it. They said there was no major risk of travel, any more so than being home. They gave me some medicine to take should it happen again, which might help prevent a trip to the hospital.
Thank G-D, so far, all has gone well. I got right in to the hospital, they took great care of me, and it wasn’t until I was in the ER and settled that anyone even asked for my insurance. I have pretty good health insurance, and I’ve always counted my blessings for that. However, I’ve not gotten the bill yet. I don’t know what the insurance is and is not going to cover. I have no reason to believe they will not cover everything, but I just don’t know. In the recent weeks, I’ve heard horror stories of people who THOUGHT they had great insurance and then something like this happened and things got declined. I’m not sure what I’d do if I had to pay for this out of my own pocket. If I didn’t have such good insurance, I might not have gone to the hospital in the first place.
So, we’ll see what happens when the bills come in (or statements). But I can tell you this much, everyone – not most people – EVERYONE I talked to in the hospital said they thought our health care system needed to be fixed. I heard many different things, but not one said they thought a public option was a bad idea. A number said they were unsure, and almost all agreed that this is not a simple problem – that its far too complex to settle in a few minutes of conversation – but everyone agreed that the system is broken and this needs to be addressed now.
Thank G-D for great friends, for family, and for the caring and wonderful people who work in our health care industry who are truly heros.