The good and the bad…

Last week I had my standard cardiology follow up. The good news is that we continue to observe nothing abnormal. The bad news is that we’re no closer to identifying why my heart went wonky a few times nearly 18 months ago. I’m beginning to think this could be one of those unfortunate unknown unknowns that I’m just supposed to learn to accept. 

Acceptance of “what is” has never been a particularly strong suit for me, but since we’ve basically run out of non-invasive tests, options are a bit limited. It was made very clear to me that a consult is only a phone call away, but unless old symptoms reemerge or new ones develop, I’m to check in year hence for a follow up. 

I know I should absolutely treat this as a no news is good news situation… maybe I will eventually. At the moment I’m still trying very hard just to wrap my arms around the idea that I am, in fact, a mere mortal after all. One thing at a time, I suppose. 

In more important news, doc cleared me to start easing back into the world of caffeinated beverages. It turns out I can take or leave getting a morning jolt of fully caffeinated coffee, but I’m really, truly appreciating the return of a proper cup of mid-afternoon tea. My days of burning through two pots of coffee a day are probably over for good, but it’s an awfully nice option to have back on the table. 

Good news… it wasn’t a heart attack…

There are, as you know, things that I don’t discuss on social media. It’s an old fashioned notion, even sharing as much as I do, that some things at least ought to remain private. I say that only to note that what follows is an incomplete telling of the tale. The salient points, however, are unmolested.

My trouble started on a Wednesday night. I wasn’t doing anything more dramatic than sitting in the living room watching TV after dinner. Out of nowhere, my heart revved up to a roaring gallop and stayed there. No pain. No trouble breathing. No light headedness. I’ve never understood what people meant when they said they experienced an impending feeling of doom. I do now though. All in, the trouble lasted maybe an hour or 90 minutes before it began subsiding.

After first trying to power through it and then consulting the family medical professional, I eventually conceded that it was probably something I needed to have checked out. Shortly thereafter, I was being given the once over at the local emergency department, where they quickly ruled out a heart attack and monitored me for four hours before sending me on my way.

The next night, same time, same place, same experience. Well, not quite. It wasn’t as bad and didn’t last as long. It was still deeply disturbing and I spent the rest of the night felling like absolute trash.

By Friday morning, I still felt decidedly “off,” for lack of a better description. I later described it as feeling like someone had filled my head with wool and then pressurized it. I knew if I called for emergency services they’d just dump me back where I had been on Wednesday night. That wasn’t an especially comforting thought.

Whether it was entirely advisable or not, I drove myself over to the “main campus” facility of the local hospital system. After many of the same tests given to me two days earlier, but finally having met with two cardiologists, they confirmed that I wasn’t having and didn’t have a heart attack. Their most likely diagnosis was supraventricular tachycardia (SVT) – essentially a (probably) not life-threatening electrical problem in one of the upper chambers of my heart that can cause an erratic heartbeat.

They prescribed some new meds to slow my heart rate and scheduled me in for a proper cardiology appointment after which I assume we’ll start the full battery of diagnostic tests and determine a long-term treatment plan. My first proper cardiology appointment is later this week. 

I haven’t had any more incidents, but I spent the better part of a week feeling entirely wrung out. If it wasn’t for needing to feed the herd, it’s hard to say how little I’d have forced myself up off the couch. All told it was every bit of two weeks before my head stopped feeling wooly and I was able to concentrate for any length of time. Even the meds they gave me as a temporary expedient aren’t entirely benign. Over the last week or so a couple of side effects have gotten more pronounced and working with the medicos to get that dialed in has been significantly less than fun.

Look, I’m thrilled that the diagnosis is “not a heart attack,” but going into the second month of feeling like warm trash isn’t exactly the summer adventure I envisioned for 2023. I’ll know soon enough if this week marks the end of the beginning or if just kicks us right back to go. Given the abuse I’ve hurled at my body for 45 years, I should probably be impressed that it’s just now starting to seriously object. I only wish the good times would last a little longer. That not being the case, we’ll just have to play the ball from where it lies.