Breathe, and bring your hands to your heart...
Know the signs-just in case part 2

Know the Signs - just in case part #1

July 30, 2009

4:00pm - I sat at my desk and with in minutes started to feel weird - this was not like the first time.  My left arm started to go numb and feel weak, I felt nauseous and a gradual headache made reading and focusing on my work almost impossible.  I ignored it at first.  I get headaches - they happen.  I work out all the time, so I am used to aches and pains, but this felt different.  So different in fact that I thought of my neurologist and called my neurologist's office a few minutes before 5:00pm to make my annual check up.  5:15pm I took 2 baby aspirin, again just in case.  My arm got weaker and pain started to radiated in the upper part of my arm.  I pulled out some post-it notes from desk and wrote "I might be having a stroke, only take me to the Beth Israel". I slipped the note back in my desk drawer so that I would not raise alarm for anyone, but that it would be accessible just in case I needed it.  After speaking to Hector, and telling him how I was feeling, he urged me to call my doctor.  5:50pm, I called my doctor's office, and the nurse  - after reading over my medical history - suggested that I go to the emergency room just to be safe - she said that she would call ahead and tell them about my situation.  She asked me several times if I was able to get to the hospital safely, I felt that I was, so off I went.

Driving though Boston can be a challenge at any time of day.  Driving through Boston an hour before a Boston Red Sox game is misery.  I navigated along the Charles River, past Boston University, around one side of Fenway Park and finally got myself to the Longwood Medical area.  Tears started running down my face as I remembered the last time I went this route was when I actually experienced a stroke and rode in an ambulance.  This time was different - I was by myself, and no one really knew where I was going.  I maneuvered through traffic and finally got myself to the emergency room parking lot.  

As I starting to walk in, two women were in front of me on their way into the ER, one of which was in a wheel chair.  I needed to get in front of them, so I started quickening my pace.  Now perhaps this was not very nice of me considering they were significantly older, but at this point I did not care.  I was alone, scared, and needed someone to give me some kind of reassurance.  This was not going to be a moment for pleasantries or manners, and I did not want to wait in line.  When I got into the building their was a triage receptionist taking "orders" and a really tanned couple was giving their problem in extensive detail.  Although there were three other windows for people to go to, there were no nurses behind the windows waiting there.  To my left a receptionist sat reviewing various bits of paper and looking at her nails.  That was my ticket - I was not going to wait in line - regardless of the octogenarian duo in front of me.

I walked to the receptionist on my left and explained my situation all the while trying to keep it together.  She gave me a blank stare not really getting it. I told her again that my doctor's office had recently called over and that three yrs ago I had a stroke.  Several hours ago I started feeling odd, seemingly having stroke-like symptoms.  I wanted to see someone straight away.  She pointed me towards a chair to sit down, and a triage nurse came over to take over to ask me some questions and take my vitals... Blood Pressure:  110/70, pulse: 56. Time: 6:30pm.  Another nurse came over and asked me to follow her back to the ER, she led me into ER room #17 and asked me to undress from the top down -with that she left the room.

I changed into the johhny and pulled my iPod and computer onto the gurney and started to get ready to do some work while I waited, because I knew that there would be a great deal of waiting ahead.  And so it began - the tests.  I knew what to expect, I am all too familiar with neurological testing, and in fact when I was back in my office a few hours earlier, I did some tests on myself - I stood in front of the mirror in the bathroom and smiled to see if the smile was even.  It was.  But the doctors asked me to smile again, and touch my nose, raise my arms up, squeeze their fingers.  The tests went on... and on. There were two neurologists there - both women, one tall one short - and they both wanted to ask their own questions and conduct their own series of test.  While one of the nurses impressed upon them that it was time for my MRI, the shorter of the two neurologists quipped "Well, we better follow you" and they quickened their pace to follow the gurney down the hall - the little one practically ran she was so excited (if I could have read minds, I would bet that she wanted to find something on the ct-scan...).

The scan came back normal much to my relief - they did several scans in fact, with and without contrast.  I was brought back to my "room" and left to wait.  At this point it was around 7:00pm, which mean shift change for the nurses.  The new nurse, a young man, came into the room and took my vitals and again I was asked what happened.  I suppose that reading a chart is out of the question, and each person needs to hear the story on their own.  By this point I was tired, and I felt alone, and I was sure that my story was not sounding exactly the same from one version to the next.

After making several phone calls to tell key people (boyfriend and mother...) where I was, I pressed the call button and the nurse came in.

Me: Um, what is the situation? (I lay there with one legged draped over the metal bars on the side of the gurney)

Nurse: Well, I looked at the computer, and they want you to stay the night.

Me: Well, I do not want to stay the night.

Nurse: Well, we can't make you, it is your body, and you are of sound mind, but that is what the doctors are ordering.

Me: Well, I have my groceries in my car.  Is there a place I can put them?

Nurse: ????

Me: Well, can I go out there and get them?  I am hungry.

Nurse: I do not think that you can eat. 

Me: Well, can you get the doctors?  I really do not want to stay.  This is not in my plan.

Nurse: OK.

(stay tuned for part 2...)

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