Opening up the book to my personal life a little bit more today, I went in for an angiogram earlier this week. I suppose it's one of those rites of passage once someone hits 50 - prostate exam, colonoscopy, stress test, angiogram, etc., that sort of thing.
Now, God knows - and you do, too, if you read this blog with any regularity - that I eat foods that aren't good for me, that I over-indulge in adult beverages, and that I'm a tad overweight. Plus my father had a couple three heart attacks - the last one killed him a little over four years ago. So there is history in our family. Given that profile, if there was ever a person who was on the freeway to a heart attack, it's probably me.
Before I turned 50, I thought, "Well, I'm going to have to do an amazing turn in my personal habits when I hit the milestone." But for some reason, nearly two years later, I'm still doing what I've been doing. I guess I haven't had the scare yet.
Until now. Here's the story:
First of all, I slipped on our front steps about nine years ago and thought I broke my leg. Turned out that I tore a quadricep muscle in left leg. The orthopedic doctor who I saw the next day was looking at my x-rays and he asked me, "Has your left hip ever hurt you before?"
I told him that when I was in shape and used to play a lot of basketball years before, it used to hurt a lot after I'd get done playing. He pointed to my hip joint in the x-ray and said, "You've got bone spurs in your hip. You'll have a hip replacement by the time you're 50."
Well, I'm past 50 and still no hip replacement. But while in New York recently, the hip began to hurt me to the point that I knew a hip replacement was around the corner.
I went to see my regular doctor to tell him that I needed to get stuff set up for the hip replacement and what did I need to do. The first thing he said was, "You've never done a stress test, have you?" No, I sure haven't. So, he set up an appointment for me to go to Genesis Hospital here in Davenport for a stress test.
Now, there's two different types of stress tests - the one where you walk on the treadmill, or one that allows them to administer a drug called Dobutamine that radically stimulates the heart to the same level as what you'd be doing on the treadmill. My doctor thought with my hip condition that going with Dobutamine would be a better way to go.
I went in and did the tests. Basically, you do a resting test after they shoot you up with Technetium, a radioactive liquid that allows for a camera to see the flow of blood to and from your heart. After about two hours, they do the stress test, injecting you with the Dobutamine and monitoring your heart, breathing and blood pressure. Then you go back in about an hour later to get pictures taken of your heart again and that's it. They told me that if anything bad was taking place, they'd be in touch with me within the next couple days.
Well, nearly three weeks went by before I got a call from my doctor's office. The nurse told me the stress test showed "a couple of wierd things".
I said, "Wierd things, like what? Is it life threatening?"
The nurse wouldn't give me the full details (they never do), but she did say that it wasn't life threatening. My doctor wanted me to go in and talk to a heart specialist at Genesis. They set up the appointment for me the following week.
I went in to meet with Dr. Witzik, one of the heart guys at Genesis. He sat down and said, "So, what brings you in today?"
I looked at him incredulously and I said, "Well, you tell me!" He had no idea why I was there. Frankly, I began to wonder why, myself.
He went through my file, did a quick exam on me, asked me some basic questions about whether I'd had these or those symptoms, looked at the file again and said, "Well, from this quick check everything seems to be flowing normally. But it appears from the stress test that there may be some blockage in one or more of your arteries. I want to do an angiogram."
As he was telling me of the angiogram procedure he'd do on me - putting a hole in an artery in my groin area, running a microscopic camera up the artery to check the arteries and the heart for blockage or damage. Well, I almost fainted. I mean, I can't even watch them pull blood from me for blood tests. Then he said that if there's more than 70% blockage of an artery, he'd have to do an angioplasty and then place a stent in the artery.
Then he started going over the risks. Oh, shit. I about passed out again. Possible heart attack, possible stroke. It doesn't happen very often, but it does happen. I was thinking, "OK, man. Here's the wake-up call at 50 that I knew I was going to get."
But he had to do that. I believe the technical term they use in the medical field is called "covering your ass."
They set up the angiogram for earlier this week at Genesis. The doctor said that if no angioplasty and stent were needed, I could go home the same day. But if a stent had to be inserted, I had to stay the night. Oh boy...
In the meantime, I didn't really tell a lot of people about this. I didn't want people to be worried or make a fuss. My family, except for Cindy, didn't even know about this. I had to tell my boss because I was going to have to take a day or two off from work. But other than a couple three other people I talked to about it, I didn't want anyone to know.
One person I did contact was my buddy, Dave Heusmann, who suffered a heart attack earlier this year and who had to go through the angioplasty procedure because one of his arteries was 90% blocked. Before his heart attack, Dave is a picture of health. He lost a bunch of weight a couple years ago, and if you'd see him you'd think he was the last candidate for a heart attack.
He told me that, really, the toughest thing about the angioplasty/stent thing was having to lie completely still for 4 hours after the stent was put in place. Dave's the kind of guy who can't sit still for 10 minutes, let alone lie there for 4 hours. Me? I'm a slug. I can lie perfectly still - as long as I'm comfortable - for 24 hours.
But Dave told me that after the procedure he felt 100% better, and he's felt great ever since. And his doctor has him on no restrictions - diet, exercise or otherwise.
I checked into the hospital at 9 a.m. Cindy met me at the hospital and stayed with me the whole time. Bless her soul. She knew I was worried about the procedure. I hadn't been sleeping well coming up to the day. I wasn't worried about the procedure as much as what I was afraid they'd find. I was worried they'd find a cheeseburger in one artery, a chunk of pork in another one, and a stick of butter in another.
They took me to my own room and got me in the hospital gown - the first time I've ever worn a hospital gown. Hell, it was the first time I'd ever been in a hospital bed since I had my tonsils out when I was three.
And then it was... Wait. And wait. And wait.
I had three different people come in and explain the procedure to me. It was pretty much the same as what the doctor explained to me the week before. Except this time I was ready for it and didn't feel faint.
Well, it turned out that Dr. Witzik had an emergency that he had to do first thing. Then the first person he did an angioplasty/stent on in the morning had to go back in because something wasn't right with his electrocardiogram. By the time they came to get me, it was 2 p.m. Cindy was more antsy than I was. She was hungry and bored and wanted to go home and change clothes.
The surgical nurse came and got me and we walked down to the Cath lab where they prepped me. They were asking me if I'd ever had an angiogram before and I said I hadn't. They began to joke, "Oh, a virgin, huh?"
I said, "Do you get people that come in for more than one angiogram?"
They all began to laugh and one of the nurses said, "We have people that come in here so often we know the names of their pets and grandchildren."
One of the nurses said, "OK, Will, do you understand the procedure? Has anyone talked to you about what we're going to do?
I said, "I've heard about the procedure so many times from so many different people that I could probably do it myself."
Then one of the nurses put this wonderful drug in my IV that literally knocked me out, but it was like I was conscious the whole time. Dr. Witzik came in and said, "Ready for this, Will?"
I said, "Yeah, let's do it."
Well, I don't remember anything for the next 30 minutes other than, "OK, Will, that's it."
I sort of snapped out of it and said, "That's it? Did you put a stent in me?"
He said, "Nope, there was very minimal blockage and you've got a strong heart."
They wheeled me back into the room and Cindy was sitting in there waiting for me. I was still a little loopy when they transferred me to my bed, but I was fine.
The doctor came in and sat down and talked to us about the procedure. He said there was a little plaque in places, but nothing bad or to be worried about. He said, "I've seen a lot worse in guys younger than you and in much better shape."
He said that everything turned out great. He said stress tests are correct about 85% of the time, but mine did show some problems and he's an advocate of "better safe than sorry". But he said that my heart was very strong, everything was pumping as it should and I had great blood flow through my body.
I asked him if he could give me a percentage of blockage in my arteries and he said, "Oh, gosh, it was so minimal that I can't even put a percentage on it. Everything was fine."
Wow! Even with all the crap I eat, I must be doing something right. And I'm glad Cindy was sitting there because if she didn't hear it directly from the doctor, she would have thought I was lying to her. Even she was amazed!
And, of course, before I could be cut loose to go home, I had to have the nutritionist come in and talk to me about my diet and such. Now, this was a chubby nutritionist. I don't know if I should trust an overweight nutritionist. I suppose it's one of those, "Do as I say, and not as I do" scenarios.
And, unfortunately, Cindy was sitting there and taking in every word and admonishing me - along with the nutritionist - about the hazards of cheeseburgers, pizza, hot dogs and beer. Fun haters.
The nurse came in and checked my incision where they did the angiogram, pulled my IV from my hand and said, "You can get dressed. We'll send a guy with a wheelchair to take you downstairs here in a moment."
Cindy went to get the car and I was talking with the guy who was wheeling me down. He was an older guy and he asked me what I was in for, so I told him. He said, "Angiogram, huh? How did you do?"
I told him I passed with flying colors. He said, "Well, I had a massive heart attack about five years ago and I had to retire from my job as a freight dock supervisor. I have 12 stents in me."
I said, "12?! Geez, buddy, I ought to be pushing YOU around!"
He said he was bored lying around the house and he decided to come to work at Genesis on a part-time basis to be a transport person. He said, "The way I look at it, if I have a heart attack pushing someone in a wheel chair at a hospital, it's probably the best place to have a heart attack." I liked his attitude.
I have to take it easy for a couple days, no heavy lifting, monitoring my incision and such. But other than it feels like I pulled a groin muscle, I'm fine. And relieved.
I've had several physicals and tests with my regular doctor and each time I've come out of them with no problems. As he's told me many times in the past, "For the shape you're in, you're in great shape."
So, I'm sort of working up to the hip surgery with the angiogram, and now the next big thing is the colonoscopy. That ought to fun. Then I'll probably have to do the hip surgery in the spring. Stay tuned...