Thursday, June 21, 2012

Heart Disease and The DMV

I've been telling myself that it was time to have my driver's license renewed. Yes, it had expired. I allowed it to expire. It's not that I am resistant to the "system". The legal process that I am required to adhere to. I knew deep down inside I had to renew my license. It wasn't that I was attached to my DL photo.  Don't laugh - I know there are some that dread heading to the DMV for the sheer fact of having to get a new photo taken.  Not me. I don't fear the DMV camera.  I have to admit it. I was denying the fact that I've lived in Alabama long enough to have required renewing my driver's license. In all my married years, we have lived in Arizona the longest...until now. <heavy sigh> 


Ok - enough of that. Somehow, I was convinced that the kids should come with me to the DMV. That didn't bother me as much as the apprehension I was feeling about which location to go to. At one point last year, ALL DMV offices were CLOSED except the downtown location for Jefferson County. That's about 900,000 people!  Pandemonium at the DMV! People standing in lines for 4 - 6 hours at a shot. But earlier this year, the county reopened a few of their offices.  My strategy initially was to go to a large center in the northwest corner of the county. My concerned hubby poo-pooed that idea since it was in a not-so-nice area of town.  I conceded. I selected the downtown location. It was close by and the thought was that the general population won't contend with the downtown its traffic and terrible metered parking. 


After parking, we trudged about a 1/4 of a mile into the courthouse, was searched, scanned, the kids went through the metal detector and finally found the area of the building we needed to be. The line to the left was for those folks applying for license plates and was about 50 deep. The line to the right was for driver's license renewals and had one gray-haired gentleman standing in it. "I'm golden," I thought to myself with a smirk.  And there we stood... as time passed I began to be envious of the the opposing line.  THEY had BENCHES to sit on <insert colorful name calling>. The line on the right began to get long. As I was wrangling the kids, I noticed a young, preppy couple arrived behind us. She was knocked up. She had to be 8 months along. I stole glances at her when they weren't looking. Her ankles weren't swollen. Her face wasn't disfigured from excess fat. Her hair was nicely done. Her shoes and her bra matched the lovely frock. I decided right then and there... I don't like her.  For me? Pregnancy was a full-body experience. I was knocked up from my hair to my toenail polish. As the "gatekeepers" at the courthouse, strolled the lines to ensure no one was getting testy, much like they do in prison, they eyeballed the preppy preggers up and down. I said out loud, "Oh NUH UH." Immediately my mind started racing. Images flashed by like a bad Tarantino movie. One moment I saw myself giving the pregnant young woman a beat down for being invited to cut the line, while saying, 'I've had NINE cardiac procedures AND TWO kids - back the flip up!' Then a flash of me rallying the crowd into a chant and clapping. I saw an image of me among a hundred others rushing the counters demanding to be helped. Brief flashes of me being cuffed and stuffed into a police car; kids standing on the sidewalk with arms crossed, looking at me disapprovingly. Then I flashed of a scene that involved me feigning a heart attack but when the paramedics are wheeling me out on a gurney I beg to go in the direction of the counter since I waited in line so long they would renew my driver's license before I was taken to the ER. Certainly, it was the strain of the DMV that brought on the imaginary heart attack.  A moment passes and I'm snapped into reality when my 9 year old asks me a question, "Mommy, what are our options here?"  I paused. I knew both boys were tired and their patience was wearing thin.  
"Well, we could all start chanting." 
     "Ok."
"Or we could start an uprising and rush the counters."
     "And...?"
"That would probably get us arrested."
     "Or?"
"Or... I could give a beat down to anyone that thinks they can cut in line," (Yes, I said it loud enough for everyone to hear) "Or wait our turn like good citizens," I said rather sheepishly.


Ninety minutes passed when I finally was face to face with the only woman doing drivers license renewals. I felt bad for her... for a minute.  Right up until the time she handed back all my documents and said, "You have to go to [the northwest county] location. I can't do that here."  I was dumbfounded. I stood there with my gaping when she asked if I heard her. Again, I heard myself say, "Oh NUH UH! I'm not leaving here without my driver's license." I was attempting to have the boater's certification added to my license.  Apparently, the ONLY location in the county that can do that is the one my husband told me to stay away from.  She tried to convince me to go over there and wait in their lines. I was almost catatonic.  "I'm not leaving here," I repeated and quickly took my spot on the electrical tape "X" on the floor and smiled into the camera. Waiting.....  "Really, I'm not leaving," I said through now a fake smile and gritted teeth. Waiting.... In the back of my mind, I'm wondering if she will intentionally take a bad DMV picture. You know... tell you on the count of 3 and she says 1... 2 <CLICK>. I was still blinded by the flash when she asked me to write the check. I handed her my form and payment, grabbed my temporary driver's license and walked hurriedly out of the courthouse. As I type this, I have yet to look at the picture. I don't even know if its me or not... but I have a license in my possession that is NOT expired. I could feel the pressure in my chest mount with the thought of being turned away after 90 minutes of standing. But as an added bonus, there was no heart attack, or cardiac event that sent me to the ER.  I am grateful.  How was your day?? xoxo

Sunday, May 20, 2012

There's Good News & Bad News



This was by far the most difficult blog to write.  I’m not completely sure why…. Maybe because if I write about it, then I have to admit it all happened…. THEN, I would have to actually deal with it.  I’ve tried to ignore previous diagnoses before…. It really doesn’t bode well for a ‘balanced,’ healthy, mental state.  I took some time to process it all.  I hoped for a diagnosis… and I got it.  I apologize for the delay….

To say the least my visit to Cleveland was an interesting one.  Of course the men in leather started off the visit with a… bang… or actually a smack.  Ugh – I just threw up in my mouth a little bit.  Ok – moving on. 

Over the course of 3 days, I visited with 4 incredibly skilled, amazingly smart, startlingly educated doctors, several tests, a long visit in the device clinic and many ‘story-telling’ sessions.  Each doc has read “my case” and had a general grasp of where I’ve been and what I have.  I spent anywhere from 30 minutes to 4 hours with each of the physicians and their respective staffs.  What was amazing was I didn’t feel as if any of the specialists were rushed.  How can that be? This is the Cleveland Clinic.  I was told they see 16,000 patients a day.  How can they spend any more than 30 seconds with each patient? But they did.

On day one, the vascular specialist shared her suspicion of what she thought was wrong… she ordered tests.  On day two, I met the congestive heart failure specialist and underwent the tests. Then swooped in the cardiac interventionalist surgeon.   He congratulated me on diagnosing myself.  I asked if I could keep the check.  He actually said it was only fair.  I dig that doctor – A LOT!  We reviewed surgical “options”.  Since ALL surgical options suck, he recommended that we try conservative treatments for 8 weeks… then we’ll see.   I was completely overwhelmed. My mind was spinning.  So what was a girl to do? Go to “Little Italy” of course…. in search of good, authentic Italian food and the perfect cannoli.  I found it. The next day I spent a few hours in the device lab getting the biventricular pacemaker and internal cardioverter defibrillator (BiV/ICD) checked out.  Next I met with the electrophyisiologist cardiologist.  We discussed the surgical options again…   By Thursday, my 44th birthday, I was on a plane back to Birmingham (a day early).
 
So what’s the Good News?
The heart failure and cardiomyopathy appears to be stable.

So what’s the Bad News?
I have a complete venous occlusion (blockage) and blood clot in my chest.  Apparently, this is a complication of the BiV/ICD being implanted.  There is a possibility of throwing the clot…. a pulmonary embolism, among other terrible things may occur as a result.  I will not regain full use of my left arm. There is permanent damage to the vessels in the arm.

So what are the treatment options?
The conservative treatment is compression therapy, anticoagulants and PRAY!

The invasive and EXTREMELY dangerous treatment is to have the leads (wires) removed from my heart.  For those of you that don’t know, in order to remove the wires, the doctor has to laser the micro-screws out of where they are secured to the chambers of the heart, then attempt to pull 4 leads out of the tiny, fragile vein they’ve been crammed into – all the while hopefully without damaging the heart muscle and/or the vein without permanent irreparable damage. IF I survive the surgery and since I am pacemaker dependent a new device has to be placed on the right side of my chest with a whole new set of leads (only 3 this time) being crammed into a vein on the right side…. Oh and hope the blockage/clot deal doesn’t happen on the right side and jack up my right arm.

Postscript – The doc was right – I did diagnose myself. I said it was some kind of blockage since last November.  The local docs didn’t diagnose it. I had to travel 1600 miles round trip and spend several thousand dollars only to be told what I already knew.   I didn’t think beyond the quest of obtaining confirmation of what I thought was going horribly wrong with my body.  I was so busy on this path of finding out what the H E double hockey sticks was wrong with me – that I did not consider ‘what’s next’.  At home, the docs passed me around like a hot potato.  No specialist or internist locally would help me “own” what was happening to my body.  I was alone.   Alienated from the people who were in charge of my health care.  I’m not bitter.  Check that – yes I am.  The diagnosis sucks. I will have to deal with that at one point or another.  However, the alienation, the abandonment that I feel from my local doctors…. That is what I am struggling with at the moment.  

What’s the lesson here? Is there a moral to this story?  Yup! There is.  Despite what is going on in my body or in my head at the moment…. My God is in control.   I kept thinking to myself, “God is keeping me alive again… I can’t wait to see what He has up His sleeve this time.”

Well, my lovelies, that is all for now.  I promise not to be so distant.  I’ll be back (in my best Swartzenegger voice). Be good to yourselves! Be blessed! PEACE! Roger, over and out!

Tuesday, May 1, 2012

It's Hot in Cleveland!


They say its “Hot in Cleveland!”  It certainly has been an interesting trip. I’m not sure I can do it justice by merely writing about it.  There has been intrigue, deceit, violence and leather (and that was just at the hotel)!  Don’t let me forget to tell you about the terror plot, explosives and deviants later!  So back at the ranch… it wasn’t hot in Cleveland when I arrived – the high was 57 degrees. Brrrrrrr.   

I found my luggage, wandered aimlessly for a few moments and identified a town car to take me to the hotel (cost the same for a taxi, so why not?)! Michael was my driver’s name; he thanked me personally for Trent Richardson from Bama football being the #3 NFL draft pick to the Browns. Yay me! As if I had some cosmic power to make THAT happen just because I live in Alabama and was visiting Cleveland!  Yep! This was going to be a good trip! I can tell already!  I arrived at the hotel, shook Michael’s hand and proceeded to the front desk at the hotel.  The lobby, restaurant, lounge and bar area was packed with festive people.  “Interesting,” I thought, “its Sunday night. It must be a convention in town.” I was quickly checked in, was provided the low down on the amenities of the property and given directions to the elevator.  

After ‘freshening up’ and unpacking I headed back down to the restaurant to grab a bite to eat. I wanted to retire early; I knew I would be wiped out from the flying and lack of sleep. I knew that 6 a.m. was going to happen rather quickly.  I had it allllll figured out. I was seated quickly, offered a beverage and was left with a menu.  As I perused the fare, I hear an eruption of laughter from the large table over. It was a group of guys, hanging out, having dinner. I went back to my menu and attempted to order something heart healthy!  As the waitress left with my order, I look at a 2-top table directly across from me.  There sat alone was a middle-aged man who looked ‘pinched’… almost angry. I wondered what he could possibly be upset about. I mean, after I got Richardson drafted to the Browns?? Oh… I bet he’s not from here… duh! He’s in a hotel.  Ok, so I wonder why he’s ticked.  

Oh well.  I glanced past the angry guy and saw a smaller table filled with more men. Huh…  I looked at the tables behind me. More men. Men are EVERYWHERE. Now, I know some of you are thinking…. That can’t possibly be a BAD thing.  And it’s not.  But what was curious to me was other than the two waitresses and the front desk clerk… I was THE ONLY FEMALE in the joint….  What’s wrong with this picture??  Now, the hotel I chose is close to downtown, which means it’s close to the field where the Indians play baseball.  But I checked their game schedule before I arrived and knew they were traveling this week.  The hotel is also close to the convention center where the Cavaliers play basketball…. But the regular season is over… it’s not football season yet….  That’s when I started to look closer at all the men.  They were many that looked like everyday guys…. Some old, some young, many are bald, some had hair, some were clean shaven, some had beards, some had mustaches, some had goatees. Was there anything similar about these guys? What the????  (Insert sound of a record scratching) There was one striking common denominator.  THEY ALL HAD ON LEATHER! Leather vests, leather pants, leather hats…. That’s when I thought I figured it out ….   It MUST be a Freddie Mercury convention in town!!! It must be some sort of annual tribute or homage to the lead singer of Queen.  

Freddie was a truly gifted musician and vocalist who was a flamboyant, colorful character on stage. I wasn’t old enough to see him in concert  or really to know much more about him or the group than to be able to sing along to “We Are the Champions” and giggle when I tried to sing along with “Bohemian Rhapsody”….  “scaddamoosh, scaddmoosh, will you do the fandango?” I vaguely remember seeing concerts or bio’s on TV about him.  By this time my dinner was delivered.  Yum. I noted the angry man inhaled his food and left the restaurant in a huff.  I shrugged it off, paid the check and began making my way to the elevator.  I noticed the warm cookies were being put into the serving container as I was about to walk by… pit stop!!  Love a gooey cookie.   As I turned on my heel, and put said cookie into my mouth to take my first bit is when I saw it.  

All at once, I gasped! This of course meant sucking a loose crumb off of that cookie and having it lodge in the back of my throat – coughing ensued!  As I was trying to avoid choking to death, I couldn’t stop staring.  Yes. I admit it. I was staring. I was staring at the very large man standing against the wall with his back to me. That’s not the unusual part….  He too was wearing leather! A leather hat, a leather vest and leather chaps!!! Yes, my friends, leather chaps! No pants mind you…. Just chaps and boxer briefs!  OMG!!! He turned only to see who was choking to death. That’s when I noticed the leather harness across his chest and leather collar around his neck…. And the piece de resistance (French for the best part) – was leather collar was connected to a leash in which his “owner” held with one hand and in the other he held a cat of 9 tails. EIWWWWWW.  

I quickly made my way to the elevator. I wanted to die in piece – alone!!! I was so grateful that the door was closing and I was the only passenger…. UNTIL…. A hand stopped the elevator door from closing (oh crap!)… entered 5 leather clad men of various shapes and sizes, some follicly challenged (no hair) and others had enough hair to make gorillas jealous!  Of course my room is on the TOP floor…  I stared at my cookie.  The same cookie that about killed me a moment before.  It turns out that it wasn’t a Freddie Mercury tribute.  It was some gathering of men wearing leather and crowning a king and queen. I only looked up from my cookie when one of them said, “Hey guys, look, we have her surrounded.”  I was about to go all New Jersey on them when another one tapped me on the shoulder and said, “its ok, honey, you’re safe with us!”  Eh hummm.  I went back to staring at my cookie.  Let’s just say, I triple locked the hotel room door and had to try to get some sleep.  Apparently, the guests next door didn’t need to get any sleep and put that cat of 9 tails to use. Needless to say, I slept with the TV on with the volume turned up.  There’s a whole new image in my head of what “Hot in Cleveland” looks like.  YIKES! I just threw up in my mouth a little bit!  More to come…

Monday, April 30, 2012

The Sum of All Fears - The Saga Continues, Part III




We made it …. Done with the waiting. That “Friday” finally arrived! We were entering the new building where the pediatric cardiologist “lived”.  I wasn’t sure what to expect. I’ve been going to specialists for so long now that I’ve forgotten what it was like visiting for the first time.  But this was different. I’m not the patient in this office.  I am the parent.  In stark contrast to my visits to the doc….  I felt anxious. Uneasy. Not comfortable. Almost sick to my stomach.  The thought of one of my beautiful, God-given children being diagnosed with heart disease makes me physically ill.  When I would stop to ponder those thoughts for any amount of time, I couldn’t help but get choked up and tears would well up in my eyes. I was feeling completely responsible for passing that mutant gene along to my kids…. UGH….

As I sat with my kids in the waiting room, I tried to take it all in… the sights. The sounds.  What was striking to me were the seemingly healthy kids of various ages.  There were several newborns, a couple new crawlers, a toddler, and a few preschoolers and a couple older kids. Ethnicity varied from patient to patient.  I wondered what was going through the parents minds.  Where they a little sick to their stomachs? Did they experience guilt for passing something on to their new babies? Or were they being seen for something completely out of left field… where they angry about it? Were they scared? I wondered if they lost sleep the night before. I wondered if any shed any tears. I can tell you I rode a wave of emotion.  One moment I was diverting the looks of my children because I was choking back tears and the next moment I was fine – because I was scolding one of them for something appalling – like whining. 


The appointment starting off with a 45 minute wait in the lobby.  Then we were called back to triage where height and weight measurements were taken along with 12-lead EKG’s. The boys were quite uncomfortable taking their shirts off in front of the nurse – they giggled nervously (I wonder how long they will be like that?). Both my kids are incredibly ticklish so they giggled and squirmed through the sticky pieces being placed on their bodies – not to mention complain a little because they were so cold!  I must admit – they are right!   It was a little anti-climatic when we were asked to return to the lobby to continue to wait. But what were we gonna do? Rebel? Begin a picket line? Pitch a fit? Right… I would never do that (besides that never worked for me before).  
We were finally called up to the BIGS…. We were all put in a room and we were questioned by the nurse – she pressed us about my history and then my family history.  And then the doctor arrived.  A vertically challenged, Asian man with a big smile, oversized glasses and a bow tie arrived on the scene.  He asked us similar questions about my heart disease and family history.  He asked the boys who wanted to go first. My oldest jumped at the chance to go first. Brave? Sure.  But he relishes the ability to be bigger, better, first over his little brother. It’s a thing.  The oldest did great.

My youngest was only a little apprehensive about taking his shirt off again… but he climbed right up on the exam table without any assistance and lay down.  Both were great patients. The 4 year old asked an incredibly intelligent question of the doctor.  “So what is the “goo” for?”  The doctor explained patiently to him what the ‘goo’ was for… I think TJ lost interest about midway through when he was trying to explain sound waves.  The boys were mesmerized by the gray, fuzzy shadows and patterns the doctor said was their heart. Both seemed only to mind the procedure when it was time to wipe off the “goo”.  Of course, the “goo” was cold by then.  

The doc said that both hearts were structurally sound, pumping and valve function look good and strong. The electrical disturbance Hunter experienced was not captured therefore, not diagnosed. The doc indicated that we should return if the frequency of the “hard” beats increases otherwise return in 5 years for another evaluation.
I asked why it is so difficult to get to see a cardiologist – his reply is that it shouldn’t be.  I already knew that answer.  So, we all shook hands and I returned to work after agreeing to meet up later for dinner.  My boys and their dad went shopping for my “early” birthday present.  I met them at one of our favorite restaurants. As we were beginning to dive into the food, Hunter puts his fork down and says, “Mommy, feel my chest.”  UGH….. the saga continues.... God is in CONTROL!!


Wednesday, April 25, 2012

A Lab Rat Goes To Cleveland...


Yes! This lab rat (me) is taking the show on the road. I’m headed the Cleveland, Ohio on Sunday.  If someone were to ask me, where would you like to take a week’s vacation, most folks would have replied, somewhere in the Caribbean, New York City in the spring, or the beach somewhere. But NOOOO, I am going to Cleveland, Ohio. Cleveland.  Cleveland is the county seat of Cuyahoga County that sits on the southern shore of Lake Erie and is only about 60 miles from Pennsylvania. Cleveland is home to culturally diverse groups such as Indians (baseball), Browns (football), Cavaliers (basketball) and the lesser known Monsters (hockey), Gladiators (arena football) and the wildly popular, Crush (lingerie football).  Cleveland is a frequent stop on the food network!  An Iron Chef hails from Cleveland and the area touts its own Little Italy. It could be love for me!  Cleveland is home to the Rock and Roll Hall of Fame, Drew Carey, television show, Hot in Cleveland and upcoming superhero movie The Avengers.  Who knew Cleveland would be so diverse and colorful??


Cleveland is also known for the world renowned Cleveland Clinic. Cleveland Clinic is in the top 4 hospitals in the country (so says the US News & World Report) and is ranked #1 for cardiac care 16 years in a row.  They are well known for their complex and difficult case management and resolution…. And they haven’t even met me yet.

The doctors in my local hospitals and clinics are very good. However, my illness seems to have advanced beyond the available technology and experience that is available nearby.  It’s NEVER good when a medical doctor shrugs their shoulders and says, “I don’t know how I can help you.”  We count on the doctors to “fix” things. They went to school. They studied. They studied for years. They have degrees. They have certifications. They have taken and hopefully passed exams.  Yet still, not every patient fits inside the “box”. That dreaded little “box” that I have battle with every time I visit a medical professional. It’s the “T & D Box”… treatment and diagnosis.  I don’t fit.  I have been called “contrary,” “difficult,” “challenging,” “resistant,” “puzzling,” “perplexing”.   Like putting a cat in a bath tub – resistant?? I've always thought I was rather amenable.  Apparently not! 


After much investigation, review and discussion with my fellow “complicated” patients – we decided that Cleveland Clinic is my next step.

Oh well.  The flight leaves on Sunday for my next adventure.  I’m heading up… Up? Up and over? to Cleveland – alone. (Insert music from Three Dog Night “One is the Loneliest Number”).  The kids have too much going on for us to expect a “fill in” to manage on their own.  So, the hubby will attempt to jockey my care from 700 miles away.  Not an easy feat for a guy that truly relishes ‘fixing things’ and taking care of me. 

I am excited…. Cautiously optimistic. Apprehensive. Nervous. Juiced Up about the trip. 

I’ll keep you posted. Stay tuned. Same Bat time. Same Bat channel. Peace! Out!

Monday, April 23, 2012

The Sum of All Fears... Part 2

As you may remember, where we left off was … WAITING! Waiting for the blood work and EKG results from last week.  We were told that we should hear something from ‘someone’ by Thursday or Friday.  Often, when we press for more information about the ‘someone’ who will be calling, I am met with silence and or a long “uhhhhhhh.”  I can only assume that most patients accept the fact the unidentified ‘someone’ will be calling them.  Maybe most folks are happy that they will be receiving a phone call… from ‘anyone’.  Even this guy??


I’m dating myself now… I digress. 
Thursday came and went without a peep from ‘someone’.  Friday arrived.  Of course the call to my husband’s cell phone occurred when he was on the riding lawn mower at the athletic park where the kids play sports…. He didn’t hear the phone ring when that ‘someone’ was trying to call him THREE times.

He finally connected with the ‘someone’ who was trying to reach him. In fact, this time, that ‘someone’ was the boy’s pediatrician.  Of course the blood work and EKG for Hunter was COMPLETELY NORMAL! PTL! However, since there is a ‘dramatic’ family history of cardiac issues, the DOCTOR is recommending that BOTH boys see a pediatric cardiologist for full cardiac workup.  I’m SOOOOO glad she thought of it! Geeesh!  The pediatrician also recommends that we consult a genetic counselor. Ohhh goodie!  That’s  Lovely!  Ok – genetic counseling can sometimes help predict whether they will develop that heart condition in the future. Maybe.  But basically we will be attempting to determine if I inherited the same mutant gene and passed it to my beautiful boys.

There is so much that is unknown about cardiac stuff (yes, I said “stuff”… I use it as a technical term), it’s scary.  Protocols and procedures that used to be prescribed to treat certain heart diseases are now known as being detrimental to the patient and their prognosis.  Currently, I have not been diagnosed with ANY genetic heart diseases and I have NO structural defect that I am aware of that would cause concern either.  

My point to all the blathering???  Why is it so difficult to have my boys evaluated? Especially, in light of the fact, I am willing to pay for it, out of pocket!! Why do I have to suggest such an evaluation to a pediatrician my youngest has had since birth and my oldest since he was 3? 

And furthermore…. Why are kids not required to have a physical and full cardiac workup every year?? Why do we not require it as discerning parents? Why do we allow a physician that may see your kid once or twice a year make potentially life-altering decisions about your child’s care? I mean, let’s face it folks, some of us struggled to have babies. Some of us struggle to keep our kids healthy. Some of us struggle not to pop the little ankle-biters in the back of the head on a regular basis.  I say again…. WHY??  

This coming Friday, we are taking BOTH boys to the pediatric cardiologist.  I’m so glad they thought of it!! 

More to come! 

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Thursday, April 19, 2012

The Sum of All Fears...

I have a few “fears”…. I guess we all do. Or we’re lying about it. I remember being a kid and being afraid of walking to my bed when the light was off.  I couldn’t reach the light switch from my bed and I didn’t like sleeping with the light on. My fix to that situation was to leap like an Olympian from the doorway to my bed. I was quite good at it. What exactly is fear?  The online dictionary I use frequently says, “ Fear, noun, (1) a distressing emotion aroused by impending danger, evil, pain, etc., whether the threat is real or imagined;”  It’s important to note that the definition painfully points out “real or imagined.”  Fear.  I also have an unnatural fear of flying insects that look angry and have the capability to sting me since being stung multiple times by really ticked off wasps as a youngster (my sister’s fault).  

Fear.  My battle with heart disease began when I was in labor with my first child and continued to deteriorate over time and with my second pregnancy.  For almost 9 years, I have silently feared that somehow I passed along a mutant gene that would cause my child(ren) to inherit various shapes and forms of heart disease since then.   Over the years, I’ve often been asked if I passed my disease along to my children or if I inherited my ‘heart issues’ from my parents.   As I spoke the words, “No…. my heart conditions are not considered hereditary,” I often wondered in the back of my head if that was really true.

Fear.  Last Friday night, after finally settling the kids into bed, my oldest son…. Very handsome, intense, funny, dramatic, athletic, 8 year old (almost 9) boy says, “Mommy, come feel my chest.”  I immediately became sick to my stomach.  Somehow, I intuitively knew what that meant. Each step toward the bed where he was laying felt like I had on cement shoes (which isn’t out of the realm of possibility since I am Italian).  I sat on the edge of the bed. His small hand reached for mine and placed it ever so gently on his chest.  I closed my eyes and drew in and held a long breath.   It felt as if my head would implode as I felt to all too familiar hard and irregular heartbeats in his chest.  I wanted to scoop him up, squeeze him tightly and collapse in a fit of fear and rage.  I was so relieved that the room was dark to prevent him seeing the blood drain from my body.   I choked back the tears and suggested that he just relax and take a few deep breaths.  I tried to reassure him that what he was experiencing was quite normal for many people, including kids. Which is true… doctors have told me that for years… I’ve regurgitated that when asked to speak for groups or at meetings….  Or when I’ve been asked in one-on-one conversations.  After several minutes, his heartbeat seemed to return to normal.  I was leaving the room as he was drifting off to sleep I remembered I was holding my breath. As I closed the door behind me, I gasped for a breath and was quickly reduced to a heap on the living room floor.  I could hear me talking to out loud, reassuring myself that this was quite normal, and to be safe I would call the doctor to schedule a physical and a heart evaluation (to include a blood pressure evaluation, 12-lead EKG (electrocardiogram) and an echocardiogram, AKA echo).  All of that would certainly quell my fear. Right?

My husband suggested that he take the boy to the pediatrician and when we arrived at the cardiologist stage…. THEN I would attend. Only after I gave him several minutes of both verbal and written instruction, I conceded.  The appointment was scheduled for Wednesday.  As I suspected, the pediatrician did not hear anything abnormal when listening to my son’s heart through a stethoscope.  Ain’t that always the way??  This is when my hubby was informed that the pediatrician cannot order an echo. The only way to have an echo is to jump through several hoops that would make any circus clown cringe.  After a quick consult with my husband over the phone, I asked him to jump through those hoops.  So off they went.  Hoop #1: blood work.  Completely expected yet despised by the kid.  Somehow, when a needle is produced within a 10-foot radius, the kid develops super human strength that would rival that of a comic book hero.  Hoop #2: leave the hospital building where the pediatrician’s office is and transport the now ‘jabbed’ and VERY suspicious kid to a different local hospital to be seen by a technician to conduct the 12-lead EKG.

EKG’s are relatively painless with the exception of the removal of the hairs on your arms, legs and chest where the sticky pieces for the electrodes go and are often removed abruptly by the tech  – it’s all good.  Hoop #3: WAIT.  Ugh!  Apparently, the process is to have the EKG done…. Then wait for someone, a Cardiologist hopefully, to read the report, then hopefully said Cardiologist with call the pediatrician and discuss the results.  Most people I know…. Don’t do well with the wait… but that’s where we are. Allegedly, if the EKG is “normal”, which I completely expect it to be…. We do not qualify for an echocardiogram regardless of our willingness to pay for it out of our own pocket.  Of course, I got hot and bothered over that information.  After my husband talked me down from that ledge, I agreed to wait for the results of the EKG and THEN ask/tell the pediatrician we want to have the boy evaluated by a cardiologist… if THAT is what is necessary to get this kid an echo, that I willing to pay out of pocket for.
I don’t understand.  An estimated 20 young, active kids die EVERY day in the U.S. from sudden cardiac death for various reasons. Cardiologists know that you cannot detect a structural defect by listening to the heart or seeing how it behaves in an EKG. Some conditions may be detected that way, but not all.  We also know that electrical issues in the heart that cause irregular heart beat (aka arrhythmias) are incredibly difficult to diagnose. I get the fact that we are tied to the medical insurance rules and regulations.  But I’ve already told you that I will pay for the echocardiogram out of my own purse… So tell me again, WHAT ARE WE WAITING FOR?? Listen, I am all about playing by the rules. The rules are there for a reason.  Respect the rules!  Where I get sideways is when the rules DON’T MAKE SENSE.   There is a FAMILY HISTORY (risk factor) of heart disease. The kid had an “event” (risk factor). I’m willing to bear the costs associated with getting him tested (obstacle)! Let’s do this!

I’m not any different from many of you, my stupendous readers!  I’m a pseudo-normal, funny, passionate, understanding parent until….. you mess with my kids.  Then I become, a finger pointing, voice-raising, head shaking, “Oh no you didn’t”, kinda mom that tends to become terse and very outspoken.  I’ll own that. Don’t. Mess. With. My. Kids.  So… in the meantime, I will do my best to continue jumping through the hoops in order to ensure my kid is ok. I will not rest until I do.  My advice to you? Do NOT take no for an answer.  Think about it this way… NEVER put yourself in a position to say, “I should have___________ but now it’s too late!”  I love ya peeps!! Peace. Out.