Monday, August 03, 2009

what happens in vagus…

Now that it's a month later, it's obvious that there were no lasting side effects. However three-and-a-half hours into our road trip, we almost called off our vacation to New England. I was riding in the back seat of our CR-V with my feet up on a cooler. When I shifted positions, my left leg cramped up. The pain was so bad that I couldn't speak. There wasn't much room for me to stretch my calf muscle. When the pain eased some, I told my wife and son that I felt lightheaded.

The next thing I knew, my son was saying "Dad, Dad can you hear me?" It was like he was trying to wake me from a deep sleep. I had passed out. By this point, my wife had already taken the next exit on I-81. We were somewhere in the vicinity of Radford, Virginia.

In addition to being lightheaded, I now felt nauseous . My wife called GOOG-411 to find the closest hospital. She couldn't tell them where to look because we didn't know exactly where we were. She had pulled into the parking lot of an office building with no visible landmarks. She called her brother, who was able to access the Internet and give her directions to the New River Valley Medical Center in Christiansburg.

While my wife was on the phone, I laid down on the back seat with both doors open. The cool air felt refreshing and I didn't want to get up. The late David Bloom was on our minds although I thought I had walked around enough at our last bathroom stop to prevent a deep vein thrombosis. I silently said a bunch of Hail Marys, with an emphasis on the line "now and at the hour of our death," just in case.

When we got to the hospital, I got into a wheelchair and was pushed into the emergency room. I was tired and thirsty and honestly thought I might get out of there with a diagnosis of "dehydration and exhaustion." They eventually gave me a bag of saline solution and some anti-nausea medicine that they normally give to chemo patients. The nurse didn't get it when I joked, "you don't mess with the Zofran."

They asked my wife and son if I looked pale when I fainted. It was hard to tell because I had gone to Sun Tan City the night before to get a VersaSpa treatment. Later, when they peeled the EKG electrodes off my chest, a layer of tan came off too.

When the doctor asked me what day it was, I confidently replied "Friday." Wrong. It was Thursday. In my defense, the last thing I did before leaving work on Thursday was to voice-track Friday’s midday shift. I recorded several announcements saying it was Friday and to meet the station staff "today" at a contest registration event.

The doctor diagnosed my incident as a vasovagal syncope. The intense pain caused my heartbeat to slow down. I wasn't getting enough blood to my brain and I passed out. Apparently something, possibly my swimming, has lowered my resting heart rate. The pulse oximeter showed my heart rate to be around 58 beats per minute. Reclining in the hospital must have gotten the blood flowing back to my brain because I thought of the title for this blog post while lying on the bed.

In talking with the doctor, we realized that this had happened to me once before. Several years ago I was trying to help my father-in-law replace the InSinkErator in our Dale City townhouse. We were about to put the house on the market for our move to Burbank. While trying to remove the old disposal, a shard of plastic broke off and punctured my right palm. There was very little blood but a lot of pain. I felt lightheaded and nauseous so I went into the bathroom to throw up. Instead I passed out. I woke up to the upside-down sight of Aunt Dee headed toward me on her walker to take my pulse.

By the time we left the hospital, it was too late to continue driving to my mother's house in Northern Virginia as planned. We went to a Denny's but I was nauseous again and had no appetite. A full night's sleep at the nearby Holiday Inn Express cured me and I was able to enjoy their complimentary continental breakfast. We re-routed our trip from there directly to Saugerties, with a stop for lunch in Hershey.

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3 Comments:

Blogger Meaghan said...

I am very glad that you made it to Saugerties safely. It would have been extremely uncool if you had died.

8/06/2009  
Blogger bean said...

I echo your daughter's sentiment that you dying would have been extremely uncool.

Wow, what a scary story. did the doctors have anything to advise so that it doesn't happen again?

8/07/2009  
Blogger PLANET3RRY said...

Thank GOODNESS that you made it closer to civilization in Christiansburg and not Radford. Although, most ailments in Radford are treated with large quantities of alcohol... (they are still bitter about losing the Best Party School in the US).

When I am training for my marathons, I'll usually give blood sometime 6-8 weeks away from my race and I try to freak out the nurse taking my vitals by being calm as possible because once I had my heartrate in the mid 40s.

If you had stayed at that Holiday Inn Express before the incident, you could have identified it yourself!

8/19/2009  

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