Showing posts with label Palomar Medical Center. Show all posts
Showing posts with label Palomar Medical Center. Show all posts

Thursday, May 16, 2019

Mea culpa......

8:09 am - Thursday - May 16th - Ramona, CA - 56° F, 81% humidity, wind 8 mph out of the south.....overcast this morning with a forecast high of 62° F.  Feels good to be alive this morning......the view this morning.....↴



When I had my stroke on December 28, 2017 my doctor told me I had won the proverbial lottery....a stroke with no serious consequences.  I had a wake up call then, and the message was 'Clarke, you're not 19 anymore'.  I won the lottery in the sense that a bad thing happened to me, but there were no long lasting effects....in fact, all the symptoms had disappeared within 24 hours.  I made some minor changes in my lifestyle thinking "I've got this under control".  My blood work at the time indicated my cholesterol level was at 170.....wonderful for a person my age (67 at the time), but in addition to taking 20 mg of lisiniprol and a baby aspirin per day, my cardiologist gave me a prescription for a statin (cholesterol medicine) to lower it even further.  I took it for a while, but eventually thought why am I taking this if my cholesterol is so low?  In my arrogance I decided I knew better, and stopped taking it.  That, in retrospect, was a mistake.  Why?  Well, since December of 2017 my cholesterol has climbed to over 200.  Now, I know that the plaque buildup in my main artery did not all occur over the last 1.5 years, but was already well under way when I had my stroke.  Taking the statin (cholesterol reducing medication) would have begun to reduce that plaque, but my refusal to continue taking it allowed it to continue to build to the point where I had a heart attack.  My purpose in being so transparent is not to engage in the "woulda, coulda, shoulda" blame game, but to encourage all of my readers to follow their doctors advice.  If in doubt, get a second opinion, but do not substitute your knowledge and experience for a doctor's years of experience, and knowledge.  My arrogance almost got me killed by my own hand.

So, here I was on May 13th thinking I was doing pretty well, and suddenly I find myself on the edge of cashing in my chips once again.  I end up dodging the 'Angel of death' once again, and within 24 hours I feel great....as if nothing had happened.  I feel blessed, but extremely embarrassed that I have been given, once again, a 'get out of jail free' card when I don't seem to deserve it.  I wonder why, but I'm not going to go down that rabbit hole.  I hope I have learned my lesson....I'm pretty sure TLE will not let me forget this lesson.

I am humbled, and appreciative by the response to my announcement first on Facebook, and then in my belated blog post Wednesday evening covering the events of Monday and Tuesday.  As you know, I have never missed a day of blogging since I began to blog every day back in October of 2012.  I know that many read my musings every single day, and when I even post late in the day, instead of first thing in the morning people have gotten concerned, but in this case I was late into a second day.  Thank you for your patience!

So, for the second time in 1.5 years I have been forced to face my own mortality.  Intellectually I know I have been granted a finite amount of time on this earth, but it is easy to avoid thinking in those terms.  When you go for decades with really good health, and no discernible health issues you begin to take good health, and physical condition for granted.  You assume you will wake up every single morning, and that bad things only happen to other people.  I know so many people who have passed early who were also in seemingly good health, but I preferred think I would live for another couple of decades, and just not wake up one day, but live to a ripe old age.  I had one good friend, Ray Revenaugh, who seemed the picture of health.  He was active, a bicycle rider like myself, and ate healthy.  One day he was out riding his bike and had a massive heart attack.....there was no warning....one minute he was here, and the next he was gone.  Nothing is guaranteed, that is for sure.  Now, each day I wake up I turn to TLE and tell her...."Well, apparently, you've got me for one more morning".....I almost did not get to tell her that Tuesday morning, and had I not been able to wake up that day and tell her "Well, you've got me for one more morning" it would have been 100% my fault.  I owe her more than that, and I will do everything the rest of the days God has granted to me to be alive to do everything I should be doing to be able to greet her each and every morning.

I was discharged from the Cardiac Unit at Palomar Medical Center around 12:30 pm, and with newly prescribed medications was on my way home with TLE courtesy my son, Tim, and daughter-in-law, Laila, who drove us back to RORVR.  We were home before 2 pm, and bidding adieu to Tim and Laila.  It was so good to be back home.  As the afternoon progressed the reality of what had happened began to really seep into my brain.  Over the course of the afternoon and evening TLE kept coming to me in my recliner and kissing me, holding my hand, and sometimes displaying a tear in her eye.  I almost left her.  She has spent so much time in doctor, and hospital waiting rooms over the past few years....never complaining, and always so grateful I am still able to greet her each morning.

To cap off our return home we watched the season finale for 'Survior', fittingly won by Chris who had to spend 28 days on at the 'Edge of Extinction' island waiting for his chance to get back in the game.  He beat out a dozen people to get back in the game, and made the most of his last 4 days, easily winning the $1,000,000 for outwitting, outplaying and outlasting all of his competitors.  Another great season is in the books, and another day in my life with TLE as well.  I woke up this morning (Thursday) and greeted TLE....."Well, apparently, you have me for one more morning".....I am so sorry I needlessly put TLE through the last two days.....I love you so much, Elaine, and you deserve my best!

Thanks for stopping by!


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Wednesday, May 15, 2019

The heart of the matter...

8:26 am - Wednesday - May 15th - 58° F,  89% humidity, wind 3 mph out of the west  by southwest......foggy this morning with a forecast high of  73° F.  The view this morning...



Monday began as a totally normal work day at RORVR.  I was assigned to pressure wash our 5 park models, and after opening the park I stopped by the tool shed to pick up the pressure washer, and hoses.....

The second cabin finished

......I finished most of the first cabin just before lunch, and then finished it quickly after lunch moving up the hill to the second cabin, which took much less time as it was not in as dire a need of pressure washing as the first one was.  As I finished with the second cabin I noticed the picnic table next to it needed cleaning so I went ahead and pressure washed it as well as 4 other tables in the vicinity.....

Can you see the line of demarcation between the dirty and the clean portions of the table and bench?

......by the time I finished pressure washing the tables it was closing in on 4 pm, so I packed everything up and headed for the office to put my tools away and pick up TLE.  We were home a little after 4 pm, and after taking a nice shower sat down to relax, and relax is what I did until about 8:30 pm when I began to feel a tightness in my chest.  The idea that I might be having a heart attack was the furthest thing from my mind for the next 5 minutes, but as the tightness turned to pain, and the pain began to radiate down my left arm I had to face the fact that that was probably exactly what was happening.

About 8:40 pm I told TLE that something was wrong and I didn't feel right.  She asked what didn't feel right and I described what I was feeling.  She suggested that I take my blood pressure, which I immediately did.....the reading?  159/99!  Wow, that is really bad and I am having a real problem no matter what the cause might be.  I asked her to dial '911' immediately, which she did.  As she made the call I went back to the bedroom to lie down on the bed, and she followed shortly thereafter, grabbing my hand and demanding I not leave her....she repeated several times over....."Don't you dare leave me....don't you dare!".  Within 10 minutes the paramedics arrived along with the local fire department.  At one point there were 2 firemen and 3 paramedics crowding back into the bedroom.  

Josh and Jersey began to ask me questions, and within a minute there were giving me 6 chewable aspirin, and a shot of nitroglycerin spray under my tongue.  In minutes I went from 10+ on the pain scale to an 8.  They moved me out of the Newell and onto a gurney, then into the ambulance and off we were in a cloud of dust with lights flashing, and occasionally the siren.  We arrived at Palomar Medical Center about 35 minutes later, and within minutes I was in an ER room being examined by an internist, then a cardiologist.  After 3 more shots of nitro, and an intravenous dose of Fentanyl my pain was down to a 1.

By this time it was 10 pm, and the cardiologist was telling me I had experienced a 'small' heart attack.....if that was small I would hate to experience a major one.  The pain became unbearable at one point just before the arrival of the paramedics.  Thanks to Josh and Jersey for stabilizing me, and getting me to Palomar so quickly!

The cardiologist told me they would perform an angiogram on me Tuesday to find the blockage, and then angioplasty.  He advised that if 3, or more arteries were blocked I would have to have bypass surgery, which I was praying would not be the case.  I remained in the ER room until about 7 am Tuesday when another room opened.  Then around 1 pm I was taken upstairs to the OR for the angiogram to be performed by Dr. Mulvihill who is quite the character.  Within an hour they had found the blockage in my main artery (they call it the widowmaker), performed the angioplasty, and installed a stint, and I was on my way to my room in the Cardiac Unit.

I wasn't able to eat anything until after the surgery and by 2 pm I was getting quite hungry as I had last eaten at 6 pm the night before.  Within an hour I had a late lunch, and a cup of coffee.  Since I had to lie flat for 6 hours keeping my right leg straight and immobile TLE had to cut up my food and feed me for both lunch and dinner.  By 10 pm I was able to get up and walk around my room, and that night I slept like a rock.  TLE, bless her heart, was with me every step of the way, and I know she did not sleep well Monday night in that stiff chair in the ER room, but just as always she never complained for one second.

What began as a very benign day ended in drama, but with a good ending.....thank you for your patience, and for stopping by once again!

When you shop Amazon, please use our link (below) to access their website.......we will appreciate every purchase you make using our Amazon Affiliate link, and  remember, using our link will not add one penny to your purchase, plus we will receive a small commission which over the course of a year adds up to enough to by a tank of diesel.