Monday, January 19, 2009

The short version.

So here's the update. I don't have too much time to go into details, as Ivan needs his meds, Ella is hungry, and Noah is slamming into walls in his walker, but let's try and recap.

Last Monday, Ivan started experiencing chest pains at work. We rushed him to the E.R., where they took an ekg. It was abnormal. His heart rate was hovering around 115 bpm. Normal heart rate is 60-90. They waited 4 hours, and re-took it along with a second set of bloodwork. The ekg was abnormal again, so they assumed that it was just Ivan's normal baseline ekg. Since we know nothing about ekgs, we believed them. Even with his heart rate high throughout sedation and 5 hours in the E.R., they released him. Luckily, my grandmother works in the office of the South Bay's best cardiologist, Dr. T.K. Lin. He helped my grandfather through a triple bypass surgery in the 70's, and through every illness up until his death in 2003. Dr. Lin's been our family cardiologist for over 30 years, and we made an appointment to see him the next day.

Later that night, after returning home, Ivan started getting more pain in his chest. At 11:00 that night, I took him to our local E.R. After another ekg and vitals monitoring, everything seemed normal. So, rather than go through invasive testing in the E.R., we opted to just wait to see Dr. Lin in the morning.

Just a few notes about Dr. Lin. He's a hardass. In the purest sense of the word. He yells at nurses who don't jump when he says jump. He laughs at other doctor's diagnoses when they are wrong. He will tell you exactly what he thinks, even if it hurts your feelings, then tell you to leave. We love him.

So, at his office, when looking at the first E.R.'s ekg, he got a look of disgust on his face, and proceeded to tell us how most people don't know how to take an ekg. We got a full lecture about why people are trained wrong, that they put the electrodes on the wrong place on the body, not "smart enough" to figure out the correct positioning. So he ran another ekg. Then he put Ivan on the treadmill for a stress test. Immediately, Ivan got a pain, and the ekg spiked. Or plummeted. Whichever one it's NOT supposed to do. He flunked it.

Seeing this, Dr. Lin ordered us to go straight to the hospital, to get bloodwork and an echocardiogram done. Now, because we had both kids with us, and no babysitter, we started scrambling. My grandma called the hospital and got us a 3:00 pm echo appointment.

At 1:45, Dr. Lin called my cell phone and asked me why we weren't done yet. Yeah. He's like THAT.

So, we did the bloodwork and the echo, both normal. We found that Ivan's cholesterol was out of sight. His LDL levels were ridiculously high. But everything else was normal.

Dr. Lin sat us down and explained that he wanted to schedule Ivan for an angiogram. An angiogram is a procedure that maps the heart, looking for artery damage, narrowing, or abnormality. They insert a catheter into the artery in your groin, and thread it into your heart, then shoot a dye into your heart. A live xray video is taken, showing the bloodflow and beating of your heart. It's invasive. And scary. And the thought of it scared the shit out of us.

Dr. Lin admitted Ivan to the hospital. Well, the hospital was full, so we had to be admitted through the E.R. Which was full. Which meant we would have to wait for hours just to get a bed in the E.R., then hope for a bed upstairs. Dr. Lin walked us through the E.R. and barked at nurses and the head of the E.R. till we got a bed. A bed in the hallway. Which was full of other patients in beds. When we got a bed at 10:00 pm, there were patients in the E.R. waiting room who had been there for SIX HOURS. And hadn't even been seen. Thank you for being a hardass, Dr. Lin.

So, Ivan spent the night in the E.R., and after a few chest pain episodes and some nitroglycerine, he finally got some sleep. And I ran back and forth between his E.R. bed and my dad's, where the kids were sleeping. I'm still nursing Noah, so being away from him for any length of time can be tough. Ivan finally got assigned to a shared room upstairs around 3 in the morning, and I fell asleep next to him in the hospital bed. (We found out later that they never let anyone stay in the room with patients, let alone in the bed. Oh well. I didn't ask permission.) WE knew the angiogram was scheduled around 11 am, so at 7 am, I woke and left to go check on the kids. As I was driving, Ivan called me and told me that they were wheeling him into the angio now! What!??! Wait!!! I have to kiss you! I have to tell you I love you and that it's gonna be alright! Dammit.

Apparently, Dr. Lin pulled more strings and wanted to get it done early.

So I rushed back.

The angio went great, everything looked fine. No narrowing, no heart damage or issues, everything looked beautiful.

Which was good.

and bad.

We didn't know what the problem was now. If it's not cardiovascular disease or artery buildup, what was it?

Dr. Lin put Ivan on a bunch of meds, including a cholesterol medication and a heart spasm prevention med, and wanted to keep him in the hospital for observation overnight.

More running back and forth for me. Kids, hospital. Kids, hospital. Kids, hospital.

On Thursday, Dr. Lin came in and ordered another ekg. Apparently, the one they did that morning was not sufficient. Now, I dobn't think I can even describe in words the hilarity of the scene that followed. Dr. Lin literally yelled at the ekg tech, smacked her hand away from Ivan's chest, and proceeded to spend 25 minutes TEACHING her how to put the electrodes on correctly. I've never seen anything like it. And I'm pretty sure the ekg tech cried when she left the room. But, everything looked normal enough to release Ivan, so we checked out, with strict orders to go straight to Dr. Lin's office. Of course. We got medications. And medications. And orders. And medications. And Ivan was put on a 24-hour monitor. Meaning, he got more electrodes taped to his chest, which fed into a monitor he had to wear around his neck for 24 hours straight. The readings of which would be decifered by the doctor later.

I'll try to cut the rest short.

We had a little scare, popped some nitroglycerine, rested, drove the kids back and forth, scrambled for more babysitting, ended up sleeping at my dad's in Carson (to be closer to the hospital), then got the monitor off the next day. We're waiting for the specific results.

Ivan's now on 5 daily medications, with two more meds here for him as needed. I've been caring for the kids and him, we've switched our entire diet to low-fat, low-cholesterol, high fiber. Ivan's off work and resting till next week. So, for now, Dr. Lin believes that Ivan's problem stems from intermittent heart spasms, which he's likely had for a while, but ignored. It's incredibly lucky we caught it now. It could be alot worse. And his cholesterol levels could have been a precursor to an even more serious cardiac issue. But we're home now.

And we're all exhausted.

But we're so grateful that he's okay. And he's here. And we have each other.

I learned alot of things in this past week. Like how to keep a medical journal. And that stress can affect breastmilk. And that I don't ever want to face the possibility of not having Ivan with me. And that this family is the only thing that matters.

Believe it or not, that really is the short version.

1 comment:

Liana Peacock said...

OMG! Stephanie! I am so sorry about all of this. I hope everything is/has worked out.