Two nights ago I had alot of trouble sleeping. Whenever I'd begin to drift off, my breath would catch at the depth of the exhale and send me gasping for oxygen. Or my heart would pound so hard it would wake me. This happened enough times that I gave up on sleeping altogether and instead volunteered both overnight feedings with the baby. But by morning I was pretty worried. I'd been experiencing some pressure, like a finger, pushing at the center of my diaphragm, on and off for the past week. I didn't know what it was or if it was related to the sleepless night, but I was concerned enough that when Cecily asked if I wanted to go to the E.R., I agreed. So we piled in the car, poor sleepy Tori included, and drove off to our local hospital.
Now the best time to arrive at a suburban Emergency Room is definitely Sunday at dawn. The place was quiet as a winter beach. So I was seen immediately, ushered into a bay, and hooked to an array of monitors. I was given an EKG and intranasal oxygen. An IV line was established and blood was taken. Cec and the baby waited with me. After the EKG, the doc said my history and description of the discomfort, along with my EKG result, was leading him toward a daiganosis of pulmonary embolism.
I had to roll that one around in my mouth awhile... pulmonary embolism.
I remembered my father, who'd had his first heart attack at 39, and the
fatal one at 46. I remembered the huge grins Tori had given me just that morning, and how much I want to be there for her, to see her grow up. And how much I missed my dad. I asked if maybe we could take some of the big-money chips off the table and talk about things like sleep apnia, reflux disease, or hiatal hernia, all of which are part of my health history. And yes, he said those were ll potential causes, butthey had to rule out PE.
There was a blood test, the doc said, that would be definitive. But it would take time, so they were just going the faster route of a chest x-ray and a contrast CT. And they were fast. I was wheeled into the x-ray before 10am and had the CT before noon. Then the wait for the results. I asked the doc about treatments (he was a very nice D.O. and took time to answer all our questions). He said that the first thing to try, if I had a PE, was blood thinners like coumidin or heparin.
By this time, Sarah had arrived to give Cec a hand with Tori and to be the kind of unconditionally supportive friend few are lucky enough to have. And we waited. And waited. We watched my blood pressure rise and fall...talked about people and TV shows...cooed over Tori...and tried not to think about pulmonary embolisms.
Finally the resuilts came back... all negative for PE. So, the Attending said, this was the good news. But what had caused the pressure, the heart poundng, the insomnia? No clue. They sent in the Respiratory Therapist, who gave me an albuterol breathing treatment and a prescription for an inhaler, and then sent me home, with advice to see my family doc (which I'd already planned to do).
But yesterday afternoon again, each time I lay down, my breath would catch, my heart would pound, and I'd startle and gasp awake. Cec suggested I try one of her blood pressure pills (methyldopa, leftover from pregnancy). I'm not a huge fan of med-swapping, but I took one. In 20 minutes, I felt relaxed, and in another 10, I was asleep in the easy chair. I later went up to bed and got a few more gasp-free hours of high-quality REM sleep. Then fed our beautiful baby girl at 3:30am, promising I'd always be there for her.
I don't know what the day will bring, but facing it on a few hours of decent sleep can make a world of difference.