Paul's Heart

Life As A Dad, And A Survivor

How Did I Know Something Was Wrong?


We have all heard variations of survival of heart attacks.  The symptoms range anywhere from severe heartburn to the most excruciating pain.  My father and father-out-law both had very different symptoms with their heart attacks.

I had not had a heart attack, yet.  But according to the cardiologist, to emphasize just how lucky I was, stated “it wasn’t a question of ‘if’ you were going to have a fatal heart attack, but ‘when’.”  It was going to be a moment that could not be recovered from.

Wendy had a friend who was out pulling tomatoes in his garden.  His wife had just looked out her kitchen window.  She stepped away from the window to answer the telephone, and it was for John.  As she exited the back door to the garden, she was horrified to see John face down in the tomato patch.  He was gone.

While John’s health almost made it expected, as opposed to acceptable (overweight, smoker, drinker, high stressed), a heart attack came as no surprise.  On the other hand, I have a fairly youthful appearance, hide my gut pretty well, and internalize my stress.  I do not smoke and am not a big drinker.  Of course my diet is horrible.  But to look at me, no one could have any idea that I was a candidate for a major coronary event.  So, given my procrastinating nature, how did I know it was time to finally do something and how close did I cut it?

I didn’t.  It was just dumb luck on so many levels.  I had one main symptom for four months, but because of the way it appeared and resolved, and the lack of severity, I thought nothing of it.

January 2nd of 2008, I made the resolution I have made every stinking year, and broken, to get into shape and drop some serious weight.  There was nothing in particular that led me to believe that 2008 would be any different in commitment, but nonetheless, I signed up in another gym, one that had not seen me yet, paid my enrollment fee and got to work right away.

It was only going to be a little bit of cardiac work and some weights.  I do not like to run, and exercise bikes are boring.  I found myself liking a machine called an eliptical.  What made it better, is it had all kinds of meters on it from measure calories burned  to heart beat.  It was real easy to set goals.  However, right from the first day, something did not feel right.  I clearly had no idea what I was doing as I watched my heartrate escalate rapidly and hold around 150, which amazingly I did not realize was not good.  The coding on the console stated that to properly burn calories and lose weight, I was in the correct heartrate zone.  If you have ever tried to go jogging or running in the cold, and you ever got that “tight” feeling in your body, well, that’s how I felt, only I was indoors in a climate control environment.  Within a minute, the tightness would disappear.    The difference between the feeling that I had, and the “jogging in the cold”, is that after a certain period of jogging, the body would normally aclimate.  After two months, this tightness did not go away.  But I started to notice this tightness in other activities.  I had a very physical job that required me to move half ton equipment.  And I got that tightness moving that equipment.  As daylight increased, I began to do outdoor work and experienced that tightness outdoors.  Each time, as if it were an introduction or an announcement, this tightness came on almost immediately by the third month, and also increased in intensity.  The tightness still only lasted approximately one minute, then disappeared.  At the gym, I simply went crazy on the eliptical for another fifty-nine minutes, and then it was off to the weight room.  At work, I continued to put out the amount of work as I always had.  Outside in the yard, I would find myself frequently doubled over in discomfort.

By the second week of April, I had enough.  I have seasonal allergies and Spring hayfever season was about to come on, so I figured why not give my doctor a call to set up an appointment for my allergy shot, but then also to address this tightness issue.  My health file after 42 years was ridiculously thin.  With the exception of the period that I battled Hodgkin’s Disease, I only saw my doctor once a year to get that shot, and that was it.

But as I asked for advice from Dr. P for any tips to get rid of this feeling, she made a decision that would be the absolute difference in my life.  On a hunch, based on my health history of cancer, she ordered a nuclear stress test.  A nuclear stress test is the same as a standard treadmill stress test, only the patient is injected with a dye, and then a special x-ray is taken before  getting on the treadmill, and then with the heart under stress and getting off of the treadmill.  The entire time, I was connected to an EKG machine monitoring my heart.

I took my turn on the table, and the first set of photos were taken in a relaxed state.  Then I got on the treadmill.  Within two minutes, the incline and speed had been increased, and it was obvious that my heart rate had also increased.  Into just the third minute, something had shown up on the EKG, and the test had been stopped.  Back to the x-ray machine, and the stress photos were done.

I honestly believe that as my cardiologist put it, that it was not a question of if I was going to die, but when.  And had it not been for my family doctor making the phone call to schedule the appointment for the nuclear stress test, and had I made the appointment on my own, that test most likely would not have occurred until weeks later, and then it most likely would have been too late.

On April 16th, I had a catheterization done, because the cardiologist thought he could fix me right up, with just a couple of stints as the pictures had shown there was definitely a blockage  as blood flow had been cut off from the heart.  But catheterization would not correct my blockage.  On April 17th, I had life saving emergency bypass surgery.  So no, I do not know what it is like to have a heart attack, and I am grateful that I do not.  But I need to learn to listen to my body when it gives me a fair amount of warning.  I am currently on my second folder of medical records as the first folder grew past its seams just since I finally dealt with that annoyance over four years ago.

Just Three Words


Windowlicker’s mantra with a forecast of snow

No school tomorrow

Pollo the best dog in the whole world

Box of rocks

Something every dad never gets tired of hearing

I love you

Most important traits in a person

Trust, empathy, humor

Pillow talk no couple wants to say or hear

That’s Not It

Pillow question no couple wants to hear

Is that it?

Getting Me To Eat My Vegetables

Pass The Ketchup

Sibling rivalry

“That’s not fair!”

Comment from the dentist during a tooth extraction

Ignore the noises.

From My Daughters (on any occasion)

One more time.

Wendy’s justification for buying next year’s winter clothes in June

It’s on sale

Road trip with the kids

“Are we there?”

More on the road trip, working on last nerve…

“She’s touching me.”

Peace and quiet

Time for bed.

Congratulations! It’s A… (Diary Of A Kidney Stone – Part 2)


The following story while filled with humorous commentary, also makes adult references that may not be suitable for younger readers. Parental discretion is advised. Seriously. Don’t let the kids read this. Perhaps, maybe men shouldn’t read this either.  I really mean it this time.  No one should have to go through this, EVER!

So when I last left you, I was having a stent put inside me to assist with urination, the source of the severe pain caused by the stone blocking the passage of urine from occuring.  I was out cold for the procedure, so that was no big deal.  When I awoke, I was not in any kind of pain, and in theory, I should have been able to go if I had to.  Of course the dick doctor (take that in any context you like – I was not really crazy about his bedside manner, wait, that is just making the description worse) does not explain fully about how I am going to feel.

It was late when I finally came out of recovery and rather than chase Wendy an hour to come and get me that night, I asked to be kept overnight.  And I am glad I did.  I did not sleep at all that evening, because every time I layed down, I got an urge to go to the bathroom.  I would sit up to go, and nothing.  This went on all night, literally.  Had it not been for the nurses, I would have gone out of my mind.  Not to mention that things just really did not feel normal down there, not painful, just not normal.

The wierd thing about the procedure I was going to undergo, a lithotripsy, is that no hospital appears to have the machine to do it.  This traveling road show goes from hospital to hospital, and that determines how soon you can have it done.  My wife insisted that she not be exposed to the “catastophic pain and screaming” that had been occurring.  And so my appointment was set up the earliest it could, at a hospital another hour away.

I must admit, that I am getting spoiled with all of the hospitals that I have had to go to for either tests, surgeries, or treatments.  There are a lot of nice facilities.  Were my expectations of “Bleeding Heart” Hospital (not the real name of course) too high.  Registration at 5:00 am.  When I went to check in, all computers were down.  Plan B was to photocopy my license and insurance card.  Copiers were also down.  So, there I went, into the operating room, WITH NO IDENTIFICATION!  Are you kidding me?!?  So I come to following the procedure, and am told everything went well, all that I had to do, was get rid of the now stone-reduced to rubble residue.  Won’t go into gory details, but out it came, no pain, plenty of blood, but no pain.  And with that, I simply walked out of the hospital totally unsupervised.  True story.

Given all the traumatic abuse my lower region had been subjected to, I was told that I could expect a little more blood yet.  I was okay with that as long as there was no pain.  All I had to do was have the stint removed, and they would do that a couple of weeks later.  But that was supposed to be all that there was to it.

I have had catheters removed before, not pleasant, but tolerable.  Shoot, I have even had tubes pulled from my chest and my neck, but pulling out this stint clearly, CLEARLY was not acceptable to have done without anesthesia, at least for me.  Again, I had been warned, some possible bleeding.  But as the time came closer to have the stint removed, and yes, still had some bleeding, I was having more frequent and much stronger anxiety attacks.  I was prepared just to call the whole thing off.  My therapist was the last one keeping me anchored to sanity.

So I took what measures I needed to, and got through the appointment.  I give the nurse credit.  This was the first time I had been exposed to what countless women go through routinely, propping my legs up in stirrups wearing only a paper cloth exposing my manly bits for all to wonder.  She had a great sense of humor if the timing would only have been different.  I am all for trading innuendos, but at that time, I was in no mood for NC17 humor, especially at my expense.

Now gentlemen, I may lack experience with the whole dating scene over the last two decades, but I do think it is a safe bet, that foreplay does not involve grabbing the plumbing with two fingers, other hand hidden behind her back, and then says, “this is going to burn a bit until it goes numb.”  All she was missing was perhaps a “needing a magnifying glass” comment or asking for an extra set of hands (that would have been preferred).

Crazy to say, this would not be the last time because I continued to have bleeding issues and they would need to perform a cystoscopy.  Of course, you can tell “oscopy” means some sort of medical pictures.  And since it involved my genitalia, I was not a happy camper.  But Wendy was getting tired of feeling like a crime scene and I was wondering if somehow my thingy had been switched with a bayonett.  The bleeding had gone on long enough, even beyond the stone being removed.  Something serious was wrong.

In anticipation of the pain and discomfort I knew that I was going to feel with this procedure, I loaded up again to control the anxiety.  Only this time, the pain and discomfort was worse.  And when the nurse tells you to think of a happy place, it is kind of hard to think of something pleasant when a Louisville Slugger is going through your garden hose.  I should be happy that the results were negative, especially for cancer.  But I was still bleeding, and the urologist was talking only of going back up again.

And like that, I fired him.  I was no longer going to allow anyone to go near me again, selfish of me as it was.  But it was no longer worth it.  What were the chances that my ducts were just getting irritated from all the internal manhandling?

Several of my other doctors that have never done me any harm, convinced me to return, at least to a different urologist.  Which is what I did.  But I told him, no more poking, probing, or “going back up”.  This new urologist was convinced that with everything that had been done, there was no need to worry, and yes, perhaps my plumbing was just irritated.

It has been over a year now, and I still stand at the urinal or toilet looking down for what might or might not come out.  I have been told that once you have a kidney stone, more are sure to come.  And since conventional medicine I felt was to blame for this whole mess, I took matters into my own hands.  No, not that way.  I thought about what had changed about me that after decades, I would finally develop a stone, and the only thing I could figure was that it had to be one of the new meds I was put on following my heart surgery and subsequent discoveries of late side effects from my cancer treatments.  Against my doctors recommendations, I quit taking nearly everything that was not pertinent to my heart beating.  So far, so good.  Not necessarily a smart decision.  But Mr. Happy is happy at least.

Post Navigation