LET ME SHARE………. It was just another routine call on 10th July 2013. Around 4 am, almost at the twilight zone of the call had just returned after admitting following resuscitation of an attempted suicide. Though not exhaustive and still strong had come home to catch some precious sleep in the early hours. Mild pain burning in nature in the centre of chest behind the sternal bone. Nothing to panic about, it has been before sometimes rarely and antacid has been my refuge. But this time it was not much in the bottle and also had passed its expiry date by more than a few months. My next choice was diclofenac ointment and naturally opted for it. Not knowing the seriousness, I did manage to sleep up to 7 am and had to wake up and allow the maid to come in. By 9 am the pain restarted, was becoming a bit restless also and asked the maid to finish fast and move out. Plan was to buy a new bottle of antacid, inform Dr.Datta to assist for an ECG AND CARDIAC ENZYMES, and in between should go to bank and send money for my son. Did them all, manage to peak into theatre entrance and called the boss, he assured nothing serious will happen Again in ICU as a courtesy for a colleague, blood was drawn for cardiac enzymes Pain continues, and is becoming intolerable Dr.Bekele was concerned, obliged to my request, organized a wheel chair and pushed me to A& E. Drama now starts, everyone is around all are my friends, everybody wants to assist. Resident follows the protocol, Nurse starts taking history, oxygen on face, vitals monitoring initiated. Repeat ECG requested, brilliant idea, Resident insists in spite of excuses that it was done just fifteen min ago... hmm what a shock the ECG IS ERRATIC , though in sinus rhythm , this STEMI –Ant.wall . Now no time to waste, Dr.G, the cardio has come, instructions flow, chew aspirin, shot of heparin, sc clavix... Here comes the tough task, ‘am in shock, am I marching towards to the end? Pain is intense. NGT sublingual given... no benefit, repeat after 5 min,” ‘am I having headache? “Somebody shouts. Cannulation, finding a vein is very difficult, so many pricks, yet no access, The one who succeeds is the middle aged sister on whose skills I always NEVER relied upon and use to ignore or even neglect in my good times. Angels are recognized only in crises. Morphine was jagged, I surrendered myself to BABA the moment I heard STEMI... Decision to shift to Bokomosa for Angio urgent and proceed… Arranging Ambulance, Oxygen cylinder, escorts …. Lots of work... yet they all did. Boss and Datta escorted. Dr.K in theatre attire accompanied sat in the ambulance, On the other end Dr.R alerted to be ready. Dr.Rao received, Monitors connected, ECG HAS CALMED DOWN NOW, st back to normal T wave inversion... yet the clot has to be blasted. Dr.R did not hesitate, Inj.Metalysin (Rs 40,000 in India) Was pushed slowly up to 8ml based on my weight. They all were glued to the monitor blood drawn for cardiac enzymes again. Provisional diagnosis: ANGIOSPASM? Management strategy: anti coagulants, anti lipids, anti glyceamic, waiting for angiogram... Shift to ICU, close monitoring… Family is far away, am in critical state not conclusive of my prognosis... Hell is a better place to live than to suffer being away from family lying in ICU, with an unpredictable prognosis… Being Pain free, was wondering why not move away? But on such an act what if I moved away for good??? My friend it’s my worst moment in my life….
Posted on: Wed, 14 Aug 2013 06:40:30 +0000
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