Mrs. Meyer, in the Hospital, with the Chest Pain

Or, an alternate title: What to Expect at the Hospital When You’re Experiencing Chest Pain.

So right off the bat, I’ll let you know: I didn’t have a heart attack. My heart is fine. I’m spoiling the ending, but that seems like the right thing to do. And it also seems like the right thing to do to share what this experience is like, because it’s scary and unnerving and weird, and if you have to go through it sometime in the future, you’ll know what to expect. Onward!

Monday night, around 7 or 7:30ish, I noticed a pain in my chest. A hard to explain pain, but I’d say it was sort of a heaviness, combined with a little bit of pinching, and kind of a dull ache. I didn’t immediately feel too concerned, because the pain was just right of center on my chest. But as time ticked on, the pain (which ebbed and flowed) moved a bit down my right arm, and I was feeling an occasional radiating numb/tingly/chilly feeling that would rush through my body, kind of like a lighter version of what you feel when you’re about to pass out.

I started freaking out a little. I told Scott what I was feeling, then I went to my old friend, the internet. Where I learned that for women, heart attack signs are frequently weird — my favorite is the “feeling of dread or doom.” (Which I totally had, but was probably the anxiety kicking in.) The pain isn’t always on the left side of the chest, or in the left arm. It can occur on the right, or you could have no chest pain at all. Numbness, tingling, chills — all possible signs. Combining those with the fact that one of my Crohn’s medications lists chest pain and numbness as possible serious side effects, and we decided to hit the emergency room.

My last ER trip was for a major Crohn’s flare in early 2009 — incredible joint pain and a fun rash. I think I waited in the outside waiting room for an hour and a half to be seen that time. We chose a different (and far superior) hospital this time around. And know this — if you go to the ER and say the words “chest pain”, you get seen FAST. I was hooked up to an EKG machine within 5 minutes of arrival. After that, I answered a few questions about past surgeries, medications, conditions, and pain level on the 10-scale (I gave it a three), and they moved me back to a bed.

hosp-me

I got gowned up, they put an IV port in the big, juicy vein on my right arm, and they drew some blood. More about the IV port later, with a picture coming up (fair warning if you’re easily grossed out). A couple of nurses came by to get me comfy, then a doctor came to visit. He let me know that the standard procedure was to keep me overnight, then run some tests in the morning, including the stress test (the treadmill — you’ve seen it on House). He’d looked over the initial EKG, and it looked mostly good but there was one “blip”. He thought it might just be nerves making me blip, but they absolutely wanted to make sure.

Then he proceeded to tell me that all week, he’s had a weird streak of thirtysomething women come in with chest pain, and more than one had “the real thing” (read: heart attack), so he wanted to be absolutely sure about me. Way to make me freak out a little more, doc.

They also took a chest x-ray, which I didn’t even have to move for. They brought the portable x-ray equipment to me! Which was much nicer than the other hospital when I had my big Crohn’s flare, where they rolled me down the hall to the x-ray room and made me stand up with my arms over my head for the test. Since my joints were rock-hard and on fire, that was horrifyingly painful. This time, a piece of cake.

hosp-room

They were having a full night at the hospital — we sat and twiddled our thumbs for a couple of hours, while we heard the nurses talking about how there were no rooms and no beds available. But finally, luckily, a single room further back in the ER opened up, and I was moved there. I used my panorama camera feature to show from the monitor over my head to the big glass door (which doesn’t cut much sound from the hallway).

I settled in, and since it was 1:30am by that point, Scott went home to get some sleep. I was told that there would be more blood taken at 5am for testing, and sometime after 8am I’d go for my stress test. Lights out, and I tried to sleep. But the ER is a noisy place, even if you’re in a back corner, and the combination of that, my monitor beeping now and then, and the automatic blood pressure cuff inflating on me every hour or so made sleep hard to get.

hosp-stats

Here’s my monitor, by the way. Top line is heart rate (even when I’m calm, it’s in the 70s — I have the heartbeat of a hummingbird, so 90s when I’m moving around isn’t that unusual). Middle line is my breathing, bottom line is blood oxygen percent. The blood oxygen meter was strapped to my finger, but it frequently dropped its connection, and it would beep whenever it went to the “?” reading. Also, you may think that a blood pressure of 110/52 is low, but my record for the night turned out to be 97/45. It’s always low, though, so no worries.

Okay, so the IV. That also kept me from sleeping.

hosp-iv

That thing hurt worse than my chest. I couldn’t bend my arm, but I also couldn’t straighten my arm. And I couldn’t really twist my arm. There were only a couple of positions when I didn’t feel the dull throb of a foreign body in my arm, which meant that I had to try and sleep on my back (I’m a total fetal-side type) and keep my arm resting carefully on a wad of blanket.

From the blood around the entry point, I’m going to guess that a fine bruise will be appearing in the crook of my elbow in the next couple of days. The nurse who put it in wasn’t particularly gentle.

5am came, and they drew more blood. The nurse told me that they check for a certain cardiac enzyme that the heart releases during a heart attack. They were also running a lipid panel. Off she went, and I tried for a couple more hours of sleep. By 7am, I gave up, sat up, and turned on my TV. Fortunately, USA was running some Bond movies, so I was able to enjoy the awfulness of the ending of Dr. No and the first half of Moonraker. And really, was there ever a point where Roger Moore’s Bond didn’t seem like a dirty old man?

Scott and I texted back and forth for the morning. He got his morning in order then headed over, and showed up around 9-ish. We got a visit from one of the cardiac folks, and she told me about the tests in store for the morning. And also that I wasn’t allowed to eat until I’d done them. Before Scott arrived, a nurse also came by with toothbrush, toothpaste, and some lovely warm, wet towels to swab my face with. I changed into a fresh gown, and she gave me a pair of fuzzy socks. Very nice.

10am or so, and it was off for the tests. First, the stress test (which Scott wasn’t allowed to watch). I met the cardiologist, a nice guy who was shocked at my cholesterol levels. “Why are you even here?” He asked. “Your cholesterol is 140, and half of that is HDL!” (For the record, this morning’s cholesterol levels: total 144, HDL 61, Triglycerides 49, LDL 77.)

They strapped me up with a dozen electrodes and had me hop on a treadmill. They amped the speed up until my heart rate was over 155 beats per minute. (I was hovering right around 179 for the bulk of the testing. I really didn’t know that my heart even goes that fast.) I didn’t actually run on the treadmill; the top speed was just a very brisk walk with the belt on an incline. When it ended, I felt like I was going to pass out (which is apparently completely normal and expected). I plopped back down on a gurney, and they checked my blood pressure for a few minutes. Everything slowed back down, the electrodes came of, and I was stuffed back in my wheelchair (which was enormous) to head out for the next test.

Next was the Echocardiogram — an ultrasound peek at my heart’s shape and size, and the workings of all of the flaps and valves and doohickeys. They also look for clots, strictures, blockages, and anything else that might be amiss.

hosp-ultra

The easiest way for the technician to ultrasound me was for me to lie on my side, which was doubly great because I could see the screen clearly. Scott was allowed to come in for this one, and snapped a shot of the fun. The tech took all sorts of still pictures, some video with cool color, and sound files of the various lub-lub and whoosh-ka-whoosh noises for the cardiologist to look at. Some of the sounds of the heart actually sound like a DJ scratching a record. The technician said that she sometimes thinks her job is “a cross between DJ and video gamer.” Very cool!

We headed back down to my room in the ER (a regular room still hadn’t opened up yet) to wait for all of the results. We were told that the stress test and echo results should come back pretty fast, because the cardiologist was going to leave at noon. I was cleared to eat without restrictions, and one of the nurses brought me lunch, which I ate while The Price is Right was on. Double win!

hosp-food

This was possibly the best industrial meal I’d ever been served, you guys. A grilled cheese sandwich (although they probably used margarine), tomato soup, peas (not bad at all with some salt & pepper), iced tea with lemon slices, some slimy pears (which I skipped), and a sugar cookie. Damn the gluten, full speed ahead — I dipped the sandwich in the soup, was pleasantly surprised by the peas, and the cookie was shockingly good. I did not, however, eat the decorative slice of beet on the big-ass leaf. We all have our limits.

We were warned that I might not get results (and/or released) until 5pm or so, or even possibly the next morning, but fortunately everything came through earlier than that. I didn’t have to spend a second sleepless night, hooray! The stress test and echo came through great — no blockages, no murmurs, no weirdness. My heart is totally good to go.

I didn’t get an answer on what’s actually wrong with me, but we were able to check the most important and deadly thing off the list. Now begins more investigation with my regular doctors, to try and find out what it could be. I’m still feeling the pain a little bit tonight (even though it’s less than it was yesterday), so I don’t think it’s indigestion or sudden-onset GERD or anything. But it could be something as simple as pulled muscles, or some weird inflammatory thing, or any one of a huge list of other things. I’ll visit both my gastroenterologist and my regular clinic in the next week or so, and we’ll take it from here.

So, there’s what to expect in the ER when you have chest pain. Don’t be afraid, and don’t be afraid to go there. Even if it turns out to be nothing serious, even if your heart turns out to be fine, it’s SO worth it to get checked out. Even if (especially if) you’re a big guilt-riddled worrywart like me, who’s sure it’s nothing but freaks out at the thought that it might be something. The woman in the next room over, when I was in the first bed, said she’d had her chest pain for over two weeks. Which almost made me feel even more like some sort of weird whiner, because my pain had only started that night. But it also shocked me, because who waits for two whole weeks before being seen with chest pain?

So go! Get it checked! Don’t wait, and don’t be afraid. They’re all there to help you, and want to make sure you’re OK.

Bookmark the permalink.

27 Comments

  1. Great story, thanks for sharing.

    The first time my wife went in for chest pains, it turns out that it was indigestion from too much kim chee the night before.

    The second time she went it, they said it was muscle strain in her chest and prescribed ibuprofen.

    I’m glad that’s all it was.

    [Reply]

  2. Good move! Glad it turned out fine. I had a similar scare a few years ago which also turned out to be nothing.
    But better silly worrywart than dead tough guy/gal.

    However, I have some bad news for you. That “beet” was probably a cinnamon apple slice, and delicious.

    [Reply]

    missy Reply:

    Oh noooooo! With the rich purply-red color, I just assumed beet. Shows what happens when you assume. I should have tasted it!

    [Reply]

  3. What the What?

    that must have been scary for you and scott. so happy to hear you were looked after and treated so well. i’ll be thinking about you and praying you don’t have a repeat episode.
    thanks for sharing this and being so open with your life, missy. it’s nice as a friend who is so far away to feel i have a window into what’s happening with you and the mister mister.
    take it easy!
    your pal,
    -R

    [Reply]

  4. Very glad it’s not a worst-case scenario. I hope everything resolves quickly!

    The experiences in Canadian hospitals are much different in terms of how quickly tests are done, frills like TVs in the ER and did you say they gave you a toothbrush, toothpaste and socks?! Wow.

    And for the food, in a very recent hospital stay, I sampled my wife’s dinner and rated the “new and improved” hospital food (hospital just switched over to a new system) as “positively prison-tastic.”

    All the best

    [Reply]

    NJ Reply:

    Dan, I wouldn’t count the socks as “frills” – they probably had non-slip coating on the bottom. This helps prevent falls, which is a major statistic that hospitals report, so of course they want to reduce the number as low as possible. Also, ERs are COLD!!!

    [Reply]

    missy Reply:

    They were, indeed, grippy-bottomed socks. And if you think normal ERs are cold, try one in Florida, where every building has the AC cranked up to 11. BRR!

    [Reply]

    Dan Reply:

    Funny, one of the attending nurses recently moved to Toronto from Chicago and she was also with the stark difference in what’s considered “extra” and what goes under budget scrutiny. Including tests.

    +1 for private healthcare.

    [Reply]

  5. TVs in the ER are frills in Canada? 0_o

    I don’t even own a TV, but seriously?

    [Reply]

  6. I had a very similar experience a few years ago, although they decided not to do the stress test in my case, so my story basically ended after I saw the cardiologist after having spent the night in the hospital. (I had a rare side effect of a migraine medication – vascular spasms – which they were able to stop almost right away by giving me digitalis.) I’m reassured that your experience was so similar, especially the bit about the stupid IV shunt. Ouch! And I’m glad that everything turned out ok 🙂

    [Reply]

  7. Crohn’s disease? Crap! I know the drill … totally sucks. I’ve been in remission since 1994 March, but I still get obstructions from adhesion scars from two resection surgeries. Hope you never had the horror and indignity of the NG (Nasogastric) tube. I still get the chest pains which has mystified the doctors for like twenty six years now – nowadays, they say save your money and take two baby aspirin and watch your symptoms for a day. They think when the pains hit me, it is induced by either stress or warning sign of a flare up. You’re so lucky to have someone like Scott who understands and supports you at these times. Not many partners/spouses can deal with Crohn’s suffers.

    [Reply]

  8. When I rushed my ex-wife to the hospital, she had some scary chest pains – very dramatic!!
    Turns out she was just highly over-caffeinated and dehydrated. I never could get her to ease off the compulsive cola consumption….

    Good Luck!!

    [Reply]

  9. I’m getting checked out for heart troubles myself. ER here (A&E in the UK) were pretty much the same, as soon as I came in with chest pains they whisked me through. It wasn’t as good a service as you got, they preferred not to keep me in over night. Anyway, month down the line and they’ve set me up with a 7day portable ECG. It’s small but slightly annoying. Friday it comes off then I’ll find out something, hopefully.

    [Reply]

  10. I’ve had similar sensations when my back is out of whack – if nothing else pans out it may be worth checking out a chiropractor. There are some spots in my upper back where if I’m off, the pain radiates to my chest and arm. Getting my back “cracked” (they like to say “adjusted”) really helps. For all of the nonsense involved in chiropractic care, it does SOMETIMES help 🙂

    [Reply]

  11. Glad its not a heart attack, and thanks for the story! The symptoms you describe sound a lot like the anxiety attacks I sometimes experience.

    [Reply]

  12. Re: Beet v. Cinnamon apple slice, better to be safe then sorry I say. You did the right thing.

    [Reply]

  13. the other way to get seen right away – have blood coming out of you. i was seen immediately for an open bleeding wound. i found out years later thats because nobody wants to clean up after that….

    glad you are ok

    [Reply]

  14. I am glad you are all right. Thanks for sharing your story!

    [Reply]

  15. Glad you’re OK!

    I’m (coughcough)-ty one years old, and very overweight, but I work out (resistance training, “Slow Burn” style) twice a week. Every once in a while, after hitting new times/weights on the chest press, the next day I have muscle soreness, and have to ask myself if the pain in my chest is “chest pain,” or just a pain in my chest (as tautological as that may sound).

    [Reply]

  16. So glad you are okay!!!

    As to “who waits two weeks…”? My guess would be one of the working poor without health insurance or someone who has crappy health insurance that doesn’t cover anything.

    [Reply]

  17. My mother had a heart attack three years ago. No pain all day, but just righteous belching. As my father put it, they were olympic worthy belches. Glad to read that you are ok!

    [Reply]

  18. My wife actually experienced something similar last March, but it turned out in her case it actually was a heart attack (or Myocardial Infarction, as the medical jargon goes). She was just 33 at the time it happened, so believe me, it can happen to you regardless of age. The cardiologist said the youngest he had ever seen with a full-blown MI was a 29-year old woman.

    Hospitals suck, but you definitely did the right thing getting checked out.

    [Reply]

  19. Ahhhh yes I had a similar situation happen to me about four years ago… I thought it was indigestion, then I thought “maybe I’m having a heart attack!” Turned out to be gall stones and I had to have my gall bladder out… hope everything works out for you – great descriptions, really reminded me of what I went through!

    [Reply]

  20. The psychological issues that can arise from stress include nervousness attacks even though there can be other causes for anxiety attacks as well.

    [Reply]

  21. Should you are unhappy along with your job, stressed, anxious and depressed, you are likely to suffer many kinds of ailment, 1 physical manifestation will be the dorsalquia. Ladies are likely to suffer back pains in the course of pregnancy because of the physical adjustments in their bodies. Smoking is neither harmful nor the root cause of back pains but it is actually a important risk of the back being affected by sciatica. Sedentary function involves prolonged sitting and limited movements in one’s job back pains result from maintaining the very same position for hours. In reality, back pains which are regarded as work-related disorders, will enable the employee the proper to receive a disability pension.
    .
    Hey, Leslie! Thanks for the comment, although I went ahead and redacted your URL for some sort of “how to get pregnant” website. Also, I think I should get my dorsalquia checked out, since I don’t seem to have one. ~M

    [Reply]

  22. These can in some instances turn out to be frequent and severe and can have a serious damaging impact on the persons functional capability. At this point the problem is known as a panic disorder. Approximately 5 % from the general population are known to suffer from panic disorder.

    [Reply]

  23. Can I simply say what a relief to uncover somebody that truly knows what they’re discussing on the net. You certainly know how to bring an issue to light and make it important. A lot more people need to read this and understand this side of your story. I can’t believe you are not more popular since you surely have the gift.
    .
    Wow, you guys, a spammer thinks I have the gift. That’s the highest possible praise. ~M

    [Reply]

Leave a Reply

Your email address will not be published. Required fields are marked *