Tag: echocardiograms

Almost as If

ValleyHo2_081720

Personal experience tells me that the pressure and immediacy of a frightful, life-changing moment–for instance, a mild heart attack accompanied by breathlessness and radiating left shoulder pain while traveling cross country–can make it virtually impossible to imagine a longer view, a brighter sky, an optimistic outcome.

But with the passage of three years and one month (living inside a 2017-to-2020 cradle of colluding Russian-nesting-doll years, arguably the most tumultuous and troublesome period in American history since the Civil War), I find myself crossing a metaphorical threshold into a more promising personal dimension without an obstruction in the foreground.

This realization flooded my sixty-three-year old brain and body on August 18, 2020 as I scribbled sentences on the lined pages of my emerald-colored spiral notebook. The inspiration for my ramblings was prompted by a visit with Dr. B, my cardiologist, the day before.

***

August 17 began swimmingly. Forty laps alongside Tom in our condo pool, followed closely by a thirty-minute session (yoga for writers with Adriene on YouTube) in front of our flat-screen TV. The motion and stretching were successful in quieting my mind before an 11:10 a.m. appointment with Dr. B.

At 10:30, I stepped out on my own in my flip flops into one-hundred-degree heat. Opened the driver’s side to our indigo Sonata, started the engine, and tapped the windshield wipers to remove a thin layer of grit from a dust storm the night before.

It was a short and simple journey into Old Town Scottsdale, but one I’d stewed over since a August 5 echocardiogram orchestrated by Laney on the other side of the Valley of the Sun. It was her job to test the condition and pumping capability of my heart. Glub glub … glub glub … glub glub.

Some of the sting surrounding this follow-up appointment had already subsided on August 10 or 11, because a nurse in my doctor’s office emailed saying they had uncovered “no emergent concerns” from the procedure. Dr. B would discuss my course of care moving forward at a August 17 consultation.

Still, like any once-burned patient with a history of heart disease or inquisitive journalist digging for the full scoop, I wondered if there were more variables they weren’t ready to share with me. More I needed to fret over. The phrase “course of care” left too much room–too many what ifs–for my unbridled imagination and anxiety.

Like many other moments in life, the hardest part was waiting.

***

Once I arrived at the three-story office building, I parked facing east, slid our silver sunshade across the windshield, climbed three flights of stairs in an outdoor atrium rather than trusting a slow elevator, checked in at the front desk of Cardiovascular Consultants, Ltd,, and waited to be summoned.

“120/80 … couldn’t be more normal,” Dr. B’s nurse checked and confided my blood pressure, once I was situated in a straight-backed chair. As she left me alone in the room, I thought of Tom and all we had endured and accomplished in the previous thirty-seven months together.

Selling our home in Illinois. Saying goodbye to family, friends and neighbors. Moving ourselves and our essential possessions seventeen hundred miles west. Scurrying into the emergency room of Barnes-Jewish Hospital in St. Louis on our sixtieth birthday. Resuming our journey four days later with the help of a capable medical team in the city where I was born.

Buying new furniture for the living room of our Arizona condo. Traveling to Ireland and feeling the air rush through my hair on an open-air Dublin bus. Helping Nick recover from a serious knee injury on a basketball court. Cultivating new friendships in Arizona.

Finding new creative outlets and avenues to sing, write and screen our favorite movies. Climbing to the top of a church in Munich, Germany to behold Bavaria without a worry. Gazing out the window of a Vienna cafe and soaking up the baroque splendor inside The Ring.

Bonding with cardiologists, dermatologists and gastroenterologists. Standing between my thirty-something sons at the Local Author Book Sale at the Scottsdale Public Library right before COVID-19 shuttered the world. Surviving the chaos and fear of a global pandemic and a misguided presidency. Doing our best to stay connected to family and friends. Escaping to the mountains of Flagstaff to breathe the pine-scented air.

All of it, and the memory of my mother and father (both long gone, but never far away) flashed through my mind’s eye in a five-minute window as I stared at the blue and green tiles in an innocuous space waiting for Dr. B.

After he knocked and entered, he delivered the news I had waited for. More than I  hoped for actually. Certainly, more than I imagined. He glanced at the July 2017 images from St. Louis and compared them with those of August 2020 in Scottsdale. He told me the Arizona echocardiogram showed my heart is functioning normally.

Though both of us wore masks, I’m sure he could see the amazement and joy in my eyes when he said, “It’s almost as if you never had a heart attack … I don’t need to see you until another year passes, unless something comes up.”

***

As I left Dr. B’s office, relief flooded my body. I texted the news to Tom and told him I was on my way home. We would celebrate with a mini-staycation at the Hotel Valley Ho in Scottsdale, a vintage mid-century, sun-drenched resort flecked in tangerine and aqua. As good fortune would have it, August 17 was the day we met in 1996.

For two days and nights, we were desert rats living the high life. It was almost as if none of the trauma of three years before had happened. But we knew it had. Now we could put it further behind us in the distance of the palms in the Grand Canyon State.

All of us hope for a longer view, a lengthier life with greater possibilities. But it’s out of our control. The best we can do is love more. Hate less. Eat right. Exercise regularly. Listen to the advice of our doctors. Be grateful for today. Endure the heat of a desert day. Embrace the twilight of our fading hours. Deliberate over dazzling sunsets.

Enjoy the luscious fruits of our lives as they appear without ever really knowing what tomorrow will bring.

 

Hold Your Breath … Breathe

Tom and I arrived at the Cardiovascular Consultants office in Glendale at 10:30 a.m. on August 5. About fifteen minutes ahead of my scheduled echocardiogram.

Though my vital signs during my regular checkup two days before looked good (110/70 blood pressure, normal EKG) I’ve been feeling a little fatigued. That’s likely a byproduct of my medication and the world we’re living in, but Dr. B. prescribed the procedure just to make sure my heart is pumping as it should.

As I entered through the glass doors, Tom hugged me. Only patients with masks were allowed inside the office space. His plan was to find a safe coffee spot nearby and wait until I called him.

I checked in at the front desk and answered all the expected questions. The attendant scanned my forehead. No temperature. No COVID-19 symptoms of any kind. When she asked, I told her I hadn’t traveled outside the country lately (though I wish I had) or gone on a cruise.

Laney, the technician, called me in promptly. She asked me to remove my shirt and lay on my left side on the exam table with my arm folded under my head. She pasted nodes to eight or ten places on my chest, smeared gel across my upper torso and began to apply a wand to various spots.

Hold your breath … breathe.  She scanned one area. I heard my heart pound and echo through a machine. Glub glub … glub glub. Over the next twenty minutes we repeated this rumba at least twenty times–Laney scanning and prompting like a teacher, my heart responding like an obedient student reporting for class and waving his hand (“I’m here. I’m here!”) on the first day of school. The device danced across my chest.

Then, after a few moments of shifting on the table to find a comfortable position reclining on my back, Laney’s magic wand scanned a few new places. Down to my upper rib cage and up to my throat with my head extended back.

Through it all, there was no physical pain. By 11:15, I had dressed, called Tom to pick me up and checked out. I’ll see Dr. B. again on August 17. He’ll have the results.

Of course, I feel anxious. Who wouldn’t? Especially because this experience brought me back three years to a hospital gurney in St. Louis and a similar echocardiogram procedure with Jacob, a different technician. Fear and apprehension ensued. But, I need to remind myself, my heart was experiencing trauma in July 2017. It isn’t today.

Now, thirty-seven months later and twenty-five pounds lighter, I’m a leaner, healthier guy with An Unobstructed View and a quieter life. Even so, I wait and wonder. I’ve been having strange dreams like many of you.

Two recent ones had me back in the corporate world working without a clue of what to do. Or shuffling around the condo searching for my misplaced blended bifocals, normally reasonable perspective and vision of clarity.

Such is the trauma of COVID-19 in a country with a president who doesn’t want to take responsibility for any of it. Still I’m fortunate when compared with most of the world. I swim. I walk. I write to stay whole. I don’t have to worry about the demands of a traditional job. I stretch out on my yoga mat and unwind. I keep breathing. I listen to the regular rhythm of my beating heart. Tom and I are there everyday to love and reassure each other.

Climbing out of bed at 6 am. on August 6, somehow I felt more rested. Out the door by 7, walking in Vista del Camino Park in 84-degree temperatures, the air felt cooler and lighter than the previous two torrid months. Miraculously, there was a break in the oppressive heat overnight. Could this be a harbinger of hope in an otherwise grey world?

Strolling with Tom, it felt like a September school day morning in the early 60s back in suburban St. Louis. When I carried a lunch box to the bus on some days or thirty cents in the pocket of my jeans to buy a hot meal in the cafeteria. The days were longer. Life was simpler. Or at least my childhood memory tells me so.

But in reality, we had the Cuban Missile Crisis and our duck-and-cover drills in our classrooms in case of a nuclear attack. Then, later, JFK’s assassination. Then, Martin’s and Bobby’s. Those worries, the unrest in the streets, and the anxieties in the recesses of our consciousness kept us occupied after completing our spelling and math workbooks.

Now we have the unrelenting pain of a global pandemic. Our COVID-19 children and grandchildren will always remember social distancing, hand sanitizing, that displaced feeling of not knowing when/if/how school would resume, and the masks they wore in 2020.

No generation gets by unscathed. We scrape by through difficult times and do the best we can. We relax and reflect through more tranquil years. When we’re strong, we go on  without ever feeling ill or vulnerable. We work long hours and make everyday sacrifices for those we love. We say goodbye to parents who lived full lives and friends who died too young.

Then life shifts for no apparent reason. We find ourselves visiting doctors, bonding with cardiologists behind masks, waiting for the heat and oppression to lift. We find ourselves hoping for fewer casualties, more job opportunities and financial aid for the disenfranchised, a lower infection rate, normal echocardiogram results, a trustworthy president, and a reliable vaccine that nearly everyone will agree is the right thing to do.

We find ourselves taking each day as it comes, waiting impatiently for the good news we deserve.