Thursday, January 30, 2020

What a Night in the ER Reveals


Yesterday afternoon, I began to have pain in my lower right chest.  I laid down, but I could find no comfortable position.  By suppertime, I had no appetite, and I was having difficulty breathing.  Every normal breath created sharp pain along the lower edge of my rib cage.  Around 6 pm, I decided I had to do something about it.  Bill and I discussed options.  We found the nearest ER on Google maps, and off we went.

The ER was an absolute zoo.  About 40 people were crowded in the waiting area.  If some had not been in wheelchairs there would not have been adequate seating.  We could hear people around us saying they had been there waiting for 7 hours.

I was taken into triage quite quickly.  Even though the chest pain was on the right, I guess chest pain is chest pain, so I had a speedy EKG. 

Then the wait began.

We were seated next to a couple who were about our age or a bit older.   They were not happy with each other.  They were quiet about it, but we were close enough to be aware of the friction.  I think she probably had some beginning dementia, and he was not able to deal with it patiently.  He felt there was no reason to be there.  She asked if he thought she was making up her reason to come to the ER.  He said “yes.”  She was obviously hurt.  They had been waiting for over 7 hours, and she wanted to just leave and go home.  He was gritting his teeth and refusing to leave after having waited so long.  They clearly did not have a supportive and loving relationship.

A few hours later, an argument erupted between a young couple.  She was crying and he was berating her in Spanish.  I don’t speak Spanish, but the tone of voice could not be mistaken.  She got up and went outside.  He followed her.  She came back in and sat down in a spot where he could not sit next to her.  He sat nearby and continued to speak loudly and angrily as she sobbed and made repeated attempts to get away from him by moving around the room.  Finally, a man sitting in the waiting room intervened.  At this point, we were sitting with our backs to the situation, so I don’t know if he was physically imposing, but he took the guy on verbally.  He told him he wasn’t going to tolerate his treatment of the young lady, and he’d better leave.  The young idiot then called 911 and tried to say he was the victim.  Hospital security arrived and separated the young man and his crying girlfriend.  The problem was taken outside, so I don’t know what happened from there, but that was not a loving relationship.

Meanwhile, my sweet husband was hovering over me trying to do whatever he could to be helpful.  Did I need a drink of water?  Was I warm enough?  He hung on to me as I walked from one place to another.  When I finally was taken to a room and was on the stretcher, he was afraid my feet were cold.  He sat at the foot of the stretcher and put my feet against his body under his sweater.  He never complained about the long wait.  I told him I was sorry, because I knew it would mess up his being able to play softball in the morning.  He shrugged it off.  I was able to doze off after I had been given some pain medication by IV.  He catnapped in the chair near me.

After a total of 10 hours, an EKG, lots of blood work, a chest x-ray, a CAT scan of my chest, a bag of IV fluid, visits by a medical student and a physician, we headed home with a diagnosis of pleurisy, and the revelation that I have scarring at the base of both of my lungs, but it is worse on the right.  As to why the pleurisy was triggered yesterday, no suggestions.  Although a blood test marker for a blood clot and possible pulmonary embolism was elevated, that was ruled out with the CAT scan.  They did find a very small nodule in my left lung which we should keep an eye on.

But, the main take-away from the long night was something I already knew.  My husband is a prince, and we have a loving relationship for which I am very grateful.



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