Today’s wins and frustrations

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The work on my bathroom is nearly complete. The wall is patched, the tile is fixed (and it went surprisingly well with no additional damage from the broken tile’s removal), and all that’s left is replacing the baseboard and painting. I don’t even need to be without a shower while anything cures, as it turns out.

Then I had a massage appointment out in Tukwila (across the street from the hotel I was staying at during the original bathroom remodel from hell, coincidentally enough). I felt the start of a panic attack when I was close to the end of the drive, but made it there fine.

The massage therapist’s office was upstairs, in a building with no elevator, and his office was locked and the instructions said to wait out in the hallway if that’s the case. My knees were acting up much more than usual today, so of course I got to sit out in the hallway while I heard the massage therapist just chatting with his previous client for 20 minutes about fishing. And then when they finally decided to end the yammering and he saw that I was out there he said I should have just knocked on the door to be let in. Oy.

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The return of panic

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Wellp, I had another big panic attack while driving today. Worst one I’ve had in around a year, and my usual grounding and mindfulness things didn’t help. I had a vertigo attack while entering the tunnel to the I-90 bridge, and this very quickly cascaded to a full-on panic shutdown.

I managed to make my way to Mercer Island and stopped at a Starbucks to collect myself, and then was able to get back across the bridge to make my way to Rainier Ave to drive home via surface streets, and had a good cry when I got home.

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Prognosis

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So it turns out I didn’t have anything to worrry about. The angiogram showed no blockage whatsoever and hopefully this means I’ll stop having heart-concern panic attacks. No angioplasty, no stent, etc.

The most annoying thing right now is I’m not allowed to use my right hand until Sunday, and also cannot shower until then, since that could potentially cause a hematoma or arterial rupture in my right wrist artery (which is where they inserted the probe). So I’ll be stinky tomorrow, and also I can’t do any of my fun activities. At least I have a lot of prepared foods available.

The whole experience wasn’t too bad. The entire team felt supportive and friendly, and we joked around a lot during the whole thing. During the procedure I was given a small dose of midazolam, which helped me to relax, but wasn’t enough to get an amnesiac effect, so I remember the whole thing. The only really painful bit was at the very end when my forearm started to spasm while the probe was still inserted.

Also I asked for souvenir pictures but I think they thought I was joking. Maybe I’ll get them on MyChart? I dunno. It’ll go nicely next to my esophogeal endoscopy photo from when I was having stomach problems a decade ago.

They seemed to be really surprised that I understood most of the medical terminology and that they didn’t need to coddle me or the like. One of the consent forms asked me to write, in my own words, what I thought was going to happen and I wrote “angiogram w/ potential angioplasty” and this was really surprising to them.

Anyway afterwards I got hospital food for lunch. I ordered the salmon. It was pretty okay. Hard to eat one-handed though.

Anxiety, yesterday and tomorrow

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Last night I had to drive to choir practice myself, and I had a panic attack on the way. I managed to push through it and felt fine when I got there. So of course I had another panic attack on the way home, because my brain decided that no, proof of being able to drive safely is NOT enough anymore to sustain a lack of anxiety when driving.

Tomorrow I am going in for an angiogram and potential angioplasty (depending on what it turns up). The procedure itself is pretty straightforward and primarily preventative; non-invasive imaging was inconclusive as to how much arterial blockage I have (if any), and I seem to have an arterial abnormality that makes imaging difficult. So it is out of an abundance of caution that I am getting the angiogram, and if any blockage is found it will be mitigated, and perhaps a stent will be installed as well (although my dad also has an arterial abnormality which made a stent installation impossible for him when he went through a similar thing, in a much more emergent situation).

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Reconditioning

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So, a few hours after I posted that last entry, I woke up in bed feeling a squeezing in my chest, pain in my jaw, and a few other heart attack symptoms. I got out of bed, did my best to calm my nerves, and called 911.

The EMTs evaluated me and said they didn’t see anything wrong offhand but my blood pressure was extremely elevated and with my medical history they felt that it would be best if I went to the ER. So, I let them convince me to go in the ambulance, which will probably cost me quite a lot.

At the hospital they did a bunch of work-ups, including blood tests for heart attack markers and a chest X-ray, and nothing turned up. Out of an abundance of caution they put me on an IV saline drip and gave me some aspirin in preparation for whatever other tests might have been necessary.

Within half an hour I was feeling totally fine, and my BP and heart rate returned to their usual levels.

So, I’m pretty sure I was just dehydrated.

I’m not looking forward to the bill, but I’m glad that I’m not dying. The ER nurse recommended that I convince my doctor to refer me to a cardiologist (like I’ve been wanting for quite some time anyway).

Anyway, I guess this is a good reminder to stay hydrated, gosh darnit. One can of seltzer and a decaf cappuccino per day isn’t enough to live on.

Deconditioning

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For the last few days I’ve been feeling anxious and having an elevated heart rate. That’s not just subjective, that’s what my heckin' Apple Watch has recorded. I keep on waking up in the middle of the night with a pounding heart, too. It’s hard to tell if it’s anxiety raising my heart rate or the other way around, but either way, something’s got to change.

The last few months I’ve been particularly sedentary due to a bunch of things (mostly chronic pain but also generally just feeling Meh and not wanting to do anything) and time has been slipping away from me very quickly.

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