Thursday, November 9, 2023
10: October Acceptance
Thursday, November 2, 2023
10: Wake Me Up When September Ends, Part 3
"It's always darkest before the dawn."
After the loop monitor insertion, things began to ease off some. My anxiety came down quite a bit. I was feeling a little more like myself but still guarded. My blood sugars were still good. As I said, I felt like I was moving in the right direction.
Then, Tuesday, September 26 came.
The day started fine, but I walked to the hospital around lunchtime to get some food. That's when I had an odd feeling in the center of my body. The sensation was centered between my heart and stomach, and it felt like it was more toward my stomach, but I couldn't tell. What it felt like was weakness.
It was persistent and was present the entire time I walked to and from the hospital. I ate something to see if that would help, then laid down on my office floor for a few minutes. That seemed to help, and then my stomach got upset. I had to use the bathroom two times within an hour, and then my stomach felt sour. I wasn't sure if it was something I had eaten or if perhaps I was getting a stomach bug, but it just felt bad. So, I went to the store to buy some Tums to help alleviate the situation. Back in August, taking some Tums helped me once after eating something I knew I shouldn't have. The Tums also helped again, somewhat, but I still felt off.
The sensation I felt was gone, but I generally felt bad. That was when I decided to go home early that day, ensuring my lab instructors were in a good place. I drove home, still not feeling completely good, and when I reached home, I really didn't feel well.
All of a sudden, this pressure started building up in my chest. I hadn't felt something like that before, even with the Afib. Leslie and Abby had gone shopping, and I was home with Charlie. I decide to go lie in bed, trying to rest some. That's when I checked my blood pressure.
Before this day, my blood pressure had averaged 120s/80s or 130s/80s, not a real concern. But when I checked it around 5 PM that day, it was 168/98 with a pulse of 70. I was shocked. I immediately checked my other arm's blood pressure, which was up, along with my pulse. Then I started to freak out.
My legs began shaking. I didn't know what was happening. My heart rate was going way up, so I took another Cardizem. I thought the Afib was returning. I was in complete meltdown mode and did the only thing I knew to do: I called my Cardiologist. Since it was after hours, I had to speak with whoever was on call. It was the same person I would see the next day for my loop recorder follow-up. I told them what was happening and all the symptoms I felt. The only thing they could suggest at that moment was for me to go to the ER to have an EKG done and see what might be going on, as they didn't have access at that time to the loop recorder monitor. All I could think was, here I am, headed to the ER again for the second time in a month.
My in-laws were home and helped drive me to the hospital, where my mom and Leslie joined us. I was so stressed out being there again. My blood pressure only came down some, with my heart rate bounding around, but it was never in Afib. I was lying there on the stretcher in the ER, and that's when I had a disturbing thought.
Am I just a burden now? Maybe they would all be better off if I wasn't here.
For an instant, I believed I was a burden on everyone. My anxiety was becoming overwhelming. My fear of Afib pushed me to the brink of unhealthy thoughts and considerations. Those are really unbelievable thoughts. I had many blessings to be thankful for, but I was letting this situation control me despite knowing I needed to not do that, to give it to God. That's when you know you are powerless to stop it. At that moment, I knew I needed some help.
The 12 Steps Program for alcohol addiction tells you that you can recover until that person admits they have a problem. Well, I admitted it by the time I got home that night. I had a problem, and I needed to fix it. Mentally, my problem was escalating and starting to cause physical reactions.
This can also be termed Post Traumatic Stress Disorder (PTSD). The episode of Afib had pushed me to a dark place. Dark thoughts were creeping in, and even the unthinkable was being considered. I had to do something about it. I didn't believe I had a problem for a while during these previous months, but my anxiety had taken on a life of its own. When I went for my loop recorder follow-up, I truly believe my cardiologist was more concerned about my mental well-being than my heart that day. The loop recorder showed nothing. My blood pressure being up was born out of anxiety, fear, and really things unrelated to my heart. Now, my EKG did show some mild ST depression in the anterior lead and some T inversion in the lateral lead. These are not necessarily bad things but could have indicated a potential blocked artery. But, those EKG changes could have also meant electrolyte imbalances or even high stress and anxiety. So, to determine what was happening, they wanted to repeat my stress test and echocardiogram that I had done the previous year. Leslie and I were relieved because we thought more testing was needed.
I asked my cardiologist if they thought I needed something for stress or anxiety, and they answered yes. Either an SSRI or even a Benzodiazepine potentially, so I set an appointment with my primary care provider that day.
For the rest of that week, my stress was still very high. My cardiologist did provide me with some hydralazine for high blood pressure to help until the two tests, just as needed. I took one to take the edge off, and it seemed to help. My blood pressure was fine for the days following, but my anxiety was all over the place.
At one point that Saturday, I was anxious about being home with no other adults. Once my parents came over to visit, that anxiety came down some. But it was still incredibly high. I was anxious about eating certain foods, fearing it would raise my blood pressure too much. I was fearful of doing things that would get my heart rate up. I was afraid to drive for fear something would happen to my heart and I would kill my whole family in a car accident. I was becoming extremely irrational.
That Sunday night, my blood pressure went up again. My stomach was just churning all week and causing me issues. I truly believed I had some sort of stomach bug that played a factor, and my cardiologist did wonder if something I ate upset it contributing, but my anxiety was the bigger issue. But as I lay in the bed with my family, I heard whimpering beside me.
It was Leslie, crying herself to sleep. She was worried sick about me and what was happening to me. I remember laying there thinking, "This can't keep going on. Something has got to give. Someway somehow, it has got to get better. I can't keep doing this to my family, to those I love."
I asked Jesus to help me in any way possible. And He did.
The next day, I had some meetings, and my anxiety was extremely high for those things, making it higher than usual. I had to take another hydralazine to help with the blood pressure. But following that meeting, I talked with a friend who started helping me. They shared some of the concerns they have had in life and what they have had to endure. It started helping me put things in perspective better. Almost immediately, my stomach stopped churning. My blood pressure came down. I could focus again, and I was feeling some better. Maybe it was a stomach bug. Maybe it was just my anxiety. Maybe it was both, but it had eased off. I had put everything in perspective now, and things felt different.
September was finally over, and the dawn of October was starting well for me on this Monday afternoon. Something was telling me, things are going to be ok. I just needed to accept it.
Tune in for the next segment, 10: October Acceptance.
Thursday, October 26, 2023
10: Wake Me Up When September Ends, Part 2
Anxiety is a very real thing. Not the kind you get every day about things you have to do. Stress is important to wake you up in the morning and help motivate you to do what you need to: go to work, mow the lawn, attend school, whatever the case.
But as stresses mount up, they push the limits our minds can handle and create authentic anxiety. Your mind races around with thoughts it can't seem to fully handle or comprehend. Emotions can be out of check and out of place. That's when physical responses can occur.
After Labor Day, my anxiety started mounting. Much of the anxiousness stemmed from having to get the loop monitor inserted. For one, it's a minor surgical procedure to have one inserted, so this would be the first such of my life. Second, I was still gravely concerned about the Afib. For all intents and purposes, by early September, I hadn't had another episode of Afib. The meds controlled things, and I was in good shape from that perspective. But the fear of Afib reoccurring, especially after what had occurred on Labor Day, was palpable.
Because of that fear and anxiety mounting, I sometimes began to have physical symptoms. Particularly gastrointestinal symptoms. I felt like I was going to the bathroom a lot for that two-week period leading up to the procedure for the loop monitor. I also did something else that was very anxiety-producing in looking up things on the internet.
When you have concerns of any kind, you should never look anything up on the internet, including articles. Everything will scare you to death. I was convincing myself my heart was failing. What was it doing to my kidneys? I started watching my weight, worried about it going up. I saw foods you should avoid because of Afib. I even got concerned about going to locations of higher elevations.
I read an article about Kinley Jansen, a former Atlanta Braves closer, who has had to work through Afib throughout his pitching career. You can see the story here. This story should have offered hope about overcoming an obstacle and still doing the things you want in life, as Jansen developed Afib at a very young age. Instead, I focused on the one time he had to stay back from a series in Colorado because Afib put him at greater risk of developing a blood clot due to the Afib and thinner air. So, naturally, I began looking up elevations of places I frequented. It was a little ridiculous.
However, if you are curious, it was interesting to learn that Clemson, SC, is a lower elevation than Anderson, SC. Greenville is the highest elevation in the upstate of the big 3: Anderson, Greenville, and Spartanburg. Atlanta is slightly above a 1000-foot elevation, which is just above Anderson, where I live. Of course, the beaches are all at sea level or slightly above, and Pigeon Forge, where my family likes to go a lot, is around 1000 feet. None of this matters, though.
When I developed Afib, I was in Columbia, SC, right on the outskirts, which is hundreds of feet lower than my hometown. But the more important thing, in the case of Jansen, and the real reason he couldn't go to Colorado for that series, he was in Afib at the time. When you are controlling the Afib, meaning it is not present, there are no issues. There are no restrictions.
I was failing to see those things and doing one thing: I was letting the Afib control me.
During the week before the loop monitor insertion, I talked with a colleague who helped me realize this perspective. They were very helpful in getting me to see how this issue affected me. Even as I spoke to them, my eyes began to tear up because I knew they were right. They weren't the only one who helped me see how this episode's anxiety and fear was becoming crippling. Other colleagues, my mother, and my wife were all concerned that I was succumbing more to the anxiety and fear than the actual issue that had occurred. When I sometimes sat at home alone or even in church listening to sermons or songs, I wanted to cry and did so several times. I was calling my mom routinely to talk to her about these issues. I was a hot mess.
What wasn't a mess, however, were my blood sugars. During this month, I started altering my diet to help with some of the issues. I cut out ice cream and reduced sweets to practically none. I even started trying to eat more chicken and vegetables. I started eating more salads and began doing a diet similar to what I had been on when I first began losing weight, with an A1c of 10 in April 2021. My blood sugars for the entire month of September ranged from 70-90, with only one above 100, and that came down pretty quickly to the 80s that day. My sugars were doing just fine. So, that was a plus.
Finally, the day came for the loop monitor insertion. I was so nervous that morning. When I entered the holding area, my blood pressure was 148/98, and my pulse was 96. As I was going back for the procedure, one of the nurses was a former colleague of mine when I worked in the hospital. That was a reassuring feeling to have someone I knew back there. Since the insertion is considered a surgical procedure, I was taken to the OR suite and draped in surgical attire. They put oxygen on me and then laid a semi-transparent cloth over my face where only light could be seen above. That was unnerving. This situation did nothing to lower my blood pressure, which was 140s/100s by then. Finally, the moment came to insert the monitor. I was not under sedation, so I felt everything. With a momentary pinch and bam, the monitor was inserted. I heard the doctor say that we were done. After that, I said, "That's it?" Instantly, my anxiety about this procedure fell. My nurse colleague said I handled the procedure well for a nurse because sometimes nurses can be rough patients.
When I returned to the holding area, my blood pressure before I left was 134/86, with a heart rate in the 70s. See how much anxiety was playing a factor here? That was not horrible anxiety, mind you, but my anxiety in general was up, and in no time, the procedure was over, and my day went on. I felt so much better after that. Each day that followed, I could tell my anxiety was easing off, and I was adapting to the new monitor being in place. Things were heading in the right direction.
That's usually when something derails things, even if for a moment. That's exactly what happened the very next week, thanks to my stomach and blood pressure.
Tune in for the final entry of this segment, 10: Wake Me Up When September Ends, Part 3.
Thursday, October 19, 2023
10: Wake Me Up When September Ends, Part 1
Thursday, October 12, 2023
10: Climbing Ladders
Friday, October 6, 2023
10: It's Time
Have you ever just marveled at the beauty of a morning day. When the sun rises, you begin your trek throughout the day to parts and areas unknown or common to serve the greater good as best you can.
The early morning hours are humbling and surreal, particularly on a beautiful day. To me, it's a time when you can feel the presence of God the most, just as you begin to wake up. It's at this moment that sometimes you can hear God speak.
Have you ever thought you heard God speak directly to you?
Now, we all have those moments where scriptures or passages come to mind that feel a calling tugging at our soul to notice what God wants us to see or believe. But have you ever heard the voice?
This is not the voice of a mental health concern but a time when you feel like an audible voice can be heard, particularly in the waking hours of the day. I've outlined a series of dreams that happened to me from 2019-2021, along with a "hug from behind" that happened in between where I felt like God was trying to tell me something. Ultimately, the dreams made sense, leading to concerns over my health and hyperglycemia, resulting in an A1c of 10. Those dreams and sensations helped me cope with the changes to my body and realize that I could succeed as God tried to help me in any way possible.
But in July 2023, this new issue with Afib threw me for a loop.
When I woke up on July 14, having only gotten probably 4 hours of sleep during the night in the hospital, I was happy my heart was beating normally again. It had been a stressful, arduous day prior, but now things were more peaceful, and I was soon discharged.
I went to my cardiologist the next week to discuss what had occurred. They were now going to put a monitor on me to assess if the Afib might reoccur and determine if any other issues arose. COVID was very much still in my system and wreaking havoc. That first week with the monitor had one moment where my heart rate accelerated to 130 and dropped back to 60 before normalizing. It was a scary moment and made me think Afib was returning, but Cardizem controlled it. After that, I was beginning to get back into walking briskly and starting to feel more like myself again.
After 2 weeks of wearing the monitor, Afib was absent. I did have a bought of my heart staying elevated one night following a rather obnoxious hamburger I ate. I never should have eaten it, but you live and learn. But after that day, I felt much better and progressed to the point that things were normalizing again.
That's when I woke up one night, early in the morning and heard a voice say something.
"It's time."
It sounded like I heard it twice. The only thing I could attribute it to was Christ, God Himself.
When I went to church that Sunday, the lesson was about being Sent. The message was that God wants to reach your world. Part of the message lessons said that the Holy Spirit is talking to you. The Holy Spirit speaks to His people. The Holy Spirit is talking to others. Today's obedience leads to tomorrow's blessings.
You have to rise and go.
This lesson taught me that blessings were coming for me, but I had to obey. I need to follow whatever Christ was leading me through. This issue with Afib was not as profound as the A1c of 10 had been. It was a season, but it opened my eyes to what I needed to focus on, helping others reach the ultimate goal. The goal of Christ.
I was excited about what this possibility could mean. But I was also anxious about it. The problem was my mindset. I had convinced myself that things would go how I wanted when I returned to the cardiologist. Things had been going well, and I was feeling better, but I was not completely healed. Being sent, in this case, started with my own obedience. I needed to make some changes if I wanted things to be different. You see, my mindset shifted to what I believed I could do alone. I had become a bit fixated on what I could do and not enough on what Christ was doing. Good things were waiting for me, but I had to obey to see them truly come to fruition.
That made the next week so hard as I realized that what I wanted about this Afib issue would not resolve quite as easily as I envisioned. It would mess with my mind and trigger things I didn't believe were possible. But even as a nurse, I should have known it could happen. The next week created an anxiety issue I hadn't anticipated, and soon, I was dealing with a lot more than just a physical condition.
High blood sugar became secondary to a racing heart, but it was still the primary goal to control it. But if I wanted to control it again, I had to listen to Christ and return to where He wanted me to be.
Stay tuned for the next installment, 10: Climbing Ladders.







