This complicated

I realized last night that going to school this morning would mark the first Friday of classes I had attended all semester. Because first there was the failed myelogram attempt, then the myelogram, then the spinal fluid leak/blood patch. I wasn’t exactly looking forward to being at school all day Friday, but I was feeling especially proud of myself for making it through this week. It hasn’t been easy, to say the very least.

At around noon I was sitting in the last part of my morning lecture, totally engrossed in what was surprisingly interesting material, presented by my very favorite instructor, when something just went wrong.

It was as if the entire room moved around my head. But not in the way that I usually get dizzy. It was such a foreign feeling that for a moment, I was sure I was having a seizure.

The spinning continued for what felt like an eternity, but was probably really only 10-20 seconds. And then my vision normalized and the room was still once again.

But in the still room, my heart began to pound. I assumed it was anxiety and I slouched down to try to make myself flatter and took big deep breaths. I’ve done the racing heart thing before, I thought I could manage it. But nothing I did seemed to matter. It just beat faster and faster.

I finally grabbed my friend who was sitting next to me and asked her to feel my pulse. She put her hand on my wrist for a second and before I knew it, she was pulling me out of class and into the hallway. On her way out she grabbed two of our instructors (who are health care professionals). When I got into the hallway, one of the instructors tried to take my pulse. But it was literally so fast that she couldn’t keep count, she guessed it was probably near 200 beats per minute, but she couldn’t get a good count. I tried to focus on my breathing and on relaxing, but even after a few minutes of calm breathing my heart rate wouldn’t normalize and before long I was lightheaded and losing feeling in my fingers and toes.

The laid me down in the middle of the hallway, made me drink water, put a cool cloth on my neck and very very slowly, my heart slowed. To 150 beats per minute (my normal resting heart rate is between 60 and 70, when I exercise, I have to really seriously focus to break 110).

The decision was made that I would go to the student health center to be checked out, but not before the entire second year class, all 96 of them, got out of a class in the room next to ours and walked by. Because all I really needed was a heaping pile of embarrassment on top of the rapid heart rate, lightheadedness and trembling that I couldn’t control.

We got to the student health center the instructors had to leave, so it was me, all alone in a room, waiting for the doctor. My blood pressure was high, my pulse was still 120 and I was alone. I am still pretty impressed with how I handled the anxiety, but there were moments where I thought I would surely pass out alone in the room or have a heart attack and no one would be there to help me.

After an EKG, urinalysis, an intramuscular injection of an anti-nausea/dizziness med, 2 failed and 1 successful attempt at blood work, we found the likely source of the problem. I’ve been fighting off a small cold all week (one I had almost successfully convinced myself was allergies, but no) and I had developed a mild sinus infection, but the bigger problem was that through the production of massive snot quantities and my body trying to recover from last week’s spinal fluid leak, that I was dehydrated. Nevermind that I’ve been upping my fluid intake and taking super good care of myself, my urine sample showed that I wasn’t just dehydrated, I was really dehydrated.

We are still waiting on the bloodwork to make sure that there’s nothing else going on, but it would appear that I need to deal with the sinus infection and dehydration and all will be well again. If I get dizziness anything like today, my heart races or if my headache gets dramatically worse I’m supposed to go to an ER post haste. But I think I can speak for everyone in my life when I say that we really don’t want to do that.

I’ve relived the unpleasantry of this morning in my head about a hundred times today. The feeling of helplessness, the terror of the room spinning, the heart beating so fast I thought it might burst. It certainly wasn’t the worst thing I’ve experienced, but the way it caught me off guard, scared me and completely incapacitated me, was terrifying.

It was horribly scary and frustrating all at once. I missed yet another class, I drew attention to myself that I DID NOT WANT, and even though I’ve been trying so hard to take good care of myself, I’ve failed again. I know it’s not a huge deal but I have worked so hard this week to do what needed to be done, to get enough sleep, to pace myself so I’d have the energy for 5 full days of class. And despite all that, I had a heart rate so fast that a medical professional couldn’t count it and vertigo that has left a nightmarish memory I may never shake.

It just seems like making it through one week of school really shouldn’t be this complicated.

10 Responses to “This complicated”

  • I am so glad that it wasn’t anything more serious. Honestly I was scared of it being a heart attack, but didn’t want to say anything. I wish I could give some words of advice. I wish you were done with school, because I think your body is having trouble fighting with all of the stresses. Just do what you can, and try not to worry about the rest. Take care. (Hugs)

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  • Joy:

    I don’t know what to say. I hope that you are able to get back on track with your health very very soon. Take care. ((hugs))

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  • I certainly hope you recover quickly! I wanted to let you know that I pray you never experience this again. If you do, however, and have any questions please email me. I have a condition called POTS/Vasovagal Syncope. I deal daily with episodes that share some similarities to what you described. I have been down a long road of specialists and many treatment plans and it would have been very helpful to have someone help me navigate the diagnosis. This is an area, that by default, I have much experience. If you ever have any questions please ask, I have been dealing with this the past 5 years. Also check out this website if you get a chance, http://www.dinet.org Again, hopefully this was an isolated event but if for any reason it turns out not to be know that there is a place to go for answers. Hope you feel better soon:)

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  • I’m so sorry that this all happened.

    not sure, though, that i’d agree that you’ve failed again. you’re tried, you’ve persevered. it would have been way less complicated to *not* try, to give school a pass for the year – and even if you have to (and I know you don’t want to) – but however it plays out, i hope you can see that the things your body does are beyond your control.
    you’ve done all you can, you’ve taken care, you’re working on it.

    that just doesn’t add up to ‘fail’ i don’t think

    hope the weekend brings some calm…

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  • Mindy:

    Sometimes things just plain suck.

    You haven’t failed, you just didn’t realize you needed a bit more help. You can’t will your body to do what you want it to do (obviously if you could you wouldn’t still have your headache). Just try to feel what’s going on and get the help you need to.

    On a side note, when I was 8 months pregnant my heartrate got up to 300….for four hours. They finally shocked my heart to get it back to a regular rhythm and then did surgery two days later. Luckily my son was fine, but I’ve never forgotten that feeling (heart beating so fast you thought you were going to die). It was awful. My son has a birthmark on his knee-in the shape of a heart.

    What doesn’t kill you makes you stronger. Hang in there.

    Mindy

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  • I agree with Janet. You didn’t fail to take care of yourself…and saying you failed sounds like you’re beating yourself up over something that you had no control over. Your body beats you up enough so don’t you start too!

    You did what you could and I’m really impressed with your guts and courage!

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  • Sam:

    Don’t be so hard on your self – “I’ve been trying so hard to take good care of myself, I’ve failed again”. What a bunch of crap! You did NOT bring this on yourself. I’m sure if you KNEW how dehydrated you were you would have done something about it. Geez! It’s small wonder your having trouble fightng off infections. Your poor body has taken a beating, not to mention your poor mind, and yet you stick in there and soldier on. Your a freaking trooper!

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    purplebreath Reply:

    ooh–nailed it!

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    pixielation Reply:

    ditto. You are not failing at anything. Most people don’t have anywhere near as much to deal with in their lives. There is no failure at all here.

    I hope it all starts going the other way soon, you deserve that!

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  • Just found and subscribed to your blog! Looking forward to reading more.

    You poor thing–I am so sorry you went through that. Thank God it was likely only dehydration (I hope your tests come back clean!). I’ve had some similar experiences–all came back mostly fine, for the most part–and I totally know the feeling, and it’s awful. You were a billion times calmer than I’d have been.

    And, I totally agree with all the great comments–of course you didn’t fail! It was unfortunate, but it certainly wasn’t your fault–it sounds like you’ve been making every effort to stay hydrated.

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About the Brain
Welcome! I'm Katie, a 28 year old, full-time graduate student who just happened to have brain surgery in November of 2007 to give my ginormous brain a little more space. This blog chronicles my daily life, from relentless headaches to being a doctor's wife. Sit down, get comfortable and stay for a while.
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