Our visit at C.H.O.P

Yesterday I took 4 of my kids to Childrens Hospital of Philadelphia, considered one of the best children’s hospitals in the world, possibly THEE best, so Ive been told by other doctors including Dr Brugada.People travel from around the world to go there and Im lucky to be 90 minutes away from it. My 5th child is almost 18 so she will see my EP next week.We saw a highly qualified, highly recommended doctor.Matter of fact, we saw 2. At the hospital TWO highly qualified EPs looked over my children and repeated the exam so the 2 can discuss our family and both agree on the proper treatment. I loved this because its like getting 2 opinions at the same time. For 4 kids it was a 2 hour appointment.It started out with weight, height, a pulse ox and blood pressure. Then we moved to have each child have 2 EKGs. One with the leads in the proper place and then a second where 2 of the leads are moved up. Sometimes moving those 2 leads can make a difference between a normal and abnormal EKG in the young so I was impressed that they did both. That was a total of 8 EKGs. The first doctor examined them, did a family history and had me discuss my story and then left. The second doctor, the head doctor/ head EP/ and professor at the teaching hospital, came in and repeated the whole thing. A nurse came in and had me fill out all the forms to fax right away to the genetic lab that I used to get the tests authorized quickly. Then the lab will mail me the test kits, I take them to the lab to have the blood drawn, mail it back to the genetic lab and wait. The lab calls the doctor who will call me with results. That should be in 4-6 weeks. The visit ended with her putting a 24 hour holter monitor on all the kids to see if any BrS signs show up in the next 24 hours. Brugada signs change day to day, hour to hour, so this assures an even more accurate reading. So where Im at right now is none of my kids are symptomatic (no fainting, black outs, v tach, v fib, abnormal EKG) Unfortunately a normal EKG does not mean you DONT have Brugada. Its a nice base line to see if they have a worse case by it showing up right away like me but in general plenty of people have normal EKGs AND have BrS. So what are we doing now? Their diagnosis will be based on genetics because lucky for me I am one of the few who tested positive.That means the geneticist can zoom right into the mutated gene I have, in my kids. If there is no mutation present on that gene, they dont have Brugada. Specifically for my family, a negative gene test and normal EKG is enough to dismiss them as not a BrS patient. This doesnt happen all the time. Plenty of people test negative for BrS but still have it. Thats because not all BrS genes have been discovered yet.So you can have it, but the gene is still unknown. The ONLY reason its that simple for my family is because they know the EXACT gene that would be passed down. So if they dont have that mutated gene, they dont have it at all. They cant have Brs from me WITHOUT having the same mutated gene as me. Having a positive gene test has simplified diagnosis for my family TREMENDOUSLY. So what happens next? We wait for results and find out through genetics who has it and who doesnt. She is very conservative with putting ICDs in. She doesnt like to give them to children if they dont REALLY need it because she said the risks are too high. Of course, if they develop symptoms , that would be another story. But for now, they are symptom free, and if they are positive, that still isnt enough to give them an ICD. And I agree with that totally. The children that are positive will be monitored by her every couple months to see if anything has gotten worse or changed.She is confident that although BrS DOES happen in children , it is much more rare and the danger zone indeed is the 20s and on. Of course there are children with severe Brugada but its not as common as an adult having it. She did say she would like us to buy an AED, an external defibrillator, for home. We need to treat fevers aggressively, avoid over heating in the warm weather and dehydration to prevent electrolyte imbalance and comply with the drug “do not take” list.We also need to take the kids to the ER for an EKG when they have a fever to see if their EKG switches from normal to abnormal with fever, which is common. I still dont know who has it, and Im still very nervous. But Im happy to have found a specialist with Brugada in children. I get tired of explaining to doctors and nurses and its nice to have a doctor who has plenty of other BrS patients.I know they are in the best care. I guess the good news is whoever has it, at this point, they dont require an ICD.Later in life will they need it? Probably because BrS only gets worse with age.But for now, while they are innocent children they dont need to worry about it. If they get symptoms, that changes the whole game so I will continue to pray for that. Whoever has it, has it. I cant chnage it. But I can at least hope they stay symptom free and if it does progress with age, I pray they have the wisdom to get an ICD to be protected…

Chapter 2 My Children

This isnt a long post.I just want to let you all know today my kids (4 of them, not 5) will see an electrophysiologist in one of the greatest children’s hospitals in the world. They are seeing a HIGHLY recommended EP. I doubt I will find anything out today unless one of their EKGs is abnormal. Most children have a normal EKG even if they have Brugada because its a defect that manifests later in life for the most part. There is always exceptions though. Alot of their diagnosis will come from genetic testing because my test is positive. Unfortunately it takes 6 weeks. I shoukd know more later than sooner.None the less, I will update you all later on what this well known doctor has to say about my 4 youngest. Talk soon!

Donation and Database for Dr Brugada

I just wanted to share 2 links with you that I found on the official web page for Brugada http://www.brugada.org

The first is a way to donate money directly to the Brugada brothers. Any heart association takes donations for heart defects and arrhythmia’s but you cant be certain how much money actually goes to Brugada research. Other companies or charities might take your money for Brugada and not ALL the money goes where you want it too. If your very eager to donate and help find a cure or further research than your best bet is to donate money directly to Dr Brugada. Please follow the link:

Click to access donation.pdf

If you are a Brugada patient or have a child who has Brugada , please provide your information to Dr Brugada. He compiles an international database of all Brugada patients. He wants to know about you, your case, what type you are, age, your story, etc. I even sent him copies of my EKG to have on file. By doing this you are contributing to research. Please use the following link which provides Dr Ramon Brugada’s email. I have personally emailed him several times and he always answered my questions. He also told me himself he likes to know about new cases
http://www.brugada.org/participate.html

Night Time Phantoms

I have talked to so many people who tell me they have the same problem as me; symptoms at night that are very uncomfortable and bothersome yet never show their face on any type of monitoring. What is this? Brugada can effect you any time of day but over all its a ‘night’ problem. It wreaks havoc on your sleep, commonly causing cardiac arrest in your sleep. For years and years Ive told my cardiologist when I’m trying to fall asleep and once I’m asleep, I get palpitations, fluttering, breathlessness. My heart literally wakes me out of my sleep. It feels like its moving around in my chest. Pounding, thumping, skipping, twirling, quivering. The doctor has put me on holter monitors and ECAT monitors (more effective technology) and NOTHING shows up but stray PVCs here and there. He feels its unrelated. Many people I talked to claim they feel this and also nothing shows up on a monitor for them either. We know what we are feeling! Its not in our minds or psychological because it wakes us up! So what is it? Why wont it show up? I have no answers to this question. And neither do most doctors. Many claim its probably underlying anxiety. In a way it makes sense because how could you NOT have anxiety when you have Brugada? But how can it bother me then when Im sleeping and my mind is turned off? Several times a week I battle with my heart until the wee hours of the night…awake, asleep, thumping, stirring, cant breathe, fluttering. What the hell is it? I wish I can get an answer. I wish it would show up on a monitor. All I can guess is it is something happening in the heart, an activity happening, that somehow doesnt alter your rhythm or heart rate, there fore its a ghost on all monitors. Does anyone else suffer from these phantom symptoms at night that are never revealed on any testing?

How far can denial really go?

Just when I think Ive accepted my diagnosis and begin to find normalcy or peace with my ICD , I realize Im still in denial. How do I mean? I mean I contacted another doctor that is a “big wig” in the world of Brugada. He asked to see my EKG and genetic test. He confirmed my diagnosis and said the gene mutation I have is a damaging one. I got so upset to read that this morning. Why?? My doctor told me in February. We discussed the dangers of Brugada and I elected to have surgery. I left my EP in denial after my initial diagnosis and sent my results to Dr Brugada himself who said I am type 1 and he agrees with the diagnosis. I went ahead and accepted it and got the ICD. Now I am almost at 6 weeks recovery and another doctor tells me he agrees with the diagnosis and yet Im crushed. Why is that happening? I knew for 2 months now that I have Brugada. Ive had an ICD for almost 6 weeks. Ive gotten stronger and accepted it. Yet, hearing another doctor confirm it today knocks me back weeks mentally. I dont understand why that would happen. I saw what Brugada does. It killed my Dad. Ive read all I can read about it. I know its dangerous. I know its fatal. I know there isnt a cure and you can only protect yourself from it WITH an ICD. So what the hell is my problem? This isnt news to me! Ive known all this for 2 months. I thought I was STARTING to find peace. But actually I think know whats happening. Its called the “that wont happen to me” syndrome! Yes I have Brugada! Yes my father died from it! Yes Im type 1! Yes my genetic test is positive! But die??? Who me??? Get out of here! Thats not going to happen to ME!! I have the diagnosis but cardiac arrest happen to me? Yeah right! Ha ha! Funny joke….

This is classic denial. I thought I was past this but Im not! I can read that its fatal until Im blue in the face! I can recall the phone call in my head when I found out my healthy Dad just died! I can FEEL an ICD in my chest for goodness sake. But yet I dont fully accept why I have it. “its just a preventative, nothings going to happen, Im not like my Dad” Then I stop and think …REALLY, REALLY think! I AM very likely to just die. Yes, Ill be revived but I will still wake up in a daze knowing I just died! Is mankind supposed to have that information? Are we supposed to get second chances? Is knowing this information destructive to your psyche? Do you die of arrest, get shocked back to life and go on living or do you go on living, in a daze afraid and confused and fearful of the next time? I dont know. I guess I will find out someday and tell you…

I know Im rambling but Im just trying to piece this together. Maybe someone else can relate to the ” Yeah, yeah, I have Brugada but Im never going to get shocked” phase of denial. Maybe its my mind protecting me? Maybe we are supposed to be in a bit of denial all the time and only deal with it when it actually happens so we dont drive ourselves crazy or cry every day? I dont know. I know what I have. Ive seen what it can do. I know its fatal. Why am I surprised or in denial? Ill just stop thinking. All we can do is turn our minds off and let our bodies live.So my whole life is dependent on this little machine working? What if it doesn’t work?? Thats a scary thought. Too scary….

Dear Lily,

I have such a wonderful following from all over the world. People read my blog, they follow me on Facebook and message me all the time and some follow on Twitter. Last night, I found out one of my followers is a 14 year old girl living in the UK. She has Brugada and no ICD. Her mother told me they sit down and read my blog together.Lily’s brother also has Brugada and they both lost their father to it. I cant imagine the loss this family has endured and I cant imagine the weight that is on this child’s shoulders. I am so touched that Im reaching out to children who find comfort and knowledge in what I write. So I decided to write a post just for Lily.

Lily,

I understand what you are going through. I really do. I lost my Daddy too. Im sure you think about him every day, with either sadness or anger that hes not here. Its completely normal to feel this way. I prefer to think about my father everyday. It wouldnt be normal to forget. We are connected with people who have passed on, and our thoughts and heart help us stay connected to the person we cant see. But he can see you and watch over you.I really believe that. It gives me comfort to know that even though we cant see our father’s, we know they are still with us. We carry them in our hearts and minds forever. No illness or heart defect can take that away. There is a story and I cant remember it well but its a about a ship. A bunch of people are standing on the beach watching the ship slowly sail away. They sadly exclaim “There it goes!” They are sad it is leaving and it moves farther and farther away from the coast until its just a tiny dot on the horizon and then its gone. Is that ship still there? We cant see it but isnt it safe to say its still sailing on the ocean? Yes! The other part of the story says although there are people on one beach sad to see its gone and disappeared there is ANOTHER beach with people WAITING as they see the ship moving closer and getting larger and with big smiles and excitement they are yelling “Here it comes!” So what does that mean? We are on the beach watching the ship depart. But there is another beach we cant see where people are reuniting and happy. That will be us someday…

As far as having Brugada, remember this. You are Lily, not Brugada. Follow your doctors orders but live your life. Things can always be worse. Always! Some people cant walk, cant breathe, have cancer and are dying day by day. Dont take for granted the things you can do everyday. I know there are things you CANT do. But dont concentrate on what you CANT do. Think about what you CAN! Take a walk, read a book under a tree, go out to eat with your family, listen to music, watch a movie, go to a zoo and enjoy the animals, plant a garden, go swimming. Enjoy the sun, the birds, the sky and the clouds.Dream about your future and things you want to do. I know thats hard to do but you have to force yourself to do it.Life is not a noun, its a verb. Its something you have to DO! You have to live. Are you living with rules? Yes! Many many people with all sorts of illnesses and disorders live with rules. And thats fine.It doesnt make life horrible. Life is a journey, a path filled with lovely grass and flowers but also big rocks and logs that we trip on. We end up in the dirt, we fall, we cry, we lay there. But you cant stay there.You have to get up, wipe the dirt off, dry your eyes and keep walking the clear path. Another rock or log will show up and knock you down. But no big deal, you keep going! Matter of fact the more times you fall, the easier it is to get up and keep walking. It becomes second nature.There is no other option but to be strong…head up, shoulders back and walk.As your on this path in your life, dont worry about the hurdles up ahead, when you reach them you will be less fearful and as strong as ever because youve fallen before. In the mean time enjoy the beauty of that path,the beauty of life.Take a deep breath and say “Im alive, Im here and Im going to live my life.It can always be worse” 🙂

Risen (Part 4)

This is the fourth part of my series about my journey. You can read parts 1, 2, and 3 by going to the home page, scroll down and to the right you will see “4 part series” listed under categories. Ive talked about my diagnosis, the time period where I waited for surgery, the day of surgery and now I will cover the recovery period. Im at 5 weeks recovery.

Im trying to figure out the best way to condense this time period. I cant give a day by day account. It would just be impossible. Im going to have to boil it down and talk about the emotional and physical recovery in general.Let me add here and now that just because 6 weeks is up, that doesnt mean your healed in every, way, shape and form. This is a life long journey. It doesnt end with surgery or a healed incision. Unlike other surgeries, where things are removed or fixed, this is neither. This is walking out still having a defective heart that hasnt changed at all and now a man made device is PUT IN! Most people walk out of a hospital missing an organ or have an organ fixed, we dont get either. We get an “insurance policy”. We have to live with it, work with it, play with it. We will have to have our “new friend” taken out every couple of years and replaced with hopefully a better smaller model.We will undergo a surgery over and over again. And in the mean time, we have to hope our defective heart doesnt reach its limit and fail. This is a heavy duty topic. Surgery is the end for many. For BrS patients, its only the beginning of a long road that we will never leave until we reach an old age where death is accepted and expected. We can let it control us or we can control IT!!!

So whats the physical recovery like? Well you can use your left arm for small things like opening a door or wiping a counter. In the first couple days for me, I couldnt even lift it. But later on the doctors want you to use it VERY lightly, no lifting the elbow above shoulder level. Trying putting your hair in a ponytail lol! You dont want to pull that lead out. I had a horrific time with pain. Some dont, some do. It depends on your anatomy. How much do they have to shove out of the way to form that perfect pocket? From what I read its worse on women because we have more fat and mammary glands to move out of the way. I was completely bed ridden in pain for a week. I cried in pain everyday. And thats with Percocet. I needed my husband to help me shower, get dressed, make all my meals. I was exhausted. I couldnt sleep enough. The anesthesia affects lasted for days. The pain was so severe in my arm and chest that I was hunched over and leaning to the side for about 2 weeks . I had to walk around holding up my left breast because the weight of it just pulled down on the incision making the pain unbearable. In the shower, it was the same, a hunched over mess, not capable of washing my waist length hair and shaving was impossible. The first few showers I cried because I was like a little baby that couldnt care for myself. I needed my husbands help to get washed, dry off and dress. I couldnt go from laying down to sitting for weeks. You dont realize that you use chest muscles when you sit up like that. The pressure pushed the ICD up against my chest wall and incision screaming to be released. For weeks, whenever I went from laying to sitting I had to push on my incision to give counter pressure and get help from my husband. I sleep with my youngest baby so I had to change my whole sleeping arrangement so she wouldnt roll over in the middle of the night and land on my chest or rip the surgical glue off. Small things were exhausting….doing the bills, cleaning a little, sitting up for a long time. I was just exhausted and still my energy levels are very low. You dont get just physically wiped out but mentally. You are just a burnt out mess. It does get better every week but honestly give yourself as much time as you need. The first week I was bed ridden , in agony, crying , angry, not wanting to accept it. I remember one night I actually had an episode of claustrophobia and feeling trapped by the ICD. It was so bizarre. I was crying in a panic yelling that I want this thing out of my body, take it out, I changed my mind, I dont want it. Obviously its not that easy. You cant just take it out. Its there and that threw me into hysteria wanting to flee from it. I wanted to run from Brugada and my ICD but wherever I run, I will take it with me. Its in my heart and chest, I totally freaked out. That was a bad emotional episode for me but it passed. Expect the first week or two to be very emotional, bouts of crying, grief, anger, denial.This notion that you go home smiling with a new look on life and best friends with your new computer friend that will save your life is a load of shit. I was angry, I hated it, felt like I didnt need it. I had no relief or huge exhale saying ” Im safe now!” That comes later and will get better through the months and years. So what do you have the first few weeks….pain, exhaustion, emotional roller coaster compounded with the need to have a normal life but you have to wait 6 weeks. I saw people having a normal life…taking walks, shopping, riding bikes, and I wanted it so bad. But I was recovering. And even after Im healed can I do that stuff, will I get shocked? So there is a tug of war going on….you want to live and live freely, like before. But your afraid to live like before. Your angry your in this situation and your ugly scar stares back at you in the mirror but at the same time you know you will live long. I can talk about retirement and the future with my husband peacefully not wondering if I will be dead at 55 like my Dad. I go back and forth. Angry, happy, exhausted, itching to get out, pain is dwindling, pain is unbearable. Recovery is ups and downs, going up hills and going down hills. The weeks feel like months. But day by day you realize you can dress yourself, you can shower without help, your taking less pain medication, you’re smiling more, your making plans for when your 6 week mark comes along. If I were to give it a timeline, for me personally and everyone will be different, give yourself 2 weeks of really hashing it out with pain and crying. The third and fourth week the crying has ceased but the pain lingered but not as bad.Enough to keep me in bed most the time though. The exhaustion held on like a bitch and coffee wouldnt even wake me. By week 5, I decided “Che sara’,sara'” Thats Italian for “what will be, will be.” In Jersey we say “It is what it is!” Starting week 5 I decided to do my makeup, play with my kids, clean my house, take walks, go to the store, breathe in the fresh air and let the suns rays and warmth heal my soul. Let God heal my soul. Now at 5 weeks Im at a point of acceptance, happy I did the right thing, my scar is healed and Im not mad about it. My kids are so happy to see me doing what I usually do. My husband is happy to see me waking up and planning my day. Life goes on. When you have an ICD it DEFINITELY goes on. So for my friends out there who are awaiting surgery for an ICD, please take my advice. Dont think by no means, you will go home smiling and pain free and full of relief. There will be pain, there will be the same emotional trauma I mentioned in “The Way of the Cross” There will be an itch to live but a fear lingering about living and getting shocked. Day by day, week by week, you will get better. It seems to last forever, and its very long and drawn out and taxing, physically and emotionally. Give yourself this time to rest, heal, sleep, pray, accept, cry. Dont rush things. Eventually one day you will realize you can do this. You have risen….

Calvary (Part 3)

This is a continuation of my article “The Way of the Cross” where I discussed the time period between diagnosis and surgery. Now this brings me to the actual surgery.

March 6th was my scheduled day. It was 9:45 and I was leaving for the hospital, a large teaching hospital in NJ. It was gray and rainy. Of course. I guess it was too much to ask to have a bright sunny day to be in the right state of mind. I felt scared and depressed and the weather just mimicked me.My mother watched my children and my husband drove me. I was feeling fine all morning and felt determined to get this done and over with it. I actually held it together pretty good. Much better than I thought.Despite being very hungry and thirsty because I had to fast, overall I was OK. Then I said goodbye to everyone.That made matters worse. I cried saying goodbye to my kids and Mom. Now its real. Im really on my way to get an ICD! Its no longer a very long nightmare. There is no way anything has changed. All hope that it may be a mistake blew out the window. I grabbed my suitcase, walked out into the light rain and gray skies and cried. Im getting an ICD! I have a defect! I knew it all along but it really hit me at this point as we drove away and I hugged my suitcase like it was a teddy bear. I cried for about 10 minutes and then it just went away.Peace overcame me. My fear mode and denial mode switched to survival mode and strength. I dont know how or why, it just dissipated. Maybe it’s because I spent 3 weeks crying and angry and going back and forth with the decision to get an ICD.Maybe I was just burnt out. No tears were left. All that was left was to be driven to the hospital like a lamb to slaughter, like a prisoner with no choices. Or maybe God or even my father reached down from heaven and gently and peacefully nudged me forward.Calvary awaits…

I walked up to the cardiac lab unit. To my surprise there were many people there all on one unit getting procedures done on their heart. They sent my husband to another room and he wasnt with me which bothered me alot.I was brought to a room with a curtain all around, told to put a gown on and wait. I listened through the curtain to the people next to me on both sides. I can tell they were old. I instantly felt angry. “See! Only old people should be at the cardiac lab! Why the hell am I here?” I sat there disgruntled and annoyed and hungry. Not crying, not sad, just irritated. A nurse came in and had me sign a ton of paperwork giving my consent and saying I wont hold them liable for any problems. They took a family history and some blood, because my age I was required to give a urine sample to check for pregnancy and then I was hooked up to an IV for hydration. I waited and my hunger got worse which compounded with light-headedness and nausea because Im hypoglycemic. Its been 10 hours since I ate. I complained to the nurse and asked if I can get dextrose, which is sugar, put in my IV to get rid of my symptoms. She came in checked my blood sugar by pricking my finger and collected a little blood. She confirmed my sugar was very low and I needed the additional sugar in my IV. That brought relief and helped with the irritability. I sat and waited and noted that 45 minutes has passed since my appointment time.My husband was called to come sit with me. I still was very calm at this point and now even calmer that my husband was near.I actually amazed myself and my husband who is used to my hysteria and tears when upset. My EP came in with a smile that lit up the room and asked “Are you ready?Have any questions?” as he felt around my chest confirming where he wanted to put the ICD. I smiled back and said no and that I was ready. 15 minutes went by and I thought of my Dad and why he wasnt given the opportunity I was. Why wasnt he in a cardiac lab getting a second chance at life? Why me? Why not him? Why not both of us? He hated doctors, never went to see them. But then again he was healthy so why bother. Such a shame. 2 nurses whipped open my curtain announcing it was time. A quick look at the clock showed me I was only waiting an hour. They wheeled me on my gurney and my husband was alongside me. They tried to talk to distract us both. It was working. We talked and even laughed a little. But then we stopped at a door and a nurse advised my husband it was time to say good-bye. That made me terribly sad but I still didnt have a breakdown. How? I have no idea.I guess I was in that “get this shit over with” mode. I kissed him and said goodbye and I watched him walk away as I was wheeled through the doorway. Ice cold air hit me. Nice and sterile and COLD!They wheeled me next to another bed and helped me onto it. I hardly call it a bed. It was hard as a rock and very narrow. Im not fat and barely fit on it. I felt like I was laying on a kitchen counter or something. Luckily I got some very warm blankets out of the dryer. The nurses kept talking away to me. I talked back which kept me happily distracted. Behind me, a new face popped up. It was the anesthesiologist.He asked me a bunch of questions about side effects from other surgeries trying to figure out the best meds to give me. He put a mask on my face and I kept talking. I was literally in that room 5 minutes before the mask was on.They moved nice and quick. I just talked with the nurses about how my family is from the same area they are from, in the city in North Jersey.We were going back and forth.I thought I would be petrified at this point but there I was talking a million miles a minute. Geez, sometimes I can just talk and talk and …..

I can barely open my eyes. My God, the pain. What room is this???I look around through blurry eyes.Im in the recovery room. Sigh….its over. ITS OVER!!! I was out cold, sound asleep the whole time and here I am finished.I cant believe it! The joyful thought lasted a fraction of a second as I yelled out “Im in pain!” The nurse ran over,” Where? Wheres the pain?” “EVERYWHERE! I cant lift my arms. My shoulder blades, my back, the back of my neck and head, my chest! I cant move my arms at all!” Now the tears come on slowly (By the way, I realized days later, all the pain on the back of my body was from the shock they gave me when I was under. When your shocked your body arches up in an arc and slams down. It must have been a real doozy because it felt like I was ran over!) The nurse sat me up and stuck some morphine in my IV. Amazing how quick it works when its right through IV!I looked down at my incision.Disgusting! It looked awful and shiny. It was covered all over in surgical glue. There were no bandages. Just stitches underneath the incision and glue on top so I saw the full effect.I felt like Frankenstein. Fluttering, fast beats, fluttering, skipped beats.Again I yelled, “Im feeling something strange” The nurse at the desk asked what and I told her my heart doesnt feel right. My EP magically appeared in an instant. “Your A Fib!” I looked at the EKG behind me and saw the odd pattern of what looked like ocean waves, no sharp marks or points that are in a normal EKG. It just looked like a slow rolling stream. ” What is THAT?!” “you’re in atrial fibrillation. Its definite” He walked away quickly and so did the nurse. She was on the phone immediately and I can hear she was talking to my husband and I only caught bits and pieces of her sentences…abnormal rhythm, not doing well, different unit, has to be monitored, she will be there soon. What is going on? Everyone told me this is a piece of cake! I was told no biggie! Ill be in and out and awake all relieved and comfy in my room enjoying a meal. A bird was alive in my chest batting its wings trying free itself. I stared at the EKG with its water like waves. My EP came back over and told me I may have to go back under anesthesia , get re shocked into a normal rhythm. I freaked out! He changed his mind and decided to see what will happen and then shock me in the morning. Then he instructed me when I leave I need to see him right away and be put on a 10 day ECAT monitor post surgery (Ive done it 3 times already). What the hell is this? A Monitor? I did all this crap! Im done! I want to relax and go home. What have I done?! Im worse now than before. I shouldnt have done this. I was fine until I got here and now look at me. Ive ruined my heart!!! Of course I didnt say this out loud. I was in too much pain. I wanted this cursed little piece of technology out of me. Then I realized Im trapped! I cant take it off, put it aside, part ways with it. Its deep in my skin and heart. Stuck! It will never come out unless a doctor does it! Im trapped like a rat.It owns me now.I laid there scared and confused and trapped….

2 nurses came and wheeled me away to what I thought would be a basic monitoring unit. It was instead a telemetry unit which is specifically for dangerous rhythms and people who need constant monitoring of their heart. My husband was waiting there. One thing is the room was big and modern and lovely. It was my own room and quiet. I didnt have to share with anyone. They made it look like a little home. They said the couch could be made into a bed if my husband didnt want to leave me. That scared the crap out of me when they said that. Why would he need to stay every second? The 2 that brought me in left and the cardiac nurse came in to introduce herself and tell me the rules. I wasnt allowed to leave bed until 9PM. Strict orders from the doctor that I could NOT walk. She looped a monitor around my neck that was connected not only to the front desk but some other part of the hospital that monitors you constantly. Nurses leave their desks over and over. So they needed a person literally staring at me every second. Again very scary. Later on when I was discharged they took the monitor off. In a second, I kid you not, a second, the phone rang in my room wondering why they lost my heart signal so they really were watching me good.Anyhow, I was afraid because the unit I was on and all the strict orders and constant monitoring. I went in believing this was so simple and safe and now Im on the quiet unit for dangerous cardiac patients. Not to thrilled about that. In my mind I wasnt understanding why. I thought it was because they put the ICD in and something went wrong and I made a HUGE mistake.I thought I destroyed my own heart. Thats not the reason and Ill get to it in a minute. I was laying in this room enjoying the quiet and decor.I was feeling pain but not as bad as before since I had morphine. They rolled in a tray of food. I was starving. At this point I havent had anything to eat in 15 hours. I quietly talked to my husband. I tried to eat but realized the pain was too much despite the meds.I couldnt lift my left arm at all, but Im right handed and the pain radiated across my chest down my right arm. Teary eyed I told my husband I couldnt feed myself. He had to feed me because I couldnt lift my arms.Im a prideful person and this was awful for me.Id rather starve then have someone help me. Im strong and hard headed like that.But the hypoglycemia won and I started to eat a few bites and froze.I must have looked like a deer in a head light or a mannequin because what I felt stopped me dead in my tracks.My husband stopped feeding me and just stared.He must have seen me turn white as a ghost. My heart started pounding faster and faster. It wasnt quite a pound actually, it was like a quivering beat. A massive wild bird going nuts in my chest. A hard fast flutter and quiver. It was the most bizarre thing I ever felt.It was so fast and so hard I lost my breath and couldnt speak. I pushed the tray away, grabbed my chest and tried to talk but nothing would come out. All my air was gone so no words would form. My husband asked if he should get a nurse. I couldnt answer and quickly pointed to the door. He ran out to get the nurse who must have seen the monitor and she came in just as he left. The atrial fibrillation, for whatever reason, had escalated and my heart rate was going up. I struggled to tell her what was wrong and she left for the doctor. Now Im crying, terrified, pulling at my gown for breath and thinking I can some how calm my own heart down like its a separate living thing that needs a loving touch to settle down. I became hysterical and frightened. Its quivering, I cant breathe, my voice wont come out, Im going to faint.The nurse ran back in and said my rate jumped another 30 beats in seconds. She saw I was frightened and hysterical and still not able to talk or breathe and left again. She quickly came back with the doctor.He said “Please calm down. Your heart rate is at 150 and going up in A Fib. Its very scary and uncomfortable but it wont hurt you. Please settle down.I will help you” (Let me add that 150 isnt fast for some people but I have hypothyroidism that gives you a slow beat.Mine is usually around 60 so you can imagine what this felt like for me) Once I heard those words I calmed down a little because I thought I was going to die. Well, not die, I have an ICD for Gods sake, but go into arrest right then and there AFTER I got an ICD. I thought the ICD gave me A Fib and it would be an on going problem because of it. They shot more pain medicine into my IV, Then they shot a calcium channel blocker in my IV to drop my rate and then they gave me a tranquilizer to further drop my rate and stop the hysteria. Everyone sat and watched. I felt like a fish out of water, waiting for air, waiting to breathe, waiting to talk. Slowly the medicine began to work and with a struggle I can speak in short spurts as oxygen came back into my lungs.The tears stopped, the air flowed in and the butterfly in my chest lightly played with its wings now. I could speak and breathe again….

“Whats happening Doctor? Why is this happening? I thought this was easy, simple, no problems. Ive never had this before! Why now? Is it because the ICD? Is this some horrific mistake? Will I forever more have bouts of this because an ICD and it wires cling to the inside walls of my heart?” He told me its very common and its common in Brugada and they will continue to monitor it even after Im discharged to see if I will always have bouts of A Fib. BUT, keyword here, BUT…many people are very taxed physically and emotionally by ANY kind of surgery that in turn taxes the heart and causes A FIB. Even in people who dont have heart problems. He said it could all be because of the surgery and can disappear. In the mean time they will break the A Fib and get me back into a normal sinus rhythm by using Cardizem until the following morning. Cardizem may break it or I may break into a good rhythm on my own. Or, neither may work and the following morning at 7 AM I will be brought back to the cardiac unit, put under anesthesia and shocked back into rhythm. I just sat there stunned. Drained and tired, in pain, hungry and stunned. Fear lingered in the air with the smell of the food that sat there, despite not eating for 15 hours. I now wanted no food at all. My appetite disappeared. I felt better, aside from pain, which was horrific but just laid there now with my husband. The monitoring went on and on, hours passed, we just talked. There would be no visitors. My kids couldnt come and see me and were upset. My mother was very upset but she had to continue to babysit. Night was coming and what we thought would be a night with relief and smiles and the feeling of good things to come turned into worry, IV drips, meds and more meds, no children, no visitors, no food….I was back in a nightmare. What have I done? Did I further damage my heart? I signed my name on the dotted line. I sold out my heart for this…

I started to get a little hungry a few hours later. Pain was present, fear was present but my blood sugar was screaming. I was probably close to 18 hours with no food. The nurse came in over and over and told me “You better eat because you have to fast again tonight in case you need to get shocked in the morning. Eat now while you can” Fast? Agian? There is no food in me at all! Good Lord! My husband left to get me food. I ate a danish. Thats it. Anyhow, the nurse came in with a smile and said “Your back in sinus rhythm!!” What a relief! It crashed down on me and I smiled for the first time all day. Thank you Jesus! But….theres that damn word again…BUT!!! It can be because of Cardizem. Once we stop it, you may go back and still need to be shocked so still fast after midnight. Relief left the room as fast as it came in. Was it good news? Yes. But would it last? We didnt know.Hurry up and wait….

Slowly my heart rate and pressure dropped from the meds a little at a time. Too much.As bed time came around, I said good-bye to my husband. I really wanted him to stay but my children needed him. He didnt want to leave and looked very upset to leave me in that condition but he had to go. I told him it was fine and I would call or text when I could but planned on sleeping. We set up a time schedule to check in with each other, when I will let him know if I need to be shocked, if I need to be shocked, if Im getting discharged, etc. We said goodbye. I laid back in the dead quiet, dark room. I guess it has to be this quiet. People are in serious shape on this unit. I called for the nurse to help me to the bathroom and get more pain medicine. She informed me that my pressure had dropped even further and she cant give me morphine. Motrin will have to do. Oh joy! Sleep without morphine. This should be interesting. My rhythm is better but in turn I cant take pain meds. Why is everything going wrong? I ate a little piece of a brownie and said good night to my nurse. Yet again I lay looking at the ceiling crying. I was so disappointed that I wasnt having a sleep full of relief. I so wanted to be relaxed and happy it was over and that I will go home and life will go on. But all I could think was …A-Fib, shock in the morning, it could come back, telemetry unit, pain, no morphine. Somehow I drifted asleep but not for long. My skin and incision screamed out, my whole body ached….

The nurse had to check on me every 2 hours. Vitals had to be done EVERY 2 hours.How do I sleep like this?? I tossed and turned with pain and bad thoughts mixed with sleep and light dreams and 2 hour check ups. Around 2 am the nurse came in, but this time besides just taking my vitals she told me my pressure was in the 80 over 40 level and getting dangerously low and she contacted the doctor right away. “I might need to stop the Cardizem and A Fib might come back now.” I was half asleep and nodded okay in terrible pain. Pain meds were definitely not an option and now she says this garbage. I briefly thought “I hope the shit doesnt hit the fan all over again at 2 am” and drifted back to sleep not even caring any more. By four I was holding steady without Cardizem. “BUT DONT EAT OR DRINK!” By 6, I was still in normal sinus rhythm but “STILL FAST!” 7 AM came and I heard the trays of breakfast coming. I sat up and was actually excited. Im in normal rhythm despite no meds for hours.Its now been 30 hours since my last meal except for a danish and a piece of a brownie. I was famished beyond words. I heard the big refrigerator rolling up and down the halls giving out trays to patients. I waited and waited. The sound of the wheels disappeared. Breakfast wouldnt be coming. They havent fully decided on what to do with me yet. I think they felt it was best to let me go longer without meds and see if I maintain rhythm just in case I went back into A Fib and needed the shock, so the fasting continued.Fine! Figures! I hate this place! I hate my body! If you wont feed me can you give me some damn morphine!? (From what I read its more painful for women because they have to move more around, skin, fat, mammary glands. Plus Im buxom so the weight of my chest pulled and yanked on the incision like a weight hanging there. Sorry if its too much info but I was in serious pain!) My pressure was still low but not dangerously low so I got my morphine. I laid back starving but had some pain relief and just waited. And waited and waited….

I think it was around 9 it was announced that my rhythm has stayed regular for hours, despite being off of Cardizem and, Hallelujah, Im going home. What a relief! Its over! The whole dame thing, that Ive been tormented over for 3 weeks is over! This bull shit unit and all its grief is done! Its all finally a thing of the past. Time to go home, hug my family, thank God for the second chance, heal and move forward. I was so happen to take off my heart monitor, get the IV out of my veins and go to the bathroom alone. I washed my face and brushed my hair and got dressed in agony and waited for the doctor to come see me one more time and give me instructions before I go home. Of course that took time so I waited anxiously. My husband came to pick me up with a bunch of balloons and a teddy bear. I might add, even though they said I was in normal rhythm and didnt need a shock, they forgot to offer me food. I was still in fast since midnight. And the day before I barely ate because of A Fib. I didnt eat until I got home at noon. So in 36 hours I only had a danish and a brownie. I was dying of starvation by time I got home. Anyhow,I got my discharge instructions, a prescription for antibiotic, percocet and cardizem which I have to always carry now and take as needed when I feel “fibby”. They wheeled me out of the hospital in a wheel chair with my balloons and bear. It reminded me of when they wheel you out after having a baby and you hold on to your bundle of joy and are soooooo excited to start life with your little baby. Sadness hit me at once. Im not being wheeled out as a new mom in love with her baby. Im being wheeled out, empty handed, no baby, just a machine in my heart, that yes, it will save my life but for the time being I hate it….

The Way of the Cross (Part 2)

I wrote the story of my diagnosis already but not what happened afterwards. To read the story of my diagnosis please see “My Story” at the top of the page.I was diagnosed on February 15th and surgery was March 6th. I had 19 days of mental torment, torture, disbelief, crying, denial, anger. I froze.My life froze. I didnt want to eat, cook, clean, go out, go to the gym, do the things I usually do. I suffered and read and cried and googled all day and night. I woke up scared to death and went to bed even more afraid wondering if I would wake up. Like Jesus, I had a heavy cross on my back and carried it day in and day out, getting heavier, wearing me down, breaking my stride, leaving me face down in tears. I couldnt throw my cross down and walk away. I couldnt change it. Fact is fact.I have Brugada and need an ICD. So I picked up one of the heaviest crosses I ever carried and went on to my own personal Calvary of staring at the ceiling in a hospital waiting for sleep to overcome me and them cut me open and place a machine in me like a robot or a car to sustain my life

Most of us here were diagnosed with something we never heard of right? How many here can say when they were told they had Brugada they said “Oh, I know all about it!” Having a relative have it and then finding out doesnt count. I mean the people who never, ever heard of it. What did we do!? Come home and run to the internet to find out all we can. We became little books filled with facts about Brugada. We overflowed our brains with fact and death and scary shit. Does anyone deny it? I did it! All I found was statistics, and death….sudden death, cardiac arrest, dead in your sleep, dead anywhere, is dead, was dead, death, die, will die, might die…Everywhere. Depressing is putting it lightly.The phrases that suck hope out continue…no cure, no prescription, ICD is the only way, hereditary, check your kids, spreads like wildfire in the genes, fatal, rare, unknown, no treatment, lack of experts, shocks, painful, inappropriate shocks, etc.Let me tell you something, you read that stuff day in and day out and you become a mental case, the crying, the depression, the sadness and fear grip you and squeeze the life out of you like a boa constrictor. Your barely breathing your so scared and so smothered in fear. Then I hit the point of “I cant wait to get this thing in my chest!”

Although I lived for 34 years like this Im now suddenly all to aware that when I close my eyes at night it can be the last time I see my surroundings. I laid in bed each night, stared at my room, stared at the baby sleeping next to me, stared at my husband….what if I dont wake up? What if this is it? Needless to say I was only going to sleep with the help of prescriptions but at the same time DIDNT want to sleep. It was a tug of war in both directions…close my eyes and maybe death comes so I should stay awake! Or go to sleep and risk it but I will be one day closer to a remedy. This happened every night. I generally woke up and kept busy and had a brighter outlook….Im lucky they found it. What a damn shame my Dad wasnt so lucky. I tried to keep busy but my mind kept thinking and running like a hamster in a wheel in my head….What if I die here right now? What if the kids see me? What if Im in the shower? What if Im driving? I got to get this surgery done as soon as possible!!!! Then my alter ego would come out and say “You dont have this! Its a load of shit! They dont know what they are talking about! I dont have symptoms! Maybe they are wrong. Thats it! Im not getting it! No one is slicing open my arteries, threading a wire into my heart and sewing some electric box up in my skin! IM NOT GOING!” This was my days, back and forth… “I want it! I dont want it!” I drove my family nuts. I am VERY strong-willed and stubborn. Nobody can make me do something I dont want to do. So when I said Im not going, they knew I meant it. It was turning into a love hate relationship…I love that Im getting an ICD, Im lucky, I will live, I dont have to die like my Dad. I cant wait until its over! But then it switched back to… I dont need or want it!I lived this long!Screw it! Im ignoring it! I need a second opinion (which by the way was THEE Dr Brugada who looked at my EKGs and told me “Im sorry but you are positive, a Type 1”)

So this is how 19 days went. It was an emotional roller coaster.I touched on every emotion God made. The hardest part is they were never consistent. I wasnt sad the whole time or happy the whole time.I was all over.Crying was a daily occurrence, arguing with my family on should or shouldnt I was a daily occurrence, praying my heart out for my children was a daily occurrence. I lost 19 days of my life not wanting to face the truth when I should have just held my chin up and do what I needed to do. I dont have that type of personality that remains calm and unwavering like my husband. Hes amazing like that.I have to be a ball of nerves and emotion and drama. Oh well!I am who I am and when someone tells you while looking you in the eyes “I need to save your life”, how is someone REALLY going to react? In hind sight my reaction was normal. Totally normal. You cant go from healthy to staring down the barrel of a gun and NOT feel something. My best advice is let your emotions run a muck, let them out, feel every emotion you need to feel, purge it all out and eventually you get to a point of peace and determination. Im well on my way…

A Poem from the Heart

You are positive for Brugada he said with regret one gray day
How you know and love life now, I promise, is how it will stay
I dont believe you and looked on with teary disbelief
Do you think its as simple as turning over a new leaf
This morning I was healthy and now betrayed by my own heart
You say just walk out with the “news” and make a new start?
Yesterday was full of hope and today life has changed forever
But this little computer will guard your life because its ever so clever
I dont want this, didnt ask for it, cant you make it go away
You were born with this, a flaw, a mutation within your DNA
No medicines, no cures, no vitamins to keep me safe and alive
No but you can dance, ride your horses, go to the gym, and drive
But a shock awaits me, like a crystal ball it will tell me when I should of died
And wont you be happy knowing this little ICD held back the tide?
Why on earth would anybody want to know when they were about to meet their fate
Its all irrelevant, we now know whats wrong, do it before its too late
But my children will get it and for them surgery awaits
Not necessarily but get them checked, do not hesitate
But I want to live why do I get a death sentence at 34
Death sentence? With this you will live even more
I dont want a machine invading my body sitting in my chest
But without you will be like your father and also the rest
Do you elect to have surgery, do I get your consent, I need a verbal yes
Do you leave me a choice with my death in my face and forced with this mess
Dont be sad, its what best and now what a long life youll lead
I know this isnt what you wanted but sadly its what you need….

Written by Alicia Burns
A conversation between my doctor and I

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