Tag: Heart surgery

What do you see?

theycallmebetty3 Comments

What do you see when you look at me?

It’s ok, go ahead, I’m sure I have heard it all either to my face or behind my back.

What do you see???

A 54 year old man that some would argue is well past his prime? Kind when he wants to be or grumpy, selfish and maybe a bit of an asshole?

What do you see when you look into my eyes?

Green coloring, dullness and exhaustion. Anger, exasperation, or disdain?

Blank, kind or idiocy?

How do you judge me as I walk your way?

Cocky, still strong, or broken and gimpy?

Or do I seem just stiff and slow?

Who are you?

Are you a perfect human being?

Who are you to judge me at all?

Who are you to say anything about my life, how it’s lived or how I may appear.

Are you that much better at life than I?

Have you taken a moment to see life through my eyes? To understand before touting your opinion for all to hear?

Have you walked a mile in my shoes?

I am a 54 year old man this is true.

54 long hard years that I will never let define me but years none the less that definitely explain a little about who I am.

You may say I am old, you may see me as past my prime yet I say nay. With age comes wisdom, life lessons and most importantly; perspective.

Looking into my tired crows feet encased eyes.

The green in my eyes used to shine quite brightly. Fed by the devil inside and a need for constant mischief they are now mellowed, tempered, colder, and see things, habits, and people much, much clearer. They still gleam now and again with the sparkle of a child or with the heat of desire, but do not take their stony gaze for granted as they are still sharp and alive.

When I walk toward you I will always greet you with open arms and a smile. I will take you in as one of my own and if you are willing to listen regale you with wisdom from years gone by. It’s just my way.

I may look stiff and slow, and in some ways I truly am. Injuries from years past haven taken its toll on my slowly aging body. A life or death surgery, replacing my aorta with a synthetic tube. The loss of a gallbladder along with a few broken bones, torn muscles, shattered shoulders, knees, burns and scars. Calculating movements brought about by years of being trampled and shit on both physically and emotionally.

I carry with me the weight of so many deaths, families broken, spouses, children, teenagers, mothers, fathers, brothers/sisters, grandparents and friends. Lives snuffed from this earth, witnessed during my long and eventful career in the fire service.

Two wives, women I loved who were my life. Their lives taken way to soon, leaving behind hurting children and families, nothing modern medicine could do to save them. A void left behind that sits like a black mark on my brain. Yet each day I put both feet on the floor and take that all important step forward, trying hard to never be weighed down by life, experiences and the injustices it may bring.

How could you know?

How could you know as you judge me that I believe life is always best lived. That I know better than most our days are numbered and we should live, love and laugh every second of every moment of every day.

How could you know from your platform of judgment, I believe we do this gift of life a serious injustice by neglecting to do just that.

How could you know that after all I have been through and seen, I still carry enough love in my heart for more. Much, much more.

More love for my children, more love for my true friends, more love for new friends, more love and adoration for someone very special in my life, who I choose to love wholeheartedly. A woman who deserves every single bit of the love I have to share.

These people I love are my kingdom and I would fight to the death to protect each and every one of them.

How could you know that I am always looking to share.

Share my knowledge, share my charity, share my emotions, share my passions, share my fears, share my laughter, share a hug.

What do you see when you look at me?

Look hard.

It’s ok.

For someday I will be gone.

I won’t be sad.

I will die like so many before me.

It is the nature of the game.

But I will do so on my terms, with a smile on my face, and those I have loved so, will know they were loved in return.

I will no longer be here to care what you see.

And no matter what you see or your opinion, I will have been filled with more life and love than any one man rightly deserves.

That my friends is a life well lived.

So what do you see?

Better yet, what do you see in yourself?

It’s important for you to know.

One year ago….

theycallmebetty7 Comments

I really wasn’t prepared…

Oh I thought I had taken all the precautions necessary for a major surgery.

As I stated previously, before the surgery I was quite literally in the best shape of my life! So surgery be damned, I wasn’t changing a thing! I continued eating right, kept myself in excellent shape, and continually tried focusing on the positive as opposed to dredging myself through self-doubt and inner despair.

I believe I even talked a really good game! Like a salesman expounding upon the virtues of a product! Telling those close enough to me to be in the know that the odds were in my favor. Building upon the very statistics I despised while regurgitating knowledge obtained from my surgeon. But let’s face it, at night I was a complete and at times uncontrollable mess.

Often times as I closed my eyes during a moment of peace or reflection; it looked like the end, it smelled like the end, it tasted like the end and that last tasting of my perceived reality was hard to swallow. Many times I’d walked this pathway as a proposed rock, the shoulder, the crutch, carrying the very same sorrows or concerns of my loved ones. Many times I had been told all the facts and how whatever the medical complication was it was a walk in the park. Yet too many times I sat and watched painfully as it all went to shit!

I tried to become prepared, I really did! Sending the two youngest off to their grandparents so they wouldn’t become a part of this hysterical medical machine. Hoping and praying they wouldn’t need to witness the aftermath of another parent in really bad shape post operation. Carefully my will was wrapped into a nice neat little package and distributed accordingly. The house and all the animals were in good hands, taken care of for the next month without worry. My bedroom had been remodeled in anticipation of my return complete with refrigerator, microwave and a lazy-boy recliner which sat you upright through an electric motor.  All of this necessary as I wouldn’t be allowed to come downstairs for two weeks at the earliest. This was due to the physical strain it would place upon my system post operation.

I was reminded constantly just how weak I would become, how hard it was going to be to breathe, how important it was to do respiratory therapy each and every day. The thought of being immobile, in need, a useless weakling that couldn’t care for himself, I could not bear yet I treated jokingly! I really began to believe those who struggled through these operations did so because they were old, out of shape, and didn’t care for their bodies which is what most likely landed them in this position in the first place. I know it was arrogance, but it was a façade I placed upon myself to help me believe I could accomplish this feat.  Nothing no matter how scared I really was could change the fact that I needed to believe, I needed to know I was coming back, and after all I had been through in life, there was no way I was abandoning my family now! I was strong!

Yeah about that….

I stared at the ceiling tiles that morning in the hallway. They rolled me inside one of the operating rooms, I remember the nurse being super nice. In a matter of minutes an I.V. was in place and my hands were strapped down behind me. I don’t even remember if I was told to count backwards. No laughter, no goodbyes or see you in a bit, no God Damn Van Halen! Yeah; no turning back now. Everything, my whole world simply faded quietly into black.

Waking up, well I don’t even remember the first time I woke up. Lyn’s said it was when they removed my intubation tube. (I just realized typing this my heart rate has doubled, maybe I am a little traumatized?)

This is what I remember from my 7 day stay in the hospital.

My chest hurt! Fuck it hurt! It hurt badly, but through modern chemistry and my desire to look tough in front of my girl (I failed miserably) I remember trudging through some pain that I probably shouldn’t have.

My stomach bloated with air continued to do so for several days. My abdomen hurt, it stretched and I went a few days longer than I should have before my intestines decided to awaken and resume operations. It was touch and go for a bit, and I never want to go through that miserable experience again either.

I had to walk during my physical therapy. The first day was next to impossible and I struggled with the fact that a few days prior I was this healthy strong man who could have run a marathon and now I couldn’t make it to the door of my room without wanting to collapse. Dizziness, nausea, the inability to breathe, wanting to vomit and full body weakness is what greeted me whenever I would stand.

On day two of physical therapy I got pissed at the therapist who kept telling me after ten or twelve steps I needed to lean against the wall! Several times I would explain that we didn’t need to stop, yet she would order me to the wall citing it was in my best interest. Fuck that! I walked off on her and did the circle around the whole quad as a giant F-U! She left and I collapsed in bed exhausted having gone far beyond my capabilities. But I did it and it was a win for my mental wellbeing.

A female night nurse who kept calling me “papi” drove me completely bonkers. How you feeling papi? You need pain meds papi? You want me to get you more pain meds papi? Then as if I didn’t have a say, she would dose me up like a stone cold heroin addict! Oh yeah, she dosed me up so bad one night I thought I was going to die. My morning nurse Andrew after talking with Lyns recognized what was happening and saved my ass! He was my favorite of all the nurses who cared for me. Of course Lyn’s figured out the crazy night nurses game and was all up in her shit about her improper patient care! I never wanted to see that woman again.

I wish Andrew could have been my primary nurse the entire duration of my stay. He understood every minute aspect of my condition and adjusted shit accordingly. I felt safe when he was around and more importantly so did Lyn’s. There was also a nurse near the end of my stay named Chelsea. She was amazing and I felt safe when she was around as well. There is something to be said about nurses that know and love their job. They make a difference every single day.

I learned that I am 100% a horrible patient! The very worst! You know the kind that throw it in you face with statements like; I know myself better than you, you can’t tell me what I can and can’t do! Yeah I was that guy! But I think that behavior as far as I am concerned arises from having been a care giver to others. Strange I know, but truthful none the less for you see we as caregivers have a standard set in our heads and expect the very same in return, but quickly you learn that the work world you live in is yours and yours alone. It is not how the rest of the world operates and others standards which may or may not be less, equal or superior to your own are theirs and they surely would believe your level of caregiving was most likely inadequate.

I learned the importance of letting new people inside my life. Lyn’s was there for me from day one. She never wavered, she took time off work to care for me, she took it upon herself to ensure my care was top notch all the time and she never left the hospital! Not once, not one moment, not one second, anytime I looked to my right, she was always there with a tired, worn out sleepy smile. If I moved she was at my side seeing if I needed anything. She cheered me on when I struggled and cheered for me even louder when I succeeded. She celebrated my stubbornness and never let me forget the reasons I was still alive. I will forever be grateful for the love and compassion she showed me along the way.  She taught me a term that we use between us to this day.

Every day, every way..

I also learned that true friends are just that, true. Those that learned of my operation later on weren’t offended for me keeping it to a tight nit group. Those who knew, kept the lid quiet and my recovery was peaceful. It was a time of renewal for me and my inner circle, a time of growth as people became closer and new people entered my life. It was a time to stop and see things differently. No longer always on the go as fast as I could helping, caring and worrying about others. No longer hearing alarms several times in the middle of the night, running calls at midnight, 1, 2, 2:30 and 4 am. Barley getting sleep some nights while getting 3-4 hours another. It was time to stop and be thankful I was in fact still alive.

No matter the pain, no matter how hard it was to do simple things, I always reflected, learned and did my best to thankful. Like walking from the recliner I slept in for two months to the bathroom. I hated sleeping there, but the reality was I couldn’t lay flat, I was lucky to have it, and I could have been in the hospital but I wasn’t, I was home. Or needing to breathe into a stupid fucking tube for respiratory therapy! God I hated that stupid fucking tube, but the reality was I needed to for my lungs to get stronger, to help keep pneumonia away and the sooner I reached certain goals the sooner I would begin to grow stronger. To simply being able to eat more than a spoonful of food. That was indeed a hard one, but I did, even when I didn’t want too and after depleting myself to a gaunt 158 pounds it didn’t take long to return to 205. Staring at the wall, not moving much, watching movies and healing was my new pastime. It was boring, I don’t do well sitting still, but I did it and was thankful to still be alive.

It has been a long hard road over this last year and Sunday the 28th was my one year mark, my new birthday. I still am nowhere near 100%! Oh like I stated, the weight is back on and I am much stronger, but my heart still jumps to 120 bpm for no reason at times, and I still have episodes of A-fib when startled. I can only do a challenging task for a little while and then I need a couple hour break, I also can no longer take the heat. If it hits the 90’s and up I get a little nauseous.  I can sit in it, I have done a little fishing on hotter days, but for the most part I get really tired and it feels hard to breathe.

But all of that aside, I am here still. One year later. Still breathing, still kicking, still ornery and still able to witness my children’s lives. I don’t know what the future holds. I miss my station, I miss my crew, and yes even though it was beginning to wear thin, I miss the calls, the excitement, and the ability to help another human being during the toughest moment of their lives.

I’m still scared.

There are so many variables with this operation in my case. I could be back on the table in a year or five or ten? Nobody knows. But the one thing they all know is that it will happen eventually and I will need to go through this all over again. The key to my life right now is no stress. Stress places a greater chance the valve will be replaced sooner than it needs too.

Have they not met me???? I am nothing but a ball of stress!!!!!! All the God Damn Fucking Time!!!!!!

Phew… Deep breath… Good air in, bad air out…….

The aneurysm repair so far shows it was done flawlessly! That brings great peace of mind. But that damn valve repair will haunt me forever. I am on baby aspirin every day to prevent clotting right now. Terrified to go on blood thinners, yet it is a very real possibility that I need to live with.

So we move forward. Like I always say; get up in the morning, put both feet on the floor, stand up, and always take that all important step forward. Don’t sit back down, don’t cry over your bullshit, just square up those shoulders and move.

Life is to short and regardless of what you are bombarded with daily on television, or Facebook or from some of your weaker minded friends, to damn beautiful to do anything else but enjoy.

If you don’t believe me, do like I do and get up at 5:30 am to watch the sunrise. I promise, you’ll be thankful you are still here as well.

30 days..

theycallmebetty4 Comments

Over the next month, I met with doctors, health professionals, and people from work. Every person I met I felt as though I was saying goodbye. I hugged, I smiled, I behaved as though nothing was wrong. Then once alone I would cry.

 My girlfriend was amazing! We did get the very best doctor there was for this procedure due to her efforts. We were told we had a very favorable outcome according to those in the know. After one appointment in particular it was explained that I had the arteries of a 20 year old! All positive things!

Lyn’s helped me finish the will. With my son Cody as the executor and my three best friends all holding certain positions within, I knew the children, ranch and animals were well cared for. Signing it, having it notarized, watching friends sign it, was incredibly sobering.

There were a few fun moments.

At my angiogram the nurse and I were talking and he asked what I would like to listen too as I drifted off to sleep. I responded, can we play some Van Halen please?

As I rolled into the room Sammy was screaming on the overhead speakers. That gentle, gracious kindness to a scared 52 year old man I will never forget. My eyes are wet thinking about how much the gentlemen from that room calmed me down, and let me drift off on my own terms. I am forever grateful.

Lyn’s asked me to list all the things I wanted to do in life but never could. When I asked why? She simply stated, because you have more than earned them!

The reality; it was something else to look forward too. To think about living for beyond the operation date. Something other than worrying about my family, my children, my very small circle of friends, all for whom I have no desire to leave. It was a new tomorrow, sunlight at the end of the tunnel, an umbrella from the rain. She was shielding me while providing mental warmth.

Daily I would melt down, daily she would ask me:

Where am I?

I would respond: right here…

Where am I going?

I would respond: nowhere

Then (not ashamed to say) I would cry again..

She would look me in the eye and say, I expect the same from you. You are not going anywhere, this all will be fine, you have the best surgeon, you are in great shape and healthy. This will all be over soon and you will be back to being you.

I chose during this time to silence myself from social media, and from this blog. To keep this procedure to myself. Some would (actually some did) say it was selfish, I should have asked for help from those who cared. But to me, after all I went through after my first wife Kim passed away, and after running through the gauntlet with Jacy’s battle, I simply wanted to fall away. If the operation went south, if they failed to save my valve or botched the aorta transplant, to me nothing would have been more beautiful than to simply draw myself into darkness. Fade to black. No one needed to know.

I had done things right for once, the kids were to be well taken care of, and my friends are my friends because they would understand. The only things that bothered me most was the loneliness the kids would have for eternity because they had lost so much! Between losing both their moms and now their dad; what a fucking mental train wreck for all of them.

Speaking of mental train wrecks! I ended up telling the kids after my first appointment with the cardiologist. Jake and Cody both were home and I asked them all to please sit down on the couch for a family meeting. The looks on their faces, my god I will never forget the looks on their faces. It took a while for it all to settle in and when it did, there were a few questions. I did my best to answer everything honestly. It was so very hard to look them in the eye. I was ashamed I could not be their strength any longer. I am their father, dad, and the foundation for this family yet here I am, just as vulnerable as both their moms. Not the man they thought or I believed they knew me to be.  

And then there was Lyn’s, this whole surgery thing bothered me for Lyn’s as well. Sure we were a fairly new couple, but simply put; I knew that pain all too well. One day someone you love or care for is there and then they aren’t. It’s mortifying, draining, scary, and leaves you always wondering what if.

What if they had lived a full life? What would they or we have become? What would the world have held in store for them/us? Questions that would never be answered.

A whole month, from diagnosis to operation. One trip to the ER because of some strange chest pains in the middle. A whole, long messy, shitty, emotional month. I was scared to move, to breathe, to cough, to lift, to ride my horse, to sit on my motorcycle, I was terrified of every single ache and pain that moved through my chest, I was afraid to live, in reality I was mentally living to die. My entire mindset was just that, counting down the days until surgery, counting down the days until I die, counting down the seconds until I said my final goodbye.

June 27th 2019

Lyn’s and I head to Mercy hospital. I am having my body shaved today by some stranger in a small room while they poke and prod, take samples of blood and prepare me for tomorrow’s grand finale! Uncomfortable is the word to describe how I feel yet strangely to this day it doesn’t even come close to how I felt.

Clean as a whistle we head out for one last meal. We laugh, we joke, and we have a very good time. Heading home the rest of the evening is spent with kids, family. I still feel like I am saying goodbye. Like a death row inmate having the proverbial last meal.

That evening, I don’t sleep very well.

June 28th 2019

Lying in a cold hallway, staring upwards at the tile ceiling I am waiting my turn.

You never know…..

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In one of my favorite movies; The Curious Case of Benjamin Button, (Queenie) Benjamins adopted by fate mother proclaims; you never know what’s coming for ya.

Floating aboard my cousins Bass Boat very early Saturday morning a mere two days since diagnosis, I felt the need to push all my emotions down deep inside. Control myself, place my mind in the right space so as to look forward, beyond my current issues. Then with confidence firmly choose the correct rod, the right lure and hunker down for a long day’s grind. I could not under any circumstances allow myself to wander into the land of death, possible death, my heart failing, the surgery becoming botched, my family falling apart, my pathetic life unraveling before my eyes. It was as if the angel of death had arrived and was sitting alongside me. Taunting me, calling me out for all my misgivings, while allowing one or two last chances to get things right in this world. It was a daunting emotional mind fuck.

Tony and I were fishing in a very well run tournament series (NewJen) and there was no place I would rather have been at that very moment in time. Fishing is my escape from the world, and being as though I am competitive as fuck, it was a double win for me that very morning. 80 teams around us, the sun just beginning to rise over the mountains and off in the distance the national anthem is being played. 160 or so men, women and youth took off their hats, placed them over their hearts, standing upon the bows of their liquid rocket ships, some singing along, others with their heads slung downward, it was a thing of beauty. We were seconds from blast off, moments from 70-80 mph runs towards our first opportunities for greatness. It is what I live for and not only was I privileged enough to do it that very morning, but with family, my cousin standing alongside me.

Not going to sugar coat it. I was terrified as fuck when we ripped across the lake. Knowing sometimes is so much worse than not knowing. All I could think about over and over again was the doc telling me the size of my aneurism. Too big to live my life untouched, not big enough for emergency surgery, but large enough surgery needs to be done in a rapid timely manner. I can now no longer go do the things I did before. You know simple things like running, lifting weights, oh wait sorry; lifting anything over 5 pounds! Carrying things for your girl, the way I raised. Yeah pretty much no straining in any way, yes that includes pooping!!! Whatever you do don’t strain while doing that!!! Could you imaging pulling an Elvis on the toilet!! Its laxatives every day for me!!! But as we ripped across the lake, every bump, swell or rocker left me holding my chest and wondering why. Why me?

My whole world changed that weekend.

As I was fishing, Lynnsie was back at the cottage with all the kids. She promised them a fun filled adventurous day. Lucky for us we were able to get a cottage with a dock so my Bass Boat was out front in the water and that is where all of the kids spent the majority of the day. Fishing, playing, pretending to be in a tournament of their own. Why was this so lucky? Because while they were making their own fun, Lyn’s spent the entire day, holed up in the bedroom, laptop in hand, mired in research. She learned everything there was to learn about my upcoming procedure, how it was performed, the percentages of those who survive and the percentages of those still making it post op. She also researched within our medical system as to who was the very best doctor to perform the surgery. She wasn’t taking any chances. She would later tell me when presented with all the evidence; you have lived through so much, been in so much emotional pain, you are not going to die on my watch, you don’t deserve this bullshit. I don’t care what anyone tells me, we are getting you the best, you will come out of this alive and I will be right by your side. No arguments, no feeling sorry for yourself. She then handed me a piece of paper stating; this is him, this is the guy and I don’t care that he is the best, which will make it difficult to see him, I will get him to see us.

Tony and I had a fair day fishing, not our best but enough to keep us in the points. By noon I had put my fears away and was really focusing on our task at hand. By the time we rolled in, I was still lost back in a life of normalcy, when we got in the truck to head home, through our normal banter of fish lost or what could have been, I focused on the learning points of the day.

We hit the driveway to our cottage and as I walked in the door turning to wave as my cousin drove away, I grabbed a beer, sat down and was instantaneously transported back to Thursday, the words, the facts, and the diagnosis. I started dwelling on fucking percentages.  Have I ever explained through this blog just how much I hate god damn percentages!! They are numbers derived from testing subjects, cases gone both good and bad, they intentionally are loaded to favor hope. But hope is just that; hope. It is neither fact nor science. It is an emotion, a response to someone’s idea of what might keep you interested or holding on. Hope is a falsehood, a misnomer, a correction of fact to illicit a response. Hope is fucking bullshit because in the end you can have all the hope in the world, but real life tangible fact will always rule the day. I have lived through hope, held onto hope, awoken every day regurgitating statistics leading to hope. Every time fact and science slapped me square in the face with no remorse. Every time through prayer, love, pain and hope I was let down. Every time, I hoped, I ended up placing the person I loved more than anything in the ground. Hope can fuck itself.

There I was, surrounded by family, drinking a beer, looking at the woman who has quite possibly saved my life by forcing me to go to the doctor and all I can think is its all bullshit. Her statistics she worked so hard on all day, the doctor she is telling me about, the procedures, how the procedures are done and their survivability rates, yeah all I can think about because I am clearly not listening is I am going to die, this isn’t going to end well. It never does let’s just face it, it is my turn to die. The angel of death rides shotgun, it’s just a matter of time.

Staring at her. My lip begins to quiver, snot begins to roll from my nose and tears fall hard like rain. I am shaking all over. The kids are outside and so move to the bedroom and hide. The children know nothing and we aren’t going to tell them until we have met with all the doctors and have a solid plan in place. I look like an infant, sobbing, blubbering, expelling so much trapped emotion. I just don’t understand and no matter how many times I am told just how lucky I am it doesn’t matter. Not feeling lucky today fuckers! I have chosen feeling sorry for myself and have resigned myself to the fact I deserve too, right here, right now and for some time to come. I want so badly for the angel of death to quit following me. Or crazy thought; maybe I am the angel of death, and it’s time for me to go. Taking every soul I have acquired over 25 years both professionally in the fire service and in my personal life with me. You know the ones trapped in my head dancing along with the ones I loved.

The next few weeks until my appointment with the cardiologist were to be the hardest of my life. Living in the unknown, trying to not look up procedures on the internet. Wrapping my head around the whole thing. Looking at my children without crying and feeling horrible for them again. What if they lose me, what if their whole lives are forged in hate and despair from losing their parents. It just isn’t right. Trapped in a strange purgatory of not being able to go to work, not being able to work the ranch, ride a horse, a motorcycle, a tractor. Fear of any large jolt or bump dissecting my aneurism kept me regulated to sitting in a chair doing nothing. Not a great way spend time when you don’t have all the answers.

I chose to write a will.

It was strange and quite possibly one of the most realistic, grounding moments of my life.

To die or not to die, that is the question. Quickly enough we would know the answer.

Because you never know what’s coming for ya….

Doctor says what??

theycallmebetty8 Comments

April 25, 2019

Working a structure fire in one of our neighboring cities I was partaking in the almost mundane task of lowering a ladder from the “C” side of the structure. Nothing big, I had help and it really was/is a job that after proper training becomes the equivalent of putting your pants on every day, (I mean if you wear pants, like pants, you know, that sort of thing). I had developed a pretty significant cough that week and unfortunately it kept rearing its ugly head. Feeling as though it was nothing more than allergies due to this specific time of year my cough was “kind of” being controlled with medication, but it certainly made firefighting a little harder.

At the halfway point of lowering this particular ladder, something “popped” in my right shoulder. Not like a balloon or a pressurized bag, but more along the lines of let’s say; a guitar string letting go. I knew right, deep down inside there was a problem. Oh I stretched it, didn’t make a thing of it, rotated my arm a couple of times and shrugged it off to being older. But yeah, there was a problem.

The better part of this year I worked out like a mad man. Starting in January with eating right, and swapping to a mostly vegetarian diet. Then running, stairs and eventually weights. This lifestyle change had in fact worked wonders!  Not without struggle though, it was hard, taxing, and I was always dizzy or nauseous after each workout; but for real, I was quite literally in the very best shape of my life! Down three pant sizes, lots of muscle and very, little fat! One side effect to the effort though was these uncontrollable muscle spasms or shaking after each workout.  A little scary at times but I simply chalked it up to effort. In the end, I felt great!!!

So how could such a simple task like lowering a ladder take me out?

Upon returning to the station the On-Duty Captain was notified as the pain was intensifying and my range of motion became more limited. For the record; I hate putting in paperwork! I hate looking broken or weak! Nothing is more frustrating than not being able to do this job and our injury/workers comp system is deplorable! In my humble opinion it favors those who don’t want to go back to work and challenges those who do want to go back or at the very least, need too!  

2019 was going to be a better year, it was supposed to be BETTER I told myself over and over again. This is nothing but a strain, nothing but a simple, every day strain associated with physical work. I’ll be in and out of the doctor’s office and the guys will be giving me shit in a few hours. Right? I climbed into one of our utility vehicles, started the motor….Damn! I’m such a fucking pussy….

Long story short….

Right glenoid tear, cracked ball, strained muscles. I’m officially off work with full restrictions for movement or use. Soooo the much hated workers compensation game began.

Playing by the rules, I began visiting the workers comp doc on a regular basis; who I end up really liking by the way? I began moping around the house, feeling all sorry for myself. Can’t do chores (stupid), can’t ride horses (stupid); can’t sleep because of the pain (stupid) and worse of all? I have this cough that makes my shoulder throb when it’s at its height of coughy, coughy land (fucking stupid)! I’m angry, hard to be around and really not feeling well about myself and life in general. Touche’ 2019, Touche’

Oh yeah that cough…. That fucking pain in the ass cough!

Let’s talk about that shall we? Huh? You in? Ok well, to bad here we go…..

A few weeks go by and my cough is so bad that I am soaking the sheets in sweat at night. Not just damp, moist like a hot summer’s night next to your favorite person; actual pools of sweat. My head is pounding, I can’t breathe and I am up all night struggling.

Lyn’s daily has been suggesting I see a doctor, of course I am balking at it. I’m 53, work in emergency medicine and this fireman isn’t jinxing himself by going to the doctor? Ok, so maybe I should put the bullshit aside and go, but I am not going too. Why? Because I am a stubborn, know it all, self-centered man who obviously knows more than anyone else! Yeah that’s right I just called myself out! But it is the truth. I’m a rigid asshole sometimes..

Finally after much coercion I agree to make an appointment with my general practitioner. Of course I totally don’t! I agreed to it, but never said when! Ha! Yeah that went over real well with her too.

After another week of showing my lungs to the world each time I tried to breathe, the cough just wasn’t going away. Everyday Lyn’s asks if I have made that appointment. Every day I make some lame ass excuse as to why I haven’t. One morning all my excuses and bullshit came to an end.

May 08, 2019

I awoke that morning drenched as if I had taken a dip in the hot tub and rolled right back into bed, then for fun had a kid throw a bucket of water on me to seal the deal. My coughing had gone on all night without a break. Sitting on the edge of the bed wondering if I should try and sleep or just roll over and die, Lyn’s tells (not asks) me to go to the ER. I try pacifying her with a; I’ll walk in and see if there are any openings with my GP. I’m not taking up time in the ER. It’s just a cough. Through searing painful heat ray lasers shooting from her eyes, I glanced up, her arms were crossed and I knew that was the wrong answer.

Here is a little background; Lyn’s works in one of the busiest ER’s in Northern Ca. She worked on an ambulance before that and is no slouch when it comes to patient care. She was no longer looking at someone she cared for feeling a little ill. She had given me all the leeway she was going to give hoping my 25 years in emergency medicine would wake something up inside me where I might say; hey stupid! You probably should go to the doctor! Then do something really crazy like, oh I don’t know, actually following through with such an amazing idea that I thought up all on my own like a really big boy. Let’s face it, in a nutshell, she was finished with my half ass excuses and was treating me like an unruly patient in her charge. Rightfully so.

I was told with stern love and kindness to get off my ass and go to the ER. I tried to pawn it off and it was reiterated that I needed, right now, to get off my fucking ass and go to the ER! If I did not do so by the time she got off work, she was going to beat my ass (not hard to do in the state I was in) load me in the car herself and take me to her facility! Yeah the red headed inner Irish devil child had come out! In retrospect it was kinda sexy…

Being a man who had successfully navigated two previous marriages I knew instantaneously when to fold my cards, push my chair back, stand up and walk from the table. I told her, no I promised her over the phone I was headed to the ER. I always keep my promises.

Parking the car I slowly walked by the front glass doors of the ER. Peering in like a kid trying to catch a glimpse of Santa Claus without being caught, before me lay an empty waiting room. I had told myself if the ER was packed I was going to keep walking over to my GP’s (General Practitioners) office and try to get squeezed in that day. Intent would have been met and no one would be the wiser. But there I stood, staring at an empty ER waiting room. It was a sign.

Walking through the door to triage nurse meets me and asks; how can I help you today.

Me: Are you busy

Nurse: we are open 24/7

Me: (kindly) not what I fucking asked! Are you busy?

Nurse (taking me by the forearm): I think you need to sit down.

Sit down I did, and at that moment I realized while seated I was placing myself in a tripod position to ease my breathing  and that I was in fact speaking in 2 and three word sentences with sweat dripping on the floor. I was sick, real sick and for the first time over the last several weeks, through all my excuses, becoming a little worried.

They (ER staff) took me immediately, chest x-rays done and a breathing treatment started it was fairly obvious I was battling a solid case of pneumonia. Heart rate up, jitters from the albuterol, I was finally starting to catch my breath when the doctor came back to have a word with me.

Doc: Hey James, so we were right, you have pneumonia. We will be sending you home with some medication to treat it along with doses of albuterol, but there is something else. We spotted a dark shadow over your heart so you are being sent to CT for a better picture. Is that ok with you? I laugh and say no problem doc, ask anyone my heart is two sizes to small (Grinch reference) so I’m sure it’s nothing. We both chuckle and off to CT I go.

Two hours later.

Doc comes in and leans against the wall.

Doc: James, it is confirmed for sure, you do have pneumonia.

We both laugh at the absurdity of the re-diagnosis.

Doc: But there is something else. You have a T.A.A.

For those who do not know what a T.A.A is, it stands for Thoracic Aortic Aneurysm.  In a nut shell, the garden hose that feeds my heart is ballooning and ready to pop. If it pops, I’m dead in under thirty seconds! That’s right, I will bleed out on the inside. Nothing anyone can do.

I look him in the eye and say; you can’t tell me that doc, you can’t tell me I have a T.A.A! You know what I do for a living! You can’t tell me that!! I promptly begin freaking out!

He says; James because of what you do for a living, I told you that way. I know you know what it is and what needs to be done. He calms me down, gives me all the specifics and reminds me that in fact I am the luckiest person in the building. They caught something that has no known signs or symptoms. In the medical world it is known as the silent killer.

I walk out to the parking lot in shock. The sun seems brighter, the air smells different. Holding it together, head held high, I make it to the truck. To that date, longest slowest walk of my life. Once inside, I start it, turn on the A/C, hang my head behind my dark tinted windows and cry. A lot.

I text Lyn’s to give her the update. As soon as she is able to process what I have just told her, she clears it with her team and runs outside to call me. I am sobbing and sobbing hard, I can’t breathe, and I’m coughing, crying, and speaking in two word sentences again. All I can focus on is every call at work I responded to where the person/patient had an aortic aneurysm. They died. Even the few I went on that were post operation, yeah……they died. What the fuck! What the holy fuck! Yeah I know doc reminded me I was the luckiest guy in the building at that very moment because they found it in time but I sure didn’t feel lucky! I feel fucking cursed! So god damned fucking cursed!!!! Fuck you 2019, fuck you God, fuck everything!

Lyn’s pulls me back in, reminding me she is there for me, she isn’t going anywhere, and she is going to do a ton of research. She tells me we will find the very best doctor for this procedure, acquire him and everything will be fine. She reminds me that there is no way I have survived everything life has thrown at me without surviving this too. Calm down, breathe it will all be ok.

She has a way about her. I don’t know what it is but she has this consistent way of talking me off the ledge even if it’s momentarily. She is also a thorough planner and I know the planning is about to begin. Someone is going to be taking care of me, something that never, ever happens. The fact that it’s early in our relationship and she isn’t running away, is mind blowing. She says she is all in. Over the next several months, it will show just how “all in” she has become. I learn I am a lucky man once again.

Hanging up the phone, I proceed to spend the next hour calling my three very best friends. The three men in my life I would gladly give my life for in return. I tell them the news, give them all the prognosis and each one of them find a way to make me laugh. You know why? Because that’s what real friends do. They have your back no matter what and you have theirs. We will be that way until we die.

I place the truck in reverse and start my way out of the Kaiser parking lot. I’m terrified, certain I am going to die, worried about what I am going to tell all four of my already emotionally damaged children. Fuck me. What I am going to tell them? They’ve lost their moms’ and now they are most likely going to lose their dad! Haven’t we done enough? Hasn’t my family been through enough already!! Why?

I’m driving up 505, sobbing again. The pain is real, I am scared of the reality I am about to face. Little do I know just how scary things are about to get…