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Heart procedure includes a spirited game of
'bingo'
The anesthesiologist warned me.
"If you are too sedated for the procedure to be
effective, we may have to wake you up a bit," he said with his
George Clooney eyes, making sure I understood.
I saw my doctor and team adjusting the equipment.
Then the room began to blur, and I was out, ready for my cardiac
ablation.
For years, I'd had heart palpitations, or PSVT --
Paroxysmal Supraventricular Tachycardia. Although the condition was
not life-threatening, it was life altering. "Paroxysmal," meaning
from time to time, was the operative word for me, since the episodes
were absolutely unpredictable.
The other large words describe a part of my heart
that had abnormal electrical circuitry, allowing a loop of
high-speed beating. A rush of adrenaline from excitement, sudden
physical movement, or a seemingly unrelated event could trigger it.
My normal heart rate was about 60 beats per minute. During
palpitations, it routinely reached 200.
In high school sports, my heart pounded so
forcefully you could see it pulse through my jersey. But it only
lasted a few minutes.
Eventually episodes grew more stubborn, taking
longer to resolve. Medications worked for a while; however, recent
hour-long episodes included one heart rate of 285 (my personal
best).
The incidents were exhausting,
wreaking havoc with random onsets -- during a Christmas Eve dinner,
an out-of-town board meeting presentation, an outlet-shopping trip
with my daughter.
I felt like a time bomb
with a malfunctioning clock. I never knew when my ticker was going
to go off and put me in an awkward, unmanageable situation.
The ablation procedure
would destroy the faulty electrical pathways. A special instrument
probe at the tip of a catheter would be inserted into my heart,
trigger a palpitation, then ablate, or remove, the abnormal tissue.
Since recovery was minimal and the success rate was overwhelmingly
positive, I scheduled the procedure immediately.
As the anesthesia
worked, I fell into a deep sleep -- until the beeping started.
"Oh, hi!" I said to the
anesthesiologist, partially hidden behind a machine.
I heard my doctor
speaking. I soon realized that whenever he spoke, I felt a sharp
tingle in my heart, a zap of sorts, not unlike a bump to the funny
bone. Numbers were called, and then I was zapped.
"Wow, I felt that," I
said again to the anesthesiologist.
"Yes," he said, moving
toward me. "Remember, I said we may have to wake you if we had
trouble getting your heart to palpitate?"
"Yes," I answered slowly
through the sedation's fog.
“I have to get back
here,” he whispered. “I can’t stay by your side right now.”
Another number. Another
zap.
I decided I better let
him go do his job. I was feeling too much already. The number
calling and zapping continued.
Finally, my heart began
to race.
"You got it!" I tried to
shout. "Bingo!"
No one acknowledged me.
They were all busy doing their jobs.
"All done," my doctor
finally said.
I smiled at the man,
thankful that scary bingo game was over.
But I was never afraid.
These folks were professionals, prepared for every option while
refusing to be distracted from their work. Their confidence fueled
mine.
Prepared, focused, and confident—a great combination for facing any
scary challenge.


09/02/09,
Towson Times
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