
TDLR
I did not take my doctor’s advice on how to sneak into the little, local cardiac hospital through the emergency department.
I SHOULD HAVE!
Instead, I patiently waited for the cardiac clinic – and waited- and waited! Days flowed into weeks. Weeks turned into months.
After three months and a week, I drove to the clinic on a Friday and raised a small amount of hell. I told the receptionist that I was busy dying out here and would appreciate if someone would do something.
On the Monday morning, I got a call from my newly adoptive doctor’s assistant. I would need to start with an EKG. Someone had cancelled; did I wish to take their appointment that afternoon?
Damned Right!
I must have piqued some interest. That Friday, I got a call asking me to come back in, next Wednesday for an Echocardiogram. The next day I got called to (finally) come back for my stress test and evaluation.
The test is to walk on a continuously inclining treadmill, in three-minute segments. I didn’t last the first TWO minutes. I got home to an email scheduling me for an Angiogram at the hospital in four weeks. The fire has been lit, but the days still stretch.
Two weeks later, I got a phone call on a Wednesday. Someone had cancelled an Angiogram on Friday. Scared the hell out of me! Same guy as the EKG? Did he die? Did I want to take it?
HELL YES!
Ordinarily, they would mail out a requisition for an independent clinic to perform blood tests, urine sample, heart X-ray, blood pressure and an all-out tree’s worth of questionnaires and other assorted paperwork. With no lead time, those would be done in the hospital, after the test.
I arrived at the hospital Friday at noon, to register. I was escorted to surgery prep, stripped, given a backless gown, a hair net, and paper booties. ID was checked and an IV shunt put in the back of my left hand. About 1:30 I was told to take me and my pal the IV pole down the hall to the washroom, have a final pee, and sit on a chair outside the operating room.
A nurse escorted me in, up onto the table, and inserted an anesthetic line, while the surgeon readied my right arm. I asked her how long the procedure would take. If it’s simple and easy – 20 minutes. If there are problems – 45 minutes. The doctor nodded to her, and…. she tapped my leg and said that they were putting me on a gurney to recovery. RECOVERY??! I looked up at the clock, and wondered where the Hell three quarters of an hour went. Not a good sign!

When all the procedures were completed, the experts examined and discussed them. I was later given the copy of my test, above. It shows four feeder arteries, all clogged, from 76%, to 98%, and blocked both at the top, as well as the delivery end. My surgeon only had to install four large pieces of vein, but, technically, I got an octuple bypass. Most hearts only have three feed vessels. Mine had spontaneously formed a new one to take up the slack. That was the one that was only 76% blocked.
The doctor most capable of installing stents, took one look, and said, “Too big! Too Complicated.” I needed to be kept under medical observation, and had to wait until the next day to shed my anesthetics, so that I could make a (reasonably) intelligent, informed decision.
It came down to either a 15% chance of dying from heart failure within ten years, or allowing some guy to open my chest with a miniature chain saw, stop my heart for a while, so that I was legally dead, attach me to a heart/lung machine, and install new plumbing. The choice was unenviable, but inevitable.
After getting someone else’s EKG appointment, and someone else’s angiogram appointment, the surgeon I urgently needed, had a Monday afternoon open. Tough as nails, by 6 PM, the family was informed that I had come through well. A night in Emergency observation – three days in Cardiac ICU, because there were no free beds in the recovery ward – slowly, I recovered.
Finally, a week after registering, I was told that I would go home on Monday. On Sunday, a lady doctor told me that she was going to take the wires out of my chest. I thought that she meant wires holding my sternum together, but she gently withdrew two thread-fine neuro-electronic leads still embedded in my heart and protruding from my chest, that had been attached to the external pacemaker which restarted and controlled my heart.
A nurse/trainee removed the first 25 alternate of 50 tiny surgical staples holding the vein-graft site on the inside of my right calf, as well as 18 of the 36 staples on my chest. Monday morning, a nurse-supervisor removed two non-dissolving sutures that closed two chest drainage holes. The same trainee removed the last 43 staples, peeled off the EKG tabs that had been glued to me for a week, and removed the Just In Case IV shunt. The son went to get the car. An orderly wheel-chaired me to the front entrance, and I was finally on my way to home and freedom.
The hospital likes to release cardiac patients at the same weight they were when they arrived. I arrived at least 20 pounds overweight. Over 10 days, I lost 20 pounds. I could wish that more disappeared from my tubby tummy, than from muscle and other tissue, but it makes it easier on my rebuilt engine. It is not a weight-loss program that I would recommend, but the entire experience was well worthwhile.
Many Americans denigrate Canada, and our socialized medicine system. It’s hard to estimate, but I’d guess that I was the recipient of $500,000 to $1,000,000 of time, talent, training, specialized equipment and supplies – and ten more years of decent life only cost me an outrageous $100 for parking. If there are any other gory details you’d like to know, feel free to ask.