Hello
everyone. Lot to do, but  I really wanted
to share this story with a happy ending.

I was sent  a true story, very well known in our day to
day, but this time from ‘the other side of the bed’.

Many thanks  to its author, Jose Luis. And my most sincere
congratulations, because in this life, being born twice is not very common.

Happy weekend to all, and you know… ‘on Sunday I rest’. And at the risk of
losing many followers in this beloved personal space… Go Atleti!.

 
RETURN TO TELL THE STORY. REPORT OF A HEART
ATTACK

STORY

A father decides to spend Chistmas
Eve at some relative’s, accompanied by his wife and daughter
After dinner and a gin and tonic
that extends almost up until 3
in the night, he agrees with the rest of the family
that, once the young ones have gone out to carry on with the celebration, the
most sensible thing would be going to bed, but….OH SURPRISE!



 


ORIGINAL
VERSION

(Version directed only to those who wear most colourful robes and spend
a good part of their lives  trying to
save the lives of others, on a rotating basis and reconciling such an activity
with their joining ‘in the white tide’ at the weekends )

10156275 CLINICAL REPORT 13D644233 ASIST Acute hospitalization.
Date of admission:25-12.2013

56 year-old patient who is brought because at 3 in the morning he starts
with features anginal chest pain. State valued at 8.30 by SUMMA 112 (Emergency Services) which to
objectify ST Elevation. It activates AMI Code arriving at the hospital (Gregorio
Marañón) at  8.55 straight to Haemodinamic Room.

When the patient  is placed on the table, he enters arrhythmic
storm with a multitude of ventricular fibrillation requiring at least 8 heart shocks, being precise
orotraqueal intubation prior sedative relaxation with etomidate and rocuronium infusion of
amiodarone. The total time of PCR is estimated around 20-30 min.

FLAW!!!!! No relax at all Instead of letting me
rock in the arms of Morpheus, I start to feel a slight discomfort. Everything
seems to point to the excesses of the dinner and the lack of habit that  are willing to take their toll on me and give
me a terrible night.

Discomfort reminded me more and more of that
one felt as a young man, after having exceeded drinking but, curiously, it was
accompanied by some unease, increasingly intense, on chest and back and a cold
sweat that soaked my pajamas

When Marina, my wife, had knowledge of what was
happening to me, she insisted that we should go to “emergencies”, but
I rejected her proposal, arguing that it was better to wait and see if I got
better

Since
women, as you all know, are immune to discouragement, this proposal was
repeated several  times throughout the
night; and Since men, as you all know, are stubborn as a mule, I replied with
the same amount of denials.

Again,
FLAW!!!!. Around eight o’clock in the morning, the pain, not only was not
fading but it was increasing, up  to the
point that, much to my regret, I was forced to surrender and pray, not that we
approached to the emergency room, but that emergencies would come to me.

At this
point, and in this state, you can not get an idea of how long it takes for the
SUMMA 112 to come ,although everyone said they came inmediately

Once you
see yourself surrounded by coloured uniforms, reflective, stethoscopes,
sphygmomanometers and  they begin to ask
one another to pass”n” milligrams of different drugs that end in
“ine” of which you only 
recognize the morphine and moments later they begin to introduce in your
body through a route that you would not be able to say very well how it is that
it is in your arm, you begin to let yourself go

Those who
are not that lucky are the relatives around you who,in the light of the
siuation, are more overwhelmed than you, as for what they could have seen and  heard to the personnel of the SUMMA they
already know that the situation is far more fucked than what they could have
thought in the beginning and to make things worse, , they are denied the
possibility to accompany you in the ambulance.

Once in the Movile ICU , with total impunity, a
new shoot of “n” milligrams of “ines” of which you only
recognize the morphine and after a few words through the radio station and a
short drive away, back to get out of the ambulance,.

Voices,
racing through corridors that are or seem to be dim and, at a certain point,
you feel yourself  surrounded by a large
group of people that you perceive agitated, talking to each other in a loud
voice and using a jargon that is completely unintelligible. Sorry, almost
unintelligible,since some of the words you hear, sound familiar after having
heard them in “Central Hospital”, in “House” or some other
similar series; namely: “Loading shovels”, “heart massage”,
” all out, i’m proceeding”, “re-loading”…. and,  between one and another repetition of these
phrases, DIRCHARGE shot.

By
the way, I think it is important for you to know that”, between discharge
and discharge, the stoutest of all around you, mix of Balkan Weight lifter and,
Bouncer under the pretext of applying what I believe it’s called “cardiac
resuscitation techniques”,places his hands on your chest and try to use it as
his single point of support time after time until you hear again :” I’m
proceeding, all out!. Fortunately, the “at least eight discharges”
referred to in the report, I was only aware of two or three, and from there (
…)

My return, in order to be able to tell you
about this, took place,as they told me later, around 18.30 or 19.00 hours on
the same day and was relatively pleasant

A sweet voice calling my name asked me: How are
you feeling, Jose Luis?

To which, after its insistence, I replied:
“I remember having had better moments”.

What happened, henceforth could be framed
within the normal hospital routine, provided the patient decides to look at the
ceiling, instead of being curious and watch the way the introducer is removed
from the femoral artery and verify that, instead of measuring 3 or 4 centimetres, turns
out to be longer than a day of starvation and in addition blood stained

But what happened from 8.00,when I lost sight
of my family, to 18,30 when I returned from  the Limbo, to be telling this story today?

Well, after transport to the hospital,
relatives who were with me at that time, came to the hospital and my wife and
my daughter informed my son of my hospitalization and he and my daughter in law
spread the news among the rest of my relatives

For family
members who, from the beginning, were in the hospital, the absence of news was
terribly distressing. The only information received was “the State is very
serious”, “he is still being operated”. Finally, around 13.30 it
was reported: “at the moment he is alive, but his condition is very
serious, the next 48 hours are critical to know if he will make it”.

FORTUNATELY, I WAS IN THOSE MOMENTS, IN THE already NON existent LIMBO OF THE righteous, and I DIDN’T HAVE TO GO
THROUGH THE PAIN AND THE SUFFERING MY FAMILY HAD TO ENDURE DURING THOSE HOURS

On the other hand, the original version
continued as follows:

PROGRESS

Enter code myocardial infarction, performing
percutaneous intervention of right coronary artery; It presents during the same
PCR with multiple episodes of VF requiring ortracheal intubation and sedative
relaxation. During input has been found clinically and haemodynamically stable.

DIAGNOSTIC

– INFEROLATERAL AND RIGHT VENTRICULAR KILIP IV MYOCARDIAL INFARCTION, COMPLICATED WITH ARRHYTHMIA STORM. ARTERIAL CORONARY
ARTERY DISEASE OF THREE VESSELS WITH PARTIAL PERCUTANEOUS REVASCULARIZATION
WITH STENT PHARMACOACTIVE DISTAL RIGHT CORONARY.

– SYSTOLIC DYSFUNCTION OF LEFT VENTRICLE,
MODERATE.


My deepest
and most sincere gratitude to all the staff of the SUMMA who managed to
stabilize me and take me to the Hospital General Universitario Gregorio Marañón
in Madrid (“the Saint Gregory”) and to the personnel, without exception, of the
ICU and cardiology service, for their renowned professionalism and the
priceless affection with which I was treated during the time of my admission.

MANY, MANY, MANY
THANKS TO EVERYBODY


José Luis, bennining my 2º Life!

Thank to Cristina Calderón for her brilliant translation