Tuesday, November 16, 2010
Once at the hospital I drove my chair as fast as I could to the ER. There were already a few people waiting as I arrived, and was afraid I would have to wait a while to be seen. Not a comforting thought as my heart continued it's rapid and irregular beat. To my relief, it was a brief, yet anxious wait. Since I had a heart problem, they took me in ahead of everyone. After a brief visit with the triage nurse I was ushered to an examination room where I was transferred to a gurney and put on one of their vents.
My heart rate got up to 182. They did an EKG and they had to find a vein to start an IV. They also took a blood sample from a good vein in my foot. The blood work showed that I had low potassium levels. About an hour later, after much searching and poking, and the help of an ultrasound machine they found a vein in my arm. Through it, they injected a medicine to slow my heart. Almost right away my heart slowed down. It felt like my heart would stop. Unfortunately, it only slowed my heart rate temporarily. This meant they would have to use electroversion, or electric shock to convert my heart back to a normal heart rhythm. It was not a very pleasant thought, but I steeled myself for this necessary procedure. I had an image of being shocked by the paddles and my body jumping. The doctor put me at ease by telling me that I would be asleep during the procedure, so I wouldn't feel a thing. I guess I have seen too many medical dramas. Instead of paddles, they stuck large pads to my chest and then injected a drug into my IV which knocked me out. They shocked me and my heart returned to a normal rhythm. I was allowed to go home when they were satisfied that my heart was staying in rhythm. I was at the ER for five hours and avoided a stay in the hospital.
This was not my first experience with rapid heart beat and atrial fibrilation. Last month I was hospitalized for rapid heart beat and atrial fibrilation after having a trach change(see Hospital blog post) I thought it was due to the Tetracaine, used to numb the trach area. In that case, my heart converted back to a normal heart rhythm by itself. It was also found I had low potassium. I thought it was an anomalous occurrence, but when it happened again without Tetracaine, I realize that there is something going on with my heart. I hope when I see my cardiologist next month he can get to the bottom of this. It is not something I want to keep experiencing. Since the shock, my heart rate has remained stable, but I am crossing my fingers that I won't have a recurrence.
Friday, October 29, 2010
On Tuesday, October 5, I went to UCSD Medical Center for my routine bronchoscopy and trach change, which I have done every two months, by Dr. Harrel in the pulmonary department. I have a bronchoscopy whenever I have a trach change because I have had problems with scar tissue in my trachea blocking the tip of my trach, and blocking air flow. The bronchoscopy allows the doctor to see where the scar tissue is so the trach can be placed away from it. The procedure usually goes like clockwork, and I am in and out of there in no time. But, not this time.
Before the doctor starts the procedure, the nurse squirts Tetracaine, a numbing agent, down my trach. It looked like she used more than usual. I usually get a litle light-headed and get a slight buzz, and it doesn't take long for the effects to wear off. But, during the procedure this time. the room started to whirl around, the voices of the doctor and nurses seemed distant and were fading in and out. It was like a bad trip. When I closed my eyes, I still felt I was spinning around. I also felt nauseous and drowsy. After the procedure, which went well--except for the bad trip--I was so out of it. I was still dizzy and had to keep closing my eyes, and was incapable of driving my wheelchair out of the room. Ernie, my nurse, had to use the attendant control on my wheelchair to drive me to the waiting room/recovery room, where I had to wait for the drug to wear off.
While waiting for the effects of the Tetracaine to wear off, my heart started to flip out. My heart rate shot up to 188, and my heart went into atrial fibrilation. This is when the atria, the two upper chambers of the heart, beat irregulary and out of coordination with the ventricles, the tw0 lower chambers of the heart. My heart was beating so fast, it felt like it would come out of my chest. After what seemed a long time, my heart returned to a more normal beat. It was a scary experience, especially since I didn't know what was going on. Dr. Yung, the ER doctor who was summoned when my heart acted up, said that they would have had to shock my heart back into rhythm if it hadn't settled down by itself. Yikes!
As a precaution, Doctor Yung, and Dr. Harrel, my pulmonologist, decided to admit me to the ICU overnight for observation. Not what I wanted to hear, but I knew it was probably for the best. After waiting for a few hours, they finally were able to move me to the ICU. I was transferred to a gurney and wheeled up to the ICU on the tenth floor. Being on a ventilator means that I always end up the ICU whenever I am hospitalized.
While in the ICU, they had to take the dreaded blood work. Whenever I need blood, I am usually subjected to numerous needle pokes until a decent vein can be located. I always end up feeling like a human pin cushion. This time was no diffrerent. After much poking, and the attempts of three different people, a vein was found in my wrist and thtey got the blood.
The results of the blood work showed very low potassium levels. Low potassium is dangerous for the heart. I was given potassium to boost my levels. The next day they had to take more blood. The vein in my wrist had collapsed, so they had to do more searching and poking. Finally they found a good vein on my foot. The results showed that my potassium levels were now too high. I could not be sent home until my potassium levels were normal. That meant one more night in the hospital, and more blood draws. Lucky for me, the vein in my foot was so good they were able to use it for all additional blood draws.
The next morning, I found out that my potassium levels were back to normal and I was given the green light to go home. I was glad to get out of there.
My stay was not too bad, though it was boring. All I did was sleep, and watch television. The good thing was that the selection of television channels was decent. During the day my mother sat with me, and Ernie, my nurse stayed the nights. My sister spent a few hours with me my last evening there. I always need someone with me when in the hospital because I can't press the call button, and the nurses are too busy with other patients to be there all the time. The nurses appreciate the extra help. The nurses were pleasant and professional. They were attentive, and turned me often to prevent bed sores. Even the respiratory therapists and doctors were friendly. They all had a good bedside manner. My night nurse for both nights, Fidel, was especially friendly and tried to make my stay as pleasant as possible.
I was glad that my hospital stay was short, and that I was in for something that turned out to not be life-threatening. But anything concerning the heart is scary,especially when you don't know what is happening at first. It is humbling to think that the beats of that fist-sized organ in my chest is all that is between me and oblivion. It is highly likely that my heart episode was brought on by the Tetracaine, and not due to some worsening heart condition . For that, I breathe a big sigh of relief.
Saturday, August 14, 2010
The event was held at the 12th and Imperial transfer station in downtown San Diego. They had a mock-up of the planned ramp as it would be with the doors of the trolley open. They had me drive my chair up and down the ramp, approaching from different sides and straight on, with high sides and without. I found it very easy to manuever my power chair up and down and the width of the ramp and doorway was just right. Afterwards I gave a positive evaluation.
Though it worked great with my power wheelchair, the manual wheelchair users had trouble pushing their chairs up and down the ramp. Being in a power wheelchair, I forget that manual wheelchair users use a lot of effort to move around. It was my hope, and the hope of the other people that took part in the outreach that our input would lead to a ramp that would work for all people with disabilities. It was our understanding that this was the purpose of the outreach.
I applauded what appeared to be a good effort of the MTS to reach out to the disabled community. But, it turned out to be an empty gesture. An acquaintance of mine who uses a manual wheelchair had trouble wheeling himself up the ramp--as did a lot of manual wheelchair users--and mentioned the problems and suggested they lengthen the ramp to make it less steep. He was told that the ramp could not be changed. The outreach turned out to be futile. Why did they have us try out the ramp and give our input when the design was already approved? It appears to me that this outreach was nothing but an attempt on the part of the MTS to appease the disabled community and to make themselves look good. It achieved neither purpose.
Wednesday, August 04, 2010
This is part of my work with Access to Independence of San Diego to advocate for the disabled community. Again I was accompanied by Rachel Vega from A2I. But, this time I did most of the talking. Senator Wyland was not available, so we met with his assistant instead.
I told Senator Wyland's assistant how important it was for a person with a disability to live in the community and to get in-home care or assistance. If I didn't have in-home care to help me with my everyday needs, then it would be very difficult for me to live at home and I would end up in a nursing home. A nursing home is a terrible fate for an independent person; in a nursing home there are all kinds of germs and viruses and it isolates people from the community. If cuts are made to programs that enable people with disabilities to live in the community, such as IHSS and Medi-Cal Waiver Program, then it be comes a quality of life issue. It would also violate the Olmstead Act, which is supposed to allow people with disabilities to choose to live in the community, and not to be forced into nursing homes.
His assistant seemed attentive to what I was saying and appeared to grasp the importance of what I was saying. Whether or not what I said will influence Senator Wyland or not is difficult to know, but it is still important to let my voice be heard and to try to give voice to an important issue for the disabled community.
Tuesday, July 27, 2010
Saturday, July 10, 2010
Sunday, June 27, 2010
Monday, June 14, 2010
The event included a soccer tournament, with about fifty teams from all over San Diego County, competing on the atheletic field at Westview High School. They also had a festival area with booths with various vendors and a fun zone with games and a balloon bounce. Among the games was human foosball, which was a lot of fun to watch and was a lot of fun for the players as well. The local news station, KUSI was there to cover the event. I was on camera with the volunteers in an enthusiastic cheer which was aired to close the nightly news.
I am a big supporter of this charity and hope to be able to help them out in any way I can. Having DMD myself, I have a large stake in the search for a cure. I have lost friends and would like a cure to be found. A cure may not be found in time for me, but my hope is for the children with this disease, and those yet to be born with this disease. It is my hope that they will see the day when medical science will find a cure for Duchenne Muscular Dystrophy.
Tuesday, May 11, 2010
Cuts to these programs would make it harder, if not impossible for people with disabilities to continue to live at home and be a part of the community, and many would end up in the nursing home gulag. The nursing home industry would like this. More people would mean more profit for them, but it would do nothing for the quality of life and dignity of people with disabilities.
Though I understand the need for cuts to the California state budget, they can't cut everything. Cuts in programs that allow people with disabilities to be a part of the community would be devastating as well as more expensive to the state in the long run: warehousing people in nursing homes is far more expensive than giving people in-home care and support.
In-home care and support, though it allows people with disabilities to be a part of the community, and is cheaper than nursing homes, has many more benefits. In-home care and support creates thousands of jobs for health care workers and home health care aids; allows people with disabilities to hold jobs; it makes the quality of life and well-being of people with disabilities so much better; people with disabilities spend money in the community, and if they work, they pay taxes in addition to spending money. Also, making it harder for people with disabilities to live in the community would be a violation of the Olmstead Act of 1999, which affirms the right of people with disabilities to live in the community.
Governor Schwazenegger, the State Assembly, and State Senate, would be well-advised to reconsider devastating cuts to IHSS and Medi-Cal. I hope my efforts as a representative of the disabled community to protect it's interests, though small, will have some influence on the politicians in Sacramento.
Tuesday, April 27, 2010
With the serious budget problems in California there is a need to make cuts, but they are looking at these programs which are beneficial to people with disabilities to save money. IHSS, which is faced with cuts or even worse--elimination, is a very important program for people with disabilities and the elderly. It allows these people to get assistance so that they are able to live in the community, rather than being shut away and isolated in institutions. It also allows people with disabilities to hold jobs and to contribute to the community. I get my in-home nursing care through the Medi-Cal waiver program, which allows me to live at home and be part of the community rather than a nursing home. If Governor Schwarzenegger can think about making cuts to or even eliminating IHSS, there is no reason to think he won't put his sights on the Medi-Cal waiver program. I had to impress on them the importance of letting people with disabilities live in the community, be it through IHSS or the Medi-Cal waiver program.
I spoke to them about the benefits of a person with a disability living in the community through my personal experience. Since I was trached and vented almost sixteen years ago, I was able to live at home and not end up being sentenced to a nursing home. Being able to live at home, has allowed me to be a part of the community, to get out in the community, spend money in the community, and have a better quality of life. I told them people are more susceptible to all kinds of bugs and viruses in a nursing home and that it is much cheaper for a person to live at home than a nursing home. (With IHSS, for example, it costs about $10,000 a year for a person to live at home, versus $50,000-$70,000 a year for a person to be in a nursing home.). If the IHSS cuts occur home health care aides could lose jobs, or if the program were eliminated, over 24,000 people in San Diego County would be out of work. At a time of high unemployment in the state this would be unwise.
I felt that his staff was attentive to what we had to say. It is my hope that we made some impact, and that maybe what we said will help in the effort to save IHSS and allow people with disabilities to continue to live in the community and keep their dignity. This proposed cost-cutting action, if enacted would end up costing the state more in the cost of housing many more people in nursing homes (The nursing home industry would benefit from more inmates to take care of). It would make it harder for those people with disabilities who hold jobs and who rely on in home care to get them ready for work, to hold their jobs. This could make the 70% unemployment rate for people with disabilities higher, and without a job, they will not make money, and without money they won't be spending money or paying taxes. Some people will say that family members should help take care of their own. That would be true in an ideal wold, but family members can only do so much, especially if they have jobs and have other responsibilities. I felt good being able to do my part in the fight to allow people with disabilities to continue living in the community, without fear of ending up in a nursing home and losing their quality of life. The disabled community has made great strides in it's fight for independent living and it would be a shame to take such a big step backwards.
Monday, March 15, 2010
I am getting involved in disability advocacy through Access to Independence (A2I), an independent living center (ILC) in San Diego and with the help of Rachel Vega, an organizer. Through her I am learning how to be an advocate. I am also getting involved in advocating and educating about assistive technology (AT). I got in to this also through A2I and the help of Maria White, the AT specialist there.
My involvement in disability advocacy will give me a purpose in life and something to be involved with. It also has the potential to help many people, not just myself.