Today,
I had an appointment at urgent care. Over the weekend, my wrist started to
hurt, and the pain started to get worse as time went on. At first, I thought it
was just a sprain, but when it kept getting worse, I started to get worried that
maybe I’d somehow managed to fracture it. Perhaps it was just paranoia due to
the fact that my son had recently broken his wrist, but I felt it was better to
know and put me out of my suffering. What I didn’t expect to happen was to
leave the urgent care in an ambulance…well, almost.
I
have a psychological disorder called stress-induced anxiety. It’s actually
pretty common, inflicting about 40% of the population. Most people have minor
symptoms, like an upset stomach before going on stage in front of lots of
people (butterflies in your stomach). While others have symptoms so severe that
they will avoid situations altogether, like white coat syndrome, where people
will actively avoid getting medical care due to a fear of doctors. I’m not that
extreme. I won’t avoid getting medical care, but something about the experience
definitely sets me off.
What
happens is that I get so worked up that eventually my blood pressure drops
suddenly and extensively, causing me to black out for a minute. It’s like my
body senses an issue and shuts down to analyze the problem and reboot the
system. To me it feels like a black mist enveloping me, and when it completely
covers my face, I’m gone. I usually wake to someone shaking or slapping me, and
it feels like I’m being pulled out of a deep, refreshing sleep. I know that I’m
dreaming, but due to the violent nature that I’m awoken, I can never remember
about what. Most times, it’s just embarrassing, but occasionally, like on this
day, I sustain injuries as well.
And
I can’t tell you a pattern as to when it might happen, because it doesn’t
happen every time I go to the doctor. It also doesn’t happen at the sight of
blood, as many people erroneously seem to think. It doesn’t even solely happen
at a normal doctor. I had an episode at the optometrist once when he dilated my
pupils. In fact, it also has an empathetic nature, where I can be triggered by
someone else’s pain. The other unusual incidents are when nothing physically is
happening at all. Someone can just be describing a medical procedure or
something they had done to them, and I’ll feel the “change” starting to happen.
Which
is sort of what happened today. After examining my hand, the PA was telling me
what he thought it could likely be, and I blacked out. The bad part was that I
was sitting on an examine table at the time, leaning forward. I apparently fell
right into the surprised PA’s arms. Thank God that it was a man who was sort of
strong enough to catch my weight and lower me to the floor. I say “sort of”
because I sustained injuries before or as he caught me.
You
see, they had pulled out the footrest on the examine table for my feet. So, as
I fell, my legs slammed into the footrest, catching the corners on my knees and
then raking down my shins as I slid off. It wasn’t until I was leaving that I
realized the extreme pain that this incident caused. And that was because I was
a little distracted by the after effects of blacking out.
I
woke up laying on the floor, surrounded by four extra people that hadn’t been there
before. At first I was confused, but then I had a sinking feeling that I’d gone
through “the change.” It’s funny, because to me it reminds me of one of those
werewolf movies, where the guy wakes up in the woods, covered in blood and no
idea how he got there. Then, he realizes that he must have transformed again.
So, there I am laying on the floor, calmly realizing that I must have blacked
out, confirmed by a different PA telling me that I just blacked out, trying to
regain focus on reality. And this is when the series of stupid things starts to
happen.
The
first stupid thing was when the second PA, we shall call him “the moron” from
here on out, suggested that they lift me up into the chair instead of leaving
me on the floor. I was already dizzy and my stomach was churning, so the sudden
motion of putting me into a chair exacerbated the situation. The second stupid
thing was the fact that the moron kept telling me over and over again that I
had passed out and drilling me with questions about my past history with this,
and what I’d eaten that morning, etc. instead giving me a few minutes to
recover first. The third stupid thing was when I told them that I needed to lie
down, and the moron said that he didn’t want to move me yet. So, I had another
anxiety attack and blacked out again.
This
time they were able to catch me and keep me in the chair. I guess the moron
felt like I’d be better laying on the examine table than sitting in a chair (ya
think?!), so he and the first PA, we shall call him “chicken little” from here
on out, helped me to the table. And that is when the fourth stupid thing
happened. Chicken little told me that I looked like I was having a seizure when
I had blacked out the first time. I’m going to go out on a limb here and say
that I can almost guarantee that nobody looks graceful unconsciously falling
off a table. I’m sure that my uncontrolled everything where probably doing
whatever they felt like doing in the dance with gravity. But when I told him
that I didn’t have seizures, and that I’d never had a seizure in my life, the
moron, who wasn’t even present at the time, started insisting that I had. He
didn’t want me to drive home because I could have another seizure on the road.
So, he wanted to call an ambulance to take me to the hospital. While trying to
convince him that I wasn’t having seizures, I blacked out again.
So,
you see, they kept inducing my blackouts by continuing to rile me up and stress
me out instead of calming down the situation and resetting things. After the
third blackout, they called 911. The fire department EMTs showed up a few
minutes later, and now there were eight people in the room. So, for someone
that doesn’t like performing in front of an audience, I was suddenly on stage
for one! But to their credit, these guys actually seemed more capable than the
moron and chicken little.
One
of them checked my blood pressure while another checked my glucose levels. A
third guy calmly talked me through things, placing a reassuring hand on my
shoulder and asking how I was feeling (something that nobody else had thought
to do). Only after he’d successfully calmed me down and gotten me a bottle of
water did he start asking me questions. And that’s when chicken little started
in with the seizure comments again (I swear this guy must have been doing
medical research on seizures or something). The EMT asked if I had a history of
seizures, to which I replied “No,” and he was satisfied that it wasn’t a
seizure. Chicken little got so disgusted with this that he promptly left the
room.
And
that’s when the first intelligent thing happened. The EMT asked me if I had white
coat syndrome. When I affirmed this, which I had told the moron and chicken
little THREE times but they ignored it in lieu of seizures, he knowingly
started asking me if I had a history of this. I told him that I did, but hadn’t
had an incident in five years, and he concluded that I was having a severe
anxiety attack. My other vitals were fine, so he told me that it was up to me
to choose to go to the hospital or not. So, I chose to go home. The moron got
so disgusted with this that he promptly left the room.
I
profusely thanked each and every one of the EMTs for coming all this way to
check on me, and they left. Alone at last, I lay on the bed drinking my water
before calling my wife to recount this bizarre incident. It was at this point
that I realized that my knee was throbbing. I looked down to see blood
coagulating on my shin. But after the stupidity I had seen on display today, I
didn’t want them providing me with any other “care.” So, I limped to my car to
go home to ice my knee. It was the first time I’d ever gone to a doctor and
came out more injured than when I went in. And I had a $75 copay on top of
that, so it was the gift that kept on giving!