Content warnings: hospitals/medical stuff (including needle mention), asthma/lung stuff, death, near-death experience.
I spent most of Tuesday night/Wednesday morning in the hospital.
There's a lot to unpack here, and I'm mostly writing this to sort things out in my brain.
On Easter Sunday, we went to the in-laws' place for an Easter meal. This had been planned for a couple of weeks, so we dutifully woke up early to make the drive out. When we arrived, we found that 90% of the family had either had a cold within that past 48 hours or were actively in the throes of one. My husband's sister sounded like she'd been chain-smoking for centuries. If it wasn't for that, we may never have known. Nobody said a single word about being sick. Even the sister said at first that she'd just lost her voice yelling during a hectic card game the night before. Less than five minutes later, she was saying she caught it from her son.
Within hours, my husband was showing symptoms. He took it upon himself to sleep in the spare room to spare me. He had a very sore throat and complained of headache and joint pain -- just a regular, annoying cold.
Tuesday night, April 7th.
I was sitting at the kitchen table playing Core Keeper (I LOVE THIS GAME) and my husband was beside me at his desk, playing Valheim/Helldivers, depending which of our friends on the Discord call needed more help at the moment.
I started coughing more than usual around 7:30 or so and my immediate thought was 'oh no, I'm getting that cold too.' But the cough felt different than both my usual chronic cough and the cough I get when I have a cold. It was an abnormally dry, persistent cough that moved absolutely nothing, and it was happening after every. single. breath I took. Not intermittently, not every other breath, every single breath.
I noted that that was weird, but kept drinking my tea and kept playing the game. I took shallower breaths to try to avoid triggering the cough, and while that sort of helped, that also meant I was not getting as much oxygen. Focusing on the game became harder and harder, even though I tried to switch to more mindless in-game tasks like gardening. Finally I quit the game and rested my head on the table. Breathing was taking every ounce of my focus and I no longer had enough spare brainpower to hold up my head.
I slid to the floor and literally crawled to get my blue inhaler (maybe ten feet away, if that?). I laid on the ground for ten minutes trying to gather enough energy just to shake it. I managed one dose, at 9:30pm. My lungs were burning, like a chemical burn, like there was acid in my chest. I was trying to breathe slowly and calmly to avoid triggering a panic response on top of whatever was already happening.
The entire time I lay on that floor with the inhaler in my hand, I kept thinking of the girl who lived in the room next to mine in my freshman year of college. She was a bit of a writer too, energetic and empathetic, with that determined zest for life that many depression survivors have. I remembered reading the news stories that ran after she died of influenza in January 2020. Healthy to dead in eight hours. She had only been married for a few months. She had been so happy for those few months.
Was this what influenza felt like? Or was I just overreacting again?
My husband asked if I should go to the hospital. I said 'maybe,' and started packing a bag. Phone charger, extra sweaters, extra pair of warm socks, water bottle, my daily meds in case I wasn't home by morning.
Around this point, my chest muscles were becoming fatigued. After every exhalation my muscles were so exhausted that I didn't have the physical energy to trigger an inhalation. I would sit there in a fully exhaled state for a full 5-8 seconds before my automatic nervous system would kick in and force an inhalation. This was happening every breath. I considered calling an ambulance to transport me due to the fatigue, but tho hospital was less than ten minutes away, and the decision to go to the hospital had given me enough adrenaline to stand. I drove myself.
By then it was 10:15. There were exactly three other cars in the entire parking lot. The place looked abandoned. I parked as close to the entrance as I legally could, shuffled very slowly to the door (wondering the entire time if I was overreacting by coming here), pressed the 'night call' button, and lurched through the automatic doors into a dark and completely deserted emergency room. A nurse appeared at a door to the side.
"Are you here as a patient?" she asked. I had no breath left to respond, so I just nodded. She beckoned me into the room behind her and got me registered and triaged, then led me straight into a room.
I fully expected them to do bloodwork and 'diagnose' me with anemia, the way every other doctor in the country has for sixteen years. But no needle appeared. The nurse listened to my chest in several places with a stethoscope, then the doctor came in and did the same thing. He quickly formed the opinion that I had a virus, and I feared I was going to be sent home to struggle, but I was not officially released. The doctor swabbed my nose for a COVID test, then left. After some interval of time (I was so focused on breathing that I didn't track how long), the nurse returned and deposited a pile of inhalers and a cup of water on my little side table.
It was then that I learned I was having a legitimate asthma attack.
She gave me a spacer and careful instructions on how many doses to take of each inhaler, then brought me a cup of applesauce with a Reactine and a Prednisone crushed and stirred into it (because I can't swallow pills). She returned yet again with a needle -- not for bloodwork, but to inject Toradol. I tried to argue that the pain wasn't that bad and probably a standard Advil would suffice, but I did not officially refuse so she went ahead and gave it to me.
I took all the inhalers as instructed, then got the medication slurry down (Prednisone tastes awful, even in applesauce).
Then... nothing, for a very long time. I drifted in and out of sleep, wrapped in all the sweaters I'd brought with me. The pain in my joints and my chest did ease up, a little.
Sometime around 1:00am, the nurse poked her head in to ask how I was feeling. I asked what exactly we were waiting for, and she said the doctor wanted to keep me for observation for a few hours.
That felt strangely validating. It meant they were actually worried about my condition and didn't feel safe just handing me a prescription and sending me back home. Content with their level of concern, I texted my husband an update and drifted back to sleep... no easy feat on such a hard bed.
Around 2am the nurse went off shift and was replaced. Shortly after, the doctor came in and gave me the option to stay the night or go home and rest there. As much as I wanted to ask to stay the night, the bed was so hard and the burning in my lungs had indeed gone away. He asked how far of a drive it was. I told him not even ten minutes. He asked if I felt safe to drive that far. I said yes (after all, I had driven to the hospital in far worse shape). He then gave me a run-down.
The COVID swab would not get back for testing until late the next day (there are no testing facilities in this region; all specimens are picked up daily and trucked in to the capital city some 3-4 hours away for actual testing). His educated guess was that I had a viral infection, so he prescribed three more days of Prednisone. This as-yet-unnamed infection had triggered an asthma attack, so he directed me to keep the inhalers I had already taken -- two puffs of one twice per day and two puffs of the other one every 4-6 hours as needed. They would contact me with the results of the test once they had it, if it was COVID or influenza, I might be asked to return for further treatment. (Personal aside: I don't think it's COVID, as I've had it twice already and both times it presented like strep throat. This does not line up at ALL with my experience this week. But maybe a different version would cause different symptoms?)
I packed my colourful collection of new inhalers and went home.
The next day (yesterday) I was tired but feeling surprisingly good, considering. I took all the inhalers as directed and filled my prescription. My boss had already found someone to cover all my shifts for the week and told me to focus on resting.
I thought a lot yesterday about my cousin. Playing with her siblings at the playground across the street one Tuesday evening at 7:30, dead in an ER bed by 10pm. Tuesday nights were tainted for years following that one. Tuesdays nights in April were the worst of all. And here I was fighting the same monster that killed her eleven years less three weeks before.
The losses echo in my head. Eight hours to dead. Three hours to dead. Healthy to ER in three hours. It seems hours aren't really that long, and yet within each one hangs an entire life in suspension. When lungs hit a wall, they hit it hard and fast. Somehow Brittney lived like this every day for 22 whole years.
Today I feel measurably worse than yesterday. I've set a timer for the 4-hour inhaler and am taking it EXACTLY every four hours (not seeing if I can stretch it to five or six hours), but I'm not sure it's helping as much anymore. I am considering going back to the ER. The burning has not returned, and the cough is not quite every single breath yet, but my chest muscles are getting fatigued again and there is a distinct sense of pressure. At what point do you go to the hospital? How close was I to death on Tuesday night, really? Should I have gone sooner? How bad is too bad?
I don't feel that this will be my last post on here, however life is only dealt out to us in hourly doses and none of us really knows how many doses we have left.
If it is, thank you for being here. Remember me as a quiet courageous person who felt whole while writing and dancing, who loved her husband, her friends, and her family dearly, who could do nothing but rely on the scandalous grace of God (as she was not capable of earning His favour). Play some Daniel Amos or White Heart and dance for me. Maybe learn some choruses from the Nachmo Alphabet project.
If it is not, then I look forward to writing in this composition window again soon.
In the meantime:
(Don't think I wasn't tempted to do a Rick Roll there.)