Chapter 9: Moving Day

Saturday is “Moving Day” in the context of professional golf’s typical four-day tournament, Thursday and Friday are used to whittle down the field of players to the final 40 or so who will play the two weekend rounds. Everyone who fails to make the cut goes home. Saturday is called “Moving Day” because it is the day when competitors try to set themselves us for the final push on Sunday.

There are a couple of similarities for me on this Saturday. Moving out of CCU is very likely according to the nurses and doctors I had seen so far. And moving to a semi-private room means I was one step closer to being discharged and one step closer to returning home to Atlanta. The implications of changing rooms and eventually being discharged were the dominant themes for the day. It must be similar to the golfer fielding questions about where he needs to be on Sunday in order to have a chance to win the tournament. But he hasn’t even played the 18 holes scheduled for today! One thing at a time, please.

Curt was trying to get a new plane reservation to fly to Atlanta on Saturday evening or Sunday, but there were long wait times on the phone. Eventually, he took a taxi to the airport and made a reservation for Sunday at 1:00 PM. Curt had been a great support and friend to me when I really needed him to help me. I thanked him for everything as he left my room that afternoon.

I had changed the station on the radio that Lind had secured for me. All day Saturday there was classical music filling the background in my room. The music reminded me of beauty being born of suffering as I recalled the struggles that had filled the lives of many composers. Perhaps beauty could come from my pain.

I had received an email message from my friend and fellow elder Brian Terrell saying that he was going to be making an announcement during the worship service on Sunday morning at our church. He had expressed his shock and disbelief upon receiving my email on the 10th that I had sent to elders and pastors at my church. Later in the day I sent an email with the following prayer requests:

  1. Thankful for wonderful care at hospital in Montreal
  2. Safe travel for Jenny & Jameson to Montreal on Sunday
  3. Good discharge from hospital on Monday
  4. Smooth flight home on Tuesday.

It all seemed so simple.

Again, I was told in the afternoon that I would probably have to leave my CCU room and move to the Cardiology section that was two floors up later that day. I would likely go to a semi-private room with one other patient. The hospital was experiencing high emergency demand with a flu epidemic and the usual influx of sick people on the weekend.

Rev. Terry Gyger was an old friend of mine who had spent many years helping folks plant new churches in major cities around the world. Terry had recently “retired” from a position as president of Redeemer City To City based in New York. He and his wife Dorothy had been using Atlanta as home base and now Terry would be working from there as well. He was helping my church in our transitions and we had just made the decision to hire him as our Interim Senior Pastor prior to my trip to Montreal. Thus, he was on my distribution when I emailed the Intown folks about my heart attack. Terry contacted a pastor friend of his who lived in Montreal to let him know of my situation. Consequently, I received a call that morning from Rev. Jean Zoellner who was traveling back to Montreal from Ottawa and wanted to come see me this evening. I was delighted to hear from him and looked forward to his visit. He came by after dinner and we had a refreshing and encouraging time. He lived in a South Montreal neighborhood with a L’Arche community. The L’Arche folks had converted a church into a day program center and the rectory was now the L’Arche residential house.

Since I now had my suitcase, backpack and a plastic bag of clothes (think large bag including boots and a winter coat – Montreal in January, remember!) that I had worn to the ER, moving me to another unit would not be a simple feat. However, around 10:00 PM, the nurse told me to go to sleep because they had not heard anything. After expecting to move all day, I was wondering what was going to happen. She said, “We’re keeping you here as long as we can because we know we are better when you are here.”

I was so struck by her comment that I immediately entered it into the notepad in my iPhone. I was not sure exactly what she meant, but I liked the sentiment.

Finally, at 11:40 PM, a couple of nurses and an orderly came in and said that it was time to move.

We gathered all my stuff, decided to toss my 3 different oxygen masks, and I sat in a mega wheeled chair and we were off. It reminded me of a Jeff Foxworthy story about his family going to Hawaii. I think he called it, “The Clampetts Go On Vacation.” When the elevator door opened to the 4th Floor I thought I had crossed into the tropics. The air was thick and hot. Where was I? There were even beds in the hallway and it was dark and seemed foggy, though I expect that was my brain having been awakened during my first rim cycle of sleep.

Soon, we reached my new room. It was smaller and there was sleeping person on the other side of the curtain. I got into a harder, flatter bed. It was nosier with new nurses who insisted on checking my vital signs and connecting me to an older, heavier transmitter for monitoring my heart activity. Unfortunately, I was not able to get much sleep that night.

Moving Day was finally over. It had been a really terrific day, but the ending minutes gave me even greater desire for Home.

 

 

Chapter 8: Visitors and Connections

It was now Saturday morning January 12, 2013, and I was expecting visitors today. I ate a good breakfast and decided, since I was no longer tethered to an I-V or the stationary heart monitor – thank God for portable technology, to move to the chair in my room. I had my new Kindle Fire (a Christmas present from my family) with its bright yellow case and a black Moleskine reporter style journal pad on which to write. Reading, reflecting, praying, listening and writing are sacred times for me. And those moments of solitude with God were helping me to ground my soul in a familiar relationship with him after a few days of unfamiliar experiences. I was feeling alive and connected.

The medical staff was very pleased to see me sitting in a chair. They took it as a very positive sign that I was beginning to recover. Also, while I was sitting, I received my second visit from Chaplain Josef who worked at the hospital and had found out about me from the Jesuit Brothers at Villa Saint-Martin where I had stayed earlier in the week. He asked how I was doing and we talked about Henri Nouwen, Jean Vanier who he had met and the blessing of God. His English was not so good, but we made a spiritual connection through the language of faith that was warm and encouraging. I was very thankful for his visit.

Curt arrived before lunch, as did my friends Gustavo and Paola. Gus had bought and brought me three newspapers as I had requested. I had arrived in Montreal the Saturday before and had spent the evening meeting Gus for the first time and reconnecting with Paola. She had gone to college at Oglethorpe University in Atlanta and attended the same church my family was in and had actually babysat our boys once or twice with her friend Katie. Gustavo and Paola are natives of Venezuela who had immigrated to Canada a year ago.

On the previous Sunday, I had gone to a church meeting in a downtown Montreal cinema hall, had an amazing brunch, visited an informative and educational archaeological and historical museum and eaten frozen maple syrup with snow, all with Paola and Gus. They had been amazing hosts and tour guides. We had experienced most of the day walking in a beautiful snowfall. And, actually, on that Sunday evening we had spoken our farewells and didn’t expect to see each other again for months. Of course, we would continue to connect via Facebook. And Facebook is how they found out about my heart attack. On Thursday night, Jenny used my account to send a message to Paola to tell her what had happened and to get them in the loop. Being a social media activist has its rewards!

So, a few days later, here we are in CCU Room 9 and they are watching me eat lunch and we’re talking about the events of the last few days. They were so caring and loving and offered to help in any way. And we would definitely avail ourselves of their hospitality in the next two days.

Dr. Lalonde was off for the weekend and another cardiologist was leading the care team. By the afternoon, Curt’s anxiety regarding my being able to travel on Tuesday and his being able to travel today or tomorrow was quite strong. He even tried to get a commitment from the chief cardiologist that I would definitely be discharged on Monday and be cleared to fly home on Tuesday. This guarantee would allow us to purchase a plane ticket for me, and my wife Jenny and son Jameson, to travel home to Atlanta. Dr. Lalonde had told me on Friday that he thought it would be very probable for me to be discharged on Monday and likely that I could travel via airplane on Tuesday. But, I don’t know if I would make that bet. I was feeling good, but wasn’t sure what to expect over the next few days and weeks. At some point, we came to a decision to buy the tickets. So, that was done.

I talked to Jenny a couple of times and exchanged text messages with her on Friday and Saturday. She and Jameson would be flying to Montreal on Sunday and arrive around lunchtime. And I think I talked to Justin and Jed sometime on Friday evening. It was a challenge to remember what day it was as time moved on in my hospital stay.

 

Chapter 7: Hospital Life

Since I was 1,206 miles from home, I didn’t expect to have many visitors during my hospital stay. So, it was a great surprise when someone would stop by to say, “Hello.” So far, only Curt and one of the hospital chaplains had visited me. No doubt I had experienced lots of comings and goings by medical personnel; it seemed like no one in a uniform could pass my room without coming in to take my blood, give me a pill or a meal, connect some wires and read some numbers or look at some lines.

Sacred Heart (HSCM) is a huge hospital founded in 1898. HSCM, with its 400 doctors and 3,800 employees, is a recognized leader in traumatology, orthopedics, cardiology, emergency, pharmacy, and other services. The hospital cares for more than 20,000 inpatients and 200,000 outpatients annually. And, on Thursday the Emergency Department was operating at 250% capacity due to a huge influx of patients with flu-like symptoms. I was thankful that I had received a flu shot a couple of months earlier. I would experience some of the impact of the crowded facility in the next couple of days.

Thankfully, at 10:00 PM on Friday evening [Since the angioplasty had ended around 4:45 PM, I had to lay flat for five hours to let my femoral artery rest. And the rest of my body needed a break, too.] I received a hot meal of meatloaf, carrots and peas, and tea and fruit. I hadn’t eaten since breakfast due to my angioplasty that afternoon. The meal was delightful. The new orderly for the night had just come on for the weekend shift and his name was “Jack”. I’m not sure of his country of origin, but was guessing he was Eastern European or the Middle Eastern. Jack spoke American-style English and seemed to have many friends around the hospital. He was a master at “transforming” my bed into a huge chair making it so much easier to eat.

Given the fluid in my lungs and taking the diuretic Lasix water pill, my urine was being measured and I was not yet able to go to the WC. So, I was successfully using a container while in bed. After 48-hours of successful use, I missed the container and wet the bed. Upon seeing Jack, I motioned for some help. Did I mention that Jack had a loud voice? Well, soon there was a couple more staff in my room to help remove the sheets and remake my bed with me in it. Fun times.

As Jack was finishing making my bed, the other staff had left, a couple of his friends passed by my door and caught his eye. I was rolled over on my left side and he’s now in the hall having a good ole reunion and my gown is not fully covering me. “Hello!” I’m thinking. Jack came back shortly as if nothing had happened and I was lying on my back again on clean crisp sheets. It’s all a part of life in the hospital.

Later, I apologized to my weekend night nurse, Martine, for being rude when they were transferring me from the post-op hall to my room. I had felt that I was not the most respectful. I felt I had been demanding and complaining. She said, “You? You were not rude. I began my career in nursing in the Emergency Room. I know what rude is and you were not rude. Nothing to worry about.”

Martine had dark red hair and 7 pierced earrings on her left ear. Her English was not bad and I felt she cared for her patients and was pretty quick to listen or observe and size up a situation and decide on the best course of action. It was probably her ER experiences that increased her response time to the needs of others.

On Thursday, Lind had secured a large radio for my room and set it to an English language pop station for me to enjoy. I had shut it off at night, but it was good to have some music in the background. There was no TV in the room and just one comfortable chair.

My CCU room was modern and large. It also had individual HVAC temperature controls. I asked Martine to lower the temperature a few degrees so that I could sleep. I slept extremely well. Someone added a light blanket during the night to cover me and I had what would be my last good night of sleep for a couple of weeks.

Sacred Heart Attack – Chapter 6: That Heart Attack Feeling, Again

We pick up the story in the late afternoon around 3:40 on Friday January 11th. Pretty soon, Dr. Charron came by again. He wanted to give me an invoice (I had no place to put it!) and talk about today’s procedure. We were all more relaxed. There were smiling faces and calm voices. This was quite a contrast from Wednesday. Dr. Charron said that everything should go very well, but that some folks have another heart attack during an angioplasty procedure: “About 5%,” he said. I already knew I was in a special minority. I didn’t need to be in that 5%.

As the nurses rolled me into the O.R., there was cold air and two people lifted me on to the table. One nurse taped the oxygen monitor to my left index finger, then flipped up the arm holders on each side of the table. I had hoped that they could use my right arm again as the entry point for the tube and stent, but it was not to be.

Dr. Charron said that he was going to go through my groin and femoral artery for the heart catheterization and angioplasty and placement of the stent. A nurse asked me for the English word for “groin.” The doctor said that the blood pressure in my right arm was not strong enough to go through my radial artery again.

So, this time when the nurse said that the application of the iodine paste was going to be cold, I knew what to expect. She was more comprehensive than before and covered me from my waist down to my thighs with an iodine bath of the slush-like liquid. This was followed by fabric and then paper covering me from neck to feet. Next, one of the doctors injected the lateral groin area with local anesthesia. He injected a couple of times in the area where the slit and insertion point would be. While a high pain threshold can be a problem, it is a blessing for situations like this when I’m receiving multiple sticks and pricks.

In short order Dr. Charron made a small incision and then was inserting the Seldinger needle at a 30-45° angle into the femoral artery. A guide wire is then inserted through the needle into the artery and the preparation for the journey to the heart begins. The needle is removed and the catheter sheath and dilator are pushed over the guide wire. Then the dilator is removed and the sheath is ready to receive the catheter. I could feel the process begin as Dr. Charron pushed a tube through my lower abdomen in search of the right coronary artery that was 70% blocked. The plan was to open up the artery with a balloon and then place a 4 x 16 mm stainless steel or cobalt-chromium alloy mesh stent to keep it open with 0% blockage.

After some time of injected dye and moving the x-ray machine around so that the doctors could see where everything needed to come together, I began to feel the pressure and burning that had been my dreaded companion on Wednesday. “Surely not,” I thought. “Am I going to be one of the 5%?”

I said that I was feeling pressure like I had on Wednesday. Dr. Charron broke from a steady banter in French and spoke to me in English, “It’s perfectly normal. We’re close to being finished.”

My anxiety decreased, but my pain stayed steady. What an awful feeling. Soon the pain began to quiet. The tube was being removed and a huge rolled up fabric bandage, like a towel was pressed tight across the right side of my groin area from my waist to between my legs. It was secured with tape. Then another doctor came over to massage the area of my femoral artery. A vascular closure seal had been positioned on the outer surface of the artery and would be resorbed within 60-90 days. The massaging helped the artery settle back into it’s naturally protected position. I was not allowed to sit up for several hours because of the fragility and danger of leakage with this artery.

Dr. Charron drew my attention to the large video screens to my left and showed me before and after pictures of my artery. His work was called percutaneous coronary intervention [PCI]. What I saw was a picture of brokenness being restored to shalom – all was as it should be now. No doubt it is similar work that the Holy Spirit performs in opening the hardened places in our spiritual hearts so that life-giving blood can flow.

I had no oxygen mask this time. I was transferred to a rolling bed and moved back to the “on deck” room – pre-op was now post-op as patients were intermingled in this large banquet hall. My whole time in the Operating Room equaled 60 minutes. Wow. A life-saving deed was done to/for me in only an hour. Years of training, discipline and experience allowed these medical people to efficiently and effectively “fix me” in the time many of us spend watching an episode of our favorite TV program.

I was feeling better, but was tired and hungry. When I returned to my room in CCU, I was told I might could eat dinner at 10:00 or 10:30 PM. It was 5:00 and most of the other patients were receiving dinner right then. I needed to rest, take a couple of pills and empty my bladder.

Curt had returned and was in the room shortly after I had gotten settled. I had to lay relatively flat due to the femoral artery, but I wanted to sit up and talk. Curt was getting a bit hyper about next steps and when he should make plans to return to Atlanta and when Jenny could fly to Montreal and then return home with me. We had more questions than answers. It was frustrating, but we learned that we approach situations differently and thus should not project our expectations on to others.

I was beginning to fall asleep, so, Curt headed back to the villa. And I rested.

Sacred Heart Attack – Chapter 5: Of Stents and God’s Providence

Early on Friday, one of the nurses, Lind, said that I was on the list today to have another angioplasty procedure to address the right-side artery that was 70% blocked. Dr. Lalonde had been successful in having a conversation with someone with my insurance company, and even “assigned a case number,” but there was no decision making authority given to the customer service rep. Dr. Lalonde had laid out the option of transferring me to a hospital in Atlanta if my insurance company had wanted that. Neither of us was aware that south of the border, Jenny had also spoken with the insurer and found out that they would cover my care just as if I was in the US. Sacré-Coeur Hospital was, of course, “out-of-network” but the cost of medical care was so much lower in Canada that it would prove to be a windfall for us and our insurance company.

Eventually, I decided to follow the direction and protocol of the cardiology professionals at Sacré-Coeur and do the second stent. It was like I had dropped the puck for a hockey game. Very quickly, my lunch was cancelled and preparation began for me to be taken into the pre-op area. Curt left for lunch and at 1:30 pm I was carted to what some hospital’s call the cath lab patient lounge. This is where patients who have scheduled angioplasties wait for the next available doctor to work his/her magic.

Today, I was told, there were two cardiologists doing a tag-team rotation in placing stents in overcrowded arteries and likely preventing future heart attacks. My new BFF Dr. Charron was one of the doctors in the rotation. I indicated to Lind that, everything else being equal (meaning I had no emergency), I’d prefer him since he had already seem my arteries and heart up close and personal. She said that she’d pass the word.

As I lay on the gurney, small preparations were being in a casual and unhurried fashion. Quite different from Wednesday evening. A new I-V was attached and I signed a form permitting the procedure. I had also talked with Dr. Charron and agreed to pay him with cash for his work in ostensibly saving my life and now preparing me for clear arteries for the future. Since he was an independent contractor to the hospital, and would bill me separately, the potential for him not getting paid was his concern. He had sent bills to US patients in the past and not gotten reimbursed for his time and talent. That seemed hardly fair to me and I gave him my word that I would pay him before being discharged.  I figured that was a pretty good incentive for him to do another good job. He had already explained the risk of the procedure and my only interest was in the percentage of patients who have a heart attack. He said that it was 5%. Again, if he wanted to get paid, then he better not let me be in that statistic! His professional services in doing my angiogram and angioplasty in the emergency mode was $1,800 and the planned one he was about to do was $800. Experts have told me that his $2,600 bill could’ve been $15,000 in the US.

As I laid on the bed in pre-op, I was still trying to take it all in. I was wondering when Jenny should fly to Montreal. It just seemed odd that on my, and soon Jenny’s, only visit to Montreal that I would develop chest pains and then a heart attack. Perhaps it was the connections I would make with Nathan, Paola, Gus, and Curt that were important. “That important?” I asked. Given that I was apparently going to have a heart attack at some point, was there a way to use the location of Montreal as a rallying point for others?

What is the providence of God that orchestrates details like this?

This is probably a good place to mention an example of providencial details that I’d experienced in the midst of this life event. Over the past few months, I had been reading Sabbatical Journey by Henri Nouwen. This ended up being Henri’s journal of the last year of his life on earth. About a month after he had completed his sabbatical and returned to L’Arche Daybreak near Toronto, he made a quick trip to his Dutch homeland to meet a film crew with whom he was producing a documentary. The subject of the film was the Rembrandt painting Return of the Prodigal Son that was hanging in The Hermitage in St. Petersburg, Russia and had been such a powerful image in Henri’s life. While still in Holland, Henri had a heart attack. Within a few hours, my friend Nathan Ball, who had been one of Henri’s closest and best friends for the previous 12 years and was community director of L’Arche Daybreak , was on a flight to visit Henri in the hospital. After a few difficult days, Henri’s health improved and it looked as though he was going to make a good recovery. Sadly, after a couple of good days he suffered a second heart attack and died at 64-years-old.

In the past five years, I’ve read over 30 of Henri Nouwen’s books and feel like he has been a major influence in my walk with God, family, acquaintances and friends. Nathan has been instrumental in guiding the Henri Nouwen Society and Henri’s Legacy. Nathan wrote the Afterword to Sabbatical Journey. The night before my heart attack, I shared some of my connections with Henri and the impact of his writings on my life with Nathan. I asked Nathan about that last week of Henri’s life and if Henri knew he had heart problems. Henri had not been aware of any heart problems. He talked about the ways that Henri had made commitments to slow down his activity and change his work patterns. Nathan told me about the recent radio documentary and biography that had been released in Canada. He also said that he would send me some copies of books that I might not have seen. It was a special conversation for me and one that I will cherish for a long time.

Needless to say, we had no idea what would happen the next day and that Nathan would be holding my arm as I entered the hospital. As I reflect on that 24-hour period, I’m amazed at the mercy and charity of God that gave me a gift in the midst of my loss. I will always appreciate the presence of Curt and Nathan in my very difficult situation. It was a gift from God and a picture of true community.

Sacred Heart Attack – Chapter 4: Everyone is Shocked

We pick up my journal on Thursday afternoon, the day after my heart attack. The ripple of communication about my Montreal surprise is just beginning to widen.

“I didn’t have much of an appetite and hadn’t eaten since breakfast on Wednesday. For lunch, I ate some fruit, a small salad and a cracker. I couldn’t eat the spaghetti, although it looked good.

Curt was finally able to reach Jenny by phone after school on Thursday. She quickly called me back on the hospital phone in my room. We talked for several minutes and were both in shock. And we were both encouraged that my voice sounded strong and healthy. Pretty normal. I told her what had happened and we talked about how we would tell the boys and my siblings. She would call the boys and our daughter-in-law and invite them to call me. I would send an email to my two brothers and sister. I also sent an email to the elders and pastors at my church and a few other friends.

I suppose it was no surprise that everyone was shocked by the news. Since I was hundreds of miles away, we had made the decision to underplay the significance or the severity of the heart attack for a few days by not going into a lot of detail. And since I was sounding pretty good on the phone – I guess I still had some adrenaline in my system – it was easy to pull off. But, the medical staff and Curt would remind me of the reality of my situation from time to time to keep my feet on the ground. I could not deny the reality that my heart had been weakened and damaged. I didn’t know what that would mean, but I knew that things were going to be different.

I was taking a large potassium pill and a water pill due to some extra fluid that was still in my lungs. Early on, I would simply take whatever pill the nurse was offering me. I was trusting that all of the bases were being covered. I had a bit of a fever, too, and the Tylenol seemed to take care of that. That was my only option for fever or pain.

Curt was interested in talking about when Jenny would be flying to Montreal. I was more concerned with protecting her during her busy season at school and not wanting to make plans until we knew my status and how long I might be staying in the hospital. There was a thought floating around that I might have to stay in Montreal for two weeks before flying home. Making international travel plans required a bit more planning than we had data for at that point.

At some point Thursday evening, I talked to our oldest son Jameson. He was totally shocked, as was his wife Bethany who was listening in the background when Jenny had called Jameson. Bethany said that she knew they couldn’t be talking about me and must be talking about someone else who had heart problems. It was good to talk with them. It was Friday when I talked with Justin, our middle son, who had been called by Jenny the night before during rehearsals of a new show that was about to open. Justin said that he had been too emotionally spent from his day and my news to call on Thursday. I know the feeling. Jed would call later in the weekend and in his unique style started off by saying something to the effect of, “So, you had a little surprise up there in Montreal.”

As messages began to come back from friends and family, it is restorative and nourishing one’s soul to hear folks say that they are glad and thankful that you are alive. And for them to be thanking God that you are alive.

For a couple of years, I have been using a birthday greeting that I learned from Henri Nouwen. It is in his “daybook” called “Bread for the Journey” on the reading for February 13. Here it is:

 Celebrating Being Alive

Birthdays are so important. On our birthdays we celebrate being alive. On our birthdays people can say to us, “Thank you for being!” Birthday presents are signs of our families’ and friends’ joy that we are part of their lives. Little children often look forward to their birthdays for months. Their birthdays are their big days, when they are the center of attention and all their friends come to celebrate.

We should never forget our birthdays or the birthdays of those who are close to us. Birthdays keep us childlike. They remind us that what is important is not what we do or accomplish, not what we have or who we know, but that we are, here and now. On birthdays let us be grateful for the gift of life.’

It is a powerful and profound message that truly says what we feel, but are often afraid to say. Coming near to death gives us an invitation to express how we really feel about someone. A birthday can do that as well.

Curt, also, shared with me that night some of his and Nathan’s conversation from Wednesday evening while I was in surgery. They discussed ways that this heart attack might change my life and how things would be different. They observed that I was a good man and that I really “got” the mission and vision of L’Arche. Good words to hear.

I slept well that night.”

Sacred Heart Attack — Chapter 3: “Don’t Worry”

This is the third chapter in my journal from my heart attack in Montreal that I suffered on Wednesday January 9, 2013. The clot aspiration and angioplasty procedure to unblock my anterior pulmonary artery seems to have been successful and I’ve been moved into the Cardiac Care Unit (CCU) of Sacred Heart Hospital in Montreal. This is where we pick up my story.

“Throughout the night there were regular visits by nurses and orderlies to check my vital signs, sample my blood and make sure the I-V’s were working. Quite early in the morning on Thursday, I was greeted by a young, petite Chinese-French-Canadian woman in a crisp white jacket. She introduced herself as one of the Resident Cardiologists who would be overseeing my care. She asked me how I felt, listened to me breathe, listened to my heart beat and looked at the right side of my neck. She liked to use the word, “Perfect.” In fact, I think that was one of the favorite words of all of the doctors. So, everything was looking, eh, perfect.

She said that there were questions about my insurance and how payment might come. I’m thinking, yeah, I’m way out of network at this point! She said that hopefully they would hear from my insurance company about care and next steps. I felt vulnerable and weak. Then, she said, ‘But don’t worry, we’re going to take care of you, regardless.’

It was as if her voice and words were the voice and words of Jesus. I felt loved. I said, ‘Thank you. Thank you.’ She smiled and left my room. I went back to sleep.

During a heart attack like mine, the blood begins to back up in the vessels coming from my lungs. The extra pressure forces liquid out of my blood and into the air sacs of my lungs. If the process wasn’t stopped, I could’ve drowned in my own body fluids. So, one of the residual effects of the blockage of my artery was that there was still extra fluid in my lungs. Meds that I’m taking are helping to move that extra fluid out through urination. In the meantime, there’s a sign on the window of my room saying that my fluids are being limited. When most patients in CCU received a Big-Gulp-sized cup of iced water to start the day, I got the 8 ozs. version. Even though I had a saline drip in one of my I-V’s, I spent the next couple of days being thirsty.

So, throughout Thursday, it was BP, pulse, a paper ‘thermometer’ to check my body temperature, random EKG’s, multiple blood samples (the nurses had a port in my right arm reserved for snapping on test tubes), and the listening to and looking at my body. And most commonly followed by, from my otherwise French-speaking friends, the adjective: Perfect! I began thinking, “Really? I just had a major heart attack. How about ‘Good…, under the circumstances? Or, not terrible?’

Dr. Guy Lalonde was the chief cardiologist with oversight of my care. Every morning a couple of the resident (young) cardiologists would come to see me and then sometime later, Dr. Lalonde and “the bus” (as the nurses called the entourage of residents and a pharmacy student) would come to my room to do a more in-depth examination and discussion of how I was feeling.

Pretty soon, Dr. Lalonde began discussing the left-side artery that was approximately 70% blocked and whether I (and my insurance company) wanted to go ahead and put a stent in it on Friday. My inclination was to go ahead with that course of action since that would be the standard protocol with patients in my condition. Since Canada has a national health insurance program, this huge hospital didn’t have lots of billing and insurance specialists. Dr. Lalonde was making calls to and being put on hold by my healthcare insurance provider himself!

It was a strange feeling being in limbo. Would I be transferred by medical transport to another hospital in Atlanta? Would I stay in Montreal for a few more days or weeks? And at this point, none of my family back in Atlanta, Chattanooga, Birmingham, Dayton or Dallas, knew I was even in the hospital! Wow!

Curt Armstrong; executive director of L’Arche Atlanta, my friend and fundraising partner over the past few years; was the first familiar face that afternoon. It was great to see him and he brought a card full of messages from the 50 L’Arche USA and Canada retreat participants that I had been a part of that week at Villa Saint-Martin in North Montreal. Curt said that during the morning small group time, the conference had shared a time of corporate reflection and prayer for me.

News of the prayer time and the messages on the card were a powerful witness to me that the Body of Christ was present and that my fellowship was not broken by my absence.

We had been scheduled to fly home to Atlanta on Thursday afternoon at the workshop’s conclusion. Curt had ridden to the airport with Nathan and canceled our flight with Delta. Curt was going to stay on for a couple of days until we had a sense of how long I’d be in the hospital and when Jenny would be able to arrive in Montreal. It was a comfort to have Curt there and I was able to shed a tear or two as I was moving out of shock and the reality of my heart attack was catching up with me.”

 

 

 

Sacred Heart Attack — Chapter 1: Winning the Lottery

Ever since surviving my heart attack on January 9, 2013, I’ve thought that my first post would have the above title. As someone who had too often thought about what it would feel like to win a lot of money and be somehow more “free” or less stressed about life, I thought that this is perhaps a similar feeling. I’ve written about 40 pages of recollections from the seven days that began on the 9th in Montreal, QC, Canada and ended with my flying home to Atlanta, GA, USA on the 15th.  I’m only going to share a couple of vignettes in this first post. Hopefully, they are as profound to you as they are to me.

“Shortly, a triage nurse motioned for me to enter her office. It seemed like she quickly assessed what was happening. I handed her my passport, insurance card and a few medicine bottles I had in a plastic bag. She asked if it was okay for Curt and Nathan (friends who had brought me to the ER at Sacred Heart Hospital of Montreal) to complete the paperwork. I said, ‘yes.’ And she said, ‘You come with me!’

We stepped into a larger area with a raised platform in front and lots of activity. Dr. Garner asked me to describe my pain and how long it had been going on. After a couple of diagnostics (EKG, PB, etc.), he asked me to get undressed and lay down on the gurney. Shortly, Dr. Garner said, ‘I’m sorry to say you are having a heart attack, probably from a blood clot. We’re going to try to find it. You should’ve come in earlier.’

I had been having chest pains pretty steadily since about 3:00 PM. It was now about 6:00 PM. I had no idea that the artery that was 100% blocked was the primary delivery artery of blood and oxygen to my body. I was experiencing Acute Anterior Wall STEMI or Anterior Myocardial Infarction that results from occlusion of the left anterior descending artery. A major heart attack. Pure and simple. Minutes mattered and I was about 3 hours into it.

I was stunned, but not really surprised at that point. What else could it be? I had tried to address occasional chest pain for a couple of days as symptoms of esophageal reflux.”

More on what happened next, in a future post…

Here’s the other vignette I wanted to share as the cardiologist who performed the angiogram and angioplasty on me that night shared a few days later.

“The hospital discharge process started late morning on Monday the 14th. My wife Jenny, son Jameson and friend Gus had arrived around 10:30 AM. Dr. Charron came by to pick up his payment in cash that Jenny had brought. I was grateful that Jenny and Jameson got to meet him. He was a late 30s high-energy guy who reminded me of musician and band leader Paul Shaffer. It was during our visit that morning that I learned of the difficulty he had reaching the blockage on Wednesday. He said that a couple of arteries were crossed and he was successful when making a final effort to reach the blockage before resorting to cutting open my chest and doing the surgery from that perspective. He said that doing open heart surgery in emergency situations like mine don’t turn out well. It was not what he wanted to do.

I became even more thankful for the mercy of God, the prayers of His people and the skill and persistence of Dr. Charron and his associates.”

We don’t often learn of the ways God and His angels have protected us or saved us. So, being made aware of our closeness to death is an awareness that makes more precious all of the people and creation around us. I think it is better than winning the lottery.

To be continued…

Epic Thanksgiving

A Family Gathering

When the extended family gathers for holidays or weddings or other special events, there is great expectation and not a little anxiety about how we’ll all get along. For a couple of years, we have had the privilege of hosting family for the Thanksgiving Day Meal. Last year, we were comforted by each other’s presence as my wife and brother-in-law had lost their father and mother in the period of five months. We circled, held hands and gave thanks prior to the meal and felt God’s gentle presence. Most shed a tear or two as we thanked God for the love of parents, in-laws, grandparents and friends.

Prior to this year’s gathering, I sent an email suggesting a pot-luck-ish menu and provided a preview of what I’d like for us to do with our time after the meal. As a way to expand the simple “what am I thankful for this year”, I suggested we share something we are thankful for from each decade of our lives. There were a couple of jokes in the replies about those of us who would be telling stories that would bore the more youthful, but I didn’t know what to expect.

There were 20 of us who ate together on November 22nd ranging in age from 22-80. As we progressed through the meal and moved to dessert, I reminded folks of the multi-decade thanksgiving exercise and that we should probably start. My sister-in-law and brother set the early tone. They had worked on their lists and began to share deep heartfelt stories of growing up, friendships, love, children, challenges and victories. They confessed before all of us their love for each other and for us. Next, my Mother chimed in with some of the stories of her life. Wow, this is on! Folks were sharing their life stories with laughter and tears and “you may not have heard this before…” and so on.

After only a few had shared, it was obvious that this was a special and powerful time. Not to be forgotten. The friendship, love and support or our family was affirmed repeatedly.

There was in just about every story times of challenge and difficulty that in retrospect were times that we were now thankful for and could see God’s hand in. From the oldest to the youngest, everyone had a powerful story to share. My youngest son, 22, shared about his life now in another city and the happiness of being able to ride the public transit bus to his job he enjoyed each day and to go shopping, to a movie or to a concert with friends. Things that weren’t even dreams five years ago.

In Proverbs 17 we read that a cheerful or merry heart is good medicine. I can testify that our time of giving thanks through the stories of our lives was very good medicine as our hearts were cheered. As you gather with family and friends during the holidays and listen to the story of Jesus’ incarnation, listen too for echoes in the stories of your family. And give thanks; it’ll do your heart good.

There’s A Story In You

Over the past five years, I’ve come to understand that the arc of life or rather the arc of eternity is a grand story. In The Lord of the Rings by J. R. R. Tolkien, a story unfolds of a young man who was chosen to play a significant part in a very large story. The story is captivating and millions have read and viewed that story many times over. We resonate with that story and feel some kinship to Frodo Baggins and Samwise Gamgee and their amazing journey. We hurt with them and cheer for them as they overcome obstacles and fight for their lives and the lives of those in their homeland and beyond.

Do you ever feel like there’s a story that’s bigger than your personal journey, but you’re not sure who’s writing it or what part you are playing? If you answered in the affirmative, then, welcome to the human race! You are a man or woman created for beauty, strength, love and adventure.

Your question is not new. In the Ancient Near East, the great King Solomon asked the same question. He asked many questions, but perhaps his most profound or powerful question and observation was recorded in the book called Ecclesisates. You’ve probably heard parts of this book read or even sung. The early 60s rock band The Byrds recorded the song Turn! Turn! Turn! in 1965 that drew heavily on Solomon’s writing about the seasons of life. They sang from the third chapter of Ecclesiastes about “a time to plant and a time to uproot, … a time to weep and a time to laugh,” and their lyrics rang true. Many of us have experienced those times.

A further reading of that same chapter finds these words:

God has made everything appropriate in its time. He has also put eternity in their hearts, but man cannot discover the work God has done from beginning to end. (Eccl. 3:11)

It is a fascinating read. The insight that Solomon brings as he describes God’s relationship to his creation and, especially, people is profound in every phrase. So, there is a grand story in our hearts. Put there by our Creator God. What difference does that make? So what?

Solomon says that this sense of a Larger Story was put in our hearts by God. And that we don’t know the end of the story from the beginning. If you read further in the same paragraph, Solomon suggests that there are recurring themes or vignettes that makes it more confusing.

We end up looking for validation on our part of the story. We look for a script or a piece of the script that might show us where to stand or what to say. Solomon says that with that “eternity” comes a burden to search for our part to play. Otherwise, it’s all meaningless. And without meaning and understanding our essence and living in that essence, we begin to die.

Alas, there is hope. Our creator and author still lives and wants to have a relationship with all of humanity. You and me, too. So, we take our question to God. We ask him what our part in his story is and, then, … we listen.

And it is a captivating story. This is going to be good. I’m in this Act! And you are, too.