Deacair

deacair

I have named my carrot-shaped heart-sitting aneurysm “Deacair.” (That’s Dee-care.)

It’s the Irish Gaelic word for “inconvenient.”

If one must have a fellow traveler, why not give it a name? The thing I can’t decide on is its personality. Is it a monster, like the demon sitting on the airplane wing from that creepy show, trying to kill everyone and everything aboard? Is it a little Gizmo, hoping you won’t feed it so it doesn’t have to turn into a gremlin? Is it just going to sit there and do nothing, or is it going to cause trouble? Whose side is it in; does it WANT to kill its host? Viruses don’t. Why couldn’t I have just gotten sick?

That’s the problem with a malfunctioning part. You’re not sick–until it malfunctions. And it won’t malfunction unless it gets big enough to block blood (they tend to be bigger than 5 mm for that, and Deacair is 4.5 at the big end.) Or you pick up something and strain yourself unexpectedly, or hold your breath while straining, or something scares you suddenly….

It’s a little bit like playing Russian Roulette with a heart valve, and at the same time it’s one of the most normal abnormalities ever. One in 100,000 people has one of these–although they’re all over the place: thoracic, abdominal, aortic. Little carrots (or windmills or pebbles or even hearts) gumming up the works in your bloodworks.

Annoying, they are. Everlasting, too, because you’ve got to deal with the fact that something is sitting there and it’s not going away and it’s not a good idea to go randomly in and fix it surgically because that introduces all kinds of fun new complications like infection. But all you want is for the last day you didn’t have a problem to be the way you live now. So you don’t have to think twice before shoveling dirt, or diving into a lake, or otherwise living your best life now.

So you go ahead and live your best life, because popping an aneurysm is not on your list of things to do today.

Except you might not be in charge of that list anymore. Control freaks with aneurysms are grumpy, conflicted people, folks. It’s a little claustrophobic and a little freaky and it can’t be what occupies your mind or you’ll go nuts.

And it’s inconvenient. So it’s not so much “welcome Deacair” as “ok Deacair, what do you want?”

Sigh.

The Funny Side of Malfunctioning

So if I’m going to take you on a journey with me into my brave new health world, let’s start with how I entered it. Which is, if I do say so myself, a very funny story.

I went to Mexico with the Wayfaring Writers. One of the attendees was a retired MD whose granddaughter had given her the flu just before she left, so she was getting antibiotics from a local clinic.

In Mexico, if you want antibiotics, you go to the pharmacy, see the doctor attached to it in an office next door, pay something around $5, and get a diagnosis. Watching my friend do this, I kept thinking how nice it would be to take a little souvenir home: cheap Cefalaxin. I’m one of the lucky ones allergic to penicillin. Getting cheap C to take back sounded good, but there was one problem.

I was healthy as a horse.

My MD friend smiled at me. “You’d have to lie. The easiest lie is to say you have a UTI. Those symptoms are easy to describe.”

“Are you enabling me?” I laughed.

She shrugged, and smiled again, and said nothing.

So two days later, having wrestled my moral concerns into submission, I went to a pharmacy, and saw a doctor. I paid him $3 and began describing the symptoms I did not have.

He kept staring at me. He knows I’m lying! Hot guilt suffused my face.

He asked, did I have a fever? Did I have a backache? Was I short of breath?

These are not UTI symptoms.

When I answered in the negative for all these, he said, through the Spanglish sign language combined with his phone’s Google Translator, that he was going to take my blood pressure. He used an electronic arm cuff, read the meter, and his eyebrows shot into his hairline.

He got out a sphagnometer (the manual cuff that requires a stethoscope) and took it again. Then he wrote something on a pad, and said, “You’re getting an EKG.”

Uhhhh, okay……

Twenty minutes and $15 later, I was naked on a bed while  a very handsome man ran his hands over my breasts. I swear to you, in that moment, the ONLY thing I could think was, I really should have been more specific about my fantasies for this trip.

I told the doc on our trip about my adventure, and she said likely the doctor who sent me for the EKG was reacting to something I was doing without knowing it: panting, perhaps, short of breath; or flushed because of the exertion of the heat and the heart not liking each other in a country full of salt and alcohol. Both of which were flowing through my veins at that point quite freely.

Two hours later, I was back in the kind doctor’s office with an envelope, which he took, studied, pursed his lips. Then he reached for his phone.

You have upper left blocked.

Dude, I need a noun. But Google was not yet up to providing “ascending aortic aneurysm.” That would come two months later, when I was hooked back into the American system struggling to get appointments.

I think fondly of Mexico these days, and that souvenir envelope containing the EKG that may well have saved my life (and a box of Cefalaxin). As anyone with an aneurysm can tell you, the most important thing about having one is knowing that you do.

So I’m on an interesting journey and will tell you more later, but all hail that kind doctor who looked, really looked, at me, and saw through me straight to my heart in the best possible way.