Medical

Nov 9 2010

One Year Anniversary

At this precise moment one year ago tonight, I was sitting here at my computer when, out of nowhere, the room went dim for several seconds and I felt extremely woozy and nauseated. Then minutes later it happened again, and I knew that something bad was going down! My nurse immediately summoned the paramedics who whisked me away to the emergency room. With a dangerously puny pulse rate of 29 for two solid hours, it appeared that I would soon be a goner! But as quickly as trouble came, that number soared all the way back to the mid-nineties and into safe territory. Frankly, I thought I was doomed, finished, kaput, and on my way toward the light! But it turned out that my tattered old ticker just played the trick of all tricks on me, and I really didn’t appreciate it!

I remember the dumbfounded look on my cardiologist’s face as he entered the examination room a couple of days later. It was a look of “What the hell?” He could not believe that I survived. He was downright blown away! I had returned from the depths of complete heart block, which is a very rare occurrence, and left the man utterly speechless! It suddenly hit me that I had dodged a meteor! This wasn’t some little attack of heartburn. This was some serious shit. It could have killed me!

Anyhow, I believe that a modern miracle happened on that day. I believe that my life was spared for reasons beyond all comprehension. Duchenne muscular dystrophy tried once again – this time with a wrecking ball – to take me out, and I somehow managed to skip away. Sheer coincidence? Fat chance! When you stare death square in the face and have the inner strength to scare it off, that ain’t coincidental. That’s a gift from above!

An entire year has passed since I received yet another second chance, and I am thankful. Am I indestructible? Although it may seem so sometimes, I can assure you that I am not. Am I blessed? Well, you don’t have to convince me!

By Scott F. Sands • Medical • 4

Nov 1 2010

Compliance Tour


Recently, I went over to the box office at the spiffy new Amway Center to purchase two tickets to an upcoming Orlando Magic basketball game. There, my nurse spoke with the head of security and we were treated to an impromptu sneak preview of the place! We wanted to see the inside of this amazing facility for ourselves. We wanted to see where we would be sitting during the actual game. We wanted to know our proximity to the paramedic station in case of emergency. We wanted to make sure that the bathrooms were large enough and private. And I wanted to do my own inspection of Amway for safety, wheelchair accessibility and compliance with the Americans with Disabilities Act or ADA. I was not doing this solely for personal interests, but I was also looking out for others in similar circumstances.

A member of the Amway Center staff was kind enough to escort us on the grand tour. We rode the extra larger elevator – one that could accommodate at least six wheelchairs – up to the spacious main concourse, then down one level to a rather secluded disabled seating area. It was sort of like a little V.I.P. box, sans the V.I.P. amenities. However, from a disabled guest’s standpoint, I did notice a few alternative perks of my own. The section was perched above the regular seating area, so I will no longer have to endure fellow spectators standing and blocking my view during pre-game player introductions, great plays and buzzer-beaters. Now I can finally enjoy the very same unobstructed view, a view for which I invested the same money. Plus, a rear wall now protects me, so no one will be able to crowd behind me throughout games or concerts. I will no longer be in constant fear of some careless idiot spilling beer on my ventilator, or even worse, bumping into me and knocking loose the tubing that runs between my trachea and ventilator! I have certainly had a fair share of these hazardous mishaps over the years, so it is comforting to know that unless somebody hurls a mustard-slathered hotdog at my head from the upper deck, I will be relatively safe. There is even an electrical outlet on the floor beside my spot where my nurse can plug in the ventilator if the battery runs low, or my electric blanket if the air conditioning gets to be too much.

As we made our way down the long ramp from the disabled seating section, we passed two somewhat enormous special needs bathrooms. I immediately darted into one and did a full 360 with ease! Again, we rode the big elevator back up to the main concourse and continued the tour. I took notice of this wide hallway, which would offer me tons of room to roam. This means no more plowing blindly through a sea of bodies and running into butts and over feet to leave the building after the event! On the way to the main elevator, our escort pointed out a large concession/bar area with a few lower countertops and tables for guests in wheelchairs. My only disappointment was with the signage that is supposed to direct folks to the primary paramedic station. There was a single, good-sized sign set flush on the facing above the doorway. It was quite difficult to spot since it did not extend out from the wall for obvious view.

Overall, the difference between the old arena and the brand new Amway Center, as far as safety and ADA compliance goes, is astounding! The designers of this place included practically everything per law to accommodate disabled guests, and they should be commended for their efforts. Next week’s Magic game will be my very first event there, and I can’t wait to see compliance in action!

By Scott F. Sands • Disability, Entertainment, Medical • 6

Oct 2 2010

9 Seconds

I was going to write and publish this post yesterday, but my brain was far from cooperating. Strange how difficult it is to write when your mind is preoccupied with the potential for being electrocuted by a little metal time-bomb inside your chest! Here’s the scoop…

Yesterday was my quarterly visit to the Orlando Heart Center for a device check. This is when my Implantable Cardioverter Defibrillator (ICD) gets tested to see it is functioning properly and spews out a three-month log of my cardiac activity. And next on the afternoon docket was a follow-up with my electrophysiologist, Dr. Roland Filart, a cardiologist who specializes in arrhythmias. He read the printed report and told me that the ICD checked out just fine. He also noted that the device recorded four episodes of life-threatening ventricular tachycardia – or deadly rhythms as he called them – in the past three months. Now, I am not a big fan of the word deadly, especially when it pertains to me. I mean, deadly doesn’t exactly instill confidence in a person. I would much rather hear funky or iffy or even wacky when referring to my ticker. That would kind of take the edge off, you know? But since Dr. Filart is a straightforward type of guy who pulls no punches, deadly was the best way for him to define my heart’s funky rhythm. My heart rate had raced four times at speeds between 170 and 225 beats per minute, but lasted only about six seconds each time. I asked the doctor why I didn’t get zapped by the defibrillator when it is set to fire whenever my heart rate hits 180 beats or higher. Well, he said that the device would not go off unless an episode lasts for about fifteen seconds. Do the math – fifteen minus six is nine. Therefore, nine measly seconds separated yours truly from getting shocked senseless! I was only nine measly seconds away from finding out if the defibrillator would actually save my life!

It is quite unnerving to know exactly how close I might have come to meeting my maker. Like all artificial or computerized devices, an ICD is man-made, susceptible to potential failure and doesn’t necessarily guarantee anything. You see, if the ICD fires and does jolt my heart back into a safer rhythm, I may still get a crack at survival. If not, I’m a dead man. I believe that odds are supposed to be beaten, and I have done it over and over throughout my lifetime, but I need to be realistic. I’m hanging by a thread now, so I would prefer not to think about my fate.

Considering the obvious severity of my condition, Dr. Filart said he was pleased with the results and told me not to worry. As part of my own personal Magi, he has helped to prolong my life once before, so I trust him to the hilt. But how could I not worry? When you are just nine seconds away from craziness and intense pain, you worry. And panic! I remember author and friend with Duchenne muscular dystrophy, Josh Winheld, telling me a few months prior to his unfortunate passing about how frightened he was when his defibrillator fired several times in a row. So after my own surgery, Josh, offered this sound advice: “Dude, don’t get shocked!” Well, I don’t want to get shocked, and like the next guy, I certainly don’t want to die! I typically block these things out of my mind, but although the doctor was relatively pleased, I wasn’t! Nine seconds surely messed with my head, leaving me with a few extra doubts about my mortality. I know that it is only a matter of time before the ICD must fire and pummel my insides, and I don’t think I will ever be truly ready for it. I am also not ready to see if the device will indeed keep me alive. Heck, I ain’t that strong!

Yesterday served as yet another cruel reminder of how DMD has mercilessly ravaged my heart and numbered my days. Guess I should just be glad I have the ICD to give me a fighting chance against this bastard of a disease. Still, nine seconds is definitely way too close for comfort!

By Scott F. Sands • Disability, Life, Medical • 8

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