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Just had a heart attack

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Re: Just had a heart attack

#181
post #4

Can someone with some medical experience write about what are exactly the warning signs for a heart attack? While it's definitely wise to call 911 when in doubt, it's good to have own understanding first so we don't ignore the symptoms AND don't flood 911 with false problems.

I don't have medical experience, but I had a heart attack a year ago. This is what I felt:

- Feeling diffusely sick, no specific pain, but a feeling that something was wrong.

- Oppression in the chest.

- Mild pain in the left arm

- Cold sweat.

I tried to drink some water, open a window to have fresh air, sit and relax, but after a couple of minutes nothing improved. I was at the office (alone) so I googled the symptoms of a heart attack and next thing I was calling 112 (Spain's equivalent to 911).

It was a mild heart attack, I got a procedure in the ambulance that stopped the attack, and a barely had heart damage. I had a triple bypass surgery a week after the attack, because the three main arteries were clogged. So it went well, because with those arteries I could have had a more serious attack at any moment.

My advice would be, if you are not feeling right and you never before had those symptoms, call 911 (or whatever the number is in your country). The people that picks up the phone are trained to assess the calls, and anyway it's better to raise a false alarm than to die.

Re: Just had a heart attack

#183

Last year when i was 27 i had a strange feeling in my chest after smoking a cigarette, i didn't smoke for 4 years in row. After 2 minutes i got very nervous and i felt overall very strange. Two days later i smoked another cigarette and the same feeling started again, but this time it felt like ants are running up my neck. After 5 minutes and calming down me teeth started to itch. From day to day i got more and more w…

For the first time they found troponin in my blood Probably a selfish, personal comment, but I immediately searched for the word "troponin" in this thread and smiled to see it in the second post. As an engineer having spent the last decade or so on an instrument that, among other analytes, measures the level of troponin in your blood (serum), it's quite satisfying to remember that my work is saving lives. Sure, you m…

Well yeah, it might not be as exciting as webapps, but that's the difference between a job and a hobby. If your daily job includes exactly the kind of craftsmanship you could spend years doing happily, that's great; but if your job is more boring than that, you still have a few hours each day to devote to the more exciting kind of software development. However, in the meantime, your job, as boring as it might be on the worst days, is still saving lives and working for the good of the society. Hell, I wish I could say the same about my job (which may affect millions of people around the world, but in a far less relevant way).

Yes, you do matter. People are better off thanks to you. Sincerely: congratulations, you're a lucky man.

Re: Just had a heart attack

#184

Last year when i was 27 i had a strange feeling in my chest after smoking a cigarette, i didn't smoke for 4 years in row. After 2 minutes i got very nervous and i felt overall very strange. Two days later i smoked another cigarette and the same feeling started again, but this time it felt like ants are running up my neck. After 5 minutes and calming down me teeth started to itch. From day to day i got more and more w…

For the first time they found troponin in my blood Probably a selfish, personal comment, but I immediately searched for the word "troponin" in this thread and smiled to see it in the second post. As an engineer having spent the last decade or so on an instrument that, among other analytes, measures the level of troponin in your blood (serum), it's quite satisfying to remember that my work is saving lives. Sure, you m…

It is far more exciting than webapps.

Webapps are the technical equivalent of Richie Cunningham but biomedical engineering is The Fonz.

Re: Just had a heart attack

#185

You're quite lucky that you could afford that hospital trip. In the US, it would typically go like "My doctor made some tests and he said that it doesn't look like a heart attack but something is wrong with one of the lines on my ECG. He asked me if its ok to call the ambulance for doing more checks at the hospital. I said no, I can't afford that. So I died four weeks later." This isn't an exaggeration. Many people l…

About 16%[1][2] of Americans don't have health insurance. While the situation you describe is tragic and too common, it is a gross exaggeration to say it's "typical." Someone unfamiliar with the United States would read what you wrote and assume that this is the usual situation, when in fact it is relatively rare. Should something be done to help that 16%? Yes, of course. Is it common? No. [1] http://www.gallup.com/p…

That's a peculiar interpretation of 16%.

Something that is true for 1 in every 6 people surely isn't a rare event.

Re: Just had a heart attack

#186

Earlier quoted context omitted.

Right. I'm "scaremongering" by explaining the situation faced by many middle class families in the US on a forum for programmers, and I'm personally contributing to more deaths, not the poor healthcare system. Okay. While it's true you may not lose your house (which I clearly articulated in my previous comment), there's more to life than a house. If you can't drive to work because you no longer have a car, then that'…

Yes. You're scaremongering. You're (by your own admission) using an extreme situation to make a point. If you choose to emphasize this extreme situation, as you did, then yes, you own some personal responsibility. If you don't like that, then don't use extreme cases to make whatever point you want to make.

Hm. Actually, I think I love it. I'm going to go out of my way to use the most extreme situations in order to contribute to as many deaths as possible, simply by having conversations on the internet. Bonus points if my rhetoric influences the death of a small malnourished Dachshund. Thank you for pointing out my previously-unknown power over life and death. This is awesome!

You're (by your own admission) using an extreme situation to make a point.

No, the situations aren't extreme. Like I said, people typically live paycheck to paycheck and can't afford trips to the hospital. The fact that someone on HN had direct evidence of this shows us how common the situation actually is. We should choose not to like that, and do something about it through voting.

Re: Just had a heart attack

#187

Earlier quoted context omitted.

You are wrong. I have actually had a doctor check something and then ask which health insurance I had before recomending a follow up examination (which actually revealed something serious). If I had had lesser insurance and he had left me with a "it's probably fine", I might indeed be dead now as with the op.

You're conflating two different things: the inclusion of price as a factor in medical decision-making, and hospitals' refusing to provide needed care to people who cannot pay. The former, I agree, is a real problem (as I have now said repeatedly). The latter is generally a myth perpetuated by irresponsible people who want to score cheap points in the healthcare policy debate.

If whether someone has medical tests recommended by their doctor is based on their level of insurance, then that is refusing care to those who cannot pay.

Re: Just had a heart attack

#188
post #83
post #18

Earlier quoted context omitted.

Here's the thing - people experiencing a heart attack can have any combination, or none of the symptoms. So here's some of the symptoms, bearing in mind that they may or may not apply to any given situation. Chest Pain The first and most obvious sign is chest pain. It may be radiating down your left side (jaw/arm). It is generally described as a crushing pain. This symptom is less likely to occur for women or people…

If the chest pain is not relieved by resting (i.e. sitting down), it points towards a heart attack. But if you have repeated episodes of chest pain relieved by resting, it might point to angina pectoris -- not technically a heart attack but potentially serious. If it's unpredictable pain and not relieved by rest, it could be unstable angina and much more serious. Yet another thing that makes heart trouble difficult t…

Yes, that's true.

Re: Just had a heart attack

#189

You're quite lucky that you could afford that hospital trip. In the US, it would typically go like "My doctor made some tests and he said that it doesn't look like a heart attack but something is wrong with one of the lines on my ECG. He asked me if its ok to call the ambulance for doing more checks at the hospital. I said no, I can't afford that. So I died four weeks later." This isn't an exaggeration. Many people l…

This is an exaggeration, and it's an unfortunate one, since it distracts from the truth of what you're saying. As many have pointed out, a person who chose to be taken to the hospital would be taken to the hospital and treated whether they could pay for it or not. The result of this would be a serious amount of debt, but likely could be paid down with a monthly payment. The worst case scenario is bankruptcy, which su…

I don't really want to wade into a political argument about health care, but this one specific part:

> The worst case scenario is bankruptcy, which sucks (though it sucks much less if you're already poor and have no credit to destroy).

Even though you immediately followed it with kind of a "but", I think you're seriously underestimating the effects of debt on someone in the U.S.

I have struggled financially for over a decade, after a period of doing really well. I could spend hours talking about the consequences of being poor (in U.S. terms).

1. Your housing options automatically become drastically limited. If you have bad credit, you don't get to pick and choose apartments or rental houses; you're more likely to end up in shared living arrangements or in the kind of apartment complexes that are willing to house people with bad credit, which also means your stuff is more likely to be stolen -- stuff that you can't afford to replace. (Having a load of laundry stolen was a hardship for me for about a year.)

2. Your employment options also become more limited. A lot of jobs, especially those that pay well, now do cursory background and credit checks as a proxy for judging whether or not you might try to rip them off. That of course makes it even harder to pay off your debt.

3. Forget about having reliable transportation. I've gone through 9 cars in less than 15 years: from one junker to the next. Used car prices are insane right now, so you're going to be stuck with someone's $500 or $1000 mechanic's special -- because that's all the cash you've managed to scrape together -- or you'll be doing a lot of walking and public transportation, neither of which are terribly convenient in most places in the U.S., which again limits your job options.

4. That beater you drive, if you drive one, becomes a target for law enforcement. They are most interested in cars that look like their registration may not be current, look like they may be a road hazard, look like they may be driven by a college kid with marijuana under the seat, look like they have a broken window ... the increased scrutiny is not only irritating, it can get expensive too, depending on just how poor you are.

5. Because your finances are limited by a lower-paying job, you're more likely to lack access to higher education, better quality food, or healthy hobbies.

6. You end up paying more for everything. You don't get to take advantage of discounts (for example, paying 12 months of insurance up-front), and if you do have any credit cards, you'll pay more on their rates.

7. If you don't have credit cards, every unexpected personal financial problem becomes a disaster. Oh, your radiator just blew a seam? Well, I guess you won't be driving anywhere for a while.

I'll stop there. Anyway, I don't completely disagree with you, but let's not just skip over the consequences of having a lot of debt. They can be really serious and long-term and dramatically change the quality of life someone has -- for the rest of their life.

Re: Just had a heart attack

#190
post #50
post #45

Earlier quoted context omitted.

One problem with this is that, I, as an individual suffering from anxiety, "regularly" suffer form chest pains. This often spirals into the terrible cycle of anxiety -> chest pains -> anxiety about the chest pains being a heart attack. I can only assume that the chest pains will be different and more severe if I should ever have a heart attack. http://www.calmclinic.com/anxiety/symptoms/chest-pain

Literally yesterday I treated a patient who has had 4 presentations this year to emergency with chest pain that sounds cardiac enough, except it lasts for several hours sometimes and sometimes she can 'feel it coming on' and heD it off by relaxing. Still, it could always be a heart attack and until a through work up is done to exclude it (acutely, ECG and troponins, as outpatient, stress test), it is worth investigat…

I suffer from anxiety and panic and have for years. Just reading this post and your post makes me anxious. The reason being I have seen a Cardiologist and had stress tests but years ago. 2 of them about 9-10 years ago after so many ER visits and then another about 5-6 years ago. All were fine.

EKG's have always been normal as has blood work when I did go to the ER. At my primary care doctor EKG's have also always been normal.

I have been in CBT and getting better but I have to say your post kinda opened a wound. The reason being my primary care doctor says I don't need a stress test and that the prior ones are good enough. She says given my age of 29 and risk factors there's just no reason for it. So far she's been right. Over the last 12 years the hundreds of times I have had chest pain I am not dead yet.

I guess now you have me a tad worried. My primary care doctor and her colleagues have been so convinced at times when I show up with chest pain they don't even think a EKG is necessary.

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