Monday, January 27, 2025
I went to bed shortly after 9 last night, anticipating an early rise. I was so anxious about the day ahead; the only thing I was good for that evening was binge-watching Elementary and playing Free Cell. I had to catch the 7 amflight to Honolulu to get to the Kaiser hospital for medical testing in Honolulu, specifically heart-related tests: a stress test and an echocardiogram. I was bright-eyed and bushy-tailed by 2. I got up to pee several times but forced myself to stay in bed. Why, I have no idea. I had the alarm set for 4:45. I got up then, walked, and fed Elsa. I had packed everything except for electronics and their chargers before I went to bed. I had asked Darby to pick me up at 5:50. She was in the driveway by 5:40.
It only takes 10 minutes to get to the airport. This time, the reservation number worked. TSA wasn’t a problem. The airport has been reconfigured since I flew last in 2019 when I returned from my five weeks in Honolulu while Mike lay dying. The waiting area was familiar. The plane started loading at 6:30, as I thought it would.
I had an appointment for these tests at an earlier date. I made it to the airport by 6:30 for my 7 am flight. I didn’t have the complete reservation number and had to speak to a clerk. The guy told me I had missed my flight. The door closed at 6:30. Everyone I told about this was shocked. Our small local airport was recently converted to a small International airport. Half an hour before flight time is all you needed. It was still all I needed. The flight this morning didn’t start boarding until 6:30. The clerk lied to me.
Today, I arrived safely in Honolulu and then went to the shuttle area to wait. I arrived shortly before 8. I asked some airport workers when I could expect the shuttle. They didn’t know. I set my alarm for 9. If it didn’t arrive by then, I would take a taxi. After 45 minutes, another worker walked by. I asked about the Kaiser shuttle. He said the shuttle pick up/ drop off was moved to the other end of the airport. I walked down there. The next shuffle would be too late for me. I got a cab for a mere $25. Whatever, I got there on time.
Check-in at admissions went smoothly. I had to go to Room 345. I found a sign for ‘stress test’ but no room number. Someone asked me what I was waiting for and directed me to room 345, a large waiting area with check-in.
My next stop was nuclear imaging. A lovely Asian man, Hong, took me to a side room, inserted an intravenous needle, washed it out with a saline solution, and then put in the dye for the imaging.
I asked him why the saline. It’s a test to determine if the needle has been properly placed in the vein. If not, there would be a bulge under my skin. If it’s the saline, no worries. It would quickly be absorbed. If it’s the medication, there are two problems. First, my body wouldn’t consider it as friendly as the saline. Second, an expensive medication has been wasted. Clever. No bulge: we were good to go. I had to wait 45 minutes before the imagining to let the dye do its work.
For the imagining, I had to lie on a hard table, curved to cradle my body, with my arms over my head for 15 minutes. When that was through, it was back to the waiting room until I was called for my stress test.
I had a chemical stress test rather than a treadmill one. The chemical stresses the heart, duplicating a challenging run that I didn’t think I was capable of. I was hooked up to a special ECG monitor and administered the drug. It set my heart racing. They monitored my heart rate and blood pressure. It took all of 10 minutes. The medication that set my heart racing was working itself out of my system. Nurse Tim told me to bend my knees and keep bouncing my toes. When I did this chemical stress test in 2018 as part of my test to qualify as Mike’s kidney donor, I had no adverse reaction. This time, I was nauseous. It wasn’t terrible. I was worried I’d throw up all over myself and whatever else was in my way. Tim gave me a shot of caffeine, which counteracted the impact of the heart-racing drug. Hmmm! Isn’t that what caffeine does to our hearts, causing them to race? Tim explained that’s why I couldn’t eat any caffeine for 24 hours before the test; it was an antidote to the medication.
Then, I was off to get my echocardiogram. Seeing my heart pulsing on that monitor was awesome. I loved my heart; what a fantastic organ. It works so hard to keep me alive. I am so grateful for what it does for me. I read recently that people find fire and water fascinating. I think watching the heart do its thing on a sonogram is right up there with the other two.
I asked the tech why she got into this field. It’s always interesting to discover a person’s history. Each one is different. The tech had been in the military. When she left, she had to find another profession. I don’t remember why she chose sonogram work, but I do remember why she decided on cardiology instead of OB/GYN.
She did an OB rotation at a high-risk clinic. She couldn’t take it when the sonogram showed the baby wasn’t viable. She reported one incident where the fetus was missing both kidneys. The parents refused to accept the baby couldn’t survive; it was doing well in utero. The parents couldn’t understand the baby was being served by the mom’s kidneys. Once born, that support would be gone.
As for my heart, the tech told me my heart looked better than most of the 40-year-olds she examined. Of course, she doesn’t see a random sample. Most of the people who come to her know they’re in trouble. I’m the outlier. My doctor was being super cautious, as the results attest.
I returned to the nuclear medicine area, where I had the imaging work done. Tim removed my intravenous and handed me a printed copy of my results. He said it was all good. I read, “74% calculated left ventricular injection fraction,” Tim said that was a good number. The echocardiogram tech told me the healthy range was between 55 and 65; 70% indicated a problem. Anything higher or lower was not good. Unfortunately, I said something to Tim, revealing I had that information from the other tech. I tried to cover my tracks and say I had found the information online. When I got home, I checked what the Internet had to offer. It said a high of 75% is normal.
The Kaiser travel bureau had scheduled me for an 8 pm flight. I thought it was because earlier ones were booked. Nope. I had to wait until the results of the stress test were back. They were in before I was through with the echocardiogram; I was free to go home. I was told I had to go to the airport and get Hawaiian Airlines to change the flight. I had to wait for the airport shuttle from the hospital. I had just missed one. I had an hour’s wait. Changing the flight time was easy. The clerk got me on a 4:45 flight, three hours earlier than the one I had.
The hour-long flight was smooth, with only one dip and dive. I engaged in conversation with the person sitting next to me, a lovely young woman. She lived on the Big Island and wasn’t a tourist. She worked for the University of Nations, an evangelically oriented religious institution. Everyone I meet from that school looks amazingly beautiful, with remarkably clear eyes and glowing skin, a picture of good physical and mental health, and a testimony to whatever they do. The school doesn’t have the best reputation among the people I know; I’m not quite sure why. But it’s obviously an outlier.
Mary worked in HR. Her job was to travel to a site where groups of missionaries were sent. She was returning from South Africa, where she went to evaluate the work of the group sent there. She listed a good half dozen other countries she had been sent to. She had been traveling for two days. The first flight was 12 hours, the second 9. This 1-hour flight was the last leg of her trip home.
Darby picked me up and dropped me off where she parked my car. When she picked me up in the morning, I left my car in the driveway. I got a call and a text from Nina. She and Dean walked past my house and heard Elsa barking like mad. They went in to check if everything was okay. Elsa knew them well and greeted them warmly. Then, I got a text from Yvette saying she had Elsa down with her. I should let her know when I get home. She only does that when Elsa is on a barking jag, and she’s only on a barking jag when I leave the house without driving away.
I asked Darby to move my car. I told her where my car key was. She didn’t just leave it outside my property; she drove down the block far away from the house, afraid Elsa would smell the car on the other side of the fence. She also checked on her several times during the day. I am so lucky, and so is Elsa.
When I walked into the house, she allowed me to pet her and then ran around like a maniac, releasing the tension of the day.
I finally got to eat. I wasn’t very hungry anymore. That’s what a day of fasting does for you. Then, I got a phone call from the woman who was running the Grief Recovery Group. She wanted me to drop out. She framed it as she was doing it for my sake because I couldn’t benefit from it, given my disagreements with the work. I made it plain I valued the work we were doing now, the homework, the small groups with their behavioral rules, and the grief histogram. There was only one aspect of the program I disagreed with. She still insisted I didn’t value what the program had to offer. She offered to work with me individually to help me with my deep sorrow over the generational grief that haunted me. Holy smokes! I don’t think so.
She finally went on and on about a group she had where people couldn’t follow the small group rules: one person talks at a time, that person reports on what they wrote in the homework, no discussion, no verbal responses at all, only nodding and smiling, no touching, don’t even hand the speaker a tissue. The group in question kept falling into discussions, making suggestions, and engaging in ways contradictory to the formula. I finally said, “Why are you telling me this?” She said, “This is what happened to me.” That group had to be disbanded. She offered to work with people individually. Only one person accepted her offer. At the end, that person said, “You have to understand. All the participants had been in a different grief recovery group based on Kubler-Ross’s work. There, participants are encouraged to comment.” Again, I asked, “What is your purpose in saying this to me?” She finally said, “You’ve participated in another grief training group and refuse to adapt to this one.” I told her for the second time that I had never participated in another grief recovery group. She accused me of that after the second session. I told her then I hadn’t. She couldn’t hear it. She has trouble imagining that I came to my conclusions on my own. I don’t think she does. She’s prepared to accept the menu and do the best she can. I voiced objection to certain didactic statements. The program says no one can tell you what you think and feel, and then it tells you what’s right and wrong. One member mumbled, “I did what my culture told me to do.” I argued that her presentation suggests that everything we’ve done up to this approach is wrong.
I also told her while I in no way would let her get away with saying she thought I should leave for my sake, I was concerned about the other members of the group and her. If their discomfort with me was great enough, they would not feel safe doing the work. I had considered leaving after the second session. I said so to one of my small group members after she said she was so glad I was in her group. Her reaction to me came as a total surprise. She said she would make me keep coming. Another group member echoed my opinion of the narrow-minded approach to certain concepts. It’s not just me. It’s just I’m the only one prepared to take on the leader and face what did happen, expulsion.
In the end, she finally heard what I said repeatedly: I thought the process was brilliant, except for some of the beliefs. She heard what I had said over and over that I valued the structure. She then asked me not to speak out in class but to speak to her privately if she had any objections or questions. I agreed. Kudos! To this woman. She’s an army brat. People who come from career military families have a tough time with dialogue. She hung in with me for an hour. She didn’t slam down the phone or threaten me. She did much better than most of the therapists I’ve worked with in my life, with less training and experience. I have great admiration for her.