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The day started pretty awful. I had been out late the night before to see a friend's band, in from California. I had been working 60-70 hour weeks and truly pushing myself to the limit.
I woke up late and seriously, I felt like shit. A gal I had been dating had a really bad cold/bug, and she kept whining that it felt like she had a brick in her chest. I figured this is all it was, and I was mentally making plans to make her life hell for passing this malady on to me.
I only had one client to see that day, but had scheduled a long day with him, so I was really dreading going in. I knew I should just stay home and get some rest, but being self-employed, that was rarely an option. I tried to call to let my client's family know I was running behind, but no answer. I was hoping to luck out and they had cancelled...but that's not how it turned out.
I made it to my client's house, and he was there with his grandfather, who spoke little English. Oh joy. I knew I wasn't going to get much data from grandpa, so I went about my usual day of checking to see if he'd taken his psych meds, and try to sense his mood. Luckily, he was in fine spirits, so it shouldn't be too tough of a day.
As the day wore on, I just felt worse and worse. I tried repeatedly to contact my client's parents to see if one of them could come home, so I could leave...but no luck. I just dragged myself through the day, hoping for a quick and painless death. Be careful what you wish for.
My client's dad finally showed up around 5pm, and I updated him on his son's condition for the day. The dad tried to get me to stick around a while, but as I just felt like total crap, I simply left.
I was home in minutes, and still feeling like death warmed over, I thought a soak in the tub might help. Every part of my body ached. I was exhausted too. There are few things in this world as miserable as feeling sick AND tired, so I dried off and dragged myself to bed.
No sooner had I laid down, when my teeth began to ache like nothing I had ever felt, and I broke out in a cold sweat. I knew, instinctively, that I was having a heart attack. Alone. This couldn't be good.
I ran downstairs, gulped a handful of aspirin, made one of my lesser brilliant ideas...and drove myself to the emergency room. (Note to the reader: DON'T DO THIS! Call an ambulance!) To make sure I didn't croak en route, I made myself chain smoke the whole way. This may sound crazy...but there was a method to my madness. This made me cough and choke a lot...thus keeping my heart in rhythm. Again, NOT a brilliant move...but I took the gamble and it worked...for me. I'm lucky I didn't die in the car.
En route to the hospital, I phoned my dad. As usual, he was busy but I told him, "Shut the fuck up and listen! I'm having a heart attack and I'm on the way to St. Margaret's Hospital." I then hung up on him, as I was doing about 80mph, chain smoking, AND having a heart attack. I didn't need to push my luck by trying to talk on the phone as well.
The ER would have been laughable had it not been for my condition. I made my way to the desk, and told the lady, before she could finish asking what I wanted, that I was "Having a goddamned heart attack". She jumped up, yelled for a nurse, and hurriedly wheeled a wheelchair under me, just as I was starting to collapse. This was the last good thing that happened at St. Margaret's.
She then wheeled me over to triage...and right into a wall. My body fell forward and my head hit the wall and all I could think was, "I'm going to die with my head against a wall"...not exactly classy, nor the way I've often pictured the end to be. If I have to go, onstage would be nice. Under a beautiful super model would also work. Slumped against a wall, in a wheelchair...not so much.
Before the nurses out there yell at me, let me say how much I love and appreciate nurses. It's a tough job. That said, the triage nurse was a fucking useless moron. The info that she needed could have been obtained just as easily while wheeling my dying carcass in through the big doors to where the doctors hide, as in her little triage room. If a person is having a heart attack, DO NOT ask them to get out of the chair and walk in. She did. She checked my blood pressure, and to her amazement, it was something like 300 over 200. I suggested, calmly, that this just might have something to do with ME HAVING A FUCKING HEART ATTACK, and how I thought that NOW would be a good time to wheel me through the aforementioned big doors to wherever the doctors were hiding.
Luckily, she agreed.
Back into the rickety, community wheelchair I went, and BANG, right into the big swinging doors. It never occurred to her to push the button to open them. This was the point when I started laughing out loud at the absurdity of it all.
Next up were two ER nurses that I will simply call Dumb & Dumber. How these two obviously misplaced rocket scientists managed NOT to kill me, is beyond my comprehension. I could feel my life ebbing away with each weaker and weaker half-assed beat of my dying heart. I just kept laughing because it was like something out of a bad comedy.
Nurse Dumb, again, tried to take my blood pressure. I suggested she look at the chart. Her associate, Nurse Dumber, tried to stick a needle in me, and due to my elevated blood pressure, blood shot out everywhere. Nurse Dumber then decided it was in every one's best interest to stop what he was doing, and grab some paper towel to clean it up. Finally, a doctor stuck his head in the door and suggested that it might be best to leave the mess to housekeeping and tend to the patient. I suggested to Dr. Nose-in-the-door, that just maybe, since he had graduated from medical school, he might want to join our little party and actually attempt to save my life.
He seemed to take umbrage at my feeble request, and suggested that Nurse Dumb give me some nitroglycerin.
We've all seen movies or TV where a person with a heart condition pops a little pill under their tongue, whilst apparently dying, and VOILA! They're OK again. Guess what....it works! But....
Nurse Dumb tells me to open my mouth and she sprays nitro under my tongue. No tiny pill...it was a spray! And not just any spray...no sirree! It was like a blast of the greatest breath freshener ever made! Nurse Dumb asked how I felt and seriously, all I could say was, "MINTY FRESH!!!!!!! My mouth has never felt so fresh before! Give me more!!!!!!" She laughed and asked if I was still having chest pain. I noted that, surprisingly, I was not. I did, however feel completely exhausted. Nurse Dumber had seemed to disappear...presumably to go find someone from housekeeping to clean my blood off of the walls, floor, and everything else.
Next, I and the gurney I was on, were wheeled into a hallway (apparently this is where the real medical magic happens)...to wait. It was decided that I needed to be transferred to a better hospital; one equipped with real doctors, nurses, a cardiac lab, and machines that beep and go PING!
I can only guess that the ambulance driver was moonlighting from his regular job as a taxi driver. He drove like one. And, amazingly, took me the longest route possible to the next hospital. I actually had the gall to ask him, "Where the hell are you taking me? I'm supposed to be going to Presby!"
"That's where I'm taking you", was his reply. He seemed a bit taken aback by me, an obviously delusional sick person, questioning his Pittsburgh navigational skills.
For those who don't know Pittsburgh, this trip started at St. Margaret's Hospital, which is just north of the city. The fastest route to Presby would be to take Rt 28 south, go across the 40th St. Bridge, up 40th, left on Liberty, right on to the Bloomfield Bridge, left onto Bigelow, then up behind Soldier's and Sailor's Hall to the rear ER entrance. At a high rate of speed, this should take an ambulance driver, maybe, 7 minutes. Remember....heart attack patient in the back. Time is of the essence.
But...no. Mr. Ambulance Driver opted to take the longer, less scenic route, of driving all the way down Rt 28, and catching the 579 bypass and on to the Parkway and then into Oakland, where Presby is. Had it been 4am and there was a guarantee of NO TRAFFIC, I could almost see his logic. But, as it was evening, and rush hour was still in effect, the Parkway would be, and was, a nightmare. Stop. Start. Speed up. Slow down. Change lanes. Almost 20 minutes it took. I kept messing with the driver, telling him that if I died because his dumb ass took the long route, I would come back and haunt him. He seemed to take this seriously. Perhaps he was already being haunted by a previous patient, who'd died in his ambulance, from his arrogant navigational methodology.
Finally at Presby, I was whisked to the cardiac lab. There, I was greeted with a phrase that I have loathed for decades. "Hey! Aren't you Dr. Metzger's son????", asked one of the nurses. Again, I just broke out laughing at the absurdity of it all. I told her that yes, I am, and could she please finish saving my life and then we could play 20 questions after. I then made a mistake that I paid for for months to come.
One of the nurses needed to shave me. Down there. You know what I mean. My naughty bits. Still reeling from laughter at just how bizarre this whole experience had been so far, my smart ass side answered for me. I asked if she could leave a 'landing strip'...like some gals get when they get a bikini wax. Much to my horror, she agreed and that's just what she did. I was shaved bald as a baby's butt...except for a strip of hair. For months, it was like an itchy mohawk growing down there! My OCD side was going nuts! I was having to trim things on a weekly basis to keep them even. But yes...you guessed it, it all got weirder.
This was when I met the man who seriously saved my life and has kept me alive for the past 7 years, my little Chinese doctor with the porn star name. Not only is he an excellent cardiologist (even dad thinks so, and he should know!) but he has a good sense of humor and an amazing bedside manner. He explained everything he was doing, step by step, the WHYs and HOWs, and I will never forget, as he shot the dye into me, telling me, "OK, you're going to feel a hot flash, and then it will feel like you've pissed yourself...don't worry, you're not...just DON'T MOVE!"
Damn if he wasn't right! That was EXACTLY what it felt like. And just that fast, it went away. Seriously weird.
I dozed off for a bit as they put the stent in. I figured, if they needed me, they'd wake me up.
Next thing I know, I'm being wheeled to my room, by a very nice nurse/surg tech who I'll call 'Milton' (name changed to protect his identity). Milton was a very nice, apparently homosexual man. He seemed genuinely concerned with my well-being too. We had a pleasant little chat while he wheeled me, and when he got me to my room, asked if it would be possible to see each other socially when I got out of hospital. Sweet Land O Goshen, dude was hitting on me! Apparently, the sight of me naked, and with a landing strip to boot, was more than his libido could handle! He must be what some folks call a 'chubby chaser'. Let's be honest, I'm short, heavy, and somewhat hairy. Supermodel material I ain't!
I told Milton that I was flattered, but didn't date men...but as he'd just helped save my life, I couldn't flat out say NO. I asked if it would be OK if I thought about it for a few days. Besides, I could have another heart attack and snuff it before I ever left the hospital. Milton told me he hoped that wouldn't happen, and told me he would check on me from time to time. Dammit if he didn't! He stopped by every day, and even brought me flowers and home-made cookies! Finally, my friend Linda came to visit and when Milton asked who she was, I lied and said she was my girlfriend. (Sorry Linda!) Broke poor Milton's heart.
The night's weirdness wasn't over yet! There was the matter of all of the blood thinners I was on, and the fact that my little Chinese doctor with the porn star name couldn't get my bleeding to stop. (This bleeding was in my groin, where he slid the tube up into my ticker...I don't care to be more graphic) Apparently, the doc had tried using surgical cement to close the incision, but with all of the blood thinners I was on, it was taking my blood a while to clot.
A young intern was sent in to 'handle' this. In all honesty, I felt bad for him. His job, for the next hour or so, was to hold the incision in my groin shut....with his hand. Yep...you guessed it. Smart ass time again! Oh I tortured that boy!
Intern: "Hi Mr. Metzger, I'm Dr. So & So. I need to hold this incision closed to try to stop your bleeding until your blood starts to clot on it's own"
Me: "Hi doc! Fancy meeting you here! So, I guess we're gonna be stuck like this for a while, huh?"
Intern: "Yes sir. Until your blood starts to clot on it's own."
Me: "Well then, I guess we should get to know each other, you know, especially since you have your hand on my dick."
Intern: "Um, it's not on your penis sir"
Me: "Well, close enough. I don't usually have strange men's hands in my crotch. I'm not saying you're strange...but you know what I mean..."
The intern looked really uncomfortable.
Me: "You have warm hands. Thank God for that!"
The intern was trying to ignore me now.
Me: "That's a very nice cologne you're wearing. I bet it drives the nurses wild. Don't be alarmed if I start getting an erection..."
I seriously thought the kid was going to vomit right about then.
Me: "So, do you often have your hands in another man's crotch or is this a first for you too?"
Intern: "Mr. Metzger, I'm just trying to stop the bleeding."
Me: "And I thank you for that! Uh oh...did I just feel a twitch down there?"
Intern: "Mr. Metzger, you just had a massive heart attack. I think you should be getting some rest instead of talking so much."
Me: "I guess a blow job is out of the question then...."
Intern: "Mr. Metzger, please stop talking."
He ignored me after that. Some people just have no sense of humor. Maybe he should've asked Milton to hold the incision closed. I bet HE wouldn't have minded!
I hope you enjoyed this excerpt from my upcoming book! Let me know what you think!
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