I had a heart attack a couple of months ago, and it has been a very good thing for me. Let me explain. I’m not saying that I’m “glad” that I had a heart attack, and of course I wish I hadn’t had this event, but as I look at the larger picture, I see that this has been a good thing for me in several ways.
Briefly, I had been having some tachycardia for some time, perhaps a year or two. More specifically, I had been having occasional chest “pressure” (not so much pain) off and on when I was walking, running, or playing basketball. So, now I am pretty sure that the blockage in an artery that led to the heart attack had been happening for a couple of years, and very likely to some degree for many years. The night I ended up going to the hospital was challenging. First, I’ve never been in a hospital, never been on any medication, and never have had surgery of any kind since I had a tonsillectomy when I was six. So, I was not particularly prepared for the symptoms of consistent chest pains that eventually led me to go to the ER and then by ambulance to the hospital and quickly in surgery for angioplasty. From start (midnight Monday morning) until noon Tuesday, being a total of 36 hours, I was all of what I didn’t want. Through many adjustments, however, this is an event that is past and I can reflect on the many positive things that occurred at that time and have occurred since then. Let me elaborate:
Life saving
I would be remiss if I didn’t recognize that the various medical professionals who assessed me and ultimately performed the angiogram performed well to the person. It is impossible to know if this heart attack might have healed itself had I chosen not to go to the hospital. But it is possible to think that I might have died. I am thankful for professional people who know what they are doing, and I am thankful to be alive.
New learning for old thoughts
There are two important things that I “learned” during this whole process: I will die; I need to live. Previous to this incident “knew” that I would die, but now having possibly been minutes away from dying, the fact that I will sometime most surely die is a lot more real. Previously, I had an academic understanding of dying, but now I have what appears to be a more personal understanding that I will die.
The more important thing that I learned during this process is substantially more significant. Previously, I “knew” that I wanted to live but I didn’t put much thought, much less feeling, into it. I just enjoyed living. After the incident, I discovered something substantially different from wanting to live. I learned that I need to live. I realized that I am alive to serve people and that these people seemingly need me. Most specifically, I need to live for the people I see in my office, often because I am the only person who really knows them, and in some ways the only person who loves the whole of them. This is no small thing, and I have always taken this privilege of knowing people seriously and with great appreciation that people put their lives in my hands. Now, however, I see this task as even more intense. I have had several patients say something like, “Please don’t die Ron,” which seems to affirm the apparent fact that I need to be alive. In God-talk, I think that God yet wants me to be of service to people. This includes most specifically the people in my office, but also in the writing that I do and want to do. Interestingly, these days I find my therapy with people to be focused on how people can be of some service to humanity. I have always focused on people understanding themselves, being themselves, and communicating themselves, but therapy is not ultimately about oneself but rather how one can serve humankind out of a foundation of self.
My needing to be alive is also for my family and friends, of course, but frankly these folks could do with my dying better than people for whom I am the only person in their lives that knows them. I don’t know if I will live for hours or decades but I want these hours or decades to be useful to humankind.
New family
My family has solidified since this cardiac event, and to some degree it has been reframed. Deb and I had the privilege of having a foreign exchange student from Sweden live with us for his senior year in high school along with Jenny and with Krissie who was also a senior. We had occasional contact with Andreas (“Andy”) over the intervening years but he contacted us not long after Krissie died two and a half years ago and flew over here to be with us and refresh our relationship. He refers to us as “Mom and Dad” and to his mother as his “Swedish Mom” (his dad died 10 years ago), and it is a pleasure to have a “son”, almost as if he had replace the loss of Krissie. When Andy heard about my heart attack, he immediately bought a ticket to fly here because he “didn’t want me to die” before he could renew our relationship. So we planned a journey with Andy from our home in Wisconsin through Omaha where we picked up Jenny and then the four of us proceeded to visit with our good friend, Tim, in his Mountain-side home just outside of Denver. While the five of us were sitting around the dinner table, I realized that this group of five is my “family” even though I am biologically related only to Jenny.
Since that time I have come to see that people have different families in different constellations. Very often people see “family” as only those biologically related to one another, but this doesn’t always work, especially when one or more people in the biological family are toxic, or perhaps just not personally developed. People can do well to discover what their new family is, or what they want it to be as they grow in life. My own “family” has changed many times over my years from my family of origin with originally 4 members, then 5 when my sister came along 9 years later, then my fraternity family, then my first wife and I, then my seminary family, then my graduate school family, then my wife and two daughters, then my daughters and I after the divorce, and then Deb, Krissie, and I when Krissie came to live with us, then the 4 of us, then back to Deb and me with Jenny on the side. And now this new family of 5. I see people often struggling with biological family and coming to a way of seeing what their new family can be. I am reminded of what Jesus said when he was on the cross and was informed, “Your brothers and mother are here for you.” He said, “Who is my family but the ones I have love and have loved me.”
New body awareness and care
I talked to the cardiologist who supervised my brief hospital stay and noted that I usually work out three times a week, run three times and week, play basketball regularly, and have a pretty good diet. His answer, “Well, if you hadn’t been doing these things, you might have had a heart attack at 58 instead of 78,” noting that my genes are the primary reason for the heart attack (LDLs, “bad cholesterol primarily). So, my diet and exercise need to be substantially improved. We have now been two months on a largely Mediterranean diet replete with lots of veggies and fruit. I have found it interesting that my tastes have changed a bit, that I feel satisfied, and that I snack a whole lot less, and certainly a lot less sugar and other “cheap” carbohydrates that are gluten-based. I am interested to see how this diet change holds up over time.
The second thing that I have done for my body is to be more consistent with my workout routine, now daily with running (winter on the treadmill), lifting, and planking. I used to struggle to maintain a marginal workout and now I find that I can increase all of these activities. Likely, my heart is responding to the diet and exercise.
There is a third element that I must admit which is loosely related to what I must call anxiety, albeit with a bit of chagrin because I am loathe to admit to having any psychological disorder. Indeed, I come from a family all of whom have suffered from some form of anxiety, so whether I acquired it genetically or socially, I am inclined to think too much about things, namely things I do. I think most of this has to do with my “caretaker” temperament, namely a person who is property oriented and a “doer” in life. I have always been inclined to think about what I need to do in a day’s time or a week’s time, something that is good at the start but not in the end because such thinking can lead to a kind of anxiety because I always have things on my mind to do. To a fault. So, I found a mantra that has helped me deal with my caretaking/doer nature without changing who I am: In Due Time. Note the play on words with “do” instead of “due” but of course, it could also be “In Due Time” as well. It has been helpful as I lie in bed for a few moments in the morning with my espresso and think of what I might do in the day.
The value and limitations of professional people
First, I am not inclined to rely upon “professional” people for the most part. This is a part of my independent nature, something like, “do it, do it wrong, do it over, do it right” orientation to life. Furthermore, I am suspicious of many professionals who tend to stretch beyond their actual level of competence and often see their profession as central in life. Well, I certainly do the same because I think that everything is psychogenic, i.e. psychologically caused, like my heart attack for instance. So, over the last two months or so I have consulted with various professionals who rendered advice, or in some cases a regimen of “treatment” for my heart. Some of them have been helpful, some harmful, but all of them have been people of intelligence and integrity. Likewise, all of them have been limited in understanding things beyond their own profession and they have not always seen me as a unique person not always fitting into the mold of everyone else.
The cardiologist, for instance, very bright and certainly capable, a guy who does heart transplants and the like as well as the simpler angioplasty that he did on me. He put me on several medications, namely statins, blood thinners, and a beta blocker. I suppose most people whom he sees in his practice profit from his diagnosis, advice, and treatment. But most people are not me. So, I am on these three medications for a few days until my body erupted against these meds, in fact to such an extent that I actually fainted for a few seconds. As a result of my body reaction to these meds, I just stopped taking them and seemingly have survived well without medication. It is important to note that I have never been on any medication ever so my body is not prepared for medication of any kind. So, I look on this brilliant cardiologist as doing his job well and serving hundreds of people, but he didn’t serve me. I hold no grudges.
In addition to the cardiologist I saw a naturopath, actually starting a couple of weeks before my heart event. This individual, someone with three doctoral degrees, put me on a series of “supplements” to assist in my heart. I saw her originally before the heart event and she did a brief interview and then had me take some blood tests and then the supplements. Long story short, the supplements were really bad for my body, which erupted in a nearly whole body rash. I got off the supplements immediately (with her advice) but it took seven weeks for me to get over the rash. With this individual, too, it is likely that she did what works for most people, but not for me. I am a bit displeased that she didn’t see the heart attack as a possibility because I mentioned that I had been having some tachycardia and other heart-based symptoms, but again, perhaps most people would have profited from her hole regimen of meds, just not me. I hold no grudges.
I consulted with a trainer whom I happen to play basketball with about my workout routine. Cory was very helpful with some recommendations for diet (drink 8 glasses of water every day and confirming the Mediterranean diet), but more importantly recommending an increased workout routine, which I have followed. He too is limited in his overall understanding of who I am and certainly not aware of the psychogenic element or my lack of desire to be body buff. But he was helpful.
I have learned that no one knows everything, and certainly no one knows everything about me. Nor should they. I just need to “consult” and then fit that consultation into my own system and experiment with my body and soul to go what ultimately feels right and helps me.
All in all, my heart attack was good for me in all of these ways. I feel better than I have felt for some time, perhaps a year or so. Certainly, my being better has to do with all that people have done for me and what I have done for myself.