A cardiac non-event, thankfully

Quiet weekend? Mine was, until about 3.15 on Saturday afternoon when the chest pain started. Nothing to worry about, I thought at first. Then it spread to my back and up towards the right side of my jaw. That's when we phoned 111. And after a very short conversation with the call handler, he said the words 'the ambulance is on its way'. Enter the freelance paramedics The arrival of male and female, green-clad, machine-bearing wonderbeings made me start to feel better (Brexiters look away now: one was Irish, the other had an indeterminate Spanish/Italian accent - both were utterly incredible). Getting rigged up to the ECG machine took minutes, and the print-out was clear, so I was assured. This first bit of good news was followed by blood pressure check and a once over with a stethoscope. I was then presented with a choice; go to hospital for a blood check to search out an enzyme that usually lives in the heart but tends to leach out if you've had a heart attack (cardiac event, in medical-speak - which I was rapidly becoming fluent in) or stay at home and avoid the late afternoon queue in A&E. No brainer, I thought; then I was put on to the paramedics' controller, who very efficiently scared the 'bejeezus' out of me, according to the Irish paramedic (not being stereotypical: that's really what she said!). In the ambulance, I learned that my paramedics were self-employed contractors working for Falck, a rather strange concept and one that - although grateful for at the time - does make me wonder, yet again, about the extent of privatisation in the NHS. A&E bound So, were away to A&E with my wife following on behind. At A&E, the service was so swift I'd had blood taken and been chest x-rayed before my wife had parked the car and found the cubicle. The chest x-ray was delivered to the supervising medics virtually instantaneously, but the blood test result took a little over two hours. But an all-clear, accompanied by the instruction to see my GP as soon as possible after the holiday weekend was worth the wait.

Smile for the phlebotomist

Intrigued by a sign in the cubicle where I was having my blood test this morning which stated anyone photographing or recording their blood test would be asked to leave. I asked the phlebotomist (an inelegant job title if ever there was one) if this ever occurred when she was working only to be told that it did: in fact, young couples were the worst offenders - particularly if a female was upset by the needle and the male had his phone at the ready. I left supposing that this was a case of there being two pricks in the room...

Fibro or Poly, it's still Myalgia

After enduring aching arms, neck and shoulders and feeling the kind of tired normally associated with pulling a sledge in an Arctic expedition, I went to the doctors for a consultation last Friday. Feeling that the symptoms indicated polymyalgia rheumatica, she sent me for a blood test because this condition causes a raised inflammatory marker to show in blood. However, when the results came back, there was no raised ESR level - which she was looking for to explain the condition. Poly duly ruled out, we then discussed Fibro, which turns out to be a really tricky little blighter. While the explanation of differences in symptoms left me feeling there isn't much to choose, in diagnostic and treatment terms, Poly seems far more preferable to dastardly Fibro: while Poly helpfully increases the pesky inflammatory marker and can be treated with steriods, Fibro doesn't show up in blood tests results - and there's no recognised treatment (aside from some distinctly 'tree hugging hippie crap' stuff on the wackier reaches of the internet). Oh, and depression is a side-effect of both conditions. So, with arms, neck, shoulders - and now wrists - aching and the need for a lie-down manifesting itself each afternoon, it looks like I'm in the longish haul while the medics try to decide whether I've got Fibro, or not...