In December of 2004, I started getting headaches.
Before then, headaches were a rarity for me. I could go months without one, and when I had one, it was almost always very mild and brief. But these headaches were different. They weren't particularly severe, but they were constant. Going into Christmas Eve, it was about 3 weeks of constant pain. Aspirin or other pain killers would temporarily relieve the pain, but it always returned. I'd take Tylenol PM to let me sleep, but I would awake to a headache.
Looking back, I should have gone to a doctor sooner, but I tolerated it all month. I either have a high pain tolerance or have never experienced real physical pain, so I kept ignoring it. Truthfully, if I didn't work in an emergency room, I would have evaded the issue far longer.
I came into work on Christmas Eve, and the pain was a little worse than normal. I mentioned my symptoms to a couple of my nurse and doctor friends, and they insisted that I get checked out. The first thing they wanted to check was my blood pressure. I had only occasionally checked my blood pressure throughout my life, maybe once a year, and it was always normal. But that night, my blood pressure was around 180/100, very high. I was hoping that it was an aberrant reading, but I was next hooked me up for a 12-lead ECG, which confirmed a recent history of high blood pressure.
High blood pressure can definitely explain headaches, so we almost stopped there. I was simply going to see my regular doctor, and start treating my hypertension. I was still on duty, and had not checked in as a patient. I was lucky in that two of my favorite ER physicians were working that holiday, and both were treating me that night. Both told me that they were fairly sure that my headaches were caused by the hypertension, but that I might want to get a CT to make sure. Luckily for me, my favorite CT tech was also working this holiday night. She pulled me into the scanner for a quick head CT.
I was of course expecting a clean scan and to go back to work, avoiding salt and planning to reacquaint myself with my primary care physician, who I had not seen in ten years. But as she looked at the scan, she sort of squinted and looked carefully at one spot.
That moment was not one that I would like to go thru again. It was not a moment of "sheer terror", but it was most definitely more than "mild concern". Maybe "quite alarming" would be the proper term.
My two ER physicians looked at it, and were undecided. It wasn't a massive bleed, but it was something. One of the hospital neurosurgeons happened to be in the ER, so he was shown the scan. He took a quick look and ordered that I be admitted and an MRI be scheduled for the next day, Christmas.
Now I was closer to the "sheer terror" feeling. I don't recommend ever having to see a surgeon look at your results and say, "admit him now". I had already been relieved from duty at this point, and was now being formally made a patient. I was as close to being afraid that I would die as I have ever been, with the possible exception of the snow incident back in 1976.
My first call went to my girlfriend of the time. There was nothing I needed more than to have her prayers and to see her that night. Her support that night and the next day made the uncertainty bearable. And although that relationship ended the next month, her love got me thru that night and she will always be in my prayers. Obviously, my family came to see me that night and their love was much needed also.

I downplayed my possible injury/illness in my phone calls to family, not wanting to ruin anyone's Christmas. I didn't even call most of my friends. Looking back, I would have wanted my friends to call me if the situation was reversed. While my intentions were good, if it happens again I'll make more phone calls. So if you ever get a random phone call from me where I just blurt out an "I love you", you know it might be because of a bad reading at my yearly CT scan. But before I get ahead of myself, back to the story.
My PMD actually came in to see me that night. I did not call him, but apparently he had to be called since he was my PMD, and the hospital needed an admitting physician. I was amazed that he would come in at 2200 on Christmas Eve, and apologized several times that he was called. If I could have been in charge, he could have admitted me via the phone and I would have worked all night, just going to my hospital bed in the morning. I was actually a little upset with my PMD, as he did not recognize me. Truth be told, I had only gone to see him once or twice, and it was at least ten years ago. But I felt like shouting, "What do you mean you don't recognize me?! You're the only person in the world to have ever put their finger up my #&*!"
From talking with all my physicians, I learned that the spot in my brain was probably an angioma, which is basically a cluster of abnormal blood vessels.

But they still weren't positive of that, or if it was an angioma if it had caused a bleed or not. I was admitted to the neuro floor, 3 East, and went to bed that night not really knowing how serious my injury was. I didn't get my MRI until late in the afternoon on Christmas Day, and had to wait another hour for the neurosurgeon to read it. That 17 hours or so is hard to describe. On one hand, part of me was terrified. It was very possible that I had had a small head bleed, or that one was imminent. On the other hand, I did have a sense of calm. I had fairly recently recommitted myself to serving God, and believe that God sent His peace to me. I was prepared for any result.
One nice thing that happened during the day was that a local school was walking up and down the hospital halls, singing Christmas Carols. They stopped at my door for Silent Night (if my memory serves) and one of the carolers (maybe a 2nd grader) handed me a picture that they had drawn. I then saw that the group came from my niece's school, Lake Anne Elementary. Besides my visitors, it was a nice moment that made me still feel connected to my community, despite being in the hospital on Christmas Day.
When I finally had my MRI (I was amazed at how loud that machine is) and got my results, the news was good. I did in fact have a cavernous angioma. But is was small, had not bled yet, and it was not in the brain stem (which could cause death when it eventually bled). If you want to know more about angiomas, you can go to this website, http://www.angiomaalliance.org/cainfo.html . But basically, I can live life pretty much as if I didn't know I had the angioma. 1% or so of the population has them, and most never know. It has a 2% or so chance per year to bleed, but mine is in a spot where it would hopefully do little damage. Possible future symptoms include worse headaches, seizures, or neurological deficits. But since my angioma is small and in a place where it can be easily removed (if you call neurosurgery easy), this hopefully sounds worse than it will ever be. I do need to go back for annual scans, and I need to avoid roller coasters and similar head "trauma". Also, I should not take aspirin or motrin, as they thin the blood and could cause a bleed.

But seriously, it looks and sounds worse than it is. You might have one too.
Soon, I'll post a related entry on my hypertension and diet. Look for Don't SuperSize Me soon.
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