I. Primary Angioplasty (doctor)Sarah’s cheerful face Popped through the cath lab door, “There’s an inferior MI in A&E 34-year-old man. Other lab is busy.” I had just finished Angio-Sealing The last double-vessel PCI; “Ready when you are Sarah,” I smiled. “Primaries are always a pleasure.” In four minutes our man was wheeled in, slightly drowsy but still in pain. I speak calmly to him, then Check the consent form. “Start the Reopro please. We’ll go femoral.” As expected, the right coronary artery Is occluded with thrombus. As I pass a BMW wire There’s TIMI-2 flow. “I’ll have a 2.5 by 15 balloon,” I say To my assistant. The balloon inflation Restores flow completely. “Can I have a 3 by 16 Taxus please?” I Ask again. The final result after stent deployment is excellent. The tombstone ST elevation on the ECG has settled. Our patient is blissfully asleep. Satisfied, I take the Angio-Seal shot.
II. Primary Angioplasty (patient)Like a nuclear explosion It went on And on Blowing my heart To smithereens. Raging inferno In the chest, Arms like lead, Sweat on my palms Sweat in my hair Gushy waves of sickness Thundered through my body. My mind was screaming Into a black hole, A sea of pain and more pain; There were distant voices... “STEMI…air ambulance is best… Phone the cath lab…” Someone was doing something to my arm. I felt a sudden sweetness Sweeping my body, My mind was calmer And drowsy…floating away… “You are having a heart attack, sir. We need to open the blocked heart artery. Could you sign on that line?” They were shaking my shoulders hard. I scribbled in a haze of drowsiness and pain. I remember being rushed On a trolley A blur of Banging doors Then silence and The intense cold In the lab. Crisp commands slashing the silence, “Start the Reopro please. I will have a 2.5 by 15 balloon.” The voice was strong and confident. What was he asking for next? A daxus? Suddenly the pain was Gone. Relief was flooding in And fatigue…extreme fatigue. Too tired to breathe …can’t think… Lead eyes…