“Ladies and Gentlemen, we have a passenger needing medical assistance; if there are any passengers on board with medical training, please ring the call button above your seat.” As this announcement on our red-eye flight from Anchorage to Denver vaguely registered in my semi-conscious state I realized that I was the passenger needing medical assistance. After a week of amazing adventures in Alaska the flight home turned out to be more adventurous than we expected.
We had chosen the red-eye flight because it was the only direct flight going back home and it would allow us an extra day on our trip. I had been sleeping for over an hour when I remember sitting up to change positions and leaning my head against the seat in front of me. The next thing I know my wife was asking me if I was OK, telling me I had passed out into the aisle. After using the airsickness bag I then passed out again and my wife rang the flight attendant, prompting the announcement. I passed in and out of consciousness but heard the announcement and became aware of several people standing over me. One was the flight attendant who told my wife, “I’m going to stay right here with you and be your best friend.” Another was a former navy medic and another was a nursing student who also had years of veterinary experience. At least that’s what we found out later. All I knew is that I felt like angels were watching over me.
My medical team was unable to get a pulse but my Fitbit watch read as low as 38 beats per minute. They asked me if I was feeling chest pain (I was not), what I had eaten or drank last, and what medications I take. We were over a remote part of Canada at the time so diverting was not an option. A medical kit was available and they were patched through to a doctor on the ground who recommended oxygen and an IV. The nursing student knew how to administer the oxygen and IV, which stabilized me for the moment, so we continued on to Denver where paramedics would be waiting. We must have received priority to land and taxi to the gate because that is the fastest time to land and arrive at the gate that either my wife or I remember in Denver.
The flight crew requested all other passengers to remain seated so the paramedics could assist me off the plane. We extended a brief word of thanks to my medical team and I was able to walk to the door but then escorted by wheelchair to the gate where I was given a quick EKG and loaded onto a gurney. The paramedic said, “You’re about to see a part of the airport you never see,” and we went down an elevator and outside to a waiting ambulance. Because the EKG was normal and I seemed stable, the ambulance drove without emergency lights to the University of Colorado Hospital, some 16 miles away. Another EKG, another IV, and a blood test, along with an examination resulted in a diagnosis of dehydration and I was released to go home.
Although we were very thankful to have made it home, the dehydration diagnosis didn’t make sense. I had told all the medical personnel that I had a spicy sandwich for dinner the previous night and had drank two solo cups of water with it. I’ve been dehydrated before and in fact, had a history of passing out as a teenager due to dehydration, but I hadn’t passed out in thirty years, and never more than once. My wife had thought I was dying on the plane and my medical team on the plane certainly thought it was serious, so the idea that I just needed to drink more water didn’t add up.
Nevertheless, I rested and drank plenty of fluids that day and felt totally normal the next day. I followed up with my personal doctor later that week and checked out fine. However, due to my lack of confidence in the dehydration diagnosis and my family history, he referred me to a cardiologist, saying, “Let’s see if we can get you some peace of mind.” A few days later, the cardiologist did more EKGs and a stress echocardiogram which was normal. She said that my heart was very healthy, but asked how I felt about wearing a heart monitor for thirty days. Knowing that after what she went through my wife would want me to be absolutely sure I said yes.
The next morning, I received a grave message from the cardiologist that my heart had stopped for several seconds during the night and I needed to see an electrophysiologist right away. An appointment was set up for that afternoon. Another EKG and brief examination resulted in a new diagnosis: sinus arrest and vasovagal syncope. The doctor said because my heart was stopping during sleep and I was sleeping upright on the plane, my brain was not able to get enough oxygen so I passed out. He said if they had been able to lay me down flat I would have been fine, but because I remained in my seat I continued to pass out. The remedy for my condition was a pacemaker, but after answering a number of questions he said it was not particularly urgent and I should go home and talk it over with my wife. I asked if there was a chance my heart would stop and not start again, but he said no, the real danger is that I would pass out again while driving or at the top of the stairs and cause injury to myself and others.
So I went home and discussed it with my wife who was understandably very much in favor of the pacemaker, but I had my doubts. Despite my family history I’ve been a runner for 45 years with a resting heartbeat of 50. Pacemakers are for old people and I still feel young. Even the electrophysiologist called me a “relatively young man.” Surely there was some other contributing factor. Google did not turn out to be my friend as the more information I gathered, the more confused I became. My wife was waking me up at night to make sure I was OK and at her urging I scheduled the pacemaker procedure, but my doubts continued. A few things gave me the confidence to proceed. I found a website pacemakerclub.com and connected with a number of knowledgeable individuals, some who had similar stories of passing out. The original cardiologist I had seen followed up with me and confirmed that the heart pauses were still happening. She said she would keep calling me until I got the pacemaker. I also returned to my personal doctor, who answered all of my questions and confirmed the diagnosis. He knew the electrophysiologist and said he was good. I trust my doctor and felt better about proceeding after talking to him. He also said he would be praying for me.
After the initial health scare on the plane I had asked friends and family to pray that the Lord would reveal what I needed to know about my physical and/or spiritual health. Clearly he answered the first prayer, although once I heard the word pacemaker I felt like saying, “That’s not what I meant!” But if we had not chosen a red-eye flight which caused me to pass out on the plane, and if I had not continued to question the dehydration diagnosis, and if my doctor had not referred me to a cardiologist, and if the cardiologist had not suggested I wear a monitor, then I would not know the condition of my heart. As my doctor said, not only was it going to continue to happen, but it would probably get worse. I believe God’s hand was working in all of these circumstances and needed to trust that He would work through the pacemaker procedure as well.
So on Tuesday, August 16, 2022, I became a member of the pacemaker club. The surgery and recovery were more painful than I expected and a week later I am still getting back to normal. But my wife is sleeping better and we both have more confidence that I will be able to resume traveling and running and hiking and all the other activities that we enjoy together. As for the spiritual lessons, this experience has certainly made me more thankful for the support of family and friends and less likely to take our time together for granted. I am more committed to finding joy in each day and finding ways to serve and communicate love to those around me. And I am more aware of my human limitations and the need to trust in the God who designed my heart with wisdom that the doctors are able to discover and heal through technology. Psalm 73:26 is now my ongoing prayer, “My flesh and my heart may fail, but God is the strength of my heart and my portion forever.” With the Lord every day is an adventure and I thank Him for sustaining me and leading me throughout my journey in this life.