Neurally Mediated Hypotension, 100 Years Out Of Vogue
Saturday, 15 November 2008
Okay, so a few of ya peeps know that I have a weird little quirk of sometimes staggering or fainting out of the blue, when I’m barely onto my third glass of poison or even a third sip, when the sky is blue and the birds are singing, or even sitting prettily in a classroom.
THUD.
One of the dramatic events occurred about two or three years ago, at a wine and cheese night event organised by MLC, when one minute I was all peppy and talkative, and the next, I was curled up in the next room with chest pain and slipping in and out of consciousness. The doctor at the emergency ward was dumbfounded by my aliment, and sent me home.
Of course, more events (although without the chest pain) followed. I kept private about these – well, they were a regular occurrence to me, since I was 11 years old and I fainted after descending a staircase. (Joe kicked me awake with his chubby foot)
Until much earlier this year – we went out for a friend’s birthday, and I decided to put on a corset, and Joe strung it up for me – but not as tight as some of my friends had done for me before. The strings done up, I ate my way through a delicious modern Japanese dinner, and then went to T-bar, high on the night and looking forward to a big night out.
Of course, I had just barely sipped my beer, already caught up in a conversation between two friends when suddenly I felt the warning signs – a whooshing sound (despite my being deaf) and the edges of my vision were infected by a creeping cloak of sparkling grey-blackness.
I had to sit down, and fast.
I quickly told my friends that I need to go to the toilet, and turned around to find somewhere to sit –
No guesses to what happened next, but the incident spread to my family, and along with my friends, pressed me to go to the doctor.
I ended up going to a neurologist, who sent me off to CAT and MRI scans, all of which came up clear, and sent me off to the cardiac unit for a tilt table test.
The tilt table test. First devised as a torture device, it has a rich and noble history with its straps and…
Anyway, I was ushered in the room and onto the table – by luck, one of the receptionist was Joe’s friend, just recently finishing an exam for Auslan. She interpreted for me as the doctor prepped my arm for an IVF drip for the second part of the test – I didn’t look, but there was a bit of a drama as the urse hit the motherlode on my arm. Blooood!
That done, I was strapped down and told not to move at all, and that I would be tilted up and held at 180 degrees upright. I was to tell the doctor (one had entered the room, presumably the expert) when I felt nausea or began to faint.
So, the point of the test is to see whether I will faint.
Every two minutes, the nurse would take my blood pressure and write down it down. I didn’t mind so much, as the tilt table had a magnificent view of the western Richmond suburb. At least it wasn’t in some dungeon with dead rats.
I was increasingly bored – the lizard isn’t quite the patient creature, strapped up on a table. However, as the nurse began the fourth blood pressure pump, I felt the echo return to my ears, and the darkness crawling at my sight of the landscape.
As the nurse and doctor scrambled for the remote control, my vision went completely black, like someone had switched off my optic nerve – and soon enough, my consciousness followed into the darkness.
I awoke to the straps flicking off, and they were busy wrapping the test up – I didn’t need the second cycle or the IVF, which would have increased my heartbeat as though I was exercising or in distress.
The doctor started rattling off the usual spiel, “The test has shown us that you have been diagnosed with Neurally Mediated Hypotension, blah blah” with the receptionist struggling to keep up.
He told me that while it was not a disease, there was no cure for it – it was something that was genetic with the low blood pressure I had, and that it was also learned behaviour (not my fault, my body’s). I could improve it, however, by drinking 2 to 3 litres of water a day, and to increase my salt intake for the next few years.
Hang on, salt? I protested, telling him that I already ate shitloads of salt, so much I might as well have a few table spoons a day. He smiled and repeated himself, adding a “shake it all over the food, baby” gesture. Right.
He then said that I would have to give up all caffeine-related products that would dehydrate me as well as wash away all the salt that I needed.
Hang on, what?
Does… does that include Pepsi Max?
The doctor nodded.
Those who know of my fainting spells will also know very well of my love and lust for pepsi max, guzzling cans after cans and even bottles of the artificial liquid. Mmmmm, the taste-quenching flavour.
Oh, Pepsi Max.
Sniffle.
So there you have it – a fainting lizard (also in a huge sulk right now) that’s 100 years or so out of vogue, but now looking on the bright side of life with an ability to simply stand really still for only 8 minutes, to faint dead away.
Plot, plot, plot…
cryptolizard 6:57 pm — DRUGS — comments [2]

















