And the verdict is . . .

I guess for the record I should mention what's been happening lately. Thursday morning, a little more than an hour after I arrived at work, I started feeling very sick, starting first with nausea, then feeling light-headed, weak, sweaty, disoriented. I had the thought that I might pass out, so I actually sat on the floor of my office so that when I toppled over I wouldn't have as far to go.

I had the presence of mind to activate the heart monitor that had been implanted in my chest two weeks earlier.

This is stupid, I thought, so I got up from off the floor and called in my assistant and told her I did not feel well. She could tell I did not. I was probably pale at the time and disoriented. She wanted to know if I wanted to go down to the nurse's station, but I said I didn't think I could make it. So she called down, and within seconds it seemed the nurse arrived with a wheelchair. I can remember getting in the wheelchair, being pushed to the elevator, and getting on the elevator, but not much after that.

The next thing I remember was lying on a cot in the nurse's station with paramedics working all around me, asking questions, taking blood pressure, poking, proding. I remember hearing the nurse tell them that I was unresponsive for a while although my eyes were open. So I do not know if that means I actually passed out or not.

The paramedics wheeled me out to an ambulance in front of the Church Office Building. I was amazed that in addition to the ambulance there were also two fire engines there. That seemed an extravagant bit of overkill. It was the first time in my life I had ever ridden in an ambulance, and as they took me up to LDS Hospital it seemed to be an awfully bumpy ride. They had me eat a glucose stick on the way up and inserted an IV line into my left hand. Once in the emergency room, I was asked a lot of questions again (just as I had been in the nurse's station back at work and in the ambulance on the way to the hospital), and was hooked up to various medical devices and had a chest X-ray taken and such procedures.

My work had kindly called Claudia and told her I was being transported up to LDS Hospital, so she arrived at some point. Eliza starting spreading the word to other family members.

At some point a man came from Medtronic (he said he had been up in Ogden when they called him) to interrogate my heart monitor (I had naively assumed that they just read it, but no, they interrogate it). Apparently it served its function because it showed no unusual heart activity during the whole episode. That is good news.

My blood sugar level, even after eating the glucose in the ambulance, was only 48 after I arrived at the hospital. The normal range for a non-diabetic, I discovered from subsequent research on the Internet, is between 70 and 120. I had had a severe case of hypoglycemia, which is apparently unusual for someone who is not also diabetic.

Also, my white blood cell count was extremely elevated, something like 21,000, which the ER doctor said could be caused by one of three things (although afterward Claudia and I could only remember two of them): a response to the trauma my body had just been through, a serious infection going on in my body, or something else. I told the doctor I had had a cold and sore throat for the past week, but he said that would not be sufficient to account for such a high level.

Talmage came from work to join us just moments before they were going to release me to go home, which was about five or six hours after the whole ordeal started. When we exited the ER, Rebecca, Louise, Meghan, and Mimi were also there in the waiting room. Louise, who had come with Rebecca from Layton, kindly drove Claudia and me home. Talmage came to our house to pick her up, but they stayed the rest of the afternoon visiting. Louise fixed us lunch and called my primary care doctor to make an appointment for Friday afternoon and was generally a great help.

I was feeling pretty worn out and tired and just rested much of the rest of the day. I was also having chills even though everyone else thought it was a warm day.

What I had just been through reminded me of how I felt on the second day of our North Dakota trip when I got so sick as we were driving across eastern Montana (see journal entry for Thursday, May 15). I must have been experiencing hypoglycemia that morning also. And in much milder forms several other times in the past couple of months when I have felt light-headed.

Friday morning I had a follow-up visit with my regular cardiologist that had already been scheduled for some time. He said that one of the heart medications I have been taking, Metoprolol tartrate, could cause my blood sugar level to be low and told me to discontinue it.

Friday afternoon I went to see my primary care doctor, but his receptionist had no record that I even had an appointment (even though they had told us just the day before to come at 1:40 Friday afternoon). We did talk her into having the doctor review the record from what happened at the hospital yesterday. He did and ordered a lab test, after which I had a shot of something, and then had to come back an hour later and have another blood test. My appointment with him will now be next Thursday afternoon.

In addition to the hypoglycemia episode, I have had a fever and chills and an unsettled stomach and continued to pretty much rest most of the day Friday. We were planning to go to Hyrum early this morning, up in Cache Valley, to watch Anna participate in a triathlon, but I called her this evening and said we had decided not to come. She thought that made sense. My boss had called me from work Friday morning and said not to worry about the mission presidents' seminar that begins Sunday morning, if I didn't feel up to coming. I'll play that one by ear still.