James On the Treadmill
Like a Rat on His Exercise Wheel
I'm not terribly fond of doing cardiac treadmill tests, although improvements in technology are making them a little less annoying. For example, the harness of wires weighs a fraction of what it used to and the glues / adhesives / stickums have improved to the point that it is no longer necessary to wear a mesh vest to keep the electrodes from being washed off by my sweat. Anyway, both Dr. F and Dr. G have been after me for the last couple of years to have a treadmill done and the abnormal waveforms that showed up on my EKG in January's annual physical made me decide to schedule one. Fortunately there was a cancellation; they were going to make me wait until May.
I must remark that my doctors always want me to get a treadmill. New doctor, new treadmill. They worry about my ticker for a variety of reasons: I'm old (62), I'm obese (317.5 this afternoon, which is about a seven pound loss), I'm diabetic, my ticker has followed the beat of a different drummer since I was a teen (a drummer, I might add, with no sure sense of rythm) and my heart is tilted. That last one really throws the doctors: my heart leans at an angle of about sixty degrees, which really skews the output of their EKG machines. Although my cholesterol is 150 (it was 174 to 176 for many years), my lipids and triglycerides have been all over the place but usually not normal. So they worry, and they keep asking me to do treadmills.
I usually drag my feet.
I showed up for my appointment on time today. Well, one minute early, but that's the same thing. I brought a pair of shorts, rather than doing the exercise in long pants, knowing I would work up a sweat anyway. The assistant shaved some of the hair off of my chest (she should have taken a bit more, as she pulled what she didn't shave when she removed the electrodes later), then attached the electrodes, their hub supported by a light canvas belt, the whole rig much lighter than the last one I had to endure about six years ago. The blood pressure cuff was simply taped to my arm and shoulder with silk tape, the medical industry's equivalent of duct tape. A couple of preliminary readings were taken, then the doctor arrived.
Dr. Sprinkle. When I first heard the name, I visualized a priest dipping his little thingy in a bucket of holy water and sprinkling it over the congregation. That picture was quickly replaced in my mind by one of Rocky sprinkling some of his non-holy water over any plastic bag left out on the floor of the house, a bad habit he still has. Dr. Sprinkle (henceforth Dr. S) entered the room carrying a stack of folders slightly over a foot high, along with a cup of coffee, promptly managing to dump the folders in disarray on the floor while seeking to find a safe place for his beverage. I remarked how interesting it was that he thought he would need so much reading material while I was on the exercise wheel. He responded with remarks about the paper work never being done and then proceeded to sign a few papers before continuing with me.
The assistant told me I should stand off the belt of the machine until it was running, then step on it when told to do so. She would then gradually increase the speed while the doctor observed my progress. But the doctor asked me about my work and, when he learned that I had worked on the Pacific side in Panama, he told me he was going to Panama to go fishing in a couple of weeks. So, as the speed increased, I chatted merrily about Panama and what the doctor could expect to find there, advising him to visit the Pacific side locks of the canal if he got the opportunity. Every once in a while he would ask how I was doing, but apart from breathing more heavily than usual I wasn't suffering at all. Finally, he calmly remarked, "I think that's enough."
This was supposed to be the clue to the assistant to gradually reduce the speed of the machine. Instead, she slammed on the brakes, almost throwing me over the front rail. She had misinterpreted the instruction as an indication of some kind of emergency situation.
I think Dr. S was disappointed that I showed no signs of cardiac distress. That is, after all, the purpose of the treadmill test, to stress the heart, to provoke it into displaying a weakness. But there are so many factors that say I should have heart problems: age, weight, disease, history and so on. He finally begged me to come back for an ultrasound examination of my heart, just to be sure.
Sure, why not? Maybe then they'll stop badgering me for a while.
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