Today, I met the people who saved my life.

I’ve been tweeting about my cardiac arrest since I woke up in the ICU and re-downloaded twitter (@LGlaucomflecken deleted it for my own safety and concluded that if I could figure out how to get it back, I was safe to tweet again)
Now almost 3 months, hundreds of tweets and 1 electric bra later, I was finally able to meet the EMTs, firefighters, and call operators who responded that night and hear about their experience
I heard about how they had responded earlier that night to a house fire only to get called again a few hours later when my heart stopped beating.
I heard about how they encountered my locked back door without their tools to break it open, so the largest person on the team busted through it with a flying kick
I heard about the first team member who entered our bedroom where my wife was in her 9th minute of CPR and would later remark that the she was working so hard “her legs were flying off the bed with each compression”
I heard about the EMT who made eye contact with my 8 year old daughter, who was sitting up in bed, before quietly closing the door. I also heard about how he has thought about her every day since, hoping she was ok (she is btw 😊)
I heard about how they transported my pale, ashen body down the stairs, intubated me, started an IV, and shocked me 6 times while wearing full PPE, including hoods that were fogging up.
I also heard about how often they don’t get closure in these situations, how often they bring patients to the hospital barely clinging to life with no idea what happens next. I heard about how much they carry these traumas with them.
And finally, I heard from the 911 operator, how in 12 years on the job, she has known of only 3 survivors of cardiac arrest, including me.
Thank you to the people who saved me and thank you to everybody out there who works in emergency services. What you do matters.

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More from @DGlaucomflecken

Jun 28, 2021
I get asked a lot about how to use humor in medicine without getting yourself into trouble. Let me show you an example…
First, watch this video
You can understand why this has almost a million likes. His set up, editing, and delivery are all really good (he’s an actor, btw). You get the joke and it’s a joke that is easily understood by the general public. However…
Read 8 tweets
Dec 1, 2020
So it appears my health insurance saga has come to a somewhat dissatisfying ending. There’s a lot to unpack. I’ll do my best...
As many of you know, I received multiple surprise medical bills associated with my emergency hospitalization for a cardiac arrest. Several doctors (who I never met btw due to my lack of consciousness) were out of network and therefore, not covered by Cigna
I began fighting these bills, first with phone calls to reps and supervisors and whoever else was willing to talk to me. At times there was yelling and pleading and attempts to rationalize with a system that is wholly irrational.
Read 17 tweets
Nov 3, 2020
It’s Election Day, so let’s talk about why our eyes get puffy when we cry
We have 3 kinds of tears: basal tears (always there), reflex tears (noxious stimuli), emotional tears (democracy collapsing).

Emotional tears come from the lacrimal gland, the big ass gland in your upper eyelid, pictured here by Netter
When you cry heavily, like when somebody breaks up with you or you’re on a step 1 test break in the prometric bathroom, the lacrimal gland goes into hyperdrive. All that activity eventually causes inflammation and swelling around the gland
Read 5 tweets
Sep 12, 2020
Roughly 100% of people on the west coast are dealing with burning eyes from wildfire smoke, so here are a few eye care tips...
First, invest in some artificial tears. No redness relievers. If you use visine, you might as well just waft smoke directly into your face while screaming “why is this not helping?!”
Don’t rub your eyes or at least wash your hands before rubbing your eyes. You don’t want dirt, ash, or gender reveal party residue to be transferred from your hand to your eye.
Read 5 tweets
Sep 4, 2020
Let’s talk about floppy iris syndrome. That’s right, in a specialty with complicated words like “phthisis” and “glaucomflecken,” we have a thing called floppy iris syndrome.

It’s time for the ophthalmology/urology crossover you never thought you needed and probably still don’t.
Alpha 1 blockers like tamsulosin relax smooth muscle in the urinary system. Unfortunately, they also relax the iris dilator muscle, despite repeated requests by ophthalmologists that they please not do that
As a result, the pupil fails to dilate and becomes a giant pain in the ass during cataract surgery. In this video, you can see the iris constantly moving in and out. This slightly increases the risk for complications like iris injury, hyphema, and posterior capsule rupture.
Read 8 tweets
Aug 20, 2020
Call night 1/7: 2 pages

5:30pm - Rx clarification from pharmacy

5am - ED, patient punched in the face, swollen eyelids but no orbital fracture, vision 20/30, follow up in clinic this morning

Difficulty rating (from 1-5 eyeballs): 👁
Call night 2/7: 2 pages

5:48pm - Patient with a scratchy eye 1 day after eye surgery. Reassurance provided.

8:30pm - Thought I heard a page, but it was just the clothes dryer beeping

Difficulty rating: 👁
Call night 3/7: 2 pages

8:37pm - Patient call, flashes/floaters, met him in clinic for exam. No problems.

2:45am - ED, flashes/floaters, decreased vision, follow up in clinic this morning

Now on my way to clinic this morning with box of kolaches for the staff

Difficulty: 👁👁
Read 4 tweets

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