The Breathtaking Impermanence Of Things

Thursday, May 30, 2013

Anaphylaxis

I woke up early this morning. Truth be told, I didn't sleep much. I rarely do. I opened my eyes, looked around my sparsely-decorated bedroom, and said, to nobody in particular, “Here I am.”

Here I am. Thirty-four in two weeks, looking down the barrel of a divorce, renting a single bedroom apartment where the closest landmarks are strip clubs, beginning to feel the waters of rent and bills and payments and child support slapping at my chest and shoulders, lifting my feet off solid ground.

I'm far from shore here, and no longer feeling much like swimming.

I've spent much of this week at home, in the wake of a deeply strange physical experience that seems to take on greater weight the more I think about it, and I've been thinking about it a lot. On Monday, persistent pain in my throat and ear led me to seek medical attention on my lunch break. I'd been suffering several days at that point, and the nature and location of the pain left me sure it must be related to an issue I'd suffered in late April, when a Wisdom Tooth arriving some fifteen years after its companions caused a painful infection in my mouth.

The benefits I receive from my new employer, including health insurance, haven't kicked in yet, so I had visited a private clinic called Zoomcare, where paying out-of-pocket sets you back only $100 plus whatever medication or extra treatment you may need, relatively cheap by the insane standards of US healthcare. On my last visit, I'd been given two different types of painkiller and a ten day course of antibiotics to clear up the infection, which had worked, at least temporarily. The nurse I saw this time (after agreeing with my assessment that the same infection was still scampering merrily around my tonsils) decided that the best course of action would be to up the ante with what the bottle (which sits beside me as I type this) names AMOXICILLIN AND CLAVULANATE POTASSIUM TABLETS, 825mg of the former, 125mg of the latter. I was in favor of this course of action.

I paid my bill, headed back to the store, took one of the intimidatingly large pills with a mouthful of water, and got back to work.

Within minutes, I knew something was wrong. At first, I put it down to the weather; I'm extremely sensitive to changes in temperature and the brisk walk to the Zoomcare center and back I'd just taken on what was a cool and drizzly day in the northwest was exactly the kind of thing that could set my skin to itching and even bring me out in hives. So I ignored the prickling and tingling in my lower legs and the uncomfortable warmth beneath my clothes. Even when I felt myself starting to sweat, I swiped an arm across my forehead and carried on. It would pass.

But it didn't pass. My mouth was suddenly very dry. My heart was racing. I was having to think more about my breathing than was normal. In then out, in then out. I got on the radio and told my co-workers I needed to step off the floor for a few minutes. I'd been doing that quite a lot to drink water for my throat, so it likely didn't seem unusual.

By the time I got back to the office, I was starting to panic. Sweat was pouring down my face. When I fell into a chair, lowering my head between my knees because I was starting to feel faint, it dripped on the floor. I was dizzy and nauseous, colors floating across my vision, suddenly sure that – not only was I about to lose consciousness – something terrible was happening to me, something I wasn't going to be laughing about later.

The one thing I kept thinking about later on, laying in my bed feeling very sick and very sorry for myself, was that at the peak of this attack, I quite clearly remember getting on the radio and calling for help, calling for somebody to come back to the office. Nobody came, and it was only some fifteen minutes later, stumbling out into the backroom to find my boss moving freight, blissfully unaware of anything that had happened until the pale, sweat-soaked apparition that had apparently replaced his assistant appeared before his very eyes, politely asking if he could go home, that I realized I hadn't had the strength to push the button to transmit my message. Nobody had heard me.

At the time, I thought (and possibly rationalized) that I'd had some kind of panic attack. Later, after consulting the nurse to get my medication changed and doing my own research, I realized that I'd gone into anaphylactic shock as a reaction to the antiobiotics and that – given that nobody was concerned about my whereabouts or heard my pleas for help – I could quite easily have died.

If I'd gone straight back to work, I probably wouldn't have dwelled on that quite as much as I have, but the aftermath has been an uncomfortable few days in bed, punctuated by a single attempt to return to my job that lasted all of three hours. I've had a lot of time to think.

It doesn't mean anything, of course. Even if I'd climbed unscathed from the flaming wreckage of my Accord after barrel-rolling over the median some dark night, it wouldn't mean anything. I'm not a believer in things happening for a reason or as a message or any of that nonsense, but curled up in bed, itchy and nauseous and with a dull thudding in my head that took three days to subside, I couldn't help but think about it...

What if they'd found me later, thirty-three years old, twenty pounds overweight, almost divorced, almost broke, wearing a fucking sweater vest, slumped over in a chair in the back of an office supplies store, killed by an allergic reaction to a pill I'd had to take because of a randomly-arriving wisdom tooth?

Fuck.
posted at 11:00 AM
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