How I ended up in the hospital in rural Virginia, far, far from home.

Way too long. Read at your own risk, and with little hope of entertainment.

This past week, I drove from Alabama up to Ithaca, New York (see my awed Wegmans thread) to do some research at Cornell. I drove up to Hagerstown, Maryland on Saturday (about 12 hours), then the other 6 or so hours up to Ithaca. I spent all week in the lab (mixed results, not all that great), then drove down to DC to hang out with a friend of mine who works at the Smithsonian Museum of Natural History. Spent a couple of days there, then hit the road for home yesterday morning.

Everything started out great. Gorgeous morning, limited traffic on I-81. I thought I might actually be home in time to see the second half of the Bama-Tennessee game. I was very much looking forward to being home, seeing my wife and 7-month old, and licking my wounds from a largely unsuccessful, from a professional standpoint, trip.

Somewhere in that long, long drive down the spine of Virginia, I started feeling weird. I was queasy and uncomfortable. Eventually, I started feeling faint. Damn it, this is not in the agenda. I figured I was simply hungry, so I stopped at a convenience store for some quick energy in the form of a candy bar and a stick of beef jerky. I went to the restroom, and I was stunned that my hands were shaking uncontrollably. It was so weird. I even tried relaxing them completely at my side, but they were shaking like I had DT’s. I started feeling so bad in line that I peeled the candy bar open and started munching it immediately.

Outside, I started feeling better. I walked around, got the blood flowing, and about 15 minutes later, figured I’d solved the problem at least long enough for me to find some real food. No more shaky hands. OK, so, back on the road.

Bad idea. Not 5 miles later, it came back with a raging vengeance. Suddenly, I was acutely nauseated, feeling more faint than ever, my heart was POUNDING, I’d broken into a cold sweat, and I was getting black spots in front of my eyes. Recognizing that I was acting stupid and reckless, and that my fainting while driving at 70 mph was perhaps not in anyone’s best interest, I pulled the car over and staggered out. I was disoriented, and I immediately started dry-heaving beside the car.

I pulled out my cell phone, but dropped it in the grass twice because my hands were so unsteady. I dialed 911. Apparently I’d been acting so pathetic on the side of the road that someone had already called, because the operator knew what color car I was driving, and at what mile-marker I’d stopped (thanks, anonymous Samaritan! I sincerely appreciate it.) Next, I called my wife. She didn’t answer, so I left a message. I listened to it today, on her phone, and it made very little sense. It was weird listening to myself sounding so garbled, panicky, and pitiful, with the sounds of 18-wheelers raging down the highway drowning me out occasionally. The gist was that I thought I might be dying.

And that’s the thing. I’m all alone on the road, 600 miles from home, after a largely normal day of driving, and within 10 minutes, I’m convinced that I’m going to die on the side of the interstate. Nothing like this has EVER happened to me. I’ve always been ludicrously healthy. As I would tell the EMT later, the last time I was in the hospital was 26 years ago, when I had arthroscopic surgery on my knee. But my hands were cold and unsteady, I couldn’t stand up. I was feeling pukey and faint, with my vision coming in and out at random.

I thought I was having a heart attack at 38, with no prior history of heart problems. I thought I was going to be that guy, the one who everybody remembers because he died young, keeling over on the side of the highway, leaving a wife and infant behind.

Panic attack? I guess it could happen. I’ve been feeling pretty low about things recently. I can’t get my experiments to work, and I might be running out of time to remain on my department stipend. That certainly has been making me anxious, but I still have some time, and I have some ideas to move forward, so maybe not.

Oh shit. My mother died of diabetes. I’ve probably gained 30 pounds in the last five years, I’m smoking again, and since the baby came, I haven’t exactly been eating perfectly all the time. Ohmygod if I live, they’re going to tell me that I’m an undiagnosed diabetic, and that I had crashed. After that, it’s insulin the rest of my life, with intense pain and a bad death at the end of it, just like my mother.

That’s what it was like. I couldn’t dismiss any of the possibilities, so given the unavoidable fact that I was obviously dying, lying in the grass as I was, I was mulling over all of them at once. It was terrifying. I can’t honestly say it was more terrifying than having first my wife’s, then my son’s, heart rates crash during delivery, but it was right the heck up there. I was seriously contemplating my mortality on an immediate, demanding basis. The experience is…gloomy.

I remember feeling incredibly lonely, too. I just wanted to be home, petting a kitty. I wanted to see my wife and son. I just wanted to be back on the road, driving south. FUCK.

The state trooper was a kind guy. He helped me sit up, tried to give me something to drink, and talked to me until the rescue team arrived. I got piled into the ambulance, and after the most miserable twenty minute ride I can remember, I ended up at a small rural hospital.

I tried my best to tell them what was going on, but I’m sure they thought I was on drugs. I wasn’t. No dodgy vital signs. Blood sugar was dead, solid average (whew!). Heart rate was fast, but regular (whew!) Holy crap, was I REALLY just having a panic attack?! They kept trying to start an IV, and I have great veins, but they couldn’t get anything going. That was fun. Both my arms look like giant bruises today.

And that’s what was wrong.

“He’s dry,” the nurse said. They eventually got one to take, and started dripping saline. Within an hour, I was feeling almost normal again.

I had let my damn idiot self get incredibly dehydrated. How stupid can you be? Just drink some damn water! I started thinking, though. Night before last, I had a few beers when I first got to my friend’s house. I don’t remember really drinking any more water the next day. That night, I had a few MORE beers at the party at the museum. And weren’t a couple of those high-gravity? Again, no water afterward. And then that morning, I had had a metric buttload of coffee, both before I left, and pretty much all day on the road, and we all know that coffee is a diuretic. Really, it could probably be traced to the start of the trip. I’d been going like hell all week, after all.

I ended up getting recharged on water, feeling fine, and then getting back on the road after a few more hours. I took the rest of the trip very easy, and put away three large bottles of water on the road. It was astounding how dehydrated I was. How the hell could I have let myself get so unbelievably dry that I ended up crawling on the side of the interstate, thinking I was going to die?

A piece of advice for those unclear on the moral: drink water. :smack:

I’m still gobsmacked about how profoundly a simple lack of water affected my body’s chemistry. Zero-star experience. Avoid if possible.

Glad you’re feeling better. But I must point out that while caffeine is a diuretic, coffee is 99% water, and the tiny amount of caffeine in it does not cause all that water to disappear. Drinking coffee is under normal circumstances a perfectly reasonable way to hydrate. It might worth investigating if there’s anything else wrong with you, because you shouldn’t have been dehydrated if you had a bunch of coffee to drink.

:eek: Holy crap!

Hmmm… Thanks. Now I’m all paranoid again. :stuck_out_tongue:

No, I guess I don’t understand it completely, but I was definitely dehydrated. Perhaps I peed it all out without replacing it. I pounded water all night last night, and still only stopped for a bathroom break twice.

Today has been completely normal. No side-effects. Water in, water out, so to speak. No loss of function.

I suppose something could be wrong, but I’m assuming the null for now.

And just to expand a bit, chronic dehydration is a reasonable hypothesis, given the circumstances of the past week. I had been working with no breaks all week long. I hadn’t even been stopping for lunch. I had had beers or wine most nights I was there, and I’m not used to that. I hardly ever drink at home.

I’m assuming there actually was some element of an anxiety attack in there as well. It’s hard to tell where the line is between simply freaking out, and freaking out because your brain chemistry is all wonked from dehydration.

But the fact remains that after lots of water, which it was empirically true that I lacked, I was normal, and have felt fine all day. If anything like this happens again, I’ll start thinking in terms of medical problems, but for now, I’m satisfied.

Yeah, it makes sense that if you had been running a deficit for a while, then the coffee that morning might not have been enough. Didn’t mean to make you more paranoid. :smiley:

Do keep a close eye on things for a while, though.

I believe the same applies to beer as well - in terms of immediate rehydration it works just fine, but long term they can have a negative effect.

So if a person is in acute dehydration a beer is much better than nothing.

If it makes you feel any better, I think your stories are always entertaining, even the bad ones. (Perhaps especially those?)… I kid I kid! Seriously though, how did you not get one helluva dry-mouth or feel faint, or something, before it reached that point? I feel weak-as-shit if I go even 12 hours without adequate hydration. It’s a testament to your testicular fortitude that you pushed yourself to the point of dying before realizing what a state you were in :stuck_out_tongue:

Helluva story **Ogre **- glad to hear you are better. Amazing how we lose sight of the basics.

Any chance you got to ogle guitars at Rumble Seat Music? :wink:

Heavenly day! I’m glad this had a happy ending.

One of my mottos s that, after using the bathroom and washing your hands, have a glass of water. You’re at the sink anyway, so why not?

Glad you are feeling better.

I’m curious, what happened to your car, did it stay on the side of the road, was it towed somewhere, how did you get back to it?

I knew your story had something to do with I81 but figured it was a vehicle accident.

Glad you’re ok and I hope they treated you well in VA.

Thanks very much, although I felt a bit like I was Livejournaling or something. I have no idea why I wasn’t aware something was wrong. I guess I just had my head down and was hell-bent for home. It was certainly not smart, and I think I’m going to have to keep a closer eye on myself in the future.

Unfortunately, no. I even looked up the address, with every intention of going, but I just did not have time. I’ll have to try again if I go up there soon.

That was something that caused me a lot of anxiety. it was a rental car, so I definitely did not need it staying on the side of the interstate. Turned out that they had someone drive it to a nearby impound. After I got out of the hospital, I called a local cab (really just a strange-smelling guy in a strange-smelling car who made extra money this way), who drove me over to the shop.

I should know much better than to drive I-81. That road hates me. EVERY TIME I’ve ever made that drive - and I used to live in DC, and drove many times to and from Bama - something odd has happened. I was once stuck in an ice storm on 81 for 28 hours. Another time, with my dad in the car, we were delayed for 8 hours by a jackknifed tanker truck and the associated chemical spill.

They treated me fine. Actually, the whole system seems to have fit together almost seamlessly. By the time I called 911, a rescue squad was already on the way. The state trooper showed up quickly and was a very nice guy. The EMT’s showed up less than 5 minutes later, and I was in the hospital being treated in a half hour or so. Everyone was quick, professional, competent, and compassionate. I’m extremely grateful.

Ogre, you poor thing! Here, I’m going to give you a virtual hug. hug There you go.

I don’t understand how you could not be feeling incredibly thirsty well before it got to this point.

How 'bout a shout-out to this little hospital that SAVED YOUR LIFE? Do you remember the name of it?

And we need updated baby pictures!

I don’t know the medical reason for this (or if there is one, or maybe a psychological reason), but having experienced a few people who were definitely overheated and dehydrated, they all INSISTED they were not thirsty whatsoever.

I hope you got lots of kitty-love when you got home. I’m glad you made it through, and equally glad you had enough time to get yourself off the road before it got too bad.

And I second the motion for more baby pictures.

I was going to say, it sounds to me like it started as dehydration and then, when you got worried, spiraled into an anxiety feedback loop, i.e., a panic attack. The handful of times I’ve had them, the description sounds exactly like yours.

Glad to hear you’re OK, Ogre!

So where were you in SW VA? That used to be my corner of the world.

I pulled over near the Natural Bridge exit, and they ended up taking me to Lexington. Nice folks in Lexington. :slight_smile: