Last Thursday, I visited the Dublin Neurological Institute as what I hoped would be the final part of my investigations into the health-related episodes I encountered earlier this year.
My appointment was for 3:15pm, which gave me time to take a guided tour of my home city, to see what the tourists see (more of which later).
Arriving at the DNI's premises on Eccles Street, opposite the Mater Hospital (Best Care Anywhere - trust me on this), I checked in and was shown to a well-lit, brightly decorated waiting room that contained, unbelieveably, a baby grand piano. Although not in use while I was there, I was assured that occasionally a volunteer or member of staff would play, and that most patients appeared to like it. Fair enough, although I doubt I would have been one of them.
The room was full; about a dozen people, some by themselves, others with a friend or family member, all waiting to be seen by a neurological specialist. For myself, I wasn't worried: I had already learned that my CT and MRI scans had come back clear, and that blood pressure and cholesterol were my immediate issues. But the subject of neurology covers a wide field, and so it was possible that my fellow patients were awaiting diagnoses of other, potentially more serious conditions.
A lady, perhaps in her seventies, sat by the window. Accompanied by her daughter, she displayed a slight tremor that I mistook for nervousness, but upon reflection could have been Parkinson's.
A couple in their late sixties; the husband, asleep on one of the large leather sofas along the opposite wall; his wife, evidently troubled by back pain, unable to get comfortable on either the sofa or any of the hard wooden chairs. When they were called, I couldn't tell which of them was the patient.
A young couple, he Irish, she Polish, sat quietly at one end of the room. They were called shortly before I was, and I met them halfway down the stairs as I was being led to my meeting. They embraced quietly, and I can only hope that it was due to having received good news.
I was called by a young woman who introduced herself as Adrianna, and who led me to a small examination room in the basement. After taking my blood pressure to compare it with other readings, we discussed my case and an action plan.
Firstly, Adrianna confirmed what I already knew - that my scans showed no irregularities, other than what she termed "normal wear and tear" - not an expression I ever expected to be used in conjunction with my brain. And while she were satisfied that what had sent me to A&E in the first place may well have been stress-related, Adrianna felt that my chances of a stroke or heart attack were not high. It was up to me, however, to keep things that way.
So I have to work on my general fitness and diet, and keep taking the meds prescribed for me - they, apparently, are for life, not just for birthdays...
We also discussed the possibility that the pressure in my head, combined with loss of feeling, blurred vision, etc., might be due to migraine. I had seen a poster in the waiting room which described the symptoms of migraine, many of which tallied with what I had been feeling, and indeed what prompted me to seek further investigation.
Migraine does not necessarily involve a piercing, blinding headache, which previously I had believed, but can also produce effects as shown in this video produced by the Mayo Clinic:
While my symptoms don't include the visual element, I have experienced many of the other effects, so it was a relief to learn that it isn't all in my head after all - sorry, that it is all in my head... you get the picture.
Joking aside, though, this diagnosis will in itself help to reduce my stress levels. Now that I know what's happening to me, I can start taking steps towards taking control of the situations in which stress can become a factor. Chief among these will be in work, where a reassessment and reorganization of my responsibilities will be among the first tasks I begin following my return from vacation, the week after next.
Shouldn't be too difficult - I am, after all, The Mightiest of Men...