Shared Journey: What to do When Your Heart Evaporates

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Sometimes in life, you’ll come across people who are sincere and genuine. Other times, more often than not, you just get f%C&3d in every sense of the word. That’s how it’s been for me at least. So what is it like to feel again when you let your guard down enough to feel?

foil balloonsIn the beginning, it’s like this: I’m infatuated. I feel his hand. I feel connected to him when I hold it. I feel happy when we walk; I walk-bounce and he walk-dances next to me. I feel safe and happy and calm when I wake up with him in the morning. I feel intrigued about what his body has lived through when I look at him and touch him. I like seeing his face and kissing it until he opens his eyes. I feel understanding and reassurance. He makes me feel confidence. I feel respected. I feel curious. I feel attentive. I want to know what runs through his mind, his passions, secrets, and what he does. I feel like I want to clean up after him. Care a little bit more. Do nice things. I feel attracted to him. The way he walks, his style, his eyes–the way he talks. I feel like I smile a little bit more–or more real. I feel like he’s kind of sweet. I feel like it’s kind of cute when he picks me up. I feel like we’re kind of cute together. Especially at the beach. Prime 112 too. Lincoln Road. I’m Crazy About You! Hotels and night clubs–or just at Whole Foods. I feel pretty. (But it’s because I think he’s pretty). I feel vulnerable. I feel like I worry too much. So I won’t and say how I feel anyway. I’ll give myself to my heart’s desire. Usually to the point where I run into a brick wall.

Atrial flutter can present with heart palpitations and fainting spells.  On EKG, it is characterized by  a saw-tooth pattern of atrial activation, most prominent in leads II, III, aVF, and V1.
Atrial rates are typically above 250 bpm and up to 320 bpm.

Face it, the emotion of hope is killer and when you find out your special someone is leaving  you hanging when your heart is still aflutter, it can really weigh you down. Everyone has dreams, but if you are not walking on the same path, it is foolish to keep your partner in yours and emotions become a danger zone. Once the love evaporates, then what?

Relationships are the steps making up the endless winding staircase of our consciousness. Every interaction we encounter, for better or worse, either platonic or romantic, allows us to learn more about who we are and what we really want to fill our time with. The end game is this: you can never be too grateful. What I mean by that is, once you accept something as status quo, you become complacent. It is good to want more. Not in the sense that you should  be driven by chronic dissatisfaction but in the sense that money is money. Your job is your job. Your life-the adventure of your life-is all that you really have.

Class Notes: Anti-arrhythmic drugs and the Vaughn Williams classification system. Treatment for a hemodynamically stable patient with atrial flutter includes a beta-blocker or calcium-channel blocker or amiodarone. 

When you are in a relationship, it is easy to get comfortable with routine. The minute a fruit is perfectly ripe marks the minute it begins to rot. Just toss it out. Or with lots of patience, it becomes an opulent, fine wine.

If you’ve decided upon tossing out your rotten orange, return to planting more seeds to later reap the fruits of your labor. Become prolific in your work. Tune into yourself and continue to grow. You may not have any more of your heart left to give. So take a rain check, get gift receipts, or re-gift that cologne you bought later.  I’m a hopeful romantic. One of these days, love will call and I will say “Hello there. Where have you been all my life?” (And, of course, we’ll enjoy that lifelong adventure in perfect company.)


PS: To be great at medicine, one must be able to understand both the physical heart and this one ❤
For a great free online resource to interpret EKGs, click here!






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  • Source: January CT, Wann LS, Alpert JS, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2014;64:e1-e76






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