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It’s just costochondritis, I told myself. Michelle’s driving to her sister’s in a few hours and I cannot have her wake up in the morning to us being at the hospital over nothing. Inflammation of the lining of the heart sounds terrible but it almost never actually is. All it is is a familiar nuisance.

It’s just a little bit of food poisoning, I thought out loud, wanting to get out of bed and toss that leftover that only I had touched, but I wasn’t going anywhere right then and I knew it.

Awhile later: “Would you google ‘women heart attack symptoms’?”

Turns out I’m not the only one who doesn’t hear well in the dark in the bed at night half asleep, especially when someone’s not talking very loud.

I rolled over on my side and my ribs roared. A silent, Oh, so you *can* do real pain here, not just hints. I rolled back. See? Costochondritis. Had it a million times, you’re just out of practice because it’s been awhile. No real chest pains until you mess with the position of the ribs. Okay, so we can stop worrying about that one.

That sense of–tightness? I think I’d picture it more as my insides being pleated and the stitches pulled tight–I don’t think it had ever been quite like that though. I don’t remember being fitted for a corset. And you don’t get nausea with it–must be the Crohn’s joining in on the autoimmune party. I knew I’d done too much sun time. Right?

Richard asked if he should take me to the hospital and I said I don’t know. Okay, so he did catch on to the gist of it! Just knowing that helped a lot, and very slowly, gradually, a good three hours after it had started during my walking time before it all hit hard at once, it receded enough that I finally fell asleep.

And woke up feeling fine. I threw out that leftover. I forgot about it. Life was normal, just like I wanted it to be. To stay being. Because I said so.

It was 3:30 pm before I finally told myself to stop being stupid and messaged my cardiologist and the response was surprisingly quick and it was obvious and it was quite to the point: “If you have those symptoms again please go to the emergency room.”

The nurse managed not to add, You idiot!

It’s all the costochondritis fake-outs over the last thirty years that are going to trip me up in the end. But, like anticipating earthquakes, the big one is forever not today.

So far so good.

By way of explanation: after having been told from age 13 to age 31 that any of what turned out to be lupus symptoms were, essentially, all in my head, leaving me with a profound sense that I will not be believed by a doctor who doesn’t know me if I complain so I don’t, I now have official permission from one of their own to complain. “Because my cardiologist said so” is what will get me to show up at the ER next time.

I promise to go.

And now excuse me, I’m going to go do my fast-walk thing early so that it hopefully won’t be the middle of the freaking night should anything go wonky.

But maybe not quite as fast. I confess to being slightly spooked.

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