The Ickies

Scott is feeling awful and we're a little worried.  They sent him home from work early last night (which NEVER happens as a resident) after doing an EKG and a load of labs on him.  He's been having intermittent palpitations over the last few weeks but usually it will just be one or two here and there.  

He started having them last night around 1am though and they wouldn't stop.  His pulse is completely irregular and he is feeling really just out of it and awful.  If you've ever had a palpitation you know they are uncomfortable - it almost takes your breath away and feels like your heart is flipping in your chest.  

After the palpitations continued for over two hours they did the EKG and ran labs.  The EKG showed that he's throwing PAC's (usually harmless but he shouldn't be having this many of them for such a long period of time).  His labs were normal except he has gone from super hypothyroid to very HYPERthyroid within about three weeks.  Now, this is not a steady level (it takes about 6 weeks to reach that), but his thyroid levels are definitely way off, which could be the primary contributing factor as to why he feels like crap.  He's finally asleep now after a very restless morning with a very irregular pulse still and I'm hoping he can sleep the rest of the day and feel better.  It's a little unnerving.

We'll be consulting our Endocrinologist about what to do, but are hoping we can get this fixed ASAP.  Please say a few prayers for him.  He's scheduled to work again tonight and I'm hoping he's feeling better - at least well enough to focus and get through eight hours.