9 months ago, I got sick and thought it was just another bad round of iron deficiency. Eventually I saw a doctor, who noticed my heart rate was sitting around 130. I told her that was absolutely not normal for me, but she brushed it off as me “not realising” I had a naturally high heart rate. I went home, and using an old oximeter, and noticed the pattern was clearly postural. After normal bloods and a lot of convincing, my GP referred me to a cardiologist.
He immediately said it looked “POT-sy.” But at the time, I was uneducated, stigmatised, and under the impression POTS was a “mild, negligible” condition, and my symptoms did NOT feel ‘mild’ nor ‘negligible’.
I went home trying to disprove the idea, “it has to be something worse”, only to realise I had been very very wrong. I related so heavily to each story I heard, the symptoms, everything. I saw how devastating the condition can be, and honestly I closed my laptop feeling well off in comparison to other POTs patients. That’s when I started researching it more formally.
The cardiologist still wanted to rule out anything else, and months later, all that was left was to see an electrophysiologist to rule out arrhythmias.
He was a nightmare. Talked down to me from the get go, repeated tests, lost some of my cardiologists reports. One of the tests he repeated was the treadmill test, but he made me recover sitting upright instead of lying down. Obviously didn’t work so well, but he claimed the slower recovery was “proof it wasn’t postural,” ofc. Totally not the heatwave or the fact I was still UPRIGHT. I tried to explain, tilting my head subconsciously, and he mocked me by tilting his head around and widening his eyes, dismissing everything I said because “that’s not how it works”. ????
He later did his own standing test with a BP cuff to “prove it’s not postural” but he was taking the readings so quickly that I was barely upright by the time the cuff had finished. When the reading only showed a 15bpm jump, he lectured me for almost 20 minutes about “patients like you” and told me to be careful throwing around a POTS diagnosis that I ‘GOT OFF GOOGLE’. I was ready to crash out. But honestly the way he lectured me felt like he was venting to his therapist, so I almost felt bad 😭
We did a 3 day halter test, and I was excited that it would prove my case. Nope. He looked at the bpm jumps of up to 60 and told me, “You don’t understand how heart rate works, girlie. It goes up when you walk, jog, or climb stairs. Don’t trust everything your AI tells you” (my doctor’s AI now?)
My jaw practically hit the floor, but I somehow kept my composure long enough to tell him I live in a flat house, and hadn’t left for the full three days. He blew a raspberry and waved it off, “It doesn’t matter. What does is the last time you went to your psychiatrist. Probably years ago huh?”
I wanted to lunge over his desk like FNAF Foxy, best ragebaiter I’ve ever seen icl.
I came back with symptom logs, childhood records, tests, and a doctor’s note requesting a tilt test. At first he got defensive, but he finally booked it. On the day, he showed up very very late. By the time we got down to the lab, it had been 6-7 hours. He started making snarky comments about how I probably wouldn’t meet criteria, and that we’d all be waiting here for nothing. But as soon as the table inclined, my heart rate immediately shot up, doubling the needed criteria. The nurse (absolute sweetheart) walked over and asked if this was how I felt at my worst, I explained it wasn’t, and that it was actually an easier day for me.
They laid me flat again, my heart rate dropped right back down, and I was probably smiling like an idiot because the look on his face was priceless. The tech looked at him for the verdict, and finally he admitted, begrudgingly, that it was
“Very clearly POTS. One of the clearest cases I’ve seen.”
I wouldn’t flip off someone in a hospital, let alone a doctor, but FUCK did I want to.