Episode Transcript
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Speaker 1 (00:02):
Sometimes people really do die for no reason. And I
don't mean a senseless killing or a tragic accident. I
mean that sometimes the human body shuts down for reasons
beyond our current medical knowledge. Yeah, we know that it
starts either in the heart or the autonomic nervous system,
(00:25):
but beyond that, we in the medical field were stumped.
I'm an emergency physician working in a major city. I'd
like to break the silence on the issue, but that
would that would be career suicide, so I'll I'll do
it anonymously. Here. It happens more than you might think.
(00:50):
Young healthy woman goes to sleep, just doesn't wake up
the next day. Middle aged man collapses on the sidewalk,
and we always come up with an excuse of how
it happened. The woman's doctor will dig into her medical
history find out she admitted to doing cocaine at a
party in college. Or the middle aged man's grandfather died
of a heart attack, so he probably had a congenital
defect that led to sudden cardiac death. The problem is
(01:15):
a heart attack and sudden cardiac death, those are two
different things. And an overweight eighty year old smoker having
a heart attack doesn't explain why his forty five year
old half marathon running grandson's heart just simply stopped beating
one day on his way to the corner store. It's
(01:37):
so much easier to explain away the problem if they
have a current medical condition. Oh, he has diabetes, that's
why his heart stopped. Never mind that his diabetes was
well managed and he followed his medication regiment regularly. Oh,
she had the flu, which we often forget kills people
every year. And yeah it does, but not normally seventeen
(01:58):
year old varsity volleyball players with no underlying health problems.
Sometimes the sudden death occurs and causes an accident, which
makes covering up the real cause easier. Mean, heck, we
don't even need to cover it up half the time
we don't know about it. I remember learning about the
condition back in med school during my pathology rotation. I
(02:22):
was naturally pretty good at this sub field and considered
specializing in it for a time before going the emergency
medicine route. The attending took a liking to me asked
me to take a look at something I'd like to say.
I was in the morgue doing extra credit because I
was such a badass student. But I mean honestly, if
(02:43):
memory serves, I was practicing rectal exams on my cadaver
because I hated them and I didn't want to freak
out in front of class again. I found the pathologist
in the adjacent room looking at the nude corpse of
a thirty eight year old woman, a why incision across
her torso. She had bruises and lacerations on her face
(03:04):
from an air bag. No damage to her hands or wrists, though,
which sometimes happens when air bags deploy, but isn't consistent
enough to be suspicious alone. She also had a bruise
stretching from her left shoulder across her chest, common injury
caused by seat belts. I was called. The autopsy revealed
her spleen had been contoosed, again, something consistent with seat
(03:26):
belt related injuries. The only problem was that that was
the only internal damage The doctor could find her lungs,
her heart, or brain that they should know significant pathology.
She hadn't bled out internally. Analysis of her blood showed
elevated levels of tropin and a marker often used to
(03:48):
diagnose heart attacks, but no infarcts were found in her heart.
Witnesses said that she went limp before her car swerved
off the road. Perhaps perhaps she fainted. You might think,
just because she lost consciousness before crashing, that doesn't mean
thousands of people are dropping dead every year from an
unknown causeman. After all, her autopsy also revealed she had
a blood alcohol concentration of point oh three percent, so
(04:11):
that probably contributed to her loss of consciousness. Right now,
you are thinking, like a doctor, why consider the facts
when you can neatly file this away. But the many
alcohol related accidents that occur every year, A BAC ofo
point zero three percent, what a joke that that's well
under the legal limit, as I'm sure you know, and
(04:33):
with no other drugs or even prescribe medications in her system.
The likelihood that the amount of alcohol found in a
small beer knocked this woman out, that's just absurd to me.
She had a history of enjoying a few drinks each week,
so it's not like this was her first time. But
her friends and family said she had been under a
lot of stress lately and wasn't sleeping well, so the hospital.
The hospital was able to latch that on as an explanation.
(04:58):
A little bit of beer plus a whole lot of
stres us poor sleep that could make someone lose consciousness
of the wheel. Right, that was the case, everyone I
went to med school with would be dead a hundred
times over. I had not just med school students, the
whole damned country's experiencing an epidemic of stress and poor sleep.
But that's more comforting to believe this explanation than the alternative.
(05:20):
Let's ignore, of course, the fact her body didn't have
enough damage to account for her death. I noticed the
Frankenstein cut across the woman's scalp. That meant the pathologist
had examined her brain. I asked if there was any
damage to it. He said there wasn't, and asked me
(05:41):
what I thought he should do, And told him to
re examine the brain for any neurological reasons the woman
might have suddenly feigned. He said he wouldn't, and when
I asked him why, he replied, because if I don't
find anything, it draws attention to the fact that she
died of nothing. They've just enough ambiguity the family can
(06:02):
make peace with it. Those words stuck with me. You've
heard about this unnamed, unspoken condition before, too it happens
to celebrities, it makes the news. Thankfully, the media love
draggon famous people's names through the mud, so when they
die of nothing, you hear about every unhealthy habit they
(06:24):
ever had and every drug they ever took. The cause
of death is always some horrible celebrity behavior that us
normal people don't engage in so we don't have to worry,
and it cracks me up. Cracks me up when the
media outlets all pick different explanations to run with. Remember
that got TV star we all watch growing up and
died a few years back engaged in some rigorous physical
(06:46):
activity beforehands that must have contributed to his heart failure.
Except people with weak hearts usually don't do rigorous activities.
They follow a pretty clear and predictive decline in physical
ability before dying, and people who get heart attack usually
get them during the activity, not after. Oh it can happen,
but generally speaking, if a bit of plaque is going
(07:08):
to break off and block an artery, it's going to
do it when your heart rate spikes sharply when it's
coming down. I also heard it was the activity combined
with overheating from his hot tup or no it was
that he actually passed out first and then he drowned.
No wait, it was everyone's favorite culprit, drugs. And the
(07:29):
reality is no one knows how he died. Martial arts
star known for his extreme physical fitness, gets rushed to
the hospital with what they said was swelling in the brain.
But I've also heard he died of an allergic reaction
to a headache medicine, or water toxicity due to the
liquid diet he was on. Heck, I've even heard he
died because he ate hashish, which is a concentrated form
(07:54):
of marijuana that has been linked to zero deaths, or
I mean one, I suppose if you believe it this guy.
What we do know about the condition is that it
often causes a sense of dread before setting in full
blown panic attacks are seen in roughly fifty percent of cases.
And before you comment about how panic attacks can't kill you,
(08:14):
let me ask you this, how do you know? How
do you know a heart attack isn't just a panic
attack that kills you. Their symptoms are often the same.
Maybe an aneurysm. Maybe that's what happens when your panic
rises your blood pressure so high it compromises the lining
of the blood vessels in your brain. Remember that pop
(08:36):
star from like fifteen years back. He died because this
doctor wouldn't say no to him and kept giving him drugs.
And then the doctor got in trouble. But what was
the drugs he was taking? There was something to help
him sleep because he suffered from terrible fits of anxiety.
So so did the drugs really kill him? This is
(08:56):
the hardest pill to swallow. This is the reason, not
just the medical commune, but the whole world at large
has agreed to this cooperative lie. Your anxiety is right,
You can just die for no reason that. It's not
a conspiracy. It's not something us doctors cooked up to
control the masses. Everyone knows it's on some level. We
all know life is fragile, it's random. We all know
(09:18):
that those sudden bouts of dizziness, tightness in her chest,
a feeling of dread, it can't just be benign. They're
warning us of something biological that we don't understand. Me
Why in the name of God would we evolve to
experience panic for no reason? But there is a reason
chronic anxiety. And do you really believe that? Do you
(09:39):
really believe that the fixed evolution gave us to deal
with stress over long periods is to imitate a heart
attack instead of, I don't know, make us better at
handling stress. Yeah, but my doctor said, yeah exactly, your
doctor said. And I'm here to tell you that your
doctor's either wrong or he's lying to you. It's not
out of malicious intents to help people live there lives
(10:00):
normally without a constant fear leaning over them while we
research this issue and try to understand it better and
hopefully hopefully find a treatment for it. I was one
of the doctors that was wrong. Okay, I believe the
line myself. I pushed the truth down somewhere inside me,
choosing not to fully understand what the pathologist had tried
to teach me in medical school. It's been mostly an
(10:22):
essay so far. So let me try my hand at
a bit of narrative, trying to show you exactly what
broke the spell for me and what woke me up
from the illusion, so to speak. Abby was a twenty
six year old female. She was admitted to my hospital
emergency department at one thirty am reporting shortness of breath, chills, shaking,
(10:46):
and tachycardia. Since any symptoms that can be heart related
or assumed to be so until proven otherwise. She was
sent back to me right away. Her heart rate was
one twenty eight. It was not great for sitting down,
but to be honest, that's roughly what you'd experience, and
I like jog. Blood pressure was one forty five over ninety.
It's not great, but working in an er, I'd seen
(11:08):
much worse on people who walked out the next day.
So tell me what you do for work, I said,
as I applied the electrodes for an EKG to her skin.
She had requested a female doctor and was perfectly comfortable
being shirtless with me. She just wanted to find out
what was wrong with her. I'm a paralegal, she said
quickly between breaths. That's hard work. Is that true. It
(11:32):
may seem weird to have casual conversations with someone in
the throes of a panic attack, but casual conversation focusing
on simple, familiar topics that can ease people through them also, No,
I've never read this in the medical literature. I believe
talking can help regulate their breathing return this year. Two
levels back to normal can be I like it. She laughed,
(11:53):
Probably the cognitive dissonance of making a positive statement while
feeling so terrible. It was good. I released lit tension.
I smiled at her and applied the last pad. I
turned on the machine and began spewing out a paper
readout of spikes and troths, telling me all the states
of Abby's heart. I said, all right, well, I'm going
to make sure that your heart's looking out there.
Speaker 2 (12:16):
Yeah.
Speaker 1 (12:17):
I don't see anything here that really concerns me. In fact,
your heart's pretty strong. That's what I would expect to
see in someone around eighteen years old. Well, no, because
their heart still has little developing to go. But this
is peak performance here. Are you an athlete? I like
to run? She said. With each passing second, her breaths
became farther apart.
Speaker 2 (12:36):
I'll do it. I've always wanted to run a marathon.
I think I could physically, but it's a time commitment.
I don't think I could fit the training in my schedule.
I've never done anything like that. It's just I do
a few miles every day or two. Her voice sounded tired, now,
almost drunk. I mean that happened sometimes to people when
they come down from a panic attack and the adrenaline
(12:57):
goes but leaves the endorphins to make the person feel
I glanced at the pulse oximeter on her finger, about
to stop the EKG when I noticed her heart rate
was now sixty.
Speaker 1 (13:08):
That can't be right. I grabbed her wrists, and in
the fifteen seconds it took me to check her pulse,
her heart rate had dropped to forty. I called for
a nurse. I glanced at the readout from the EKG
and so it had changed from one belonging to a
young runner to one that would be a good candidate
for a pacemaker. Hey, Abby, did you take anything before
arriving in the hospital for your anxiety? Or? Heart rate's
(13:29):
a little low, So I'm going to give you a
medicine to I read hard rate thirty on the pulse. Oh,
dear God, I don't remember if I said that out louder.
I hope only thought it, but I don't know if
that would have changed anything. She already knew something was wrong.
Her eyes widened and she reached from my hand. Her
heart rate shot back up to sixty. Briefly, she struggled
(13:49):
to keep her head up before falling back onto the
examination table. The paper continued to print from the EKG
spikes and troths, cutting sharply to a flat line that
would stretch on forever if I didn't turn the machine off.
I've realized I was clutching her hand in mine. I
(14:12):
let doved and hung off the end of the table.
He limb dead.
Speaker 3 (14:27):
Hey did you like that creepy pasta story that you
heard today? I bet you did because you'd stuck around
to hear the outro. So if you want to find
more creby Pasit stories like this, check out the links
in the description down below. It lead you over to
the creep Pasta Collection Volume one and Volume two. Volume
one and Volume two also have a bunch of stories
from some of the best authors I've worked with in
the past fifteen years, which I think is pretty high praised. Again,
this is like what four thousand stories? That's right, four
(14:47):
thousand stories. Subscribe you'll see them. But yes, two books
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(15:08):
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huge thank you to you guys, everybody who shows up
in the description down below, and as always, folks, Sweet dreams,