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Try as he might, Scott Fleming just can't remember
much about the day he died.
He can remember what he did the night before - "I
stayed up late to watch a film," he says - and he can even remember sitting
up in hospital after six days in a coma to learn he was gravely ill.
He can certainly remember discovering it was only
sheer chance that he survived against the odds after dropping down 'dead' at
the side of the football pitch.
but the desperate battle to restart his life, the
breakneck ambulance journey under police escort to hospital and the numerous
times his heart stopped beating on the way are, fortunately, erased from his
mind.
Today he is almost back to normal after staring
death in the face not once, but seven times, eight if you count the
subsequent life-threatening operation to repair a damaged windpipe, the
result of the emergency treatment on that fateful day.
And it is only now, two years on, that he can
finally talk about the drama of that horrific day - for his damaged throat
left him unable to talk for over a year.
"I should be dead," says Scott, 29, as he reflects
on the remarkable episode at the side of a Torphichen football pitch, just
moments after he had signalled to his team mates that he couldn't play on.
"I flatlined seven times that day, my heart
stopped and the ambulance radioed ahead to St John's Hospital in Livingston
to say expect me to be DOA - dead on arrival.
"No-one knows why my heart started to beat again -
I'm just glad that it did."
Scott should have been yet another tragic
statistic, one of the estimated eight children and young adults - many
outwardly fit and healthy, and often sporty - who die suddenly each week in
the UK from undetected cardiac abnormalities.
And why his heart should suddenly correct itself
from a potentially fatal collapse, while others have been less fortunate,
has left him baffled.
He was playing left back for Sunday League side
Balbairdie in a match against a Grangemouth team in December 2004 when he
began to feel unwell. Unknown to him, he was among the 1.5 per 1000
people in the population with Wolff-Parkinson-White Syndrome, a congenital
condition that can lie dormant and undetected for years, which can cause
little more than a rapid heartbeat but, at its worst, can be deadly.
Not that there had been anything to safest the
fit, amateur sportsman had a potentially fatal heart condition.
"I played football, I'd go for long runs, I'd swim
a few times a week and play football for 90 minutes without any problems.
I was fighting fit, healthy," says Scott.
I looked after myself, I had a good diet. I
did the Glasgow half marathon and, okay I ended up a bit red in the face and
my heart was thumping, but I didn't think that was particularly unusual.
"I honestly can't say I suffered any kind of
symptoms."
Which was why when he felt odd during the Sunday
League match, the design technician from Lakeside Drive in Blackburn,
decided to watch the remainder of the match from the bench.
"I sat on the bench and that was me, I just
collapsed."
His friend, fellow Balbairdie player, Thomas
Bannon, 29, of Riddochill Road, Blackburn watched in horror as Scott
slumped, lifeless, to the ground and turned a ghastly shade of blue.
"It was horrible to see, really awful," he
recalls.
"He'd said he had some palpitations and was a bit
light-headed. then to see him collapse and everyone around trying to
help - well it's not particularly pleasant."
Unknown to Scott, he had been born with the
inexplicable heart condition in which there are one or more extra electrical
pathways in the heart, sometimes interfering with the organ's proper rhythm.
Usually the condition - easily spotted by a simple EGG test - causes little
more than palpitations, faintness and dizziness, but it can, as in his case,
cause the heart to fail. And that can lead to sudden death.
Thankfully, the match referee and another player,
both with medical training, were on hand to perform vital resuscitation
techniques which undoubtedly saved his life, Scott faced a life-or-death
dash in an ambulance to St John's intensive care unit, where medics fought
to stabilise him and search for the cause of his near-fatal collapse.
"My mum was told to expect the worst," recalls
Scott.
"Then they said there was a fair chance I'd wake
from the coma with brain damage."
A simple operation a few weeks later - known as an
ablation, it involves passing a wire into the heart to prevent further wild
electrical interruptions to the organ - meant Scott was effectively "cured."
But there was more to come.
Within weeks it emerged that his windpipe had been
damaged by the emergency oxygen he had been given during his fight for life.
And as his throat swelled, he needed a tracheotomy in April last year to
help him breathe.
Eventually, medics warned Scott he would need a
difficult operation to stretch and repair his damaged windpipe - one that
would allow him to breathe and speak normally again but which had the
potential to go horribly wrong.
"It was a very scary operation," recalls Scott.
"But I'd had 14 months with the tracheotomy in which I couldn't speak.
I had no choice but to go for the operation because I couldn't spend the
rest of my life not being able to speak."
Faced with the prospect of a life in which he
could only communicate via the written word, sign language and mouthing
words, Scott signed the consent forms and surgeons operated in August.
Scott was kept in a coma for five days to give the
surgery time to heal - for a sudden neck movement could have snapped his
windpipe.
"And that would have been 'goodnight', he
explains.
Next month he wi8ll return to hospital for a final
round of checks, when it's hoped medics will give him a clean bill of
health.
But while he has been lucky, Scott is determined
to raise awareness of Wolff-Parkinson-Syndrome in the hope he can prevent a
more tragic outcome for someone else. And he has joined support group
CRY (Cardiac Risk in the Young) and their campaign to have heart checks for
all young people.
"Many people have no idea they have this, yet it
can be diagnosed with a straightforward ECG," he says.
"Okay, it costs money but there is an argument
that young people should be tested - after al, look at what it's probably
cost the NHS to treat me."
He smiles: "It's probably cost them more in giving
me cups of tea than it would have done for an ECG."
Once diagnosed, some cardiac irregularities such
as Wolff-Parkinson-White Syndrome can be treated with a simple 'keyhole'
surgery techniques - such as Scott's procedure to insert a wire into his
heart via an artery, performed while he was awake.
"I was incredibly lucky," nods Scott.
"I got through this thanks to the two guys who
helped me before the ambulance arrived, the paramedics who were fantastic
and the hospital staff, who have been amazing throughout it all.
"I certainly don't blame them for what happened to
my windpipe - they were trying to save my life after all."
He adds: "I've been told that my heart isn't at
risk now and I've been back to the gym, swimming and I'm even thinking about
starting jogging.
"As for football, the docto9rs say there's no
reason why not, but after my last experience on the pitch, I think I might
not bother."
More information about Wolff-Parkinson-White
Syndrome and Sudden Death Syndrome is available from Cardiac Risk in the
Young at www.c-r-y.org.uk. CRY
also runs private ECG screening sessions, call 0208 423 7200.
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