Getting over the hump
Watching Stanley “Shorty” Carson climb into a massive bulldozer, drive it onto an industrial trailer and strap it down with nimble skill, you’d never guess he’s 69 years old.
You’d also never imagine that not long before, he was so run down by heart problems he could barely walk from his workshop to his pickup truck.
Shorty has spent his life with a family history of heart disease hanging over his head.
His father died of a heart attack at age 56, leaving Shorty and his four brothers wondering if they were destined for the same.
“Whenever we turned about 55 or 56, we went through a bad two years,” Shorty said. “‘Are we going to get over this hump?’”
Shorty wasn’t surprised when he began having serious heart issues in 2024, but he struggled to find answers.
That was until he got connected with cardiologist Dr. Navin Rajagopalan and the talented experts at the UK Gill Heart & Vascular Institute.
‘I was basically drowning in my own fluid’
Shorty is no stranger to hard work.
Following a long career as a coal miner, the Eastern Kentucky native retired and began an excavation business in Campton, Ky.
And business was good: there were plenty of opportunities for excavation work in the rapidly developing Red River Gorge area.
With his distinct drawl and straightforward demeanor, Shorty proudly recalled numerous projects he’s undertaken since starting his business.
“If there’s a dollar to be made, I want to make it,” he said.
But Shorty was forced to slow down when he began experiencing symptoms of congestive heart failure.
He was constantly fatigued, and his body was swollen all over.
Doctors prescribed several medications, but nothing was working.
“I was basically drowning in my own fluid,” Shorty said.
Just as Shorty began to fear the worst, a friend for whom he’d completed several excavation jobs suggested he seek help through UK HealthCare.
The friend helped Shorty, who’d never been to a UK HealthCare clinic, ease his fears about being treated at a large academic medical center and helped him navigate getting an appointment.
“I thought, ‘well, if I’ve got to go (to the hospital) I’d rather go there, because they should be some of the best,’” Shorty said.
“And somebody said, ‘Well, they’re all young.’
"And I said ‘Yeah, but them young ones are training from an old one.’”
‘I'm here to aggravate you today’
When Shorty arrived at Gill, Dr. Rajagopalan, whose patients often affectionately refer to him as “Dr. Raj,” worked with his team to determine some quick solutions.
They re-assessed and streamlined Shorty’s medication and remained in contact to assess how he was reacting to the new treatment. But Shorty wasn’t responding.
Shorty called registered nurse Stacy Ford – who stayed in touch directly with Shorty – and told her, “This ain’t working.”
It became clear measures beyond medication were needed, and Ford helped Shorty get admitted to UK’s Albert B. Chandler Hospital as quickly as possible.
The first step was draining more than 50 pounds of fluid from Shorty’s body with diuretics.
It was also clear that Shorty’s heart failure was worsened by episodes of atrial fibrillation, an irregular heartbeat that is quite commonly associated with heart failure.
As a result, Dr Kristin Ellison, one of UK HealthCare’s electrophysiologists, was consulted.
Electrophysiologists are cardiologists who specialize in the treatment of heart rhythm disorders, of which atrial fibrillation is one of the most common.
Dr. Ellison performed a cardiac ablation procedure, which successfully restored Shorty’s heartbeat.
“Our cardiology clinic values multidisciplinary care,” Dr. Rajagopalan said. “A team of doctors, nurse practitioners, nurses and pharmacists working together to make sure patients receive the optimal care is our priority.
“We make sure we have access so that when patients aren't doing well or new patients need to be referred to UK, they can be seen quickly.”
Since his arrival at the Gill Heart & Vascular Institute, Shorty has had “good days and bad days,” but the good days have exceeded the bad.
Those walks from his workshop to his pickup aren’t as taxing as they were a year prior, when Shorty was worried his time was up.
Shorty’s team at UK HealthCare is there when he needs it, and remains committed to helping him continue doing the things that give him joy.
“Fortunately, good people done good things,” Shorty said. “And I’m here to aggravate you today.
“I feel they have put me back to where I can finish up what I want to do in life and go on.”
