Sunday, January 24, 2010

Chapter 2 of the Vertigo story

If you've just joined... read the previous post first.
Michelle was able to get right into triage at the hospital with the only delay being paperwork. (You know how you have to sign so many places, and then sign again stating that you really signed.) The nurse who took her initial vital signs and blood work was very competent, and empathetic. That was comforting to begin with. Then the emergency doctor was the opposite of the family-practice doctor she saw Friday. He asked the right questions and took the time, without any prompting, to explain what's going on. I can't remember all the techincal words, but essentially the sinus chamber deep in the head (not near the forehead or nostrils) is the problem. The drainage outlet is tiny, like the point of a pen. So when it gets inflammed, it shuts off the drainage and the build up in pressure brings about nausea and vertigo. He took time and explained about the decongestants not affecting that chamber - which was perfectly in line with what Michelle has experienced. In fact he made several points that were right on the money without Michelle having to tell him about it. So with much relief we came to the conclusion that we had finally found someone who could help.
Then he said: "There's nothing I can do." He went on to explain that the emergency room is not equipped with the things an Ear-Nose-Throat doctor uses to resolve these problems.
(Side note: the branch president of the Santander branch where I began my mission was an ENT. It's fun to say in Spanish: Otolaringologo. I appreciated his work as Branch President. He and his wife were very good to the missionaries. His Basque name is fun to say too: Baldomero Garaycochea).
Back to the emergency room. The doctor was sure there was no tumor, but he would need to prove it by taking a CT Scan. The problem is you have to lay flat on your back. Michelle hasn't been flat on her back for 4 days now. She would be retching the whole time. Fortunately the good doctor had something that resolved that little problem. He said "we don't know exactly how this works. We just now it does." Whether it prevented the vertigo or just made her feel so good, she didn't care - Michelle doesn't know. It worked and she got through the scan with no problem (i.e. no urge to vomit). She fell asleep waiting for the results from the scan. When they came, it was as the Dr. said, there is no tumor, just inflammed sinuses.
While all this was going on, the IV was dripping fluid into her - helping her feel better. She spent the night at the hospital. This morning I brought her home with more prescriptions for the three drugs that had the most affect on the nausea and vertigo. There's nothing to take for the sinus problem. We are tasked to visit a specific ENT tomorrow - or as soon as we can get it.
Now, here at home the drugs have been doing their job. She's been able to shower and wash her hair. (I'm not sure what the big deal is with that. When we're hiking the Appalachian Trail we go all week without washing our hair.) She has even been able to keep down half a mug of clear chicken broth. She received the Relief Society President for 10-15 min. She sat through scripture study with Matt and I (Nephi, the last one, is passing on some pretty serious threats from the Almighty, and few there are that believe him). Michelle has now gone to bed. So that's the end of the story... unless the visit to the ENT turns out to be more eventful than we anticipate.

Vertigo - here we go

I begin with gratitude: It is wonderful to have friends who have friends in the right places. I'm grateful for such friends. Our neighbor (salt-of-the-earth type) is a nurse. She has a friend who works in the Emergency Ward of the local hospital. When we made the decision to take Michelle into the emergency room, our neighbor called her friend - who was asleep after working the night shift, to ask her if it made since to take someone who was dehydrated from constant vomiting to wait in the emergency room. Her friend called another friend at the hospital and found out that it was not a busy day and they would be able to take her right in. THANK YOU, Lisa!

Now back to the beginning. Michelle has had nausea since the week before Christmas. The source of the problem was a head cold - congestion that put pressure on the mechanisms that help you keep your balance. Michelle leans towards homeopathic solutions before taking drugs. So, she put up with it through the Christmas Holidays without taking any medicine. The first thing we did was to get a humidifier going in our room, and a pot of steaming water on the stove during the day. That was a minor help. Then, based on Kathy S.'s (yes I know how to spell it -but I'm respecting her privacy)... based on her recommendation and several collaberating testimonials from friends on Facebook, she tried the Netty Pot. She got over the psychological issue with running water up one nostril and down the other... but it didn't resolve the problem with nausea. Then she tried the steam tent (draping a towel over head, and leaning over a hot pot of water on the table. This helped her more than the Netty Pot... but still did not resolve the problem with the nausea. She broke down and went to a doctor who had cured a friend with similar symptoms. He prescribed a decongestant and a steroid. The side affects made her miserable, but to her credit, she stuck with it and endured through the whole treatment - but it did not resolve the problem. Finally, she found something that helped: She had a good long cry. After that she felt better for a time, but then the nausea came back.

During these weeks, the weather has gone from extreme cold (relative to Atlanta) of around 20 deg. F. to nice weather in the 60's, and then back into the 30's. That's one of the nice things about living in Atlanta. Winters are not freezing cold for weeks and weeks on end. The MLK holiday was sunny and not too cold. Michelle was able to get up and out of the house. We went shopping, she came to the parade and supported our Cub Scouts, she filled her assignment at the Family History Center; so things were looking up. Then last Thursday she came home from taking Matt to school and crashed in bed. She started throwing up, and even though there was nothing to throw, her stomach kept convulsing. It was not a pretty site. She had to lie perfectly still, propped up by pillows, with her eyes closed to keep from retching.

On Friday we went to another Doctor - this time with a firm resolution to ask lots of questions to find out what's going on instead of just taking drugs with no explanation. While this new Dr. was professional and kind, he was not the type to take the time and explain what Michelle needed to know. We had to pressure him for an explanation of what he planned to do. He took blood tests, prescribed a shot of Phenegran (sp?) and a regimen of Meclizine to fight the nausea. The shot was good for her. It stopped the violent retching long enough for her to swallow and keep down the first dose of Meclizine. When it came time for the second dose, the Phenegran had practically worn off - but she still kept from throwing up for about an hour. After that the retching resumed. It never got to be as violent as Friday morning, but she could not keep any thing down.

That brings us to Saturday around noon when I called our neighbor over to get her thoughts on dehydration. Since Thursday, she had thrown up more than she had taken in. (I kept a log of what she drank and how often she vomited). The Dr. who had prescribed the Meclizine had said to take her into the emergency room if she could not keep the medecine down and got dehydrated. But Michelle did not want to go sit in a wheelchair and throwup, waiting in the emergency room. Thats when our neighbor made her calls and found out we could walk right in. So... we did.

Thursday, January 21, 2010

More about the MLK parade

Sis. Howerton, who put a lot of work into the organization of the parade shared this photo. The more I think about it, the more I like the idea of participating in this parade. It's a simple way of showing respect and appreciation for the tremendous change brought about by Martin Luther King Jr.
I once commented to a man from India about how much I respected Ghandi for the peaceful change he was able to bring about in India. The man said "Oh, no. I still think the other way would have been better." He had his reasons for believing an armed conflict would have been better. He could justify it in his own mind. So I can believe there are people out there who believe a violent uprising would have been a better way to gain civil rights. There are also people who believe man never made it to the moon. Our society has progressed in so many ways, but coming to an understanding of the truth is not one of them. We are just as easy to be fooled as ever before - probably more so than ever before as morality declines and the source of truth is kept away by the stench of our immorality.
Dr. King, I salute you for believing in the Lord and being a peace maker. Thank you.

Monday, January 18, 2010

Marching in the Martin Luther King Parade

Cub Scout Pack 521 marched in the Martin Luther King parade in Lawrenceville. This was the first time I've marched in the parade. It was great fun!