Tuesday, December 5, 2006

It's Not Just "All In My Head..." I Have Other Problems Too!

I feel like shit today. I was going to post about something else (hang on Vijay, it's coming!) but I'd rather rant about this. My gut is killing me. I had a brief respite during my upper respiratory tract infection--or maybe I was just preoccupied with it? Or perhaps my body was being kind enough to let me deal with just one issue at a time.

I'm going to see a Gastroenterologist/Specialist in Internal Medicine (I'm not sure...haven't met him yet!) soon (counting down the days...) and believe me, it won't be soon enough! I've been feeling quite ill since the summer (well, since I was about 13 but that's the longer history.)

I mentioned in my med list that I'm currently taking Nexium for GERD. Well, that has been going along swimmingly for over a couple of years now but I'm not sure what's happening at the moment. I'm in a lot of pain and I've had some night time reflux incidents over the last few months (and other stuff but I won't bother to list everything--post a comment if you want to know.) I've searched high and low for any findings of proton pump inhibitor "poop out" (pardon the bad pun) or (in)tolerance but I can find anything. And then there are the lower GI symptoms. They're pointing in the direction of IBS but who knows? I need to a full work up. I want a full work up.

So I figure a scope is probably in order. Boy, I sure hope things have changed in The Land of Endoscopies in the last 20 some odd years. The last two attempts I had were absolutely horrific.

When I was about 13, they couldn't get the damn tube down. I have a superhuman gag reflex and despite the throat spray (useless) and what I suspect were two benzos and one shot of whatever concoction the anaesthesiologist gave me via IV, I still remained wide awake and chatty. The anaesthesiologist confirmed that I had been given the pills "to relax me" and then told the doctor performing the endoscopy that he'd be on the floor by now after the IV sedation. So he shot me up again and still, the tube would not go down. Gag, gag, gag...the next thing I remember was: nothing. I passed out.

Fast forward to the end of the day (half day procedure.) They had to call my father at work to come and get me. He had to dress me and carry me out of the hospital and into the car. I could not speak I was still so out of it. So, needless to say, that procedure didn't go so well.

A few years later, I went to see a Gastroenterologist at another hospital further away from my small(er) home town where I grew up. He wanted to try the nasal route (I guess because of the swallowing issues?) I was still pretty young (and willing to try anything.) Now I'm just older and willing to try anything--but in the name of science haha!

Anyway, the nurse started lubing up the surgical tubing with the little camera and I'm getting a bit nervous, kind of second guessing this decision. But I really wanted some relief from the pain! Slowly she begins inserting the tube through my nose but she reaches a roadblock. She pushes again. No go. She leaves to get the Gastro who's all prepped for surgery. He places his hand on the back of my head and really gives it the old college try.

Wham! Ow.

Still no movement. "Hmmm," he says. "You seem to have unusually small nasal cavities. This isn't going to work." He removes the tube and I have a gusher of a nosebleed. I'd never had a nosebleed in my life, let alone been punched in the face--by a doctor, no less! He turns and leaves and makes no mention of a follow up appointment.

At this point, I am just bawling. Not only from the pain but from the entire ordeal. To further things along, the nurse then stated sharply: "Oh, what's your problem! You see it every month, don't you?" I kid you not. I should have been stunned into silence but I actually sputtered out: "Not out of my face, I don't!"

And with that, I'd had it with Gastroenterologists.

This upcoming appointment shoud be interesting. With age comes courage?


Dr. A said...

Hey! Thought I'd pop in and see how things were going. Yeesh, I guess not good. Good luck with the new doc...

Dr. Deborah Serani said...

Go Go Go to the new doctor. It is important, as you know, to listen to your body. I hope you will be feeling better SOON!

Sarebear said...

Good for you! Especially at that age, and w/her trying to intimidate you!

Hope things turn out to be treatable/curable and stuff.

IBS is the . . . pits.

Patient Anonymous said...

dr. a: Thanks for stopping by! I keep reminding myself of my high pain threshold. The "pain scale" is my worst enemy. I never know how to rank myself.

Interestingly, an ER triage nurse once told me that female patients always pick a lower number than how they really feel.

Dr. Serani: Thank you for the well wishes. Believe me, my body is talking very loudly right now...I couldn't ignore it if I tried!

sarebear! Good to see you! Yeah, that nurse was *too much*! I'm used to test results coming back "negative" so I'm sure it's nothing serious but pain sucks so it would be good to have that gone at least. And yeah, IBS kind of stinks. Oops. There I go with the unintentional puns again. HA!

And by the way, I can be SO cognitiviely impaired sometimes (nice meds!) I finally read your blog title properly. I got the first part but I was like, 'what is "Anksia Tea." I've never drank that before...oh...I get it...Ank-Si-A-Tea...the "i" is a long vowel!

Do I get my dunce cap now? *grin*

Medblog Addict said...

Hi PA. Have been enjoying your blog. Don't know if this will help, but I had 5 ERCP's in the past year. They sprayed my throat, put the mouthpiece in, next thing I know it's over. Only had one problem during the fourth one. I was awake during most of it. No pain, and I thought it was kind of interesting, so I didn't try to let them know I was awake. After I vomited a couple of times I decided I wanted to be asleep during the rest of it. But even then, it wasn't that bad. Hope it goes smoothly for you. Thanks for visiting my blog. And you asked if I preferred Medblog Addict or Addicted to Medblogs. You really stumped me. I don't think I have a preference. If you decide to add me to your blogroll, then thank you. If you decide not to, then thank you for considering it. One day I hope to have one. Again, thanks for visiting. I will be back. But no more comments! I am a lurker!!!

Patient Anonymous said...

Hey medblog addict, thanks for coming to see me. I'm just realizing that a few people have commented on older posts so I hope you come back to see this.

FIVE ERCPs in the past year?!?! Man, that's a little rough. What took so long haha. That fourth one sounded kind of ugly but I am like you and find actively participating in my procedures most fun and interesting too!

I have news about my gastro appt. I am posting about that within minutes!

And yes, adding you to my blogroll should be fun. I actually don't mind lawyers at all. I have a friend who is one--she's awesome!

And you should keep commenting! You have good things to say!