Fiercely Independent Pam

Tag: IIH

  • A Shout Out- Saying Thank You to My Healthcare Team at Grand Strand Hospital

    I am a big believer of acknowledging when people go above and beyond what is expected of them. Sometimes, it’s not a big gesture or lifesaving heroic act, but a quiet voice that whispers, “I believe you and want to help you” that makes all the difference.

    I am currently in the hospital and today is day nine of being here. Nobody enjoys being in the hospital, but that isn’t anybody’s fault. For the most part, nurses, doctors, and all the other healthcare workers really try to make a stay decent. It hasn’t been all smooth sailing, but there are many individuals that are allowing may stay to not be so hard.

    First off, a special shout out to the nurses that I have met and helped me thus far. From the emergency department, to the ICU and now on the regular floor, then nurses have been dedicated, knowledgeable, and generally enjoyable to be around. Whether it was a good conversation in the middle of the night(and there were many), careful administration of medications, or just interest in what I was doing to pass the time, “my” nurses help keep me positive despite the health challenges I face. It isn’t easy to find the time to connect with a patient in light of the demands of the job, but it is so appreciated.

    Secondly, the doctors and providers that have steered this latest visit have been top notch. My biggest hurdle on my personal healthcare journey, is when I am not believed, especially by healthcare providers. I have an odd sense about my body and can always tell when something isn’t right. I so appreciate the providers that trust this gut feeling and explore possibilities, even when the presentation isn’t typical. Today, my doctor came in my room after having a procedure and took the time to acknowledge that my journey is difficult; that made a huge impact on me.

    Finally, the “other” healthcare workers that pull together to make time spent in the hospital not so ,miserable. This includes the housekeeping staff that say, “Good Morning” instead of avoiding contact and listening to their AirPods. Also the techs who just know that an ice cream will help in that very moment or are willing without complaining to clean up a mess or change a bed without being asked. The smiles from transport workers and dietary departments go along way too.

    I am sometimes guilty of only acknowledging when something goes wrong. This visit things did go wrong at times, but someone always made it right by listening to me. Being chronically ill, means a lot of time is spent in the hospital. I see good, bad, and ugly, but this visit (which will hopefully be over soon), has been worthy of a BIG Shout- Out!! I wish I kept a list of names of individuals that made this possible, but for now, I say Good JOB and Thank YOU!

  • Hurry Up and Wait…

    My dad would say this all the time, especially when dealing with the medical field. Being in the hospital is a waiting game; you have very little control over when something is going to happen. Nevertheless, you always seemed rushed.

    I’ve been in the hospital, this time for a week now. When I came in, they wanted to do a lumbar puncture to determine what could be going on in my head/shunt. The doctors attempted several times bedside in the emergency department, but had no luck. Lumbar punctures are never fun and always pretty painful. The decision was made to repeat the attempt with the help of interventional radiology (IR). The problem with this is that IR would not do the lumbar puncture until my blood thinners were held for at least five days. So, I waited.

    Five days later landed me right smack during the weekend, where there is a skeleton crew for IR. So, it being Monday, I believed that I would be scheduled today. Around four o’clock, I figured it wasn’t going to happen and I was bumped to tomorrow. My nurse confirmed this and a whole lot of “Hurry up and wait” took place.

    We will try again tomorrow and with any luck it will be a success and I will be able to go home afterwards. Having a shunt and having IIH means that lumbar punctures are always on the table. I came in with a severe headache and blurry/double vision. These are troubling signs of possible papilledema or swelling of the optic nerve in one or both eyes. This can lead to permanent vision loss if not corrected and treated.

    I’ve had several rounds of dealing with papilledema and each time my previous eye doctor would remind me of the seriousness of the issue. Unfortunately, an eye exam is a tricky thing in the hospital. It usually needs to be done as an outpatient because of the necessary equipment and most hospitals don’t have ophthalmologists available beyond phone consults.

    I will be sure to follow up with a local ophthalmologist and if necessary, my neuro- opthalmologist at MUSC. More opportunities to “hurry up and wait!”

  • Shunt troubles or just fear?

    So I have been both blessed and cursed with a VP shunt. Since 2021, I have had a codman certias shunt that drains excess spinal fluid from my brain to my abdomen area. It is adjustable by a specialized magnet and can be great or act up at times. There is a constant risk of severe infections and simply malfunctions. It is hard to evaluate either of these complications, as usually, a lumbar puncture is required. If you’ve ever had a LP, or spinal tap, you know that it’s definitely not the easiest and can be quite painful and definitely stressful. I am not sure how many I have done, but it is at least 35!

    In my world, I have an extra complication of needing to be on blood thinners, currently warfarin and Plavix. Doctors tend to panic and require you to be off of these for a good 5 days before they will attempt. This creates a hostage situation requiring patience and support when your hospital stay is extended this long.

    Then comes that actual procedure, this time it will be done by Interventional Radiology or IR. I have found this unique group of doctors to be highly undervalued and they do not get the credit these deserve. IR doctors often are able to fix things or get information that other’s can’t and in a matter that is neither a panic nor a dragged out ordeal. Their staff members tend to be pretty knowledgeable as well. I’ll spare you the nitty gritty parts of the process, but sometimes its easy and not too painful, and other times I have been left in so much pain, I required another procedure to place a “blood patch.” I’ve been told my anatomy doesn’t make it easy for anyone to be super successful.

    I’m currently dealing with symptoms, of high pressure. This means an intense headache that comes out of nowhere and gets worse when coughing or bending over. Rest helps, but mornings tend to be bad. I also have eye pain and vision issues. Then there is the super brain fog issues- not being able to remember things, especially names of common items like medications or procedures. It’s more of problem for me right now than usual. The lumbar puncture will determine if my pressure is high (and how high) which will help determine if the shunt needs to be adjusted. The very act of draining fluid also allows for some relief.

    The eye pain/difficulties and headache are also indicators of something called papilledema, which is the swelling of the optic disc, the area where the optic nerve enters the eye. Without treatment , this will lead to permanent vision loss. I have had three different battles with papilledema in one or both eyes. Luckily, most of the damage was reversible. Treatment usually requires high power diuretics, I usually end up on Diamox, which has a lot of side effects. I need to see an ophthalmologist to diagnose the papilldema and judge its severity. Ophthalmologists are hard if not impossible to find in a hospital and bed exams aren’t always the most helpful.

    So for now, I wait, for the lumbar puncture, as well as for help from ophthalmology. I wish there was a spell to lower my INR so that the wait time could be reduced and I could get back to my “regular life”