Tag: MUSC

  • Learning Curve: Starting My Journey with Self Catheterization…

    So, I had an incredibly supportive visit with a urologist at MUSC a few days ago. I never regret the expense or struggle to get there, as it’s 2 1/2 hours away, but it definitely takes a toll on my body. This last visit caused a major PEM crash- I could barely get out of bed for about 36 hours. Today, I’m feeling much more like myself, but still going to attempt to keep things easy.

    Urology update: The MUSC urologist had a totally different approach than I what I was coming up against with my previous urologist. He wants to investigate the problem with continued strichers (most likely caused by multiple foley catheters). He is recommending 3 different procedures including his own turn at a cystoscope under anesthesia. Scheduling them won’t be easy but hopefully it will be worth it.

    In the meantime, I had an amazing nurse teach me, with extreme patience and cheerleading, how to properly self-cath. She allowed me to try multiple times and encouraged me along the way- such a difference than my previous teaching attempt. This allowed me to go home without a foley, which in turn helps with the intense bladder spasms I was having, never mind the chaos of running over my foley with my power wheelchair.

    The process of self catheterizing is not easy. I spent so much time attempting this task, but finally feel like I’m getting the hang of it. The learning curve is huge- still trying not to make a mess of things and the biggest lesson is to simply relax and not to stress out about the process. I’m still working on the timing and how often to attempt, but feel like I found a solution to my urinary issues for now.

    Still wondering how to handle being out and about and needing to self-cath, but that too will come with time. I want to attempt to do it over the toilet and not laying down like I have been. I just keep reminding myself to breathe, relax, and let things happen as they will. Stressing out only makes things more difficult.

    I often joke that my medical journey is going to make a “nurse out of me.” Between self-administering iv’s, picc line management, injections, medication management, iv antibiotics, iv anti-virals, feeding tube, and now self-catheterization, I feel like this is a real possibility.

    Update: I have definitely evolved from here. I am now able to self-cath “out in the wild” and over the toilet. It’s a huge relief that this journey won’t limit me. I continue to be Fiercely Independent!

  • Happy Shunt-anniversary (4 years and counting)

    I really wanted to write something about my shunt-anniversary. That is the day that I “celebrate” for having my vp-shunt placed. A vp shunt drains the extra spinal fluid that builds up in my unique brain and dumps it into my stomach area via a catheter that runs the length of my abdomen. This is due to a condition I have called IIH or Idiopathic Intracranial Hypertension (IIH), also known as pseudotumor cerebri, is a condition where the pressure inside your skull increases for no apparent reason. This elevated pressure can cause various symptoms, most notably headaches and vision problems. It primarily affects women of childbearing age, particularly those who are overweight. I was the perfect candidate for this unique disease. I had a series of bad headaches (totally unable to be controlled, needing ER visits or admissions), eye issues like pain and double vision as well as loss of vision, and neck/back pain.

    After a ridiculous amount of ER visits, being labeled as a wimp or not being able to handle a simple headache, or a drug seeker, I was finally referred to a neurologist. The neurologist looked at my unique medical records and went on a hunch that something else was going on. Multiple tests then happened included an always fun and painful lumbar puncture. Measurements were taken of the pressure at the opening and closing of the puncture, which has to be done without anesthesia of any kind- YIKES! Mine was very elevated indicating a potential problem. Around the same time, I started seeing a wonderful eye doctor. He diagnosed me with papilledema (swelling of the optic nerve) that could cause me to lose my vision permanently if no action was taken. The combination of these two events got me a referral to a neurosurgeon.

    On my first appointment with the neurosurgeon, I was told three things, I had a weird tumor (nothing too scary), that officially was diagnosed with IIH, and I needed brain surgery (again) to place a shunt. Oh, and the surgery would be within the week. I, for the first time in a while, was rather stunned and didn’t ask my usual crazy number of questions. One thing that stood out to me was the fact that that I would lose my hair on the side where the shunt would be placed. I latched onto this thought and had to control it. So, I did what every rational person would do- I had my head shaved in advance of the surgery.

    I made a quick decision to shave my head- literally within twenty minutes of leaving the neurosurgeon’s office, as I had a pre-scheduled hair appointment. I walked in to my wonderful hairdresser and asked her to shave my head. She asked me several times if I really wanted to do it. I was determined to control whatever I could at this point and she not only shaved it for me, but wouldn’t charge me for the “cut” either. I remember driving home, bald as my father, and wondering what they were going to say. Both were in complete shock about the hair and major surgery that was going to happen so soon. I snapped a picture and sent it out to the universe announcing what I had done.

    The surgery was pretty complex and I spent several days in the ICU. I had a big incision with staples on my head as well as my abdomen. I am blessed with not remembering pain long term, but remember that my wonderful doctors including my neurosurgeon and pulmonologist rounded daily, if not twice day. After being finally placed in a regular room, I went home at day eight. I was so glad that I shaved my head because it was nasty after the surgery and caked with blood, staples, and anything else that came with the surgery including not being able to shower for another two week and only using baby shampoo after that for a while. My crazy curly hair would have never managed that sentence, plus it was summer in south-west Florida!

    My hair grew back very slowly, but healthier than ever. There were a few sunburn moments, but I quickly learned to find some awesome hats (with the help of some friends). I look back now on the decision to shave my head and realize it was one of the best, most freeing decision I have ever made.

    Having a shunt came with something I wasn’t prepared for at all, mainly the very real fear of the shunt getting infected or damaged and being so close to the brain. Every stupid infection without a simple source raises a red flag, as does each non-typical headache, or injury to the head. I can’t even count the number of shuntograms, ct studies, MRI’s, or x-rays that have been taken. I am often surprised that I am not green from radiation. Nonetheless, I would have the shunt placed again given the choice. My shunt, while temperamental and fragile has saved my vision, and freed me from the worst headaches of my life. I have to be careful around magnets, which is oh so much fun when a doctor orders an MRI and caused me to have to change things like my mask for my sleep machine (NIV) because it had magnets.

    I have some scary moments with the shunt so far. A few concussions, viral meningitis, changes in the programable valve, ER visits, trips to MUSC and more. When I moved back to Myrtle Beach, I was nervous about losing my beloved neurosurgeon, but I found someone at MUSC, an amazing woman, about my age that takes no prisoners. I like that approach! Somedays I forget that I could’ve lost my vision or that I have a foreign and expensive device in my brain, other days its one of my first thoughts, either way, its a part of me and my life story.

    I wish I smiled, but this was a few days after the shave…

  • I’d Like to Get off this Ride, Please!

    Well, here I am… again- in the hospital trying to figure things out. Fourth admission in the last 45 days. This one was unique- was feeling pretty crappy all of the sudden, high heart rate, super high blood pressure, and a crazy bloody nose. Had the medical assistant in the building come see me and we called my primary. Decided to call ems and take a ride to the local stand-alone ER.

    Doctor came in an did his quick assessment, ordered some bloodwork and tried to stop the nosebleed. Lots transpired including a ct to rule out blood clots some packing in my nose and eventually stronger antibiotics, fluids, and some pain medicine. A plan was devised to go home with close follow-up at the urologist the next day (already scheduled) and a quick pick up of the stronger antibiotic. As my luck goes, as the dr was typing my discharge papers, my medical record was flagged with a new result- priliminary results of the urine cultures from my past admission two days ago. The results were not good a
    “superbug” of sorts that required iv antibiotics and triggered a sepsis alert. Obviously this meant an admission. Being that I was at a stand-alone ER, I had to be transferred to the hospital.

    Without being super specific and reliving everything, a series of promises were made to me about the level of medicine that they could offer; this was not true and extremely frustrating. Given it was nighttime in the hospital, I knew I wasn’t going to get very far. Morning came and we were moving and shaking, even a transfer to MUSC was in the works. As quickly as things were happening was as fast as they were falling apart, my goal was to have a great visit with my amazing friend who brought me more things from my apartment, and then to sleep well, hopefully with the bipap. I did manage some good sleep in between the interruptions and woke feeling pretty good, considering.

    MUSC was not accepting transfers because they didn’t have any available beds, so I decided to make the most of the situation and practice my advocacy skills. Then the news came, MRSA detected in the bloodstream (blood cultures started to result), new additional antibiotic, and close monitoring of vital signs and blood work. I’ve been down this route many times with sepsis- always scary, never fun, do not recommend!

    After a great visit from an area priest who anointed me and then came back with Communion (so thankful!) and some good phone calls to family/friends, I had a decent sleep (thank goodness!) and woke up ready to see what the day would bring. Another new Dr., she thinks that the MRSA found in the last round of blood cultures was a contamination, not a real result and ordered more blood cultures and discontinued the 2nd antibiotic (GRR!) Now it’s a waiting game to see what will grow with the newest cultures.

    At the same time, I continue to battle with my bladder. I’m now going on my third week with a foley catheter in. Dealing with continued pain, pressure, and now bladder spasms. The plan is to leave the catheter in until the UTI clears and then try a voiding trial. The hope is that I can both void and full empty, otherwise its on to plan b- lots of things have been discussed, none of which please me in the least. Then there is the issue of the large kidney stone that needs to be addressed, but that needs to be done as an outpatient apparently.

    Whew! Besides the obvious of trying to make the best of this pretty crappy situation, it important to recognize the importance of trusting your “gut.” I unfortunately am rarely wrong when I think something is wrong with my body- many would have brushed off my initial symptoms that brought me to the ER, but I pushed through to the doctors that “something wasn’t right!”

    Still have this feeling that I will come out ok on the other end, but something still isn’t right. Infection isn’t clearing as well as I’d like and I have a bad feeling about this bladder stuff. For now, I will visit with anyone and everyone who I can, in person or on the phone, do some writing, brought some crocheting with me, and getting some good earned sleep.

    Tomorrow is Monday, which means things will be moving and shaking again after a quiet, empty weekend. Hopefully something, not too scary will grow on my cultures and I can start planning to go home to full recover. I am bummed that I had to cancel a few things that I was really looking forward to and hope my visit from a dear friend isn’t too impacted.