Showing posts with label Lumbar Puncture. Show all posts
Showing posts with label Lumbar Puncture. Show all posts

Thursday, March 31, 2016

Wake Up

I'm still here
And I am tired
I need a break
From life
From everyone
But mostly from myself
A minute
Would be nice
Of calm
Freedom
From reality
Life
Just one second
Pain free
No thoughts
Sleep
Why does my body
Betray me
Just need a break
Not sure how much more
I can take




Thursday, July 30, 2015

Anesthetic

Sleepless night
Early morning
6:30 am
Phone calls
Secretaries
Waiting
Blood test results
Traffic
Higjway
Underground parking
Building maze
Glass walls
10:30 am
Vitals 
Heart rate 
Med list 
Risks 
Stomach 
Clean back 
Shot 
Local anesthetic 
Numb
Waiting 
Lumbar puncture 
CSF
Isotope
Dye
Bandaid
Lie flat
2 hours 
Oxygen 
Blood pressure
Boredom
Uneasiness 
Elevated slowly 
Wheelchair 
Basement 
Nuclear medicine 
1:30 pm
Table 
Images 
5 minutes
Suffocation
Surrounded 
Bikur Cholim room
Potato bureka
5 year old 
Lakewood 
5:00 pm
Table 
Repeat images 
Tech 
Unknown
Traffic 
Side roads 
Home 
Sore 
Nauseous 
6:13 am
Train 
Circling hospital 
Basement 
Table 
Scans 
8:00 am
Home 
Headache 
Sleep
Work
5:30 pm
Nausea 
Puke 







Wednesday, October 29, 2014

Spasms

I'm all alone. Laying here. In a hospital bed. In some exam room. In the neurology department. There's no one here. But me. And I can't stop the tears. I can't handle the pain. Spasms into legs. Sharp stabbing in my hips. A bruised back. Hole in my spine. In between two vertebrae. Laying here. In a skimpy hospital gown. No one around. Not a soul. It's me. Always me. Only me.

I squeeze the pillow. Try not to yell out. Not a single peep. No noise. Body bent. Back arched. Needles. Five times. Numb. Catheter. Cerebral spinal fluid. Pressure. Paralyzed. I'm silent. Until I can't hold it in any longer. The pain overwhelms. The tears explode out of my eyes. I gasp and try to breathe. The world is collapsing around me. Suffocating. Unbearable. 

I lay here. I'm all alone.

Thursday, September 4, 2014

The Real Story

I was diagnosed with Pseudo-tumor Cerebrei in November, 2009. Was admitted in Hopkins after a bunch of misdiagnoses. At that time, they found that I had a venus stenosis (which from my understanding, means a vein in the back of my head is small). They had discussed Stenting the vein. But it was decided to start with the medicine route. I also had third nerve palsy and 7th nerve palsy, with a lot of vision loss, specifically in my peripheral vision. I had received various lumbar punctures, all showing elevated pressures. And had a spinal drain. I was seen by Dr MA, a neuro-ophthalmologist at S and continue to see him. I was taking Diamox for fluid drainage and Topamax for my eyes.

In May, 2012, after taking myself off all meds because I didn't have insurance, i started having symptoms again and was admitted to SN hospital. There, I received spinal taps and decided to get a shunt. I did not want to go back on medication. My surgeon was Dr S, who inserted a non-adjustable peritoneal lumbar shunt. After my staples were removed, I began to feel much better and had been managing healthily for two year plus.

In October of 2014, I moved back to B and began seeing Dr A again. Presented with good visual fields and good vision. I also began seeing Dr MW at H as my new neurosurgeon to manage my case. He recommended that I meet with Dr DR at Hopkins to have a neurosurgeon familiar with my case in case of complication.

In July of 2014, I began feeling symptoms again. Headaches and nausea and after calling Dr W, it was recommended that I go straight to H ER. I was cleared by Opthalmology and never seen by Neuro. CT scans and X-ray showed nothing and I was sent home and told to follow up with my neurologist. Dr. W's office was very difficult to get a hold of. I was finally sent to Dr YC, a headache specialist and colleague of Dr W. With only a consultation and no testing done, she said that it was most likely not migraines and felt very certain that my symptoms were because of my shunt. On August 20, I went to H and had a lumbar puncture with contrast and then did three Shunt Patancy Studies over a period of 24 hours. A week later, i was seen by Dr R who confirmed that the shunt has malfunctioned and is not draining CSF. I am currently waiting to hear from Dr G's office in H to schedule a CTV. Dr R would like to find out if the I am a candidate for Stenting due to my Venus Stenoses before committing to replacing the shunt. I have not been able to reach anyone at Dr W office to get medication treatment in the meantime and went to my general doctor, Dr E R at S H. He prescribed Diamox and Zoloft and left messages for Dr W and his nurse practitioner CW. Dr R's secretary was informed by Dr W office that they no longer wanted to follow my case and felt that I should be seen completely by H.

So yeah...

Tuesday, November 12, 2013

Loving that Lumbar Puncture

I am blown away. As per the recommendation (or insistence) of my general practitioner, I have called a new neurologist. Of course the number I was given wouldn't take me to an actual person so I decided to go on the hospital's website and find the correct number. The doctor appears to be very knowledgeable in all forms of neurological disorders. There on the list of his special interest were IIH (Idiopathic Intracranial Hypertension) and Pseudo Tumor. Both terms I have become well acquainted with over the last four years.

At the bottom of the page is a link for an article written by an older woman about her experience with hydrocephalus and her life up until receiving her shunt. I don't know why but I am literally shaking after reading her article. Yes, her diagnosis is slightly different than mine and yes, she received the other (more dangerous) shunt operation. But her experience, the emotion in her story rings so true. It is the same story of how important patient advocacy is and what it feels like when no one takes your symptoms seriously. It is a battle of going to doctor after doctor, each telling you there's nothing wrong. Barely being able to sit up, wearing sun-glasses because the light hurts your eyes and puking into a bucket when you haven't been able to eat in days. Yeah there's nothing wrong. The Cat Scans, the iv's, the Percocet. Not helping. Making things worse. When all you want is to be dead so the pain will stop. A miserable existence.

And then one day, you get this amazing test called a Spinal Tap or Lumbar Puncture. The doctor pushes into your lower back, trying to locate the right bone do shove the needle in. And then, after some misses (quite the painful experience), he finds the right spot in between the two vertebrae and second later, spinal fluid starts pouring out. There is so much fluid that he calls the nurse over to bring more vials to catch all the fluid. And then it hits you. Relief. You can tolerate existing. It is a moment of clarity. Of sheer happiness. No pain. No vomiting. Serenity. And then minutes after he's done, the pressure returns. Tolerance is instantly gone. Suffocation returns. The death wish arrives. Then, you get sent to get the Tap done laparoscopically. You get rolled into the room and you feel barely-conscious. After a few minutes of this extremely large needle positioned in your back, you become animated. You notice the nurse's crocks, comment about a house refinance another nurse is talking about, crack some jokes and get everyone rolling. Thirty minutes of pain-free relief.

I'm not sure why I am reliving that specific moment. But I don't think anyone can understand such relief. You know you have a problem when you crave a spinal tap. Any time I have spoken to med students or doctors and shared my love for LPs, they always look at me incredulously. It's so worth the pain of going through the procedure. It's worth the leg tremors, the zapping throughout your whole body. It's worth the possible paralysis. Anything for the momentary relief.

Fast forward three years and you are once again on the gurney, being wheeled into the emergency room. Symptoms are back. Different state. Different hospital. Limited support system. But it's back. The vomiting. The vision loss. And this time you know. You tell the doctor that all you need is an LP and all will be well. You are craving the release, as if it were a chocolate bar. And this time, you make your own decisions. It is your life, your choice. You refuse to be put back on the meds. Refuse the side effects. You choose a quality of life, no matter what the (literal) cost. You choose the surgery. You are your own advocate this time. No one can talk you out of what you want. What you need.

A shunt was the best decision that I ever made. Yes, it was my choice. And while I'll probably pay the price for the rest of my life, at least I have a life. I'm am free. Pain free. I am functioning. The fluid in my brain no longer controls me. It is being managed. And no one makes decisions for me. No one tell me how to life my life. So now, I wait for the office to call me back. And I will go in to see the neurologist. This time, I have knowledge on my side. I have my story in my pocket. I will walk in with my own two feet, by myself. There will be no gurney. No wheelchair. No bucket to throw up in. No sunglasses. Just me. Me and my shunt.

Take that! 1 in 100,000!


http://www.hydroassoc.org/ha-updates/looking-back-moving-forward-six-years-after-my-shunt-was-installed/