The Eye of the Storm – of health & non-well-being

The general state of my joints, muscles and general viscera this morning (Tuesday) could best be described as disconcertingly enervated. At least last night granted me a little more sleep, albeit rather unrefreshing, than was the case on Sunday night. On the latter hangs a story.

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The story continues from my previous post.

Thursday morning I duly attended my appointment with a locum doctor at my usual GPs practice. The symptoms of either-or/ both-and gall bladder and diverticular infection weighed heavily on body, mind and spirit; either cause being an additional concern on top of my familiar chronic illness symptoms.

The doctor had me lay down as he proddd and poked my abdominal region, frustrated by my inability to either be or feel relaxed. When I started to sit up, post-examination, I was overwhelmed by an extremely acute vertigo type attack. Either the room, or the top of my head, spun violently around and a sensation of either falling to the bottom of a vortex, or that base/floor rushing up towards me, made me feel quite faint and nauseous. The GP advised me to lie back down for a few minutes before attempting to sit-up again. Next attempt at sitting upright produced the same sense of disequilibrium as I felt forced to throw my torso back down. A few more minutes rest were required as my heart rate was greatly elevated.

Once a degree of stability was restored the physician seemed to then ignore these vertiginous episodes as he prescribed a course of antibiotics for suspected diverticulitis. He added that I had no immediate need to obtain the prescribed medication unless the smptoms intensified. By Saturday lunchtime the diverticular symptoms receurred with a vengeance, so my beloved headed across town to an open pharmacy to obtain the medication and I duly started the prescribed course.

On Sunday lunchtime, my beloved having returned from taking the service at Trinity, I had dinner peparations well underway; as I stood up again to check on the cooking progress, a violent vertigo sensation once again overwhelmed me and, my natural panic response brought on a sense of tightness across the chest.

As the episode gradually subsided, Helen drove me across to A&E at the District Hospital, thinking that it was perhaps a recurrence of the labyrinthitis, to which I had previously succumbed some 15 years ago, and on that occasion succesfully treated/controlled with medication. We arrived at A&E, where probable waiting time was estimated at 4 hours, shortly after 14.00hrs. Not long after arrival my blood pressure, heart rate and temperature were checked by a triage nurse before returning to the waiting area.

When I eventually got into a cubicle, to be seen by a doctor, a nurse took some blood samples, rechecked blood pressure and wired me up for an ECG. The A&E doctor had me lay down whilst examining my abdomen listening to my chest as I took deep breaths in and out the, after a few minuteswhen he asked me to sit up slowly the vertigo recurred. Even after resting a little longer the same thing happened again. He also noted that my heart rate was considerably elevated and, was reluctant to let me go home. The doctor then went to consult with more senior staff.

By 18.20, I was transferred to CAT ward and, within a couple of  a hours moved to a bay in Acute Medical where the environment was somewhat more settled. I’ve often felt that Hospitals are those paradoxical places which are both the worst and the best place to be confined when you’re feeling unwell!

At 01.50 on Monday morning, a duty doctor came to examine me and, by this stage things had settled down a bit as I’d rested. A senior doctor came to check me over at about 11.30 and felt tht I had stabilized sufficiently to be discharged, and duly prepared notes for my GP practice for follow up, confirming that vertigo/labyrinthitis (middle ear infections) were the primary suspect and suggested that they may consider repositioning manoeuvres for BPPV. No new medicines were prescribed.

Ma Belle chauffeuse, aka Helen, my beloved and my OH, came to collect me and, it was wonderful to be enthusiastically greeted by our gorgeous hound Piper as we went to the car. We were back on home territory shortly after 13.00 and much rest was needed. It was really good to both listen and relax to the music on Radio 3 (classical) an option not available on the over bed radio in the hospital.

just in passing - albeit taking time

Adorned in loose fitting garments, shirt and unzipped fleece; of a sudden it felt like my armpit lymph nodes  were being strangled by a tourniquet. Strangely, although all garments felt oppressive, the only way to alleviate the nausea inducing discomfort (emanating from the armpits) is to tightly squeeze my upper arms against the sides of my torso whilst tightly clasping my hands behind my back. Admittedly, as so often with these sudden onset ailments, the armpit tenderness appeared almost simultaneously with excruciating aches in both wrists and elbows: the application of strong elasticated supports on wrists and elbows tend to alleviate the more extreme pain.

There follows a discomforted waiting game, whilst I curl myself up, or flail my limbs, into a position that distracts me from the nausea. Next, the debate with myself on whether to take some tramadol, or hope that the pain will dissipate itself!

Whatever activity I’m engaged in, albeit browsing a newspaper, or using a laptop, is of necessity terminated the instant any of these discomforts attack. 

From Storm to Calm

That all too familiar nausea producing tenderness of lymph nodes, particularly axillary & cervical, has returned; the accompanying discomfort frequently seems to precede a more acutely throbbing pain in the upper arm.

Wrist splints and supports, tubular bandages, elbow supports and tramadol are very much in demand at the moment. Omeprazole, mebeverine, and mometasone fuorate seem currently (but hopefully only temporarily) rather less effective, in tackling reflux, IBS, diverticular problems, and rhinitis.

Quite frequently, a variant (as opposed to my more regular nocturnal tradition) of restless leg syndrome seems to take control in the hours out of bed. As I arise from a seated posture, it feels as if I have to make a conscious effort to issue the necessary commands to my lower limbs, to ensure they travel in the intended direction, rather than making a random displacement / detour,  and assuring them that they’re quite capable of supporting my torso.as I move across the room.

Even quite minimal exertion seems to take a disproportionate toll on my shattered constitution. I don’t think I’ve become more lax in ‘pacing’, but rather that my stamina reserves have diminished somewhat, over the years, from their already low plateau.

Apart from the foregoing minutiae of my current state of unhealth, I still feel rather blessed that I have a roof over my head, food in the larder, and other home comforts, but, the real icing on the cake is the love that I share with ma belle Helen. Love is such an amazing thing, a symbol of transcendence in a world dominated by the forces of greed.

To life and love, I raise my glass.

The moderately infirm nursing the infectiously incapacitated

Talk about the blind leading the blind; it's pretty much a case of the moderately infirm tending to the needs of the infectiously incapacitated chez nous. Fortunately the payback from Friday's exertions has not proved as severe as its promise (see previous post) so, I'm able to support my beloved who has succumbed to an infectious ailment. Her throat started to be irritatingly bothersome last Wednesday night and then, became a cause of major sleep disruption (for her) on Friday and Saturday nights. [As one frequently plagued with an erratically disruptive sleep pattern, I can normally be found jealously observing ma belle's usual mode of deep sound sleep].

On Sunday morning, feeling much worse, she visited the out-of-hours doctor who diagnosed acute tonsilitis and prescribed phenoxymethylpenicillin 250mg - two to be taken four times a day for seven days. At that time, although feeling totally wretched and wrung out, Helen wasn't running a temperature; this morning, after a further night of minimal restfulness, she was feeling extremely nauseous, running a high temperature and, simultaneously, teeth-chatteringly shivering. Having spoken to her GP, via telephone, the dosage of antibiotics has been reduced to 1 tablet four times a day.

I'm just hoping that I don't fall victim to the same infection as, ma belle already feels guilty at having me running around after her! I’m somewhat overwhelmed by the sense of helplessness I experience when my beloved is unwell; although I’m happy to prepare whatever she’d like to eat or drink, it’s hard to cope with the fact that she  can’t manage, nor has any desire, to eat anything at the moment. It’s altogether a quite unusual situation as Helen is normally the one who can be relied on to “eat what is set before you, nothing doubting”. As she has already been sick a couple of times, sans food, I don’t think it would be fair to coerce her into eating just to help put my mind at ease!

I suppose that, in a way, this reversal of roles helps me to further appreciate just how difficult it must be for my OH to cope with my ME related sundry ailments and pattern of remissions and relapses. A carer’s lot is not a happy one.

a complication of ailments

If only I could make sense of it or, better still, describe it in more tangible terms, that would perhaps make an accurate diagnosis more likely. It would even help if it was understood what kind of investigation / observation may be an aid to acquiring such a diagnosis.

Today is a classic case of the hard to define condition, a day when I've felt distinctly queasy and ill at ease, painfully so for a considerable portion of that time. A nagging chest pain, at times acutely sharp at others more like a dull deep bruise, sits atop occasional abdominal spasms. My head at times feels giddily hollow, a leadenly floating  balloon rather than a helium filled one. Sundry long standing gastroenterological ailments may well be behind many of my other symptoms but there, the frustration is an inability to find their cause.

As someone who suffers with the crippling muscle fatigue, muscle spasms, cognitive disturbance, and even tenderness of glands, associated with the neurological condition ME, it is all too easy to ascribe each new (or even apparently randomly recurrent) ailment to this underlying condition. Come to think of it, different individuals will experience distictive variants of the dis-ease; even a "sudden onset" condition finds its home in a body which already has its own history, pre-existing ailments and vulnerabilities. Perhaps, indeed probably, a body with a predominantly neurological illness can easily fall prey to other non-neurological complications.