by VuDu DawL » Wed Jun 25, 2008 5:32 pm
Okay... it's kind of a long story...but...
On Tuesday, April 22nd, about 6am, I was on my way to school when a rabbit ran in front of the car. Instinctively I braked hard, and my purse flipped end over end and fell off the seat. I quickly reached across the car and grabbed it and yanked it back up onto the seat. I felt a light pulling sensation and a 'twinge' in my upper back. I assumed I must have popped something out of place.
By the time I got to class at 9am it was mildly uncomfortable. I kept twisting around in my chair, hoping to 'pop' it back in place. By 10:30, it has started to hurt. Badly. It hurt in the back (a hard pinching sensation) and clear around to the left front. Had I not known there was something out of place in my back, I would have been dialing 911 for a heart attack. The pain and pressure became so great that I found it very hard to breathe.
Around 11:30, I went to my professor and told him I was in pain and was going to have to leave. I called my husband and asked him to come get me as I wasn't sure I could drive. He couldn't get away right away, and for some reason was more worried about finding someone to come get my car, so by the time I made it to the parking lot (a couple of blocks from the school) I decided to just try to drive.
I don't remember much about the trip home except for stopping twice to try to roll around in the back of the CR-V and get whatever it was back in place.
By the time I made it home, I was too hurting and exhausted to drive the hour to the chiropractor. I made an appointment for the next morning, took some Tylenol and Advil, and tried to deal with the pain.
The chiropractor did some x-rays and said I had calcium 'bridges' forming on the front of my vertebrae, from slouching (over my books). He treated me, and I felt a lot better. By the next day, the pain was back. I didn't go to school. I went to the local office and saw his associate. He managed to get the upper part to adjust, that hadn't adjusted the day before. I felt suddenly better, and thanked him and went home.
It started about an hour later. No 'twinge' in the back to speak of, but a SHARP pain running from the middle of my back all the way through to my RIGHT front. (The earlier pain had been to the left, approximately where the heart is). This pain was different from the back pain and magnitudes more intense.
I am no stranger to pain. Having experienced childbirth, a uterine biopsy with no anesthetic or anesthesia, the extraction of all four badly impacted wisdom teeth at one time, and various other pain inducing events, I usually tend to handle pain well. After my hysterectomy several years ago, I was up and walking around that night, doing manual labor three days later, and back to work in two weeks. My body USED to have an absolutely incredible regeneration rate.
I knew instinctively that something was terribly, terribly wrong. By 6pm on Thursday, the 24th, I was in so much pain it was hard to form cohesive thought. My brain was totally involved in just processing and coping with the pain. I was taking 800 mg ibuprofen (Advil) every four hours, and with a two hour interval, 1500 mg. of Tylenol every four hours. This made the pain more manageable, but it was still nearly unbearable.
For the past two days, with the back injury, the pain had made it nearly impossible to get comfortable enough to stay asleep. My appetite had diminished. I was drinking protein 'meal shakes' to survive, and the only thing i had eaten in the past few days was a plain small skinless chicken breast at school on Tuesday. I felt completely exhausted and drained.
I called my chiropractor and told him I may need to see him on Friday, as the pain had become suddenly worse, and had migrated to my right side. He mentioned that as being odd, but assured me they'd work me in first thing in the morning if need be.
About 7:30, he called the house to check on me. I was in bed, thrashing around in pain. My husband answered the phone and came in and asked if my right arm hurt. It did, and the chiropractor told him it sounded like my gall bladder.
Now... about three years prior, I'd had an echocardiogram of the heart, and they saw when they believed to be a large gall stone. I discussed this with my CNP and she examined me and said I could either have it out, or just simply take a wait and see stance, as many people have gall stones all their life with no problems. I opted to leave it alone, since it wasn't bothering anything.
So I figured at this point, that stone had finally, after all these years, migrated up to the duct and gotten stuck -causing the pain. I decided that a trip to the emergency room was in order.
We drove to Austin (about an hour from where I live) and went to the hospital that my mother-in-law had recently been in. We signed in and took a seat in the waiting area. It's a Thursday night, but the place is packed with all kinds of people who really didn't need an emergency room. Sick children, a sprained wrist, a bandage on a finger that wasn't even visibly injured... two and a half hours later, everything I'd taken had worn off and I was in tears and snapping at my husband. My voice had turned to an almost feral growl. At that point he asked them how much longer it would be and got a "we don't have any idea" in response. I opted to take four more Advil because I just couldn't stand it.
About fifteen minutes later (typical) this snippy little nurse calls my name. As she's taking me back she's asking questions. "Did you have anything to eat or drink?" I told her about the Advil and she got very rude. "You know you aren't supposed to eat or drink anything once you come to the emergency room." By this time I was in so much pain I lost it. I told her that I'd waited two and a half hours, the painkillers had worn off, and I was in "the worst pain I have ever had in my life" and needed something. She put me in a room. I almost couldn't make it to the bathroom by myself as standing up and walking was becoming more and more difficult.
The inserted an IV and began examining me. She poked my side where the pain was and I shot up into an upright position. The area was swollen and warm to the touch, but I wasn't carrying much of a fever, so they said. (It had been hovering around 99.0 - 100.3 at home). They took me for an ultrasound, after giving me a shot of some painkiller (Morphine or Demoral, I wasn't too sure at the point.)
A while later, a doctor comes and tells me that:
a. yes there is a gall stone and it looks like it is in the duct, and needs to come out, and
b. there is no evidence from the ultrasound or my blood work that there is any infection present.
The low-grade fever, combined with an only slightly elevated white blood cell count led them to believe that I was fine, despite my insistence that I was in absolutely incredible pain.
She wrote orders for me to "call Friday" to the doctors group (the idiot that wouldn't come in that night and take care of me) and perhaps they'd get me in for a "consult" on Monday, and schedule my surgery for the following week. I was flabbergasted. I told her that there was no way I could go all weekend at this level of pain. She merely shrugged and said "There is nothing we can do for you. We can't just admit you and do surgery. Eat a low fat diet and call and make an appointment. Maybe if you ask them they can work you in on Friday and schedule the surgery for Monday, but I wouldn't count on it." She said the doctor she'd consulted didn't feel it was necessary to take any action at the present. I mentioned what I'd had to eat over the past three days, and told her it doesn't get any more low fat than that, and the pain got worse, not better.
I could not believe that this was an "emergency room" and here I was, in the midst of what I knew was an emergency, and they "couldn't do anything" for me?
Several times I reiterated that the pain was incredible and I even pointed out that I had a high pain tolerance, and this was still intolerable. She merely shook her head, shrugged her shoulders. She left the room, claiming that she again called the surgeon, and he again stated that there was nothing they could do. I asked her how I was supposed to deal with the pain and her answer was a prescription for Vicodin (even though I told her that it was finals week and I couldn't take them because I needed to be somewhat lucid to study). I was determined not to let this prevent me from finishing the semester!
I left the hospital shocked and disappointed. I felt like I'd just flushed the $125 co-pay into the toilet.
About an hour later, the shot they'd given me was wearing off, and I was in incredible pain. We got the Vicodin filled, and I took one, hoping it would allow me to sleep. I also took four Advil half an hour later. Nothing was helping. I was awake and in pain all night. By five AM the next morning, I was in tears, trying to find some way to get someone to help me.
I started calling my doctor's office at 7 am. Finally around 8am, I got a live person. I explained the situation and they said come right away and they'd work me in. It's a medical group, so by not having an appointment with my PA, I ended up seeing a new doctor. He was a very kindly older gentleman. By this time I can only imagine how bad I must have looked. I hadn't slept (or eaten much) in days. The doctor took one look at me and said "Why are you here? You need to be at a hospital!" He examined me and ran to call a surgeon.
The surgeon's office hours didn't start until 2pm. We arrived around 12:30pm, and his office manager found us in the hallway. She opened the office and put me in a room immediately. At this point, much of what happened was blurry, with my husband filling in a lot of the details. The doctor came, examined me, and said he'd put me on the schedule for surgery. They'd gotten my records faxed from the emergency room the night before. He said he could clearly see that the stone was lodged in the duct, that it was fairly large and that in itself would cause excruciating pain.
It took six attempts and the help of an anesthesiologist to thread my IV, because I was so dehydrated. The pain had gotten to the point where it was coming in fierce contractions that made labor pains look like a small muscle spasm. Finally they got me prepped and into surgery.
A short time later, I was in recovery, feeling a bit like a bus ran over me and looking like I was nine months pregnant. I had four new holes in my gut. But the pain was GONE!
And I was hungry!
The next evening, (Saturday) the doctor came to release me. I got the shock of my life.
He said he got in there and my gall bladder was totally necrotic and gangrenous. He described it as "a huge mess, dripping all over the place." He said they had to irrigate and irrigate in an attempt to flush out all the infection. The reason they'd kept me most of the day on Saturday (instead of letting me out early in the morning like they'd planned) was due to the fact that he ran two courses of antibiotics.
When I mentioned the ER telling me that I should wait until Monday for an appointment, he said "You'd be dead."
At my follow-up a week later, I asked him why I felt so weak and drained. I mentioned that laproscopy is a not nearly as invasive as the hysterectomy I'd had, and I felt much worse this time. He said "It's simple, you weren't full of infection when you had your hysterectomy. You almost died. It's going to take a long time for your body to recover."
So.......
That's my 'near-death' experience. It did take about two months for me to get back to normal. I was sleeping 10-15 hours a day. But I did pull off ALL my finals, and manage to do so with all A's. I was so worried that this was going to trash my whole semester and the grades I'd worked so hard for.
I find it mind-boggling to think that a part of my body just DIED... evidently some time before this, and I had NO CLUE. This coming from someone who can tell when their fever goes up only one degree, or feel when she ovulates. The only thing I can figure is that somehow the nerve to the gall bladder had been pinched and wasn't giving me any feedback, until after the chiropractic adjustment, hence why the pain suddenly manifested itself. It is still scary to think that part of me actually died, and rotted inside myself, and I never knew anything was wrong until it was almost too late.
I have to believe that God has an incredible sense of humor.....
THE MORAL OF THIS STORY!!!!
DO NOT EVER take a practitioner's word at face value when you KNOW something is wrong. BE PROACTIVE ABOUT YOUR MEDICAL CARE! You know your body, and if something is wrong, insist on further care, even when you have to fight for it. If I had simply taking the ER doctor's advice, I wouldn't be sitting here typing this.
So, now you know... the rest of the story.