Hospital Diary
(Posted 17:31:08 on 28th February 2008 by Rag)
OK. Now I'm back home it's time to catch up on some stuff, but first things first, lets give the run down on what happened.
Saturday 16th Feb
Went to hospital ER with chronic diarrhea and fever circa 7:00pm. Was already being treated as an outpatient, but rather than getting better, symptoms got worse. Fortunately (or unfortunately) the results of previous tests were through and I was told I had Crohn's disease. Had series of tests from CT scans to EKGs in order to determine whether I had an infection in order to start the treatment for Crohn's. Oh yeah - and something shoved up my bum so they could take a look round. I think the concept is similar to those boats with glass bottoms, but the view's probably not as nice.
Sunday 17th Feb
At 5:00am completed tests from previous evening. Everything looked OK - good to go with starting Crohn's treatment. Anticipated stay in hospital 3 days.
Monday 18th Feb
Everything still looks good, but Gastroenterologist wants to perform a colonoscopy. Yep, more things to push up the back door. And this after I'd already had a flexible sigmoidoscopy as an outpatient. I suppose I only have myself to blame as I did choose to live in San Francisco so what did I really expect?
Tuesday 19th Feb
Now, in order to do the colonoscopy they have to clear you out. And when I say clear you out, they really mean it. You have to drink 4 liters of this stuff called "go lightly" which makes you do anything but go lightly, I can tell you that for nothing. So, here's the first contradiction - although I had diarrhea, I was also constipated. Go Figure. The way it works is that the block is higher up so that was preventing anything from coming through, but when it let go, it let go. Anyway, I took all this stuff on Monday night and it didn't clear everything so the colonoscopy was postponed for another day.
Wednesday 20th Feb
After another evening of drinking go lightly - yep, I had to go through it all again, they finally got round to pushing the biggest thing they could find up my ring and indeed confirmed that I had Crohn's. Fortunately I was put out for this procedure, but when I came round I had some difficulty breathing (odd!!)
Was allowed to eat after the procedure, so went back to eating. Felt fine in the afternoon, but early evening felt really bad. The poor nurse that came in to draw some blood for one of the many blood tests they do daily was greeted by me sat on the side of the bed holding the commode advising that this was probably not the best time to try and stick a needle in me. She went to get the nurse that was assigned to me and when she walked in I "popped" as they described it in the Matrix. Now for the crowning glory. No sooner had I vomited than I needed to poop - the old coming out of both ends trick. So, dropped the underwear and spun round (all very delicately as I was hooked up to an IV) sat down and let everything flow so to speak. Next thing I've got one nurse injecting morphine into one arm and another taking my blood pressure on the other arm. I have to say, even for me, that's a first.
Thursday 21st Feb
Woke up not feeling too great (unsurprisingly), but all that I had to do was go for a series of x-rays on my small intestine an then would be let go. Trouble was, kept feeling worse. Went for the x-rays - and not just your run of the mill x-ray, this is a time delay series after you drink barium so they can see it go through your body. Whole thing from start to finish took about 4 hours. You get an x-ray every 30 minutes to an hour but can go back to your room to watch TV in between.
After final series of x-rays got back to my room and they were concerned that my legs had swelled up and was still having difficulty breathing. Additionally, they thought that they had seen fluid round my lungs from the x-rays. Great news - apparently there are only 3 things that can cause this - heart, liver and kidneys and they had done every test on my liver and kidneys and they were fine. They suspected a blood clot. In turn, I informed the doctor that if I hadn't been admitted with diarrhea, that would be another symptom he could add that to the list. Was sent for another CT scan that confirmed not only blood clot, but one in my chest (aka pulmonary embolism).
Thursday 22nd Feb
Started on heparin to thin blood and address clot. Now for a little something for you to try back at home. Don't worry, it won't hurt. They moved the IV from one hand to the other. No big deal, but it's interesting what you use each hand for. Your little challenge is the next time you go for a poo, try and wipe only using one hand (being the one you don't normally use). It's possible, but it feels really weird. But, the diarrhea gave me lots of chances to practice this. Although I was fearful that I'd look down and see clean toilet paper in one hand and something else in the other hand, thankfully that didn't happen.
Friday 23rd Feb and Saturday 24th Feb
Not much change as was just responding to the Heparin. The big news though was that they had managed to get a better sample from me when doing the colonoscopy and subsequently found an infection (Clostridium Difficile or "C Diff" to its friends). I think this was found on Thursday, but it didn't seem like a big deal compared to everything else that was going on. So, treatment stopped for the Crohn's to fix the C Diff first.
Monday 25th Feb
Happy birthday to me (or what's left of me at this point). Actually, by now had turned the corner and was starting to feel much better. Downside being that I'm in hospital, it's my birthday and I was supposed to be on holiday. Still, mustn't grumble.
Tuesday 26th Feb
Everything as good as can be expected. Need to complete the injection stuff, but should be released tomorrow.
Wednesday 27th Feb
Given the all clear and discharged. Well, when I say all clear, I have a ton of pills, so if you hear a rattle, it's probably me walking up the corridor. I still need to get a lot of treatment sorted out, but I'm not critical anymore. Which is a good thing.
And there you have it.