Swing Batter Batter..And Strike!
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Medical
For the past few days I have been having increasing pain in my muscles, especially in my legs. The Keppra has done nothing to help, and has been a hindrance by increasing my already annoying nausea to an almost constant level. After ending up in tears and a tightly curled ball of agony one too many times, I called my neurologist this morning. And for the past hour I have been playing telephone tag with her through her nurse/receptionist/gatekeeper. This is the mighty Dr.CH, but apparently even the mighty Dr. CH may strike out. Strike one: telling me to take half of a baclofen at night. Um, Hell no! Baclofen is what bought me a three hour tour of the ER with a record setting low blood pressure that made consciousness an extreme effort. I don't particularly care if Baclofen is the cure, I am not going down that road again. Strike two: suggesting that drinking large amounts of Tonic Water would be beneficial. Okay, first of all due to the dysautonomia I rarely if ever feel thirst. Drinking any liquids is a struggle, and I am constantly on the edge of dehydration. Nasty tonic water has the same chances of being consumed as muddy river water. Second, tonic water has quinine. Quinine is documented to impact the autonomic nervous system as well as to impact blood clotting levels (lupus anticoagulant is actually listed as a side effect!). This seems like a duh! to me but putting the girl with lupus anticoagulant on high amounts of a drink with a medicine that can cause lupus anticoagulant (not to mention jack with her already temperamental nervous system) may just be asking for trouble. Strike Three came in writing for a prescription with Ibuprofen in it. Ibuprofen is an NSAID, which as a central characteristic is known to thin blood. All NSAIDS are forbidden to me because they can cause my blood to thin more than is appropriate since I am on blood thinners, especially since I still have the acquired factor deficiencies. Not to mention, I have NSAIDS listed on my allergies and sensitivities as causing severe stomach issues. And people wonder why I am so adamant about learning everything possible about my health conditions and medications and treatment?!?! Dr.CH is an incredible doctor, but without my chart in front of her (she is at the hospital on rounds, my chart is at their office) she is at a disadvantage. Her receptionist/nurse must think I am the most paranoid and obnoxious patient ever, but I would prefer to be obnoxious in her eyes than take another tour of the ER or continue to have these horrendous painful spasms. I fully admit that I am a complex and complicated patient, that I am frequently the most challenging patient a doctor will ever encounter and that providing care for me requires a high level of diligence and attention. However, I also know that anything less can result in disaster, and this is my life. So whether or not a nurse thinks I am a royal pain in the arse or not, I would rather cause her to do more work than just accept whatever I am told only to later discover that my ignorant faith came with a heavy price. But it does become extremely tiring constantly having to be alert, on guard, and educated - and unafraid to piss someone off in a very nice way by questioning the appropriateness of what is being done. This morning, Mighty Casey...Mighty CH has struck out. :( Luckily, I believe in second chances, and there are 9 innings in a baseball game!!
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