Whoops! I only just now noticed that I never got around
to posting the entry from a week ago that I had so
carefully composed in my head! I guess I'd better fill y'all
in. I tweeted snippets, but then was too exhausted to blog.
The subject header stretches things a little, in that
although I did have to go to two emergency rooms, the first
was the ER-with-no-hospital-attached in Bowie. So technically
not two hospitals, just two ERs ...
Last week, Mom got worried that I kept looking and acting
sick, even with central heat and mom-cooked meals, and
insisted on taking me to the ER. That was a long day, and
once again I showed up with symptoms that had doctors thinking,
"Oh crap, this could be bad, we'd better get brain pictures."
(And once again they didn't find anything, suggesting that
like other [Marklanders | SCAdians | folk musicians
| pick something that amuses you], I have no brain.
Or that I keep it somewhere less vulnerable.)
First ER: I arrived walking but feeling really,
really, really tired. Mom dropped
me off and went shopping (after getting a ballpark estimate
from the check-in desk as to how long it would probably
take). I started editing an arrangement of a tune I was
working on, and waited for my name to be called. When I got
to a bed and was seen by a doctor, the doctor said she didn't
like the fact that so many of my symptoms lacked bilateral
symmetry ... got nurses to draw blood, get an EKG, get
blood pressure lying, sitting, and standing, and give me
a nebulizer (albuterol, AFAICT) treatment, then went and
found the cardiologist.
I hate the nebulizer. When I use my albuterol
inhaler normally, I don't notice any side effects.
When I put my inhaler in a plastic bag so that I
could rebreathe any of the drug that I coughed out
before it could help me when I was in the worst part
of The Flu Experience, I noticed a little shakiness,
a little speediness, but it was just a "good thing
I'm already in bed" deal. But the nebulizer ...
*sigh* I'm pretty sure it's the same drug, just a
much larger dose, and it feels like terror, like
panic. That is, my brain -- okay, my mind -- knows
damned well that where I am is safe, that the drug
is going to make me feel better later, not kill me,
etc. -- but my body is telling my brain,
"SCARED! SCARED! what are we scared of,
boss? SCARED! SCARED!" Because the
physiological reactions to the drug, at least in me,
feel just like physiological reactions to absolute
terrror.
But I do like being able to take deeper breaths
after the trembling and the racing pulse abate.
I spent a lot of time alone, just waiting for
a nurse or the doctor to check in again with the next
test or questions, and I noticed that the pulse
oximeter they hooked me up to, which beeped for
almost every heartbeat, sometimes changed pitch.
Watching it, I discovered that as my O2
saturation level dropped, so did the pitch. And
of course, given something that can be made to
produce different pitches, from then on I preceived
it as a potential musical instrument, and wondered
how long it would take me to learn enough control
to play "Jingle Bells" on it, or "Silent Night".
I resisted the urge. But the fact that I was
feeling crashy may have added to my ability to
resist. (I did find the volume control, which
seemed rather important at the timce, since my
ears started acting up -- hyperacusis -- as I
started feeling worse.)
(I don't remember whether the other pulse oximeters
I've been hooked to in the past did the variable
pitch thing. Generally, I see one unchanging number
when one is attached, either 90% or 100%, depending
on whether I'm having difficulty breathing at the
time. During last week's ER visit, the number was
fluctuating a lot, between 78% and 100%, which
struck me as a sign that something was Not Usual.
It also skipped a pulse every so often, making me
wonder whether there was a problem with my heartbeat,
but I managed to track that to a fault in one of the
cables. (Specifically, the lead from the oximeter
fingertip sensor was plugged into an extension
cable that was then plugged into the monitor, and
the extension cable was where the fault was.))
Cardiologist showed up, asked a few questions,
and left. Mom showed up and was allowed in to sit
with me. Main doctor showed up again, explained
that she wanted a CT scan but they didn't have a
CT machine, so she was sending me to another ER,
offering a choice of PG or Laurel. Now at this
point I thought she meant phoning ahead to say I
was coming, and giving Mom directions, but she went
on to explain that because of the symptoms that had
her wanting a CT, I had to go by ambulance in case
Something Very Bad happened en route. We figured out
that I'd be getting home sometime well after dark,
and Mom isn't comfortable driving at night, so Mom
went home and said she'd call my middle brother to
pick me up from Laurel. I settled in to wait ...
And I started feeling really crashy, and like I
was freezing. An orderly or a nurse (I was pretty out
of it by then, and am not sure who it was) brought me
a thin sheet, which helped surprisingly well -- between
that, and my body temperature being 99.4 °F when I
arrived and 97.4 °F later on, I'm pretty sure it
was my body having trouble with its own temperature,
rather than the room actually getting colder.
A long time later, an ambulance crew arrived,
strapped me to a gurney, piled my belongings around
me, and wheeled me out into the night. I gradually
started to wake up a bit and feel (and probably sound)
more coherent during the ride to Laurel -- "Tek"
("Tech"?), the guy who rode in the back with me,
wanted my opinion on various famous jazz and rock
drummers. I told him about Evelyn Glennie, but
was unable to remember her name at the time. By the
time we reached Laurel I was pretty much awake and
my speech no longer sounded drunk to me, though I
still felt crappy.
The doctor who saw me at Laurel repeated a bunch
of the things the doctor at Bowie had done, mostly
the "follow my finger" stuff, strength tests, and
asking lots of pertinent questions about my symptoms.
I don't know whether he added the chest X-ray to
the list, or if the first doctor had asked for that.
The CT tech wheeled me off to radiology, answered a
bunch of my questions, seemed pleased to get a chance
to rattle off some of the features and specification
of the machine (I didn't know it took multiple
slices in parallel -- the carriage moved eight times,
but that was either 32 or 64 slices, and he said it
could be set to do even more per pass depending on
what they were looking for). Then the conventional-X-ray
tech found me in the CT room and wheeled me around the
corner, and was similarly willing to chat about the
hardware when prompted.
Eventually, the doctor came back from talking to
the radiologist. He explained that the reason I'd been
so very tired all the time was that a new life was
growing inside my body!
Okay, he didn't phrase it quite like that; that's
just my spin that amuses me. What he said was that (in
addition to not finding anything on the brain CT), the
head-on chest X-ray looked clear, but the side view showed
an indistinct shadow in one lung that could possibly
be pneumonia, and pneumonia fit enough of my symptoms
(well, at least the ones that migraine/fibromyalgia
didn't) that pneumonia was what he thought it was,
and he was going to give me poison to kill the new
life growing inside of me and making it hard for me
to breathe ... er, that is, he was prescribing an
antibiotic. (Well come on, it is a poison,
one intended to make my body toxic to the bacteria
trying to kill me *cough* using me
as a host and doing me great harm by accident. It's
not going to poison me, but that's still how
it works, isn't it?).
I called Mom and told her to call my brother, since
I expected to be nearly finished with my double-ER
adventure. Some time after that, someone showed up
with a cup of water, some Zithromax, and my discharge
paperwork. I asked, "Is this a one-shot, or are you
sending me home with a prescription to fill?"
"I've got a prescription for you. Now, about this
medecine ..."
I jumped in, "Keep taking it until it's gone even
if I feel better, because I don't want to breed
super-bugs, right?"
"No," he started, then what I had said registered
and he grinned and said, "Yeah, you got it."
Then my brother showed up and drove me back to
Mom's house; Mom picked up the prescription the
next day (five pills, generic, at about six bucks
apiece), and I spent the next three and a half days
so out of it that I kept forgetting to type and
post this -- or rather, forgetting that I had not
already done so -- and was breathing noticeably
better by the last day of the antibiotic, though
I'm still coughing some (feels more like
allergy/athsma tickle than anything else -- at
least I really hope the pneumonia is all
gone!) and the muscles over my ribs are sore
enough that even a little cough hurts. I've got
more energy, though I'm still weak ... and a
migraine hit the day after the last antibiotic
pill.
Between the emergency rooms and the ambulance,
five people commented on the PowerBook that I
was working on when I was awake and not interacting
with someone else. (It's a hand-me-down from a
bandmate who upgraded, and I love having this tool
at my fingertips.) Four said, "Hey, that's a
Really Nice Machine -- I've been thinking about
getting one," and one said, "I've heard those are
good -- do you like it?"
Okay, now I can go back to editing the journal
entry I started before I realized I'd never gotten
around to writing this one.