I spent a week in the hospital and every day brought a new and different form of trauma. I have no idea how to even start to heal.
Tags for safety.
CWs: malnutrition, unintentional weight loss, body image, medical trauma, strangulation, surgery/ its effects on the body, descriptions of pain/injury/serious illness, death/fear of
I saw a motility specialist for the first time a bit over a week ago for my refractory gastroparesis. He basically told me that I needed to be admitted immediately to get a surgical feeding tube. I didn't even have time to go home and pack a bag, just straight to the ER.
On the first day, a tech told me to transfer from a wheelchair to a phlebotomy chair, ignoring the fact that I was on oxygen. The cannula hose was too short to allow the transfer, pulled me backwards, and I took a bad fall. I also learned that day that I'd had a prior heart attack.
On the second day, I got a roommate who spent the entire day/night praying at a *scream*. I didn't sleep at all.
On the third day, I was NPO and supposed to get a stress test, but my potassium was too low. When pills didn't get it up, they tried to put it through a standard IV. It literally burned my vein. I had to get a midline. I got a migraine so bad I was literally in tears, while my roommate had to use an interpreter service that also operated at a scream. This was the better part of the day. The stress test was canceled, because they eventually had to treat the headache. This meant I had to consent to a cardiac CT-- and I get anaphylactic reactions to CT contrast-- if I wanted a chance at getting cleared for surgery the next day.
That night, I got my first meal at dinner. It was pure liquid. It still caused blinding, screaming, crying, dry-heaving pain-- the likes of which I've never experienced. I genuinely thought I had a blockage. Later, I got my breathing treatment and my heart rate went to 210. I called for a nurse, who immediately called a code. Turns out I was in AFib with RVR. The code team got there, took one look at me, and then realized my roommate was in full arrest. They spent the next 14 minutes coding her with the curtains drawn. I spent them wondering if I was going to make it long enough for them to finish. I did. By the time they got her back, my rhythm had converted to trigeminy, which is a precursor to VTach. They said in no uncertain terms that if it converted, I probably wouldn't make it. They started working very quickly. I was genuinely terrified. In the middle of this, one of the doctors started questioning my EDS diagnosis. Because, you know, sure. Everything they did worked though, and I was transfered to a ward that was one step shy of the ICU and placed on strict bed rest. I spent the night using a bedside commode--frequently, since they'd pumped me full of fluids. Then they decided to hold my POTS medication. My blood pressure wasn't low, but it wasn't high, so they held it.
On the fourth day, they gave me more steroids and IV Benadryl ahead of the cardiac CT. Then they took me off bed rest and had me get up to do an antiseptic wipe down. I twisted my ankle, badly (IV Benadryl is NOT like the pill form, as it turns out, and EDS makes it really easy for me to hurt myself). I told them I'd hurt myself, and they ignored me. They came and took me for the CT. I had a panic attack. They said, very brusquely, that no one ever reacts with the pre-meds. I was still scared. They injected the contrast and my throat started to close. They said "it should have been fine." It wasn't. Around 2, cardiology cleared me for my 4pm procedure. At 5pm, the nurse came in and said I've been canceled: cardiology took 2.5 hours to write the note confirming what they'd told me. By then it was too late. Even my nurse lost his shit on them. "It's cruel," he said. He was right.
That night was pretty similar to the night before. Dinner. Pain crisis. Turns out, the protein formula they were giving me had an artificial sweetener in it even though I'd told them multiple times I was allergic. Breathing treatment. Cardiac events. Funny enough, it doesn't get less scary (though not having another code happening at the same time does help). I started having adrenaline dumps because of the held meds. I didn't sleep at all that night. Not a single minute.
On the fifth day, the internal medicine doctor came in, took a look at my leg, and told me there was probably ligament damage. It would never be spoken of again. He also told me I'd be taken down for surgery at 9:30. I called my people to tell them to hurry up and get there, because we'd thought it was going to be 1:30. I started having... bathroom issues. The kind that are really inconvenient when you're NPO and also hooked up to six pieces of equipment that you have to disconnect from before getting up and you have a damaged leg. My people arrived. 9:30 came and went. 1:30 ultimately came and went. They came for me at 2:30. I was exhausted and terrified and furious. The surgeon said it wouldn't hurt much, it was "just a little skin incision." I was skeptical. They wheeled me in, and the nurse pressed the oxygen mask over my face like she was trying to strangle me with it. She also started pressing down on my throat?? My last thoughts before going unconscious were that she was going to accidentally damage my trachea with the force she was using.
I woke up screaming, crying, and 90% unable to see. They pushed the heaviest-duty pain medication they had, and it did absolutely nothing. (Thanks EDS). They immediately wanted to move me, because I was the last procedure of the day and the nurses wanted to go home. They picked me up and I almost went unconscious.
Back in the room, I got two more different kinds of medication, and in combination the three took the pain from a 10 to an 8. That was enough for me to be able to realize I couldn't see. "It could be a side effect of the sedation, or it could be a stroke." They had to take me to CT to clear me of a stroke. The pain of that was indescribable. It wasn't a stroke.
I once again didn't sleep. The pain was too severe.
On the sixth day, they wanted to take me off of pain medication. My people advocated for me, and managed to get me one more day. I couldn't even make it to the bathroom. I could barely speak. I still couldn't see. They made the call to transfer me out of the step-down unit and back to the regular ward, except they chose to do it by wheelchair instead of on a cot. Since they'd started running feeds, this was a two-person job. The person responsible for my IV/feed pole kept getting out in front of the wheelchair and literally dragging me by the tube. She nearly ripped the tube out of my body four separate times. I was barely conscious by the time I got to my new room.
On the seventh day, they did take me off all pain medication, less than 48 hours post-op. I still couldn't stand up straight or move without assistance. The pain was made immeasurably worse by the mishandling the night before. They didn't care. They also weren't anywhere near discharging, not for any medical reason, but because the logistics of arranging the supplies were apparently beyond figuring out.
On the eighth day, I was supposed to go home, but they told me it would be "several more days" while they waited for the supply delivery. Given that I was and am able to eat and drink by mouth, I told them I was going to wait that several days at home, where I can sleep and feel safe and not be traumatized. They said it would be AMA, but nothing else. I said fine, and signed.
It was only once I got out that I saw in the discharge papers that I needed to flush my tube every 4-6 hours to avoid clogging-- which they didn't give me the supplies to do. The syringes they had, that wasn't part of the supplies they had to order. That was a choice. So I had to get that urgently elsewhere.
Then I learned that they canceled the supply order. They said they weren't going to, but they did. If they'd said they were going to do that if I left, I obviously would have stayed. But they lied, or they changed their minds, or whoever spoke didn't know the policy.
So now I have a tube, no orders, and I have to wait until I see my motility specialist outpatient to even start the process of getting the necessary supplies.
Oh, and loads of excess trauma. I certainly have that.
And is some of this on me? Yeah, absolutely. I own that. But I was exhausted and no longer felt safe there, and I was told everything would get done. I acted on the information I had. I don't know.
So, yeah. Here I am. Where do I go from here? No earthly clue. What a mess.