Karen Siegal
July 2002 Spotlight
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In 1984, I was diagnosed with gastroparesis and started on Propulsid.  I did quite well on the Propulsid until it was pulled from the market in June 2000.  In fall 1999, I did go through a severe bout of GP following an infection.  I was placed on a PEG tube with j-tube extension.  That tube was pulled following me being able to keep food down for 2 months.  Then I developed another infection in Fall 2000, and again the GP was out of control.  Again, they placed a g-j tube which remained for several months.  I started feeling better again, so they pulled the tube again.  In August 2001, I dislocated my finger and developed a terrible infection (osteomylitis).  I have not recovered since then.  I had another G-tube placed, followed by surgical placement of a j-tube in January 2002.  I have only experienced a couple of mild infections at the tube site that was cleared up by oral antibiotics given through my j-tube. 

In March 2002, I went for treatment at the Cleveland Clinic Foundation.  I was told at that time I was not eligible for the gastric pacemaker due to narrowing in my small bowel. 

On March 10, 2002, I started having uncontrollable diarrhea.  I was started on Immodium for ten weeks.  By mid May, I was requiring 2 liters of IV fluids every other day to keep myself hydrated.  By the end of May, I was hospitalized because I was having 20-25 bouts of diarrhea daily.  I began having horrible fevers raging from 104-105 degrees.  I was placed on cooling blankets and Tylenol.  I was tested and they found CMV via blood cultures.  I was started on Gancyclovir (chemo agent/antiviral medication).  The fever is now under control.  I had a colonoscopy performed that showed Crohn’s  disease.  I was followed up with CT of the abdomen.  The CT scans showed Crohn’s disease in four sections of the small intestine and thickening of the stomach wall also indicative of Crohn’s.  While hospitalized, they decided I needed complete GI rest due to the Crohn’s, so I had a Hickman Catheter inserted and started on TPN.  While hospitalized, I had a wonderful team working together that was comprised of Infectious Disease, PCP, GI doctor, a nutritionist, chaplain, massage therapy, and Reiki therapy (http://reiki.7gen.com/) . I was sent home 1 week ago and I am now being followed by a home IV therapy team, along with home health care. 

I am currently on TPN  12 hours per day supplemented by 1 liter of fluids approximately every other day.  I can keep down ice water, sugar free jello, Italian ice, and Popsicle.

Luckily I have a wonderful support system.  My partner of 9 ½ years and our children are very understanding of my limitations.  They are what keeps me fighting.



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