Scott

Idiopathic GP


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In late June of 2001,  I was working at a local bookstore and was not feeling very well one day . Having worked in retail management before it was not the first time I had gone to work while ill  . My head was feeling hot  and I was sick to my stomach.  I had the flu a few weeks before and thought that this  was the reason I felt like passing out that day.  I started feeling even  more sick  to my stomach  as the day went on until I spent a long time in the bathroom throwing up . I went home from work that day and made a doctors appointment.   A  day or two later I went  to see my doctor (at the time ) and he assured me that it was most likely just a sinus infection which had been aggravated by my allergies and was making me sick.  I was not pleased with this answer so I told him again about the vomiting.  He told me “ It just has to run its course” . After a few days I was back on the job and some days I was “run down” and others I would throw up and throw up until I had to leave and go home.  By the second week of July, I was feeling pretty well and thought this “cold/flu” was behind me.

By the end of August it came back worse than before.  I could not leave bed.  I would watch part of a video and would fall asleep.  It seemed like all I did was sleep.  I went back to the same doctor twice more and he told me the same thing he had before.  On the third visit to his office he ordered a couple of tests and gave me Phenergan for the first time.  Which helped some.  I was still throwing up and was always tired .

When I was not feeling any better a few weeks later I went to the hospital. They told me I was de-hydrated and gave me fluids. By the second week  of September my health  forced to leave my job. The morning of September 11th I was at the hospital having some tests run which the doctor had ordered  for asthma, heart and blood work.  I had just come out of the test room after the asthma test was over  and was filling out some forms in a waiting room when I was told an airplane had just hit the world trade center.  By the time the heart test and the blood work was finished they had attacked the Pentagon and crashed a airplane in PA.

I followed up again with same doctor and  he told me everything looked good even thought I was throwing up and was feeling poorly.  I made up my mind to find a different doctor.

I now had no insurance, little money no answers and  was  now searching for a doctor who would see me under these conditions;  and things were not getting any better.  I went to the free clinic near home in hopes they might refer me to someone or find the problem themselves.  I  was going back  to hospital emergency room a couple of more times  where I was  told that I was once again dehydrated.

I would eat and then would through it right back up or I could not eat anything at all and would still throw up. I would go sometimes a week or less and be able to eat half way (cereal, mashed potatoes etc.) Hot food became difficult to handle so I ate things like lunch meat when I was able, which was not often.  But this “illness” kept coming back over and over.  I still slept a lot and was just felt really awful. I was given several different stomach meds from the hospital visits, which were made ( most often ) several weeks or a month apart.  The hospital was unwilling to run tests and kept telling me to see my “family doctor”.  The doctors would not see me without insurance.  I could not get insurance because of lack of funds and I had lack of funds because of my illness which required a doctor.

The doctors told me if I was that ill to go to the emergency room and I was in a catch twenty-two.  This went on for a long time.  I was on Bentol which made even sicker to my stomach.  I was then on Compazine which worked to stop a good part of the vomiting so long as I did not eat anything.  After about a week I thought I was having an asthma attack,  I could not sit still, I shook all over and had trouble breathing.  I went to the hospital and learned these were side effects from the Compazine and had to be treated.  It took a long time to get this out of my system.  I was then  put on Zofran. When I take Zofran it works longer than the Phergan but takes longer to work.  My family helped me by filling these prescriptions a few pills at time due to their cost as best they could do.

I went back to the free clinic and an I saw a doctor there  who weighed me.  I was at very heaviest weight ever then at 273 pounds.  The doctor at the free clinic said “well you are obese , almost morbidly obese so its no wonder your not healthy”.  I knew then that something had to be done about all of this.  I had been going back to hospital again and again for fluids and the vomiting had not improved. One night in late October I was so ill I was throwing up stomach bile and blood.  I was taken back into a small room in the emergency area where over the course of five and half hours I saw a woman from registration  a nurse, two medical students, a woman from the financial office, a couple people from the lab, an intern.  I then saw a doctor twice for less than five minutes  who told me about places “people like you” could go.  He was much more concerned about getting paid than he was about me. (These places he suggested were , of course places I had already been.  A couple places he suggested were places that the state ran.  Not only could you not see the same doctor twice at these state run places  , but no one knew what your care should be  and they would not run tests there.)  The emergency room doctor  then said “Well we still don’t know anything more about what’s wrong than when you came in ” .

I told him “that’s because you have not done anything“ and that doctor just smirked.  He did not give me fluids, he did not draw blood or do anything except let me sit for almost six hours while I vomited. So I told him what I thought of him and went home sick.

In December I went back to the emergency room and they tried to treat me with Reglan. I had a very bad reaction to Raglan, worse than with Compazine.  I found out that I  did not have the trouble breathing that I did when I took the Compazine but I began to shake and could not stop. My leg would fly up over and over and my entire body convulsed.  This went on for over an hour and they treated me with high levels of benedryl until it made me sleepy while the Reglan wore off. I was given fluids and sent home with orders to “see your family doctor”.

I had recalled seeing a doctor a couple years before while on a different job and I made an appointment  to see him.  He told me that we could work out something regarding payments. He said it all sounded like my gall bladder and he ordered a test.  He became my “family doctor”.  I had a gall balder test/scan completed and it came back with normal results. My new doctor sent me to a Gastroenterologist and ordered a HIDA scan test.  It was January of 2003 now.

I had the test completed and it came back that my gall bladder was in bad shape and had to be removed.  I scheduled a date to have this done by the surgeon  around the first week of March. The second week of February I came into the emergency room again when I could not quit throwing up.  I saw the surgeon who was going to take my gall balder out.  The Surgeon then  admitted me to the hospital and took my gall balder out. I was still vomiting afterward. The gastroenterologist who I was waiting to see came in and took over my care.  He ordered CAT Scans, an EKG test and several other tests.  He ordered a gastric empting test to be completed. They gave me a container of nasty scrambled eggs and I could not get them all down.  I starting vomiting.  I asked if this test could be done with liquid and was told no, that perhaps he could do it with toast.  The gastro doctor came back later and told me that because the gastric emptying test had to be uniform, that the hospital had to do the test with only eggs. I was given erythromyasyn  this hospital visit and it made me very nervous, jumpy and I shook with it . I was also given levaquin which made me sicker to my stomach. I also had a scope of my colon and esophagus done. There were more tests. I was now on my third hospital visit.

The gastro doctor had me meet with an endocrinologist who ran some tests, a neurologist who ran some tests and sent in a psychiatrist to talk to me. The gastro doctor had some questions as to if this “condition” was all in mind.  I checked out fine with these tests.  I did have some hormone issues that the endocrinologist was following up with me on.  The endocrinologist prescribed a medicine that was two-hundred dollars for a thirty day supply.  I was still vomiting and my weight was dropping.  The gastroenterologist called another gastroenterologist who worked with the research staff at a hospital on the other side of the city.  The gastroenterologist who I had been seeing in the hospital came back into my room to see me.  It was the first time I heard the word  Gastroparesis.   I was given a PICC line in my arm while I was laying down in my hospital bed.  Some one came in later and took an x-ray.  A couple of hours later some one from the I.V. staff came and pulled the PICC line out a couple of notches.  The I.V. person told me to count how many little black notches on the line were above the skin and to let someone know if it had come in or out any farther.  The next morning I looked and the PICC line had come out a few notches so I told the nurse.  Someone from I.V. person  came in ,and with her  hand,  put the PICC line back in to the skin where she wanted it. I was sent home with an order to drink the Resource Fruit Beverage (Juice Box). About a week later I woke up with the chills.  I felt really cold and I had a high temperature.  I broke out in a rash of red blotches from my wrist to my elbow.  The doctor was called and I was sent back to the emergency room where the PICC line was pulled out.  I was admitted to the hospital again and was sent to an isolation room with MRSA.  I was then sent on “furlough” to see the other gastroenterologist across town and then returned  back to the hospital that night.  The gastroenterologist  sent in an infectious disease doctor to see me and I followed up with the surgeon from where I had my gall balder out.  All of this time I had not been able to eat and they were still bringing me food trays.  I would try a lot of the time to eat an would vomit it back up.  The food would not go into the stomach and would just lay and burn its way up.  A couple of the nurses gave me a difficult time for not eating.  I was sent  home from the hospital with a direction to drink at least four of the Resource Beverages a day.  These Resource drinks were nasty tasting and more medicine than juice.

I also followed up with both of the gastroenterologist . I drank the Resource as best I could for over three months and kept loosing weight.  It got to the point to where I could not stomach the Resource drinks at all.  I went to see the gastroenterologist on the other side of the city again and stopped seeing the gastroenterologist who I seen while in the hospital.  The gastroenterologist that I went across town see became the doctor I was seeing the most often. I then had botox injections into my stomach and this did not seem to do much of  anything.  I had a G-J tube placed exactly one week later . It was the most painful thing I have ever lived through.

I was told the flow rate of feedings through the tube would be raised until it was seventy.  I had trouble getting past a rate of ten to a rate of twenty.  I was then admitted to the hospital across town and stayed there as the gastroenterologist raised the flow rate.  I had a couple of tests completed and found out that their was some air in my abdomen.  I was back in the hospital for the fifth time and was there almost two weeks.

I have been home now for a couple of months.  My current weight is 159 pounds.  I am waiting for the Domperidone to arrive from Canada and still trying to decide if the gastric pacemaker is something I want done.  I have given this story as best I could to the best of memory. During all of this time it appeared to me that one day was no different from the next except for pain and sickness.  I lost track of time often and would only become aware of it until I was home  on my better days.  I also have tried to give the jest of my story without all the details.  I have not given the details of all the trouble I have had with home nurses, obtaining Medicaid and/or disability (which both are still pending after nearly a year) or all of the different tests I underwent.  Or of being stuck over and over and over with a I.V. needle. I also have not given information as to how all of this has effected me in other ways (mentally, financially or other wise) during all of this time.  I have also found that having a disease that is not well known is not easy to tell other people about. It is much easier to tell people I have stomach cancer than it is to explain what gastroparesis is and get an eye roll or “why did I ask” look from people.  Today, I am tired most of the time, I do not eat and I have only been able to drink sprite and water.  I also found that sucking on butterscotch candy is great if it does not bother my teeth, many of which have rotted away and broken off due to all the stomach acid during periods of vomiting. The G portion of the G-J tube helps keep a lot  of the stomach acid draining out (into a leg back) and I have not had the vomiting as I did before but am in more pain and have some problems specific to this type of tube  (pain, tape won’t hold, tube pulls, stomach lining growth, etc.), I am not sure what the future will bring but that’s where I am right now after over two years of not knowing and having undergone all the treatment I stated above (as well as much more). I hope this will be useful to those who are sick, and who know how sick they are and can get no else can believe them.  I hope the readers understanding of this condition can become better than what mine had been during this the past couple of years of dealing with this.  I hope that some real research can be completed and changes made in the way medical care is given in the U.S. so no one has to live through what I have with such a horrific disease.





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