Question about ER

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baseballmomof3
Regular Member


Date Joined Apr 2007
Total Posts : 189
   Posted 6/13/2007 11:22 AM (GMT -6)   
Hi everyone:  I had to go to the ER yesterday afternoon with a horrible migraine that I woke up with yesterday morning.  I tried to not take any of my medicines because of a comment that my doctor had made to my mom at one of her apointments.  He told her that there are times that we should just try to live with the pain if it is not too severe.  So.......my migraine wasn't bad and by the time it started getting bad and I decided to take my meds, it was too late.  I was vomiting and nothing would touch the pain.  So, after hours of this, I went to the ER.  They were awesome, as usual thank goodness, gave me steroids IV, IV fluids and Dilaudid.  My pain was a 10/10 when I got there and after 6mg of Diluadid over several hours, pain was down to a 5/10 without vomiting.  Usually, after the IV meds, my pain is either gone or a 1-2.  But, I came home and went to bed thinking that maybe with sleep, it would go away.  Well, at 3:00 this morning, I woke up with the most severe migraine and vomiting that I have ever had.  Both of my hands and feet were tingling and numb (which is usual for me when I have a bad migraine).  I tried taking a Zofran, waiting 30 minutes and then a Relpax.  Both stayed down but no relief.  Finally, at 6:30, I had my husband call the neurologist's answering service - found out he is on vacation.  So, it was back to the ED.  I really didn't know if they would help or not - two times in twelve hours seems excessive.  They were awesome.  Tried the same regime (minus the steroids and only 4mg total Diluadid) and it seems to have worked.  They actually wanted to admit me for pain control but I just couldn't do that.  So, I am home and feel fine for now (although, a little nervous waiting to see if the pain is going to return).  By the way, we had a bad storm during the night last night, also.  I think I will get a job as a weather forecaster - Ha!.

Has anyone ever had to go to the ER, gotten d/c'd and had to return?  I hope and pray this never happens again but would love to hear if anyone else has had this and what their experience has been.
 
Thanks and sorry this is so long.
DX:  Migraines since June, 2006, kidney stones
 
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray


CRANKY 1
Veteran Member


Date Joined Aug 2005
Total Posts : 616
   Posted 6/17/2007 1:53 PM (GMT -6)   

Doctors like your Mom's just make me want to grab them and shake them.  They obviously don't get the intensity of pain that comes with migraine attacks.  Waiting to take an abortive drug is stupid.  First, if you don't take it right when your symptoms start, you have very little chance that they will help at all, once your migraine pain becomes intense.  I totally get the "wait and see" thing from my mother.  It seems like every time I get an attack that my abortive doesn't handle, my mother always asks "can't you just stick it out?"  NO!!!  I CAN'T STICK IT OUT".   I wouldn't be calling for a ride to the ER if I could stick it out. 

I HATE going to ER.  It takes hours to be seen, my average runs about 5 hours.  The bright lights, loud noise, and cold temperature just make the migraine worse.  I do have to go there frequently, and a lot of doctors think I'm a drug seeker.  Then they want to know why I'm not on a preventative.  Well, because I've tried them ALL and none of them helped.  Then it's why don't I have a local neurologist.  Well, because none of the drugs they would prescribed have all failed for me, and they don't want to prescribe any narcotics. 

I'm on SS Disability, for my migraines, chronic back and knee pain, depression, and panic/anxiety disorder.  I'm in pain all the time.  I see several doctors/specialists, but none of them want to treat me the way I need to be treated.  They want to pawn me off on someone else.  Then I see people on this board, or the Chronic Pain board, etc... being normally prescribed the level of meds I need, and I can't figure out how they find the doctors to treat them correctly.

I just spent four days in the hospital for some internal bleeding.  I was on Dilauded while I was there, but the nurses did a very poor job at delivering my pain meds on schedule, sometimes, even a couple of hours late.  I had some tylenol#3's with me, so I would take one or two to mitigate the pain, waiting for the nurses to show up.  Well, my parents figured out that I was doing that, and decided I was an addict.  NO, I'M IN PAIN!  When I was discharged, I was given a prescription for Percocet, which my parents kept, and made me call them every time I needed a pill.  In addition to the stomach pain I had, I also ended up with a blood clot in my arm, which was also extremely painful.  I was so ticked off, especially since my parents weren't giving me the full dosage of medication, and weren't timely in showing up with my pills.  Plus, I had to call them practically every time to request a delivery, like I had to justify my request every time.  It made me furious.  I'm not a junkie, I'm in pain.  I just want to live with a normal quality of life, free from pain.

I hate Doctors and Parents that don't get what a life with chronic and acute pain is like, much less what it is like to have to fight for appropriate medication.  It's no wonder I stay depressed.

baseballmomof3 - I feel your pain and frustration.  Let us know how things are going.

Leigh Ann cool


Basic info:
  • On Disablility for: Chronic Migraines, serious Back and Knee problems (will need surgery eventually), moderate Depression, Anxiety/Panic disorder, TMJ 
  • Divorced, 42, no children
  • Surgeries: Gastric Bypass, Gallbladder Removed (followed by a week in the hospital for a Blood Clot), Kidney Stone Removed, Broken Ankle, Major Dental work(four molars pulled, multiple cavities, root canals) 
  • Current Meds: Lexapro, Klonopin, Wellbutrin, Migranol, Trazadone, Buspar, Nexium, Skelaxin,  Phenergan, Chantix,  Iron Pills
 
"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett
 
 


baseballmomof3
Regular Member


Date Joined Apr 2007
Total Posts : 189
   Posted 7/3/2007 7:34 AM (GMT -6)   

Leigh Ann:  I have been on a trip for 2 1/2 weeks so sorry that I am just now responding back to you; however, thank you so much for your post.  It helps to know that others feel like I do.  I was in the ED not once but twice right before my trip because I decided to try to "just tough it out" with my migraine.  Never have I had to go two consecutive days to the ER but this time, I went one afternoon, got discharged (still with a "mild" headache) and then back again the next morning early.  I have to tell you that I wished you lived close to me because I cannot say enough great things about my ER and doctors.  They are so kind and compassionate (for now, at least) and actually wanted to admit me the second morning I was there specifically for pain control.  My pain was gone with the second visit so I opted to come home which worked!  While I was away, I ended up in an out-of-state ER and they were actually pretty good, also.  I swear, though, I need to find a job as a weather predictor.  The day I ended up in the ER out of state, I awoke to bright, sunny skies.  By lunch (still sunny), my head was pounding and I told anyone that would listen, that it would be storming that afternoon.  Everyone thought I was crazy.  Guess what?  Severe storms that evening! 

Anyway, even my family is starting to get sick of me always being sick.  Seems like no time is immue - vacation, parties, work, ballgames, etc.  I seem to interrupt our life on a weekly or monthly basis.  I feel so bad that they are having to deal with me.  What frustrates me even more, though, is that if I take all my meds as precribed, I avoid the ER, hours of pain and vomiting.  But, even my doctor's "nurse" is hateful and makes me feel like a drug seeker when I call for refills so I have tried to stop taking any of my pain meds at all.  Then.......off to the ER we go.  WHAT IS THE ANSWER?  Why, when something is precribed and working, do I feel so darn guilty about taking it?  I function beautifully when I take my meds.  I am not drugged out, sleepy or weird.  I can live my life.  Without taking them, I am in the bed, in the dark, a bucket by my side.  Would someone please explain!!  The preventives help until the weather changes.  The abortives work with the narcotics if taken early enough.  Why can't this be a good thing?

Sorry for the length and the ranting.  I am just so frustrated.  Any advice from any of you would be appreciated. 


DX:  Migraines since June, 2006, kidney stones
 
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray

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