The internals of my throat are off and on still pretty sore. I have to be sure that if and when I eat something that I have plenty of fluids to wash it down with. I had a little piece of lemon pound cake and didn't have enough milk or water with me and it really scratched things up. I'm not sure if the cake was made out of sand paper and wood shavings or it was me just still being raw. Either way, the cake was nummy but my throat is super raw now.
I have to eat Tums several times a day to ensure that my calcium intake is up enough to ensure that the parathryoid still have enough there to work with in case they continue to be finicky with their best fried being gone now. A Tums at the end of a rock night was like a bedtime treat. Right now, just the thought of one of those peppermint buggers just makes me taste bluk.
I spent most of the day snoosing and lounging about the house. I washed a few dishes but that was about it. Flipper, my old lab, does not let me go far without him.
The hospital nurse called to check-up on me to make sure that things were going well. I told her of my little leg spasm spell from the night before and agreed that it could have been a calcium drop that caused it and agreed that I had done the right thing by taking more Tums. And the fact that I was able to fall back to sleep was a good thing. But if it happened again and didn't resolve or got worse or I had the tingling/numbness in my hands, arms and/or legs or feet and/or my face and around the lips that I needed to go to the ER. The low calcium signs were a big part of my discharge "review" so I was pretty aware of them and had been instructed by the nurse that going to Brack would be the best but since we live in Liberty Hill that the closest ER would be best. Just tell them that I had my thyroid out and the symptoms I was having. They'd know what to do.
We ordered pizza for dinner and I actually managed to eat a whole piece. It took forever but I did it, but I was exhausted from all the chewing too. Eating should not be an exhausting venture. The fat kid in me is very confused by this. It's one thing if you are having to hang out in a tree with a knife in your mouth and attack a passing critter. But taking a slice of pie out of a box from the local pizza shop and eating it should not wear one out. Ya know?
We spent the night watching tv and just chilling. Shortly before 10:00 pm I noticed that I was having spasms in my right leg. I stretched a bit but noticed that it was not going away so Jeff went and got me more Tums. Bluk. I figured it would do the same as it did the night before. Over the next hour my right hands started tingling, then my elbow. Let me tell you, that was the freakiest thing. My hand was tinging and my elbow, but everything in between was normal. Weird. Then my left temple started the tingle before long my left hand and elbow started the tingle thing. But the good was, my leg had stopped spasming. Yea! But after over an hour, it was decided time to head out to the ER. Better to be safe than sorry. Plus those had been the instructions more than once.
We load up and head out, debating which ER to go too. The two closest ERs are Georgetown and the new Cedar Park. We decide that because when I went to Georgetown in May due to a 105 degree temp and they focused more on an elevated blood sugar level than what may have been causing a 105 temp. Being told, "Eh, fevers are fevers." I kind you not, that is what the PA told me. I may hold the lowest of medic certifications but when you start getting to the 104-105 degree level that's NOT normal! But I digress...
We decide to go to the new Cedar Park hospital. They shouldn't be busy, like Brack would be, so we should be able to get in quickly and get good attentive care. Plus we could be there in minutes, as to almost an hour for downtown Austin. When we get to the hospital we began wondering if we'd made the right decision as there was a huge multi vehicle accident at the main intersections in front of the hospital. We get around to the ER and as we have figured it's pretty deserted. If you didn't know the hospital was open you'd be hard to tell that it was.
We check in and it wasn't long before we get called back to triage. That was pretty standard and we get a room. I'm not really thrilled with having to totally undress but I know the drill and don my lovely gown. It was just a few minutes and the doc was in. I thought to myself that this is awesome and we'd be getting down to business and hopefully getting this irritating tingling to stop. He comes in and asked so what do you want tonight? Wow...I was a little taken back I don't know anyone that would start a patient assessment like that. So I start in that I had a total thyroidectomy on Monday and I started having....."Why'd you do that for?" (Cause I thought it'd be a cool thing to do to rip my thyroid out for no reason....keep smart-assed comments to self....) had thyroid cancer....so I started having...."what kind?" papillary thyroid, so I started having spas..."What made you think that?"
Seriously!?! Am I not going to be able to get through a single sentence as to what has brought me in here? I was always taught to find out what brings your patient to you, then get a history to build on it from there. Have I been doing it wrong all these years? Was every speaker I picked for a patient assessment class for the EMS conference wrong too? This dude really sucks....
I, in a way, give up. I gave a short little answer that an unexplained weight gain lead to the find of an enlarged thyroid, had an ultrasound, lead to biopsy, cancer, surgery. And yes that's about exactly how I put it. The doctor left the room to got do something. By that point I really wanted to have nothing to do with him. As we sat there, I debated hard of just getting dress and leaving. Jeff mentioned that we could have been at Brack by now. But we both decided that if we could get to why were are here then maybe we can get somewhere this doc. So the doctor comes back in, sits down and starts talking about how I was hypothyroid and blah blah blah...um no. I never said anything about having a history of being hypo. In fact, I have NEVER been hypo. They highest TSH level I have ever had was 2.6. By this point Jeff and I are both ready to just walk out. Is he not believing that I actually h thyroidectomy ad a? Yeah my incision is not in the traditional place but let me lift my neck you can easily see the steri strips and oh hey would he like to see all my admission and discharge papers? I told the guy that my discharge instructions were if I had tingling in my hands, arms, feet, legs or face that I was to go to the ER and have my calcium levels checked so that's what I was there for. He leaves and the RN comes in.
And the circus continues. Now I'm sure she's a great person and from our little bits of conversations I can easily see the older rural paramedic turn RN for the money. But where did she get that I'd had my thyroid out because it had stopped working? She explains that doctor dude has ordered blood work and that they like to go ahead and put an IV cath in so that in case they end up having to run an IV or something then there was only one stick involved. In the grand scheme of things that sounds great.
So while she spends her time gathering the necessary items to put in the line we chat about my surgery and why and all the what-nots. I'm thinking we'll get the levels checked and things will get better. BOY WAS I WRONG! She sits down and takes my right hand and starts tapping around. I strongly advice again using that had has it was not very cooperative just a couple of nights before and it had to be aborted and that was with a MUCH smaller needle. Apparently I was talking but no words were coming out. She repeats a few times that she can see where the vein starts and stops and feels confident about it. I again express that it was not going to be a good location. So in she goes...
Now you have to understand I have a very high pain tolerance. I have had MANY sticks in my 40 years. I have not screamed for it to be stopped since my very first blood draw was done at the age of 4 or 5 with a bent needle. I have had numerous surgeries, blood transfusions, donated blood, donated plasma, blood draws, IV fluids and what-nots so sticks are not new nor something that general scare or bother me. But after a few minutes of this woman digging around on my hand the pain got to be too much. I told her if she didn't have it by then she needed to stop...she kept going. I sucked it up a bit longer, but then the hot flashes started and I knew if hadn't gotten by that point ENOUGH. I again asked her to stop. She didn't. I expressed repeatedly that the pain was getting to be too much and that once again, that hand was not a good place to attempt a line. She kept trying to get it. THANK GOD someone stepped in and told her that they needed her for the crisis team. That made her pull out. I was done. My head was spinning, I was sweating profusely, the room was fuzzy and the dark tunnel was starting to close in. But as she headed out, she asked the other chick to put in the line. Maybe she'll get it first try. But first, I have to lay down.
She gathers her stuff and sits down at my left arm. She starts taping around. I've had IVs, transfusion lines, blood draws from the forearm, sucks but is generally tolerable. Okay...big pinch. Good gawd this hurts. Breathe, breathe, this will be over soon. The more I try to block it out, the longer she keeps digging. Relax..relax....relax....oh my gawd how long is she going to keep digging at this? Okay chick, this is getting to the point that I can not take this pain any longer. Yet she keeps going. The room becomes hotter than hell, oh here comes that tunnel again. I begin begging her to stop. But she doesn't. Finally after much begging and pleading she pulls the needle out of my arm.
I have Jeff pull my socks off because I am dying from the heat. I know I'm the only one feeling it but good gawd, I'm sweating buckets. She decides to "inspect" my veins. Just as the first RN comes back she decides to go for the old stand-by, the crook of the elbow. The tunnel is closing, I'm thinking okay, I know the veins there are very good, this will be over quickly. OMG I was SO wrong!!!!!! Holy cow I thought the first two attempts were bad. The pain was 20 times worse! I'm trying to relax, I'm trying to stay calm, I'm trying so hard not to scream, I'm trying not to shake, I'm fighting the tears back, I'm trying not to curl up into the fetal position. I've expressed over and over how badly. I can feel Jeff beginning to boil. I finally plead that if they don't have it yet to please stop. Almost they say. Almost? You've been digging on my arm (this round) for five minutes. Gawd, PLEASE tell me you are in. The pain radiating through my arm was immense. She goes to tape and tie it off, tugging at it with every move and has the gall to question why I wince in pain. It felt like she was ripping the vein out of my arm. Jeff made it know just how he felt about the whole ordeal.
Finally they were able to draw the blood. I won't even go into the archaic method they used. No, I've ranted on how bad, I might as well finish the nightmarish tale. They opened the line, let you bleed out on to some gauze for a while, then used a syringe to collect the sample, then transfer that into a tube. Finally they left the room. I lay there traumatized. My arm was in excruciating pain, shaking, tears rolling down my face. So regretting not following my gut and leaving for Brack. After a few minutes in bopped Ms. Perky RN. They needed more blood, they'd not taken enough the first time. I know the line is taped off but it felt like she completely spun the line in my arm when she opened it to let it start bleeding out for a while. Once she got what she need, right before she bopped out of the room again she did promise to take it out just as soon as she got word that she could. The labs usually take about 20 minutes so it would hopefully be soon.
As I laid there, the pain radiating up and down my arm, I felt so vulnerable. Suddenly it all came back. I knew this pain. The pain in my arm, the pain in my heart, that gut wrenching pain. That was exactly the same pain I had when I was getting transfusions and the nurse strapped me to arm boards, on BOTH arms, then no one would come check on me when I started having pains. It wasn't until we got them to understand that there was a HUGE bubble forming that they bothered to come check it. Yep, the vein had blown. The pain I had now was the exact same. I had Jeff check to make sure nothing was wrong with my arm. I laid there for the next hour and a half breathing through the pain. Finally the doctor comes in. Calcium is fine, magnesium was low, TSH was high (for normal testing purposes - and um duh, I no longer have a thyroid) and my glucose was high. Well, had you done an intake assessment you'd know why it was what it was but you didn't so, that is not a factor to the issue for which I am here. Soooooooo...nothing you can do to stop the tingling. Although, you have managed to distract me from the tingling in my right hand by the pain in my left arm. I was to follow up with my primary. Um...he meant my ENT but I wasn't going to go into that for the seventh time. I just wanted out of there.
After a while the nurse bought my discharge papers and finally took the line out of my arm. I got dressed and we left. I believe as we walk out the doors I spoke the same words that I did 35 years ago. Don't EVER take me back there!
It was well after 2:30am by the time we got home. I curled up in the big chair for about an hour before I'd come down enough to even begin to get any sleep.
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