Wednesday, August 31, 2016

Lazarus

82


Returning to the community health clinic the following month, Betsey asked me how I was doing. I told her that my intestinal issues were far improved if not completely better, but that my headache still persisted. My vitals showed that my body temperature was now normal. She asked if I'd like to continue with the antibiotics and I readily agreed though wondered if perhaps my headache, itself, might be caused by something else. She noted that if it was, then we wouldn't have a reason to continue the antibiotics. Message received, I decided not to question it. The persistent headache was vastly less painful than the three times a week bathroom bouts.
After eight months of being on the fat enzymes, I had just barely gained over five pounds, leaving me just under thirty-five pounds below my ideal weight, two and a half months on the antibiotics I had gained another five pounds and felt ready to run a marathon. When I returned to Betsey for my second follow up, given my progress we decided to continue the antibiotics and schedule me with a neurologist to look into my leg pain of the previous ten months. As they didn't have a neurologist on staff, she found one newly in town and made an appointment for me with her. While we were at it, I noted that the fat enzyme prescription would run out soon and asked for the refill script while I was there. As we weren't exactly sure why I was gaining weight so rapidly, it made sense to continue it for now.
Dr. 'Robins' was the neurologist I was sent to see and based on my description of the leg pain she suspected it was a pinched nerve after doing a wide range of physical mobility and reflex tests in her office. She ordered an MRI and found I had a bulging spinal disc that was pinching the nerves in my lower back. I was given a prescription for ibuprofen and physical therapy plan at our subsequent appointment. While I was there, and since the headache still persisted, I asked her if perhaps that might also be caused by a pinched nerve? I was soon scheduled for an MRI of the neck.
The ibuprofen was a huge improvement to the over the counter pain pills I'd been taking and I was feeling even better by the time I was to take my next two-day trip to Denver to get my next three months of fat enzymes. When the Premier Medical Center doctor saw me to renew the script, he was surprised by how great I looked. I was thrilled to tell him how much better I'd been in the past two months since I'd been put on antibiotics and they'd even found the long term leg pain I'd had during the past year was from a bulging spinal disc. Two months of antibiotics? He asked. Yep, I replied, and I was just starting my third month.
When I next saw Betsey, she was a bit sullen and felt we should either stop the antibiotics, or at least change me to a different kind. I was fearful of stopping them completely given how much I'd gained in the previous three months, I didn't want to return to how I had been. We agreed on a month of a different antibiotic while she also made an appointment for me with an off site gastroenterologist to look into why the antibiotics had made me so much better and find a diagnosis to support my continued treatment.
The MRI of the neck showed another bulging disc and so when I started physical therapy for my back, we also addressed my neck as well. The physical therapist played with the motion of my neck and also concluded I had a vertebrae out of place and wanted to 'adjust it'. I agreed and she asked me to loosen my head and let it flop in her hands as she wriggled it back and forth and then – snap! -- the headache on the side of my head for the previous three months was suddenly gone. She scheduled me for three months of return visits to perform physical exercises using their equipment. Suddenly headache free, I was more than happy to come back!
The gastroenterologist, after hearing my story of years of weight loss and emaciation, followed by the sudden improvement since being on antibiotics, scheduled me for an endoscopy to take a camera into my stomach and upper intestine for a look. As part of it, he took a small sample of my intestine for examination as well. All looked good and showed no signs of any problem. The question though: Was that because there wasn't any original problem to find or had the antibiotics addressed the problem that had been there but overlooked for all these years? There was no way of telling now.
When I returned to Betsey for my third follow-up since starting the antibiotics, I reported to her that the alternative antibiotics hadn't been as effective and asked to go back to the original kind. She agreed, though at a reduced dosage of three five hundred milligrams of Cephalexin each day.
With all of my health issues addressed and much improved with this whirlwind of treatment after so many years of being ignored, I was ready to get back into the work force and concluded it would be best to do so through the state's Vocational Rehabilitation office, if possible. I made an appointment with them.
In the meantime, Betsey decided I should be evaluated by a neuro-psychologist. Seeing Dr. 'Maverick' we in part discussed the time I woke up with the terrible pain in the side of my head two years prior and my subsequent problems typing the wrong words. It was at that time she concluded it had been a stroke and was shocked by the way the emergency room had 'streeted' me without a significant workup at that time. As she checked me for everything else in her field, she concluded that the stroke was the only thing of note along with the significantly improved I.Q. score versus the Vocational Rehabilitation score I had received three years earlier. That result again indicated that I had been suffering from a cognitive impairment due to my health issues at the time.
After all this work on my condition, it was once again time to renew my fat enzyme prescription and make my quarterly two day trip to Denver to pick it up. When seeing the Premier Medical Center's resident doctor for my fourth time ever, he had this sheepish smile on his face as he came in and told me how his attending doctor had reacted when he told him the news of my dramatic improvement after my last visit. The attending doctor was outraged that the community health clinic had been treating me, he called up Betsey and screamed at her about it on the phone and threatened to have her medical license pulled, so I was told. The attending doctor had further informed her that if she continued treating me he would make sure she would never be able to practice medicine in the state of Colorado ever again! At the time he told me this story, it had already been over two months since that call to Betsey had taken place...
''So, is she still treating you?'' He asked me.




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