Monday, November 21, 2016

Tube Surgery #3

I know that I haven't been great at updating everyone lately and I am very sorry for that.  My energy level has really decreased the past month as I've become more malnourished and so I've been focusing solely on making it through work each day.  I will update you more on POTS and the treatment plan that began October 26th later this week.

TUBE SURGERY #3

So this happened on November 11th.

If you can't tell that is my j tube in my hand and not in my abdomen.  I've been trying really hard not to be angry at the mistakes that have been made, which have led to my tube being removed, and that is also why I have chosen not to post until now.  I know that the only person to ever walk this earth perfectly was the Savior, so how can I expect doctors to not make mistakes?  I am still angry, frustrated, exhausted, and every other emotion possible at these two doctors, but I also know that they have always tried to do what was in my best interest.  I have to put my trust in them to have a new tube placed on November 22nd so that I can begin receiving nutrition again, being angry won't get me anywhere.  I have had a choice to make: I can go in angry with them and not feel peace or I can go in having faith in God's plan.  He has kept me alive too many times to count when the odd's have not been in my favor and I received a blessing tonight that reminded me to focus on the peace that comes from God and in His plan for me.

Am I terrified to be having a third tube surgery? Yes.  Am I afraid that it might not go as planned? Yes.  Am I anxious about having three holes in my abdomen?  Yes.  But I do not have a choice in getting the surgery.  This tube is what will keep me alive and will give me the nourishment that I need to begin the treatment plan for my POTS, SMA syndrome, and vagas nerve damage.  

THANK YOU

This week is Thanksgiving and I am just so grateful to the home health nurses that check on me even when they are off the clock.  I am also thankful for my sister-in-law, who is there for me whenever I need her and who sacrifices her time to be with me at doctors so that I don't have to be alone.  Also, to the friends who have given their time to take me to doctors and to come visit me from Salt Lake.  I am grateful for all of the prayers that you are saying in my favor, and for those that have had faith for me when I have felt like giving up.  It has been one crazy roller coaster for almost 5 years now and yet I can still walk around with a smile on my face and with the knowledge that God is constantly blessing me with little miracles.  All I have to do is open my eyes to see them.  

Tomorrow I will have surgery to get a new j feeding tube and I know that because of your prayers and faith that all will go as God has planned.  Thank you for going through this journey with me.  I promise to try and update you more.  I know that you want to stay informed.  I just want to make sure that this blog is a positive place for me to share my journey and that I am striving to find joy in the circumstance, and not using this as a place to vent my frustrations.  Have a Happy Thanksgiving!  

Tuesday, October 25, 2016

Dancing in the Rain all the way to TREATMENT DAY!

This past month has been another adventure of ups and downs. It is so hard to get my hopes up about having diseases that can bring some peace, possible pain relief, and maybe even an opportunity to enjoy real food again and then hearing the doctors say the words, "Your tests are inconclusive. You may have this disease, but you may not.  We need to run more tests before we can start treatment."

Luckily I have had amazing friends that have been helping me achieve so many things on my bucket list to keep me happy! I've flown on a private plane, I even got to fly the plane, got a CTR ring, helped a friend get her dream wedding dress, ate delicious pumpkin ice cream (which stayed down for about 15 minutes), and I'm excited to keep adding to my list as well as getting to achieve more things on my list with all of you.  This list has really been an excellent way to get my mind off of just surviving and towards actually living.


BLOOD TESTS 

My last round of blood tests had a lot of abnormalities and so I will hear about what that all means on the 26th of October. 


ER VISIT 

About 5 weeks ago I had to have my tubes changed to pediatric tubes because I'd lost so much weight. The g-tube was changed easy enough and I was taught how to do it so I could change it every few months on my own. The j-tube button was placed incorrectly and so the opening of the tube was between my intestine and my abdomen wall. 

The pain became worse each day and doing my feedings or meds through the tube was unbearable. I started skipping more feedings but still the pain got worse and so I was taken to the ER on a Friday evening. 

At the ER they did a scan that showed that my tube was stuck in my abdomen wall and they couldn't even get it to turn. He also told me that formula and meds were floating around in my abdomen and that this could be very dangerous. It took about 8 hours at the ER before they could get ahold of my tube surgeon up north. 

I was sent home from the ER at 2:00 AM and then driven up to meet with the surgeon at 8:00 AM that Saturday. He hadn't realized the damage and so he hadn't prepared for anesthesiologist. I had to have the procedure done with only lidocaine to help for pain, which doesn't work for me. I endured the tube change, got a tube bear, and then was discharged to rest.


The next morning I woke up and my tube was out again. I couldn't get it to go back in by pushing so I punched my stomach as hard as I could to get it back in. I had to do this 4 times within a few days and so I knew something else was wrong. 

I met with my surgeon again, this time with my mom, and they said that an ulcer had formed on the inside abdomen wall so I would need to have a 24 inch red tube placed into my intestine for 10 days to let the sight heal before replacing the button. So once again I had to have my tube yanked out and this long tube placed in.


Over UEA I met with the tube surgeon again to have this temporary tube changed back to my permanent tube (picture below).  Since the tube change it has continued to pop out of my intestine and so I am back to punching it back in.  It is very painful but I am not mentally ready to go back in and hear what their next steps are to fix the damage that was formed.


TABLE TILT TEST 

I have had to stop hydration through my tube for 5 days twice in the past month, which has caused a lot more weight loss, but it was needed to get a more accurate reading on the table tilt test. This test was the final test to confirm POTS, but the results came back inconclusive. I thought I would have to wait until the 26th to hear for sure what my doctor wanted to do about this test because every other test came back saying that I had POTS, but then I passed out at church and spent another day in the ER.  My doctor called me to confirm that I definitively have POTS and that the test before had not been read correctly.  He said that I would begin treatment on the 26th, which is today!  This POTS has been caused from damage to my vagas nerve.  They assume that this is from my neck injury in high school, but I will find out more information on the vagas nerve damage at my appointment today.

I am just so excited to finally be starting TREATMENT.  They are no longer just trying to treat the symptoms, but they actually have somewhere to go.  The doctor has told me that he does not know what damage will be reversible seeing that I lost blood flow to my stomach and small intestines for so long, but he is hopeful that I will be able to at least absorb nutrients through my feeding tube and possibly have my picc line removed.  This means that eventually I may be able to keep down water and possibly other liquids. :) I will find out more today, but as you can imagine I have been bouncing up and down with excitement for the past 7 days.  (In my next post I will tell you about the day that I found out).  It is quite an interesting story actually.



The test was not as bad as I anticipated, but the aftermath of standing in that position for over 30 minutes caused me to be really weak and tired. In the past I have passed out because of dehydration and malnutrition and this week has been particularly rough in that front. I passed out in front of my family and they said I didn't come to for about a minute and so they called 911. When I came to I laid there for awhile because I just didn't have the energy to get up. 7 emt's came as well as two cops. I was impressed by how quickly they got here and they were as helpful as they could be, but I was quite embarrassed. I decided that I didn't want to go to the ER, but promised I would if it continued to happen. My nephews right it was so awesome having an ambulance come so they weren't traumatized. 

SMA SYNDROME/PYLORUS

When meeting with my surgeon he talked about the SMAS results, which came back inconclusive. This meant that to a certain extent I do have this syndrome, but the test was not done correctly so it needs to be redone to confirm that this is or is not causing the gastroparesis.  If this is what I have I will have the surgery. If the surgery is successful then they say I should be able to eat again. :)

They also want to check the function of my piloris, which is the flap that opens and closes to let food pass out of your stomach. If this is not functioning, then they will do a temporary fix for 2 months to see if I can eat food with the pylorus out of the way. If this works then they will do surgery to permanently fix this. 

WHAT IS NEXT?

They just finished up more testing on my neck, brain, spine, and vagas nerve.  They are also going to be doing more blood tests to see why my basic blood panels are coming back abnormal.  I begin muy first steroid and over the next four months I will be adding a steroid each month to take 4 total.  In the mean time I'm going to keep trying to be positive 90% of each week, fulfilling items on my bucket list, spending time with my family and friends, and teaching my amazing class! 

President Russell M. Nelson spoke in general conference about finding joy in whatever circumstance we are in and so I'm trying to find joy through this circumstance. I'm also praying for an understanding of why I feel that the rain hasn't stopped for over 4 years. It is a good thing that I love dancing in the rain! I am beginning to see one mighty big rainbow shining over me and I am just overjoyed.

Thank you to those who haven't given up on me, to those who haven't avoided me or ran away because of the fear of what I have been going through, to all who have prayed each day for both the doctors and me.  You are all so wonderful!  I hope that you are able to find joy in whatever circumstance you are going through right now! #hydedesign


Sunday, September 11, 2016

Look For the Blessings

August was gastroparesis awareness month as well as all other motility disorders.  I am a little late in posting this, but I have been really busy with teaching.  I now have two motility disorders.  I am trying to spread awareness because I am in desperate need of solutions, hope, more diseases to be tested for, and I know that there are many others who feel the same way as me.  I also know that others have found answers through doctors and I hope to be able to find answers as well.


SMALL INTESTINE

On June 23rd, while in the hospital, I was told that my stomach was no longer functioning at all and that my small intestine had slowed way down.  Over the past two months my small intestine has stopped working as well.  The small intestine is where my j feeding tube is and it is how I'm supposed to be getting my nutrition.  My feedings began coming up through my stomach and out of my g tube or out through throwing up.  I'm throwing up now 10-20 times a day, mostly feeding and bile.
I am not able to chew gum, eat tic tacs, suck on jolly ranchers, or even drink water now without throwing up.  This means that I have to get all of my fluids for the day through my small intestine, but because of the paralysis I'm not absorbing what I need.  I'm not absorbing the meds that I'm taking and dread doing my feedings every day.  On days where I skip my feeding the pain is much more bearable, but then I don't have energy because I didn't get my fluids or nutrition.
It it interesting that the very thing that is keeping me alive is what is causing me so much pain and nausea, but I have to do it so that I can stay alive. 

HOME HEALTH

On August 3rd I was placed back on home health.  This is where a nurse comes to your home to help you with whatever you need.  My nurse was supposed to be coming to do weekly iron infusions as well as hydration through an iv.  She attempted to put an iv in for almost 3 hours, but had no success.  My veins like to flatten, are very small, and have a lot of scar tissue.  

PICC LINE

She called my doctor who made the decision that I needed to have a mid line placed again and so my family drove me up to Provo to get one placed.  They attempted 6 times on my left arm and 2 times on my right arm. They were able to get the line in each time but either hit a nerve or the vein flattened.  The lidocaine didn't work to numb my arm and so I felt it every time.  Luckily after attempt 6, they let my sister-in-law come back with me so that I didn't have to go through it alone.  After attempt 8 I was sent to radiology to see if they could get one in.
Once in radiology the radiologist was able to place a line, but decided that because of the damage in my veins it would be smarter to place a Picc line instead. Mid lines are less invasive because they are only about 14 centimeters and can only stay in for about a month. Picc lines are more invasive because they go through your arm all the way to the top of your heart and can be kept in for months. They placed a double Picc line and then sent me home to start fluids immediately. 
My arms were beaten up, swollen, and bruised for about 5 weeks.  I could barely move them for weeks, but every day they get a little bit better and I'm able to move my arms a little more.


ROBOT BODY

I truly am starting to feel like I'm half robot with all of these tubes keeping me alive.  I told my mom after getting the second tube placed that there was no way I'd ever let them put more tubes in my body.  6 weeks later I began a new reality with 4 tubes coming out of my body.  I started my first week of teaching and as I explained the feeding tube to my students I told them that they have a really cool teacher because I'm kind of half robot/half human. :)  This made them really excited and they haven't worried about my tubes since.  They worry when my backpack starts beeping and laugh with me when silly things happen with my tube.  They even told me that they tell the other students at school that their teacher is a cyborg and so I'm the coolest teacher.  They sure know how to make me smile and feel normal!


TEST RESULTS

They are in the process of testing me for POTS syndrome. I had to wear a heart monitor for 24 hours, get an EKG, an echocardiogram, and will possibly do a table tilt test. If I have this they will start me on steroids.  This would explain the passing out and dizziness. The steroids and adding extra salt and electrolytes to my fluids will help with this syndrome. They think that I got this from my gastroparesis and that the final trigger was running so often preparing for the half marathon this past May.  They say I should never run again, but I'm hoping to one day be able to again because I love the joy I receive from running. My cardiologist said that I'm so dehydrated and malnourished that he can't definitively diagnose me with this and that he doesn't dare do a table tilt test because my body isn't healthy enough to do it.  I go back on September 20th to see if I'm hydrated enough to run more tests.  http://www.dysautonomiainternational.org/page.php?ID=30


They did a special ct and ultrasound of my heart to test for MALS disease.  This is the disease my family had been praying from June until August 9th.  This is where a ligament by your heart is constricting the celiac artery. The celiac artery pumps blood to both your stomach and small intestine.  If the artery is being constricted it would cause the gastroparesis as well as the paralysis of the small intestine.  There are two surgeons in the country who perform this specific open heart surgery.  We would go to the surgeon in Los Angeles.  He has had a lot of succes and most of his patients are eating within 24 hours of the surgery.  Sadly I  found out on August 9th that I do not have MALS disease. The blood flow through my stomach and intestines is slow, but is not being constricted by a ligament.  This brings them back to POTS syndrome. http://my.clevelandclinic.org/services/heart/disorders/arterial-disease/median-arcuate-ligament-syndrome-mals

The sent off a bunch of autoimmune panels to Mayo Clinic and they all came back negative. They can't definitively say it wasn't caused by an autoimmune disease but Mayo Clinic is pretty sure that it is not what caused the gastroparesis.  http://www.dysautonomiainternational.org/page.php?ID=124

WHAT NOW

I'm now back at square one. My internist and cardiologist are taking some time to do more research and hopefully come up with more tests to run. I will meet with both of them again mid-September.  My family is praying that they will have some new ideas and help restore some hope for me. We are also looking at going to John Hopkins. They have some specialists there with motility disorders. There are even a few trials going on there. Sadly I was not able to even get on the waiting list because it is so long. I will keep trying and hopefully my doctors will be able to convince them to put me on the list and maybe even get me in to see one of the specialists there.  

We are also thinking about Mayo and Cleveland, but I am still seeing my doctors here because thankfully they are not ready to give up on researching for me.  If they can get my small intestines to start functioning then I'd be able to join a trial at Cleveland and get a gastric pacemaker placed. http://www.cpmc.org/services/gi/services/gastric_electrical_stim.html

I have now figured out that I spend almost 20 hours every day hooked up to some sort of nutrition to keep me alive. My feedings take almost 14 hours now and then I do 2-3 bags of hydration through my Picc line, which takes about 6 hours depending on how dehydrated I am that day. I have to wake up through the night to change bags but the hydration is really helping with my skin color and energy. :)  I'm hoping that they will put in a port soon because they are easier to manage, easier to hide, and less terrifying than a Picc line. http://www.uwmedicine.org/health-library/Pages/chest-port.aspx


NEW SCHOOL YEAR

I just began teaching 3rd grade and I'm excited to have this distraction from my health.  I've already been sick twice and so my students have become wonderful about sanitizing.  I love how kids always see the bright side of things and aren't judgemental about my health. They make me smile every day and bring such determination to keep fighting!

WAITING GAME

I hate being in the waiting game because I am not a very patient person and I feel like I've been waiting for years to get answers.  I am trying to have faith in God's plan and to understand why this has happened to me.  The one thing that has helped me to get through each day is to look for the blessings through this trial and to understand that this may never be taken away from me on the earth. I am just trying to make each day the best that I can. I've created a bucket list to help me enjoy each day.  It has fun choosing to spend what energy I have to achieve the fun things on my list. I've rolled down temple hill, eaten a chocolate covered strawberry, watch the county derby and rodeo, etc.  I plan on learning how to fish and shoot a gun, go camping and hiking, go horseback riding and on a four-wheeler ride, and so many other things. I think everyone should have a bucket list that brings out their inner child. :) I also have a goals list to help me remember to focus on serving others and not dwelling on my health.

LOOK FOR THE BLESSINGS

My life motto is now LOOK FOR THE BLESSINGS.
Some blessings in my life right now are:
-My mom and dad who have come to my side whenever I've needed them and have never given up hope.
-My siblings who have been such great examples to me and have always been by my side.
-My nephews and nieces who pray often that I'll be able to get all of my tubes removed so that we can have an eating party for the rest of my life. :)
-My friends who pray for me every day, who treat me like nothing is wrong, and haven't abandoned me just because I am sick.
-The knowledge that God has a plan for me, that he loves me, that families are forever, and that Christ knows exactly how I feel and will never abandon me.

As you go through your own trials, whatever they may be, I encourage you to look for the blessings in your life each day because I know that seeing the blessings through the trials will help you have joy as you go through the hard times.  #lookfortheblessings #fightsonganthem


Wednesday, July 20, 2016

Update: Gastroparesis... Recovering... What is the cause?

I've been so grateful for everyone's kind words and prayers these past few weeks.  I've had people asking me how I'm doing now so I thought I would post an update. I'm on two different pain meds to help me cope and function through the pain. I am taking almost all of my meds through my j tube now, which has helped them get through my system faster. I've been building my strength back so that I can begin teaching in a month. I'm able to walk longer distances than I could a few weeks ago. My body is tolerating the meds so I'm now able to drive again and have been spending a couple hours a day working in my classroom.  It's always difficult adjusting to a new normal but I'm getting there thanks to the prayers and support from all of you!

FAMILY
My family has been a huge support in helping me to push through the pain and get back to a state of normalcy. They were in Manti for a family reunion, which was so much fun!  I was able to go to Milky Falls with them, wrap my tubes up and go swimming, and I even attempted to play soccer with my siblings and their children. Although it was painful, it was worth it to feel alive again! 

THE MIRACLE DOCTOR 
I have been meeting with this Dr. in Salt Lake who is the only Dr. that I've had who has been willing to research and come up with crazy tests to run.  He believes that if he can figure out the reason why I have gastroparesis then he might be able to help with the symptoms.  There is one possibility that could even reverse the paralysis so my family is praying for that disease. I won't have results for about a month and will be going up north at least once a week for him to do more tests. One thing he knows now is that my body isn't absorbing iron and so I will begin weekly iron infusions this week hopefully.

G TUBE UPDATE 
My g tube was causing my stomach to cave in so I had it reassessed by radiology and learned that when my stomach spasms it causes the tube to fall in. This has been very painful so we have loosened the bolster on the tube, which they said should help prevent my stomach from caving in when my stomach spasms.
 Me rocking my hospital attire at one of my visits!

FOOD 
One blessing of the g tube is that I can now eat some foods because they will come out of the tube. With my family being around I tried lots of food and learned what will come out of the tube and what I had to throw up. It was nice being able to eat food, but the pain that followed made me realize that I'm not going to be trying food very often. :)

PRAYERS
So many of you are keeping me in your prayers and I'm so grateful for that. It is exactly what I need right now. For the first time I have hope in a Dr. He's working with Mayo Clinic on possible rare autoimmune reasons for my gastroparesis.  He's also testing for some other diseases that involve the blood flowing through my stomach. If you could pray for this Dr. to be able to find answers for my family and I, I would appreciate it so much! Answers bring so much relief, whether good or bad, and I know that through prayers and faith my family and I can receive answers, peace, and the strength to get through this trial.

I know I'm not alone and that so many of you are struggling with something that seems impossible to get through as well. We can get through anything placed in our path if we turn to God, have faith in Him, and then turn to each other to help us get through. Thank you for helping me climb my mountain! 

Wednesday, July 6, 2016

Stomach Flu... Gall Bladder... Vertigo... Gastroparesis... Feeding Tubes... Hope

Over the past 4 ½ years I have kept a huge part of my life a secret.  I didn’t want people to know because I didn’t want to be seen as weak or to be looked at with pity.  I even had a hard time keeping my family in the loop about my health, but I’ve learned recently that sharing my story might save someone from the pain I’ve endured.  It might even give somebody the hope through their struggles as others sharing their stories have helped give me hope.  I apologize for this post being so long, but it has been such a bumpy road and every piece has been important in getting me to where I am today. Later, I will write about the spiritual journey through these past 4 1/2 years.

 
 The winter before getting sick.

GALL BLADDER REMOVAL

I finished my student teaching in December of 2012 and began applying for teaching positions.  I accepted a position in Salt Lake and began the move to the “big city”.  It was my first year of teaching and I was being placed in a tough situation, with students that hadn’t had a consistent teacher all year.  I was working about 14 hour days on average, while trying to enjoy a social life.  I was that girl that thought I could do it all and nothing bad could happen. 

The first week of April was Spring Break.  I spent my break with my family in California.  Immediately after returning to Salt Lake I got what I thought was the stomach flu.  I missed 3 days of work, but I still wasn’t getting any better.  My roommate, being a nurse, decided it was time for some fluids so we spent the night in the ER.  The doctor told me that if I didn’t begin feeling better the next day to return so we went home.  That evening I noticed blood in my stool and so my roommate and I returned to the ER. 

I was admitted to LDS Hospital and they began running tests.  For 3 days they ran tests and as they did I began getting more intense stomach pains.  My mom flew in the third night and began pressuring the doctors to look at my gall bladder.  The ultrasound tech was convinced that it was my gall bladder, but the doctor wanted to do the HIDA scan.  I was in so much pain from the HIDA scan that they stopped half way through and rushed me off to surgery.

I felt such relief after my gallbladder was removed that they had me eat.  Instantly I was in pain again, but I wouldn’t let them know it.  I just wanted to go home so I pretended to be okay and they discharged me the next afternoon.  My mom helped get me comfortable and then she flew home.  Once she was home I texted her to let her know that I assumed I had celiac spru (allergy to gluten) like my older sister and brother.  I first decided to go off of dairy for 2 weeks but had no relief.  I went off of gluten for two weeks and felt much better, so I decided to live a gluten free lifestyle. 

GLUTEN, DAIRY, MEAT, RAW VEGETABLE FREE LIFESTYLE

After about a month of being gluten free I still wasn’t feeling amazing so I cut out dairy as well and began feeling much better.  For about 10 months I was able to function quite well.  At least once a week I would have an intense stomach attack, which would involve throwing up (sometimes blood) and what can only be described as someone stabbing my upper stomach with twisting and turning.  The only thing I could do during an attack was curl up in a ball with a heating pad, watch Disney movies, and wait for it to pass.  They’d last anywhere from 4-18 hours and then I’d sleep for a day and get back to my life.  Most of my weekends for 10 months were spent in bed, but I was grateful that I could still teach.

The next March after returning from Spring Break (I don’t know what it is about Spring Break, but it gets me every time) I went into a stomach attack that wouldn’t end.  It went on for a month before I finally decided to go to the ER.  I was vomiting constantly and blood every few days. The doctors didn’t know what to do at each ER visit so every doctor that I saw just kept prescribing me more meds.  It had now been 2 months and the pain wasn’t subsiding at all so I called my older sister.  (She had been through something similar and had survived so I wanted advice on how to do so). 

She told me to stop all meds and go off of gluten and dairy (which I was already doing), as well as meat and raw vegetables.  She said that our body has a hard time digesting and that those foods are difficult to digest.  I took her advice and slowly I began feeling better.  I would still have at least one terrible stomach attack a week, but having some relief was a blessing to me.

NEW MEDS

I started a new medication prescribed by my endocrinologist the first week of school. My stomach pains began coming back worse, but this time they were higher up in my stomach.  The doctor told me that it couldn’t be the med. and to keep taking it so I did.  A month later I began struggling with keeping my food down.  At first, I would throw up once every few days, but by October I was throwing up every time that I ate. 

Uncontrollable Nausea

I stopped eating breakfast so that I could at least teach through the morning without having to run out of the classroom to throw up, but I was always nauseous.  People starting teasing me about being pregnant, but believe me I knew that I couldn’t possibly be pregnant.  By November I was living off of 5 Pediasure’s a day because I could keep the liquid down.  By December I could no longer keep Pediasure down.  I began going to the ER 2-3 times a month to get fluids.  The doctor there would always run tests, but to no avail.

I called my endocrinologist again and he said that it might be a good idea to stop the med. for a while and so I did.  My mother was furious at this point that I had lost 5 pounds in a month and that my gastro. wasn’t doing anything about it.  She flew out and had him do a colonoscopy, another endoscopy, a stomach MRI (with and without contrast) as well as any other test he could think of.  Nothing was conclusive and so he offered to prescribe me pain meds, but that was all he could do.

HEARING LOSS

Mid-January I realized that I could no longer hear in my left ear.  I thought this to be really weird, but didn’t think much of it.  I also noticed that my vision was becoming blurrier, but I just assumed it was because I wasn’t sleeping.  My endocrinologist put me back on the med. saying that I needed to be on it for 4-6 months to see results. 

My good friends mom started me on herbal treatments.  The big ones were peppermint oil for nausea, other oils to help me sleep, and pure electrolytes.  I would use them every day and although I am not much for alternative medicine, I do know that these helped hold me together for a month or two.

By February I began collapsing and blacking out a couple times a week and was missing work about once a week.  My friend introduced me to the song by Rachel Platten titled “Fight Song”.  I listened to this song at least 20 times a day to remind me to keep fighting.

VERTIGO

On March 12th I walked into my apartment after work and instantly collapsed on the floor throwing up.  The room was spinning, my eyes were spinning, and if I moved an inch I would throw up.  My "second" parents came gave me meds, and did maneuvers to help me through the vertigo until I fell asleep.

The next morning I felt fine so I drove to work but as I began teaching the vertigo came over me again.  I remember being curled in a ball and using one arm to point to the board while my students read what I pointed to for almost an hour.  I realized that it was not going away and so my vice-principal came and took me to the Walkers.  That weekend I went into vertigo every day, but the next Monday I felt so much better.  I even tried to eat lunch that day and seemed to be okay.  Tuesday, I was still feeling pretty good.

The day was about half way over and I was with my students in the computer lab.  I felt nauseous and so I ran to the bathroom.  On my way back I began feeling the vertigo come on again.  I got back to my computer where I collapsed on the floor.  I had a student bring me a trashcan and then tried to keep the other students working.  After about 10 minutes I had them line up and told the line leader to walk them to my coworkers classroom so that she could take them to where they needed to be. 

COLLAPSING AT WORK

The next thing I knew there were about 5 teachers, both administrators, and the secretary in the lab.  They called an ambulance and I was rushed to the ER.  The ER doctor gave me pain meds as well as meds for vertigo and that was when my blood pressure plummeted.  I was admitted after failing to stand and walk on my own and spent the night there.  The doctors wouldn’t listen to me as I tried to explain my stomach pain.  They were only concerned about the vertigo and dizziness.  I begged and pleaded with the doctors to test anything that could possibly explain my stomach pain but they wouldn’t.

THE DIAGNOSIS (GastropAresis)

The next morning Sister Walker showed up saying that she knew what was wrong with me.  (She had webmd’ me).  She told me that the big factor was that when I was throwing up in vertigo, none of my food was digested and it had been a day since I had eaten.  She urged the doctor to test me for gastroparesis and he finally agreed.  He sent me home with her saying that her husband needed to get me IV fluids for the next few days and the test was scheduled for the next Monday.  I was no longer able to walk on my own or do much of anything and so my mom flew in. She could hardly recognize me.  I’d lost over 30 pounds since I’d seen her 2 ½ months before.

To test for gastroparesis they do a gastric emptying study.  I had to eat a bowl of eggs with radium and keep them down for 4 hours.  Every hour they would do a scan to see how far the radium had passed through my digestive tract.  After 4 hours about 80% of the radium had yet to even enter my stomach and so I was diagnosed with gastroperesis.

Finally having a name for what I was going through brought instant relief.  Now I would be able to get the help that I needed to get back to a normal life.  It was also a relief that the doctors no longer thought that this was all in my head.  That week I started Reglan, met with a new G.I., and made long term sub plans.  My mom and I then made the 24 hour drive home to Indiana where I would meet with more doctors about the vertigo, migraines, and black outs.

I slowly began trying food again and could keep little bits down.  I was terrified to eat at first because of the pain that would follow, but slowly the pain came less and less. 

VERTIGO FROM HEADSTANDS IN HIGH SCHOOL
 

I met with an ear, nose, and throat doctor about the vertigo and he sent me to get an emergency brain MRI.  He said that the vertigo was neurological and then sent me to a neurologist.  The neurologist said that I didn’t have a tumor and that I should go to the Mayo Clinic as soon as possible.  By May I was waking up in vertigo and once again was not able to keep my food down.  I couldn’t even walk to the bathroom on my own and so the Neurologist started me on topirimate.  The problem with this drug is that it stops the vertigo, but it causes appetite loss.  My mom had to monitor the food in the house closely to make sure that I was eating and often had to force me to eat.

The meds were helping the vertigo and so I begged my parents to let me go back to Utah to finish the school year and say good-bye to my class.  I would just work half days and the substitute would be with me at all times incase something happened.  They agreed and flew me back to stay with the Walker’s again.

It had been over 2 months since I’d seen my students so seeing them was a breath of fresh air.  We cried, laughed, hugged, smiled, and did everything we could to enjoy our last 2 weeks together.  It was hard for them to understand why I couldn’t really walk or why I only stayed for part of the day, but they were so strong and brave. 

One night Sister Walker was rubbing my neck (I had neck damage from headstands in high school) and she pushed a spot on my neck and I felt instant relief.  The fog over my eyes cleared, the migraine went away, and I wasn’t dizzy.  This is when we realized that my neck was the problem.  She got me into her friend who was a head and neck physical therapist.  He worked his magic and I began to feel so much better.  Soon I was walking on my own again, they took me off of the topirimate and so my appetite came back, eventually I was able to drive, and we canceled out appointment with Mayo.  The last two days of school I even got to stay for the whole day.

DOMPERIDONE (THE MIRACLE MED)

I had about a week of relief when the throwing up began again.  This time I couldn’t keep liquids or solids down but I was taking Reglan.  My G.I. suggested a J feeding tube and then I met with the surgeon.  He suggested the same but would not place the tube until after my family reunion.  (He said there was no way I could get a tube placed and then go on a plane the following week).  On our way home from the appointment we were in a car accident.  Miraculously neither of us were injured other than whiplash, but my mom needed me to come home and be with her.  I flew out the next morning and met with my Indiana G.I.  He started me on domperidone  (which is not FDA approved) and I instantly saw results. 

Within two weeks I was back to eating normally (well still gluten and dairy free).  For 6 months I felt great.  I could eat normal, the vertigo was mostly gone, and I had energy to run and exercise.  The only thing I was really struggling with was the fact that I couldn’t control how rapidly I was gaining weight now.  They say that this happens with gastroperesis but knowing that didn’t make it any easier for me to be gaining weight, but it was something I would just have to deal with.

TPN

In November I began preparations to run a half marathon on April 16th.  I was running about 4 times a week and just loving that I could use my body again.  Over Christmas break I got the stomach flu.  Now for a normal person getting the stomach flu is just apart of life, but for someone with gastroperesis it can set your progress way back.  I never recovered from the flu.  I knew immediately what was happening and so I went back to a liquid diet.  Beginning of February I met with my nutritionist and we decided that I needed to start TPN.  This meant getting a mid-line placed in my upper arm and receiving my nutrition through IV’s.  I was 24 and had home health coming once a week to my apartment.  Every night I would do one bag of fluids and every other night I would do a bag with vitamins and nutrients.  I did this for about 1 ½ months.  They thought that my stomach would jump-start again during this time, but it didn’t so it was time for a more permanent solution.
 
J FEEDING TUBE

March 31st I went in for surgery to get a j feeding tube placed.  They place a tube into your small intestine for feedings to bypass the stomach.  The surgery and recovery went really well.  I was up and doing stuff within a day and within a week I felt more energy than I’d felt in years.  2 weeks after surgery I began running again.  I was not able to run the half marathon in April, but I decided I would run one as my birthday present to myself.  For 1 ½ months I felt so great.  I noticed that from getting my nutrition through a tube my hair thickened and grew, I had more energy, and I just felt good. 

Mid-May I got nauseous while my students were taking a test and ended up throwing up bile.  I didn’t think much of it until it started happening every day.  Soon I was throwing up bile 4-6 times a day.  My doctors said that it was okay because I wasn’t losing my nutrition but I knew something else was wrong.  My upper abdomen was constantly bloated and the stabbing pain began happening again.  In June my G.I. did another endoscopy and decided that I needed a second tube placed in my stomach to decompress it.  This is called a peg tube or g tube.

PEG G TUBE

I had the procedure scheduled with the radiologist for June 21st.  This procedure involves them putting a nasal tube through your nose into your stomach to fill it with air. (You have to be awake to help choke the tube through your esophagus).  Then they do an ultrasound to see where your stomach is touching the abdomen wall as well as where the liver is.  They use lidocaine to numb the site and then a local sedative to place the tube.  In my case they used 7 lidocaine shots as well as multiple sedatives, but I felt every cut and pull.  They had to hold me down as they placed the tube but the pain didn’t go away when the procedure was finished. The doctors spent 2 hours after the surgery trying to knock me out, talking to my mom over the phone and my little sister (who was with me). 

I was admitted and placed on a PCA pain pump.  I was on multiple pain meds but it took them almost 2 days to get the pain to a point where I could rest.  I had never felt pain so severe that I screamed before.  During my stay I remember thinking that I didn’t know if I’d survive or if I wanted to survive.  They only did 2 CT’s and 2 blood tests during my 3 day stay at the hospital.  During my time there we found out that the pain meds worked better when placed through my j feeding tube and so I was prescribed liquid pain meds and sent home.  Pretty much the doctors told me that they didn’t know what else to do for me, and that I would just have to live on the pain meds.  My mom and I were devastated, I felt like it was hopeless.


HOPE THROUGH OTHERS

Thankfully my mom was not willing to give up on this health battle.  We finally opened up about my gastroperesis to my brother’s next-door neighbor.  She knew a friend of a friend who had a daughter with similar health issues.  She gave us the mother’s number and my mom called her.  They spoke for almost two hours about their daughters’ health journeys and about this amazing internist that had helped her daughter.  She gave my mom diseases to have me tested for and this doctors phone number. 

Two days later we sat in his office as he looked over every test and procedure that had been done on me over the past 4 ½ years.  He came up with about 12 more blood tests to run, a special ultrasound and CT, an MRI of the brain through the spine, and a table tilt test.  I’ve begun these tests and will be finishing them over the next couple of months.  We are praying that he truly is the answer to all of your prayers and fasting for me.  We hope to have answers soon that will explain why I have gastroparesis and from there will be able to take the steps necessary to get me back to a healthy place.  We even have hope that someday I may be able to eat food again without it coming back up or out of my g tube.

I got sick so slowly that most of my friends and coworkers didn't realize how sick I was.  I didn't even realize how bad I was until it was too late.  I don't want others to get as bad as I did before I received help.  Right now I am working on building my strength back so that I can walk through the airport or the zoo without using a wheel chair.  I'm learning to function through the pain and pain meds.  But mostly I'm hoping and praying that God will guide my doctors to finding answers for my family and I. 

If you know of anyone who is struggling with similar issues and has had success or who need suggestions on doctors or diseases to get tested for please have them message me on here or on Facebook.  I’ve learned that we have to stick together and help each other through our health journeys.  I’m grateful for all who have been willing to share their story and hope that we can help each other to not only survive this disease, but learn to actually enjoy life through this.