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Title: enough already! Post by Lizzie2 on Mar 30th, 2005, 8:57am I couldn't barely put the words "Basilar Migraine" in the title for fear of being berated to death...but here's the following of how I spent my night last night and this morning! Gotta love it! This is copied and pasted from an email I wrote this morning...but instead of retelling the entire story...here's what happened to me last night and how I have managed to add Basilar Migraine to my ever expanding list of headache types! <sigh> Here's another fun story in the life of the complicated headache sufferer from hell. ;) Yesterday was day 1 of my critical care clinical in the ER. Too bad I only got through about 3 hours before I switched from nurse to patient because I couldn't see, make any sense, or even stand up straight! Ahhhh I felt myself getting confused and felt very "heavy" at a little before 6pm. I was having trouble concentrating, and the nurse I was working with was going extremely fast. In the meantime, I think I downed about 10 cups of water plus my own water bottle...something was feeling funny. So I asked the other 2 students in my group to go to our dinner break at 6. On the way over, I knew I was feeling extremely dizzy. Things were spinning all over the place, and I really felt like I wasn't going to stand up for very long. We got to the atrium, and I tossed my wallet to my friend and sort of asked him to buy me some food. I don't really remember a whole lot after that. I put my head down on the table. The other student would ask me questions, but I couldn't answer. Everything was sooooooo sluggish. I knew I was not making any sense...that I do remember, but I couldn't find the words to make sense at all. I don't remember if I ever ate dinner..and come to think of it, I should probably look and see if I even have my wallet back in my bag after all this! Walking back from the atrium, I remember hanging onto another student for dear life because everything was spinning so much and kept going black. I guess he dropped me off to my friend Mike back at the clinical secretary desk in the ER. Someone did a blood glucose, but I forget that..I was told later it was 166, so my guess is that I probably did eat dinner! haha I vaguely remember Amy the tech telling Mike that I had just been there for a major reaction (mexiletine in january) and she thought the blood sugar was way too high for me because I'm usually borderline hypo. Next I remember, I stopped feeling dizzy around 8pm, but I don't remember much before that. I was in one of the triage rooms just lying down in the dark. Interesting! When the dizziness finally stopped, I had one hell of a headache. So I waited around and got moved to room B in the ER. They had taken labs and done an EKG. Same as most of my EKGs...high QRS voltage...but the tech and I were discussing how that's one of those "normal abnormals." So I had another CT scan during the night which was normal. I received toradol which did nothing, and then I got reglan and DHE and then zofran because otherwise I'll just throw it all back up. I was feeling pretty nauseous by then. That dropped my headache from about a 9 to a 6-7. They FINALLY called neuro sometime this morning, and one of the residents came down. I knew her from being a nursing student, but I've never worked with her as a patient. She was great. She said she thought it sounded like Basilar Migraine, and she consulted Dr. Young and he agreed. Yippeeeeeeeeee....I honestly thought I was done adding weird strange headache disorders to my list! So now I'm sitting here wondering if taking Amerge and DHE has been a bad thing! I'm having an MRI/A on Tuesday, and I see Dr. Young on Wednesday of next week. I'm waiting for them to turn the phones on so at the very least I can ask about taking Amerge. I actually had called yesterday morning for having 9-10's daily for a couple of weeks now. But Dr. Young didn't want to change anything until my appointment on the 6th. Kinda bad when you can't take steroids...maybe there is just nothing to be done when a person is in extreme pain and bad shape, but they can't take steroids short term. Time to figure all that out now! And we thought it couldn't get more messy...... We'll see if I have to make up about 5 MORE hours of clinical time! Sheeesh.... I definitely was in the ER wayyyyyyy longer than any of the students! <g> Carrie :) |
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Title: Re: enough already! Post by nani on Mar 30th, 2005, 9:06am Carrie read this: http://groups.msn.com/BasilarArteryMigraineBAM/warningabouttripans.msnw Sheesh, girl...I'm praying you get a break soon!! love, nani |
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Title: Re: enough already! Post by Lizzie2 on Mar 30th, 2005, 7:10pm Thanks Nani, It looks like from some of the searching around I've done today (during the part where I was awake or not at clinical) that they may be re-looking at the triptan contraindication for Basilar Migraine. Ozzy also posted a few good resources for me about that on another thread. They actually renamed it Basilar Migraine (or Basilar-type) and took out the "Artery" because they had originally thought that the Basilar Artery was the problem, but more recent research has shown that it is more of an issue with the brainstem and neurological changes, so they kept the word Basilar. From what I've read today, it sounds like it does have a somewhat increased risk for stroke, but not a gigantic increase. The way I read the description, it sounds like it is having an aura, but the aura happens to be located in the brain stem, which is why there can be loss of vision, etc. The resident I spoke with at some point this morning told me that if the blood flow is cut off via the basilar artery even to a slight extent, then less blood flow is going to the temporal lobes which means problems with memory and thinking. That was definitely the case! I still don't remember.... I scheduled my MRI/MRA for Tuesday at around noon, and then I see my neuro on Wednesday morning. Hopefully he can shed some more light on the whole situation! Thanks for the support! Hugz, Carrie :) |
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Title: Re: enough already! Post by cootie on Mar 30th, 2005, 7:31pm I sure hope things calm down for you Lizzie....so much goin on with yer schoolin and ch and now this crap. I get the sugar wierd fits off and on but for sum reason been gettin em lot more lately and there worse......I've about blacked out a few times while workin but I wanted to get stuff done and jus keep goin till my knees and hands are shakeing and I am so weak and out of it. I usually crave carbs or eat candy or orange juice and it seems to go away within a half hour. But I can't believe how shakey and weak I got last two times. But ya know....fer some strange reason I seem to get the attacks when my mind is RAGEING while working about sumthin......haven't gotten this week and have been VERY busy but not preoccupied with mind altering or overwhelming thoughts. Then with you yer tryin to absorb all the info....wonder if there is some sorta connection...but I don't get an ha and have had my sugar checked and it was ok. Strange ways days Pam |
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