Hard battle.

Kerissa • Mar 26, 2019

Hey friends,

It’s been almost 3 whole months since I last blogged.  SO much has happened.🙁

This will be incredibly long, but I just want to document everything so that I don’t forget..

On January 25th, I came down with a scratchy throat and congestion.  I thought it was turning into a cold, and I was a little bummed since it’s always harder for me to recover from sickness.

Well, Sunday evening (the 27th), I suddenly started experiencing a fever, chills, severe low back pain, high heart rate, and more.

Because I have a central line, the protocol is to go to the ER in case of a central line-associated bloodstream infection (which has happened twice in the past).  I didn’t want to go at all and kept checking my temp to see if it was dropping back down.🙁 Instead, my fever went up to 101.4 degrees.  We knew then that it was time to go in before it got any higher.

My parents took me to the ER at OHSU where I was quickly seen by triage.  They drew labs and hooked me up to IV fluids because my lactate and white blood cell count was high (they checked if I had the flu or a bladder infection…but both tests were negative).  The ER doctor told us that I was going to get admitted so that they could start aggressive IV antibiotics.

There were no inpatient rooms available at that time, so I spent the first night in the ER observation unit.  When an inpatient room finally opened up the next day, I was moved to 14C.

Medically, things went down hill from there.🙁 And I was in the hospital for 11 long days due to “sepsis of unknown source.”

I had septic shock in August 2018 (and that is much more serious than sepsis), but physically, this was incredibly harder. :’(  Words can’t describe how hard it was to go through this..

I had severe nystagmus and was also vomiting and retching day and night.  That was the HARDEST part of this whole hospital stay.  I was maxed out on IV anti-nausea meds, and still, those only helped for a little bit.  All the vomiting caused my electrolytes to go all over the place…this really concerned the hospitalist, so I was continually given IV potassium, magnesium, etc. to try and stabilize the blood levels.

I’m not sure why (since I was receiving a ton of IV fluids), but I was extremely thirsty….I had to use a mouth swab, and I also sucked on ice chips.  The ice chips tasted SO good, but even those made me throw up.🙁 My GI tract couldn’t tolerate anything at all, so the doctors switched all meds to IV form.

I was in tears so much of the time….from not being able to eat or drink anything for several days, from the severe nystagmus (which made me want to cut my eyeballs out), from the non-stop vomiting, from the whole body pain….and I kept crying, wondering why prayers weren’t being answered. :’(  Those were dark days.

I also had constant diarrhea and cramping abdominal pain….I know that’s TMI, but I’m just telling all that happened.🙁

There were more than 10 IV bags on the IV pole….the nurses said I was so complicated.  I had numerous lines going into me, and they had to label them all.  Even though I have a double lumen central line, I had to get IVs placed because of all the medications.  My IVs kept blowing, though, because of so much scar tissue from IVs in the past, so I had to get a “midline” placed which is similar to a PICC line.

I was also given a PCA (patient-controlled analgesia) pain pump because the pain was so bad.🙁 They set it so that I could push the button which delivered medicine every 70 minutes.

It took so very long for things to start turning the corner, and as I mentioned earlier, it just seemed like the Lord wasn’t answering my prayers….I now know and realize that He was answering them in other ways:

He blessed me with a private room which also had a bench near the window…my mom was able to stay with me each night and be right there when I was in so much distress (physically and emotionally).

The Lord also blessed me with 2 amazing and compassionate hospitalists.  And even my former home health nurse was able to take care of me for some of the time which was such a gift—in the ER, I asked the doctors if I could be admitted to the floor where my home health nurse was, and they said that they can’t control where I get moved….but God, in His kindness and providence, miraculously opened a room up on the exact floor where my nurse worked. :’)

In addition, the hospitalist called my neurologist on a Sunday to try and get in touch with her since my symptoms weren’t improving, and even though she wasn’t on-call that day, she answered her phone.  She suggested a certain IV medication to calm the nystagmus down.  And once I did receive it, the nystagmus completely stopped. :’)  It also helped the nausea/vomiting.

The Lord continued to give wisdom and insight to the hospitalists.  And not only did they treat me for sepsis, they also treated me in case I was experiencing a mast cell disease flare-up and/or exacerbation of the Wilson’s Disease.

I don’t know how I’ll ever be able to go through something like that again.  And I know it could very well happen once more.🙁 This was so physically and emotionally taxing on my body…it’s been over 6 weeks now since I got home from the hospital, and my strength still isn’t back to my baseline.

But I’m taking it one day…one hour…one second at a time and trying to leave the unknown in God’s hands. I read this quote by Corrie Ten Boom recently, and I thought it was soo encouraging! “Faith is simply trusting the character of God, even when life gives you reasons not to.”  So I will continue to have faith in God’s plan for my life….I’m reminded that He knows what I can’t see.❤

______________________

In other news, my PCP is referring me to OHSU immunology to see if we can get to the bottom of these sepsis episodes.  My appointment with the specialist is next month.

I also had a follow-up with my endocrinologist to go over the results of my 2nd bone density scan that I had completed recently.  2 years ago, I was diagnosed with osteopenia, and sadly, these new results from the 2nd scan show that I have more bone loss in my spine.🙁 If I keep losing bone at this rate, my doctor said I will soon have osteoporosis.  She ordered some more tests and also explained how we need to start treatment soon to try and slow the bone loss.  This is a really hard decision to make because one of the osteoporosis drugs causes increased risk for infection.  And given my history with sepsis, she’s hesitant to trial that specific one.  The other medication options are also not good to take at my age in case I ever get married and would like to have children down the road (all my life, I’ve always wanted to be a mother!)….  Please pray the additional tests that my endo ordered will give insight and wisdom…I don’t know what to do..😞

2 weeks ago, I had yet another ultrasound-guided right hip steroid injection.  My orthopedic surgeon repaired the torn labrum last August, but I’m still having a lot of hip pain.  It’s taking many months for my hip to heal, and with these sepsis episodes/hospital stays, the healing of my hip always gets set back.  Anyways, the doctor who did the injection had a lot of difficulty getting the needle into my hip joint.  I have soo much scar tissue which caused the needle to bend as he was trying to insert it.😟 That was super painful!!  So he is referring me to one of his orthopedic colleagues.  He said that she can do full ultrasound evaluations of the hip, and he’s wondering if I may need additional injections in other areas of my hip..

My orthopedic surgeon did say at my last follow-up that sometimes she has to do another hip surgery to remove scar tissue….but she’s hoping that injections with physical therapy will fix my issues so that we don’t have to go down that route..

It’s also been more than 4 years since I was started on TPN (IV nutrition), so I asked my GI doctor for a little break.  It’s just so hard to be always hooked up to the IV pump.  So in January, he decreased my TPN so that I’m off of it every Monday, Wednesday, and Friday.  I still have to do IV magnesium every day, but those 3 days that I’m off TPN, I move my afternoon IV magnesium and infuse it during the night.  It’s simply glorious to not be hooked up at all during the day (on Mon, Wed, Fri)!

But, sadly, the last few weeks, my weight started dropping.🙁 We’re watching it closely, and he said that if my weight starts dropping back down into the 80s, then he’ll have to increase my TPN again..  Would appreciate prayers for this as well and that my weight will hold!

Thank you so much for all of your constant prayers and support.  When I was in the hospital, all the messages, prayers, flowers, treats, and cards really cheered me up and kept me going!  I know I’ve said this before, but I truly couldn’t walk this long journey without all of you by my side.💚

By Kerissa Lee 27 Apr, 2024
Read Part 1 and Part 2 if you missed it.  | Part 3 | After numerous days inpatient, I was ready to begin physical therapy at home and work my way off the TPN (IV nutrition). On February 19th, I ended up getting enrolled into a fairly new 1-year old program called “Hospital at Home.” It’s a weird concept, but those who do HAH are still considered inpatient—the only setting that’s different is you can sleep in your own bed and the nurses come to your home. You also are connected to doctors virtually through a tablet. In theory, that probably sounds amazing, but for complex patients like me, I regretted doing HAH because it was complicated and stressful. For example, the leg pain was still so severe, and each time I took pain medicine every 2 hours, I had to log onto the tablet and talk to the nurse who charted everything…. Even during the middle of the night, I had to show the nurse which meds I was taking and what dosage. It unfortunately wasn’t restful, and there were a bunch of other challenges while I was with HAH. By the next morning, I was definitely ready to be discharged from the “hospital” since a lot could be done outpatient. Around 11:45 AM on February 20th, a nurse practitioner came to my house to make sure I was medically stable and ready for discharge. She agreed I was because my vitals were perfect. She left, and another nurse was scheduled to arrive sometime in the afternoon to stop my TPN for the day. But, in the blink of an eye, things changed yet again and the nystagmus suddenly came back with a vengeance. I could barely see out of my eyes (because they shook so much), and when I went to lay down, I asked my mom if the heat was on. She said yes, but I felt soo cold. When the last nurse arrived to stop the infusion, she took my vitals which showed that I spiked a high fever out of the blue. I was so devastated by this turn of events and cried, “I can’t do this again.” 😭 I felt weary, down to my very bones. Experiencing all my usual sepsis symptoms (fever, chills, high heart rate and respirations, severe low back pain, etc.), I hit rock bottom and was extremely distressed that I had to go back to the hospital. 😔 While the doctors scrambled to find a bed available for me, I physically got even worse. During that scary and emotional time, the nurse was so compassionate and caring. I know God in his loving kindness handpicked her especially for me that day. She stayed right by my bedside and encouraged me with words filled with hope. 🥹 She saw a devotional by Joni Eareckson Tada on my nightstand and asked if I was a believer. I nodded, and she immediately began praying for me. 😭❤️ In the midst of this whole trial, some days God felt far away. 🥺 I could really resonate with the psalmist’s cries—“Why are you so far from saving me, from the words of my groaning?” (Psalm 22:1) But when my nurse prayed for me, it was in that very moment I felt God’s presence and peace so near. It was like he knew I needed some tangible comfort to hold on to. I felt so seen and loved by him. I’ll never forget the sweet nurse he sent and the prayers she lifted up. ❤️ Through her, the Lord revived my soul to prepare me for this latest battle. Up next: Part 4…
By Kerissa Lee 16 Apr, 2024
Read Part 1 if you missed it.  | Part 2 | Just 2 days after I was discharged from the hospital, I started experiencing severe nystagmus (shaking eyeballs) along with nausea, vomiting, and retching. I didn’t know what was happening and was again so scared. 😔 I was told to go to the ED since I wasn’t tolerating any of my oral medications. The doctors gave me IV fluids and lots of different IV anti-nausea and pain meds. They told me I needed to be admitted and talked with the neurology and internal medicine departments to see which one should admit me. But….to my dismay, both teams made a bad judgment call when they decided not to have me admitted (my mom has since talked with a patient advocate for guidance on what to do if “this” happens again). Even the ED observation unit didn’t want to take me because I was “too complex.” 🥺 I was sent home still vomiting and in so much distress (with mitochondrial disease, anything like untreated vomiting/diarrhea is a big “no-no” to put it simply because it’s a huge stress on the metabolic system). My body was really struggling, and I experienced very drooping eyelids and worsening weakness all over. The next day, I was seen by my PCP’s colleague, and after much discussion, he directly admitted me to the internal medicine floor. I’ll always be grateful to him for his quick action and the very thorough letter he wrote. There were sadly no beds available, so I waited at home. But, the following day, God was so kind to bless me with a private room that became available. Once I was inpatient, the doctors tried to get a handle on the nystagmus and vomiting. All the usual IV anti-nausea meds didn’t resolve things, so they gave me an “off-label” medication that can sometimes help nausea. That did the trick, but another issue soon arose—I started showing signs of mental confusion. I remember not being able to explain what was on my mind, and if I did talk, it didn’t make sense! For example, 2 nurses were in my room helping each other, and I made a comment about them being married. 🫠 Another instance, my family later shared that I asked them if they could see the ocean out the window. I can’t recall a lot of my time in the hospital because I was so confused.. My mom wondered if the confusion was from the off-label nausea medicine, so the team immediately discontinued it. By God’s grace, that did the trick…. Hospital life was definitely a roller coaster. You know that whack-a-mole arcade game? Once one problem ended, another popped up. After not receiving proper nutrition for many days, I started trying to eat orally again and resumed j-tube feeds, but for some reason, I wasn’t able to tolerate either like before. My stomach became so huge and distended….even with the feeding pump setting of just one teaspoon per hour. It didn’t make sense, especially since I tolerated a high rate of tube feeds two weeks earlier when I was admitted for the neurological weakness. I kept trying to increase the tube feed rate, but my GI tract didn’t tolerate it. The doctors brought up the possibility of TPN (IV nutrition). I was very discouraged and so homesick. With no progress increasing the formula rate, I did in fact have to be placed on TPN. Emotionally, it was a struggle dealing with this new problem on top of the mitochondrial crash.. 😢 Up next: Part 3…
By Kerissa Lee 13 Apr, 2024
Dear friends, It’s been almost 3 months since I last blogged.. So much happened, and it’s very hard to believe how quickly things changed. I know many already know the whole story. But for those who haven’t heard it, I will try to recap here. It’s quite the tale, but I wanted to share it on my blog to look back on because God truly carried me through the unimaginable. ❤️ When I requested urgent prayer for the sudden onset numbness and weakness in my whole left leg back in January, I had a routine follow-up already scheduled with my primary care dr. on January 25th. I was so thankful I could see him right away for this new issue. I showed him my worsening weakness, and he sent me straight to the ED to make sure I didn’t have a condition called Guillian-Barre Syndrome (GBS). While waiting for a bed to open up on the neurology floor, the muscle weakness spread to my right foot and up my right leg to the point that I could barely lift both legs up. Words can’t express how truly scared I felt that I was going paralyzed. 🥺💔 It was the hardest time of my life, and I continually wept, not just because of the physical pain (which was the worst leg pain I’ve ever experienced) but also because of the emotional distress.. The “foot drop” in both feet was so severe that my soles were almost parallel to the hospital bed when laying down. It was devastating. Due to the weakness, I couldn’t even walk to the bathroom and had to use a bed pan. The team was concerned about possible heart/lung issues, so I had to be placed on a continuous cardiac telemetry monitor (which is different than the standard one). Twice, they asked me if I’d be okay with life-saving measures like getting intubated (placed on a ventilator) if the weakness kept spreading like it was.. I underwent countless neurological exams by nurses, medical students, residents, and attending neurologists. To rule out GBS, a spinal tap had to be done as well as extensive brain and spinal MRIs (cervical, thoracic, lumbar, and sacral). Not feeling well, it was incredibly difficult to lay in the very narrow MRI tube for more than 2 1/2 hours without a break. When GBS was ruled out, we still didn’t know what was causing the weakness. To be honest, in a way, I WANTED to have GBS because they explained GBS has a good treatment. So, not knowing the outcome and prognosis was very hard. 😢 Looking back, I remember how I shared a verse from Isaiah when I wrote my “2023 reflections” blog post at the beginning of this year: “Let him who walks in darkness and has no light trust in the name of the Lord and rely on his God” (Isaiah 50:10). When I posted that on January 1st, I never could have imagined how dark life would get. I knew God had a plan, but I was still so terrified. And there was nothing I could do but trust him (even though my faith felt so weak while in the thick of it). I cried so much and struggled with great fear. But in the midst of that dark time, I thought of a well-known passage from 2 Corinthians: “So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day. For this light momentary affliction is preparing for us an eternal weight of glory beyond all comparison…” (2 Corinthians 4:16-17). A phrase stood out to me: “light momentary affliction.” This trial weighed heavily on my shoulders….it definitely didn’t feel “light” OR “momentary.” I had so many questions. Could I surrender all and trust that God has my best interests at heart? I prayed that he would grant me the eyes to see everything from an eternal perspective and use this hard time for his glory and good purposes. After spending 9 days on the neuro floor, I was sent home.. The neuro team attributed this whole event to a “very unusual mitochondrial crash.” And only time would tell how I would recover. Up next: Part 2…
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