essay
Emergency room redux: Nausea, or the Sickness Unto Death
The trip to Washington last week went pretty well, with
some interesting sessions at the ServiceMaster/Furniture Medic Convention, not
to mention the keynote addresses by former President Bush and his wife Barbara.
But on the way home, something in my system was got seriously broken.
We set out shortly after noon, and seeking to bypass some
sort of tie-up on the Baltimore-Washington Parkway, instead headed east on 50
to Annapolis. I told Pamela about how my very first airplane trip was to Annapolis,
for a week-long summer program at the Naval Academy, and we as drove past the
grounds I remembered the model rockets I'd instrumented and taken data on about
thirty years ago. We stopped for lunch near the old part of town, one which
seemed to go okay, if one discounted the noisy neighbors and the slow service, then
found our way out of town over the Chesapeake Bay bridge, through eastern
Maryland and through Delaware.
Some hours later, we made our way to South Jersey where
we visited with an old college fraternity
buddy of mine and his wife. I had some pizza. So far so good.
Then partway back home, a couple of hours from home, I
started feeling distinctly odd. The day was pretty hot, so it wasn't unusual to
feel a sweat, but this was a different sort of sweat. The roads were as bumpy
as usual and unkind to the stomach, but I started feeling unusually sensitive
in that area. At some point, I turned over the driving to Pam while I tried
to relax and take my mind off of the discomfort. This worked, for a while.
Then everything started to come up. Unfortunately, it was
a split second before we were able to come to a stop and open the door. Long,
racking minutes it was before my body decided that it had emptied itself
sufficiently, and then it was a while before I could clean matters up in the car
to the extent that we could continue on. As is often the case in such matters, I
felt considerably better once the nausea was past, and I even entertained the thought
that I could once again take over the driving. It was a good thing that we
decided against this, as I was seized with one more fit on the road home, one we
handled slightly better in terms of the mechanics. At this point, I felt as
though I'd gotten rid of everything I'd consumed in the previous twelve hours.
It was a long ride up the NJ Turnpike back to Bergen
County and home. On the final stretch, I was beset with a terrible set of cramping
amidships, which I hastened to relieve as soon as I got in the door. Then I got
myself to bed, terribly depleted but also quite exhausted. I followed the usual
medical advice and tried consuming some fluids to avoid dehydration. A couple of
additional rounds of discomfort later showed that this was not working; my system
was rejecting even water at this point, having totally shut down.
So at around three in the morning, dehydrated and weak, I
decided that if I didn't get some fluids into me somehow, I wasn't going to make
it, so I asked Pamela to take me to the emergency room. We went through the by-now
routine pain of contacting insurance and primary care physician by phone, then got
back into our smelly car and made the trip over to
Pascack Valley Hospital to have them
take a look at me. This was a bit closer than the hospital I checked myself into
the weekend before, but it turned out that the time spent in some kind of agony
in the waiting area was considerably longer. I told them my symptoms and my recent
history of illness, and soon I was hooked up to a saline drip to get rehydrated.
Most of the nausea and bloating was past by now, but the weakness and mental confusion
was worse than before. Because I hadn't been able to keep anything down, they
administered some medication in my drip which had the side effect of putting me
asleep for about three hours while they administered a second drip to get me
back up to par. All told, I was there for something like four hours this time,
and given a prescription in the end for a medication against nausea and instructions
to consume only liquids and light foods at first while my constitution was still
weak.
The rest of Sunday I spent pretty much in bed, and whatever
I was given seemed to do the trick as far as the nausea was concerned, and an
over-the-counter remedy also seemed to ward off the diarrhea as well. It wasn't
until today that I've had solid food and started to resume my regular activity,
however. Pamela never took ill, nor did my South Jersey friends, so we don't have
reason to suspect a specific tainted meal along the way. Perhaps it was just
a matter of being depleted because of the last big illness, having all my gut
bacteria knocked out by antibiotic, and then undergoing the rigors of all this
driving.
The biggest difference between
last week's ER visit and this week's:
when I learned that I wasn't keeping down even plain water, I knew that I was
up against a bona fide matter of life and death this time. In my mind, I know that
every day I'm out on these roads meeting an untimely end is a possibility, but this
kind of experience makes the point more personally in a way.