Very long medical update.

Kerissa • May 02, 2018

Hey friends,

I’m sorry I haven’t posted in a while!  It’s been a pretty rough two months..🙁

The last half of March, I started experiencing severe, cramping abdominal pain, terrible nausea, distention (I looked pregnant!🙁)….and just felt really unwell.  The abdominal pain started happening every few days to every single day.  Pretty soon it hurt terribly to eat (much worse than the usual pain from gastroparesis) and drink water.🙁 Even pushing meds through my jejunostomy tube caused pain right away.  I lost weight and felt really weak.  Everything was getting worse and not better, so I finally told my GI dr.

He wanted me to get a work-up at the ER.  So on Tuesday, April 10, I went in.  I was dehydrated from not being able to drink much at all (my daily IV magnesium and nightly TPN wasn’t enough even).  So the doctors gave me more than 2 liters of IV fluids with dextrose.  That helped a lot.

They drew a ton of labs and also checked to see if I had a bladder infection.  Here’s where it gets kind of hard to understand…  There are different parts to a urinalysis—-the first part showed that I had trace white blood cells.  So the doctors weren’t sure if this was a borderline infection or what.  The second part (called a culture screen) came back positive for infection.  So I got admitted overnight, and they started treating me with antibiotics.  But the next morning, the actual culture test (where they wait to see what kind of bacteria grows) came back and said, “No significant growth.”  So it turns out that I didn’t have a bladder infection!  We don’t know why it showed white blood cells or why the culture screen was positive…

One blood test (called lipase) did come back pretty high..  Lipase is made by the pancreas and small intestine.  When I saw my GI doctor a couple of weeks later after this hospital stay, I explained everything that happened.  And here’s what he thinks caused the severe abdominal pain, nausea, etc.  He thinks I had a partial small intestinal obstruction.🙁 He explained that they can be VERY painful and cause all of the symptoms I was experiencing, including the elevated lipase.  The abdominal CT scan the ER ordered didn’t show an obstruction but he believes it’s because the scan wasn’t done in time and because I was at the tail-end of this (i.e., the obstruction was resolving which makes sense since I was starting to feel better later that day in the ER..).  You might wonder, “What caused you to have a partial bowel obstruction?”  The answer is—-adhesions.  Having a jejunostomy feeding tube surgically placed in my small intestine (done back in 2014) can cause adhesions.  I always thought adhesions were inside of the intestine, but he explained how adhesions are like webs outside/around the intestine.  And sometimes, the intestine can get kinked, caught, or twisted on an adhesion….which then causes a partial or full obstruction.  Hope all this makes sense.. :/  I asked him if this will happen again.  He said it could or it may be years from now before another one occurs.  I really hope it doesn’t because the abdominal pain was simply horrible!!🙁

The day after my GI appointment, I had a follow-up with my urology surgeon.  And we both were on the same page regarding this major bladder surgery.  She (and I) feels like we need to put this surgery on the back burner for a little while because of all that has happened recently.  Doing this surgery would involve using a part of the small intestine which would then cause more adhesions to form.🙁 And because my GI system is not in the best shape in the first place, surgery would most likely cause complications.  She brought up the Hippocratic oath, and she doesn’t want to cause more harm than good.  Thankfully, my neurogenic bladder hasn’t gotten worse and has been stable for the most part, so I will be monitored and see her again in 6 months.

I’m more glad than sad about this decision because going into it, I just felt uneasy and didn’t feel ready for this major of a surgery.  Also, it got postponed twice so I kept wondering if that was the Lord telling me that now is not the right time to have this surgery.

Anyways, this update is getting super long!!   Tomorrow, I have a follow-up with my ENT (swallowing) specialist.  Next week I have a genetics appointment at OHSU to discuss whether I need to take “malignant hyperthermia” precautions and stay away from certain anesthetics because of a specific gene mutation I have.  And in two weeks, I see my orthopedic hip surgeon to get the ball rolling for hip surgery….🙁 Still need to get another MRI to officially confirm that my right hip labrum is torn, but it most likely is because I had a diagnostic ultrasound-guided hip steroid injection (the needle was so huge!!😟)…I had immediate pain relief which tells my doctors that the problem is directly in my hip joint and not something like muscle pain..  You’re probably wondering why I have these hip problems….well, it’s because I have loose joints from Ehlers-Danlos Syndrome.  Too many things going on at the same time..😞

In addition, I officially weaned off one of my pain medications (with my pain doctor’s guidance), and it has not been easy at all.  My small fiber neuropathy has been so painful now.😔 Every night, it’s been taking me hours to fall asleep due to the pain!  So hoping things soon improve because I’ve just been extremely exhausted every day..

Anywho, that’s all for now..😉 Thank you so much for continuing to pray for me!!  You are all a blessing.❤

P.S. In April, I participated in the famous 30 Days of Bible Lettering challenge on Instagram.  If you use IG, you can see all my lettering posts (like this one above).🙂 My IG handle is @kerissa_kreative!

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…
By Kerissa Lee 23 Jan, 2024
Hi, friends, I had a whole other post ready to go with some good news, but instead, I have an urgent prayer request. I started experiencing sudden onset numbness, tingling, and weakness in my whole left leg, and it’s been so scary. 🥺 It just came on out of the blue. I was doing so well with physical therapy each week (able to walk fast on the treadmill and leg press 40 lbs), and now, I have to limp because my left leg is soo weak. I really want to avoid the ED as much as possible, so I saw one of my doctors today. She’s concerned I’m having a big motor nerve issue. 😭 The plan is to see a physical medicine specialist, have a nerve conduction study, get an urgent MRI done, as well as see my PCP and pain doctor on the 25th and 29th for further evaluation/testing. I know I already said this, but it really has been so scary to lose function so quickly. Can you pray that I will trust the Lord and not worry? It’s been very hard, so I’d really appreciate your prayers and support in the coming weeks. Thank you so much. ❤️
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