welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Tuesday, May 17, 2011

followup adni-2, the patient, bb

FOLLOWUP ADNI-2
well did the spinal tap yesterday
never had one before
have done  them several times in my career
most were in the emergency room
most were on children to rule out meningitis

never ever wanted one before
didnt want this one but it was part of the deal

had to sit or lay on a massage chair
didnt get a massage though
but did get a needle stuck in my back

the tap was atraumatic
only discomfort was the numbing medicine (lidocaine)
and having to lay down for an hour afterwards

today no headache
some low back soreness

will tell my dentist next time i see him that i would rather have
a spinal tap than have him work on my teeth
bet thats a new one for him

fluid will be tested for tau protein and amyloid as part of this study
they also drew out a ton of blood for the study
told them to go ahead and take a blood donation while they
were at it and just get their blood out of the pint of blood
these tubes of blood will be stored and used for research purposes
as needed
they also will do dna and rna analysis of it
wont ever know those results

my screening labs and my mri of  the brain were all normal
yes

next another mri in july then get to repeat some of these tests in
october

THE PATIENT
once when i was in practice i saw my friends 10 year old son
for an illness
after the exam he had blood drawn and as he walked back
in to the waiting room he collapsed (fainted)
hed done that before

went out and checked on him
still out
carried him to the exam room
elevated feet and lowered head on table
still out
not responsive

took him to the er
still out
pinched him
bp was low
gave him iv bolus of saline
still out
dang thought my best friends son was dying on me
did labs they were ok
then he finally started to come around
and after two hours he was back to normal

almost got to experience that again
my wife she has been known to faint in the past
did it when getting blood drawn in the past when she was
pregnant and ill

yesterday as they was describing my spinal tap and how they
would do it i didnt know at the time but she was getting pale
and woozy

now who was the patient here

went in to do some paper work and when i came back
there she was laying on the infusion chart in the neurology
clinic pale and asking for a soda or cold water

she stayed there for the 1 1/2 hours while  i had my tap
and while i laid down after the tap to prevent a spinal headache
there i was laying on a table in one room and she was laying
on the infusion table in the other room
guess who looked sicker

the tap was not uncomfortable
was not really dreading it at all

but she was

they fed us lunch which she ate lying in the chair

we managed to eventually get her up to where i had my pet scan done
i was there about 2 hours
she spent most of that time laid out on the waiting room furniture

was worried they would think she was a homeless person that
had wandered in off the street and plunked herself down

after the test she managed to get to the car but i had to drive
most of the three hour drive home
every time we started talking about the tap there she would go again

not going to take her again
think she had too much wedding journey weekend was the problem

pet scan was uneventful
checked last night to see if i was glowing in the dark from
the radioactive labeled stuff that was infused but
i wasnt

BB
its the red river shootout tonight
okc vs dallas
travel time is not an issue with this series

durant vs dirk
should be a good series

the organicgreen doctor

4 comments:

  1. Your poor, sweet wife. Shawn passed out during my so-called epidural during Conor's birth. He slid right down the wall like a cartoon character. The doctor giving the epidural was not able to get it in after 5 sticks so I elected that he get away from me before I hurt him.
    I will never forget that gray putty look on Shawn's face when he saw the needle pulsating with my heartbeat. LOL

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  2. Sometimes I think watching the ones we love get poked is worse than when we get poked ourselves. I always want to make it better and when I can't, the anxiety raises. THEN the needle comes and that's horrible in itself! Just too much. I'd sit on the floor with your wife and have cookies and juice too.
    It's too bad there wasn't just a slight glow, that would have been a cool side-effect at least.
    I'm glad you both made it out ok.

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  3. FUNNY Allineed! (really) Best policy is to exit the room when a poke is being performed or another stand-off approach would b not to love the person being poked :"'(

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  4. I giggled as we texted back and forth – you on your massage table and me in the infusion recliner! I cried when I turned the page in my book and read this quote, “Doubt that the stars are fire; Doubt that the sun doth move; Doubt truth to be a liar; But never doubt that I love, [you]” – William Shakespeare Hamlet

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