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Showing posts with label hospital. Show all posts
Showing posts with label hospital. Show all posts

Monday, January 28, 2019

Dehydration is a Medical Emergency

I finally got home yesterday after being hospitalized for a couple of days. I began to get really ill last week and I could not stop vomiting. Finally, early Tuesday evening, the room started going black and I was going to pass out right away if I did not sit down. The room was spinning, even while I was sitting down. I thought maybe I was hypoglycemic because I experience the same symptoms when my blood sugar gets low and I had been unable to keep down anything for five days, including water. I went downstairs to my kitchen to eat a banana (at my husband's suggestion to coat my stomach). I grabbed the banana and then the room started going black again. I ran to try to make it to the kitchen chair and my knees gave out before I could reach it. I fell on my knees and landed on the stone kitchen floor with my jaw. To top it all off, I landed on the banana. It was like something out of a Monty Python movie. I passed out for a bit but when I came to, I managed to drag myself to my laptop (my phone did not charge because of a faulty cable - go figure) and called my husband. He took me to the hospital, mostly to make sure I did not fracture anything since I fell hard.




When we got there, my husband got me a wheelchair because every time I stood up, my vision started going black. Then, I went back to the triage nurse who took my blood pressure. She could not believe what she was seeing and took it twice more. My blood pressure was 74/41 (normal blood pressure is 120/80). They called me back right away and put me into a room. The lab tech came in and took seven vials of blood from my foot because I had no more veins. I kept passing in and out of consciousness. I came to as the doctor was talking to my husband. She told me that I was in acute renal failure (my kidneys were failing), my blood pressure was dangerously low, and that my potassium was dangerously low, so they were going to admit me. I was so scared. Usually when I go to the Emergency Room, they treat me like a drug addict. They may give me one bag of fluids, if I'm lucky, and then send me home. However, none of the Emergency Room doctors or staff treated me that way in the slightest.





Source: On Image





I was admitted onto the Internal Medicine floor and given medication through an IV to try and get the nausea and vomiting under control, and to get my kidneys to kick back in. Additionally, I received four IV bags of potassium and my potassium was STILL low! So, they just kept giving me more. I was in the hospital for three days. I finally got to go home Friday night and I'm so glad because I really wanted some much needed sleep and rest. It is so hard to rest in a hospital with people coming in to check your vitals, draw blood, give medications, and/or bring food in. I talk more about this in my video I recorded below, but it honestly just felt like a normal Gastroparesis Attack to me, and I just thought I was hypoglycemic. That wasn't the case at all, and it was a serious emergency. I hate to think of what might have happened if I had not gone. I could have died and I am still processing that. I talk about that more below.




Dehydration is VERY serious.






Source: Google Image







My personal Story From This Week



I do not know if a lot of places have these yet, but Atlanta has Hydration Stations. According to their website,

"Walk into Atlanta's Hydration Station on a Sunday morning and you'll find a dozen people in dimly lit rooms lying on recliner chairs with needles stuck in their arms.

Most of them are hungover from heavy drinking the night before. The needles are pumping sterile saltwater and a cocktail of vitamins and anti-nausea drugs into their veins.

The treatment costs upwards of $29 and it has become so popular in Atlanta that Hydration Station is opening a second location down the road just nine months after launching the first, according to CEO Keith McDermott.

McDermott describes the concept as a cross between a spa and a doctor's office. It attracts a mix of athletes and hungover partiers, depending on the time of week. On the weekends, about 75% of Hydration Station's clientele is hungover, McDermott said.

He wants the business to eventually cater more toward athletes, but he's not discouraging the traffic from partiers. Hydration Station is sponsoring a pub crawl this weekend and a New Year's Eve ball on Dec. 31.

Customers rave about the services on Yelp and Facebook and a number of them have been posting photos of themselves on social media hooked up to the IVs.

'Love this place!' someone wrote in a Yelp review on Oct. 21. 'Did a little bit too much drinking the night before and decided to come here... After I left here I felt instantly better — didn't even need so much as a nap throughout the day. I got the water IV and [vitamin] B12.'

Another reviewer wrote: 'After a long party weekend, Hydration Station hit the spot. I felt horrible until I got my IV. It was quick and easy.'

Luke Davis, an athlete and owner of the gym CrossFit Tucker in Tucker, Ga., told Business Insider that he has visited Hydration Station about 10 times since it opened 'and would be there a lot more if I didn't have such a crazy schedule.'

'It really helps with recovery after a really strenuous workout,' he said. 'We can recover so much faster and can train again the next day.'

Davis said he usually gets the $99 'Niagra Falls' package for his training purposes, even though it's advertised for people in 'deathbed territory' on the Hydration Station's website.

The package includes up to two liters of hydration (or two IV bags), a cocktail of Zofran (anti-nausea), Toradol (anti-inflammatory) and Pepcid (anti-heartburn), 30 minutes of oxygen, vitamin B12, and oral antioxidant and multi-vitamins to go.

Davis said he omits the anti-nausea medicine from his treatment because that's for people who are ill or have hangovers.

Dr. Robert Shesser, chairman of George Washington University's Department of Emergency Medicine, told Business Insider that the 'Niagra' is a perfectly safe concoction of drugs for someone with symptoms of a hangover or anyone suffering from dehydration after an athletic event.

'All of these medication are used quite frequently and their safety profile is excellent,' Shesser said. Hydrating someone who is suffering from over-intoxication is also a routine procedure, even though the science behind it 'isn't necessarily the strongest,' he said.

'The only scientific basis [for the treatment] is that alcohol is a diuretic so people who drink will have an increase in urinary output and theoretically become dehydrated,' he explained. 'But unless you are drinking shots of scotch in the middle of the desert,' you probably won't lose enough water to need an IV, he said.

'But if it makes people feel better, then great,' he added.

The most popular package at Hydration Station is the $29 'Baptism,' which includes one IV bag and 15 minutes of oxygen, according to McDermott. One IV bag is equivalent to drinking more than two gallons of water, he said.

The treatments, which typically last up to 45 minutes, are administered by paramedics who work for the Hydration Station part-time. The company employs about eight to 10 paramedics on a rotating basis at the Buckhead location.

To pass the time, customers have a choice of playing with Hydration Station's assortment of tablets or watching TV.






'People have a fear of needles and apprehension when coming in, especially if they haven't done it before, so we try and make them as relaxed as possible,' McDermott said.



It Started With A Wedding Hangover

Before launching Hydration Station, McDermott was the vice president of marketing and business development for Biomass Gas & Electric (BG&E). He came up with the idea for the Hydration Station several years ago after attending a wedding where many of the guests, including himself, had overindulged on the night of the rehearsal dinner.

'We were playing golf the next day and the groom told me that they had a nurse who was giving IVs to people to help them get over their hangovers,' McDermott said. 'It felt super' and guests were raving about it, he said.

Coincidentally, McDermott had experienced his first IV treatment 10 days earlier when he felt ill after several weeks of traveling for work.

After the wedding-day IV, it dawned on McDermott that the service could work as a business. A Google search told him that there's a similar service in Las Vegas that operates out of a bus. There's also one in Chicago called IVMe Hydration Clinic.

But there wasn't anything like it in Atlanta, aside from hospitals.

McDermott hired Dr. Thomas Roepke, a board-certified physician and friend of his, as medical director and opened the Hydration Station in Atlanta's Buckhead neighborhood in March. Roepke developed the company's range of treatments based on his own research and nearly 20 years of treating patients, according to the company website.

When designing the office, McDermott said he assumed people would prefer private rooms, but 'it has become the exact opposite.'


'People come in, they want to share stories about the last marathon they were in, or if they are here for a little over-indulgence, they like to talk about their night out,' he said.

Some people even make a date out of it, he added.

'They meet, go out on dates and stuff on Saturdays and then they come in Sunday morning,' he said. 'It's become a social thing.'

He describes the new office, which is being built five miles down the road in Atlanta's Brookhaven neighborhood, as 'sleek and spa-like.'

'It's going to be a cross between the W Hotel and an Apple store,' McDermott said."







Source: Flickr



According to Life Signs Blog,

"How Much Water Do You Need to Drink Every Day?

Did you know that you’re mostly made of water? If you’re an adult female, you’re about 55% water. Men are about 60% because they typically have more lean tissue (which contains more water) and women have more fatty tissue (which contains less water). Younger people have more (babies are born at about 78%) and older folks have less (about 50%).

Approximate percentages of water in various body parts:

Blood 92%
Lungs 83%
Muscles and kidneys 79%
Heart and brain 73%
Skin 64%
Bones 31%

Yes, even your bones are nearly one-third H2O. And yet two-thirds of us — nearly 70% — aren’t drinking enough water to keep our bodies functioning properly. It doesn’t take much to throw off the balance and become dehydrated. Don’t let something as simple as drinking enough water send you to the ER — it’s really not a story you’ll look forward to telling around the water cooler.





Source: On Image and Google Images





When does dehydration occur?

At just 1% dehydration, or when you’ve lost 1% of your body’s water, mental performance and physical coordination start to become impaired — and you’re not even thirsty yet


At 2-3% dehydration, you’ll feel thirsty and possibly some of these other symptoms:

Fatigue, lethargy, fuzzy thinking
Irritability
Dizziness
Headache
Dry mouth and skin
Muscle cramps
Rapid pulse (100 beats/minute or higher)
Fever and chills




Source: Google Images





Bryan Thibodeau, MD, ER medical director at Medical City Las Colinas, cautions parents to look for these signs of dehydration in infants and babies:

Sunken fontanelle (soft spot on the head)
Limp/inactive
Dry lips/tongue/mouth
Crying without tears
Pale or mottled skin


Dehydration can be very dangerous, especially for infants, children and older people. If someone you know shows signs of dehydration, seek immediate emergency medical treatment.




Source:https://articles.mercola.com/dehydration-symptoms.aspx




Why Our Bodies Need Water

Besides being the primary building block for all cells, water is vital to the health of every system in our bodies.

Among other important functions, water:

Regulates body temperature
Transports nutrients and waste materials
Aids digestion
Cushions the brain and spinal cord
Keeps eyes and mouths moist
Lubricates joints
Can prevent heartburn, constipation and kidney stones
Manages heartbeat, blood pressure and electrolyte (sodium) balance


Did you know water can also help prevent heart attacks? A study at Loma Linda University found that dehydration thickens the blood, making it harder for the heart to pump and increasing the risk of blood clots. Study participants who drank just 40 ounces of water a day cut their risk for heart attacks by 54% for men and 41% for women.








How Much Water is Enough?

The old advice to drink at least eight 8-ounce glasses of water a day is just that — a good starting point but outdated because it was never really accurate.


According to the Cleveland Clinic, there isn’t a one-size-fits-all recommendation for daily water intake. How much you need depends on:

How much you weigh (a larger person needs more water)
Your activity level
Your metabolism
Your geographic location (people who live in hot, dry climates need more water)
The weather
Your diet (how much water are you getting from the foods you eat?)
Your health (fever, vomiting, diarrhea and some medications and conditions can increase your water needs)


The Mayo Clinic suggests that if you drink enough water so that you’re rarely thirsty and your urine is colorless or light yellow, you’re probably doing fine. If you’re always thirsty and your urine is dark yellow with a strong odor, you need to get chugging. If you just don’t like water, try getting it in soups, smoothies and high-water content fruits and vegetables."




Source: Google Images






According to Dr. Mercola,

"Dehydration happens when you’ve lost too much water in your body without replacing it, which prevents your body to perform its normal functions

Infants and children are especially prone to dehydration since their bodies are composed of 70 percent and 65 percent water, respectively

Beverage companies claim that sports drink will help replenish the electrolytes in your body during exercise or outdoor activities, but the truth is the ingredients of your favorite sports drinks will not hydrate and benefit you, and may even be detrimental to your health

When you nourish your body with structured water, you are restoring your body to a balanced and whole state
By Dr. Mercola

Dehydration is not a simple health issue. Anyone can run out of liquids in their body due to various reasons, so it is important that you always hydrate yourself with water. Read on to learn more about symptoms of dehydration and how to prevent it.

What Is Dehydration?
Water makes up at least two-thirds of the human body. It plays a large part in your normal functions, such as lubricating your joints and eyes, keeping your skin healthy by eliminating toxins, and facilitating proper digestion. Once the water in your body is reduced, it needs to be replaced because an imbalance between the salts and sugar in your body can affect the way you will perform.1

If your body has lost one to two percent of its entire water content, you will feel thirsty, a sign that you need to replenish the lost liquids.

Dehydration happens when you've lost too much water in your body without replacing it, preventing your body to perform its normal functions. Mild dehydration can easily be treated but if it reaches extreme levels, it can be life-threatening and will require immediate medical attention.





Signs and Symptoms of Dehydration

Aside from the common symptoms like intense thirst or sweating too much, here are some of the mild and severe symptoms of dehydration:2

Mild to Moderate Dehydration
Severe Dehydration
Dry, sticky mouth Extreme thirst
Sleepiness or tiredness Irritability and confusion
Dry skin Sunken eyes
Headache Dry skin that doesn't bounce back when you pinch it
Constipation Low blood pressure
Dizziness or lightheadedness Rapid heartbeat
Few or no tears when crying Rapid breathing
Minimal urine No tears when crying
Dry, cool skin3 Fever
Muscle cramps Little or no urination, and any urine color that is darker than usual




Source: On Images and Google Images




In serious cases, delirium or unconsciousness.

Infants are more vulnerable to dehydration, that's why immediate attention must be given to them especially if you see these symptoms:

Sunken soft spot (fontanelle) on their head
Few or no tears when they cry
Dry mouth
Few wet diapers
Drowsiness
Fast breathing
Chronic dehydration may affect your organs and lead to kidney stones, cholesterol problems, constipation, and liver, joint, and muscle damage.

Whether it is mild, moderate, or severe dehydration, the lost liquids in your body must be immediately replaced. If you start to develop severe diarrhea with or without vomiting, fever, moderate diarrhea for 24 hours, bloody stool, or you can't drink any liquids, you must get professional treatment as soon as possible.




Source: On Image




What Causes Dehydration?

There are various reasons for dehydration like intense physical activity, which makes you lose so much water – fat and calories are counted as well – so proper hydration is necessary. Other causes of dehydration include:


Diarrhea. It prevents your intestinal tract from absorbing water from the foods that you eat, which makes it the most common cause of dehydration.
Vomiting. Common causes include foodborne illnesses, nausea, and alcohol poisoning.
Sweating. Vigorous sweating may happen due to various reasons like fever and engaging in intense physical activity. Profuse sweating can also occur when you are working in a hot condition.5
Diabetes. Aside from having high blood sugar levels, some medications for diabetes like diuretics may cause diabetics to frequently urinate.
Frequent urination. It can be cause by alcohol and certain drugs like antihistamines, blood pressure medications, and antipsychotics.





Source: HERE





Who Is at Risk of Dehydration?

While everyone is prone to dehydration, there are people who are at a high risk for it like those who engage in mountain climbing. It is especially hard for hikers to stay hydrated because the pressure in high altitude places makes them lose more sweat and breathe harder. The increased gas exchange causes your body to lose more water vapor.6

Athletes, particularly those who are involved in marathons, triathlons, and cycling tournaments, are also predisposed to dehydration. The longer they exercise, the more they lose water in their bodies.

One study even revealed that dehydration can affect basketball players' performance. The study focused on 17 males ranging from 17-28 years old, and determined their performance based on different dehydration levels of up to 4 percent. The result showed that when there's an increase in dehydration, skill performance decreases.

Infants and children are especially prone to dehydration since their bodies are composed of 70 percent and 65 percent water, respectively. Since their bodies are more vulnerable to water depletion, their need for water is greater than adults.

Elderly people are also at risk for dehydration since the thirst mechanism weakens as a person grows older. According to BBC News,8 research revealed that one in five seniors is not getting enough water every day, as aging causes people to lose their sense of thirst mainly because of minimal social contact or forgetfulness. Those with dementia were found to have a six-fold increased risk for dehydration.

Ill-stricken people, like those who are inflicted with kidney disease, diabetes, cystic fibrosis, and adrenal gland disorders, are also more prone to dehydration. Alcoholics may also be susceptible to this condition.





Source: HERE






How to Prevent Dehydration

Since dehydration can be a life-threatening condition, it is important that you replenish your body with water immediately after you've lost so much. Water plays such an immense role in your bodily functions, making it an essential part of your everyday life.

Always bring a bottle of water with you during exercise or any physical activity, especially when the temperature's too hot. One good rule of thumb to prevent dehydration is to drink as much water until your urine turns light yellow. Dark urine means that your kidney is retaining liquids in order for your body to perform its normal functions.

It is especially important to pay attention to people who are sick with fever, vomiting, or diarrhea, so they may not become dehydrated. They should be given lots of water to replace the liquids that they've lost.




Source: HERE





Drinking Sports Drinks Will Not Keep You Hydrated

Sports drink is one of the highly commercialized beverages today – from its TV advertisements to its popular athlete endorsers – as mainstream media makes it look like drinking it will keep you healthy and well-hydrated. Beverage companies advertise that sports drink will help replenish the electrolytes in your body during exercise or outdoor activities, but the truth is the ingredients of your favorite sports drinks will not hydrate and benefit you, and may even be detrimental to your health.

A typical sports drink contains high-fructose corn syrup (HFCS) and artificial sweeteners. It has two-thirds of the sugar content of soda, and is 30 times more erosive to your teeth than water. High-fructose corn syrup could cause negative health impacts like preventing the natural production of your body's human growth hormone (HGH). It also contributes to almost all chronic diseases like diabetes, cancer, and heart disease.





Source: HERE





Aside from sports drinks, there are also other sweetened beverages that you don't benefit much from, like sodas. These are also equally unhealthy for your health, as just a 20-ounce bottle of cola gives you 16 teaspoons of sugar through high-fructose corn syrup. Diet soda makes no difference either because a study revealed that diet soda drinkers have a 70 percent increase in waist size than those non-diet soda drinkers in a 10-year period.9

Commercial fruit juices are another sweetened drink that you must avoid because they do not have any hydrating properties and are actually loaded with sugar. For example, Minute Maid's 15.2 ounce bottle actually contains 49 grams of sugar.

What's more, most processed fruit juices are made with little resemblance of what an actual fresh fruit juice would be. Commercial fruit juices are pasteurized and their oxygen is removed to preserve them for a long time, making the juices less nutrient-dense. Store-bought fruit juices with an expiration date of 60 days or more is a sign that it is heavily processed, so I encourage you to boycott these kinds of beverages.




Source:HERE






Choose to Drink Living Water

I advise you to avoid drinking tap water at all costs as it contains fluoride, heavy metals, and disinfection byproducts that may have ill effects on your health. Install a water filter in your home to ensure that these harmful contaminants are strained.

If you want the best water for you and your family, I suggest drinking structured or "living" water, such as deep spring water. According to Dr. Gerald Pollack, one of the world's leading research scientists about the physics of water, structured water or EZ "exclusion zone" water is the same type of water found in your cells. It has a negative charge, and works just like a battery by holding and delivering energy.

Since distilled water is too acidic and alkaline water is too alkaline, only structured water contains the ideal PH range of 6.5 to 7.5. That's why I truly want you to nourish your body with structured water, as it can restore your body to a balanced and whole state.

I personally drink vortexed water since I became a fan of Viktor Schauberger, who did so much work about vortexing hundred years ago. By creating a vortex in your glass of water, you are putting much energy in it and increasing EZ as well.

Ideal EZ water can be found in glacial melt but since it is practically inaccessible for almost everyone, natural deep spring water is a good source. Just bring glass jugs and avoid plastic bottles since they contain bisphenol A, bisphenol B, and phthalates, which are harmful to your health.





Source: HERE





Other Natural Thirst-Quenchers for Preventing Dehydration

If you want to drink something flavorful than water, you can opt for raw, organic green juice made from fresh vegetables. However, I recommend refraining from drinking juice with too many fruits as it will have high amounts of sugar and calories. Go for a green juice recipe that combines one or two fruits and larger amounts of greens like spinach, celery, or kale. That way, you can minimize your sugar intake and still get all the nutrients from the fruits and vegetables in their purest forms.

I advise keeping your fructose consumption below 25 grams per day. If you have type 2 diabetes, insulin resistance, or heart disease, it is wise if you will minimize your total fructose to 15 grams daily.

Coconut water also serves as a great replacement for commercially sold sports drinks. It provides optimal health benefits due to its anti-inflammatory, amino acids, and antioxidants. A word of caution: coconut water also contains sugar, so you should drink it in moderation. Drink it preferably after a cardio workout, when you need to replace minerals and fluids.

The Key to Avoiding Dehydration: Listen to Your Body
No one can determine if you have dehydration better than yourself. If you feel that you are already thirsty or sweating profusely, you have to replenish your body with water immediately. Do not wait for severe symptoms to show before you take action, since this can be life threatening.

Everyone is practically at risk for dehydration, even without any physical activity, so it is important to always keep a bottle of filtered water to always keep you hydrated. Remember that a healthy person urinates seven to eight times each day, so if you're not urinating frequently it means that you're not drinking enough water.

Remember to always listen to your body. Once you feel that urge to drink, opt for structured or filtered water rather than artificially sweetened beverages, which can have dire effects on your health. Nothing feels more refreshing than cold water to replace the liquids that you've lost."




Source: HERE




According to The Stomach Flu Edition, here is a recipe on how to make homemade Pedialyte and foods that have hydration:


Source: HERE


Source:HERE




Until I was doing research on this, I had no idea that dehydration could cause back pain,





According to Science Alert,

"Here's What Happens to Your Body When You're Dehydrated
TOBY MüNDEL, THE CONVERSATION
5 FEB 2016

This article was written by Toby Mündel from Massey University, and was originally published by The Conversation.

Water is essential for human life. It accounts for for 50-70 percent of our body weight and is crucial for most bodily functions. Any deficit in normal body water – through dehydration, sickness, exercise or heat stress – can make us feel rotten. First we feel thirsty and fatigued, and may develop a mild headache. This eventually gives way to grumpiness, and mental and physical decline.

We continually lose water via our breath, urine, faeces and skin. Most healthy people regulate their body’s water level remarkably well via eating and drinking, and are guided by appetite and thirst. But this is more difficult for infants, the sick, the elderly, athletes, and those with strenuous physical occupations, especially in the heat.
What happens when you dehydrate?

By the time you feel thirsty your body is already dehydrated; our thirst mechanism lags behind our actual level of hydration.

Research shows that as little as 1 percent dehydration negatively affects your mood, attention, memory and motor coordination. Data in humans is lacking and contradictory, but it appears that brain tissue fluid decreases with dehydration, thus reducing brain volume and temporarily affecting cell function.

As you 'lose' body water without replacing it, your blood becomes more concentrated and, at a point, this triggers your kidneys to retain water. The result: you urinate less.

The thicker and more concentrated your blood becomes, the harder it is for your cardiovascular system to compensate by increasing heart rate to maintain blood pressure. When your dehydrated body is 'pushed' – such as when exercising or faced with heat stress – the risk of exhaustion or collapse increases. This can cause you to faint, for instance, when you stand up too quickly.

Less water also hampers the body’s attempts at regulating temperature, which can cause hyperthermia (a body temperature greatly above normal). At a cellular level, 'shrinkage' occurs as water is effectively borrowed to maintain other stores, such as the blood. The brain senses this and triggers an increased sensation of thirst.




How much should I drink?

Normal water needs range drastically due to a number of factors, such as body composition, metabolism, diet, climate and clothing.

Surprisingly, the first official recommendation about water intake was made as recently as 2004. According to the Institute of Medicine, the adequate water intake for adult men and women is 3.7 and 2.7 litres per day, respectively.

Around 80 percent of total daily water should be obtained from any beverage (including water, caffeinated drinks and alcohol!) and the remaining 20 percent from food.

But of course, this is just a rough guide. Here’s how to monitor your own hydration:

Track your body weight and stay within 1 percent of your normal baseline. You can work out your baseline by averaging your weight (just out of bed, before breakfast) on three consecutive mornings.

Monitor your urine. You should be urinating regularly (more than three to four times per day) and it should be a pale straw or light yellow colour without strong odour. If less frequent, darker colour or too pungent, then drink more fluids.

Be conscious about drinking enough fluids. Your fluid consumption should prevent the perception of thirst.

Toby Mündel, Senior Lecturer, School of Sport and Exercise, Massey University."




Source:HERE





According to The Encyclopedia Britannica,

"The symptoms of dehydration depend in part on the cause and in part on whether there is associated salt deprivation as well. When loss of water is disproportionately greater than loss of electrolytes (salt), the osmotic pressure of the extracellular fluids becomes higher than in the cells. Since water passes from a region of lower to a region of higher osmotic pressure, water flows out of the cells into the extracellular fluid, tending to lower its osmotic pressure and increase its volume toward normal. As a result of the flow of water out of the cells, they become dehydrated. This results in the thirst that always accompanies “pure” water depletion.

In those diseases in which there is loss of salt in excess of water loss, the decreased concentration of sodium in the extracellular fluid and in the blood serum results in decreased osmotic pressure, and water therefore enters the cells to equalize the osmotic pressure. Thus there is extracellular dehydration and intercellular hydration—and no thirst.

Water deprivation produces distinctive symptoms in humans. Weight loss, amounting to two to three pounds per day, occurs. Thirst is the most prominent symptom, with the dryness of mouth, decreased production of saliva, and impaired swallowing that accompany it. It is probable that thirst is the result of this subsequent intracellular dehydration and increased intracellular osmotic pressure. Experimentally, thirst can be produced when the cells have lost about 1 percent of their intracellular water.

As dehydration progresses, the tissues tend to shrink, the skin becomes dry and wrinkled, and the eyes become sunken and the eyeballs soft. Fever develops, possibly from mild to marked, as dehydration progresses. Dehydration itself probably affects the temperature regulatory centres in the brain. As dehydration and salt loss progress, however, the plasma volume and heart output decrease, with a consequent decrease in blood supply to the skin. Sweating decreases and may stop completely, and the main avenue for heat loss is closed. The body temperature may then rise precipitously.

There are marked changes in the volume of the extracellular and intracellular fluids, but the blood plasma volume changes the last and the least. The plasma volume is maintained more or less constant at the expense of the tissue fluids. If, however, the plasma volume does fall, the output of the heart also falls, and the pulse rate climbs, all of which indicates a dangerous physical state.

The renal (kidney) changes that occur in humans during prolonged water depletion similarly tend to maintain a normal balance. If water deprivation continues and the plasma volume falls, however, the output of urine will be drastically reduced. As long as urine output of more than 30 millilitres (1 ounce) per hour is maintained, the kidney can excrete nitrogenous and nonnitrogenous solids with maximum efficiency. Once the urine flow is decreased below this level, the kidney is unable to function efficiently, the substances are retained in the body, and their concentration in the blood rises.

The final result of prolonged dehydration is now apparent. The normal distribution of salt and water in the body is destroyed, the plasma volume decreases, and the blood viscosity increases. As a result of these changes renal function is impaired, the urinary output falls, and waste products accumulate. Far more life-threatening, however, is decreased loss of moisture from the skin, with the subsequent rise in temperature, and the fall in cardiac output with the attendant irreversible shock.

Once renal failure occurs, about 8 percent of the total body water has been lost (4 litres [about 4.25 quarts]). When 5 to 10 litres (about 5.25 to 10.5 quarts) of body water have been lost, a person is acutely and severely ill, with contracted plasma volume, increased concentration and viscosity of the blood, renal failure and excessive urea in the blood, and falling blood pressure. In a previously healthy adult, death follows the loss of 12 to 15 litres (about 12.5 to 15.8 quarts) of body water. In the very young, the very old, or the debilitated, death occurs at a lower level of dehydration."





Sources: On Images




For any doctors and/or medical health professionals, I have a business card:

Wednesday, May 16, 2018

Invisible Emergencies Series, Part One - The Personal Story Perspective

I have been sent a lot of different stories by people with invisible/chronic illnesses and Gastroparesis. I wanted to share all of these stories with you because I am not the only one who has problems going to the Emergency Room. I am not the only one who fears going to the Emergency Room. I am terrified of going, scared how I will be treated which you should NOT have to worry about when you feel sick enough that the Emergency Room becomes an option. However, I'll share some of my Emergency Room experiences as well.

I won't go now unless my husband forces me to. I had a really bad fall, almost two weeks ago now, where I ripped my battery of my Spinal Cord Stimulator, which I have done before. Instead of the battery lying flat, it's protruding out at about a 45 degree angle. In January, I went to the ER because my husband watched me do a backflip off of my bed, when I was asleep, and hit my head really hard on the nightstand. I blacked out and do not remember anything. He took me to the Emergency Room, where he said I was slurring my words trying to tell the doctor what happened. He said the doctor was about to write me off as a drug seeker until my husband told him what happened. They did a cat scan, and they probably should have help me for observation that night because I didn't remember ANY of this, but they sent me home with a medication for headaches. What if I had had a sub-dermal hematoma or something that was caused later that night? I am always treated as a drug seeker.

Then, I went to the Emergency Room last year because I was vomiting up blood. I could not stop vomiting to keep my pills down to get a grasp on it. I was dehydrated in a bad way. The Emergency Room doctor treated me like I was only there for drugs, despite me vomiting while he was in the room, and despite me vomiting up blood. He would not even look into it because he had already written me off as a drug addict and a drug seeker. I think I received one bag of fluid and was sent home. I wanted to tell him - you TRY projectile vomiting all day, pulling muscles, aggravating your esophagus enough to make it bleed, and see if you don't hurt.

It really bothers me that doctors in the Emergency Room do not treat us as people, even though we have true emergencies like dehydration. That can lead to organ failure. I know that they do encounter a lot of drug addicts and I understand, but if you have a patient in front of you who is actively vomiting blood, that is an emergency that is not fake. That is something that should be taken seriously. Trust me, if I could have waited for my regular doctor, I would have, but he probably would have sent me to the Emergency Room, too.





Source: www.flickr.com





This is a wonderful article by Caitlyn Kalustian from The Mighty that describes why people with invisible/chronic illnesses fear the Emergency Room:


"Why People With Invisible Illnesses Fear the Emergency Room

As unpredictable as my illnesses can be, there is one pattern I consistently follow. It repeats about every three months.

The first thing I notice is a sharp uptick in my pain levels. My joints hurt more. I ache to my very core. My neck has sharp, shooting pains. The fibromyalgia flare is here. The fibro kicks the Ehlers-Danlos syndrome pain into high gear.

Then there’s that little tingle. It starts at the top of my jaw and creeps its way down my left cheekbone. I know I’m in trouble then.

Soon the hemiplegic migraine hits. As someone with classic, chronic and hemiplegic migraines, along with migraine with aura, I have experienced all that a migraine can throw at me. By far, the hemiplegic ones are the worst. I get the 'stroke' face, where my left eye and smile droop. I start to lose control over my muscles and have weakness in my limbs. I can’t think for the life of me, I can’t concentrate and I can’t form coherent sentences or spell or speak.

Once the hemiplegic migraine beast rears its head, there’s no turning back. If I’m lucky, I’ll wake up tomorrow and it will be gone. Usually, I’m not lucky, though.

Every three months (or sometimes only one or two), I end up with a hemiplegic migraine that goes on for days and days. I’m stuck in the dark (both literally and metaphorically). Sounds and light are overwhelming. Out comes the walker, which I usually stubbornly refuse to use until I absolutely have to.

By day three, I’m headed to the ER. Of course, the migraine doesn’t break with their cocktail, so they admit me. I spend the next two to four days in the hospital, waiting for my migraine to break.

It happens every three months like clockwork. Within my circle, we call it the trifecta. It’s always a combination of Botox wearing off, hormones and one other variable. This time it’s the weather. All of the storms have sent me spiraling.

Sooner or later, my stomach will stop digesting food. It’s not like I’m hungry right now, but food can be important to living (or something like that). Today I haven’t even managed to finish a protein shake.

As my pain gets higher, my dysautonomia kicks in. I can’t regulate my temperature, my blood pressure or my heart rate. My breathing becomes labored, and my heart rate skyrockets as they try and regulate my pain.

Sometimes I don’t wait the 72 hours. Sometimes I can’t.

If you are someone with chronic illness or a rare disease, you know how difficult the hospital can be. The emergency room can treat you like a drug seeker. They can minimize your pain and may even call for a psych evaluation.

I’ve been in the ER so often over the last two and a half years that I’ve gotten to know some of the staff and most of the doctors.

I’m lucky I have doctors who treat my migraines seriously. I’m lucky I have a team of university doctors who swoop in over the local hospital staff and call rank. I always receive excellent medical care, and so I’ve never had a problem going to the ER when I’m like this. I usually hold out as long as I can. Last time I made it two and a half weeks. This time I don’t know if I will make it through tonight.

I’m hoping I wake up better tomorrow. I’m hoping that this isn’t the start of another down season. But I do have that trifecta going on, so the odds are not in my favor.

No one likes having to go the emergency room, especially spoonies. But when the time comes, and it’s different for all of us, I go. I go because I know I will feel better afterward. I go because I can’t deal with the pain anymore.

So many spoonies fear the emergency room because they’re afraid of how they will be treated, so they choose to stay at home — sometimes in agonizing pain. Maybe they’ve already tried going to their local ER several times and always had bad experiences. For those of you out there that this applies to — I’m sorry.

Just because we have invisible illnesses doesn’t make us fakers, liars, drug seekers or psych cases. I see you, my fellow spoonies, and I see that your pain is real. I see that your illness is real. I see that you have searched for help and are being turned away at every door you knock on.

It seems to me that the medical community is lacking in their knowledge of rare and invisible diseases. They seem to lack bedside manner for the chronically ill. ER docs are quick and dirty. Get them in and get them out. They want horses, but we’re zebra unicorns. They don’t want to hear about our medical history or what’s going on. They want to know what hurts, how long it’s been hurting and “What brings you in today?”

Zebra unicorns aren’t that simple. They don’t want to spend the time to get to know our histories and us. They just want to fix us and send us on our way.

But what if we aren’t a quick fix? What if it’s not a cast on a broken arm or an emergency appendectomy?

The best advice I have for you is to be your own advocate. If someone is treating you unfairly in the hospital, ask to speak to the charge nurse or the patient advocate. Demand quality medical care. Everyone has a right to it, and if you’re having issues with the staff, there are specific people at the hospital just to help resolve conflicts.

The best thing that has happened to me is centralized care — all of my records are in one place. Before I got into centralized care, I was lugging around all of my medical information with me. By this point, I retain it all in my brain and can repeat it back like a worn-out cassette. With centralized care, though, all of your records are in one chart where all of the doctors at that facility can look at them.

I know the struggle. I know how hard it is. I know that we never, ever want to go to the emergency room.

But sometimes we have to, and we should be treated with dignity and respect when we do. I like to take someone with me who can advocate for me, like my partner or my mom.

Each of us has different thresholds for what we can tolerate and what sends us over the edge. But fear keeps us from getting the necessary medical care we need when we are over the edge. With so many bad experiences out there, how could we not be afraid?

So to you, my fellow warriors, I say this: Be your own advocate. Respectfully ensure that your rights are not infringed upon. Try to stay calm because getting emotional only makes it worse.

And to the medical community, I say this: Nine times out of 10 it is a horse. But there are those of us, the one in 10, that float through the clouds as zebra unicorns. Broaden the lens that you look at your patients with and don’t dismiss the chronically ill’s attempts to see help. It took a lot of courage for that spoonie to go to the hospital today. It wasn’t their first choice. They waited it out as long as they could, took every medication in their arsenal and are now here, in your emergency room, because nothing has helped. See us for who we are — striped, colorful and beautiful."






Source: www.flickr.com






Another person put down everything I was feeling. I believe it was a family member since it was posted under her account.

For more information, please visit our Grief Group For GP Warriors.

"My good friend Kerri passed away day before yesterday. She was only 40 years old. She used study Human Development and Family Studies at Colorado State University, with degrees for the Deaf and Blind to help them. I feel like I've lost too many friends over the year."


This is going to be long but a mutual friend wrote this and I thought it summed up how I feel:

"She didn't have to die yet, the state of medical care in this country killed her. Kerri and I originally met on a service dog forum many years ago. She was an amazingly talented person as well as selfless and with a childlike innocence and sincerity. She trained her own seeing eye dog! Those in the SD community understand how difficult and special that is. When she needed more mobility assistance she was unable to get another guide from an organization.

Kerri's medical care was complex due to the multiple disorders she had and especially by her blindness. She was dependent upon a form of IV nutrition called tpn to live and many IV medications. Being blind obviously complicated this and she relied on a home health nurse to come daily and set things up for her to be able to use safely and continue to live independently. She struggled with frequent hospitalizations due to life threatening infections. At her last one it was determined she was no longer able to live at home alone. She would need to find a skilled nursing home to be discharged from the hospital. That discharge never happened, after being turned away from 51 different skilled nursing homes. They refused to take her in due to her tpn requirements. Insurance didn't allow for any further assistance in her home than she was already receiving. Kerri had many friends both online and in her assisted living apartment complex. She continued to work from home for jamberry until not too long ago. In her younger years she was a competitive ice skater despite the blindness. Had also recently been correctly dx with conditions that explained symptoms and complications she'd experienced for MANY years and started treatment. (it takes way too long to receive correct dx). Now we will never know how much function she could have gained back. Especially improvement of the immune system to prevent the frequent life threatening infections.

Due to the inability to find medical care in the form of a safe place to live, she made the only choice she had which was to die. It didn't have to be this way. She decided upon the next infection she would not treat it. That was taking too long, and she began to discontinue treatments that sustain life such as the tpn and iv hydration (she was completely unable to use her gastrointestinal tract.) She has now passed on.

We need to improve the medical options available for complex patients. We need to improve insurance so people can receive the care they need. We need to stop the incentives for Dr's to refuse care (for fear of litigation and punishment from the government. Today in medicine it's safer for Dr's to walk away from complex patients than open themselves up to the risk, something I've experienced myself as well.) We need to incentivise medical professionals to provide the best treatment they're able.

We need to improve. We need to change. We need to save the Kerri's of the world, allow them to live as long as possible to contribute to the world. No one should die simply because people weren't willing to TRY. She didn't die because her condition got worse. Not because there were no treatments available. She didn't die waiting for a medical breakthrough. (though one that could have cured some of her conditions instead of maintaining them is a future goal!) She died simply because no one was willing to provide what she needed and was available. She had so much more to give the world. She is survived by family- including her amazing Labrador guide and mobility assistance service dog Sophie as well as her daschund Mandy."

This was a needless death. It makes me angry I lost one of my good friends because she kept getting refused medical care."


I also was sent this video on Facebook and it had me in tears. I know that the VA medical center also treats the people who have fought for our country very poorly, but that does not even begin to sum it up. This video broke my heart:

http://www.facebook.com/100008583374827/videos/1543816222581142/




I have had so many stories told and shared with me about people who have gone to the Emergency Room with an invisible/chronic illness. They are usually treated like drug addicts, are not taken seriously, and they have to bring someone with them to fight for medical care because they are too sick to fight with the doctors and nurses themselves. No one should have to fight with doctors and nurses. I know that Emergency Rooms are there for triage, and to handle really serious cases. I would like to point out that dehydration IS a serious case.


According to the Mayo Clinic,

"Dehydration occurs when you use or lose more fluid than you take in, and your body doesn't have enough water and other fluids to carry out its normal functions. If you don't replace lost fluids, you will get dehydrated.

Anyone may become dehydrated, but the condition is especially dangerous for young children and older adults.

The most common cause of dehydration in young children is severe diarrhea and vomiting. Older adults naturally have a lower volume of water in their bodies, and may have conditions or take medications that increase the risk of dehydration.

This means that even minor illnesses, such as infections affecting the lungs or bladder, can result in dehydration in older adults.

Dehydration also can occur in any age group if you don't drink enough water during hot weather — especially if you are exercising vigorously.

You can usually reverse mild to moderate dehydration by drinking more fluids, but severe dehydration needs immediate medical treatment.

...Anyone can become dehydrated, but certain people are at greater risk:

People with chronic illnesses. Having uncontrolled or untreated diabetes puts you at high risk of dehydration. Kidney disease also increases your risk, as do medications that increase urination. Even having a cold or sore throat makes you more susceptible to dehydration because you're less likely to feel like eating or drinking when you're sick.



Source: www.flickr.com



Dehydration can lead to serious complications, including:

Heat injury. If you don't drink enough fluids when you're exercising vigorously and perspiring heavily, you may end up with a heat injury, ranging in severity from mild heat cramps to heat exhaustion or potentially life-threatening heatstroke.
Urinary and kidney problems. Prolonged or repeated bouts of dehydration can cause urinary tract infections, kidney stones and even kidney failure.

Seizures. Electrolytes — such as potassium and sodium — help carry electrical signals from cell to cell. If your electrolytes are out of balance, the normal electrical messages can become mixed up, which can lead to involuntary muscle contractions and sometimes to a loss of consciousness.

Low blood volume shock (hypovolemic shock). This is one of the most serious, and sometimes life-threatening, complications of dehydration. It occurs when low blood volume causes a drop in blood pressure and a drop in the amount of oxygen in your body.




Source: www.Flickr.com





People may need to take in more fluids if they are experiencing conditions such as:

Vomiting or diarrhea. If your child is vomiting or has diarrhea, start giving extra water or an oral rehydration solution at the first signs of illness. Don't wait until dehydration occurs.

Strenuous exercise. In general, it's best to start hydrating the day before strenuous exercise. Producing lots of clear, dilute urine is a good indication that you're well-hydrated. During the activity, replenish fluids at regular intervals and continue drinking water or other fluids after you're finished.

Hot or cold weather. You need to drink additional water in hot or humid weather to help lower your body temperature and to replace what you lose through sweating. You may also need extra water in cold weather to combat moisture loss from dry air, particularly at higher altitudes.

Illness. Older adults most commonly become dehydrated during minor illnesses — such as influenza, bronchitis or bladder infections. Make sure to drink extra fluids when you're not feeling well."



Source: www.Flickr.com


If you have a story you would like to share or tell, and I can change the names if you want me to to protect your privacy, please email me at emilysstomach[at]gmail.com. I would like to continue this series for people who have an invisible illness, because we're just losing too many people.


Source: Made by my friend, Melissa M.


Here are some more articles that might help:

GASTROPARESIS PATIENTS VS DRUG SEEKERS.

GASTROPARESIS AND EATING DISORDERS.

INFORMATION ABOUT THE VAGUS NERVE.

GASTROPARESIS AND EATING DISORDERS PART DEUX.

Monday, February 17, 2014

How to Pass Time in a Hospital

So, I have been thinking about this a lot lately, how do people spend their time during long hospital stays? I was hospitalized last year for eight days straight and I thought I was going to go crazy. I probably would have without my laptop!

Therefore, I am going to help you come up with ideas to pass time in a hospital. If you have more suggestions than I was able to think of, please comment and post them so that I can update this list. I want to make sure our members have suggestions. Also, if you can think of things to do in a pediatric hospital, let me know. But, for now, this is the list for the adults who are hospitalized.




According to Carepages, LINK HERE: http://cms.carepages.com/CarePages/en/ArticlesTips/HelpfulTips/BetterYou/pass_the_time.html

"Staying busy can be strong medicine for someone facing a long or extended hospital stay. Here are some ideas to keep boredom at bay. Use them for yourself or suggest them to someone in need. These tips also work well for someone recovering at home.

Take an online class. Have you ever wanted to learn how to scrapbook or speak fluent Italian? Now’s your chance. The Internet has plenty of online resources. Here are a couple to get you started:

Learn to play an instrument. The therapeutic effects of music have long been established. Depending on your mobility and situation, strumming a guitar or even simply picking up a harmonica can both soothe and distract [side note: this may not be the best thing to do at a hospital around a lot of sick people trying to rest]

Play board games or cards. A heated game of good old-fashioned Monopoly or Scrabble can take everyone’s mind off things for a few hours. And a deck of cards can be enjoyed together or solo (hellooooo, Solitaire).

Start a website journal. CarePages.com (that’s us) makes it easy to create a free website to share your journey, post photos and stay in touch with everyone. Create a website in minutes. [I use www.blogger.com]

Write letters. There’s nothing quite like getting a hand-written letter in the mail. While email and texting are instant, the flavor and fragrance of a real letter can be priceless (not to mention the anticipation of letter opening). Now that you’ve got some time, why not put pen to paper? Don’t forget to say “write back.”

Load up on brain food. Sudoku and crossword puzzles can be found everywhere these days. And studies show brain exercisers can sharpen mental acuity and even ward off age-related illnesses such as Alzheimer’s.

Watch movies. If hospital cable doesn’t tantalize you, create your own entertainment by downloading and watching movies on a laptop or iPod. Portable DVD players do the trick, as well.

Decorate your hospital room. Many hospitals have “Art-Cart” programs that provide a rotating art collection from which patients can choose for their rooms. Inquire at your facility or help get a new program started. [I have done this during Easter and my nurses loved it]"



Here are the thoughts that I've gotten from members or thought of myself, without reading this list. I apologize for duplicates:

1. Make friends with other patients
2. Make phone calls and talk to friends
3. Play around on the Internet
4. Read the news
5. Read books
6. Do a crossword puzzle
7. Play board games
8. Play card games (like solitaire)
9. Play video games on your laptop
10. Have friends and family visit for a distraction
11. Bring your own clothes from home to change into because gowns are awful
12. Play games on an IPAD
13. Read your Kindle/Nook/etc
14. Walk around the hospital and get some exercise
15. Watch TV (but it always seems like nothing is ever on)
16. Connect with friends through Facebook/Social Media
17. Text your friends
18. Sleep through your hospital visit
19. Watch Netflix
20. Watch movies on Laptop
21. Decorate your hospital room
22. Listen to Music (with headphones, of course)
23. Make your own Youtube videos about your illness
24. Make and write your own blog about your experience in the hospital for others
25. Write reviews for the hospital nurses, doctors, and staff online
26. Talk to the x-ray tech and ask what’s the weirdest thing they’ve ever seen
27. Write stories, long or short
28. Write poetry
29. Play video games on your Nintendo 3DS
30. Skype with loved ones who can’t see you at the hospital
31. Complete a puzzle
32. Learn to knit



If you can think of anything I might have missed, please comment with a suggestion. I hope this will give you enough ideas to stay busy the next time you are hospitalized. I know that I will be loading up a to go bag!