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Category: My Life with Mayo Clinic

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It’s that time of year…


…when the world falls in love.

Oh, wait.  That’s not where I meant to go with that.

my sweet restrung Christmas evergreen

It’s that time of year when I celebrate the birth of Jesus Christ, decorate with evergreens and lights, consume delicious treats, (travel to) visit with family, and prepare for a trip to Mayo Clinic.

You know… ’cause it’s December.

And that’s how we do.

I pray this little blurb finds you healthy and happy and enjoying the holiday season.  Thank you for your love and support.

 

Details to come.

Mayo Clinic 2011, Day 6


Written Thursday, January 20, 2011.

Today was the big day…

My Ninth & Tenth Appointments

January 20, 2011 @ 10:00 am & 10:30 am

Mayo Clinic Hospital 1st Floor 1 West

Radiology MR

Rad MR Brain & Rad MR Venogram Head

Before my 2009 MRI, a twitter friend suggested I wear my coziest, warmest, metal-free clothes to the MRI.  She sure knew what she was talking about.  Today I wanted to do the same, so I planned every detail of my outfit to work with the MRI… except the pants.  The only cozy pants I brought on the trip have zippers at the feet and would have to be removed during the MRI.

Not good.

So, my mother-in-law and I left Mesa early enough to stop by Walmart so I could buy a pair of yoga pants to wear.  The rest of the drive was a breeze, and we arrived early enough to allow me time to change in the hospital lobby’s handicap restroom, and make our way across the lobby to the waiting room with time to spare.

The room was packed.  Like a coin-operated washer in college housing.  Way. Too. Full.  And, as I walked to the check in desk I decided I rather wait in the lobby than endure that sort of unnecessary closeness with so many complete strangers.  But, after checking in and being told the radiology wing was running at least 45 minutes late, I turned around to find my mother-in-law had actually found a seat for each of us, and the bulk of the patients had apparently been called to their appointment.  The room was half empty.

And there was a large fish tank in the middle of the room.  How did I miss that?

I have a fairly short attention span.  To mitigate impatience and disinterest, I typically carry a notepad with grid paper, a red felt tip pen, a book, and my iPhone.  Today these items came in especially helpful with my extended wait.  I may not be a Boy Scout, but I know it pays to be prepared.

And it pays to have a fish tank.

About fifteen minutes into our wait a pair of Mayo folks came into the waiting room, climbed a ladder, and began feeding the eels in the fish tank.  Fascinating, I tell you.  Fascinating.  They also fed the fish, but it wasn’t half as interesting as the methods they used to feed the eels (even the shy guy that liked to hide at the bottom of the tank).

Almost as soon as the fish-feeding skit duo wrapped up, a tour group approached the outside of the waiting room.  The tour guide paused, explained the sort of appointments that took places in the wing, and explained, “We call this the fishbowl room.  Can you guess why?”

Um…

I honestly believe it’s a toss up between the fish tank prominently located in the middle of the room, and the large bay of windows overlooking the lobby through which tour groups in power suits point, gawk, and loudly opine.

Oh wait, maybe I’m being a bit too facetious.

Anyway…

While my mother-in-law got pumped for our upcoming trip to my favorite place by reading the Unofficial Guide to Walt Disney World 2011, I people watched.  The waiting room seemed like a beach with waves of patients coming in and out constantly.  Three of us were there for almost 45 minutes, but everyone else was there less than fifteen.  I was impressed by the apparent efficiency of the wing.

Eventually a very tall and very young looking man came to fetch me.  He walked me down a hallway that was much longer than I imagined there was room for in the hospital, and dropped me off in a secondary waiting room.  This room was like a Motel 6 version of the dressing room I used for my x-ray last week.  It was tidy, but it felt more like a typical doctor’s office than of my previous experiences with Mayo.  A bit tired and a bit dated.

I didn’t have to wait long for another young-looking person to come call my name.  She walked be back up the hall a bit, and into what looked a bit too much like a hospital room for my comfort.  Luckly we walked around another corner, that looked more like a phlebotomist’s room than a hospital room.

At this point I was a bit confused.  I’d gone through great lengths and a dozen phone calls to remove with “w/sedation” from my MRI order, but she was talking about putting in my IV.

Wait, what?

I’ve never had an IV with an MRI before.

My genuine confusion was only increased by the poor soul awaking from anesthesia in the corner who was obviously sick to his stomach.  Gross.

The sweet girl recognized my concern and began to explain what she was doing.  Good save lady, good save.

She got me all wrapped up in a detailed conversation about where I wanted the IV.  She made me feel like a tough cookie for picking my hand over my elbow (but really I just didn’t want to have to have my sweatshirt sleeve pulled up for the entire 90 minute MRI).  She explained that, rather than pull me out of the MRI to inject contrast half way through, Mayo prefers to insert an IV and keep things going (makes sense to me).  She did her job, and she did it well.

After she wrapped up the port part of the IV, she sent me back to the secondary waiting room where I debated… “Should I look at the IV?  Will it make me light-headed?  This sucker is annoying.  I’ve never seen one before, in my own hand.  I should look.  No, there’s nothing to be gained.  Ew, look.  It’s bleeding.  Look away.”  And so on.

The MRI (technically MRI, MRI w/contrast, and MRV) went a million times better than I could have hoped.  I got to wear my slippers.  I was out in less than 45 minutes even though they scheduled me for 90.  I stayed calm (much thanks to lots of prayer by loved ones and myself), played MarioKart in my head (mostly DoubleDash), and almost fell asleep.

Actually, I think I did fall asleep but awoke when I twitched and accidently opened my eyes.  Yikes!

After my MRI, I stopped off at the handicap restroom to throw my sweats on over my too-big yoga pants then headed outside for some…

Fresh Air

My mother-in-law and I enjoyed a lovely lunch at Kona Grill and walked down the way to get some MoJo Frozen Yogurt (third time).  In true Kate form I butted into the conversation the sweet ladies enjoying their frozen yogurt at the table next to us on were having.  They were a bit off on their information about Apple products, and I just can’t let that sort of misinformation be perpetuated, so my MIL and I answered their questions.  We’re pros.  Daniel would be so proud.

Thank You

So many of you offered support, encouragement, and advice in preparation for today’s MRI.  Now that it’s over I am able to relax and realize just what a strength your confidence and concern continue to be.  I pray tomorrow brings nothing but good news and more of the peace I feel this evening.

All this talk of cozy clothes has me thinking, “We’re in my jammies.”  Which as me thinking of this sweet little girl.

Mayo Clinic 2011, Day 4 and 5


This is a strange mix of notes I jotted down on Tuesday, January 18, 2011 and Wednesday, January 19, 2011.  I’ve done my best to piece them together into a coherent post that fairly shares what it’s like to wear a blood pressure monitor for 24 hours.

Yesterday morning my mother-in-law and I made our way through morning rush hour traffic to the Mayo Clinic Specialty Building for…

My Eighth Appointment

January 18, 2011 @ 8:30 am

Mayo Clinic Specialty Building 1st Floor Check In

Hypertension BP monitor

Nephrology/Hypertension BP Monitor

As we waited in to be called back, we reread the packet I was given last week outlining the 24-hour bp monitor procedures.  It didn’t take long to realize I wore exactly the opposite of what they requested.  I wore a loose-fitting sweatshirt over a fitted, long sleeved shirt that I know works well under a blood pressure monitor… but the packet specifically prescribed a loose-fitting short sleeve shirt.

Fail.

I considered switching shirts with my mother-in-law (who wore an adorable shirt today that perfectly fit the instructions I was given), but an often-unnecessary habit I have came in handy.  I always wear a tank top under my shirt, so I decided that when the time came I’d shove my long sleeve shirt in my purse and throw the sweatshirt back on over the tank.  Although I think the gray-on-gray looks a bit weird without a black shirt in between, I can’t complain.

Well, I shouldn’t.

But I might.

Anyway, the nurse (I think) who fitted me for the cuff was friendly and patient with my apparent complete disregard for the packet I was given almost a complete week in advance.  She explained the process, took my blood pressure on both my arms, and eventually determined my left arm would be the best location for the cuff.

Pride-Fueled Side Note: Although she did not ask, somewhere toward the beginning of my appointment I told the kind lady my left arm would likely be the best place to put the cuff, as it is the only arm medical folks are ever satisfied with for blood pressure, blood drawing, and pulse-finding.  And, although I am no medical professional, I am a professional medical patient.

I’ve learned from dozens (if not not hundreds) of blood pressure readings that my right arm must be some sort of miracle… a pulse-less, blood-less appendage good only for writing, using my iPhone, and shifting my Matrix into drive.  But, what do I know.  I’m only the ONLY person who has attended everyone of my doctor’s appointments.

She went on to explain how the cuff would limit my daily activities, how the monitor attempts to get a reading every 20 minutes, and how it’d only go off once an hour during the hours I told her I would be sleeping.  She fitted the strap of the machine to a comfortable length, ran the cords through my sweatshirt, and helped me put the sweatshirt over the whole contraption.

2011011801 BP Monitor Strap

She told me to keep a detailed journal of my activities using the clock on the monitor, which is 27 minutes ahead of reality and therefore a bit confusing.  And, finally, she informed me I don’t actually have an appointment at eight freaking thirty tomorrow morning. I can return the monitor to the information desk on the first floor anytime before 10am tomorrow.

Splendid!  I think I’ll be sleeping in.

Under Pressure

After getting fitted with the bionic bicept (or so it looked with my sweatshirt pulled taught over it), my mother-in-law and I headed to Paradise Bakery.  What was I thinking?  It wasn’t good the first time, and the second time did nothing to improve my opinion.  But, I did get to experience my first awkward blood pressure reading in public.  The sweet lady behind the register asked what I wanted to eat, and I just stood there, not moving a muscle, for almost a minute.  Like I said, awkward.

The drive home complicated readings, as the car movement (per the nurses warning) confuses the monitor.  And when the monitor gets confused it tries again… and again… and again.

Note to self: Avoid riding in a car for the rest of the day.  Sit here, journal your day, and appreciate this cozy recliner.

20110118 BP Monitor Journal

So, I got to sleep an extra hour this morning, which proved an unexpectedly wonderful thing when I realized just how annoying it is to awake every hour (sometimes more often) to a blood pressure cuff tightening on your sweaty upper arm.  I think I’d choose an awkwardly long pause in the middle of a conversation over what feels like an infinitely long pause when all you want to do is sleep.

Every reading caught me off guard, startled me enough to kick in my adrenaline, and complicated the typical roll over, fall back asleep routine.Plus, there’s only so much cord and strap on this thing, so I got a bit too close to this less-than-comfy (and less-than-stylish) contraption last night.

20110118 BP Monitor

Off the Cuff

The blue, padded creature is back at Mayo.  I followed the instructions, removing the cuff at the exact time specified, folding my journal (which I had to add a page to) and tucking it into the case.  I took a quick shower, changed my clothes (Yes!), and made the drive to Mayo Clinic alone.

I have to admit, handing that gizmo to the sweet lady at the Information Desk a few minutes before 10am felt a bit like turning in a final exam back in college.  I sure hope it went well, but mostly I’m just glad it’s over.

And, on a TMI note… the 24 hours with a bulging bicep kinda reminded me of this totally unrelated post I read way back when.

My Life with Mayo Clinic (Radio): Dizziness


Daniel and I had a lovely morning.  We ate breakfast at Panera, discussed our upcoming trip to Walt Disney World, and headed to Border’s to pick up an online order (I managed to get at nearly 60% of the original price).  After our errands we did some practical bits around the house, ate leftover Chicago-style pizza, and decided it was time to chill for a bit.

So, here we are, sitting in the south-facing front room, enjoying the plentiful sunshine, and listening to the water feature melting snow pour off the house.  I’ve been catching up on the posts about my Mayo Clinic 2011 trip, so it seemed like a good time to catch up on some Mayo Clinic Radio.

Mayo Clinic Medical Edge Weekend is an hour long radio program that takes place each Saturday morning at 9 am CST.  The host, Dr. Tom Shives, is an experienced radio host and an orthopedic surgeon. He interviews specialists from Mayo Clinic with questions submitted via the website and Twitter (using #MayoRadio). They also accept a few questions via the phone, during the live broadcast.

Today, I thought it’d be fitting to listen to the June 5, 2010 broadcast on dizziness featuring Drs. Scott Eggers and Neil Shepard.  If you’ve ever struggled with dizziness, nausea, or feeling lightheaded, I strongly recommend you give this a listen.  The recording is about 45 minutes in length, and it held my (and my husband’s) attention for the duration.

A few notes…

  • I appreciate their explanation of the different things people mean when they say they’re dizzy. For me, dizzy typically means I feel like my brain is a top, spinning around within the confines of my skull. A few times the sensation has grown so severe I become ill. But, rarely, if ever, have I felt like the world is actually spinning with me as the stand-in sun.
  • My doctors believe I do not get enough blood supply or oxygen to my brain, but I’m not on medicine to lower my blood pressure.  In fact, one of my medicines was prescribed to raise my blood pressure, while the other was prescribed to lower my heart rate.  However, I pretty much fit the description of what happens when you’re taking medicine to lower your blood pressure.  (More on this issue tomorrow.)
  • I love that they explain that benign things aren’t really benign if they are debilitating.  They may not be life-ending, but they are life-chaning.  But, I’ll take life-changing over life-ending, any day.

Now I’m thinking…

  • Could any of my concussions have caused some of my current symptoms?
  • Are my symptoms the result of something viral that will eventually resolve itself?
  • Seriously?!  The Q-tip was created to clean baby belly buttons?  I never knew.  (Am I alone in being totally grossed out by belly buttons of any age, shape, or size?  Even the word makes me feel ill.)

While dizziness is a symptom I live with daily, I recognize we all have different trials.  Is there a health-related issue you’d like to learn about?  Head to their Upcoming Programs page to see if it’s on the calendar.  If not, tweet your recommendation @MayoClinic.  (Be sure to hashtag #MayoRadio.)

Do you have any Mayo-related questions?  Let me know.  Head over to the My Life with Fibro Facebook page, become a fan, and leave a comment.  I’m compiling the most frequently asked questions and will be posting the answers at the conclusion of my Mayo Clinic 2011 series.

Kate Update: Five Months since Mayo Clinic


It’s been five months since my trip to the Mayo Clinic in Arizona began.  Since my three weeks in Arizona, I’ve come to terms with the fact that I will, most likely, make a trip to Mayo Clinic at least once a year.  I’ve come to terms with the fact that I will, most likely, continue consuming seemingly excessive amounts of salt until it kills me, or I die of natural causes.  I’ve come to terms with the fact that I will, most likely, always require medication to tame my heart conditions and reduce my dizziness.

My health is, by no means, perfect… but I am nonetheless astounded by the scope of my improvement.

As part of my Mayo-prescribed treatment plan I have:

  1. increased my daily water intake to 4-7 liters of water
  2. added salt to nearly everything I’ve eaten since my visit in January
  3. incorporated cardio-centric exercise into my nearly-daily routine
  4. taken my medicine, as directed, for five months

I continue to strive to improve my adherence to Dr. General Hospital’s advice, and am currently focusing on increasing the intensity and duration of my exercise, and taking my medicine more consistently and at a standard time.

Thank you for your encouragement and support.  I am grateful for your perspective and your advice.  We’re lucky folks, to have a the ability to network and find answers with the click of the mouse or touch of the screen (Anyone else excited for WWDC and Monday’s big announcement?).

Look for future posts about my progress, and tips that help me improve my quality of life, despite having a chronic pain condition.

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