Unfortunately, depressingly, distressingly (enough adjectives?) we had quite a night on Wednesday. My vision went a little haywire at lunch, but seemed to go back to normal quickly enough. It wasn't until I got off work at 5 that I noticed a spot in my vision. Or a couple spots, I suppose. It appeared somewhat in the shape of a snow angel.
I explained it to the Mister and he thought it was a migraine without the pain. I called The Mom and she just didn't know. Then I called Cathy, my old physical therapist (who is also, luckily, a friend), who deals with neurological work. I explained to her what was going on, and that the spots appeared in only one eye. She suggested that I get it checked out, she was concerned and mentioned the optic nerve.
Obviously, I'm aware of the red flag that was waving due to the symptoms of only one eye--one half of my brain could be in danger.
So off we went to Urgent Care at 6. I was seen by a doctor who went over what I was dealing with, checked my eyes, then stepped out saying, "I'm going to make a phone call to see if you need to be seen tonight"
Well, that's certainly nothing to feel freaked out about!
We waited and waited and waited another hour before he heard back from the eye specialist on call at the ER. The eye doc thought what I had was a case of floaters, but said he'd see me anyway, at 8:30 in Belgrade.
Sooooo....off we go to Belgrade. We get there, he unlocks the office door for us, no greeting, not even a "hi", just "here's some paperwork and read this notice and sign the sheet that says you've read the notice".
I was asked questions about family history of disease, medications I take, had I ever had anything like this before, etc. The doctor that I saw was an MD, not an OD. He's an eye physician, not an ophthalmologist.
Then the torture began.
He numbed my eyes to check the pressure. He put drops in to dilate. He put other drops in for reasons I don't know. Bright lights for a long time while he looked into my eyes. When he finished the exam, I asked "So, am I imagining it? Are they floaters?" And he said, "No, there's something going on--your optic nerve is swollen and there's specks of blood in your eye." Ok, so, what does that mean? Well, he mentioned the possibility of one thing, which could be related to MS (let the screaming inside my head begin), then he mentioned something else and said he needed to look in his books to see what other possibilities it could be.
At this point, I look to the Mister with some genuine fear. When a doctor has to consult books to try to diagnose your ailment, it's not a good feeling. And my stomach just dropped when he said MS.
The doctor came back to the exam room/torture chamber and told me he wanted to get me in for an MRI. He suspected that my eye could possibly get worse, ultimately leading to blindness, if I wasn't treated immediately. His best guess: high blood pressure.
At that point, my bp was ranging around 160ish/105ish. I suspected it was that high mostly due to the sudden stress I was under, but the doctor thought it needed to be treated in case it'd caused the eye problem in the first place.
Have I mentioned that we have no health insurance right now?
So when the good doctor told me I needed to go to the ER, a mild sense of hysterical panic set in. The Mister and I looked at each other in horror, but we both knew it was necessary because, frankly, I like my eyes working.
The doctor then called ahead to the ER and told the doctor there, "I've got a very nice 31 year-old woman I'm sending in with an interesting case...." I'd gone from a person with possible floaters who didn't even rank a hello to "very nice" because of my "interesting case".
When he got off the phone with the ER, he told me he wanted me to call his office first thing in the morning and make an appointment--he'd see me ASAP. He mentioned how cruel I probably thought he was, since he knew I'd be in the ER for awhile, but he needed to do more tests.
It was after 10 PM when we checked in at the ER. The service was pretty bad--I wasn't seen by a nurse or doctor for an hour after we'd been given a room. I realize I was probably of lower priority than any accident cases, but the eye doctor had seemed concerned enough that I was sure I should be seen immediately. In the meantime, I called the office I was temping for to let them know that I wouldn't be in first thing in the morning. I tried calling the temp agency as well, but there was no answering service for them.
When someone finally did come in, it was a doctor who was going off her shift--she'd been the one the eye specialist had spoken to. She told me that she was passing me on to the next on-shift doctor and had told him what my situation was.
A PA came in soon after to ask me more about my symptoms. When she learned of my currently dilated eyes, she was quick to ask if she could take a look. Apparently dilated eyes aren't something available on a regular basis--eye care specialists must be the only ones allowed to dilate. So after having already had my eyes shined with bright lights for half an hour, she got to have her look, too.
I was then told that I was going to have an MRI, including a few scans with contrast dye, an EKG, urine test, and full blood screen.
Thankfully, it wasn't long after that that I was given a mild sedative to help me calm down a little--my heart rate was up for some reason? hm--and then blood was drawn before the IV was put in. The Mister had left to let the dogs out--we'd been out since 6 and it was now close to midnight--so I suffered alone, but the staff were all very, very nice. The MRI tech showed up with a wheelchair and pushed me down to the MRI room. I got as comfortable as I could, then the test started. At least I finally know where techno beats are from--if you've never had an MRI, be assured that it's loud. The MRI itself lasted about an hour. I managed to almost fall asleep, even with it being so loud, and the sedative had kicked in so I was able to feel calm, but not loopy.
When the tech wheeled me back to my room, we discovered the Mister had returned--and laid out on my bed to fall asleep. Poor guy was exhausted, he'd had very little sleep the night before as it was.
The MRI results showed that everything was normal--although I really don't consider my brain normal. The EKG results were normal, too. Blood and urine both managed to be normal, as well. My blood pressure had lowered as I'd calmed down, so they didn't give me anything for it. I was hooked up with a saline bag, just to hydrate me again since I'd had almost no fluids since 6. The PA came back to tell me to see my primary doc in the morning, then unhooked me and sent us home. It was after 2 AM.
I woke up just before 7. So. tired. I called the temp agency at 8 on the dot, told my supervisor of the situation and that I'd be in touch after my tests. The primary doc's office couldn't get me in until 12:30, but the eye specialist could see me at 9:30.
When I got in, I was dilated again. Talk about drops that burn! No wonder he'd numbed my eye the previous night. Ow. He said they hurt worse because I had tired, dry eyes.
More tests, more bright lights. The good news was that my optic nerve swelling had gone down and that the specs of blood seemed to be going away. The gray spot in my vision was now somewhat smaller--more like a butterfly than the snow angel. The eye doc told me to stop taking my birth control to hopefully lower my blood pressure, he also wanted me to start taking an aspirin a day in case my blood was trying to clot. I scheduled a follow-up in 2 weeks. Then when I tried to speak to the office manager about the inability to pay the full bill at once, she got bitchy. She treated me like I was a piece of trash. It's not like I'd been expecting this strange situation. I almost started crying. I'd had maybe 4 hours of sleep, hadn't showered, was still freaked out, and here's this lady making me feel like shit for not having funds available to keep her happy.
Anyway, I then had my primary doc appointment--except she wasn't in this week, so I saw another doctor in the practice. Once again, she wanted a chance at my dilated peepers while I was there, so my tired, sore eyes got one last blast with bright light. She agreed with the recommended removal of birth control pills and told me to return in a couple weeks, as well, to see my usual doctor. She didn't seem too concerned with my blood pressure because all of my previous stats in the office had shown a normal bp. I think she agreed with me that it was spiked due to the stress of the situation.
I have to take my blood pressure for the next few days to see if it lowers. The gray spots are smaller now, shaped like cat eyes.
It feels so weird that this happened to me. Friends and family are all freaked out by it, and very worried. I, on the other hand, even having gone through it, feel more stress about the bills I'll have to deal with.
Universal health care? One can dream....