The Fourth Circle

Tonight I went to the emergency room for a migraine. That’s a special kind of hell.

I’ve had migraines for all of my adult life, and they suck. I have yet to find a prophylactic that works for them, and an allergy to sumatriptan is just about the worst drug allergy someone with 15-20 migraines per month can have.

I took one of my barbiturates shortly after the migraine came on today, and then another two hours later. I felt better for a little while, but then it got worse and kept on worsening. So eventually I went and put my shoes on when Ian told me to go put my shoes on so he could take me to the hospital.

When we got there, it looked like it might not be so bad, because we could only see two people in the waiting room. As a former emergency clerk, I knew that could mean either that it was slow or that the ER was full.

It turned out to be pretty full, and we waited out there for an hour-ish. I think. I didn’t check my watch, and I had a dang migraine.

I should have brought a pair of earplugs.

I sat there wearing my sunglasses at night, leaning on my sweetie’s shoulder, waiting and waiting and unable to do anything but think.

And wait as the patients rolled in in waves.

The waiting room is a pretty shit place for someone with a migraine. There are super bright fluorescent lights overhead. There is always a ton of people unable to moderate the volume of their voices. And of course, there’s always the kids whose parents are completely unable or unwilling to teach them how to sit quietly.

The registration clerks were having a good old time laughing and chatting about Sprite. Don’t ask me why. I missed that part.

The triage nurse was hollering a name every few minutes.

The door to the outside world huffed and wheezed every few minutes.

The door to the inner sanctum of the emergency department squeaked and wailed open and shut every time a nurse came to call someone back or let someone out to go home.

My stomach turned, and I let Ian know I was going to vomit before getting up and meandering to the single occupant and unisex ER bathroom. There was a woman inside talking on the phone, as I heard before even getting all the way to the door. I did an about=face and headed for the bathroom outside of the ER, in the hospital proper. Housekeeping was blocking the door.

I leaned my back against the wall and closed my eyes. I said fuck it and walked outside in case I was still going to vomit, even though I was pretty sure I had my stomach under tight control. I leaned against my arms on the outside of the building, breathing.

I would say I almost threw up, but by that point, it wasn’t that close. I had a handle on it and forced everything back down, telling it to stay down. And I walked back inside to lean on my husband some more.

I put my fingers in my ears when I couldn’t take any more noise, and immediately afterward,three kids showed up and started having a blast in the waiting room. I thought there were only two, but Ian told me there were three after we left. I heard one dancing, and one rapping. Neither sounded awesome at either. Finally, they went to the other side of the waiting area. Apparently that was in large part due to how scary my husband gets when he goes into protective mama bear mode, which is absolutely going to happen any time there’s something wrong with me.

A nurse came out and called my name, and she led us back to a treatment room next door to one of the bathrooms, which would have been nicer had it happened about thirty minutes earlier. I’m not the best at puking in a bucket.

While she was tap-tap-tapping on her keyboard, verifying my medical history, the doctor came in. I was happy to see that he’s one who’s seen me for migraine before, and he believes me and  knows I’m not there to get high. Since my mother is a drug-seeking addict, this is the most important thing for me to look for in a doctor.

Kidney stones will show up on imaging, but there’s no way for them to prove that anyone actually has a migraine, so I’ve been treated with a grain of salt more than a handful of times.

I hate that.

I just want to live my life. I can’t live my life when I have a severe migraine. I had planned to go help my husband with a couple of repairs for his second job. I had planned to go for a run and get a new PR. I wanted to paint some pictures because we watched some abstract art videos on YouTube last night, and dude had some techniques I want to try out.

I can go to the ER and get some medicine, but I still can’t live my life afterward, even if I walk out of there with a pain level of less than four, because I’m either ready for bed or too fucked up to see straight.

He’d already gone and attempted the repairs (they sent a part that was broken in a different way from the one it was supposed to replace), and there’s no way I can walk a mile, let alone run any distance at all after some dilaudid and phenergan.

I suppose I could have tried to paint, but I’m quite sure I would have knocked over my dirty water and/or my paint palette. Hell, I’ve been working on this post for well over half an hour now, and it shouldn’t take me more than fifteen minutes to write this.

And my doctor doesn’t want to refer me to a neurologist until he’s exhausted every single possibility he know of. Most recently I took Depakote for two and a half days until I was suicidal. I also had two migraines during that time.

Maybe next week will be the winner. I go back to the doctor next Thursday.

But I will give them this: One of the PAs put me on Prozac and Klonopin in June, and I have never felt so good in my life. Swear. I’m only extremely rarely depressed or anxious anymore, and most of the time when I do feel blue out of the blue, it’s only a sign that I’m going to have a migraine in a couple of hours. Which is a downer in itself.

I know I haven’t talked about my health here in a while, and my health is the main reason that I took such a break from blogging and am only now easing myself back in. But I’m okay, no need to worry. I’m actually better than ever, thanks to the Prozac.

I’ll fill you in some more soon. But hey, thanks for being here and reading what I write.

Btdubs, did y’all catch that? My fat ass runs now. I can’t wait for it to not be ninety degrees outside and thick as soup thanks to high humidity.

Much love.