I have had a few occasions that warranted a hospitalization, however I was usually sedated in some way. I was at the hospital for five days after having my daughter because my heart wouldn’t return to normal. Brain surgery was the most significant stay, but I was heavily medicated as the pain is absolutely fantastic (in a not-so-good kind of way). Being on the epilepsy ward meant less medication than normal and it was quite the experience.
I was skeptical that they would find anything because I had been trying to stay calm and still for a month so that these seizures weren’t happening. They thrive on making seizures happen, so we started with the light box thing. Basically, I sit with my eyes closed, and a technician puts a little LED screen in front of my eyes. Then, she cycled through light patterns in ten second increments with ten second rests between and each time the light was slower until the last time when it was at the highest speed again.
When that was over, she left and we decided on sleep deprivation to help get some results. I suppose that is the real topic of this post. I have lived a life where I barely slept and it seemed like everything was fine, but under this setting, it feels like medical torture. IT IS NOT TORTURE!!
The first day we had stayed up until three in the morning watching movies at the hotel, so we went in sleep deprived. After getting the electrodes placed and the light test, it was pretty much keeping awake while enduring many neurological assessments and vital checks.
Staying awake without really using up energy gave me a lot of time to think. There were times that my mom was able to get out and I was in the room alone for a bit and by day three I was begging my body to have a seizure. Really, having a seizure is the ticket home! It may seem weird, but the whole point of being there is so that they can record your seizures and diagnose them.
Even after having a couple of seizures, they wanted more for a clearer diagnosis. By day five I was ready to induce a seizure by hitting my head against a wall. At this point, time did not matter. My stomach was wrecked, I was ready to go home, and I was tired of having to ask EVERY SINGLE TIME I HAD TO GO TO THE RESTROOM as I was hooked up to a monitor and sleep deprived.
Looking back, I spent a lot of time trying to be in the moment. I did cross stitch. I read and played games on my phone. I read. I watched cartoons. Filling twenty hours is quite the task after day three. That is when my dark side came out and tried to find ways to secretly take naps. The thing is, I am hooked up to monitors and my room is videoed, so I always had someone to come wake me up and deprive me of sweet, sweet rest.
To those who really know me, it is no secret the depths I will go to to get what I want or feel I need. I can justify almost anything and what a dangerous power to wield. Luckily, I don’t have that mean streak I had when I was younger, so I have spent the past two years jumping through every single medical hoop and participating in all of the dog and pony shows so that I could get myself a referral to Cleveland.
Some people tell me that they couldn’t do sleep deprivation and I can’t really understand the reluctance. I walked through a medical gauntlet before I ever got on a plane and after a couple biopsies, countless images, the “oscopies”, the manometry, poking, prodding, scraping, collecting, sampling, and everything else, five days of sleep deprivation is like a weird vacation to top off a very wild few years.
Having my mom with me was also fun because she stayed up half the night being “deprived with me” then went swimming during the day and took a nap! It was a comfort being there with her. She is one of the few people who understands what makes me tick and how to keep me encouraged. Honestly, I don’t think I could have gone on this type of trip without her being there as she would want to a full status update every twenty minutes and I can’t say I blame her. I would want to be there for my daughter if she were in my position and I am glad to just be home with her now!
My largest lesson from sleep deprivation is that it turns time into a fairly useless construct. Things had to happen at certain times, like food delivery, regular medical checks, and doctor rounds. Yet I personally had no responsibility to time except a time to go to sleep and wake up. Being on the opposite coast was also a hurdle because I was up at seven in the morning, but it was three in the morning in Las Vegas. My people are not a people of the morning. I was able to have a few conversations, but really, the time difference made things a little difficult. Later in the day my mom would be back and we would spend time talking and having dinner.
In the end, we got a diagnosis. We left the hospital in the morning and we made it home that evening. I didn’t sleep on the plane. I got home and the reality of my trip sets in as my body returns to normal. Being unable to really bend and move around freely tends to slow the gut. My gut is already unhappy. I was miserable for about my first four days home as my body went crazy. I was very dehydrated even though I drank plenty of water. My hair was gross, so it was conditioned for a day. My skin just stays angry anyway. Most notable is the deep need for sleep. So much sleep. Uninterrupted sleep. It is difficult to not feel guilty for the amount of sleep I get in a day. I know that I don’t have much to do, but I am tired in an unreal way.
As the trip slips further back into my mind and the days pass, my sleeping is normalizing. I still need a nap most days, but I am trying to build stamina and I suppose it will take time. Being sleep deprived helped me realize the signed of extreme fatigue (awful dad jokes and wild mood swings) and it reinforced how important it is to get sleep. Even if extra sleep is needed. I require a nap most days. If I don’t get it I tend to be moody and angry.
The most surprising part pf the trip? Mom and I were not at each other’s throats and she has become a master at diffusing my tantrums. It is this type of experience that really allows her to shine in her role as parent and caregiver. While she didn’t have to do the main care giving, she gently woke me up in the middle of the night when I had to have things done, she made sure I had things to do and some small comforts like sparkling water. She was selfless and still listened to me whine. She shows me that I still have a lot to learn in life and that I am still worth spend time with to teach those things.
If you find yourself in a long term and unpleasant medical situation, keep hope alive because that makes it SO much easier to go through the poking and prodding and testing. Even if you don’t get the answer, if they were even able to rule something out then you have narrowed your focus.
Chronic illness is a long-term issue that often involves multiple issues and is a pain in the butt to deal with. This is one of the things that MUST be accepted! Time will often be involved in diagnosing and also in treating. Chances are, if it is “chronic” it is going to be hanging out for a while and acceptance will become crucial to move forward in life in a healthy way. There will probably be painful procedures. Ones that don’t give you any type of useful information. There will be imaging that shows nothing. Tests that are normal.
I stand here, with a diagnosis, telling you that after almost three years, I have answers to what is happening in my head and body besides the Chiari Malformation. Is this everything? I don’t know. It is something that I will spend time working on treatment and therapy with my medical team and see what all gets resolved before just pressing forward. Having this diagnosis could be the key to a number of my current medical issues. Maybe it is not. This is why it is imperative to accept that help takes time and desire, otherwise nothing will get any better. Neurological problems are difficult when compounded with trauma. Give yourself time. Give yourself space to express yourself in multiple ways. Let your support group know what is going on in your life and I always advocate for therapy. There is no shame in speaking to someone about what has gone on in your life if it has reemerged and is currently affecting you.
Therapy.