The hard way…
So maybe it’s just me, but I have this bizarre tendency to think that I am never really sick even when I am. Whenever I experience pain or other symptoms of illness that would send most normal people running to the nearest care provider, I instead sit around and wait for it to go away. For some reason, now matter how poorly I am feeling I am always convinced that I am making it up. I do not know if this is because of some childhood trauma, general craziness or if it might have something to do with 23 years of intense joint pain that doctors said they could not see a cause of. I will spend hours, days or weeks talking myself out of making a doctor’s appointment because I probably am not all that sick but am dramatizing my symptoms. I suspect that this unique mental disorder is why I ignored some pretty obvious warning signs for over a year. Ever since I had this damned IUD put in it hasn’t felt right. Intermittent pain, a general “ucky” feeling and across the board “hey, this doesn’t seem to feel how it’s supposed to feel” sensations have plagued me for over a year. Lately you have all seen me write about my desire to have it taken out because I thought it was slowly killing me- did I make an appointment to do so? Hell no! I mean, obviously I was just being a baby about it all and imagining all of my discomfort.
Well, Friday morning a familiar pain crept into my lower abdomen. I have felt it periodically for a year and was prepared to grimace and ignore it as usual. Except, it didn’t fade or change. It hurt! I showered and got ready for work, thinking that if it still bothered me after my lunch shift I would go and get it checked out. (Read: I assumed I was using my special crazy-brain powers to create this phantom pain.) Then when I got to work it didn’t go away. It got worse and walking around wasn’t helping. It hurt enough that I decided to go to the emergency room even though I believed that they would be sending me home in an hour or so rolling their eyes about the crazy cry-baby faker with no problems. So I went to a hospital close to my work. And then I waited. I waited while people got choppered in and ambulance after ambulance arrived with critical patients. I waited while the elderly with breathing issues and pregnant women with asthma came in around me. Four hours later with a busting full waiting room and my name no higher up on the list I decided that I certainly wasn’t ill enough to sit here all day and headed for home to reassess my situation.
Except as I was walking towards a bus stop it got much, much worse. New plan! Take a cab to Penn, which is nicer and bigger and closer to my house! Genius! And when I arrived I saw an empty waiting room! Huzzah! 4 pm, two people in the waiting area and considerably more pain. Surely I was only moments from relief! Except I live in Philadelphia and the ER was busy. Very busy. The rooms were packed and as I sat and waited the waiting area filled up around me. I considered leaving several times but each time I got up to leave the pain was still there so I waited a bit longer. Finally at about 10:30pm my little pager went off and told me to head back to a room. I have never been so excited to wait in a different location as I was at that moment. Once in a room I was palpated and questioned and I talked about my IUD for the umpteenth time and they gave me some Motrin and went to consult with a more senior resident. I was situated right next to the center desk so I heard each trauma call as it came in. More waiting. At some point I was informed that a full pelvic exam was in my future and that the appropriate pain medication would happen before anyone tried to put anything inside my seriously hurting parts. Exam, and the decision that despite having no symptoms other than pain that I had PID and did I by chance have syphilis? Ummmmmmmm, no. Decidedly not. As the nurse came back to get blood and my discharge papers were being printed I finally flagged down my doctor and asked if everything looked normal with my IUD. She said…(wait for it)…”what IUD?” Really? Then all of the sudden an attending comes in and says since we couldn’t see it anywhere you need a cat scan to locate it and here’s an IV and some morphine and drink this nasty contrast stuff and someone will be with you shortly. That was at 1 am.
God bless my lovely nurse Barbara who was friendly and reassuring and chatty and didn’t make me feel like I was being rushed despite how busy they obviously were. 5 am I went for a cat scan and at 6:30 they came back and told me that a large cyst on my left ovary had ruptured and that the IUD seemed to be in the right place but the strings weren’t visible which means they might be stuck in my cervix and I should probably get it taken out. Gee thanks.
I made it home by 7:15 or so and after being awake for over 24 hours and in pain for most of those I spent the rest of the weekend alternately sleeping and eating. Sheesh!
Today I am waiting for a nurse to call me back with appointment time to get the IUD removed and the rest of my test results back. So I guess it has all worked out in the end. Let’s hope I have learned some sort of lesson and will not put off the inevitable until it comes looking for me, binds and gags me, slaps me around a little, throws me in a trunk and drives me to the end result.


