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	<title>Seeking Diagnosis &#187; fever</title>
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	<description>Diagnose me and I will pay you!</description>
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		<title>Clonidine update</title>
		<link>http://seekingdiagnosis.com/2009/07/09/clonidine-update/</link>
		<comments>http://seekingdiagnosis.com/2009/07/09/clonidine-update/#comments</comments>
		<pubDate>Thu, 09 Jul 2009 17:26:59 +0000</pubDate>
		<dc:creator>SD</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[clonidine]]></category>
		<category><![CDATA[fever]]></category>
		<category><![CDATA[meningitis]]></category>
		<category><![CDATA[sinusitis]]></category>
		<category><![CDATA[swine flu]]></category>
		<category><![CDATA[virus]]></category>
		<category><![CDATA[vomiting]]></category>
		<category><![CDATA[x-ray]]></category>

		<guid isPermaLink="false">http://seekingdiagnosis.com/?p=42</guid>
		<description><![CDATA[So, Sunday night after I had that terrible experience with the vomiting, I went back to bed, but I realized I had a really high fever, and I couldn&#8217;t get to sleep for what seemed like hours because I was so cold. I shivered through most of the night and finally made it to the [...]]]></description>
			<content:encoded><![CDATA[<p>So, Sunday night after I had that terrible experience with the vomiting, I went back to bed, but I realized I had a really high fever, and I couldn&#8217;t get to sleep for what seemed like hours because I was so cold. I shivered through most of the night and finally made it to the morning. </p>
<p>I called the endocrinologist who prescribed the Clonidine and told him about what had happened. At that point I had already begun to doubt that the problems had been caused by the Clonidine. Vomiting and sweating are not really among the common and expected side effects, so I wanted to notify him and get his opinion about whether I should continue taking it.</p>
<p>He agreed that my reaction was probably not to Clonidine and that I should go to a regular doctor about what sounded like an infection. So then I started to get worried that I might have the swine flu. My understanding is that swine flu is quite a bit like regular flu except it comes on suddenly, which had happened in my case. After some deliberation, I decided to go to the HMO&#8217;s urgent care center and get tested.</p>
<p>So I took a taxi there, because I was way too weak to walk. My fever had completely subsided, but I had that &#8220;sick&#8221; feeling of overall weakness and fatigue, muscle ache, headache, etc. They drew blood and hooked me up to an IV for a while and gave me some liquid Optalgin orally (Optalgin, for people who live in the United States where it isn&#8217;t available, is a highly effective medication for pain that is not a narcotic). </p>
<p>The doctor there was kind of a moron and he kept taking my head in his hands and jerking it around. Then he&#8217;d ask me if it hurt. Of course it hurt, I told him; I had a headache and it was painful and unpleasant to have my head jerked around. After my saline drip ran out, the nurse came by and told me that I didn&#8217;t have swine flu (yay!) but that I might have meningitis and that I needed to go to one of the local hospitals to see a neurologist so it could be ruled out (boo!). </p>
<p>Apparently it was urgent enough for them to insist that I go to a hospital, but not so urgent that they transport me to one, so I took another taxi to the hospital closest to my home. After arriving at the emergency room, I waited for a very long time to see a doctor. Finally I did see one, and he told me that he was going to order some blood tests and x-rays of my chest. Why, I asked, couldn&#8217;t he just use the HMO&#8217;s blood tests, the results of which I was carrying around in my backpack? And why was he ordering a chest x-ray? He didn&#8217;t answer.</p>
<p>So l let them draw my blood again. It is a HUGE hassle every time I get blood drawn, because I faint if I&#8217;m not lying down, and because my veins are always really hard to find, so the nurses always want to draw it from my hand, but that is painful so I never allow it. Actually I originally fell asleep while I was waiting there for someone to draw my blood, so that was a nice little nap.</p>
<p>Then I went over to the x-ray area and sat there for a very long time until it was my turn for chest x-rays. I told the technician that I was there complaining of a headache and didn&#8217;t see the need for chest x-rays, but she told me that she only follows orders. Then I was sent back to the emergency room area to wait. The receptionist told me it would be at least one hour before a doctor could review my results.</p>
<p>After about an hour and a half, I finally got to see a doctor. He had my chest x-ray on his computer screen. The first thing he asked me was: &#8220;I can see from your charts that you&#8217;ve been here in the emergency room a really long time &#8211; like many, many hours. Why have you been here so long?&#8221; And my response was: &#8220;Are you fucking serious?&#8221; </p>
<p>So that got him on edge a little bit, which is good, because a doctor who isn&#8217;t on edge stops thinking and then patients might die. He started looking hard at my x-ray and told me that he was really concerned about my bowels. When was my last bowel movement? he wanted to know. I could pretty much only laugh, because I&#8217;d gone to the HMO thinking there was a chance might have swine flu; they&#8217;d sent me to the hospital thinking I might have meningitis; the hospital had ordered chest x-rays; and now a doctor was so totally absorbed by my freaking bowel that he was not focusing on the fucking issue at hand.</p>
<p>I explained this all to him, and told him I&#8217;d like to see a damn neurologist so I could leave. He replied that I probably didn&#8217;t have meningitis and that I could leave if I&#8217;d sign a document stating such and such. I asked him just how long it would take to see a neurologist, since I knew there had to be at least one neurologist in the hospital at all times.</p>
<p>He brought me back to the receptionist and told her to get a neurologist down to the emergency room for me. After another very long wait, a neurologist materialized who didn&#8217;t speak any English or enough of our local language. She was in fact an immigrant like me, but we had no mutually communicable languages! So we got a translator to interpret a very brief exchange that settled the issue: I did not have meningitis. BUT &#8230; I might have sinusitis, and she wanted &#8230; to order &#8230; x-rays. Of my head. Right.</p>
<p>I refused this x-ray, on the grounds a) that if I had sinusitis, it was not an emergency and was best not dealt with in an emergency room, and b) the more time I spent in an emergency room, the more likely I was to get sick there. </p>
<p>It took another half hour or so, but I finally got all the paperwork squared away to leave the hospital. As I was heading out the door, I could see the doctor pull over one of his colleagues to discuss my bowels.</p>
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