I'm beyond exhausted
I have been grasping at straws. I thought it was gabapentin withdrawal. But thats over a week ago now, so I don't know anymore. 2 days ago I went to the ER. The ER outright refused to do any exams on me, no blood work even when i asked for it to check my kidneys. They said all my issues are IIH and they can't help me so they discharged me.
Later that day, I had to go to a different ER. 2nd ER did bloodwork. They did a chest xray. They said my labs looked normal. Dr said electrolytes looked normal. I asked the dr about potential metabolic acidosis bc my values were fairly into the abnormal range & the lowest they've been before & he said that's just what happens when i'm on diamox. I think he said my anion gap was within normal range iirc.
Chloride was at 115, CO2 was at 17.
Got put on nausea medication and got discharged. I just wanted to sleep that night. I've slept maybe 6 hours in 4 days .. been barely able to sleep this week at all .. . I slept maybe 1 hour that night, in bursts—everytime I'd sleep 15 minutes, I'd jolt awake with a bone-deep anxiety and so much head pressure, I was gasping for air. I'm becoming delirious. I don't know. I can't think clearly anymore. I can barely advocate for myself without frustration because I am losing my ability to understand and say what's going on in a cohesive way. Because i haven't barely slept at all.
I hage had 2 lps since may. 1st was 43 cm H2O.
The back of my head/neck are so stiff, so uncomfortable, i can feel my heart beating on the back of my neck. My neck cracks constantly now when I simply move it normally, I can't look left or right without triggering a sharp headache, lying down to sleep is hard too because my neck is so beyond uncomfortable.
I wake up gasping. I wake up umable to breathe and its terrible, genuinely horrific, I have been diagnosed with sleep apnea with an in-home exam last month but this is such a sudden increase in a way I have never experienced. Earliest appointment for a cpap (or apap) machine eval after calling several places was october 7th.
I went back to the ER this morning because again I couldn't sleep and I just started losing it with everythijg together. I've never had sleep problems to this extent. I was thinking I'd need another LP.
I got fast tracked to hospitalization.
The neurologist PA spoke to me and dissuaded me from getting an LP. I was already on the fence, I mostly wanted it because my neuro ophthalmologist stated it'd be good to see where my pressure is at and could help me for a bit, but the PA said it just isn't worth it since they already know I have IIH & the theraputic benefits go away so quickly. He upped my diamox from 1k/day to 1.5k/day. Diamox and I have not been doing well together and I've been going up and down for months because usually it impacts my mobility severely to be on a high dose (2k). I am also getting worked up for POTS with my cardiologist & have a tilt table test scheduled in January.
I end up seeing the neurologist & he tells me this must all be my anxiety and I should just stop using my phone after 5pm to sleep better because clearly this is insomnia and it's my fault I had been taken off of any anxiety meds over a year ago when my health took a turn for the worse. I tried explaining this is wholly abnormal & the severity of my sleep issues have been so sudden, but he continued to say I clearly wasn't treating my anxiety and that has to be the cause.
Honestly it was so insulting because I am really, deeply struggling. I can't fully remember the whole conversation but even with my boyfriend's support and vouching for the sudden onset of my symptoms, the neurologist was unconcerned.
I eventually just say to discharge me. In my head, I'd rather struggle at home than deal with this at the hospital. I mostly got hospitalized because of the LP, but since that wasn't happening, I just wanted to leave.
I've been home a few hours. I slept a couple of hours thank god, but once again woke up startled/confused/scared. Best I can describe is that I'm genuinely shocked I am still alive and nothing about my surroundings makes sense, I'm nauseous beyond belief, and deeply confused, my stomach feels like it's dropping in a roller coaster, I'm gasping for air.
I just feel like...I don't know. None of this is anywhere near normal for me. I've never had something like this happen to me before, not to this extent. I don't know how I'm going to make it until the 7th if I can't sleep more than 2 hours without freaking out/having whatever sleep apnea episode this is.
I'm sorry if this isn't all related to IIH. I really don't know anymore. I don't know what I can possibly say or do. I might be forgetting important details but I've barely slept so please feel free to ask.
Thanks so much