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This is an archive collection of entries from  my main personal blog, My Mundane Mid-Life.


This particular entry is from December 19, 2006.



A needle into the spine...

My little medical journey to finding the reason why my legs twitch changed today from hands-off to my first "invasive" procedure.

I was downtown at Northwestern's Intervention Radiology department. Radiology? Yep. I had two procedures done - a spinal fluid draw (for testing the fluid) and a myelogram.

It all starts with a lumbar puncture - inserting a needle into the spinal canal. Yep. Needle. Into the spine. So, do do it accurately and hopefully pain-free, not to mention avoiding having to re-stick you, the insertion is done under the guidance of using a fluoroscope. I was face down on a table, with a doctor, nurse, and tech (an all female crew!) working on me. The worse thing was the local anesthetic. THAT hurt. After that, though, I didn't feel a single thing. So, they drew a sample of cerebrospinal fluid. That takes some time, since, it's not really drawn, but the container fills by itself i gathered. When the fluid flow slowed down, the table I was on tilts, so I was tilted onto my feet to get the fluid to flow better! When that was done, they injected a contrast dye into the spinal canal. The sensation was of cold filling your spine - a VERY weird feeling. Obviously, the sensation was confined to the spine, unlike contrast dyes that are used for MRI/CT scans, where they are injected intravenously the sensation being heat and it radiates through your body as it follows the arterial blood system.

The doctor was quiet, professional, and quick. When she was done, the nurse and tech took over to produce about a dozen reference xrays of my spine using the fluoroscope system, which required a bunch or table tilts and contortionist positions for me to flip into. The only almost-accidents that almost happened were due to... umm... the oversized parts of my body - my shoulders (I have really broad shoulders, even for somebody not as short as I am, so when I lay on my side, I'm a bit "taller" than regular-sized people) and my nose (yes, it's a bit oversized) and they tech didn't look when she swung the emitter around.

Then I had to roll onto my hospital bed and they wheeled me back to Intervention Radiology. Not the only time I had to roll. When back in my curtained space, somebody came to draw some blood. That's when I realized that I was in for some bad time. I was starting my stay in a hospital bed - flat on my back (well, I don't have to be on my back, but have to be flat - head even with feet. For THREE HOURS. Then.. it started. My legs started to twitch. it started pretty suddenly, and the twitches were severe

I was wheeled in for a CT scan (hence the spinal contrast dye) and I had to roll off my bed onto the scanner table. Found out something i didn't know about the GE Lightspeed CT Scanner - the scanner can tilt! Very scary to see this massive thing tilt. the tech put a cushion under my legs and taped them down to try to dampen the twitches. It was TERRIBLE. But, somehow, she was able to get shots that weren't blurred.

When I was done, I was told I could crawl back onto the hospital bed. Wait.. I could crawl? Why did I have to roll before? It turns out that they have you roll - to mix the dye in the spinal column!!! I was taken back to another curtained area and that's where i stayed until I was released. Carol was able to be with me when I was back in the curtained areas, which I was thankful for, because i was a mess. The twitching was worse, and I was so uncomfortable having to have my head flat against the bed. I was able to get a nurse to get me a folded-up blanket to put under my head. That half-inc to inch of material was just enough to change the way my head felt, and still kept it flat.

We had arrived at the hospital at 10am for a 10:30 appointment. The lumbar puncture was over by noon, the CT scan done by 1pm. I am flat on my back... and realize it's been 19 hours since I had something to eat. And I can't eat on my back. The next two hours were hell, and passed slowly.

When I was sprung at 3pm, we went directly to the cafeteria.. and I chowed-down (Carol had eaten when I was having the procedure done)

Then, I drove us home. 4pm. Rush hour. Downtown Chicago to the NW suburbs) my twitching was terrible.. I had started to feel bad, all because of me not eating. I pulled-over at the Des Plaines Oasis and we changed duties, with Carol driving the rest of the way home. When we got there, I went to bed for about an hour. I felt bad. It wasn't until about 9pm that I started to felt slightly better.

posted at 07:58 PM | Link | Mundane | § |


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This Blog was last updated Friday December 18, 2009 13:03:12 CDT (-06:00 GMT)
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