While it may sound appropriately mysterious, the title of this blog post is not, in fact, the title of M. Night Shayamalan’s next film (though it could be — I mean it sounds better than The Happening; it’s like he’s not even trying anymore); it’s what happened to me over the last week or so.
I’ve been taking various allergy medications (Zyrtec mostly) after I started having random swelling in my hands and feet about a year ago. Allergy testing pointed to a few mild food allergies and — unfortunately — a not-so mild cat allergy as the culprit. So the Zyrtec started working and everything was peachy until about two weeks ago, when I started getting more minor swelling in my fingers. But last Wednesday, all of a sudden, the swelling got much worse, and my entire right hand ballooned. Eventually, the swelling went down and then moved to my left hand, and a couple of nights ago, the left side of my face started to swell. I called my allergist’s office and left a message for the nurse. They called me back that afternoon and gave me a prescription for Allegra. Since the swelling had already started, I couldn’t tell if the Allegra was working or not, so I called back yesterday and left another message asking if they could prescribe anything to bring down the swelling.
When I was having my allergy tests done, they prescribed Prednisone, which would lower the swelling without affecting the allergy tests (antihistamines like Zyrtec and Allegra will really screw up a scratch test). The prednisone worked, but since it’s a steroid, I didn’t mind not taking it for long. I’d like to keep my heart as strong as possible.
But this swelling just wasn’t going away, and the swelling on my face eventually moved across to the other side. Swollen lips are not fun. Eventually, my left hand swelled up and stayd that way. That was the first time the swelling in my hand was actually slightly painful.
Throughout the day, I left two messages with the allergy clinic. The nurse called me back eventually and said she would check with my doctor to find out what they can prescribe me for the swelling. That was at 10:30 in the morning, yesterday, and I still haven’t heard from them (I’m actually leaving a message with the nurse right now).
The swelling on my face worried me, but yesterday afternoon, it started to subside. At around 10:00pm, I noticed a tickle in my throat, which didn’t bode well. The urgent care center closed at 8:00pm. After about an hour, my throat started to hurt, but I wasn’t having any trouble breathing, so I decided to try to go to bed.
At around midnight, I awoke with a much more painful throat, but still no trouble breathing. At that point, I decided to go to the emergency room (Cary drove). Checking in to the Duke ER, I was prepared for a long wait. There were no less than 30 people in the waiting room in various stages of — let’s say “anguish”. Many of them were wrapped in blankets (though it didn’t seem that cold to me) and pretty much all looked miserable.
I walked up to the check-in station and gave them my name and symptoms.
At the ER, mentioning the words “swelling” and “throat” tend to get you pretty quick attention. Within about 5 minutes — before Cary even returned from dropping off the car — I was ushered into a room labeled “Triage 1″, where a nurse recorded my vitals and asked me about my symptoms. There was a knock at the door, and Cary walked in. Apparently, the word “husband” also gets you attention when you’re looking for someone in the ER.
Shortly after Cary arrived, I was taken to another room with much fancier equipment and a bed. I thought it was odd that there were no less than three nurses in the room with me. I expected only one, but there were three. Given the number of people in the waiting room, I was surprised there were that many people looking after poor swollen me.
The nurses asked me the basic questions about the swelling and if I was allergic to anything — my mention of cat allergies and the fact that we have a cat elicited a couple of “aw, poor cat” comments form the nurses, but I assured them that while I have been avoiding direct contact with Merlin, Cary has made sure to make up for it in spades.
Soon a doctor arrived, asked me many of the same questions, and after talking with the nurses for a bit, decided to put me on an IV of Benadryl, Zantec and Prednisone.
Megan, the nurse who started the IV was very nice, warning me of the pain I might feel (which was actually pretty mild) with the needle and describing what she was doing. My position on the bed prevented me from seeing everything. I did notice that as she was inserting the IV, Cary — who was sitting in a chair across from me and behind the nurse — suddenly made a wide-eyed “holy crap” face. Apparently, a rather copious amount of blood spurted from my vein when the nurse inserted the needle. Megan assured me that it just looked like a lot of blood, but it really wasn’t much. I wasn’t concerned, but was slightly amused by Cary’s reaction.
After the IV was inserted, Megan injected a saline solution into it and left to prepare the first dose of medication. First came the Benadryl.
I’ve never had an IV before — unless you count the one time I gave plasma in college just to see what it was like but that’s not the same thing as a drug IV because the only thing going into my body that time was my own blood, sans plasma — but I knew that drugs take effect more quickly than by other means. I was not, however, prepared for the lightning fast reaction of the Benadryl. As soon as the stuff hit my vein, my sinuses cleared and I began to get a case of the giggles. Both Cary and surprisingly, Megan seemed to find that a little odd, so maybe giggling wasn’t a normal reaction to an intravenous dosage of diphenhydramine. I didn’t really care, however, thanks to the Benadryl, but I did try to stifle my laughter a bit because the rapid onset of my need to laugh did kind of disturb me a bit. The giggles subsided after a couple of minutes, and then I was really really just plain tired. Next came the Zantec and Prednisone, which, to my relief, didn’t really produce any noticeable affects.
The doctor’s told us that they would monitor me for 3-4 hours while the drugs took hold, but after about 45 minutes, they decided that if nothing bad had happened yet, it wasn’t going to happen, so they wrote up my discharge papers and a 4-day supply of Prednisone and sent us home.
Thankfully, the Prednisone is doing its job, and most of the swelling has disappeared. We’re still not sure what’s causing this, so I’ll be keeping a better count of what I eat and come in contact with over the next few months.