So, let me try to describe how I am now lying in bed at home recovering from viral meningitis. It takes some bad luck, some treating myself quite badly, and some good timing. I hope it can serve as a reminder to folks to take care of themselves and also to allay any fears that they could have caught this from me.
My illness apparently started now 12 days ago, on Friday, August 15th. That night I felt off, with my hands and feet feeling cold all the time. I checked my temp and it was in the low 99s so I figured I had a cold coming on and I’d see what developed in the morning. Woke up on Saturday and the fever was gone, no other symptoms, but that night the chills came back in my arms and feet. Temp was a little higher, so I took some tylenol and considered what to do in the morning. I only had to go to the later service (10AM), so I decided to play it by ear in the morning. When I got up the fever was back down and I had no other symptoms, so I assumed (yep…I know all about assumptions) that I was OK and I went to work.
Work itself was fine. I figure now that the adrenaline of meeting people and doing all the social transactions of a Sunday let me ignore any symptoms. At the time I figured whatever it was had gone away. That afternoon however, after returning home and deciding to take it easy, a good headache set in. I figured, “ah, here’s the cold starting in my sinuses”, and I called it a day and went to bed early.
Woke up Monday, and the sinus pain was gone, the fever was gone, but the only strange symptom was that if I moved my eyes to the extreme ends of my visual field (like way up, or way down, or way to the left, etc) I got an ache behind my eyes. Strange, I thought, but nothing terrifying. Maybe my eyes were tired from watching Michael Phelps reruns. So, I went to work.
Tuesday no pain anywhere (eyes were fine), no fever, so to work I went. Actually a 14 hour day, with morning, afternoon, and night meetings. Wednesday the same, and Thursday I worked from home while watching my kids like usual while Nancy worked in DC for the day. It was Thursday night that I started feeling the chills again, and that’s where I started to feel suspicious. Friday the same, with the fever rising at night.
Saturday morning was to be my last day in the office before I left on a week-long backpacking trip with my good friend Nathan. We were both extremely excited to be getting to hike together again since we hadn’t actually hiked together since our long distance summer in ’98 when I hiked 1000 miles of, and he thru-hiked (2180 miles), the Appalachian Trail. So in to work I went to wrap up as many details as I could before noon and then ran out to get last minute supplies, pack the car, balance the checkbook, check on the family’s plans for the week (my mother in law was coming in on Sunday afternoon only a couple hours after I left for Pennsylvania), and lastly I went over to church at 7PM to check on set up for the services since I was in charge of the early service.
By the time I got home, my temp was up to 101. OK, now what do I do… I decided that since the pattern was that the fever was down in the morning, I would handle the services and then check to see if I was still hot at noon and make a decision. At this point I was getting really confused as to what was wrong with me. I mean, shouldn’t I get a runny nose or an upset stomach or something? My only problem is a low grade fever and some occasional chills at night when I’m trying to go to sleep.
So, Sunday. Yep went to church. Yep, handled the services. Got home, fever was 102. And now, a good headache, like last Sunday, was coming on. OK, now I’ve got problems. That’s the highest it had ever been. Called Nathan and said let’s wait a day and I’ll get off my feet and see if a night of rest and tylenol finally gets rid of whatever this is. Good plan.
By 6PM, plan is in shambles. The headache, which before was a dull pressure behind my eyes, is now reaching a scale that I can only call the worst pain I have ever experienced. This blew away the migraines I have suffered in past, which although throbbing and painful, they did respond to tylenol and a dark room for a couple of hours. This headache was terrifying. On top of that, my new symptom was nausea, which lead me to loose my lunch, refuse dinner (you all know I don’t do that often), and by 7PM I couldn’t even keep water down.
That’s the alarm bell for me. But I’m not a hospital guy, so I decided that I would call (or more accurately, Nancy would call for me) the doctor first thing in the morning and I go in to see her. The night was terrible, with frequent trips to the bathroom to empty what little water I had tried to put in there while being curled up on the couch under blankets. I’m anything if not stubborn. I toughed it out, got a few hours sleep, and opened my eyes on Monday morning.
The pain was maybe a notch down from its peak Sunday night. But I couldn’t move anywhere fast. Couldn’t turn my head fast, couldn’t stand up fast, and I walked real slow. Worse, I still couldn’t eat or drink without loosing it all within an hour. Got to the doctor at 11:15 and it took her about 30 seconds to say,”Go to the hospital. Tell them your doctor thinks you have meningitis”. That was the first time I had even suspected it. I mean, meningitis is serious. But I didn’t have the power to question anything at that point. Nancy drove me over, I walked up to the triage desk, and within 30 minutes I had a private room, my own mask on to protect everyone else, and periodic doctor visits, blood tests, and trips out for different procedures.
I’ll highlight just one procedure, mainly because this is the real reason you do not want viral meningitis. Bacterial meningitis can kill you, but viral meningitis just hurts. No matter the difference, though, you get to have a spinal tap, otherwise known in the medical world as a lumbar puncture. In the ER they have you sit up, legs off the bed, and hold on to a chair or table while you arch your back. Meanwhile they clean your back, inject some local anesthetic, and then try to insert a thin needle between your vertebrae of your lower back and into your spinal column, where they can collect some precious cerebral-spinal fluid (CSF) with which they can do all the critical tests that can either confirm or deny that you have meningitis. It is the only way they can actually diagnosis this.
After trying this twice in the ER, with both times ending with me shrieking as they hit something with the needle that they shouldn’t, I was put in line to go to the radiologist, who uses x-ray pictures of my back to guide the needle. Success after 2 hours of waiting led to a few precious vials of my CSF going to the lab. A hour or so later the preliminary screen came back positive and I was admitted to the hospital until the follow-up tests could prove whether I had viral or bacterial meningitis.
Why is the difference so important? Well, in brief, because bacterial meningitis is dangerous for anyone who has been near me. And I had been near a whole lot of people. But, as even the ER doctor said to me, she really doubted that I had bacterial because without hospitalization and IV antibiotics, folks just don’t make it 8 days.
Ultimately it would take 48 hours in the hospital to both get me fully rehydrated and diagnosed with viral meningitis. I’ve been sent home with painkillers and anti-nausea meds so that I can eat and drink while I wait out the healing that has already begun. No word on when I’ll be back working, and the doctor said to take it real easy. I’ll reassess in a week.
Still putting together all the learning moments. Obvious already is that a 100 degree fever means you’re sick, whether or not you have other symptoms. Treat yourself accordingly. I’m sure there are many others, but right now I am just focused on napping, eating, and sleeping. For all you parishioners, family, and friends who have already heard and sent your messages of concern and prayers to me, I am fully thankful. My apologies for not responding any time soon, but it has taken me all day and several naps to put this blog post together for you to read. I’ll update it with anything new while I recover.
Mmm, I smell dinner. And the fact that it makes me hungry makes me happy. I’ll write more in the coming days and weeks. Peace and Blessings to you all. – Matthew
CT Diocese Workshop Links and Files
Posted October 24, 2008 by Rev. MatthewCategories: General comments
Hi new Bloggers! Here’s the set of links from our workshop at Diocesan Convention.
Personal Blogs:
http://www.clwebber.com/blog/
http://vagabondpriest.blogspot.com/
Professional Blogs:
http://www.stjohnspinemeadow.blogspot.com/
http://trinitylimerock.blogspot.com/
Group and Short Term Blogs:
http://episcopalchurch.typepad.com/lambethjournal/2008/07/serving-togethe.html
http://missiontrip.wordpress.com/
Other Blogs we may use in the presentation or that you may want to check out:
http://episcopalchurch.typepad.com/episcope/
http://www.episcopalcafe.com/
http://beautytipsforministers.com/
You’ll notice that some of these blogs are hosted on BlogSpot while others are on WordPress (like this one). Each blog will have further links to use to step out afield and see other blogs. RSS your favorites, and then enjoy the blogosphere!
As well, here are the files from the workshop:
Slideshow: bloggingworkshop1
Contact Info Sheet:Contact Info and other links
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