Being Discharged

Well, it's time. I am surprised they are discharging me so quickly, as its usually a lengthy process, but all their beds are full so they need the room.

I ate breakfast. I had a scramble with a turkey sausage and some Canadian bacon, part of a cookie, and some coffee and OJ. It's heavy in my stomach.

They also said I was a little low on potassium this morning. That's the one thing the article mentioned would eventually be just a little off but only near the very end. That is how effective the pituitary is at keeping the basic chemistry in line after taking over control 27 years ago. I'm not sure if the change is purposefully done by the pituitary in this case or just because it can't keep up anymore or due to all the laxatives and the resulting many trips to the bathroom.

Anyway, the next 48 hours will be very telling. I would lay money on an exacerbation of some sort and a internal and family debate about returning to the ER. I would love to be wrong. I would love for this all to be some psychosis. Maybe it goes that way. If not, I'm still ready for whatever it brings.

Notably, I'm tachy today after getting home. 125 bpm standing still. 92 sitting, normal resting rate of 65-70.

My breakfast went down but I skipped lunch as breakfast was an adjustment and I felt painfully full.

After more thought (what else do I have to do, knowing I'm right overall but not the exact specifics?), I believe the stomach dropping is what is next. Here's my reasoning, 1) the stomach area has had no pain, it has all been lower abdomen, epigastric, or upper right quadrant. I would expect some upper left quadrant pain. 2) it has to stop emptying before it drops. 3) The article said upon arrival at the ER the patient likely would be tachy, pink, fully oxygenated, have upper abdominal pain, and most likely be treated with exactly what they didn't need (again), this time being a beta blocker.

The beta blocker would weaken flow and result in venous flow to the stomach collapsing. This in turn, would bring great relief making it appear the medicine worked when it actually made it worse. Now, I may be wrong, maybe it's already been cutoff from circulation, it could be that way. My feet and legs have almost no circulation but they appear nice and pink as does all my skin from the deposition of salts and the apoptotic cells. But, I haven't had this exact specific combination of symptoms mentioned above, yet.

There is no great option here. Pressors and vaso constrictors are the best choice but they don't solve anything.

An MRA would show the problem in detail, I think. I'd also do an insulin test to see if the pancreas is still making it. It won't be at some point. If not, dextrose injections followed by adrenaline are better than an insulin drip, as the body is quickly running out of room for fluids as all the remaining cells become apoptotic.

So, further volume loss from here will bring about that trip to the ER. I think I'll show them this post and the date on it and see if anyone believes me then.