Speculation, theories and hypotheses, but reality is that I’m sick and need respect.
I don’t like this not being seen by a doctor thing. It is important for me to know what exactly I have when I get sick. When I first developed symptoms of pink eye on Tuesday, the doctor didn’t want to see me - she was convinced from what I had described to her that it was in fact viral conjunctivitis. I know it’s highly contagious and all but couldn’t I come in through a back door to be seen or something, like a friend of mine said he had to do when he got conjunctivitis?
I want to know OFFICIALLY, from TESTS which CONFIRM what is going on whenever I am sick. I don’t like treatment based upon speculation.
When I got home at 3:30pm yesterday, I called the doctor and asked if I could be seen before closing time. That didn’t happen. I took a nap around 5pm and then got up about 45 minutes later, only to return to bed for the rest of the night around 8pm. An hour later, around 9pm, I was awakened by a phone call from my doctor. Again she had more speculation for me as to what my diagnosis is based upon my description of symptoms.
She said she’s seen a lot of patients this week with severe headaches and sore throats, that it goes around this time of year, and that she’s seen grown men crying from the head pain. She said it’s Aseptic Meningitis and said rest is in order. She was taken aback that I’d actually gone in to work yesterday, and said ‘no wonder’ when I said my symptoms had gotten worse. A virus needs time to run its course she said.
I decided to glean some more detail about this Aseptic Meningitis thing. I learned that it is made up of two viruses; the coxsackie virus and the echovirus. Upon researching the coxsackie virus, I found that it is the SAME virus which also causes hand, foot and mouth disease.
WELL! Isn’t that interesting, since a child at our school was reported to, as of September 21, 2009, to have hand, foot and mouth disease! I journaled about it here.
Now let’s go back to the pink eye (conjunctivitis) for a moment. According to WebMD, viral conjunctivitis “often results from the viruses that cause a common cold.”
Let’s go look up the viruses that cause the common cold…
According to Wikipedia, “The common cold is most often caused by infection with one of the 99 known serotypes of rhinovirus, a type of picornavirus.”
WELL! Isn’t that interesting!
The coxsackie virus is a member of the of the picornaviridae family!
For me this is an open and shut case. I have a direct trace on what’s been plaguing me.
My husband had a look at the paper issued from my workplace, which detail symptoms for hand, foot and mouth disease (HFMD), and gave me the hairy eyeball when I matched none of the symptoms on that paper. I got defensive - the paper lists only the stereotypical and worst case manifestations of HFMD.
If you look at the wikipedia article for HFMD, I match the following symptoms: headache, fatigue, sore throat, diarrhea. I’m not trying to say I have HFMD specifically. I’m saying I have very likely caught the coxsackie virus that the child in my school had last month. I have direct daily contact with this child, either in my outdoor classroom or at lunchtime, when I am serving as lunch monitor. I checked my logs and she was in my classroom the week leading up to her diagnosis.
We spent the week of September 21 sanitizing everything in our classroom to prevent further spread of the virus, but I’d already caught it, as evidenced by my journal entry on September 22nd.
The child missed one week of school rather than the recommended two weeks for recovery, then came right back to school with a wet cough and a runny nose, and was back in my classroom.
My doctor last night said without even seeing me that based upon my symptoms and based upon what she’s seen physically in her doctor’s office in the past week, that I likely have aseptic meningitis. According to the Medline Plus website, which is government-run, “About half of aseptic meningitis cases are caused by the coxsackie virus and echovirus, two members the enterovirus family”.
Further, the website states, “Risk factors for aseptic meningitis include:
- Being a health care worker
- Having a suppressed immune system
- Exposure to children in a day care setting
- Exposure to someone with a recent viral infection
I hit three out of four on that list. Lest you need reminding, endometriosis, which I have, is an autoimmune disease, and I have a supressed immune system from birth, since I became allergic to my allergy shots by age 6.
Let’s have a look at the symptoms list for aseptic meningitis. I will put in bold text the symptoms that I match:
- Abdominal pain
- Abnormal sensitivity to light (photophobia)
- Chills
- Confusion
- Drowsiness
- Fever
- General discomfort, uneasiness, or ill feeling (malaise)
- Headache
- Muscle pain
- Nausea and vomiting
- Rash
- Sore throat
- Stiff neck
These symptoms have been going on intermittently, becoming worse at times, since September 18th - again - the same time period as the infectious child was in my classroom. I had direct eye-level contact with this child, and I recall jumping back whenever she coughed while talking to me. I recall giving her a tissue to blow her nose. I recall taking her to the bathroom to wash her hands after coughing, sneezing, blowing her nose.
Medline Plus says that although “People usually recover fully 5 - 14 days after symptoms start”, “Fatigue and light-headedness may last longer in some people” (as noted by my spout of dizziness on September 25th), and “The infection may last much longer in a person with a depressed immune system.”
I told my husband in my defensive state this morning that it is not “all about the blame” as he dismissively remarked to me. I told him it’s about me tracking what illnesses impact me worse than others, how and where I was exposed to said illnesses, and their effects on me, because I have a compromised immune system. I told him I am in effect writing the user manual for my own system, and that since this system was released before it was properly QA’d and tested (I was born a month premature), there are inherently some bugs in the system - namely, the immune deficiency. SO, I told him, I am the documentation guy for this system - to continually learn how to operate it and maintain it in light of its shortcomings.
My husband finally got it, giggled, and told me I’m a beta release.
(We have both worked for many years in and around the computer industry, so the lingo is sometimes the best way to communicate).
This morning it was hard for me to wake up. I got up at 7am, so that means I slept for about 11 hours, and I’m still tired. I have a sore neck and shoulders, which is what was going on yesterday afternoon too, so I can’t claim it’s from sleeping for too long. This morning, my eyes are still sensitive to light, and are still feeling sticky. I had loose stool but not diarrhea this morning. I have a low level body buzz, which for me has always meant flu or virus present in the body.
I have stomach gurgles, and the headache has just poked through the haze of just having woken up.
(text bolded for easy reference)
Based upon all of this, I called in sick to work to obtain another day’s rest. Viruses need rest. Any activity and/or stress helps promote viral proliferation. I want today to be low key and stress free.
Tomorrow night is my husband’s 20-year high school reunion. I want to be well enough to accompany him to it.
I feel guilty taking the time off, because just as I was about to call in sick - as I had the phone in my hand - it rang. It was my co-worker telling me she wouldn’t be in and wanted to know if I could sub for her. I had to disappoint her.
So the secretary and at least three of us assistant teachers are out of work today, on a Friday. I feel guilty for the hardship the other teachers will have to take on in dealing with being short staffed. But it’s common sense to stay away so as not to infect more people, and more importantly, so as not to make my illness even worse or take longer to recover from it.
Of course in that guilt too is the whole ‘will I be fired for missing work’ PTSD that I always go through.
Alas.
*sigh*
