I Suck at Suffering

The rest of us whine about it

I was hoping to make it through this pregnancy without those horrible migraines I had with my first and third pregnancies. Things looked good for a while, too; I started getting the migraines at about twenty weeks with Liam, and until yesterday I had made it to just over 24 weeks with nary a sign of impending migraines.

Then I got one. And it hurt. And Tylenol, as expected, was about as effective as the incessant whining I was doing, so I called my doctor.

I’ve been a little unsure of my doctor up until now. She seems nice but I don’t get the feeling that she likes me much, and I don’t get the feeling that I like her much, which doesn’t do wonders for my trust in her. Yesterday she decided that I needed to come to the hospital to have my blood pressure monitored, which was annoying but pretty standard, so I went.

They monitored my blood pressure for an hour and a half before deciding that perhaps I should be given some medication to help me stop feeling like the main character in PI.

 That was extremely annoying. Also annoying was the fact that my current doctor felt that the best medication to give me was Imitrex.

If you’ve ever had a migraine, you’ll understand why this is annoying. That particular medication is a triptan. I’ve never had Imitrex before but I have had a different triptan. They don’t work very well for me, and they don’t work at all for anyone unless you take the medication at the first sign of a migraine. Five hours in, when you’re seeing floating lights and trying not to puke on the nurse, they’re not going to be particularly effective. But at that point I was so desperate that I didn’t even argue with the nurse, except to say, “I’ve been told by every OB/GYN I’ve ever had that this medicine is absolutely unsafe in pregnancy. Are you sure it’s okay?”

The nurse gave me a withering smile and said, “Well, your doctor does this for a living, so I imagine she knows what she’s doing.” Reassurance with a massive side of condescension. Just what I needed.

I took the pills, then settled back and dug out my rosary to offer up some of the suffering. Or to attempt to. I’ve never been good at offering things up, because I spend most of the time mentally retreating from the pain instead of embracing it, but I was determined to make a go of it last night.

My internal monologue went something like this:

Dear God, please unite my suffering with Christ’s, for all the women who have true complications in pregnancy. Please, God, bring them comfort, and also please make this medication start working because this really, really hurts and I don’t want to suffer anymore, even for a noble cause. I’m not Christ. I’m just me, and this frakking hurts. (Yes, I said frakking during a prayer. I believe God will forgive me.) Sorry, God. Okay. Please accept this Hail Mary as contrition for my terrible attitude. Now, please help me offer this suffering up whole-heartedly, and embrace it as a gift I have been given, that I might have a chance to suffer with Christ. Please owowowowowowowowowowowow this hurts Oh dear God just make it stop! I don’t care about offering it up! I don’t want to suffer anymore! Take it away!

It was just about at this point that the medication kicked in and made me feel as if my head had been disconnected from my body and was spinning around in space, which in turn made me start throwing up, which in turn made the pain in my head so intense that I started sobbing.

The nurse came in and said, “Oh, well it looks like the meds kicked in!” and I had to physically stop myself from punching her in the face. She handed me a vomit bag and cheerfully said, “Does your head feel better now?” With tears streaming down my face, I shook my head and moaned, “nooooo. wooooorse.”

She pursed her lips and looked at me doubtfully. “Are you sure?” she asked, which I answered with a spectacular second round of vomit and tears.

She went to call the doctor, who ordered an IV drip with anti-nausea meds. The nurse failed to tell me that the meds would make me feel like I had just shotgunned an entire bottle of tequila, so I was sitting up, utterly unprepared, when she put the phenergen into my IV drip. Five minutes later the room spun dangerously and I nearly slammed my head against the railing of the bed as I fell sideways off the bed. The nurse sort of pushed me back so I was laying down, and I managed to slur out, “Z is nurrrmalll?” The nurse smiled and said, “Oh, yes, this medication always does that.” I really wanted to thank her sarcastically for the warning, but at that point the sledgehammer drilling into my brain made everything else seem pointless, even pointed sarcasm.

The nurse left the room and I stared at the swirling ceiling, convinced that I was actually dying. Gone were any noble thoughts of offering up my pain or my obviously impending death. Instead I spent a half-hour feeling good and sorry for myself, thinking how sad and terrible it was that I was going to die here, alone in a dingy triage room, with my family sleeping soundly an hour away, blissfully unaware that they would be short one wife and mother when they woke up. I thought about how no one in the entire hospital except my nurse even knew I was there, and how she probably wouldn’t even bother to revive me when she came in and saw that my brain had exploded from the pain. She’d just dump my body out behind the building and go on with her evening, not caring that my life had ended so pathetically. I thought about my poor little unborn son, who wouldn’t even get to live because his mother died from a migraine that no one seemed too keen on ending.

I may have been feeling just a touch melodramatic

Just as I was imagining our headstones, the nurse came back in to tell me that the doctor had ordered another dose of Imitrex for me.

That did it. Right then, I was convinced that a) I was not dying and b) my doctor hated me and might in fact be trying to kill me. I decided not to go quietly, and I informed the nurse in no uncertain terms that I absolutely was not going to take another dose of a medicine that not only hadn’t helped, but had made me feel twice as bad as I did when I came to the hospital. She frowned at me disapprovingly and went to call my doctor. I sat up, trying to ignore the pounding in my skull and the swirling letters, and tried to text my husband to tell him that I was going to make them release me and get a cab home.

The nurse returned to tell me that the doctor had said that if I wouldn’t take the Imitrex, they could give me morphine.

Morphine.

I swear, I would have been less surprised if she had come in with a bottle of laudanum and said, “This’ll cure what ails you!”

Seriously, this isn’t Civil War America. The last time I checked (which was the last time I was pregnant and had severe migraines) there are like six different grades of painkillers between Tylenol and morphine. I asked the nurse if the doctor could please prescribe something significantly less strong than morphine. The nurse said that there was nothing available, that my only choices were Imitrex or morphine.

By this point I was in pain, nauseous, dizzy and pissed. This was not my first rodeo. I know damn well that there are other options for pregnant women, most of which are much less drastic than morphine. So I told the nurse I’d like to go home.

She said perhaps it would be best if she sent me home with a sleeping pill and that perhaps if I were able to sleep the migraine would be gone when I woke up. I agreed. She went to call my doctor.

By this point I guess I shouldn’t have been surprised at the reaction, but I was still kind of stunned when the nurse came back and said my doctor had “not wanted to send me home with any pills, and if I wanted to sleep I could take Benadryl, but if I wanted to get rid of the migraine I could stay there and take the medicine she prescribed.”

I knew that there was no way Benadryl was going to make me sleepy enough to drift off with the Empire State Building being constructed in my temporal lobe. I wanted to ask for another doctor, or a second opinion, but I also just wanted to go home. Most of all, though, I wanted my head to stop hurting. Exhausted, defeated, and sinking back into an acceptance of my impending melodramatic death, I said I would take the morphine.

Unsurprisingly, the medication put me to sleep fairly quickly. Also, it did not kill me. The nurse woke me up a few hours later and said I could go. My headache was gone, but so was any lingering trust in my doctor or faith in my ability to suffer nobly.

But now I have a new type of suffering to endure: the search to find a new OB midway through pregnancy. Here’s hoping that I tackle this one with slightly more grace. And if you feel so inclined, I would love some prayers that I make it through the rest of this pregnancy with no migraines. Because, seriously, morphine? 

  • http://www.blogger.com/profile/09967972437986569073 Victoria Finney

    Kidney stones while preganant? They are sheer searing agony NORMALLY!

  • http://assortedjoys.wordpress.com/ assortedjoys

    Goodness! I will say, switching (assuming you find someone you feel good about) isn't too big a deal. I switched away from my OB to a midwife at 30 weeks and it was the best choice I had ever made. Good luck with your migraines and getting them fixed – you'll need it since your doctor seems to suck.

  • http://www.blogger.com/profile/07632005486245515873 Calah

    Interesting theory, I've never heard of magnesium triggering migraines. Is there any worry about taking too much? I think there's already some in my prenatal vitamins.

  • http://www.blogger.com/profile/07632005486245515873 Calah

    I really love pharmacists. I think they're so much more knowledgeable about medications than doctors.

  • http://www.blogger.com/profile/07632005486245515873 Calah

    Oh, they gave me pill form of Imitrex. But why did they give you Imitrex for a C-section? Or even phenergan and toradol? I would think a C-section would be definite cause for some morphine. Ouch. I've tried doing the Tylenol/caffeine thing. Sometimes it works but only if I catch a migraine right at the very beginning. It's so annoying to have them during pregnancy when everyone's like, "oh, shouldn't you just tough it out for the sake of the baby?" For some reason no one seems to take my usual "bite me" response too well.

  • http://www.blogger.com/profile/07632005486245515873 Calah

    Oh! STADOL! It's the devil's medicine. Same with me with my first labor. They were like, "it'll take the edge off". It only took the edge off my sanity. The pain seemed to be brought into sharp relief by it actually, and I felt totally unfocused and out of control, so I was less able to deal with it. I hate Stadol. I asked for an epidural immediately as well. Thanks, Emily!

  • http://www.blogger.com/profile/07632005486245515873 Calah

    I've never even heard of that. I'll ask my new doctor (when I find one). Thanks, Sarah!

  • http://www.blogger.com/profile/07632005486245515873 Calah

    Agreed. What a nightmare. I'm so sorry for you! I did think it was odd that there was no "working up to it". AND I specifically told the doctor that 800 milligram ibuprofen ALWAYS works for my migraines, and she said, "that's much too dangerous while pregnant." But morphine isn't? I know I'm not a doctor, but color me confused.

  • http://www.blogger.com/profile/07632005486245515873 Calah

    Yes. Being agitated would be worse. I think I probably should have left, but after the Imitrex and phenergen I was so woozy I would have had to call a cab, so I figured taking the morphine and sleeping it off was better. But still. It's frustrating. Dealing with migraines is pretty elementary doctor stuff, I would have thought.

  • http://www.blogger.com/profile/07632005486245515873 Calah

    GeekLady, that is horrible. I would have screamed it. I'm so sorry. I know what you mean about the HIPAA violations…that frustrates me so much. I hate getting loads of formula in the mail, and I can't imagine how pissed I'd be if I was getting them after a miscarriage. Dweej, Ave Maria is a solid 45 minutes from the nearest hospital, and I really don't feel comfortable with a homebirth that far out. If anything were to go wrong…it's just so far from a hospital. There is a birth center I'm looking into, but my major issue is that I'm asthmatic (plus the migraines) and my PCP won't prescribe anything during pregnancy (most PCP's don't feel comfortable doing that), so unless I can find a Nurse-Midwife who can prescribe meds, I'm kind of SOL. And stuck with a hospital birth. Lame.