Monday, April 30, 2007

The Countdown: Part 9

And the countdown begins....

In writing this new part, the Soldier realized just how extensive his memory laps were during this time. The events come to mind but only when someone reminds him of them. To sit here and type the events is almost impossible. I apologize if some of the events get mixed up, but then again this is a story and unless you were there you wont know the difference.

The IV infusion was the last option. He couldn't keep taking the high doses of steroids to control his U.C. outbreaks. Dr. P.J. would no longer give him the I.V. Infusions so there was nothing else medically for the doctors to do.

It was time to meet yet another doctor. This time it was a Colon and Rectal Surgeon. Dr. Bubba (the name has more to do with the instruments used, then the shape of her body) she came very highly recommended. She looked fairly young to the Soldier, but had a lot of confidence. She is also very personable. She made The Misses and the Soldier feel very comfortable with all her answers to the questions they had.

The first meeting was a get to know you session. She asked the Soldier and The Misses to explain what had happened. She could not believe what he had gone through with the listeria. The meeting ended with another finger in his bum, only she took it one step further. She asked her assistant for some metal torture device. He really didn't know what it was, except it was short, gray, and very cold. After she finished the examination she set up another appointment a week later. She wanted time to get his medical records and talk to Dr. PJ. Before they left, she mentioned that it may be time to look at the surgical options.

Later that night Dr. H called. He knew the Soldier had an appointment with Dr. Bubba so he called and talked to her, then called the Soldier. He was worried and wanted to make sure The Soldier was okay and didn't have any questions. The Soldier in a choked up voice told him that she had mentioned the surgery. Dr. H assured him that if he was to have a surgery in that area that Dr. Bubba would be the one to do it.

This was a pretty tough time in the Soldiers life. He was still experiencing constant migraine headaches. He was working, but not really. He would go to work around ten and leave by two. The headache would just get to bad to be at work. Then he would go home and lay on the couch. Every once in a while he would get tired of laying there and venture out to dinner with his family. His head would end up hurting so bad he would have to leave before the meal was finished.

The next meeting came and it was if The Misses and the Soldier was in denial. When Dr. Bubba came in and said she was afraid it was time for the colon to be removed, she could tell The Misses was very upset. As the Soldier sat there in shock Dr. Bubba went over and gave The Misses a hug. She was visibly shaken, much more then the Soldier. This probably had a lot to do with The Misses job. She worked everyday with people who had their colon removed and saw all the complications this potentially brought. When he asked when they were thinking of doing the procedure she said she would like to do it the first part of December. That was two weeks away. He had thought for the past two years or so that it would probably come down to this, the colitis never responded to any medications except extreme amounts of steroids. Even though he had thought it would come to this he wasn't prepared to hear what the doctor had to say.

Dr. Bubba gave them a pamphlet on the surgery and it answered all their questions. It was going to be a two part surgery, the first one being the worst. They (Dr. Bubba always preformed the surgery with another colorectal surgeon just to be safe) would go in through the abdomen, remove the entire colon and create a J-Pouch out of a small portion of small intestine. Through the years this J-Pouch would expand and slow things down for the Soldier. After the first surgery he would have an illeostomy which is a small opening where things (you know, leftovers) would drain into while the J-Pouch healed. This surgery would take about 7 hours and about 6 weeks to heal enough that Dr Bubba could go back in and reconnect everything.

That night they were meeting his parents for dinner. They sat down and were looking over the menu when he decided to tell them. He had already looked though the pamphlet and searched the Internet, so he was able to answer most of the questions they had. He thinks it went so well because they new it couldn't be worse then the listeria.

For the next two weeks he went to work everyday and searched the Internet for everything he could find on the surgery and the illeostomy. He was at work mainly to get out of the house so he didn't sit and think about it all the time. For the most part he was holding up okay. The Misses after the first shock calmed down and was very supportive. You could tell his mom was worried. After the bout with listeria she would call him two or three times to check-in. After she was told about the surgery she would call four to five times to check-in. Usually this would bother him, but he understood it was as hard on her as it was on him.

Two days prior to the surgery he had to start "prepping" for the surgery. He had "prepped" for several colonoscopies so he knew what to do. This one was much worse. He had always preferred the small bottle of elixir over the 1 gallon bottle. He figured it was like a shot, just hurry up and get it over with. For this prep he had to drink three of the small bottles over a 12 hour period as well as take several pills.

The first bottle went down as well as can be expected. The stuff is nasty, thinking about it now makes him gag and gets the shivers. About 40 minutes later things were moving like they were supposed to. He was on a clear liquid diet at that time. About 4 hours later it was time to take the second bottle of go-juice. He stood at his kitchen cabinet and stared at the bottle. He got sick just thinking about it. He picked up the bottle and started swallowing. It took him several tries but he got it down. His poor bum was raw by now. He spent most of the next couple hours reading a book on his new favorite seat. 6 hours later it was time for the third and final bottle. He couldn't stand the thought of taking another swig. He figured this time he wouldn't think about it. He would walk in grab the bottle and just swig it down. Easier said then done..... After the second swig he got sick. He put the last swallow in his mouth and struggled to get it down. As it slid sown his through his gag reflex came and up it came. He was done, thank god.

That night he took a sleeping pill and he was out. The next day he was woke to a new sensation. For the past three months he woke up to pure pain in his head. This morning was different, the headache was gone. He didn't know what he had done differently, but it was gone. Something in him thought it may be his mind telling him he was sick and shouldn't go to work. He wasn't the type to sit at home. If it wasn't for the headache he would have been back to work a few days after the hospital stay for listeria. Maybe his mind knew how sick he was and the headache was a way to keep him home to recover.

That day he sat at home alone. The Misses was taking some time off so she worked those three days before. He couldn't eat or even have clear liquid. He wasn't hungry he was just nervous. That night him and The Misses talked about the surgery and the illeostomy. He was tired of being chained to a toilet. He thought it might not be a bad idea to just stay with the illeostomy and not have the second surgery to reconnect the plumbing. The thought of not using the bathroom was a nice thought. She understood what he was saying and told him it was his decision. She would support him whichever he decided.

The morning of the surgery he woke up from a dream that it was already done. He quickly realized it hadn't and got in the shower. He knew this might be the last time he was to shower this easily for a while so he took his time. He was alright. He hadn't broke down and was feeling pretty good. After the shower he laid on the couch and watched ESPN Sports center. Trying to take his mind off what was going to happen.

Then the phone rang. It was his sister. She was just calling to wish him luck. As he sat listening to her, he got a lump in his throat. Then he couldn't breath. As he sat there and tried to answer her questions it got worse and worse. Pretty soon he was in tears. His sister promised him he would be okay as she fought back the tears and told him she would be there when he woke up.

The next thing he knew he was at the hospital in the preoperation room. He was laying on a hospital bed in a gown waiting for his turn. A nurse came in and introduced her self. She was there to find the best place for his illeostomy. She had him stand up and sit down several times. As he did, she watched his abdomen and eventually found the spot that would be the least irritating. As she made the final mark the Soldier got worried. For some reason he thought it was going to be much lower. The mark was on the right side of the abdomen and about even with his belly button. At that time he realised if he kept the illeostomy he would never be able to take his shirt off again.

Up until that point he had decided not to have the second surgery. He was so tired of going to the bathroom he had made up his mind to keep the illeostomy. Once he saw how high it was going to be his mind started racing. He was never going to be able to swim again. He had no doubts that people with these probably did swim, but he couldn't. How comfortable would he be with the Misses? It would be to uncomfortable for him to have people looking at it. It was then and there that he decided to have the second surgery.

The next thing he knew he was in the surgery room. Dr. Bubba was there and assured him she was on her "A game". The room was cold, and they had the radio blaring. He doesn't remember the song, it was an oldie but a goodie.

The next thing he knew he was in a different room with his parents and The misses watching over him.

Wednesday, April 18, 2007

A Headache From Hell: Part 8

The next three months were a blur for the Soldier. His days revolved around T.V. and pain killers. To some of you I am sure this sounds like a good way to spend some time. To the Soldier it was hell.

He was sent home with a PICC line. This was an IV that went in under his left bicep and traveled up his arm and down directly into his heart. This PICC line was attached to a small machine that pumped antibiotics to him continuously. The pump and antibiotics were stored in a small backpack or "purse" as he called it, and once a day he would have to change out the antibiotics.

The purse was a real pain in the butt. It had about a four foot tube that connected him to the purse. Everywhere he went it came too. On several occasions in the middle of the night he would get up and forget about it. As he made the second step from the bed the purse would fall to the ground. Luckily the PICC line was sutured in place or it would have pulled right out.

As big of a pain this was the headache was much worse. Everyday for the next three months he had a migraine that wouldn't go away. The pain was located right between his eyes. It made any light unbearable. He spent his day laying on his couch with a blanket pulled over his head. He would lay there in and out of consciousness and listen to the TV. He never went anywhere without his sunglasses. Most the time he wouldn't even take them off when his head was under the covers.

Dr. H did every thing he could to get ride of the headache. He tried every combination of narcotics he could come up with. The Soldiers medicine cabinet was looking more like a pharmacy then a cabinet. At least once a week for those three months he would be seen by Dr. H. He believed it was associated with the trauma his brain had went through. Once everything settled down in his brain the headache should go away.

The pain was constant. The pain killers weren't doing a thing so Dr. H started him on Migraine medicines. These didn't touch the pain either. He was given a 10 day supply of Imatrex. These 10 pills were supposed to last a month. After 10 days the soldier went to the pharmacy to get a refill and was told that he couldn't have any more. So Dr. H prescribed him another migraine medicine, but it still did nothing.

About two weeks into the headache him and The Misses started to notice his memory didn't seem to be all there. His long term memory was fine, it was his short term memory that wasn't sticking. Him and The Misses would have conversations at night and the next morning when she would ask, he couldn't remember a thing. Night time seemed to be worse then mornings.

For thanksgiving that year they went to Las Vegas to spend the holiday with The Misses family. One morning they were sitting at a table in a restaurant and The Misses family were complaining about the fire alarm that went off during the night. The Soldier looked at The Misses confused. He didn't remember a fire alarm. They went on to tell him the fire alarm went off and everybody including him was outside for about an hour.

Even worse then that memory laps, one afternoon the Soldier came home for lunch and The Misses was there. They were sitting on the couch eating lunch when she turned to him and said "last night was amazing." "What?" he replied. "You do remember last night?" She said quietly as a tear rolled down her eye. Nothing. He remember nothing. As he drove back to work his eyes welled up. He couldn't believe he couldn't remember.

Mentally, this was probably as low as he had every been in his life. Something was wrong in the Soldiers mind. One night The Misses came home late from work. When she came in and gave him a kiss he accused her of having an affair. The Misses was furious and stormed out of the room. The Soldier went into the bathroom to brush his teeth when something strange happened.

The mirror in the bathroom was divided in three sections. If you looked at it right, you could see three different images of yourself. According to The Misses she got up when she heard the Soldier talking to someone in the bathroom. As she stood next to the door he was looking at one of the images and having a conversation with himself in the mirror. As he would look at a different imagine in the mirror he would have a different conversation with the image as if it was a different personality. She knew what he had to said to her earlier wasn't from the "real" person she was with.

When he walked out of the bathroom she was standing there. He apologized to her and gave her a kiss. Then he moved around in back of her and started talking as if it was a different personality. The misses was scared, but understood what he had said to her wasn't what he meant. He was not right in the head at that moment.

That night The Misses said the Soldier was laying in bed when he asked her a disturbing question. "Do you think it is weird if every time I close my eyes I see a rope around my neck and me hanging there?" He asked out of the blue. This really freaked The Misses out. The next morning she asked if he remembered anything about last night. Of course he didn't.

He called Dr. H that morning and was seen that same day. He explained what The Misses had told him about last night. Dr. H listened and started to talk to them both about the images he would see when he closed his eyes. He was worried about the Soldier. He prescribed him some medicine. Then he talked to The Misses. She wasn't a patient of his, but he was worried about her too. He decided the Soldier should start taking some medicine to help control his emotions.

At this point it had been a month since his hospital stay for listeria. His headache was there everyday for three months. Some days were worse then others. He was taking pain killers every 4 hours and if during the night he didn't wake up to take the pain killers the headache the next morning was almost unbearable.

Thankfully the medicine Dr. H prescribed really helped the Soldiers mood. The images of suicide slowly began to go away and to his knowledge he never had another episode of talking to himself.

Tuesday, April 17, 2007

Disabled? Me???

For reasons most of you know, I have been spending a lot of time reading the U.S. News and world Report. The Latest article that caught my eye kept me awake last night. The cover story Cheating Our Vets talked about the big discrepancies the Military Medical Evaluation Boards (MEB) and the Veterans Affairs Medical Boards come to when dealing with giving wounded and unfit soldiers disability classification. It pointed out several instances where the MEB gave a Soldier a 10% disability rating, but the VA gave the same Soldier a 90% disability rating. In one instances the MEB issued a 0% disability and the VA gave 100%.

For those of you who don't know these ratings are a huge deal. When a Soldier is hurt and can no longer preform his duties as a Soldier, the military issues them a disability classification. The goal for most Soldiers is at least 30%. At 30% you get medical retirement benefits that include a monthly allowance, health insurance, life insurance, and many more benefits. If they are classified under 30% they are given a one time payment that depends on the severity of the illness and the length of service. Then they are sent on to the VA in hopes of getting a little more help.

After reading this article I have given up any hope on receiving anything but a kick in the ass and a thanks for your time from the MEB board. Since I didn't loose a limb and am not horrible disfigured I can guarantee I wont receive anything above 20%. I have found that most, if not all of those getting a rating above 30% have lost a limb of some kind. With me only losing my colon and a little bit of memory it doesn't look good.

I don't want you to think I am trying to swindle money from our government. That is definitely not the case. It just pisses me off that I wouldn't be in this situation if the army wouldn't have screwed up in the first place. Instead of putting in an MEB packet I would be putting in a Sergeant First Class promotion packet.

So what can you do? For me, nothing? But the next you talk to your senator you might want to mention the fact it is a disgrace the way we are treating our wounded Soldiers. Really I don't need any help, me and Jenn will be fine. Really the only thing I would like, is for them to apologize for misdiagnosing me. But an apology is one thing the army doesn't do.

It really makes me angry to think about all those Soldiers I saw and helped at Landstuhl not getting what they deserve!

Tuesday, April 10, 2007

Something A Little Lighter....

It really is a small world. At work today one of the big corporate boss's was here to make sure we were doing everything by the books. I had met him before, but honestly I never really liked him. He is from Texas and truly believes his shit doesn't stink. Last night he went to dinner with The Boss and they talked about me and all my problems. Today when I got to work he was sitting at the desk next to mine and was typing some emails. I sat down and began to check my mine. A few minutes went by and he began to talk, "I understand you have had a few problems."

"Well, it has been a rough year but I'm alive and that's all that matters" I replied.

He turned around and reached in his wallet and handed me a card. I thought it was going to be another wonder drug that somebody claimed cured everything. Instead it was an Emergency Alert card. I began to skim through it and stopped when I saw "complete colectomy".

"How long ago did you have the surgery?"

"I had it about 18 years ago."

He went on to tell me his story. He had been fighting ulcerative colitis for 6 years when he got toxic megacolon. We exchanged our funny stories about the illiostomies and how much of a pain they were.

Then I asked if he had any major problems after the surgeries?

"Really there are only two things I really miss. The first is camping. I tried in the beginning but it was just to hard to get out of my sleeping bag when I really had to go, and most places don't have a toilet close enough"

"And the second?"

"Well," he said while looking around to make sure nobody was listening. "I can't fart standing up!"

Friday, April 6, 2007

The Letter: Part 7

Because the Soldier was not coherent. Instead of trying to write what happened this is an email The Miss's sent out to their friends (sorry it's so long).

"I unfortunately have some bad news. The Soldier is okay now but was sick for a period of time. Many of you know about The Soldiers chronic illness of ulcerative colitis. Well, he has had some complications. He has had several major flare-ups and in order to get it under control he was placed on the steroidal medication prednisone, again. He was also placed on a maintenance therapy medication called Remicade which is pretty much the last resort prior to surgery. There are some serious side effects of this medication. One being a decreased immune system. So because of this medication, combined with the prednisone The Soldier was pretty susceptible to getting sick. So he did.

My birthday was on Sunday. That following Monday The Soldier got a fever and was very sick for a couple of days. Tuesday he had an apt to get a dose of his Remicade and the doctor there didn't think much of it. Thursday he was still running fevers between 102 up to 104. He went to his Internal Medicine Doctor (Dr. H) and they took some labs, did a chest x-ray but everything came back pretty close to normal. So they said he probably had something viral and antibiotics don't treat viruses so they just sent him home. I was pretty upset. They didn't even give him an IV. I knew he was sick and something more was going on.

Friday he woke up with a pounding headache. I wanted to take him to the ER but if you know The Soldier you know he wouldn't let me. Especially because he just went to the doctors the day before. So I went to work. Friday night when I got home he was still very sick with a temp of 103 and a headache he could not get rid of. We tried everything, Excedrin, Percocet. Being the nurse I am, I had IV stuff at home and hooked him up to a liter of LR. I was a little nervous to do so though because of the pressure in his head. I hoped I wasn't going to make things worse.

The Soldier was laying on the couch and when the IV was over he wanted to go to the bedroom. He sat up but was very nauseated. I got him a bucket. He started vomiting and then dry heaving. He was trying to talk himself into getting up to go to the bedroom. I don't remember what question I asked him next, but what he answered scared me to death. All that came out was gibberish. He was stuttering and he wasn't able to put a sentence structure together. I told him we needed to go to the hospital now. At this point it was 11:30 on Friday. He was pissed he didn't want to go to the hospital. Even though what he was saying didn't make sense I could tell that much. I told him he had to trust me on this one and went to get his shoes. At this point, if he was going to fight me I was going to call 911 and I told him that, so he didn't.

He let me put on his shoes, I grabbed his wallet on the way out the door for his insurance info and we headed to his truck which was parked behind my car. Even with all this happening The Soldier was able to ask me, "Are you driving?" I said "yes, and we're taking your truck cause it's behind my car." He sighed in disgust. I had to chuckle a little. The Soldier hates the way I drive. I got him into the car. As he was climbing in he hit his head on the roof. I felt horrible, his head hurt bad enough already. We drove to St Marks Hospital which is where all his records and doctors were located.

When we got there I asked him if he wanted me to get him a wheel chair, of course he said no. We walked very slowly towards the doors. I was afraid he was going to fall over on me right then and there. As we walked through the ER door, I said look there is a wheel chair, lets go get it. He said okay. That was the last conscious decision The Soldier made or said to me for the next 36 hours or so.

I told the receptionist the seriousness of The Soldier's condition and the triage nurse was there as well so we were seen right away. While we were waiting for the doctor and after explaining what had happened several times to the triage nurse and then the ER nurse, I called The Soldiers parents just to let them know we were at the hospital, but I didn't elaborate on what was really going on. At this point it was about 12:30. Believe it or not The Soldier was seen by the MD sometime between 20 and 30 minutes after we got there. The doctor walked in turned on the light (it was turned off because it made The Soldiers headache worse) and said, "Hi Soldier." The Soldier moaned in response. I just mentioned to the doctor, he wouldn't be able to respond to his questions. He sat down and asked The Soldier what was going on. The Soldier looked at him and attempted to answer but again came the stuttering and the gibberish. It sounded like The Soldier was trying to say something about a football. The doctor looked up briskly at me (as if to say what the hell is going on) I explained everything that had happened, all his signs and symptoms. The doctor said, "okay we are going to get a CT and a spinal tap," then walked out. As he walked out I heard him ask for The Soldiers nurse. He said "We have a very sick man on our hands, we need a CT and a spinal now!"

As scared as I had been up to that point, and I knew something was very wrong, I had kept my wits about me. When I heard the doctor confirm my fears, then I started to break down. I called my mom and dad. They said they would come to the hospital to meet and support me. I felt a little better. I also called The Soldier's parents back to let them know exactly what was going on. They were on there way too. The Soldier's parents showed up first. The CT had already been done and they got there just in time for the spinal. You could tell The Soldier's head was hurting him pretty bad and the position he needed to sit in for the spinal was not a comfortable one. His mom and I held his head and back in place with the nurse, while the doctor did the spinal tap.

Then followed the waiting game. My parents made it there but they couldn't put that many people in the ER room so they waited in the waiting room. I came out to visit every 15 minutes or so, then would go back to sit with The Soldier and his parents. It was about 1:45 or 2:15 before the doctor came in to tell us he was being transferred to 4th South, a step down/telemetry ward. He said The Soldier had meningitis. I think I was in shock at that point because it didn't even seem to phase me. I was actually glad I knew what it was. Now we could work on treating it. The normal white blood cell range in cerebral spinal fluid was between 3-5. The Soldier's was 4600. I went out to tell my parents. They were very concerned about me and The Soldier. Shortly after that they went home so they could come back in the morning.

The Soldier's parents and I stayed with The Soldier as he was transferred to 4th South. The Soldier was now on contact precautions. We had to wear a mask while we were in his room just in case this form of meningitis was contagious. At this point The Soldier was in a world of his own. He just moaned in pain, at times he would say a few swear words then tell himself, "okay, okay, okay, okay" as if he was trying to tell himself he would be okay. He was unresponsive to questioning by the nurses and couldn't obey simple commands.

As the nurse and the aid were trying to get him settled, The Soldier started to receive very high dose of antibiotics and antiviral medications. He was getting a little of everything until his blood culture and cerebral spinal fluid culture let us know exactly what bug we were fighting. I let them know that he had had about 3 liters of fluid and would probably have to pee soon so it would behove them to place a catheter. The nurse was really irritating me. She didn't want to do anything for him. She just wanted to wait until the morning when the doctor came in to write the orders. I think she got a clue when The Soldier tried to jump out of bed to go to the bathroom and we tried to take him there but he couldn't walk. He would lean forward as if he was going to take a step but he didn't have the coordination to put one foot in front of the other. The nurse, CNA and I had to hold him in bed. Once he calmed down the nurse called the doctor.

She got an order for a catheter and a posey restraint to keep him from trying to jump out of bed again. His parents were in obvious distress. I was going to stay the night and once they saw he was a little calmer they went home so they too could come back in the morning. I asked the nurse if they could give him something for pain and she said they couldn't because they were trying to watch his level of consciousness and pain medications usually alter that. When the nurse came back with the catheter and the restraint and I was watching her and the aid put it on him. I broke down. Watching them put that restraint on The Soldier was heartbreaking. I knew it was for his own good but it still killed me. To even think about it now brings tears to my eyes.

It was about 5 o'clock in the morning at that point and The Soldier and I tried to settle down for a few hours of sleep. They brought in a lounge chair for me but it was very bad sleep. Every few minutes it seemed like The Soldier began to moan in pain. I would tell him it was okay then it seem as if he would settle down. The nurse thought it might have been the sound of my voice that helped him.

About 7:00 a.m. I woke up because it was change of shift and the new nurse was there. Shortly after that The Soldier's parents came back. We just sat with him as we waited for the doctor. The nurse The Soldier had that day was from the hospital float pool. She seemed to be a little bit lost to me and when she told me she normally floated to the mother baby ward, then I knew why she was lost. She was over reactive too. She led the doctor to believe The Soldier needed to be transferred to the ICU, she was worried about his airway. I didn't think that was a problem because his blood oxygen saturation was fine. He didn't even appear to be struggling to breath. I'm not sure where that came from. Well anyway when the doctor came to assess The Soldier, before he went into see him. He talked to The Soldier's parents and me outside. He said that The Soldier might need to be transferred to the ICU and may need to be intubated to protect his airway because of his poor level of consciousness. Then he went in to assess The Soldier. This freaked me out. The Soldier's dad just pulled me into his arms and just held me while I cried. When the doctor came back out he said we wouldn't need to transfer him that he wasn't worried about his airway. All I thought was phew, stupid nurse. (I'm sure people have thought that about me at some point too. Lets just say this has given me a whole new perspective on patients family members).

The doctor did say that The Soldier was still very sick but we would watch him closely. At this point it was well, I'm not sure what time it was on Saturday. The Soldier's parents, and my mom were there with me. My mom took me home so I could take a nap, eat, and shower. I had been awake for over 24 hours at that point. As we drove home I called The Soldier's boss from work whom he is close to. I also called my best friend (The Best Friend) to let them know what had happened. I was able to keep myself somewhat together as I told them what was happening. My mom and I got back to The Ghetto and I laid down on the couch. I didn't think I would fall asleep because I was so worried, but my mom said I was asleep in seconds. She let me sleep for about an hour and a half because she knew I wanted to get back. When she woke me up I knew I was at my house and on my couch and I looked over at her confused and asked "What are you doing here?" Then it hit me like a ton of bricks. I had woken up to my worst night mare.

For the next hour and a half as I tried to put myself together I cried and tried to keep myself from hyperventilating. My mom reminded me that The Soldier was a fighter, that he never quits. I knew she was right, and it helped. After I got cleaned up and had a little something to eat, we drove back to the hospital. We found The Soldier's parents, The Soldier's sister, my dad and brother and The Best Friend. Good thing The Soldier had a large room. My dad and brother (The Missionary) gave The Soldier a blessing. It was actually The Soldier's aunts idea who asked his mom if my dad would do it. It was a good blessing, and very appropriate. I think it helped us as much as it probably helped him.

I think that was at about 5pm on Saturday. I hadn't really eaten since lunch on Friday so my parents took me to dinner at Marie Calenders across the street. I didn't eat very much but I ate. We got back to the hospital at about 6:30 or 7:00. A little while after that, everyone left but The Best Friend. She stayed with me and it was a good thing. Between 8:30 and 9:30 The Soldier was showing signs that he was getting worse not better. He wasn't calming down to the sound of my voice anymore and was just tossing and turning. He seemed much more distant. The nurse that was on that night was awesome and I was so thankful for her. She had great bed side manner and she was smart (I want to be like her when I grow up).

The Soldier's temperature was climbing again. He was at 103.7 and was beginning to show signs and I was concerned he was going to have some brain damage (sometimes knowing to much is not good, what I know as a nurse and seeing it is what was frightening me the most at that point). I couldn't bear to watch The Soldier any more. I had to leave the room, but at the same time I couldn't leave the hospital. I just paced the hallway and the foyer. Mean while, The best Friend had called my mom and she came back to the hospital to sit with me.

There was an order for a Tylenol rectal suppository (The Soldier was not coherent so he couldn't swallow) and again, the day shift nurse who said she was going to give it to help control his temp had not given it (at least that is what the computer had shown). The night shift nurse gave him the Tylenol. Then the nurse and my mom put me to bed in the room next door that was empty. That was so nice of her. At that point it had been some 40 hours or so with little to no sleep and little to no food. I had no coping skills left and I was a mess. Sleep was what I needed. The nurse was taking care of me as much as she was The Soldier.

My mom sat with me as I slept while The Best Friend sat with The Soldier. Several hours later they switched. The Best Friend told me she didn't want to switch until she had some better news for me, and she did. The Soldier's temp had broke and the signs I was seeing of brain damage, were no longer present. He was sleeping better. "Phew" I thought and went back to sleep. My mom sat with The Soldier the rest of the night and helped the nurse a few times.

I woke at about 6:30, and it was Sunday now. I had gotten about 6 hours of sleep and felt a whole lot better. I went out to find the nurse because I wanted to thank her before she went off shift. When I found her she said he was doing a lot better, and when I went to see him he was. He wasn't responding yet but I could tell we had turned a corner through the night. I was disappointed to see that the same nurse The Soldier had on Saturday was back on Sunday. But it was okay because I was there and I could tell he was getting better.

He started asking where he was. Oh to hear the sound of his voice. I had never heard something so wonderful. As the morning progressed to about 7:30. The nurse and I gave him a bed bath and I grinned from ear to ear when he yelled at me, "Sweetie!" in a pissed off voice as I was washing his butt. (The Soldier is a clean person, I knew he would feel better if he was clean. He showers twice a day at home). I didn't care he was mad, he knew I was there and that was all that was important. I knew everything was going to be okay when I brushed his teeth and he spit on command.

I went out to the foyer to eat a bagel my mom had bought and The Soldier's parents were back. We visited for a few minutes and I happily gave them the update on his condition. Slowly through out the morning he was talking more. My mom had gone home at this point but The Soldier's sister, grandpa, and cousin had shown up prior to the doctor coming. When the doctor came and asked The Soldier questions he was able to respond and he would squeeze the doctor's hand. The doctor asked if The Soldier knew where he was, The Soldier thought for a second then said "no". Then the doctor asked, "are you at the mall, or the hospital?" The Soldier replied, "the hospital". The doctor asked him what year it was. The Soldier thought for a minute and said. "two..........., two...........thous....and.........two thousand.....and................six" the doctor said "good. What month is it?" The Soldier replied, "ya, ya it's two thousand and six" The Soldier was still sick, but we all had to chuckle a little. It was so good to hear him talk.

Then the doctor asked him to "take his right index finger, touch his nose, then touch his left knee." This was too much for The Soldier, he said "What?" The doctor repeated himself then The Soldier bunched up his fist and said "I touch my right nose, then what?" We all laughed out loud at that point as much as his loss of memory was not funny, it was still a little funny. The doctor said it was okay. He then took us out of the room to give us an update. He said The Soldier was still very sick but his progress from yesterday was remarkable. He actually said to us that he wasn't sure if The Soldier was going to make it through the night (now I like to be right but I didn't want to be right about that, I knew The Soldier was doing bad on Saturday but, AHHH!) He also said The Soldier had turned the corner and he was going to be okay. We weren't sure about his memory, we would have to wait and see about that.

He also told us that the infectious disease doctor had identified what kind of meningitis he had. He had Bacterial Meningitis from a very rare bacteria called Listeria, that he had a rare condition also called Listeriosis. To this day we have not identified exactly where he got it from, but with some research I learned you can get it from almost anything. Unpasteurized dairy, deli meats, hot dogs, fruits and vegetables that have been fertilized with manure type fertilizers, and I think I read even water. Approximately only 1500 people in the United States get it each year and 500 of them die. Last year only 1200 people got it. It normally only affects pregnant women, the elderly, and people with compromised immune systems. The Soldier and I probably ate the same thing, but because of the medications he was on for his ulcerative colitis which compromised his immune system, he got sick and I didn't.

The Solider slowly progressed throughout Sunday and was talking even more. Still repeating himself a lot, but he was talking. They took him off contact precautions, discontinued all the antibiotics but high doses of ampicillian. The Soldier had the same bad headache he had on Friday, and they started giving him pain medications.

The Soldier's mom stayed with him Sunday night because I had to work Monday. That was a long day at work. I knew The Soldier was going to be okay and we were going to need the money so I went. Over the next couple of days his memory began to come back and he began to get his strength back. He still had the killer headache though.

He came home on the following Wednesday with a long term IV or a PICC line and continuos IV antibiotics with a home health agency managing it. Today it has been 2 weeks since he has been home. He still has the headache and the antibiotics but he is alive and has some of his memory back. If it wasn't for the headache he would be feeling pretty good. So for right now he rests on the couch. The doctor doesn't' want him to return to work at the earliest 6 weeks and maybe up to 12. The Soldier's boss has been great to us too! They love him like family and it has really made it easier to focus on getting The Soldier better."