Friday, August 03, 2012

not luvin the stones....

Yesterday I was flat on my recliner with a heating pad to my lower back all day, except when I threw up d/t excessive pain.  yeah, that was tasty.  Bub stayed up all night, despite the nightlight and Ipad.  Momma took the Ipad away around 2 or 3, followed by much screaming and kicking of the wall.  FYI, yesterday was exactly a month from when the 1st episode hit.

today I had a "revenge of the stone" that lasted about 2 hours.  I pulled out my nursing book to reacquaint myself to the nursing interventions of kidney stones...pediatrics doesn't see too much of them, oddly enough....*sarcasms*

basically, I need to:
  • capture some stones, which I have thusly been unsuccessful at
  • drink 3+L fluid daily (hard to achieve when I am at work)
  • start a food journal to look for triggers
  • Food:
    • take 1-2 grams Vitamin C daily
    • prolly should eat less meat
    • Prolly should cut calcium, but I barely ingest ANY calcium, around 6 oz soy milk daily, and some cheese every couple of days, rarely eat broccoli, never eat Kale or Chard or bitter crap like that....
    • prolly should avoid chocolate (!!!!!!)  *boohoohooo*
    • prolly should avoid coffee 
    • might need to avoid whole grains  (
  • I need to make an effort to pee every 3-4 hours (again hard to do at work)
(side story:  there are days (nights) while I am at work where everything is so crazy-busy I don't make it to the bathroom at all (that means 12-14 hours).  I am not the only nurse this happens to. PLEASE be kind to your nurse, we need an opportunity to pee too.)

Check out this lovely fact about kidney stones:
"The pain associated with ureteral spasm is excruciating and may cause the client to go into shock from stimulation of nearby sympathetic nerves"
Medical-Surgical Nursing 5th edition, Ignatavicius & Workman p. 1697
well, Bob's yer uncle.  one more thing to worry about..

Today during the few hours of wakefulness before and after the 2nd stone passed, zbug was on me like glue.  would not leave my side for anything, even Daddy offering her oreos.  I feel so guilty.  I'm at work 3-4 nights a week, w/ the days spent sleeping, then I get this and am cloistered in my room from pain, and that's another 2 days she doesn't see me.  even Bub is missing me, and being clingy while I'm around.  poor Joe looks like wall hit him, and the house like a tornado hit.  my MIL thinks I need to see a urologist, but until I get some stones, there really isn't anything to do except what I listed above.

things I'm pretty sure trigger a stone:  coffee & meat.

apparently I am getting the message that I need to become a semi-vegetarian....and a tea drinker.  How's that for irony....

Joe isn't going to be happy about a reduction of meat consumption in our home.  :(
neither will Bub be pleased since the only vegetables he will consistently eat are frozen peas and frozen corn while they are still frozen, and a raw carrot if he gets to peel it.

So I'm pretty depressed by all this.   but on a happy thought (ok I'm stretching it here):  I get stressed and make a human version of a pearl?!?!  lol!

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