Monday, February 18, 2008

Gastric Emptying Study (radioactive scrambled eggs!)


Helen had the Gastric Emptying Study - Solid Phase test done today, she felt quite ill afterward.


Clinical Information:

Following the ingestion of a Tc-99m solid radiolabelled meal, serial imaging in the anterior and posterior projections was performed for 100 minutes. There is a marked delay in gastric emptying. The T1/2 of emptying is not reached at the end of the examination and is extrapolated to be 373 minutes (normal 60 =/- 30 minutes). At the end of the study, only 14% of initial gastric activity is emptied.

Impression/Diagnosis:
Findings are suggestive of significant gastroparesis to solids if there is no evidence of gastric outlet obstruction.

by Urvi Joshi - Nuclear Medicine Physician

Monday, January 21, 2008

Dr. Henry Chung

Dr. Chung thinks Helen may have Gastroparesis and is requesting a Gastric Emptying Study procedure to be done on Feb. 18th at Royal Columbian Hospital...

Gastroparesis is a severe neuromuscular disorder of the stomach that results in a partially or completely paralyzed stomach. Individuals suffer with a spectrum of symptoms collectively known as dyspepsia. These symptoms range from nausea, vomiting, belching, reflux (stomach acid washing into the mouth), early satiety (a feeling of fullness after a few bites of food), abdominal pain or bloating, a change in bowel habits, and weight loss. People with gastroparesis may experience a substantial loss in quality of life to the point of being housebound for months at a time.

Gastroparesis is also known as delayed gastric emptying. Delayed gastric emptying can be a component of numerous other gastrointestinal disorders such as:

non-ulcer dyspepsia,
gastroesophageal reflux disease (GERD),
functional dyspepsia,
cyclic vomiting syndrome,
functional abdominal pain,
irritable bowel syndrome (IBS);
it is also found in a subset of individuals with chronic fatigue syndrome.

Break down the words; it helps to understand the meaning. “Gastro” means “stomach” and “paresis” means “weakness”. Gastroparesis, then, refers to a weakened stomach, which in this case, allows food and secretions to pool in the stomach. The term “delayed gastric emptying” is often used interchangeably with gastroparesis.

Breaking apart the meaning of the word “dysmotilites”, we get the prefix “dys”, meaning "abnormal", and "motility", a biological term meaning “contractions”. Its use in gastroentreology refers to abnormal contractions in the gut. A dysmotility may affect an isolated problem in the gastrointestinal (GI) tract (as in gastroparesis) or it may encompass several regions of the GI tract, each region having its own diagnostic term.

Sometimes people start out with one isolated dysmotility (such as gastroparesis); then over time the motility problem can affect a region farther downstream—the duodenum— and even farther along the small intestine. One very severe dysmotility is chronic intestinal pseudo-obstruction, which can afflict both children and adults.

Dysmotilities of the colon cause diseases such as: Hirschsprung's disease, colonic inertia, slow-transit constipation, and functional outlet obstruction.

source: The Gastroparesis & Dysmotilities Association

Wednesday, January 9, 2008

Monday, January 7, 2008

Dr. Qureshi

spoke with Dr. Qureshi, and he said to definately follow-up with Dr. Donaldson, and to see Dr. Chung on Jan. 21st. He recommended a CAT scan be done and ERCP procedure.

Friday, December 21, 2007

Dr. Fell & Dr. Jill Scott

yesterday morning we went to see Dr. Fell to see what she advises for Helen to do. She gave her some Nexium samples. It seems Nexium is prescribed for acid indigestion. Hopefully it helps?

I spoke with Dr. Jill Scott about Helen and she aid to do the apple cider vinegar 20 minutes before eating and to follow the 3-week detox diet. The pancreas has a difiicult time digesting protein. No dairy, no wheat products and definately no sugar. She has an apt to see her Tuesday - Feb 5th @ 11:30am.

Tuesday, December 18, 2007

Pancreatitis!!!!


Helen went to Eagle Ridge with extreme pain and nausea. She waited in the waiting room on a bed, throwing up, screaming and writhing in pain for almost 4 hrs! The doctors and other staff in the triage were telling jokes and eating Tim Hortons! She finally got into ER and they treated her like she was a piece of shit! didn't help her, or believe her that she was in pain or nauseated!... She was puking so much and so often (just bile) that they were pissed off at her for using so many of the cardboard disposable containers! She was eventually diagnosed with pancreatitis by the blood work they did there. I don't know what the amylase levels were. Anyways she got a room @ 11:00pm and the night nurse was a nightmare! She didn't sleep well, the morphine and metoclopramide wasn't even helping and the nurses aren't allowed to change the meds until they get the OK from a doctor. The doctor/hospitalist didn't show up until around 11:30am! By this time Helen was extremely agitated and exhausted. Unfortunately she discharged herself out of the hospital before she could get any help!!! = =

Tuesday, December 4, 2007

Peace Arch Hospital today

Helen had her Colonoscopy and Gastroscopy today. Dr. Donaldson said he saw nothing that was abnormal. So this is really good.

He did biopsies and the results will be a few weeks.

Helen was extremely ill from the tests, VERY nauseated! On the way home from the hospital I took pictures of this rainbow! there was 2 side by side, very beautiful!


"Somewhere Over the Rainbow"

Somewhere over the rainbow
Way up high,
There's a land that I heard of
Once in a lullaby.
Somewhere over the rainbow
Skies are blue,
And the dreams that you dare to dream
Really do come true.

Someday I'll wish upon a star
And wake up where the clouds are far
Behind me.
Where troubles melt like lemon drops
Away above the chimney tops
That's where you'll find me.

Somewhere over the rainbow
Bluebirds fly.
Birds fly over the rainbow.
Why then, oh why can't I?

If happy little bluebirds fly
Beyond the rainbow
Why, oh why can't I?


from THE WIZARD OF OZ
lyrics by E.Y. Harburg

Lets hope there is a pot of good luck and health there for Helen also! gold would be nice too :0)