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Update on Cassie

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Well after I sent my e-mail out Saturday I sat here listening to my daughter

cry and moan, my frustration building till I started crying. Of course I

went up stairs I didn't want her feeling any worse than she already was. The

more I cried the angier I got, and then she started screaming. Seems her

little brother got to ruff nad kneed her in the stomach. Well that was it.

Someone somewhere was gonna treat her pain or I was gonna go to jail trying

to get her treatment. I told her to get dressed and off we headed to the ER.

The trip though short was quite painfull for her. Too many potholes still

left from winter. We get there and 1st we see triage(SP) nurse. I tell her

we are here to get her treated for pain, she has CP and noone will deal with

her pain. She says she doesn't understand. I say well understand this when

my 12 year old tells me " mommy if I were dead I wouldn't hurt anymore " I

have a problem. So she says oh she's her cause she suicidial. I again said

no she's here for pain, that was just a passing comment. Well I guess it was

enough to get her moved up quite a bit, the ER was packed and she went in

ahead of everyone.

Then we luck out, 1st her nurse is also named Cassandra and she too has CP.

So the 2 of them hit it off right away. Then instead of a DR we get a PA.

I'm thinking oh-no - another idiot to educate. But no, hes appaulled noone

is treating her pain. I tell him about Fridays visit to her PCP's office and

how on Saturday they tell me levels are normal, just watch her. He says ok

let's deal with this. Looks at Friday's labs says everything is ok no need

for IV. Then says since she's got SPINK1 she's been having problems all her

life - her levels won't elevate every time she has an attack, I'm not going

to draw blood again. Great relief for Cassie. Then tells her he's going to

give her pain meds orally, he wants her to wait 1 hr there at ER, if no

relief then he'll give her meds via IV. So 2 Vicodin and 1 hour later she's

doing much better. Sends us home with 4 more Vicodin to get her threw till

pharmacy opens. Plus we get a prescription for 20 and 1 refill. He also

said that when they send notes over to DR's office he will have the attending

DR in ER send note regarding her untreated pain. He says she's going threw

enough BS having CP - doesn't need pain on top of it. Then her really

surprized both of us. He gave her a big hug, told her anytime she needed

help to come in and ask for him, he'd be there for her. then her nurse told

her when she works she'll make sure to watch for her name. Cassie cried

again, this time happy tears.

So... sunday was much better for her. She wants to try to go to school today

and knows she has to without pain meds. As much as I wnat to say no I'm

going to let her go - more than likely she won't be there all day anyway -she

has to have follow-up with PCP. I have a feeling this is going to be a

difficult appointment today.

I haven't really slept more than 2 hours at a time since Wednesday. so I'm

beat. thanks so much everyone for your words of encouragement, they really

did help.

God bless and hugs to all

Patty Hurst

Bangor, ME

Maine State Rep

PAI

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Patty,

I am so glad that you and Cassie had a GOOD ER experience. I pray for

everyone in this group every night, but I say special prayers for the

children with this disease. I have a hard enough time dealing with CP at the

age of 29 and can't imagine doing it as a child. I hope that Cassie finds a

good doctor and soon!

Sending lots of happy thoughts your way...

Marisa~San Diego, CA

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Patty,

I'm SO glad to hear that Cassie got a wonderful doctor and

nurse in the ER! And something to ease her pain. It just

horrifies me and everyone in this group that no one was

giving her relief for her pain.

Definitely keep their names for any other times Cassie goes

to the ER. Hopefully, something can be done with her PCP to

help get her pain meds in the future for other attacks. At

least Cassie is feeling well enough to try going to school.

She is such a strong brave person. So are you. Give each

other hugs from me.

Kimber

--

Kimber

Vallejo, CA

hominid2@...

Note: All advice given is personal opinion, not equal to

that of a licensed physician or health care professional.

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Patty,

I think your story is so important to teach us not to give up. There are

'angels' out there to help things go smoothly. I just wish we could all

connect with them more. I am so glad that you shared this because we all need

to hear good outcomes more often. I wish I could have seen Cassie's face!

Blessings,

Karyn E. , RN

Exec. Director, PAI

Indianapolis, IN

The PAI serves as a means of support, information, and advocacy. The PAI

cannot offer medical advice or direction nor substitute for your health care

provider.

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