Monday, 16 June 2008

Ahh 17th of june already and i haven't posted for ages, there are too many things to do. I am madly knitting as its so cold this year and everyone wants beanies to wear. I made my friends kid one but my daughter grabbed it and wont give it back, so I have to make it again, a white beret.
Interesting patient of the week was a girl with hyperemesis, thats vomiting a lot in pregnancy. It starts earlier in pregnancy than morning sickness, is more common in a twin pregnancy and occurs in under 4% of pregnancies. The interesting thing for me was that we were always taught that there were underlying psychological problems which caused hyperemesis. It was really morning sickness which had gone out of control due to issues such as an ambivalent attitude to the pregnancy, wanting to abort the pregnancy, depression etc. Of course its the chicken and the egg thing is the vomiting a cause or a result of the mental issues.
Gotta a go do aqua walking at the gym finish later.
Later, I was the youngest of the aqua walkers always good a retirement crew, but I love to be in water.
Back to vomiting I was thinking they should make one of those dealing with issues shows about hyperemesis but you can see problems with it, a lot of people cant watch vomiting people. I looked it up on the net all these stories poor girls and how dangerous it can be. Charlotte Bronte is supposed to have died of it. The emo theory is discredited now but I still think there is that side of every disease. Vomiting is awful but vomiting plus depression and lack of support is that much worse. Rehydration and getting any food in seems to be the important thing. Anti vomiting drugs work variably, from not at all to moderating the vomiting to working for some people.
Anyway yah for the net which is so good for hearing patients voices in a system that barely gives you time to say hello and lets you update yr ideas quicker.
Thank you to the patient of the week who said to me I am not really like this you wouldnt recognise me if I was my usual self, which made me go look up this condition and revise my thinking.

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