Six: The Descent

I reluctantly began this story several weeks ago here due to the urging of others. It is difficult because it is personal, and I have always guarded such things. If we met on the street today and you asked me how I was doing I would say “Pretty good” or “Fine, thanks.”

I continue the tale with the hope that it might be helpful to someone.

The next part of the story may seem incredulous. Let me frame it this way:

Have you ever gone for a time, say six months, and one day tried to put on a pair of jeans only to discover that they are too tight? You ask yourself, “Have I put on some weight?” You step on the scales and find that you have gained ten pounds. Your first thought is “How did that happen?”

The answer is gradually. My progression into chronic illness was the same.

In the weeks following hospitalization, I experienced some tingling and numbness in my feet. I began to stumble a little, and my gait became unsteady. Walking up or down stairs and on uneven surfaces became challenging. I would lose my balance but “catch” myself on a wall or a chair. It was not a matter of vertigo or “light headedness.”  It was strictly mechanical. It was hard to walk a straight line.

I also lost a lot of weight. Most of it was muscle. The clothes in my closet (my sizes had not changed since my twenties) were now way too large. Clown clothes.

I rationalized that these two conditions were linked. I was simply “out-of-shape.” Muscle atrophy from inactivity had affected my mobility, and I could get back to normal with disciplined exercise. I started lifting weights and felt better immediately, but after a few workouts I experienced complete fatigue. Though it was difficult to get out of bed, I had responsibilities — my family, my church, and my employer. I stopped and re-started the workouts several times, but the results were always the same.

Sometime later the Redhead and I were watching television one evening. She asked, “Why do you keep rubbing your hands?” I realized they too were numb. I really had not noticed before that moment because of the issues with my feet.

The numbness gradually worsened. Both hands and feet were numb during the day and throbbed at night. The Redhead told me I was “moaning” in my sleep.

Still, I let some time go by. Surely all this was simply connected to the Specialist’s “post viral syndrome” diagnosis.

Then I began to experience something the medical community calls “brain fog.” I lost track of things. Wallet. Phone. Keys. Forgot the names of people I had known for a long time. Stopped in mid-sentence because I could not remember a word.

I finally started to worry. I had waited long enough, and I had to find another doctor soon.

Thus began my search for answers in the modern medical system. It would drag on for over a year.

Five: Diagnosis

This is part five of a series. If you are a new reader, you may want to start here and read from the beginning.

Two weeks can be a long time when you are waiting for test results.

I spent a lot of that time on the internet, researching Lyme Disease. I began with studies and recommended treatments from research institutions like Mayo Clinic, then worked my way through page after page of personal stories.

Lyme was controversial. Most medical sources maintained that it could be successfully treated and cured if diagnosed early, but there were huge differences in the meaning of the word “early.” There was even debate about the accuracy of the test (some said less than 50%) as well as the efficacy of various antibiotics and the length of time they should be administered. All the medical researchers agreed on one thing: 14 to 21 days was the minimum length of treatment. Some believed 30 days was best.

I had received eleven days of Doxycycline — four intravenous and seven orally. I had questions about that if the results were positive.

The day arrived and I met with the Infectious Disease expert. A surprise — I was positive for five illnesses: Lyme (Borrelia sp.), Rocky Mountain Spotted Fever (Rickettsia), HGE (Anaplasma phagocytophilum), HME (Ehrlichia chaffeensis) and Micro Pneumonia (M. pneumoniae).

The doctor said that he suspected Lyme all along, but that the high fever and brain swelling I had experienced was more consistent with Rocky Mountain Spotted Fever.

“That one is potentially fatal. Glad we caught it early.”

My thoughts, kept to myself:

Glad we caught it early? I lay ignored in your hospital for 24 hours with a high fever and did not get so much as Tylenol. If my son had not found me, I might have been dead.

You gave me a broad-spectrum antibiotic and ran some inconclusive tests. If the Redhead had not told you that about the tick, we would not be having this conversation. I would be just a patient you treated for a “fever of unknown origin.” 

I told him what I had read. I was concerned that my antibiotic treatment had not been long enough to kill the Lyme bacteria.

“Oh no. You had the standard treatment. I am quite sure we got it. I have treated Lyme before.”

I reminded him that I was a forester with a history of tick bites. Was it possible that I already had Lyme and the Rocky Mountain Spotted Fever only brought it to our attention?

“No, I do not think so. No worries. You should have no more issues.”

I would, however, experience a condition called “post viral fatigue syndrome.” I should expect to feel tired and just generally lousy for up to six months before I felt “normal” again. No cause for concern. I had been terribly ill, and my immune system had taken quite a shock. I should gradually begin to feel better if I rested and took care of myself.

Six months passed. I did not feel better. Some days I just wanted to stay in bed, but I waited.

After all, he was the expert.

Four: Storm

I am sitting in a grassy field under a small tent. A young nurse is taking my blood pressure. She is dressed in army fatigues, like one of the nurses from the old television show M*A*S*H. It is sunny and the light is very bright. She is talking to me, her voice muffled like we are under water. There are no other sounds. No birds singing, no traffic, no other voices. We are alone.

“We are going to get you to a room soon honey, okay?”

“My head hurts.”

And later:

I am lying in a bed somewhere. My head feels as if it were in a vice. I hear my son’s voice.

How you feelin’ dad?”

“I don’t know what to do. They gave me all these COVID kits to put together, and the instructions are in Chinese. Can you help me figure it out?”

I would later learn that the first memory never happened. I was admitted to the hospital by standard procedure, through the emergency room.

The second did. My son found me babbling like that the next day. I had received no treatment up to that point. My fever had spiked to 103.

I remember almost nothing about what transpired in the week that followed. Most of what I write reconstructed from The Book. Other things were false (or no) memories that the Redhead explained in the days and weeks afterward.

No, family did come to see you, you talked to them. Yes, you did have your phone, but I did not see you look at it. Yes, you were awake a good bit of the time. Yes, we talked about a lot of things. No, they did bring you meals. Don’t you remember any of that?

I did not. I do not.

The Book has pages and pages of tests. Bizarre imbalances in blood profiles. Some categories were extremely low, others alarmingly high. There were also MRIs, CT scans, and ultrasounds.

They were looking for West Nile virus, but that test was negative. They considered meningitis, but never did a spinal tap (an error, given what was to come). The baffled internist bowed out and referred me to the “Infectious Disease Expert.”

After four days of intravenous antibiotics and fluids, the blood tests returned to normal.

A memory, confirmed to be true:

I am sitting in a chair and a doctor is speaking to me in a quiet voice.

“Mr. Clifton you have been an extremely sick man. We have done a lot of tests, but we do not know the cause. I suspect it may be related to the tick bite you had, but tick-borne infection tests must be sent to a lab in Virginia. It will be two weeks before the results come back. Until then, I am giving you a prescription for one week of Doxycycline just in case. By the way, I noticed from your chart that you haven’t had your COVID vaccine, and I really think you should consider…”

“No. I am not taking your shot. You should focus on figuring out what I have rather than trying to get me to take some so-called vaccine for something you think I may get.”

“Sir this is not a political thing, but…”

“No, it is not political. End of discussion.”

“Understood. I will call you when your lab results come in.”

Admittedly rude, that. It might have affected our future relationship.

The Redhead drove me home soon afterward, but to this day I do not remember the ride.

Two: The Book

The telling would not be possible without the book. A three-ring binder that serves as a sort of reference manual. Painstakingly assembled by the Redhead, a left-brained mathematical genius who can account for every penny on a balance sheet and has never met an equation she could not solve. Quite a catch for a right-brained word-man who can see the forest from the trees but cannot see the solution for the numbers.

The book is a chronological presentation of every medical visit, every test, every doctor’s summary, over the course of two years. There are spreadsheets she has constructed that compare blood test results by date for every component and how the numbers fluctuate – normal, abnormal, normal, abnormal – clues in search of a crime.

The analysis has been ignored or shrugged off by the medical community, most who seem to be more interested in moving things along so that they can get to the next beef in the slaughterhouse line. Let’s go folks, I have other patients to bill.

I offer this explanation to tell you how I know the order of events. Without the outline, the story is disjointed, the sequence and cadence lost. One of the effects of the illness has been a loss of short-term memory. Names and dates, mostly. I carry a little pocket-journal to help with that. Something a writer should do anyway. Stories and observations are often in the moment, and time blunts the imagery.

It is from this record that I know the exact date that this story began. How I can move from “Once upon a time” to June 5, 2021.

I had spent that week in the office, and a hot, lazy Saturday afternoon was just what the doctor ordered (no pun intended) for a forester and his dog. Just a short walk to a creek through a little patch of woods in Tallapoosa County, Alabama. The dog was protected from fleas and ticks. The forester, not.

An Independence Day

July 1, 2023.

My personal “Independence Day,” in a sense.

I am officially unemployed.

The Redhead is calling it “semi-retirement.”  A good phrase, but not entirely accurate. I am too young to draw my pennies and not well-off enough to quit work for a life of leisure.  My career in forestry has paid the bills, but I did not get rich from it by any stretch of the imagination.

I prefer the term “self-employed,” although I am not entirely sure what that will look like in the days ahead.

There is a story here beyond employment. One I am going to tell only because someone urged me to do so. It will be difficult writing for me because it is about me, and quite frankly there are more interesting things to write about.

It is not a tale to solicit either pity or advice, because I have had plenty of both over these last two years.

Think of it as a cautionary tale, especially if you spend time in the woods and fields of Alabama.  It is a story about chronic illness.

I will write this story as a serial, because it is much too long to hold your attention in one sitting.

It starts like this: “Once upon a time, a forester was bitten by a tick.”