I wake, push the call bell and ask for water. The aide tells me to wait. I tell him that he had all night to refill my water cups. In a nursing home, the need for water is considered emergent. The patient is always supposed to have water at all times. I have two cups so they continually can keep one filled.
You know that the way to keep your little kid dry at night is to tell him “No water after supper—just one drink at bedtime,” but do you know how that works?
The posterior pituitary gland in the brain keeps a running tab on how much water is in the plasma that is flowing through it. When the water level gets low because there is no fresh water coming into the system then the gland sends an antidiuretic hormone (ADH) message down to the kidneys to tell them to conserve water, i.e., stop peeing it out. Basically, the ADH seals the system to maintain hydration; it regulates to keep a certain amount of water in the system by recycling it.
That’s how it works in healthy people: the posterior pituitary gland sends antidiuretic hormone to the kidneys to stop them from releasing water to be peed out as urine, and your kid wakes up dry in the morning. So I got diagnosed with nephrogenic diabetes insipidus consequent to lithium poisoning, and what did that mean? Arnie Moses explained it to me.
Dr. Moses has been an endocrinologist at Upstate Medical Center for about sixty years. Around 1991, when I was in one of his research studies, he was a world-class authority on diabetes insipidus. Moses admitted me to one of his research beds then they (a) had me urinate, (b) drew blood, and (c) gave me water to drink. They did this continually every fifteen minutes until I couldn’t stand it anymore. This test doesn’t sound terrible but, believe me, it was. I felt like I had wimped out but a nurse whispered that I’d lasted longer than any other subject.
Every time they drew blood it immediately was transported to a lab tech because what he was doing was measuring antidiuretic hormone. And what was confirmed beyond a shadow of a doubt was that I was putting out a normal amount of ADH but my kidneys weren’t responding to it. If I had not been putting out enough ADH then I would have had neurogenic diabetes insipidus. As it was, I have nephrogenic diabetes insipidus.
The kidneys have millions of tubules; lithium toxicity destroys them. Since it is the tubules that hold and release water, if they are damaged then so is your capacity to retain water. I am continually wasting water into urine because the tubules are destroyed and can’t respond to the ADH to stop the release of water.
Which I would have explained to that asshole, Dr. Falci, if he’d ever asked me. And which he might actually have put into his report, which is all that asshole, Dr. Lockwood, ever read. Doctors playing whisper-down-the-lane instead of interviewing their patients is the best reason I know for HealtheConnections to be shut down.
Under the guise of lowering costs by not repeating expensive tests and by making information available for fast treatment, HealtheConnections—as a part of a national program—is electronically collecting your information and putting it into the hands of people who never have laid eyes on you.
And there is no patient portal where you can get in to view your record or correct misinformation. That-asshole-Falci wrote that I probably have psychogenic diabetes insipidus, i.e., that I’m crazy, not medically damaged, and that lie by an incompetent psychiatrist is going to go around and around and around the system. I can’t stop it.
Oh, by the way, did I mention that your information is doing the same thing? Have you ever had reason to see the medical records from your doctor’s office or a hospital? Shock the shit right out of you. Trust me, the medical professionals who have been treating you do not see you the way you see you.
Do a little experiment: request your records from someplace you were treated five years ago. When you are surprised by what you see then get your records from one year ago. Compare them. Are the errors of five years ago still being carried forward? Ever wonder why you’re getting such crappy treatment? D’you suppose it has something to do with errors in the records that the new treating entity looks at before s/he looks at you?
You are not who you are; you are who the medical industry created you to be. Be afraid.
I was poisoned by a doctor who didn’t monitor medication, and therefore I suffered permanent kidney damage. By playing selective whisper-down-the-lane in medical records, Dr. Moses scientific testing has been dropped and replaced by that-asshole-Falci’s uneducated opinion.