Angiogram with contrast
08:00
Angiogram. First thought they wanted to draw more blood (these people must be vampires!), but no, it is an eye scan with a dye for contrast to visualize the arteries. Not the elusive gadolinium this time, but a bright purple substance.
Puerta 8 for the preparation. The engineer about now knows how this goes, first the machine to measure your eye, and make you read the letters. He asked for the eye drop himself, to avoid them thinking of this after half an hour, administering the drop, and having to wait yet another half an hour, giving them the chance to lose track.
The angiogram machine. Needle inserted into the engineer. A vial with purple stuff on the table.
"Is fluorescente?"
"Si!"
"Will make your pee bright yellow for a day (ha ha ha)"
Hm.
Look into the lens. Right, up, down, left, far left, a bit up, a bt down etc.
100 flashes later, all done. Lights on. Everything is purple! Nice.
We leave the needle in, in case the doctor wants another scan, with a different color (yellow).
The engineer almost asked if that will make you pee purple, but he held that back.
About 12:00 now. Engineer de Waal went for a box of cookies.
Busy day. The doctor could be seen whizzing about, and was sitting in her office while foraging for cookies.
"I am awaiting the MRI results, expect them... soon"
The word "patient" obviously has something to do with the word "patience".
By 14:00, doctor appeared.
"X-ray all good"
"Serologia all negative"
"MRI all good"
"You have sinusitis on the right, does that not hurt?"
"no?"
"We will give you an appointment with the Otorringología for that"
"Continue with the antibiotics, come back in two weeks"
Unique!
Gave her two articles the engineer encountered while reseaching lyme and optic neuritis. Apparently ophthalmologists are not usually aware that Lyme can cause Optic Neuritis.
"Lyme ON is an exceedingly rare ocular manifestation of Lyme disease (LD) and only a few cases have been published in the literature. Lyme ON is very rare but should be included in the differential diagnosis in unexplained cases, particularly in Lyme endemic areas."
2. A Rare Cause of Optic Neuropathy:
"The diagnosis of Lyme disease requires a high level of suspicion and only a minority of patients recall tick bites or cutaneous lesions."
"Although only a few cases of optic neuritis caused by Borreliosis have been described, Kubová et al. showed that, in patients with confirmed neuroborreliosis, 42% reported blurred vision or diplopia and 27% had delayed visual evoked potentials, meaning that optic nerve involvement in Lyme disease is probably more common than previously thought"
That engineer Jansen is quite unique is not news, but he must be an interesting casus, as they have an eye scan of him from March this year, and a quick Lyme suspicion after less than 6 months since that scan. Maybe she can write an article!
(NB that is quick Lyme, not quick lime)
What next
Hopefully a few quiet weeks, and an improvement of vision.
In two weeks the course of antibiotics runs out, and the next appointment is due. Also for the sinusitis with the Otorringología. If they decide to treat that sinusitis they may use an antibiotic that is also often used as the followup second course of antibiotics for Lyme:
amoxicillin
PS
Yellow pee? That, is, an, understatement.
PPS
Strange the Nobel prize committee has not yet phoned.
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