She was on an ativan drip...then intubated//ie ventilator/not because she was not breathing but because if she thew up she was in too confused of a state to protect her airway...she was heavily sedated while on the vent as people fight the vent and try to pull it out..she was in restraint...I read that this is not good due to the rigid muscles and the build up of lactic acid due to being restrained...she is off the vent today breathing on her own but only mildly sedated..she is wailing and writhing around//jerking but not seizures
She still had 90 trams left..she was not in tram wd...but an overload of seratonin due to the ssri and her tram intake..which as I stated//is an everyday thing for her for a long time//the trams being added bout 3 yrs ago but she has taken way more that 90 trams in 10 days///this time it just caught up with her...she had 90 left...she would have taken them had she felt bad...she woulda taken them whether she felt bad or not because she is an addict
she was clean of any other narcotics or benzos...no controlled substances or normal drugs of abuse..that is because she finished her Avinza/30 pills in less that a week and had already gone thru wds from those..werent even any in her system...she had no benzos...but took 30 ambien in 10 days and 60 baclofen..so perhaps she bumped these 2 pills up in dose due to the avinza/morphine time released/ wd/to ease the wd...but her body is used to wd-ing every month...as she has absolutely no control and gobbles up the morphine in a week...her dtr said she would break the avinza capsule 4 at a time and chew the granules/she does not share this info with me/....but as i said this avinza wd was over...and since she only takes them one week a month due to abuse//her wd is not as awful as someone who abuses continuously because her body is used to going without/I do know she had gone thru wd and was planning to start a low paying job on monday/yesterday/I told her that her back is not what was keeping her from working..it was her addiction...
perhaps she hit the trams hard and it was more like 90 in 4-5 days...who knows?...only her and we can not aske herk
Keeping your friend and you in my prayers....Kim
She is most likely withdawling from the tramadol at the moment. yes the main treatment for SS is stoping the drugs with seration. Then most of the time your body will get better as it gets out of your system .I dont know if I overlooked it do they have her sedated ? At this point it would probably be best .Yes SS can be fatal and no one thinks its going to happen to them but it does .Keep us informed worried she will be in all of our prayers.
She is off the vent..but still rigid, wailing and eyes are closed..they have pretty much narrowed it down to SERATONIN SYNDROME....she was on an ssri for years..after she was in the ER her dtr and I went back to her house...she had taken 90 trams in 10 days..which is not abnormal for her..I know she has taken 12 or more when she had enuf...and would run out often and no problems...I guess it caught up with her...musta built up in her system or sumpin....come to find out her dtr had called and gave her an ultimatum at 10 the night before that the x-hubby had to leave or she would disown her/I got his number off her caller if as he had called several times/I know she woulda ansered and he started calling at 830 am..I found her at 245 pm..after she spoke with her str/she told him to pack his bags and go/that she loved him and kissed him on the cheek///she texted with her younger dtrat 11 but never mentioned this incident/and that is the last anyone knows of how she was so it is not for sure how long she was down///but from at least 830 am that morning....it was odd that he was gone that day when i got there as he had been there for a few weeks helping her move//and she was happy with him there..he was not the father of these 2 kids/and obviously there r some issues..the older dtr who gave her the ultimatum has yet to come see her mom...
She has encephalopathy/vague/but there is no test for S syndrome..only S/S.....some part of the brain has been affected..not sure if it is long term/but could be..i googled and cases of Seratonin Syndrome usually resolve in 24 hours....11% of the cases are fatal...it is now almost 72 hours..she is really no better/she could always breath on her own but they vented her to be sure they kept an airway...now there r orders to sedate as little as possible as they are hoping she will snap out of it...It is like she is rigid, scared, I read hallucinations are part of this and she can not open her eyes but I know sumpin scary is in her mind as she groans and growls//like an animal who is very afraid...she is incontinent..almost like a crazy person...and I pray she snaps out of it...or I will be very sorry I found her..no one can live like this..I do not see how she has the nrg to continue writhing and moaning/jerking....please keep her in ur prayers...and for those abusing trams///please be safe
Hoping things are okay.......Please let us know.
Im so sorry youre going through this. I hope your friend pulls through, and gets clean after she has recovered from this. Please keep us posted. I know this is very hard for you. You are a good friend. Sending you hugs and prayers for your friend