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Hospital admission to diagnose?

I know I post a lot of questions but I have a bizarre situation. Very short version: my apartment was exterminated using a gel insectcide in Dec. 2017. As a result I suffered what I thought was a severe allergic/asthmatic reaction which remains to this day. I have seen six doctors (my pcp, 3 allergists, an ENT and a regular doctor). I have four diagnoses: allergies, not allergies, a chemical sensitivity and a sinus infection. I am running around getting nowhere fast.

So here is my question: Should, or even CAN I, be admitted to a hospital to finally get to the cause of my symptoms and cure them. My thinking is that the hospitals have all the specialists who can work together to get to the root cause of my problems and hopefully cure them.

What scares the h*ll out of me is that now I am becoming hoarse from all of this and I am terrified it may become permanent.

Has anyone done this? Would a hospital allow it? I know there are other issues involved but I just can't think of them now.

As always, thanks to all you wonderful people out there in the dark.🌹 (See the Sunset Boulevard movie for the reference!😊)

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  • K8sMom2002

    Hugs, PaulaRose … that's a long list of diagnoses. But the allergies, chemical sensitivity and sinus infection could all play a role — in other words, you could have all of them or none of them, and any combination could contribute to your current situation. 

    In this day and age, an in-patient hospital admission has to be justified by a patient's providers to her insurance. That's harder and harder to do. It's not impossible, but it's hard. I know we have some members who work in healthcare … @Pljohns and @GigiGibson might be able to help us understand what all is required for an in-patient admission.

    I really like your thoughts about a "team" approach. One place you can get that without being in-patient is with a major teaching hospital. We work with a teaching hospital with my DD — her allergist and her hem/onc are with the same hospital's medical group. 

    So let me ask these questions:

    • Which of these doctors are board-certified allergists?
    • Of the board-certified allergists, which doctor made you feel "heard" the most?
    • Could you go back to that doc and share the opinions and say, "I really need to get a clear picture of what's going on. What can we do to figure out:
      • what triggered this?
      • whether I currently have a sinus infection?
      • why my voice is growing hoarse?
      • what steps I can take to make things better?

    What meds are you on now? Sometimes inhaled steroids can make your voice hoarse. 

    Other causes of hoarseness can be chronic post-nasal drip or reflux. Both of those can inflame the vocal cords and cause voice problems.

    Hugs, hugs, hugs … I so know the feeling of just wanting to go back to a time when I could take my lungs for granted.

  • Pljohns

    PaulaRose-I'm so sorry that you have been through such an ordeal!  It is so frustrating when you can't get any answers or help. 

    Unfortunately, I doubt your insurance would clear you for inpatient admission.  Usually if testing can be done as outpatient, they will not certify the admission, which means you would be stuck with the entire bill for the hospital, testing and all of the doctors.  You would need one doctor to say you needed to be inpatient and then be willing to justify it for your insurance company.  

    insurance companies are getting harder and harder to approve inpatient stays.  the last time I was in, they tried to kick me after 2 days-said that was the normal admission for asthma-but I was still on oxygen, o2 sats were still around 88 and I still couldn't breathe!  It took my pulmo getting on the boat and putting in the chart what needed to be there for them to extend the stay-then they only did by 1 day BUT because I still wasn't medically cleared to leave, the hospital had to eat it for the rest of the stay.  It really does take a doctor willing to document the reason you are there, why you need to be there and that you are/aren't ready to be discharged.

    Cynthia had some good points above about your doctors.  Sometimes it takes a few docs to get one that actually cares enough to try and help-since my really good pulmo quit practicing anything but sleep disorders, I haven't found a good one to go too.  don't give up-it takes being a REALLY STRONG advocate for yourself sometimes to get someone to listen.