09 November 2010

Bell's Palsy and the Blues

Friday evening my husbands smile seemed a little slanted to the left side. It was very minor and we did not worry about it. By Saturday his whole left side was drooping. He could not blink or close his left eye too well. His speech became difficult as only half of his mouth was moving. We were very worried. He had a scheduled visit for Wednesday to see his Doctor. A wonderful man who is charging us very little until we have insurance again. I called his Doctor and told him about what was going on. The Doctor told me to get him to the hospital right away. He had me do a few tests over the phone and the Doctor felt it was Bell's Palsy but my husband still needed to see a Doctor immediately. Our Doctor told us to go to Cook County even though we live, literally 2 blocks from the hospital we see our Doctor at. He even told me if we went to the hospital by the house it could cost us thousands.

We went to Cook County Hospital where they confirmed Bell's Palsy. My poor husband who has always been the take charge man was letting me take care of him and get him to the hospital and be the take charge of the situation. The Bell's Palsy (which I will describe below) will now leave his face paralyzed for 3-6 months. Our hopes of continued job hunting are now up in smoke. My husband can barely speak. There is no way we can have him go to interviews. 

Yesterday I had to take him to the eye Doctor because of the incredible pain in his eye due to the paralysis. That was $75 for the visit and the Doctor was kind enough to give us samples rather than writing a prescription. He told my husband that his Bell's Palsy was pretty severe. 

No money, no means of looking for a job and now my Doctor called me and left a message on Friday saying that she has some test results from me that were very concerning. My last test were taken in June before I lost my insurance. I remember getting blood drawn and not seeing the Doctor again because I could not afford the visit. I am so beyond tired. There is just a constant barrage of insanity dumped on me. I seriously do not know how much more I can stand. I cannot call until tomorrow for my Doctor. She does not have office hours on Tuesday. Meanwhile, I am still unemployed, have no resources and a family that I have told my situation to but seem to have more pressing things to worry about. I understand my aunt who is going through cancer treatment  and her family are pre-occupied. But I have 10 aunts and uncles and not one has offered to help me or check in on me. I am really on my way to an early grave.

Bell's Palsy

Bell's palsy is a form of temporary facial paralysis resulting from damage or trauma to the facial nerves. The facial nerve-also called the 7th cranial nerve-travels through a narrow, bony canal (called the Fallopian canal) in the skull, beneath the ear, to the muscles on each side of the face. For most of its journey, the nerve is encased in this bony shell.

Each facial nerve directs the muscles on one side of the face, including those that control eye blinking and closing, and facial expressions such as smiling and frowning. Additionally, the facial nerve carries nerve impulses to the lacrimal or tear glands, the saliva glands, and the muscles of a small bone in the middle of the ear called the stapes. The facial nerve also transmits taste sensations from the tongue.
When Bell's palsy occurs, the function of the facial nerve is disrupted, causing an interruption in the messages the brain sends to the facial muscles. This interruption results in facial weakness or paralysis.

Bell's palsy is named for Sir Charles Bell, a 19th century Scottish surgeon who was the first to describe the condition. The disorder, which is not related to stroke, is the most common cause of facial paralysis. Generally, Bell's palsy affects only one of the paired facial nerves and one side of the face, however, in rare cases, it can affect both sides.

Symptoms of Bell's palsy can vary from person to person and range in severity from mild weakness to total paralysis.  These symptoms may include twitching, weakness, or paralysis on one or rarely both sides of the face.  Other symptoms may include drooping of the eyelid and corner of the mouth, drooling, dryness of the eye or mouth, impairment of taste, and excessive tearing in one eye. Most often these symptoms, which usually begin suddenly and reach their peak within 48 hours, lead to significant facial distortion.
Other symptoms may include pain or discomfort around the jaw and behind the ear, ringing in one or both ears, headache, loss of taste, hypersensitivity to sound on the affected side, impaired speech, dizziness, and difficulty eating or drinking.


Bell's palsy occurs when the nerve that controls the facial muscles is swollen, inflamed, or compressed, resulting in facial weakness or paralysis. Exactly what causes this damage, however, is unknown.

Many scientists believe that viral infections such as the virus the causes cold sore virus -- herpes simplex -- can cause the disorder. They believe that the facial nerve swells and becomes inflamed in reaction to the infection, causing pressure within the Fallopian canal and leading to ischemia (the restriction of blood and oxygen to the nerve cells).  In some mild cases (where recovery is rapid), there is damage only to the myelin sheath of the nerve.  The myelin sheath is the fatty covering-which acts as an insulator-on nerve fibers in the brain.

The disorder has also been associated with influenza or a flu-like illness, headaches, chronic middle ear infection, high blood pressure, diabetes, sarcoidosis, tumors, Lyme disease, and trauma such as skull fracture or facial injury.
 
The prognosis for individuals with Bell's palsy is generally very good.  The extent of nerve damage determines the extent of recovery.  Improvement is gradual and recovery times vary.  With or without treatment, most individuals begin to get better within 2 weeks after the initial onset of symptoms and most recover completely, returning to normal function within 3 to 6 months.  For some, however, the symptoms may last longer.  In a few cases, the symptoms may never completely disappear.  In rare cases, the disorder may recur, either on the same or the opposite side of the face.

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