My trip to the MAYO clinic in Jacksonville, FL

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I have had UC that is been in remission for years -- however, I recently have had bouts of acute abdominal pain that no one has been able to figure out yet. So, I decide to make an appointment with a GI doc at the MAYO clinic in Jacksonville, FL. I stayed in a room at “The Inn at the MAYO Clinic” run by Marriott. I was also alone and that was the only place that I could stay if I needed a procedure that required anesthesia because it was connected to the hospital. Otherwise, I would have needed someone else there to drive me around. I arrived on a Monday night, my appointment with the GI doctor was at 8am on Tuesday, I was told to be at registration no later than 7am.

The abdominal pain that I have been having seemed to be induced by vigorous exercise, among other things. I went to bed early and woke up at 4:30 am to go to the gym at the hotel to work out for 2 hours before I saw the doctor. I am half-asleep when I take two steps out the door before I realized that I left all the gear that I need to workout in my room. I turn around to open the door and the room key doesn’t work. So, I go to the front desk and get another key, that one doesn’t work either. I go back to the front desk again and this time, the assistant manager resets the lock from his computer. I try my key again, still nothing.

By now, it’s just after 5am. The assistant manager then brings his master key and after trying several times, he can’t get in either. He starts futzing with the lock to remove the cover plate but can’t. He disappears and returns a few minutes later with a screwdriver, but to no avail, he still can open the door. Then he makes a phone call and brings some kind of electronic contraption over that has a wireless remote key that is supposed to reset the lock. He futzes with that for about 15 or 20 minutes but that doesn’t work. After all that, he calls maintenance and says that they will be there in 20 minutes.

By 6am, I started to get a little worried that I wasn’t going to have enough time to work out long enough to reproduce the symptoms I was having that I was there to see the doctor about.

A little after 6am the assistant manager apologizes that he is having trouble and that he is doing everything he can to take care the situation. He gets on the phone again and brings the electronic contraption back to the room door. After 20-30 more minutes of walking through instructions on the phone, he finally gives up. He says that there is nothing that he can do short of breaking the window to get in. I asked him to grab a rock and smash it, I need to get back in my room, forget my gym gear, I was running out of time, all my paperwork, id, insurance card etc… is in that room, I can’t register or see the doctor for that matter without that stuff. Then he says that he will have to ask the manager before he can break the window, otherwise I might be charged for it. I decided to be a little more patient, I didn’t want to break the window but if he did it would have been fine by me.

7am comes and goes maintenance still hasn’t shown up yet but the manager of the hotel walks in. She tries every method she knows to open the lock but can’t. I tell here that I needed to be at registration 15 min ago but I haven’t even gotten in the shower yet. So she offers me another room to shower in, I was grateful, however, all my clothes were still my room so unless I was going to walk through the hospital wrapped towel, a shower was pointless. I realize now, that I am going to be late for my doctor’s appointment, I can’t register, I can’t do anything unless I get back in my room. At about 7:30am the manager finally offers up the option to break the window so that I can get in the room. Just then, the maintenance person walks in the door. While he is working on the lock, I take a shower in a nearby room, the door is open by the time I am done the shower, I get dressed grab my things, register and am only 15 minutes late to see the doctor.

The doctor spent a considerable amount of time with me and he ordered a colonoscopy, upper gi, cat scan, blood work, urine collection, ultrasound and a few other tests. He mentions that the differential diagnosis for my symptoms is wide. He emphasized that although he wants to be thorough, that he also agreed that my symptoms suspiciously pointed to porphyria. I am given an itinerary for the next few days and sent off for the various test.

The colonoscopy was scheduled for Thursday afternoon at 3pm, I was to drink ½ a gallon of Golytely (believe me there is nothing “light” about it) on Wednesday night and finish the other ½ on Thursday morning at least 3 hours prior to the procedure.

After I start drinking the prep on Wednesday, I notice a piece of paper with the hotel letterhead was slipped under my door, I thought it was the bill for the hotel room and didn’t pay much attention to it. Thursday morning I started drinking the rest of the prep around 9am and grabbed the bill off the floor. When I read it, I was shocked! It was not my hotel bill, it was a notice from the hotel stating that they were replacing the boiler on Thursday and that all water will be shut off from 10am until approximately 2pm that day, so people should plan their showers accordingly. I run to the phone to get a hold of the manager, and the clerk at the desk tells me that there is nothing they can do because this had been well planned out to coincide with training they had for the maids since they couldn’t work when the water was off. The clerk seemed apathetic, and said that there was no way they could reschedule that. When I finally get a hold of the manager, she offers to put me up at the other Marriott on the other side of campus to finish my prep, I expected no less than that. However, it was a little unnerving while I waited for the shuttle to take me over to the other hotel in the middle of a colonoscopy prep but I managed to make it without incident.

After the procedure, on my way back to my old room I greeted the maintenance person that had fixed my lock hanging around at in the lobby. Apparently, the water was never turned off because the crew that was supposed to change the boiler didn’t show up.

The 4 days that I spent at MAYO were not ideal, but I admit that the doctors I dealt with there were fantastic, even though I am still no closer to finding out what else besides UC is causing my abdominal pain. Some of my friends think I am crazy, but the next time I go back to the Jacksonville MAYO, I will probably stay at the same hotel.
 
That sounds absolutely terrible! I'm amazed you managed to keep so calm - I get so nervous for any hospital appointment that even something like being stuck in traffic stresses me out.

It sounds like it didn't matter too much that you didn't get to work out and trigger the symptoms, since the doctors ordered all the tests to be done anyway, and tests probably tell them more than observing your symptoms. I hope they come up with some answers for you soon.

I would ask the hotell for a refund!
 
I went to the Mayo clinic in Jacksonville Florida a few years back when I was having upper gut issues and severe throat burning and inflammed throat and upper esophagus that NO one could figure out why.

I will be honest, I also saw the gastroenterologist dept. there and there really were of no help to me. Needless to say my husband and I were VERY disappointed. I mean that was like $10,000 down the drain! All they did was repeat a bunch of tests I had here and tell me that they were sure I had some sort of autoimmune disease but they were not sure what. Then they told me I should come back home to Chicago and follow up with someone in my area!!!! Ummm, really??? Why did they think I went to them in the first place!

I mean it kind of seem like you had the same experience, you know no more than you did before you went there.

I think Mayo clinic is good for clear cut issues that are black and white. They are No good at figuring out chronic health issues in my opinion. I mean they were very nice there, but not very useful nor helpful.
 
At this point I am not sure any Dr is great with IBD. Maybe ya do, ok we will run with the Dx, but, if your case is difficult to treat, oh its all in your head!

Very frustrating!


Lauren
 
Sounds like the hotel stay from hell! I have had the hotel check-in key issue before. They had me running back and forth between reception and the hotel room with a new key about 6 times (never offered to bring the key to me) before they decided to move me to another room.

But on the bright side you made it to your appointment in time and everything else medically worked out. Thankfully they were accommodating, even though it took forever....lol. Sometimes all you can do is look back laugh at those situations especially if things managed to work out in the end.

And yes, I would at least ask for a reduced rate on your hotel stay...if not the whole refund! lol.
 
Sorry to hear that after all that hotel mess, you still have no diagnosis!
I had a good experience at Cleveland clinic in Cleveland. I would recommend going there for hard to diagnose or complicated GI issues.
WOW! 2 hours of vigorous exercise! Good for you! :thumleft:
I wish I could do ½ of moderate exercise…
BTW. Did you try cutting it down to 1 and ½ hours of vigorous exercise so you do not have that pain come back? :biggrin:
 
Sorry to hear that after all that hotel mess, you still
I wish I could do ½ of moderate exercise…
BTW. Did you try cutting it down to 1 and ½ hours of vigorous exercise so you do not have that pain come back? :biggrin:

Exit4,

I am grateful for your concern and glad to have your advice. I had actually considered the Cleveland Clinic and might actually go there next time if I don't get some answers soon.

I am 95% certain that I have nailed down the diagnosis, I was purposely trying to induce the condition so that it could be detected and finally diagnosed. I normally do not exercise vigorously for 2 hours (particularly at 4:30am) unless I am trying to work off a large caloric intake of carbohydrates like I had at Christmas dinner. :eek:

Exercise is just one factor that induces the condition. In order for an attack to occur more than one factor needs to be in place and almost always requires several factors to be in place at once. Here is a list of some of the triggers:

  • vigorous exercise
  • fasting/dieting
  • emotional/physical stress
  • illness
  • drugs (sulfa, barbiturates, or strong substrates of Cytochrome P 450)
  • paint fumes
  • smoking
  • alcohol (especially red wine, and whiskey)
  • hormonal changes (women starting the luteal phase of the cycle (mid cycle), are particularly susceptible to attacks)

When enough of the right conditions are in place for a long enough time, an attack will be induced. One very specific sign that warns me I am getting close to an attack is that my urine will start to change color and darken to purple/brown when it is exposed to light.

A purple residue will form on the side of the toilet bowl where ever the flush water isn't able to draw down any drops of pee that may splash on the porcelain. In the beginning, it's usually a subtle change and I wont notice it while I am peeing. It's not until I return to use the bathroom at a later time that the stains have darkened and become evident. However, If the conditions continue, I will start to see my urine staining the toilet while I am actually peeing. If the condition continue longer (sometimes it might last few days or a few weeks) eventually, my pee will turn orange and then to red. When that happens watch out! I wind up in the ER with unimaginably excruciating abdominal pain. When I say unimaginable, I mean so extreme that during some (not all) of these attacks, I have gone into a seizure, passed out, and even into a-fib/tachycardia (heart rate was moving from 210-245bpm for 2 hours before I was converted back to normal sinus rhythm) on one occasion.

The doctors never find anything wrong, I am told that my UC is only mildly inflamed if at all, and that I should not be experiencing the level of pain that I complain about. Even after having all these physical symptoms I have been told that it's all in my head and have also been accused of being a drug seeker on more than one occasion. I was even kicked out of the hospital while admitted for pain control, in the middle of the night when I questioned the competence of the arrogant physician whose care I was under.

It wasn't until I finally started doing some detective work of my own that I considered porphyria (a rare genetic disorder) could be the smoking gun here. My goal was to find a doctor familiar with the disorder, try to make the conditions as favorable as possible without actually inducing it to a full blown status, in order to rule it out. The best way to rule it out is to conduct the proper assay when red urine seen during the beginning of an acute attack.

It is a mixed blessing for that I haven't had an attack in the 5 months since I started to suspect porphyria. On the one hand, I am happy that I am not dealing with the severity of an attack or dealing with the stigma of needing IV narcotics. On the other hand I want to be able to rule it out or make a definitive diagnosis.

Wouldn't you know it, the day after I got back from MAYO I started to notice purple stains on the toilet again, one day too late. I wasn't about to let it progress because the emergency room doctors in two of the local hospitals told me not to return again for acute pain relief, not that I would go back there anyway. So I increased my carb intake, stopped exercising and haven't seen purple stains since.
 
Sorry to bump up an old thread, but I just wanted to pop in and ask if you finally got some answers?? Some of your symptoms sound like a condition my mom has called Hereditary Angioedema. There is a simple blood test (something to do with C reactive proteins) that rules it out, if you are interested?
 

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