Hypomagnesiumia, I am a ticking time bomb!!

Nurses General Nursing

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I am looking for advise to keep my magnesium pills down. I have had hypomagnesiumia for 2 years now and have been to see a nephrologist who said my kidneys are excreeding the mag too fast causeing me to be too low. When I am low my muscles burn, twitch, cramp, ache. Its just awful, I am nearly bedbound when I am low. Also I just got an ablation for SVT and when I am low my heart has some irregularities, PVC's, tachy. My cardiologist wants my serum mag level to be at least above 2. I run at 1.1 at my lowest when I am really sick. Without magnesium my asthma acts up, my fibromyalgia acts up and my migraines start. So I am a mess.

For the last 2 years I have been recieving intravenous magnesium sulphate through my port twice a week for 5 hours each infusion. So, in other words my second home is the infusion center at our local hospital. I am like family there. Well this is the deal, my blue cross insurance cut me off completely cause of reasons that we are fighting with a lawyer about like medical necessity cause I am a high end spender with medical. Anyways so I finally got insurance through my work but its not as good as blue cross. It has no out of pocket maximum and my infusions which cost $700 each time are only covered 70%! So each time I go in for infusion it costs a little over $200. My paycheck each month is only $1000 so I cannot afford to get as many infusions as before. In fact even if I get them once a week that is nearly all my paycheck.

I am stuck. Right now I am bedbound, sicker than a dog cause I haven't had my infusion in 6 days. Any attempts at oral mag has caused severe, I mean severe vomiting, nausea and diarrhea. Its awful. We have tried Slow Mag, Mag Oxide, Mag Chloride and we are now going to try Mag Gluconate. I just have a feeling its going to be the same old thing. I have tried just about everything to not get sick with the oral mag, taken it with food, taken it with phenergan suppositories, taking it in little doses. I cannot think of what else to do.

Our hospital does provide financial help for people who have a low income and cannot afford the bills but I don't think they will help me all the way. I am so so sick right now. Pain everywhere. And my cardiologist would kill me if he knew my magnesium level is so low and that I am having heart problems. What am I to do. I will get an infusion tomarrow. I have to. Once I get an infusion I immediately all my symptoms go completely away, however it only lasts about 3 days at the most. They are increasing my dose starting tomarrow to 5grams mag sulphate in 100cc NS. So I don't know if that will make the relief last long or not.

Any ideas? I know hypomagnesiumia is rare the way I have it. The kidney doctor wants me to be on infusions for the rest of my life. How am I supposed to do that? Not only can I not afford it but I don't want to spend my life in a hospital!

Anyways thanks for listening. I feel like a ticking time bomb with my heart without the needed magnesium. My heart has had an episode landing me in ICU where my mag was so low my heart was irregular and beating 220 beats a min. I don't want that to happen. HELP ME! Thanks, Curleysue

believe me, i know what a hassle insurance companies are, but i swear they do it to discourage you.with all your medical problems you really need to keep bugging them. still think a disability lawyer might be a huge help. they could then take over the bugging!

know you want to keep your job but when you've got the outrageous bills you do, maybe more of a hindrance. how can you possibly manage to pay all the bills? the thought of a $500. e.r. bill makes me ill.

would you need to come up with the money to go to the mayo clinic if you got a referral, as well as money to stay at a hotel, food etc.? what a discouraging prospect. i can only imagine how frustrating this must be for you. wish i could offer more concrete suggestions, but good luck. :kiss

believe me, i know what a hassle insurance companies are, but i swear they do it to discourage you.with all your medical problems you really need to keep bugging them. still think a disability lawyer might be a huge help. they could then take over the bugging!

know you want to keep your job but when you've got the outrageous bills you do, maybe more of a hindrance. how can you possibly manage to pay all the bills? the thought of a $500. e.r. bill makes me ill.

would you need to come up with the money to go to the mayo clinic if you got a referral, as well as money to stay at a hotel, food etc.? what a discouraging prospect. i can only imagine how frustrating this must be for you. wish i could offer more concrete suggestions, but good luck. :kiss

i noticed you are from oregon. me too! do you know i tried to get on the oregon health plan and they are no longer letting people on it unless they are pregnant?! i couldn't believe that! what little income i make has to go to all these medical bills with my better than nothing plan and yes that stupid er bill is actually more than $500! if i had ohp i would have that taken care of. what do they expect me to do? even if i tried to get disability its such a long process, by the time i get it i will be in renal failure and heart failure from my magnesium levels being too low! i don't know. i feel like moving to canada or something where health care is free. why do i have to suffer? why should anyone suffer like this in a country like usa?

i am having a bad day. i get my next infusion tomarrow, that will be a good day. thanks everyone. :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: :crying2: i cannot stop crying. :banghead:

know i'm not the only one, but boy does this frustrate me. you work, try to pay your bills, get sick and need help and they basically turn their backs on you. aaaarrrghh!!!!!!!!!

but if you got pregnant every three years or so, then they'd happily put you on ohp and you'd have carte blanche to visit however many docs you wanted to. who makes these rules???

so, if you were to call a suicide prevention hotline and tell them you are at the end of your rope, due to all your medical problems, what would they do? would you get physical assistance if you say you've got mental issues? hate to suggest playing games with the system, but the system is certainly ignoring you, aren't they?

pretty pathetic when you need medical care and have no where to turn. i'm so frustrated i could spit nails! - can't even imagine how you must be feeling.

Specializes in Pediatrics.

Curleysue, I am still a student and have no medical advice to offer you- but I just wanted to tell you I care and I really, really feel for you. Come vent to us any time and let it all out, we will listen.

I hope and pray things get much better for you soon! :o

This is what steams me. There are people out there like you who are trying to better themselves and work and have insurance but can't get help, while others go on welfare and medical and medicaid and get to go to er for free. I was not recommending calcium, I was just wondering because I remembered that having a high intake of CA can lower your magnesium levels.

Hi CurlySue,

I used to read these websites in hopes that they would help my migraines. Evidently low blood magnesium levels can cause very bad migraines, and many migraine patients are helped tremendously by IV Mag Sulfate. Bartter's is similar in that the blood levels of Mg and K are both low. You may have already checked this out, but take a look again at these and you might see something you haven't seen before.

Also, Phil (?) suggested a drink made from Club Soda and Milk of Magnesia. Evidently the carbonation ionizes the Magnesium so that it can be absorbed pronto. I used to drink it all the time and I think it helped my migraines. I'd try this for sure in your case, and it could help you because of your intolerance to mag supplements.

Classic Bartter's disease

http://www.barttersite.com/classic_bartter.htm

Hypomagnesemia

http://www.barttersite.com/hypomagnesemia.htm

Magnesium site:

http://www.barttersite.com/magnesium.htm

Recipe for Club Soda/ Milk of Mg drink

I looked and looked for this recipe, and can't find it. Basically it's a liter of Club soda, and Milk of magnesia 1 ounce, shake and let sit for some time (an hour or two?) then add another ounce of Milk of magnesia and shake and let sit (This will cause the magnesium to go into solution). Pour some of this mixture into a small glass, then fill the rest of the way with water. Tastes kind of wierd, like mineral water. Sip this throughout the day. That's as close as I can get to the original recipe. Perhaps Phil can chime in with the recipe that he has.

Wish I could do more to help you! :o

Specializes in floor to ICU.

Your situation puts my petty complaints into perspective, I hope you find some answers from the posts...I don't have any advice, but I wanted to let you know that I am sorry you are so ill and are having to deal with the idiotic insurance co. Please don't give up. Vent here anytime- you'll always find a caring ear. I will be remembering you in my prayers. Take care.

I think about you often and hope things will get better for you. I admire your courage! Please keep us posted!

Specializes in Vents, Telemetry, Home Care, Home infusion.

thanks sis for your links. curiosity along with hot flashes made me chedk out links as unaware of condition. found this:

gitelman's syndrome: sounds exactly what your describing

http://www.barttersite.com/gitelman1.htm

the rn + doctor behind this website is at thomas jeff in philly---willing to contact them for more clinical info to send to your pcp.

west coast: oregon health & science university

the division of nephrology and hypertension has a large and diverse research program that includes clinical and basic science investigations. including

bartter's and gitelman's syndromes and hereditary salt wasting

http://www.ohsu.edu/nephrology/research/

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[color=#003300]clinical article by dr that i was easily able to understand, discusses gittleman's, fee to read whole article.

[color=#003300](doc is with univ of penn, another closeby facility to me to pick brains.)

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[color=#003300]causes of hypomagnesemia

http://patients.uptodate.com/topic.asp?file=minmetab/8931#1

dx and treatment:

http://patients.uptodate.com/topic.asp?file=minmetab/9328

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#1. priority: read up on this condition. printout info to take to pcp appoint and demand appointment at facility like above: large teaching hospital with medical school.

#2. call insurance company and request "case managment" services. that is an rn insurance reviewer will be dedicated to reviewing your treament needs and authorizing care when indicated. a goog one will push that you are appropriately diagnosed so to minimize insurance company costs and provide healthcare you need.

#3. ask for insruance company medical director review of your case and needs for mg+ infusions. all those er visits where you are being treated due to clinical findings and critical lab values are more expensive than scheduled treatment.

#4. appeal, appeal if decision not in your favor.

50% persons never appeal so saves companies $$$.

i doggedly persue auths and denials from intake....can you tell that's what i did most of today and was able to help get about $4,000 worth of homecare services paid for today.

I just had to share... I just received news today that the appeal to Blue Cross for terminating my insurance due to medical necessity was overturned today! I get my insurance back! I am so excited. This means I don't have to pay anything out of pocket! Oh my gosh. If you don't know what I was battleing with Blue Cross I will tell you.

About 2 months ago they told me that they were terminating my coverage because they said I was seeking un-need medical care, like the frequent infusions. Well we fought this so hard. My sis's best friend is a lawyer and so is her father for a major law firm. She helped us with all of this and sent a nasty letter to blue cross. As well as all my doctors including the nephrologist, cardiologist, rhematologist and internist saying that all this medical care I was recieving was for a REAL condition that I am fighting so it was all so unfair but I seriously thought I lost that insurance, which is a COBRA plan through my parents for another year. So, I ended up getting free insurance through my work but like I said it was just a "better than nothing plan" that made me pay like 30% of all bills and 50% of my meds! And to make matters worse, there was no out of pocket maximum! So, I would be paying so much money and there wouldn't be a stop loss.

So, forgive me but I am so excited. That ER visit I just had, I won't have to pay all that money for it! OH, I am so relieved.

Now back to my mag. Thanks for the previous post. I am contacting Oregon Health Sciences University Renal department to see if they can help me. At least maybe I should go see their nephrologist and see if they have any suggestions. So thanks everyone. I am still fighting this!

Curleysue :yelclap:

Hey Darlin'. Wow, what a story, my heart goes out to you. I just wanted to tell you that my mom has MS and she applied for disability and got rejected but appealed it and she won! So just think about this as an option, and never give up! Also I'm sure you already know this but here are some foods for you that are rich in Magnesium:

Soybeans, whole grains, shellfish, salmon, liver, almonds, cashews, molasses, bananas, potatoes, milk, green veggies, and honey.

Try these out and see if they help!

Best of Luck, We're All Here for you if you need us!

Keeping you in my thoughts and prayers ~ Brad

STAY STRONG! :)

What great news. I am so happy for you! Good Luck!

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