It's official: the Zofran has stopped doing the trick.
I mean, it works better than nothing at all. Currently I'm taking 8mg of Zofran every 6 hours around the clock with a dose of Unisom and Benadryl at bedtime... and waking up every couple of hours to throw up through the night. And throwing up several times a day. And unable to keep most foods down. All of that and working 12 hour shifts do not mix well together.
The breaking point came yesterday at work when my MD promised to call me in a prescription for Reglan and instead called our lead nurse and told her to pin me down, put an IV in, and give me IV Phenergan and fluids. It's amazing what IV Phenergan, three liters of IV fluids, and a night of sleep only interrupted with one brief period of nausea can do for a person. I feel almost human again!
I still have my IV in and am managing it at home with an ample supply of IV fluids and IV medicine. I am also still working full-time, and my coworkers get a kick out of me sitting in report in the morning with an IV pole. Tomorrow I will stop the Zofran all together and start Reglan, the next step on the ladder of hyperemesis treatment.
In other news, I am 9 weeks pregnant tomorrow. Only 31 more weeks to go.