Category Archives: Medicine

My Hospital Stay With a Blood Clot part II

Hello, it’s me again with part 2 of my post about the blood clot in my lung.  In this post, I will tell you about my experiences in the hospital.  Boy, are they a doozie!

To start out with, they gave me dilaudid, a very powerful narcotic that made me hallucinate (I cannot have morphine because I’m allergic to it).  Every time I looked at someone in the room, I believed they had big, black bugs and birds dive bombing their heads!  I actually told my daughter and her father to watch out, they had bugs and birds flying around their heads!  They looked at me like I was crazy, and I was at the time! How embarrassing.  I did find a way to not embarrass myself again like that – even though I could have sworn I seen these bugs and birds around people’s heads, I just told myself it wasn’t real because if it was they would be jumping and yelling like crazy.  It was hard not to warn them, but I just kept that secret to myself the rest of the time I was on that drug.  I was afraid they were going to send me to the funny farm!

I honestly don’t know which system, the digestive or the respiratory that hurts the worst.  I would get these pains in my back/side that would feel as though something was electrocuting me at that spot with tiny needles.  Then I would also feel as though I was having back spasms in that area.  I also had what they called Pleurisy which is fluid between the layers of the lung itself.  I could not lay on either side of my body, when I did it hurt so bad and I would get anxiety because I would be grasping for air.  I could only lay on my back which was a bummer.

One time there was this CNA who was taking my vitals and I had asked her if she could get someone to help me scoot up in the bed.  She told me that she would help out before she got someone.  She started having me flip on my sides and all the sudden I was in full panic mode!  It hurt so bad when she flipped me on either side of my body and I couldn’t even get in the air to scream!  She ran to get the nurses and they tried to calm me down and breathe and when that didn’t do, the nurses  ran to get a doctor.  I had never felt so much pain and to not be able to breathe was painful too.  Finally, after cranking up my oxygen and giving me some pain meds, I started calming down a bit.  I would not wish that upon anyone.

There was this one night there, I believe the second night I was there that the nurses collected around 5000ml of urine from my catheter.  They told me the next morning that it was equivalent to 10 pounds of fluid!  I lost 10 pounds that one night!  I was for some reason very swollen up the day before.  I also had this weird low grade fever I couldn’t get rid of and they wanted to ship me to the big Barnes in the city.  They told me I was the number 1 person on the waiting list and I begged them to let me stay.  Luckily for me, after all that fluid was released, my vitals started getting better and got off the list!  Oh yeah, the dye from the ct scan in the ER hurt my right kidney and threw me in kidney failure.  Sometimes, I believe if I didn’t have bad luck, I wouldn’t have any luck at all!  So in the midst of all the lung problems, I had to worry about kidney failure.  They were actually talking about putting me on dialysis at one time!

Finally, I was getting a little better after 8 days in the ICU so the nurse taking care of me asked me if I wanted her to do my hair.  She was a hairdresser previously and she knew it would make me feel better if I could do a little something to myself.  I am not the one to turn down any kind of pampering so she washed my hair and after it dried, she french braided it.  I felt like a new person!  The next day I was transferred to a regular room for 4 more days of recovery.  There I was to gather my strength so I could walk and to get off the oxygen.  The first time I walked the hallway, I had a walker and my oxygen tank with me.  I felt like a little old lady!

 

The nurses there were all so nice and pleasant to me, even the doctors, the people who took my vitals and the lunch ladies.  I have never had such great care from all the many hospitals that I have been in.  There was this student nurse that helped take care of me one day.  Her name was Bethany.  She was the nicest person – she would peek her head in every 30 minutes to see if I was okay or needed anything.  When she found out I had an ostomy, she asked if she could watch me drain it and then she had 20 questions afterward.  She told me that she hadn’t come across a person with a bag yet in her internship and she was fascinated with it and giddy.  I wish I could say the same – although I have come to get used to it now.

Finally after 12 days I was released from the hospital.  The weekend before I was released, my daughter Bella spent the night with me.  We had a girl’s night in room 435 that night and I loved every bit of it!  The doctors believe the clot came from the catheter that I had replaced back in February.  They believe a clot may have formed there, then was knocked loose somehow and it traveled to my lung where it grew larger and cut off my blood circulation and part of my lung died.  I don’t think I will get this one replaced ever again..I am now on a blood thinner for at least 9 months, maybe more.

I want to thank everyone who prayed for me.  I really needed all that I could get that night and throughout my hospital stay.  I would love it if you could continue praying for me, I obviously need all I can get. I still have the clot in my lung, it’s just dissolving slowly and will be absorbed in my system.  I’m not dare going to ask what’s next, I don’t want to know!  I’m just going to take one day at a time, as I still get winded walking inclines or up the stairs.  Right now I’m taking the elevator until I can get myself built back up.  Thank you again for all your prayers and thoughts.

Chow for now!

Never a Dull Moment!

Hello everyone!  I hope everything is going well your way.  In this post, I would like to give you an update from older posts as well as some new things that have popped up.

  This past week I found out from my last blood work that my iron count is still really low (28).  The normal range is 40-140. I’m not sure what is going to be done with this yet. During this time, I decided that I would try and decrease my Entecort steroids down to one capsule a day because I was feeling better and I don’t like to be on these any longer than I have to.  Steroids have many side effects and the longer you are on them, the more damage they can do.  Boy, was that a mistake!  From the day I dropped down to one capsule a day, I started feeling really fatigued and sluggish.  A couple of days had passed then all of the sudden it hit one day really early in the morning.  Let’s put it this way, I had to muster enough energy and strength to take Bella to school and afterwards I went straight to the couch and didn’t move for the rest of the day (until I had to pick her up).  I somehow figured out what went wrong and quickly took the maximum amount of steroids I could take (3 capsules a day).  The next day I was feeling a little better and by the day after that, I was back to my old self.  So now I realize that one capsule was not enough and to not do that again for some time now.  I was doing good with 2 capsules so maybe after I get better with 3 again I will try to get back down to 2.  This is a prime example of taking this disease one day at a time – you never know from day to day what this disease will put you through.

A couple of days later, I was to take my daughter to a basketball homecoming 3 hours away near my hometown.  Everything was going well until we were getting ready to leave.  We were on the gym floor talking to people and I just turned around and seen nothing but a basketball coming right for me.  I didn’t even have time to put my hands up to protect myself and the basketball was aimed right at my catheter of all places. It got me good!  I was scared to look at the catheter because in my mind, it had fallen out.  I asked my aunt and uncle to look for me and everything was still intact.  It hurt, but I think it scared me more than anything.  I went to my aunt and uncle’s house and texted my home health nurse to tell her about my incident.  She told me when I got home to flush it with my saline wash and heparin to see if I had damaged it in any way.  I did and everything went through okay.

May 2016

The next day, I hooked myself up to my TPN nutrients and everything went through fine, however, the next night when I hooked myself up to a dehydration saline bag, nothing went through.  The infusion rate is suppose to be for 4 hours and I finally took it off at 6 hours and there was still a full bag.  The next day my home health nurse came to draw blood from my catheter and she couldn’t get any blood out of it.  She tried everything she could but nothing would come out for her.  She ended up drawing blood from my arm instead.  When she left, she told me she was going to call the doctor and suggest I get a new one put in because she thought I may have damaged it when the basketball hit me.  Also, my heart rate was back down to 63 bpm.  I guess I should call my doctor and see what the plan is.

In the mist of all this, my TMJ has come back this week and I finally made an appointment with an oral surgeon.  After examining me, he told me he wanted me to get an MRI done to see where the cartilage is in my joints, if any.  He told me that he believed I had a dislocated jaw joint and believed I had this since I had orthodontics in my teen years!  I have been walking around with this all that time and had no idea.  I did know something was not right, and it’s been like this for years but didn’t know it was dislocated!  Never a dull moment here!

Monday morning I will go to Barnes in St. Louis and get a new Hohn catheter put in.  They told me that they are only going to numb me up.  I am kinda nervous about this because when I first got this one, they gave me a twilight where I was awake but didn’t care and now they are just going to numb this one?!  Please say a little prayer for me during this time.  I am so glad that I did not accept that job offer from a month ago.  I’m falling apart again!  Remember to take this disease one day at a time because if you don’t, you will go crazy and it will get the best of you!  Do not give this disease the satisfaction!

 

Chow for now!

My experience with TPN – Part II

May 2016

Hello everyone – welcome to part II of my TPN post!  In this post, I will tell you my experience with the surgery, starting the TPN and my home health experience so far.  Boy, is it a doozie!

So, the reason why I needed the TPN in the first place was because my weight had dropped down to a dangerous number.  Before my ostomy surgery, I was 120 lbs.  After the surgery, I was 110 lbs for 2 years then my weight started dropping more without changing my diet.  I was at 105 lbs for about 6 months before my G.I. doctor told me I needed to get on the TPN.  My heart rate was faster and my blood pressure was very low.  I was so dehydrated, I had to make a trip to the E.R at least twice a month to receive IV hydration fluids. Basically, my small intestine just stopped absorbing much of anything for some reason.  Looking back at all the symptoms, I am surprised I didn’t get the TPN sooner than I did..

When I went to the doctor who heads up the TPN department, she told me:

  1. I would have a catheter placed in my chest
  2. I would have to spend one week in the hospital after in was inserted
  3. I would have to take the TPN bags and supplies to New York City with me because I couldn’t skip a day.  BUMMER!

When I got in the hospital on a Monday, it felt weird because I didn’t feel sick.  Tuesday morning when I got up, I couldn’t eat or drink anything because of the upcoming surgery.  They came in and talked to my husband and me and told me what they were going to do and what kind of catheter they were placing in me.  The Radiology Department actually done the “surgery” and they had an ultrasound machine right at my face so that they could see where to place the catheter.  I was awake but loopy during the whole thing.  When I came to, I had a big bandage on me.  I slept good the rest of the day!

When I got up Wednesday, I had a huge headache all day!  Waay past a migraine!  Even the pain medicine wasn’t doing any good.  I had a very inadequate nurse that made it worse.  I was throwing up and had a cold pack on my head to try to help it.  All I could think of was that I was going to stroke out.  A stroke is one of the side effects that could happen to you due to the position the catheter is in.  I was not a happy camper and when the doctor came in the next day, I made sure she knew how I felt!

On a different note...it never fails, I always, and I mean ALWAYS get a roommate that has her TV blaring until the wee hours of the night.  ALWAYS!  Or they don’t turn it off at all!  I have been known to go over the other side myself, IV pole and everything, and turn the TV off because they are fast asleep.  The last one I had, I turned it off and 30 mins later, she woke up and turned it back on!  This was 2:30 in the morning!  I make sure and get them back during the day when they are trying to nap!  This is why I hate hospitals so much!

Anyway, for the rest of the week, I had a nagging headache and felt nauseated.  I learned later the reason for this.  My body was so malnourished and it was not used to receiving all these nutrients and absorbing them that it had to have some time to get used to them all.  After about two weeks, my headaches were gone and I was no longer nauseous.

When I finally got home, I had a home health nurse to teach me how to prepare my TPN bags and start my IV.  Also she changed my dressing and drew my blood twice a week.  Let me tell you about my home health nurse’s trainee.  This incident happened the first week I was home.  This trainee changed my dressing one day and it kinda hurt a bit.  She was actually scrubbing the catheter with the alcohol wand they have!  It hurt.  Then it got quite, she was trying to work as fast as she could to get out of my house.  When they left, I looked in the mirror and she had popped a stitch!  I had to go back to the hospital and have the doctor stitch my catheter back up.  These stitches are held together internally and they are metal stitches.  It didn’t feel very good.  This was only my first week back home!

I had to wear this TPN bag for 12 hours a day, 7 days a week.  One bag was called a Lipid bag and it had 1900 calories in it.  I took that twice a week.  The other bag was a clear yellow and it had 1400 calories in it.  I took that 5 days a week.  I have also been eating a regular diet on top of the nutrient bag!  I have now gained 30 pounds since last May and they stopped the Lipid bag completely.  Also, I am taking the clear yellow bag every other day and they lowered the calories on that bag to 1000 calories per bag.

Me now!

Me now!

Maybe sometime soon, they will take this out of me.  I really wouldn’t mind keeping something in so that I could hook myself up to hydration bags when I felt a bit dehydrated instead of going to the ER every time.  However it plays out, I am thankful for the TPN that I have received.  The way I was before, I may not be alive now.  Remember to take this disease one day at a time, I am living proof that things do get better over time.

Chow for now!

 

What’s the connection between Crohn’s Disease and TPN? – Part I

Hello everyone, I hope ya’ll are doing well!  First, I would like to share something that I had seen since my last post.  In that post, I was talking about handling stress and how it affects my Crohn’s Disease.  Right after that post, an article came across my FB page saying how stress may worsen Crohn’s Disease.  Click here to read the article.  Secondly, my dear daughter with her sic sense of humor, decided to give me an early birthday present – a poop emoji pillow!  She knows me well – I love it!

Okay, back to the subject at hand..Another big part of my life is Total Parenteral Nutrition or TPN.  TPN is a way to receive a special form of food through a vein.  It also contains liquid nutrients such as carbohydrates (calories), proteins, fats, vitamins, minerals and electrolytes. TPN can be administered in 10 hour or 12 hour increments.  I have to administer my TPN for 12 hours a night.  The needle can be placed into the stomach, small bowel or by catheter in the chest area.  It may be necessary to keep the catheter in the person’s body for weeks, months or even for life.  Most people keep theirs in for about a year.  I’ve had mine in the chest area since the beginning of May now.

The type of people who may need TPN are people who can’t absorb the proper nutrition or people who cannot tolerate solid food well.

Some examples of these types are:

  • People that have cancer of the digestive tract.  Chemotherapy may cause your bowels to absorb the nutrients inadequately.
  • People with Crohn’s Disease.  This disease may cause inadequate absorption or affect your ability to eat and digest food properly.
  • People with Short Bowel Syndrome.  There isn’t enough bowel to get that proper absorption.  You get the short bowel syndrome diagnoses through surgery or if it was present at birth.
  • Ischemic Bowel Disease.  This is when there is decreased blood flow to the bowel.
  • Abnormal bowel function.  This happens when food cannot move properly through the bowel.  Cancer treatments and surgical adhesions can cause this.
  • Uncontrolled Vomiting and Nausea.

(www.mayoclinic.org)

There are 7 types of TPN catheters.  These are:

  • Single, Double and Triple Lumen catheters (I have a Double Lumen catheter)
  • Hickman
  • Broviac
  • PICC line
  • Port

Any one of these catheters can administer the nutrition through the vein.

I’m actually going to call this educational portion of the post Part I.  I will continue telling you about my story on Part II of this TPN journey.  Reason being, I don’t want to bore you too much on the educational part because I would probably lose you when I write my “book” about what actually happened to me and boy is it a dandy!  Just remember what I told you earlier, nothing goes by the book with me.  If there is a chance of it happening, it will happen to me!  Remember to keep your head held high and take this disease one day at a time.  We will get through this together!

Chow for now!

Crohnie Meds and Useful Info

Good day everyone!  Now that you’ve read my last post on what Crohn’s Disease is about, I would like to inform you of the many medicines that are associated with Crohn’s. I am sure there may be a couple I have missed and your reaction to taking these may be different, however, these are the ones I have taken and experienced:

Antibiotics:

Flagyl (mesalamine) – The only good I have figured this drug to do is when I’m really down with a high fever, it gets rid of it.  However, you can’t take it for too long or your diarrhea will get worse.  Other side effects that I have experienced with this drug is a very yucky metallic taste, everything I eat taste like I’m chewing on aluminum foil! Also, I get a heavy coating on my tongue that I call my “fur tongue”.  Ain’t no amount of brushing that can get rid of that fur!

Cefdinir – Kills certain bacteria in your gut.  I am currently taking this and I call this drug my miracle pill!  Love it!  It seems to get my poop more formed than any other drug I’ve taken.  However, I suggested to a friend of mine to talk to her doctor about her getting on this and she told me she was on it before but she had an allergic reaction to it.  It goes to prove that everyone reacts to drugs differently.

Cipro (Ciproflaxacin) – Didn’t work for me.

Levaquin (Levofloxacin) – Didn’t work well for me either.  It ended up giving me Tendinitis.  Not good.  I’ve taken it twice, got same reaction.

CD Meds:

*Pentasa (mesalamine)

Sulfasalazine (Azulifidine) – Also good for Rheumatoid Arthritis.  Didn’t work well with me for helping my Crohn’s.  No reaction.

Predinisone – Suppresses the immune system and reduces inflammation.  This seems to be the only kind of drug that works for me, however, of course you can’t stay on them for a long period of time.  It gives me a moon face with weight gain, makes my heart beat faster and sleep deprivation.  One good note to this is my house has never been cleaner!  It’s nothing to see me cleaning house at 1:00 am when I’m on this med!

Immuran (Azathioprine) and 6MP  – These drugs suppress the immune system also.  I absolutely cannot tolerate these because they mess with my liver enzymes.  My liver enzymes skyrocket when I take these!  I had to have a liver biopsy because of this med!  However, I do know some people who this med is good for..

Entecort (Budesonide) – My favorite!  This is my drug candy so to speak.  It works that same as Predinisone, however, it doesn’t give out the side effects.  It does give me lots of energy though.  Love, love, love this drug!  I should note that both the Prenisone and Entecort are corticosteroids.

Remicade (Infliximab)  Taken through IV.  Take a look at some information about this drug. Remicade. This drug worked for me for a while but then my body got used to it and it stopped working plus ended me up in the ER with serum sickness.  Not fun!

Humira (adalimumab) – Taken as a pen shot.  Hurts like hell also!  It worked for me for a while, then stopped working.  Take a look at Humira. I asked for the prefilled syringes and it felt much better going in than the pen.

Entyvio (vedolizumab) – Taken through IV also.  This drug really never worked right for me.  No reaction to it.  Entyvio information.

Stelara (Ustekinumab) – Taking now.  My doctor says it’s helping, but I don’t feel it and I am very close to having another surgery.  Stelara information.

Cimzia (certoizumab pegol) – shot form.  No reaction for me.

Methotrexate – Very strong medication.  It is used as a cancer drug also.  Made lots of my hair fall out.  Still taking this, don’t think it is working anymore but doctor says it is..

*A coupon for Pentasa.  Also you can look at their Patient Assistance Program.

 

I hope I gave you a little insight of many of the medications out there for Crohn’s and Colitis.   I also pray that you can find the right one out there for you.  Just remember, everyone has a different reaction to the medications out there.  What may be working for one person, may not work for another.  Unfortunately, it seems as if we are guinea pigs sometimes, just waiting for the next med to try.  Remember to keep a positive attitude, I can’t stress that enough, and we will get through this one day at a time.

I would love to hear some feedback of what works for you and some of your experiences with the medications!

 

Chow for now!