Thank God our two weeks of global warming is over. Last night a warm front rolled up from California raising the temps from the bone-chilling 10s and 20s into the 40s as it should be at this time of the year. It also brought a delicious soft soaking rain.
What a roller-coaster ride the past two weeks has been. The cold snap made the tenants in the trailer park run out and buy huge electric space heaters. The electric grid is designed to provide only 30 amps per tenant. Suddenly usage shot to nearly 50 amps and blew all the circuits. There were often 3 or 4 outages a night. Between the cold weather and the stress, I got sick.
When I first went to the ER two weeks ago, I had two problems. I had such severe intestinal pain that I was convinced that I had a gallstone trapped in my pancreas - which can be deadly. I was also struggling to breathe. I know I have chronic bronchitis (COPD) which I got from smoking most of my adult life but it has not been a problem till now.
The well-meaning ER doctor took my self-diagnosis at face value, pumped me full of morphine for the pain, gave me two inhalers, told me to contact my own doc, gave me a taxi voucher and sent me home. Morphine does not agree with me so I spent the whole ride home asking the cab driver to pull over so I could vomit.
That was a Monday. I spent the next two days using the inhalers and getting sicker. The morphine was still affecting my mind so I did not think to check what drugs were in the inhalers. My lungs got worse so I called my own doc. He said I had a lung infection and needed IV antibiotics and checked me into the hospital. That night, as I lay in the hospital being given an inhalation treatment, I had a moment of clarity through my drug (Ativan) induced haze: maybe the inhalant was making my breathing problems worse. I couldn' t take a chance. I checked out against medical advice.
It also didn't help that, when I requested phenylephrine nasal spray because the oxygen treatment dries out my nose, they brought me oxymetolazine nasal spray in spite of specifically telling them that I have an adverse reaction to the latter. Both nasal sprays are over the counter meds known as Neo-Synephrine and Afrin respectively. I know that most nurses don't know drugs so I wrote it all down for them. More about oxymetolazine later.
That was a Friday. The Ativan had not yet worn off and I continued using the inhalers. I got sicker and sicker. The problems at the park were also wearing me down. Meantime I had become convinced that one of the inhalers was the real problem but by now I was so sick that I could not think straight.
Finally on Sunday the Ativan wore off and I checked out what inhalers I was using. Sure enough one of them,
ipratropium, is known to cause upper respiratory infections (URTIs) in some people - just like oxymetolazine and 38 other drugs. I'm sure you've all seen those adds for allergies and COPD meds which end with a warning that "some side effects may include upper respiratory tract infections." The cure is sometimes worse than the disease. I'd much rather have a few allergy sniffles than get a URTI from oxymetolazine and a bunch of other allergy meds. Buyer beware.
So last Monday I went to see my own doc and told him that the ipratropium was the problem. He agreed that that was a possibility but still figured that I had an underlying lung infection and needed to be hospitalized. I explained that the last thing Chas and Andy need now was for me to be in hospital and asked him to treat me on an outpatient basis. So he loaded me up with oral antibiotics and theophylline to ease my breathing.
I then went to pick up my scripts only to find that they were all out of the one thing I desperately needed: the theophylline without which I could not breathe. I trudged back to my truck and phoned my doc. It was still only 20F with an icy wind out of the Gulf of Alaska. The doc didn't answer the phone so I drove to the medical center to asked for another script to take to another pharmacy.
By this time Chas had been filling in for me at the park for so long that he was behind with farm work so, the next day, Tuesday, I went into the office to relieve him. On the way, I popped into Walmart to pick up some things including phenylephrine nasal drops (Walmart calls it Nasal Four and sells it for just over two bucks. If you need a nasal decongestant use phenylephrine not oxymetolazine which Walmart simply calls Nasal Spray. Check the fine print for the drug names.) While I was waiting in the check-out line, my eye itched and I rubbed it and immediately thought: "Oh shit! I've had my hands all over the dirty shopping cart."
I may not have caught my cold at that time but at the medical center the day before. The joint was crawling with coughing and sneezing people. But, by the time I got home that night I had the sneezes and sniffles. Usually I enjoy being cold but - blame it on my sick state of mind - I didn't notice that the RV that I use as an office was freezing cold - too cold for someone who was sick.
It was downhill from then on. I couldn't sleep lying down by Wednesday because my lungs would fill up with congestion. By Thursday I was barely breathing but I just kept taking the antibiotics and breathing pills and hoping the cold would soon break. It didn't seem like a really nasty bug. But, after another sleepless night, I felt like I was at death's door by Friday. My brain was no longer functioning after two nights of no sleep. I got the phone intending to call Chas and Andy and ask them to take me to the ER but it took me two hours to remember what I was supposed to do. When I finally remembered to call them, they could hear that I was in trouble and came rushing home.
Then followed 6 hours of dithering. They didn't want to push me to go to the ER because they knew I was concerned about getting the wrong treatment again. I struggled to write down everything about my symptoms, drugs and adverse affects. I was determined to get the right treatment this time. I suggested we eat before going but I couldn't eat because I couldn't breathe. I told Chas and Andy that I knew I was not dying because the three times that I had started dying (when my diverticulum burst and caused peritonitis and septic shock, when I had a stroke and when I had a heart attack) my mind had gone into some sort of coasting mode. I felt peaceful and calm and resigned to my fate. What else is there to do if you know you're about to kick the bucket? Supposedly the brain starts kicking out endorphines when it senses that the other organs are dying. But this time I was still in fighting for survival mode.
Eventually we set off to the ER at 9pm armed with two pages of Dos and Don'ts. Fortunately there was a lull in the usual Friday night ER drama and I was treated right away - this time with the drugs that I insisted on as well as IV cortico-steroids. Three hours later I could breathe again and was discharged, came home and ate my rewarmed steak, new potatoes with parsley butter and broccolli. Yes, cortico-steroids like prednisone give one a raging appetite. I haven't stopped eating since I started breathing agin.
As I write this, it all seems so ridiculously egotistical and trivial compared with Right Wing Prof' predicament. Last month he was diagnosed with untreatable lung cancer and is currently blogging his journey towards his immanent death. His faith in God is what is giving him his equanimity and it's very inspiring. I'm not going to link to his blog because it has, in recent weeks, become a very private affair for close friends and family. I will always be grateful to Right Wing Prof for urging me to keep blogging when I first started 5 years ago.
I just came back in from taking the dogs for a walk in the garden. It's a balmy 53F and another perfect day in paradise. Now it's time for coffee and cookies and maybe watch a silly Hallmark Christmas movie. Life is good. I sure hope I have a few years more. I still want to live to 102 and play golf with Bob Hope in Palm Springs. Oh, he's dead. But golf with Clint Eastwood at Pebble Beach sounds good.
Labels: health, medications