Tag Archives: life

CF Clinic…Nice and Early Today

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I had a lot to discuss at my appointment today, thanks to my body NEVER following the “normal” way of disease process. I’m good at making my doctors really use that degree of theirs.

First stop was for pulmonary functions. For those not familiar with how lung functions work, here’s the process. When I do lung functions (just spirometry most times), I do 3 “tries/tests.” Usually my “tries/tests” get better with each one because my lungs open up more after forcing all the air in and blasting it out and another deep breath in multiple times. Although that’s not always the case. Today my best FEV1 was 0.81L/30%. My first try was 28% and my second try was 29%. My baseline (my normal) is around 32%. They were 30% in March and 32% in February.

Next stop was clinic. My blood pressure has been running pretty high for maybe a year. It has definitely trended UP over the last yeah and a half. We have just been keeping an eye on it. Recently I’ve been having symptoms from the high BP for a 2-4 months now. I’ve always gotten headaches but my recent headaches have been lingering all day with nothing helping take them away. I’ll wake up to go to the bathroom in the middle of the night and have a headache and it will last all day long and not let up. They are not migraines, just a good ol’ annoying never ending headache. Another symptom has been increased shortness of breath, more than my normal, yay me. I’ve also been having more frequent acid reflux/blah stomach. The last symptom I’ve been having is blurry/unfocused vision randomly, not constant.

The plan of action is starting a blood pressure medicine, lisinopril (ACE inhibitor) 10mg. Hopefully that will bring my BP down which in theory will make these headaches stop. I will be getting a MRI of my head to make sure we’re not missing anything with the headaches. We are also doing an overnight pulse oximetry to make sure my O2 sats aren’t dropping at night which could be a contributing factor to the headaches. That will be done through the home oxygen company I have used in the past. They will drop off a pulse ox and I’ll wear it overnight and it will record all night. We are also adding Pepcid 40mg (nighttime), on top of my daily Prilsoc 20mg (morning), to hopefully help the acid reflux to calm down and have no more blah belly.

Now an update on my burning pain in my left thigh. The steroid shot in my left hip did nothing, as I expected because the pain is not in my hip. I follow up with ortho on Monday. I asked my primary doctor to refer me to neurology for an EMG (nerve conduction study) so that we can figure out if the pain is nerve related. I finally got that scheduled but it’s not until July 2nd. Ugh!

I believe the timing of the onset of the burning pain and the reclast infusion is just plain coincidental and my luck. Also we found the labrum tear on “accident” with the MRI of my left hip and thigh. After thinking about it, the fall I had at the brewery in March may have been (probably is) when I tore the labrum even though I didn’t land on my hip. It may have just been the way I fell, trying to catch/protect myself. I didn’t really think about it being the case because the pain has always been in my thigh, not my hip. It will probably take up to 12 weeks for the tear to heal. So in my normal fashion, I can’t seem to do things “normally” when it comes to my health. Thankfully my doctors all know this is the case and they think outside the box when it comes to me.

Lady parts update: I had a uterine biopsy at the beginning of April after my ultrasound showed a thick uterine lining while checking the size of my uterine fibroids. By the way, 10/10 DO NOT recommend having a uterine biopsy. That was maybe the worst thing/pain I’ve ever had. Luckily the pain didn’t last but the initial pain was HORRIBLE! The uterine fibroids are unchanged after being on the oral progesterone for 3 months, which was the goal. I’m continuing the progesterone. My gyno wanted to check the lining with it being thick. The biopsy was negative for any pre cancer/cancer. It did show “acute inflammation” and “necrotic debris” (dead tissue). My gyno called the pathologist to inquire about the “necrotic debris.” The pathologist said it was new to him. She told him I have CF and he said it shouldn’t have to do with me having CF. She is going to keep a close eye on me. I go back in 3 months. Once again, my body obviously does its own thing. haha I think that sums up everything.

Until next time…

Thigh Pain Saga Continues…

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Here’s a quick catch up on the burning pan I’ve been having in my left thigh since December, after receiving the Reclast infusion… We first treated the burning thigh pain as an adverse reaction to the Reclast infusion with a long course of Pepcid (for it’s antihistamine properties), Prednisone and Aleve considering it started about 3 days after the infusion. The burning pain never went away. Next step was getting an X-ray of my left hip and thigh (checking the boxes), I knew it wasn’t going to show anything, and it didn’t show anything. Next up was a MRI of my left hip and thigh. The MRI showed a moderate labrum tear in the hip and some arthritis. I have no idea how I tore my labrum. I feel like I would remember a fall or something that was bad enough to tear my labrum. haha. That brings us to today’s appointment with ortho.

The ortho doc wanted another X-ray view of my hip and a view of my pelvis, so I did that in the office before I saw him. He watched me walk. I have no limp or difficulty walking. While I was standing he pressed on my lower back and hip to see if there was pain, no pain. He manipulated my hip while I was sitting to see if one movement caused more pain than another, no pain. My hip isn’t what hurts, it’s my thigh. I asked if he thought this could be deferred pain from the labrum tear. He said possibly but not likely. I asked if he thought it could be nerve pain, he didn’t seem too convinced about that one either (probably because he’s a bone/ligament guy haha).

The PA did a steroid injection in my hip as a diagnostic tool to see if it relieves the thigh pain at all. I go back in 3 weeks for a follow up to discuss if the steroid injection helped at all and what his thoughts are on the next step. In the meantime, I’ll be reaching out to my PCP to ask about getting a referral appointment with neurology to see what their thoughts are on it possibly being nerve related and treatment options. The burning pain is always there but gets worse randomly. Sitting in the car is when it hurts the most. Ibuprofen and Tylenol doing nothing for the pain. This random burning thigh pain is par for the course for how my body acts. There is no explanation on why my body does the things it does. My body doesn’t play by the rules. haha. I’ll update when I have something to update.

CF RELATED UPDATE: I’ve had an increased cough for about a week or two and a sore throat. I’m assuming the sore throat is from sinus drainage but I’m not blowing anything out and not getting anything out with sinus rinses. It’s probably just a good ol’ cold, covid test is negative. I have CF clinic May 16th.

Until next time…

My body is rebelling yet again

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Last Monday sharp pain started on the right side on the front of my chest. I carried on with my transplant appointments on Tuesday. The pain got worse as the week went on. I powered through our very busy weekend with friends in town. Sunday morning I sent the “white flag” message into my CF clinic diagnosing myself with pleurisy and asked for antibiotics and prednisone. Ya know, if I had my own Rx pad it would save me a lot of time sending messages to my CF team and at the doctor’s office for appointments. Pleurisy is inflammation of the area (pleural space) that separates the lungs and chest wall. The pleural space is usually filled with a satiny liquid that allows your lungs to expand when you breathe. If that liquid is not there and there is inflammation/swelling, they rub together like sand paper that causes pain when breathing. Since I can’t take a break from breathing, the pain is always there until the pleurisy resolves. The pleuritic pain is sharp/stabbing pain with deep breaths, coughing (ouch) and sneezing (double ouch). 10/10 would NOT recommend!! Treatment for pleurisy is pain control and treat any underlying infections that may be the cause.

My nurse called me this morning to tell me she wasn’t ignoring me but that she was trying to figure out who could see me because my doctor was cruising somewhere in the pacific at the moment. Of course he is. It never fails, when I actually need to be seen because of an exacerbation (actively sick) or end up in the hospital he is on vacation. haha. She said she did hear crackling in both lungs.

One of the nurse practitioners was able to see me this afternoon. We decided that I’ll do 14 days of IV antibiotics (Zosyn 4.5g every 6 hours) and a prednisone. I’ll get labs drawn each Monday until finished with IV course. We go to Cancun VERY soon so this will get me 14 days of antibiotics in my system with a few days between finishing and leaving for Mexico. It seems like this is par for the course when it comes to my body not playing by the rules, especially when I have a vacation in the very near future that I’m trying not to sick for and not be miserable for.

Update on the burning in my leg: My left thigh (femur) has had a burning sensation since I received the Reclast (osteoporosis med) infusion December 11th. Most reactions to Relcast present in the hip or jaw and for the most part resolve in about 2 weeks. I apparently like to be in the “less than 1%” club when it comes to side effects. Once again my body likes to keep my medical team on its toes. I did get a X-ray of my left thigh, it showed NO abnormalities as expected. Next step is a MRI which I’m waiting to hear when that is scheduled for. They are checking for avascular necrosis which is the death of bone tissue due to lack of blood supply. Common causes of AVN is extended use of high dose steroids, extended excessive amounts of alcohol consumption and long term use of bisphosphates (like Reclast, Prolix and Fosamax). I have taken high doses of steroids but not extended use. I’m not a drinker. I took Fosamax for the recommended 5 years and only had 1 infusion of the Reclast. So who knows where this pain is truly coming from. I would just like it to stop or at least be controlled and be more tolerable. It is so uncomfortable sometimes that I can’t sit still be I need to be moving (which is not ideal when in the car) so that I’m not thinking about it 100% of the time. So we shall see what comes of the MRI.

Until next time…

6 Month Transplant Check Up

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I had my 6 month check up for pre transplant today. First stop was labs. I only needed 2 tubes drawn which is nothing compared to past appointments and she got it with one stick which is nice Next up, chest X-ray. Labs were all within normal limits. Chest X-ray was unchanged. It noted my usual bronciectasis in upper lobes and scarring throughout.

The 6 minute walk was next on the schedule. I did well. I walked 1,176 feet with no breaks and maintained 98% oxygen. At my last appointment (6 months ago) I walked 1,023 feet with no breaks. I don’t remember what my sats were last time but I didn’t need supplemental oxygen during the walk.

Next up, spirometry and an ABG (arterial blood gas). My fev1 was 32%/.90L. My numbers were the same as last time. ABG measures the balance of oxygen and carbon dioxide in your blood. It is a little needle stuck in your artery on your wrist. They are no fun. With that said, my ABG was all good after 2 tries, ouch.

Final stop, see the doctor. He noted rattles and wheezing in my right lower lobe. Things haven’t really changed in the last 6 months. Just keep doing what I’m doing. I’ll take maintaining and being steady. I go back in 6 months for another check up. I’ll continue seeing them every 6 months to keep all my testing up to date. Seeing them every 6 months is more of having a back up plan if I were to have a rapid decline and need to be listed for transplant quickly. If I didn’t maintain all of the pre transplant testing we would be playing catch up when needing to be listed comes.

Thank you for all your love and support! It is greatly appreciated.

Until next time…

CF Clinic day

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Today was clinic day which are long days but I’m used to it. I’m a professional waiter after all these years of all day or half day appointments. First stop is always pulmonary lab to do lung functions. Today my FEV1 was .87L/32%. The last time I was in clinic in October, they were 34%. My last home spirometry in January, they were 30% which was during a time of a lot of tightness and shortness of breath. They are basically steady. I’ll take it.

Next stop is clinic for the parade of people…nurse, pharmacist, PA (physician assistant), social worker, dietitian, PT and finally the doctor. My blood pressure has been running on the higher end of normal for a while, today it was ok. My weight is down 2 pounds which I’ll take!!! Apparently their height measuring equipment is off because according to them I have shrunk about a half inch. I’m not old enough to be shrinking already! haha. I am going to start taking Yupelri (Revefenacin) which is an inhaled COPD med. Yupelri is a long-acting bronchodilator that basically is supposed to open the bronchial tubes and increase the air flow. It is NOT a quick acting med like albuterol which you take for tightness and wheezing with asthma.

I’ve been getting random bruises without bumping into anything because my body likes to be difficult. I am getting more labs drawn in March when I get my port flushed because it’s much easier to draw them while I’m accessed for the monthly port flush than get stuck in my hand which is the only place left to go. We will be looking at blood counts, anemia markers, vitamin levels, B12 among some other things.

I’ve still have intermittent burning in my left thigh since getting the recast infusion mid December. There is a section of the outside of my left thigh that is numb as well. They are thinking the numbness and burning are an indication of a nerve problem, possibly sciatica. My CF doctor messaged my primary doctor to ask her thoughts on the numbers and burning sensation in my thigh. I now have an appointment with my primary doctor next week to discuss that. Needless to say, recast is now on my “allergy” list because of the side effects. I asked about Prolia, another osteoporosis infusion med, as another option. The pharmacist said she doesn’t want to do that just yet because once you stop it you lose all your gains in bone growth and I can’t be on it forever. There’s just not a lot of research on osteoporosis in pre-menopausal women needing bisphosphates (osteoporosis meds). As per my usual, my body doesn’t play by the rules and keeps my doctors and care team on their toes and tests their diagnostic/treatment skills. We have time to do more research and get a plan in place because my next infusion is not until December.

Before we started talking all things CF my doctor asked how things were going outside of CF and if we had any fun trips planned. I said, “well yes we do have a fun trip to Cancun coming up.” He said, “do you need anything for that trip?” I said, “like what?” He said, “well I was thinking a script for antibiotics and prednisone in case you were to get sick and need it while in Mexico.” Well of course I need that!! Done and done! I love that guy for planning ahead!

All in all it was a decent appointment. I have another appointment in 3 months for a regular check up. We shall see what my labs show and if they give any answers. I also have transplant clinic in March so I have to look forward to. Taking of me is a full-time job. I just wish it paid better!

Until next time…