I know I'm gonna leave stuff out

When I get busy and forget to blog I might as well just start over with the next doctor's appointments as it is a given I will not remember most...or half...of what has happened. Nature of the beast I guess. But let's see...here is what I DO remember:

I had my abdominal u/s and my spleen was back to normal. I guess when they wait almost 3 weeks that's what happens. Of course I'm relieved as this means that the spleen is one less thing I have to worry about...for now. My liver is still inflamed and fatty, although I do not know if it was worse or the same. The MA, who was the one that told me my results, didn't seem to know either. I was put on to 2000 mgs. a day of Salsalate. Salsalate is an NSAID. NSAID's and I do not get along. My rheumy took me off the Percocet and prescribed Vicoden in hopes of controlling the pain (if the Salsalate didn't work) with less Tylenol to bug my liver. However, I gotta wonder how 2000 mgs. of Ibuprofen, which is way worse for your liver, is better than 325 mgs. of Tylenol?! I have to take partial "blame" in that I told Dr. S I wanted to get off of the painkillers if at all possible. So I think she's trying to accomplish that for me. But at this point I'm now re-thinking this given the toxicity is higher with the NSAID's and they kill my stomach. The crap part of it all is that I NEED something that is anti-inflammatory to see if that will reduce the pain. Yet if I can't take it what's a girl to do? My stomach has been quite sore/tender for over a week now and I did take the Salsalate for one day (big whoop, right?) but stopped when I found out it was an NSAID. For now I'm trying to "heal" my stomach and then give it a shot.

But weirdness...when I talked to the MA about my abdominal u/s results I asked if Dr. S wanted me to schedule a follow-up appt. for my bone/joint issues. The MA checked Dr. S's notes and said, "Nope. Unless you have the red, swollen joints again." Uhhh...okay. So like no follow-up appt. ever? My dad was extremely bothered by this given the fact that Dr. S has prescribed me medicine, and as such is treating me, yet isn't going to see how things are going. Hell, even Dr. B (the rheumy from Bend) scheduled me in every 4-6 wks. I'm not sure what to think of it. I like Dr. S, thought she was thorough, was impressed she found the low levels of Vitamin D, and now this. I think I suck at picking doctors. :o/ We'll see what, if anything, happens after I have my Vitamin D levels rechecked sometime next week as this Thurs. is my last dose of the mega D.

Moving along to the next "issue." I had my follow-up appt. w/Dr. J the pulmo. I've been put onto Singulair and Intal (when it comes in...the pharmacy had to order it). Gotta keep up with the PFM readings to see if these meds work. I've taken two doses of the Singulair and haven't noticed any effect, but it's not a steroid so I'm guessing it's going to take awhile. The upside is that I'm not feeling like crap because of it. I am, however, battling a head cold that's been going around everywhere so who knows. :oD

And finishing up with...the appointment w/the Hepatologist, Dr Z. What I hadn't had a chance to blog about was that the clinic where Dr. Z is at said I needed to see Dr. N, as he is who I originally saw. Of course I was completely against that and told them that I would just go to another clinic. I called a place that had several doctors who had been recommended in a recent magazine and started the process to get in to see one of the Hepatologists. But then a scheduler at Dr. Z's office came through. She had fought hard to get me in and the clinic coordinator finally agreed to let me see Dr. Z. Personally, I think it's shitty and incredibly stupid that this was even an issue to begin with. I could see if I wanted to switch docs just for the hell of it...I guess...yet I had a valid reason for not wanting to see Dr. N again. I told them he had brushed me off and made me feel stupid. Why on Earth would I want to be seen by him again? And why couldn't I see another doctor, let alone the doctor I was originally scheduled to be seen by anyways? /End rant. So thank you, Janelle (I think her name is), for fighting the good fight for me, a person you've never met but felt compelled to help. My appt. with Dr. Z isn't until April although I'm on the cancellation list for him as well. Good news is that because my spleen is okay right now I can wait to be seen. I will say that my liver has been torturous to me lately. Lots of pain, bile diarrhea, and nausea. My right side still hurts every now and then and radiates to my back and down towards my hip. Curious to see what Dr. Z has to say about it.

Wow...maybe I didn't forget anything! But then how would I know, right? ;o) This weekend some friends of ours and their kiddos came up to visit us. Their kids just so happen to be the best friends of our kids. Clear as mud? Anyways, Ryan and I offered to keep Colton, Makaila, Rachelle, and Hayley overnight so that Tiffani and David could have a night off and our kids could catch up on some much needed friend time. Although the constant running up and down the stairs and extra work took a heavy toll on me (I'm still incredibly sore and worn out), it was soooo worth it! The kids loved every minute of it and it was nice to have the house filled with craziness for a bit. They are all really good kids, and despite a bit of mischief from the girls, everyone got a long well and hated to say goodbye. I had every intention of sleeping most of the day today but alas, our TV needs to be looked at again (they've already cleaned it, replaced the light engine twice, and it's messed up once more) so I was awoken at 8:30 by the repairman calling to let me know he'd be here between 1 p.m. - 4 p.m. The kids are off school yet have been total dolls today! Thank God! lol Maybe I'll sleep all day tomorrow.

Or not.

And the verdict is

As of now Dr. J thinks I have asthma. My lungs looked good on CT and there isn't any evidence of emphysema, but I did drop pretty quick during the methacholine challenge test. He has put me on Advair twice a day for the next three weeks at which time I will see him again. I took the first dose last night and a second this morning. Unfortunately Advair is a corticosteroid and we all know how much my body hates them. Today the lightning in my head and the shakiness came back from it's hiatus. But, I can take a deep breath again. And my peak flow meter hit 445--still below normal but up from my usual average of 400. I have yet to take the third dose tonight as the symptoms I am having are the "call your doctor" type. Tomorrow I will call Dr. J's office and find out if he wants me to keep taking it or what. Not sure what my other options will be as non-steroidal treatments aren't effective. :o(

Stupidly I put off asking for a percocet refill and now I am out. Of course today would be the day that my left SI joint has decided to scream at me. My skin in that area feels incredibly bruised too. Wearing jeans to the store tonight was so not fun. Honestly, the roxicet doesn't kick this pain. At least not the half of one I've taken. Maybe if I upped the dose it would which would be fine for the times that the pain gets this bad and then I can take it back down to the low dose I'm usually on. Or I'd be up for trying something completely new too. I've left two messages for my rheumy starting yesterday and no one has called me back. I need a family physician that can handle stuff like this. It's my fault for waiting this long, I know, it's just that I hate asking for pain meds. I really do. But damn I wish I would've called last week. The pain is bad this time. Real bad.

So much for breathing

As I posted earlier, I've been having trouble with shortness of breath, and my chest being a tad tight. I was managing, though. Then this weekend I baked some cookies and noticed that I was really struggling to breathe. Felt like I had a weight on my chest and nothing I did could give me enough air. I don't know if it was the warm, moist air or what, yet something set it off. I probably should've gone to the urgent care or ER then, yet I kept hoping it would go away on it's own. That night I had some difficulty sleeping and by Sun. it hadn't let up. I was still dizzy and having the pins and needles in my head issues as well. Luckily the urgent care is right down the road and open on Sundays. I told Ryan I was going to go down there to be looked at just to be safe and headed off. When I arrived and told them what I was there to be seen for, they sent a nurse out right away to take my pulse ox. Despite my breathing being so shallow, my pulse ox was at 100%--yay! After a short wait they took me back, did the exam, and the doctor said I "looked infected" after he checked my nose and throat. He didn't go into it anymore than that, nor did he prescribe me anything, so not sure what all is going on there. They gave me a breathing treatment (Albuterol in a nebulizer), which is something I've never had before. I did, however, remember how Albuterol gives you the jitters. I used an inhaler for the exercise induced asthma when I was a kid up until HS. I stopped because I hated the way it made me feel. Very much like a hypoglycemic attack...and those suck. The side effects from this breathing treatment hit me pretty hard. It lasted well over an hour or two--which could be due to my liver not processing things as quick as it should. The doc gave me a prescription for the inhaler which I have yet to fill. I'm researching to try and find one with less side effects. I don't think my body handles steroids so well. My heart was racing and I had symptoms of high blood pressure again. Thankfully it worked! Although my chest is still tight and the shortness of breath is still there, I don't feel as if I'm fighting for air. In the end it was worth all of the crappy side effects. Now if I can just get the pulmonologist to bump me up already...