Monday, January 24, 2011

Dia Oito

Uma semana para baixo, mais três para ir. Meu tratamentos estão indo tão bem quanto eu poderia esperar. Amanhã uma enfermeira estará visitando mudar meu curativo e coleta de sangue para o teste. Semana que vem vou voltar a ver Casey e ter uma avaliação do meu curso, então. Estou satisfeito com as coisas a este ponto. Mais tarde.

Tick Bait


today's flavor is Portuguese
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Day Eight

One week down, three more to go.  My treatments are going as well as I could expect.  Tomorrow a nurse will be visiting to change my dressing and draw blood for testing.  Next week I'll return to see Casey and have an assessment of my progress then.  I am pleased with things to this point.  More later.

Tick Bait


Sunday, January 23, 2011

Dag sju

Idag har varit densamma som de senaste dagarna. Det känns som om medicinen gör vad den ska göra, men jag är fortfarande försiktigt optimistisk. Jag kunde kasta bollen med min grannes hundar idag med bara lite smärta. Det är en bra sak. Precious uppskattar det. Hon är en vacker Corgi. Älskar när jag kommer ut för att leka med henne och Koa är en enda röra. Han är ca 6 månader gammal, ett labb och Aussie Shepherd blanda. Jag verkar vara att förlora lite av domningar i fötterna, men jag är inte säker på om det är falsk optimism eller inte. Vi får se. Sköterskan är tänkt att komma på tisdag för att ändra min dressing och dra blod för att testa för att se om bakterierna finns kvar. Jag vill tacka dem som har varit vänliga nog med sina lyckönskningar, böner, Karma och stöd. Det är en ny vecka och en ny horisont för blick mot. Var väl, mina vänner.

Kryssa Bait


Welcome to Sweden, the land of the cold...

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Day Seven

Today has been the same as the last few days.  I feel as if the medication is doing what it's supposed to do, but I remain cautiously optimistic.  I was able to throw the ball with my neighbor's dogs today with only a little pain.  That's a good thing.  Precious appreciates it.  She's a beautiful Corgi. Loves it when I come out to play with her and Koa is a mess.  He's about 6 months old, a Lab and Aussie Shepherd mix.  I seem to be losing a bit of the numbness in my feet, but I'm not sure if it's false optimism or not.  We'll see.  The nurse is supposed to come on Tuesday to change my dressing and draw blood for testing to see if the bacteria is still present.  I want to thank those that have been kind enough with their well wishes, prayers, Karma and support.  It's a new week and a new horizon to glance towards.  Be well, my friends.

Tick Bait


Saturday, January 22, 2011

Chwe Diwrnod

Mae'n amser penwythnos! Arall yn unig arferol. Dechrau i deimlo ychydig yn well. Hope pawb allan yna yn dda ac yn mwynhau eich penwythnos. Byddwch yn dda.
 

Ticiwch Bait

(It's Welsh, in case you were wondering.  Now pass me a Welsh cookie, please.)
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Day Six

It's weekend time!  Just another routine.  Starting to feel a little bit better.  Hope everybody out there is well and enjoying your weekend.  Be well.

Tick Bait

Friday, January 21, 2011

יום חמישי

יום שישי מביא עוד יום טוב. הטיפולים שלי הם הליך היטב, ללא תופעות לוואי שליליות. לא אכפת לי לקבוע עדיין אם השיפורים הם אמיתיים או מדומים. האתגר הגדול הוא בהישג יד כדי להתחמם, כמו אמא טבע סיפקה לנו צמרמורת הארקטי שאנחנו לא לבקש. זה מה שזה, זה בידו שאנחנו עומדים להיות עסק. שיהיה כך. אני כבר קיצוץ תרופות אחרות שלי, כמו תמיד הרגשתי שהם שימשו למטרה מעט מאוד מלבד להסוות את הכישלון של הטיפול בתנאים שלי. בסופי שבוע תוכלו ליהנות שלך, איפה אתה אי פעם. שמח יום שישי.

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Day Five

Friday brings another good day.  My treatments are proceeding well, with no adverse side effects.  I don't care to determine yet if the improvements are real or imagined.  The big challenge at hand is to stay warm, as Ma Nature has delivered us an Arctic chill that we didn't ask for.  It is what it is, it's the hand we're about to be dealt.  So be it.  I have been cutting back on my other medication, as I always felt they served very little purpose other than to mask the failure of treatment for my conditions.  Enjoy your weekends, where ever you are.  Happy Friday.

Thursday, January 20, 2011

De Quatre Jours

Encore une fois, tout s'est passé aujourd'hui amende. Le système que je fais est simple et rapide et en profondeur, par le livre. J'ai l'impression de se sentir un peu mieux, mais je ne suis pas sûr si c'est un vœu pieux ou non. Je sais que je suis ne pas avoir d'effets secondaires à ce stade. J'ai fait 16 ce soir soupe de haricots et la maison sent mystiquement magie céleste à l'heure actuelle. Parfums pour l'âme et la soupe saveurs délectables. Il ya la neige fraîche tombe en plein air et un feu crépitant au chaud dans le salon. La vie est belle en ce moment. Plus de demain ...
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Day Four
 
Once again, everything went fine today.  The system I do is simple and quick and thorough, by the book.  I seem to be feeling a little bit better, but I'm not sure if it's wishful thinking or not.  I know I'm not having any side effects at this point. I made 16 bean soup tonight and the house smells mystically magically heavenly right now.  Scents for the soul and the soup tastes delectable.  There's fresh snow falling outdoors and a toasty fire crackling in the living room.  Life is good this moment.  More tomorrow...


Tick Bait

Wednesday, January 19, 2011

Day Tres

Smooth sailing.  Got my shower sleeve which works like a champ.  Got set up, administered and cleaned up in less than 10 minutes.  Perfect system.  I haven't felt any of the possible side effects listed in all my information literature.  That's welcome news and all the news for today.  See you down the road.

Tick Bait

Tuesday, January 18, 2011

Day 2

Today I had my first visit from a nurse to clean the PICC line entrance and change the dressing.  We went over all the safety requirements, discussed all the procedures and I administered my own medication!  They system is much easier than I had seen in my research over the last several months.  The entire process from set up to completion is conducted in about 10 minutes.  Far better than I expected.  My line gets cleaned with an alcohol rub, then flushed with Saline, cleaned again, inject 2 gm Ceftriaxone (Rocephin) mixture over a 3 to 5 minute time period, clean, flush with Saline again, clean, flush with Heparin solution.  The Heparin is a very mild blood thinner used to keep the line from clotting and to ensure ease of circulation of the drug.  It is about the equivalent of a baby aspirin in regards to it's thinning properties.  Eric put an extension on my line so I can hold the port in my left hand while performing each of the steps.  There is a sleeve that is made of a material like a shower cap that has elastic at both ends that I can slip over my arm to take a shower.

I'm very pleased with the apparent ease and convenience of my procedures.  I had some slight discomfort last night due to a little soreness at the line entrance in my arm.  Tonight that's all gone.  Thus far I have not experienced any of the side effects that are listed as possibilities for the drug.  Some of those listed are nausea, vomiting, itching, soreness, lack of appetite (good luck drug, not here!!), diarrhea, on and on.  I'd just be happy if they all go somewhere else.  Not welcome here.  I'm eating my pro-biotic yogurt for desert after dinner.

Oh well, enough for today.  Just let the boat stay it's course and I'll be a happy camper.  I'm told I should feel some improvement within a week.  I told Casey I'd hold her to it.  Once again I can't say enough for all of the professional folks I've encountered from the Pinnacle group through this experience.  My CRNP (Casey), Amber in Triage, the entire office staff, all the nurses at Harrisburg Hospital who tolerated my antics, particularly Rita, who squirt my blood on my RL Polo shirt and then cleaned it out impeccably, Michell, who installed my PICC and shared Monty Python tales with me and advised me of some new (old) British humour, to Eric, the first visitor from Horizon that explained everything about my procedures and put me at ease. 

Signing out, gotta go make some limeade...

Tick Bait

Monday, January 17, 2011

Day 1

This morning I arrived at the hospital about 15 minutes prior to my 10:30 appointment to find that the entire facility was in a lock down.  Apparently there was a bomb threat.  Anyway, things went well.  First I got a really cool plastic monogrammed bracelet.  The staff in the unit were kind, funny and even gave me a pretty good lunch. Tuna salad, applesauce, cranberry juice and yes, a pack of Lorna Doones.  The one nurse tried to hook my cookies, but I hid them for later consumption.











Take note of the fine linen table cloth they adorned my tray with.  Top shelf.

Soon after lunch Rita offered to give me my initial dose via IV while I waited for the nurse to come for the PICC procedure, that way I'd get out of there earlier.  That was fine by me, so I could catch a few Zs while watching Sports Center through my eyelids.  Right after the dosage was completed the nurse showed up to insert my line.  She explained the entire procedure, answered all my questions, talked Monty Python with me and proceeded to do an outstanding job.  The line went exactly where it was supposed to go, in a vein just above my heart, on her first attempt.  We went down to get a chest X-ray which confirmed perfect placement and I was free to go.  I was there for about 4 hours all together.

The home care  company came with my meds for the week this evening.  The nurse is coming tomorrow to show me how to self medicate, then I'm on my own until next week when they'll draw blood for testing and change the dressing.  The units of medication look like a large syringe which connects to the port from the PICC line.  It says that the drug is administered over a 3 to 5 minute period.  The line gets flushed prior to each procedure.  I'll learn more tomorrow, but day one I deem as a success.  Here we go.

Tick Bait

Sunday, January 16, 2011

Blast Off Day Minus 1

Bear with me folks, for this is my first venture into the vast ocean of journalism, unless, of course, emails, resumes and chat sessions qualify.  Does a blog really count as real journalism?  We'll see, I suppose.   Thank you for stopping by.  Constructive comments are welcome.

I gain a great portion of my strength and inspiration principally from my religious and spiritual beliefs, but there is one individual that provides me with a positive attitude leaps and bounds beyond others.  That is my dear Bets, as I've known her for the past 30 plus years.  It is her that I dedicate these records of my journey to.  She is the bravest, most optimistic person I know.  She faces life's challenges with a grace like I've never seen.  My brothers and Father have given me substantial backing.  My sister in law, Toni, has supported me in many unspoken ways, as she does all of our family.  Judi, a kind and giving neighbor, has literally been by my side almost every step of the way.  She has been a friend, a driver, a confidant, and a true partner in crime on our weekly escapades into the world of Judi and Craig's great adventures. My buddy Kimmie has been my wheels to church and grocery stores and pretty much anything I need her for in addition to caring for her own Mother and working full time several weeks.  Thanks to all of you for everything you've done and continue to do.  I am blessed...

The genesis of this journey has not been defined, nor will it be.  In March of 2009 I began to experience numbness in my toes, then my feet and ankles.  After a couple of months of telling myself it would go away and the sensations not cooperating with my thought process, I bought short term insurance (I'm a 99er) and scheduled an appointment with my doctor.  My line of thinking said we'd figure out the cause and treat it and move on.  His thoughts were that there was nerve damage and sent me to be tested.  He also had blood work done, but no testing for Lyme bacteria.  The tests confirmed that I had nerve damage and so I was referred to a neurologist for further research.

She ran a series of physical tests over the span of about 10 or 15 minutes, asked a few questions and basically confirmed that I had nerve damage in my legs and also felt there was evidence of damage spreading to my arms and hands.  At that point I didn't feel any evidence of such.  I asked if the symptoms I was dealing with might be MS, ALS, Lyme, etc.  The suggestions were quickly dismissed.  No definitive diagnosis or treatment, just exercise and curb my appetite for alcohol.  She prescribed Neurontin/Gabapentin (generic) to ease the pain.  The drug is used widely for a broad span of things such as epilepsy, fybromyalgia, etc.  I joined a gym and quit drinking for a couple of months altogether.  It seemed to be working.  Then the pain and numbness came back and began to intensify.  It is now late summer 2009, August I suppose.  Another symptom had also surfaced on occasion, balance.  The neurologist increased my medication dosage from 100mg 3 times daily, to 300mg 3 times per day.  Hmmm, still no diagnosis or treatment of any kind.

Next came the joy of finding out that the insurance company came to the conclusion that mine was a pre-existing  condition and refused to pay any of the bills I had accrued.  Interesting since I had never experienced any of the sensations, never been examined or tested for the conditions previously.  How convenient.  Shame on me for trying to have wellness in my life!  What was I thinking?

With no employment (I'm a 99er) and no insurance I had little choice but to put my faith to work and hope and pray for the best, but that just didn't work.  My condition deteriorated substantially over the next year.  By Spring 2010 my motor skills were severely impaired.  Arms, hands and fingers, neck, legs, feet, everything ached and became very stiff.  I had to have assistance to get out of bed, stand up from a chair or sofa, getting in and out of cars, etc.  I used a golf club as a cane around the house to keep from falling and to help me up.  Stairs were a challenge, always having to use the banister or wall for help.  By late summer I couldn't stand the pain and called my neurologist for an appointment.  6 weeks until she could see me, all backed up, emergency or not.  Take a ticket and get in the back of the line.  All jammed up all day, every day until December.  She doubled my dosage again, now up to 600mg 3 times a day, assured me it's safe, which research I've conducted via Dr. Internet suggests that it is OK, in fact.

Well, September rolls around and my ticket to ride is ready to be stamped.  In the mean time much of the research I did regarding my symptoms pointed to Lyme disease, so I put it at the top of my list of questions for the doctor.  I was amazed when I arrived at her office that I was the only one in the waiting room.  I guess everybody else canceled that day.  Finally, I got an audience with the neurologist of the day.  We sat in her office and I described everything I was dealing with, pain, balance, numbness, lack of mobility, on and on, blah, blah, blah.  When I brought up my thoughts about Lyme disease (as I had over a year previously) she quickly agreed that I seemed to be on the right track.  I mentioned that she dismissed that thought before and she conveniently didn't recall my suggestion.  My, my, I must have dreamed that up.  Boosted my meds up to 2400mg. per day, up just a bit from the 300mg per day I started out with.  It still didn't do much to alleviate the pain or other maladies that I felt.  I requested a prescription to have a test for Lyme and scheduled the test after calling 3 various labs to verify the cost of the test since I would be paying out of pocket.  By this time I had been denied public health care (Medicaid) because I was told I made too much money on unemployment.  It was irrelevant that the UC didn't come close to paying all my household bills and financial obligations.

My tests came back positive for Lyme disease in late September.  I was immediately scheduled to see an infectious disease specialist.  When asked if I wanted to wait to see the doctor or come in the next day and meet with the nurse practitioner I said it's a "no brainer."   I typically prefer to see the CRNP because they're usually the ones taking the new courses, attending conferences and learning what's new out there, not to mention the added level of compassion they seem to deliver.  I couldn't be happier with what I've found with my caretaker and the support staff throughout the facility.  I have never once felt rushed or put off.  The experience has been very encouraging for my road to recovery.  She put me on an oral antibiotic, Doxycycline 100mg. twice a day for 2 months.  What a difference it made.  My leg strength came back, my arms have regained a substantial improvement in mobility and my neck has improved quite a bit, also.  My fingers and toes still are numb and have limited movement, but it is better than it was.

Last week I met with my caretaker to discuss all the things I might expect going forward, beginning with my PICC line insertion tomorrow and the first dosage of the Rocephin IV, to the procedures I'll follow to self administer the drug, cleaning of the area, showering with the apparatus, etc.  When I asked about possible side effects she commented probably nothing more than soreness at the port, nausea, vomiting, diarrhea, nothing to worry about!  I told her I was happy she'd volunteered to take care of me and clean up the mess!  She laughed and said I probably wouldn't experience any of those to any substantial degree if at all because of no side effects from the Doxycycline.  I remarked that I would hold her to it.  She also suggested eating pro-biotic yogurt as a means of replenishing the good bacteria killed by the Rocephin for my digestive system.

I guess it's time for me to climb up on the diving platform and go for the plunge.  I've waded in the shallow end long enough now, so I'm ready to blast in with a perfect jack knife.  They make the biggest splashes, much larger than a cannonball.

The updates will be brief from here on out unless something goofy happens.  Good Karma, thoughts, prayers, attaboys, etc. are all welcome.  Beware of the ticks.  Their bite is worse than their bark...

Tick Bait