Medical Forum / Diseases and Disorders / Arthritis / December 2007
Of course the usual! A whine)
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Kelly - 05 Dec 2007 04:33 GMT Well it was infusion day today. I have had this planned for sometime now. My mom and I were meeting in Victoria, staying at the brand new Marriot hotel and going for dinner the night before at the Empress - an old and gracious expensive hotel that has a curry buffet in the old lounge. Joy. Anyhow we have had storms from hell here - 12 inches of snow, then pineapple express and 8 deg c weather with huge amounts of rain all within a two day period. We have a mountain to go over to get to Victoria and of course weather was worse there. So All in the 2 days before the infusion. I left early Monday in the pouring rain and flooding roads and got to Victoria in time for my general practitioner appointment. Was all excited - told him how great I was feeling, how much better the joints were, how terrific my appointment was with the rehab doctor etc. He wrote scripts for all my prescriptions for the year as some had run out. At the end of the session I said I had my rituxan starting tomorrow again. He said "I think you had test results for me to go over - let me get them". Oh yeah - crap!!!!!
So the WBC in the blood - up over limit. several other blood tests over what should have been. And the clincher - WBC up in urine - way up so everything points to another UTI. You could probably hear my scream all over the world. I was so so so pissed off. No symptoms, not tired, no neuropathic as usually I have, no urgency, no burning. Nothing. Also it would not culture, so that was no help.
By now I am getting cell calls from my rheumatologist, calls back and forth between all doctors, I am running off to get even more macrobid to see if I can get 2 doses in that day and 1 in the morning if they will still let the infusion go.
Absolutely not - especially with me. They are afraid they will send me to the hospital over the holidays with massive infection. I agree but am so frustrated. This is after 3 months of macrobid to try to stop this. I stopped the macrobid one month ago. I now have 1 week of macrobid with another 1 week in case I need it. I am taking both weeks and asking my gp to keep me on it for another 3 months to get through the infusions.
I am so tired of this. Of course now we are having trouble scheduling, I spent money on mom and I on the hotel etc. and she came over when really it wasn't necessary, Pat (my husband) is agin scheduling things differently (which I know isn't always easy when it takes 2 nights each time of being in Victoria in order to make sure you make it over the Malahat without hitting snow and ensuring we are there at 9:00 am sharp so the meds can get it. Most important though is why the infections keep happening. Am so tired of it.
Anyhow that was my couple of days. Rescheduled for the 18th so long as the infection is gone. Talk of going back to the urologist but that won't be for a bit due to scheduling etc. On the positive side I missed a one day power outage, a huge wind storm, the snow is gone thanks to the rain yesterday and I got a new outfit, my christmas shopping done and some time with my mom. bought a new mattress for our new King size bed that should be here anytime and had a lovely night in an incredibly wonderful hotel. The staff was so good - even going so far as valet parking my scooter for me when it needed doing. I used my scooter both days, paid for valet parking and they would bring the car upstairs, help me with the scooter and return the car. I went off the methotrexate for a couple of weeks starting this week (to give the antibiotic a chance) and had some wine. All was not gloomy.
Anyhow off to bed. Only 8:30 but I am exhausted from everything.
Kelly
DeeTee and Bob Taggart - 05 Dec 2007 17:38 GMT Oh, Honey, that sucks! I am so sorry for you. Well, at least you got to visit with mom.
Hang in there, DeeTee
> Well it was infusion day today. I have had this planned for sometime now. > My mom and I were meeting in Victoria, staying at the brand new Marriot [quoted text clipped - 58 lines] > > Kelly Joan Carter - 05 Dec 2007 21:41 GMT > Was all excited - told him >how great I was feeling, how much better the joints were, how terrific my >appointment was with the rehab doctor etc. He wrote scripts for all my >prescriptions for the year as some had run out. At the end of the session I >said I had my rituxan starting tomorrow again. He said "I think you had >test results for me to go over - let me get them". Oh yeah - crap!!!!! Kelly, that is the pits. It is definitely time for you to join the line of people who are returning their diseases.
((((((((((((((((Kelly)))))))))))))))))))
Joan
Diane - 05 Dec 2007 23:53 GMT Argghhh! totally not fair. i could hear that scream all the way in NC and i don't blame you a bit.
hugs,
diane
RoseB - 06 Dec 2007 03:45 GMT Well merdre, Kelly. as the French Canadians say. I am sorry that you have another infection. I was thinking about you when they announced what the weather was like on the island. it has been crappy here as well. We had 14 inches of snow, then it warmed up to about 11 degrees C, and started to rain. It rained all day and night heavily, resulting in a soupy knee deep slush. Now much of that is gone, but there is a lot of ice and it is supposed to freeze overnight. I need to become a snowbird, I think. This winter thing is not fun.
The school flooded, the hospital was flooding, and several businesses in town as well.
Hopefully the infection will clear up soon so that you can have your infusion. It is a blessing really, that they are as careful as they are. You do not want anymore complications. It is just unfortunate to go and spend all that money and not be able to have the infusion.
Did you have high tea? My friends from Alberta and Manitoba were thrilled with the high tea when we were in Victoria. I did not join them at the Empress as I came later, but I did go to high tea many years ago when I went for a conference. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
Please remove "Ima" to reply.
Kelly - 06 Dec 2007 04:35 GMT Didn't have high tea - I think there are better places and much cheaper than they are. i think it is up to $46.00 which is way too high. I have been before the price went up so much many times though and it is wonderful. not $46.00 worth though.
I am glad they are careful. And the money wasn't even the thing. It is just that I am getting frustrated as to why the stupid thing keeps coming back. Shades of enbrel with the sinus infections. The pharmacist with rituxan said that is probably contributing to it as well. Now they are trying to figure out when they can ship the next meds to where the fridge will be kept at a constant temperature without outages etc. over the Christmas holidays and when the staff will be there to accept the next meds - not my problem. I did suggest not to send them to me as the outages seem to hit this area.
The schools here flooded for a day too so the district was closed down. So many people would have had trouble getting there kids there and the buses were a little worried about getting around to so was a good thing. I too am sick of weather already and I don't live in the middle of the province. I'll go with you Rose! Just let me know which place - not too hot or humid, with a good health plan for retirees from Canada with RA, a pool, a pool boy who can make good margaritas when we don't have a med that disagrees with it. No forest fires would be nice. Oh and somewhere I can garden and they don't mind animals. Have we got everything covered? We can dream can't we? The biggest thing I have been trying and trying all week to find is gumboots for fat wide arthritic feet - if you find them let me know? No spike heels - like I could get my feet into boots with spike heels anyhow and even as a teen I couldn't walk in them. must say I never wore much more than running shoes in school even in Prince George in the snow - couldn't fit boots then either and hated them.
Well off to do Pat's invoices. Cash flow is out the toilet this month due to the $8,000 for the meds and Christmas and the furniture (but will be nice to have dressers. In the other house they were built in so I have gone since June with my clothes in boxes etc.)
Thanks Rose - will hang in there and doesn't seem as bad today as it felt yesterday. Hope you are feeling a bit better and not so low.
Kelly
> Well merdre, Kelly. as the French Canadians say. I am sorry that you > have another infection. I was thinking about you when they announced [quoted text clipped - 22 lines] > > Please remove "Ima" to reply. RoseB - 06 Dec 2007 04:50 GMT I agree on the not too hot and not too humid. I can also relate to the frustration of not getting the meds. I can imagine hold frustrating the infection thing is getting. I am sure it is annoying for you especially since you did not have symptoms.
I am having a tough time actually. My pain level is close to a ten, in wrists, elbows,shoulders and ankles. When I went to the doc I expected him tosay my ESR was way up. Normally it is about 48, and I have rarely had lower than that. This time though, the ESR was 30. I am convinced it is a lab error as my joints are hot and red, and the elbows feel squishy. It makes no sense to me whatsoever. The pain feels more like a tendon thing that a joint thing, though. I rarely sleep more than a few hours.
The doc prescribed codeine contin, which I am supposed to take two tabs twice a day in addition to T3. I did not know it was to be taken in addition to the T3, and was taking it alone, and became very frustrated because it was not helping. But now I have nausea and abdominal side effects that are not pleasant. I do need to go to Penticton, but with the weather the way it is and my obligations with the class I have not made an appointment.
I cannot seem to get back where I was. Enbrel worked wonderfully well for me at first.
But I do not mean to hijack your thread. Is rituxan on pharmacare or are you getting it via an advanced program like I did with remicade? I cannot remember if you tried humira. I had not thought of the impact of the holidays on the whole process. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
Please remove "Ima" to reply.
RoseB - 06 Dec 2007 04:52 GMT Oops typo. I meant to say HOW frustrating. Actually I was thinking the infection thing is getting pretty OLD. SOmehow I combined the two. LOL Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
Please remove "Ima" to reply.
Kelly - 06 Dec 2007 07:24 GMT You didn't hijack my thread. I have been worried about you. The abdominal pain is probably from all the codeine Rose - don't treat it lightly. Make sure it is not from constipation - drink lots and lots of water with it. Really does sound like the enbrel isn't doing everything. You are still taking imuran or mtx too aren't you? I sympathize with not wanting to go to Penticton with this weather. Due to get cold again this week and dip in the minus weather in the evenings. Would it please make up its mind?
Rituxan is not on pharmacare yet and is being described for people whom tnf receptors did not work. i am presently paying $8,000 out of pocket for the 2 session treatment (or in my case the 4 session if they can't get one treatment in one day) and the drug company is paying $3,600 and the cost of the infusion staff and equipment etc. as I am in a trial to see when people need retreating and how well they are doing. Humira is a tnf receptor and so is remicade so they are out for me since the enbrel caused the neuropathic stuff. The holidays are really mucking up this stuff - especially if they can't get it in in one day and have to do 2. Staff has to be arranged etc. Pain in the neck for them I know. Anyhow they have decided to give me ativan in case it is anxiety causing the stop breathing thing. Will see. I don't think that is the problem but I am open - sort of. The only time I took ativan it scared me a little. I could actually see myself getting addicted quickly to it. It put me instantly to sleep - like instantly. No doubt about it. Just put me into this wonderful solid out of control sleep. Will see what it does this time.
I know it is a bad time of the year but you might like to call in a sub Rose and take a day for yourself. Might help that pain level in the long run and get you through to the 21nd or whatever it is you have to go to this year. A very gentle hug - very gentle. The inflammation in the tendons and ligaments can be as if not more painful than in the joints. They do respond to cold for me though and sometimes physio modalities will help too. Do you have someone who could help get the inflammation down - a physio that is good with RA and doesn't overtreat?
Will be thinking good thoughts for you this month. I know that frustration when things just don't seem to be working and you can't get answers.
Kelly
>I agree on the not too hot and not too humid. I can also relate to the > frustration of not getting the meds. I can imagine hold frustrating [quoted text clipped - 30 lines] > > Please remove "Ima" to reply. RoseB - 07 Dec 2007 00:36 GMT Kelly, You are always so thoughtful, and thinking about others when you have a tough row to hoe yourself.
It is too bad that there is not some program that could cover your rituxan since you failed conventional anti-tnfs in a big way. Eight thou is a lot of money.
I did not take the codeine contin today and feel better abdominally. The pain is there, but I took my usual T3 without adding more. I was ready to h ave elbow and shoulder replacements last week. (It was suggested to me many years ago but I was not interested as I did not want to lose function. Now I do not care).
I bought myself a wax thingy for the hands but it is still in my trunk. I need to get going on my reports, as they are due tomorrow, so there is no time for using it tonight.Have you ever heard the evil acronmy BCeSIS from your D-I-L or teacher friends? LOL
I also just received a phone call from my faculty advisor and she put the fear of God in me about how hard i will need to work in the next course. It is the first one that is devoted to writing the dissertation, and I will need to write the first two chapters. It does not seem like much, but it will be quite involved.
I am also planning to have my group sing a song for the concert. That will be interesting because I can not sing. My voice goes completely, but I want to try anyway. We will see how that goes. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
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Squirrely - 12 Dec 2007 20:06 GMT Kelly I hope your UTI is getting better. I sure hope you can have the treatment done soon.
Rose, I am sorry to hear you are not doing good either. I feel for you and all that work with the christmas list when you are feeling like this too. Thank you so much for that. i hope the Enbrel kicks up and starts giving you some relief again.
 Signature Love and Hugs to all Jo the squirrely one I am nuts about you.
>I agree on the not too hot and not too humid. I can also relate to the > frustration of not getting the meds. I can imagine hold frustrating [quoted text clipped - 30 lines] > > Please remove "Ima" to reply. Carole - 06 Dec 2007 06:27 GMT > Didn't have high tea - I think there are better places and much cheaper than > they are. i think it is up to $46.00 which is way too high. I have been > before the price went up so much many times though and it is wonderful. not > $46.00 worth though. $46???? It's not even $46 at Harrod's in London! YIKES!!! I make good tea and can also make cucumber sandwiches. Maybe I should open a tea shop in Bellingham :))
Carole
RoseB - 07 Dec 2007 00:24 GMT >> Didn't have high tea - I think there are better places and much cheaper than >> they are. i think it is up to $46.00 which is way too high. I have been [quoted text clipped - 6 lines] > >Carole Hey, there is an idea!. You need the tiny sandwiches and petites fours. or however they are spelled. LOL
You may hate me for saying so, but I wish our dollar had stayed high. I live going shopping to Bellis Fair but with the exxhange rate being high, it is not worth it. Someday though, I will go and then maybe we can meet. You would not even have to worry about making the tea. Rose @}>->-- Being educated means that rather than fearing the unknown, one seeks to understand it. RB
Please remove "Ima" to reply.
Carole - 07 Dec 2007 04:29 GMT > Hey, there is an idea!. You need the tiny sandwiches and petites > fours. or however they are spelled. LOL Yea, I just need a place :) Actually, we have a cool, little tea shop in Fairhaven. I took my friend from England there for lunch when he was visiting last August.
> You may hate me for saying so, but I wish our dollar had stayed high. > I live going shopping to Bellis Fair but with the exxhange rate being > high, it is not worth it. Someday though, I will go and then maybe we > can meet. Let me know if you go to Bellis Fair - it's only about 5 minutes from my apartment! And now that I've lost weight and I'm working out, I can even walk around the mall :)))))
Carole
Squirrely - 12 Dec 2007 20:24 GMT Kelly,
I sure hope you are doing better now. Sorry this took me so long to answer.
I hope the storms are letting you alone right now too. I saw where it is hitting bad around your area and Washington and Oregon. You are all in my thoughts and prayers.
 Signature Love and Hugs to all Jo the squirrely one I am nuts about you.
> Well it was infusion day today. I have had this planned for sometime now. > My mom and I were meeting in Victoria, staying at the brand new Marriot [quoted text clipped - 58 lines] > > Kelly Kelly - 12 Dec 2007 22:15 GMT I went for the usual blood and urine test today but not feeling good about it - bet it comes back positive again. I feel not too bad though - did go away for a couple of days. On the positive side I did get an interview to see if they would accept me into the neuro physio program and I got accepted! Whooee! And the best thing is medical will cover it because of that - it is done outpatient at the hospital. If not I would have had to pay $70 for 45 minute appointments twice a week with a special physio who actually doesn't really exist for me as they are in short supply and they come to the house - oh and they don't exist in my community. So this is good news. Will take 4 months for me to get into the program as the waitlist is long but that is okay.
The storms have passed for now. We lost power a couple of times and had some snow but we are on the upper part of the valley so no flooding here although parts of our community did get flooded (they always get flooded.)
Take care Jo - thanks for asking.
Kelly
> Kelly, > [quoted text clipped - 67 lines] >> >> Kelly Nann Bell - 14 Dec 2007 16:36 GMT Ah, at least you are on the road to getting the neuro physio. Jump through one hoop, rest for a while and recover before the next hoop comes along. Ah, you must feel like this is all never-ending.
Weather-wise, be glad you aren't here today - beautiful sunsine, but an Arctic Clipper is coming through. Supposed to be around zero F tonight. At least we've stayed cold enough to have mostly snow on the ground rather than ice as they have down-state.
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
> I went for the usual blood and urine test today but not feeling good about > it - bet it comes back positive again. I feel not too bad though - did go [quoted text clipped - 15 lines] > > Kelly Squirrely - 14 Dec 2007 20:12 GMT I hope you have as good as luck as I did. I thought I still had the UTI and it came back negative. But I still feel like I have it though.
I am glad you got enrolled in the neuro phsio program, that is a good thing.
I am glad that your insurance will cover it. That is a good thing, and an added bonus.
Your welcome Kelly, you are always thought of even when I don't ask. ;-)
Glad the storms are letting up for now.
We only got one day of rain out of it all. We need the rain so bad. But it kind of scared me that it rained so long. That was an oddity. ;-) It was like what the heck is this. We have not had a good rain like that in over a year. Usually just get those that if you blink, it is gone. ;-0
I am so glad that they will come out to your house too. that is a good thing. I am glad you will be getting that help.
 Signature Love and Hugs to all Jo the squirrely one I am nuts about you.
>I went for the usual blood and urine test today but not feeling good about >it - bet it comes back positive again. I feel not too bad though - did go [quoted text clipped - 13 lines] > > Take care Jo - thanks for asking.
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