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Medical Forum / Diseases and Disorders / Arthritis / January 2008

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Sicky McSickerson - warning for everyone!

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Aim - 12 Jan 2008 04:30 GMT
So I've had the flu all week. Ok, I promise this isn't going to be one
of those "I had a ham sandwich for lunch" posts. It has a point. Bear
with me.

Monday I started with the aches and chills.
Tuesday I was coughing and feeling generally unwell.
By Wednesday I couldn't get out of bed, and definitely felt like it was
the flu. The two days before I wasn't sure if I was just run down, or it
was allergies to the massive amounts of dust and mold in my area at
work. I called in sick to work Wed and Thurs. All day Thursday I was
having trouble breathing and just couldn't get out of bed. I felt like
maybe my flu was turning into pneumonia, as it has in the past. I just
couldn't get a good breath in OR out.
Today, Friday, I hauled my butt out of bed and headed to work. When I
got there, I chatted with a couple of people to get project updates and
whatnot, and then my boss walked in. I said "good morning" and she
replied "how are you feeling?" I said "honestly, I'm still sick, but ten
times better than yesterday." She said "you sound terrible. Go home." I
asked if she was sure, cuz I didn't want to be out sick again, and she
basically read me the riot act about how sick I've been and for how
long, and then said "now go home."

I was feeling more than just a little bit worried about my job at that
point. I definitely thought I'd be written up on Monday for being out
too many days (cuz leads are pretty much not allowed to get sick, ever,
in my dept)

So I called my primary care doc's office from work as I shut down my
computer. I left a message and told her what was up.

An hour or so later, she called and said to come in at 3. When I went
in, she took a look at me and listened to my lungs and said "you have
asthma." I responded with something like "whaaaaat. I've never had
asthma." She said I was barely moving any air at all, and needed a
breathing treatment RIGHT NOW in the office. So she took me into another
room and put me on a nebulizer for 2 cycles, and told me that I am NEVER
allowed to wait that long again before calling her, that she'd give me
medications but that I am not to just take them if it starts acting up,
I should take them AND call her so she can monitor. Apparently my
breathing must have been really pretty bad. I had just gotten used to it
so I didn't really realize how bad off I was.

For the stuffy nose she gave me a decongestant and has me doing sinus
irrigation. Have you ever done that? Good lord I thought I was going to
suffocate or drown myself. I'm sure I'll get better at it since I'm
supposed to do it twice a day. For the asthma I have Flo-Vent for every
day and Albuterol for taking every six hours during an attack. I am to
call her when/if I have an attack like this. I didn't know that this was
what asthma felt like. How odd. I've been coughing and coughing, and
just can't breathe right, but I truly thought it was pneumonia again.
I've had it so many times, the wheezing and crackling are like old
friends. Not good friends, mind you, more like uninvited house guests
that just won't leave.

When I got back from the doctor's, I called my boss and gave her the
verdict, and thanked her for yelling at me and sending me home. I told
her that her being upset with me and my getting a note probably saved me
an emergency room visit over the weekend. Or worse. So I owe her one for
getting so upset with me. She said she was really worried about me,
because I've been coughing off and on since October, and she "Didn't
think I looked right" this morning, so that's why she was so hard on me.
Awwww. Tough love... lol.

Oddly I hadn't noticed how weird my coloring has been, but looking at my
hands now they are MUCH more pink than they've been in weeks.

So the upshot, folks, is that even if you are 35 years old and have
never had asthma or allergies in your life, you can end up in a very
serious situation pretty quickly. IF YOU HAVE TROUBLE BREATHING, SEE
YOUR DOCTOR IMMEDIATELY.
Joan Carter - 12 Jan 2008 04:43 GMT
>So the upshot, folks, is that even if you are 35 years old and have
>never had asthma or allergies in your life, you can end up in a very
>serious situation pretty quickly. IF YOU HAVE TROUBLE BREATHING, SEE
>YOUR DOCTOR IMMEDIATELY.

Good advice, Aim. It happened to me, I had mycoplasma pneumonia
and ended up with adult onset asthma. Had a few Emergency Room
trips but am now pretty much free of it. However, if I am around
smokers or people wearing perfume I can have a mild attack, and
need Ventolin. Bottom line, never take breathing for granted.

Joan
DeeTee and Bob Taggart - 12 Jan 2008 16:23 GMT
Oh, Little Sis, you've had a rough row to hoe. Get some rest now that you
can breathe.

DeeTee

>>So the upshot, folks, is that even if you are 35 years old and have
>>never had asthma or allergies in your life, you can end up in a very
[quoted text clipped - 8 lines]
>
> Joan
Aim - 13 Jan 2008 01:17 GMT
Thanks DeeTee. I'm trying to rest today. Still having a bit of trouble
getting a good breath in. Not so fun, really.

> Oh, Little Sis, you've had a rough row to hoe. Get some rest now that you
> can breathe.
[quoted text clipped - 12 lines]
>>
>> Joan
Aim - 13 Jan 2008 01:18 GMT
Yeah it was not scary at this time, cuz I had no idea how bad off I was.
 I got scared later when i realized how badly it could have turned out.

>> So the upshot, folks, is that even if you are 35 years old and have
>> never had asthma or allergies in your life, you can end up in a very
[quoted text clipped - 8 lines]
>
> Joan
Pope Pie (Sy Lehrman) - 12 Jan 2008 05:09 GMT
> So I've had the flu all week. Ok, I promise this isn't going to be one of
> those "I had a ham sandwich for lunch" posts. It has a point. Bear with
[quoted text clipped - 17 lines]
> read me the riot act about how sick I've been and for how long, and then
> said "now go home."

I had one of those incidents when a coworker  not only told me to go home,
but called the boss and the doctor and set it all up so that we went from
the salt mine to the doc's office directly.  Pneumonia.

Moral:  listen to the fellow worker who says, "you don't look good."
Aim - 13 Jan 2008 01:17 GMT
Funny thing - my mom has apparently been telling my aunt that she was
concerned that my "colour isn't good" for awhile now. She hasn't said a
word to me. Silly mom. I would have taken her seriously and went and
gotten checked earlier had she said something.

> I had one of those incidents when a coworker  not only told me to go
> home, but called the boss and the doctor and set it all up so that we
> went from the salt mine to the doc's office directly.  Pneumonia.
>
> Moral:  listen to the fellow worker who says, "you don't look good."
Carole - 12 Jan 2008 06:46 GMT
You are lucky to have a good boss.  I had one like that a number of
years ago. Not only did she send me home, she gave me the card for her
doctor since I had just moved into the area and didn't have a physician
yet. I called and went to see him that afternoon and I had pneumonia.
When I called to tell her that I wouldn't be in for at least a week, she
said she could see just by looking at me that I was really sick. We were
both glad that she sent me home that day :)

Carole

> So I've had the flu all week. Ok, I promise this isn't going to be one
> of those "I had a ham sandwich for lunch" posts. It has a point. Bear
[quoted text clipped - 66 lines]
> serious situation pretty quickly. IF YOU HAVE TROUBLE BREATHING, SEE
> YOUR DOCTOR IMMEDIATELY.
Aim - 13 Jan 2008 01:15 GMT
Thanks Carole. And yeah, my boss is a hardnose, but she's GOOD. She
makes me strive to be better every single day.

> You are lucky to have a good boss.  I had one like that a number of
> years ago. Not only did she send me home, she gave me the card for her
[quoted text clipped - 76 lines]
>> serious situation pretty quickly. IF YOU HAVE TROUBLE BREATHING, SEE
>> YOUR DOCTOR IMMEDIATELY.
RhondaM - 12 Jan 2008 22:46 GMT
> So I've had the flu all week. Ok, I promise this isn't going to be one of
> those "I had a ham sandwich for lunch" posts. It has a point. Bear with
[quoted text clipped - 66 lines]
> situation pretty quickly. IF YOU HAVE TROUBLE BREATHING, SEE YOUR DOCTOR
> IMMEDIATELY.

Your boss saved your life...my 18 year old son has asthma all his life and
it is severe. I can tell you that it is a very serious thing when you are
struggling to breathe and it isnt something to play around with. Just
hearing about your color and the change to the better sure indicates that
you have been in distress for awhile. Take care of yourself . We went as far
as not having carpeting in my sons room just to keep his flare ups down. I
know mentioning this is kind of off topic but it was a pretty good tip that
his pulmonologist gave us.
Anyways, I am so glad to hear you are feeling better take care.
RhondaM
Aim - 13 Jan 2008 01:14 GMT
Thanks Rhonda.
At what point do you, personally, draw the line of "ok, it's time to go
in and get an in-office treatment (or urgent care or ER)? I'm following
all orders, taking my two inhalers as prescribed, and am having a hard
time again today. I just... feel like I'm not getting enough air, and
find myself taking super deep breaths which just make me cough and cough.

I guess what I wonder is, in your experience, how much tightness is
"normal" and do you have a specific symptom, sign, or point at which you
say it's time to go get further help?

I'm sure I will learn what's my "normal" over time, but in the meantime,
I'm looking for others' experiences.

Thanks again for your response. It helps to know i'm not the only one
going through all this.

Aim

>> So I've had the flu all week. Ok, I promise this isn't going to be one of
>> those "I had a ham sandwich for lunch" posts. It has a point. Bear with
[quoted text clipped - 77 lines]
> Anyways, I am so glad to hear you are feeling better take care.
> RhondaM
Joan Carter - 13 Jan 2008 03:44 GMT
>At what point do you, personally, draw the line of "ok, it's time to go
>in and get an in-office treatment (or urgent care or ER)? I'm following
>all orders, taking my two inhalers as prescribed, and am having a hard
>time again today. I just... feel like I'm not getting enough air, and
>find myself taking super deep breaths which just make me cough and cough.

One thing that might help your breathing is to do abdominal
breathing. A classmate who did her Master's in Nursing in
respiratory medicine taught me this. Instead of trying to take a
super deep breath, breathe in slowly from the top down. Keep one
hand on your abdomen and try to fill it last, letting your
abdomen lift your hand. Then slowly breathe out in the opposite
way, emptying abdomen first, then lastly your lungs. This takes
some practice but if you try it slowly it might help.

But, if in doubt, go to Emerg. Better to do that than to be
sorry.

Joan
jofirey - 13 Jan 2008 19:43 GMT
> Thanks Rhonda.
> At what point do you, personally, draw the line of "ok, it's time to go in
[quoted text clipped - 14 lines]
>
> Aim

It is likely to take several doctor/er/urgent care visits before to really
get a handle of just when you are in serious trouble.

Wish I had read your message last night.  Asthma always get worse during the
night.  If its bad at 9pm its going to be awful at 3am.  This is because of
your natural biorhythms.

There are a lot of things they can do for asthma besides your inhalers.
Especially for an acute attack.  Ephedrine, steroids and Oxygen are among
them.

And while I don't like to scare you, if you have asthma you need a good
scare if you hesitate to get treatment.  An asthma attack can kill you.  It
can and does kill otherwise healthy adults.  So get treatment when you think
you need it.  If its too often while you learn how and when you need help,
so be it.

To help get the air in when you are having an attack, sit on the edge of
your bed, or a chair or sofa.  Lean forward with your elbows on your knees.
This opens up the airway as much as possible.

Oh, and one of the frustrations of getting treatment for an attack.
Epinephrine is a stimulant that helps open up airways.  So is adrenaline.
So it is in the nature of the beast that all the uproar surrounding getting
your butt to the doctor/er etc will in and of itself make you feel a little
better.

And the appropriate thing to say in the ER isn't just "I'm having an asthma
attack".  Its "I'm having trouble breathing".  That usually gets you the
prompt treatment you need.

Jo
RhondaM - 13 Jan 2008 21:59 GMT
> Thanks Rhonda.
> At what point do you, personally, draw the line of "ok, it's time to go in
[quoted text clipped - 96 lines]
>> Anyways, I am so glad to hear you are feeling better take care.
>> RhondaM
I would have to agree with the other posts, but to add that my son also has
a nebulizer (sp?) with liquid albuterol and another med I can not remember
the name. This is just for that time when he is having that tightening that
a reg inhaler would not be quick enough. Ask your doc about  having one on
hand. His doc was realy helpful in getting him one all we had to do is ask
for it. It has saved us some trips to the ER. Also make sure to get your flu
shot every year. Thats very important for people with asthma as well as most
people in general.  Getting to just know when it is urgent and when to just
let the meds work will be a personal thing. I would def ask your doc what
and when he thinks is the time to head for the ER. I would say anytime you
are having breathing problems to go until you get a hold of how to manage
your asthma. You can not be too safe.
Nann Bell - 14 Jan 2008 02:42 GMT
Aim, I have no personal experience with asthma, but please, please, please
err on the side of giong to the doc/ER and finding out you don't need to
rather than the other way.  We knew an *ER physician* who died of a severe
asthma attack when her orthopod husband was at a conference.

I'll try to say some in response to your first post later - typing is hard
this weekend.

Signature

Nann
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Simply the thing I am shall make me live --- William Shakespeare

> Thanks Rhonda.
> At what point do you, personally, draw the line of "ok, it's time to go
[quoted text clipped - 14 lines]
>
> Aim
Donna G. - 14 Jan 2008 03:22 GMT
Hey Aim!

I was diagnosed with my asthma in my mid 20's, and at that time, the
doctor told me you can develop asthma at any age.  Some even develop it
in their 80's.

As far as some suggestions for you, ask your doctor about getting a
nebulizer for at home.   A nebulizer is helpful for those times when you
can't really get a good enough breath in for the inhaler to work.
Really everyone with asthma should have a home nebulizer.   If you can't
afford one or your insurance doesn't cover one for you, let me know.  

Also, ask your doctor for a peak flow meter.   This will help you know
if your lungs are going downhill often times before you may even realize
it yourself.

Another thing to have is spacer device for your inhalers so that you get
more of the meds actually down into your lungs.

Have your doctor help you set up a game plan so that you know when to
call him/her or when to go to the ER/urgent care.

My doctor has always said, if you are thinking about calling me, then
you should have already called.   Definitely when you feel you are
having an especially hard time getting a good breath, is time to at the
very least put in a call to your doctor or head to urgent care/ER.  

People really do die from asthma.  My cousin dies back in 2001 at the
age of 38 from an asthma attack.

Talk to your doctor about when a pred burst would be prudent and when
you need to add in an antibiotic.

Also get a flu shot every year as well as make sure you are up to date
on your pneumonia vaccine and talk to your doctor also about possibly
updating your whooping cough vaccine as whooping cough is making a come
back and it is NOT a good thing for someone who already has lung issues
such as asthma.

The longer you let things go, the harder it is to get it all back under
control, so err on the side of taking care of things earlier rather than
waiting to see if things will get better.  

Like the others have said, you will eventually learn what is normal for
you, what is just a minor set back and what is bad enough to seek help
quickly.

Keep track of what seems to set you into a flare.   Often times
infections, drastic changes in weather or temperature, allergies, smoke,
strong scents such as perfumes, cleaning agents, car fumes, etc, air
that is too dry during the winter or air that is too humid can cause
problems for many!

Make sure after using your meds/inhalers to always rinse your mouth well
to help keep you from getting oral thrush.

When in doubt, call the doctor or go to the ER!!!

Hope you get to feeling better soon!

Hugs,

.
.
.
.

Donna
.
.
.
.
1.)   ANGELS EXIST, but some times, since they don't all have wings, we
call them FRIENDS......

2.)    J.K.M.A.
Squirrely - 14 Jan 2008 06:17 GMT
Good response Donna, I was going to write and mention some of these but you
did a far better job than I would have.

Signature

Love and Hugs to all
Jo the squirrely one
I am nuts about you.

> Hey Aim!
>
[quoted text clipped - 64 lines]
>
> Donna
sweetpickleNO@SPAMknology.net - 14 Jan 2008 21:11 GMT
Aim really sorry to hear of this latest problem; you have had so many along
the way.  Do hope that your doctor will work with you to get all the things
you need to have at home to be safe.  Do keep us posted on how you are
doing, please.
Gwen

> Good response Donna, I was going to write and mention some of these but
> you did a far better job than I would have.
[quoted text clipped - 67 lines]
>>
>> Donna
 
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