Posts Tagged ‘dilaudid’

Well I had a pretty severe upper GI bleed last week. I went to the ER Sunday morning after vomiting up bright red blood (actually it was coffee ground type the first time then BRB) and having some bad epigastric pain.

Got taken back pretty quickly, NG tube went in which immediately started sucking out bloods. (mind you you are not sedated when they put that tube in, its very uncomfortable and seems to get caught on anything and yanks portions of it out of your nostril.

The ER doc was giving me Morphine 5mg for pain, but it wasn’t really helping. Eventually around 18:00 that evening the doctor for my group who does admissions came and talked to me, we got my pain meds changed over to Dilaudid which helped my pain a great deal.

“Slept” in the ER over night, my GI doc showed up Monday morning for a consult, he wanted to do an endoscopy since he saw the bright red blood. Around 16:30 we started the endoscopy, they thankfully removed my NG tube while I was under a little bit of sedation, I remember all that though so it wasn’t that bad. He didn’t find a source of the bleeding unfortunately. I see him Thursday morning to followup and see what else we can do. He mentioned the pill cam endoscopy but that’s expensive but would help to show if theres bleeding down in my small bowel.  My hospitalist wants me to talk to him about colonoscopy since I am at high risk for colon cancer, have a previous history of polyps, etc. I am past due on my colonoscopy though anyway, I’ll bring it up to him but will have to tell him I have no way to pay for the procedure up from, which isn’t usually a problem with that group as he and my primary doc are in the same group so I pay that bill monthly. The hospital on the other hand wants $500 upfront to be able to have your procedure there. Its actually cheaper than doing that at the outpatient center.

I was transferred to the ICS (Intensive Care Stepdown) unit for a day, where I ended up receiving 2 units of O+ blood as my hemoglobin dropped down to 8-8.3. After awhile I was transported to a normal floor for HMG patients and finally got out on Thursday. The Hospitalist doc discharged me home with a few Dilaudid pills as they were helping my abdominal pain quite well when my Percocets wouldn’t. I found Dilaudid to be a much cleaner drugs in regards to the side effects. I had little sedation, no itching, nausea, etc unlike with Oxycodone or others. I think it might be something to look into having a few of those each month too  for those migraines that would take me to the ER I could take one of those and be done without a costly $500 fee.

My right arm is hurt. One of the sites that an IV was in and where they did numerous sticks for bloodwork has gotten VERY swollen. At first it was just a half dollar sized lump inside the elbow area, but now it has grown down and up, its up into my bicep now. So bending my arm out or picking things up, etc causes a great amount of pain.

I’m also sick now. I started feeling under the weather yesterday afternoon. Laid down for awhile after my brother went downstairs and noticed the body aches and my head felt like it wain a vise. Then I started to feel hot to touch and sure enough a low grade fever. Now I’m hanging around 102.5F. Though it likes to hang around 100.x, I’ll test it and it’ll be 100.4F, then seems to go away then retest when I notice fever again and its like 100.9. Just keeps growing every time it comes back.

My PCP is going to try to make time to work me into his schedule to see me about my arm and illness. Hes just a great doctor, very friendly, genuine concern, will do what it takes to help his patients.

Cory’s been sick as well, hes bee congested and nauseous I think. Hopefully he’ll feel better soon. Greg hurt his shoulder so hopefully that’ll heal up soon also.

Okay that’s enough, my arm is killing me, making me cry especially if I accidentally straighten it out. Gotta be up early anyway.

Good night!

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Choices

Posted: January 21, 2010 in Friends, Health, Life, Work
Tags: , , , , , , , ,

Well its 05:00, always a nice time to try to end the day.

A lot has happened the past few weeks. Ended up in the ER a bunch several days last week due to 1 migraine and then a GI bleed that wouldn’t stop.

Migraine went as they usually do. Go in, wait in my darkened room, talk to the doctor or PA. They check me out. Call my mom to come get me. Get my shot of dilaudid and phenergan. Wait 20 minutes (more like 40 in some cases, though I have been able to leave before 20 minutes a few times). Leave. Then home to bed.

Well that night I had been feeling pretty nauseous and had some abdominal pain over the stomach (more so than I had been with the migraine, which I hadn’t had any vomiting with, just nausea). It intensified a bit and I ran off to the bathroom and produced quite a bit of blood. I went to throw on some clothes and get to the ER across the street. Managed to find a cup which came in handy to vomit in (proof even). Got in there fairly quick and taken back. I saw a PA I had seen back in March of last year when something like this had happened (with much less blood). He got me checked out some, gave me some pain and nausea meds and had me do some orthostatic vitals. (Thats where they take your bp/pulse/o2 sat laying down, sitting up, standing up). My pressure was low and pulse was low laying down, on sitting up, pressure dropped a little and HR increased, standing up made me pretty dizzy and BP dropped a lot and HR went up to about 138.
Laid back down and waited some more, he came back in and did a rectal exam to check for blood there, and pressed on my abdomen some to check for tenderness, etc. Pain had increased quite a bit so got me some more pain meds and a big helping of zofran for the nausea. Anyway the doctor over that PA came in and talked to me (I had seen him back in September for my last bleed which got me admitted) said he was gonna let me go home (As my nurse is coming in with the fluids the PA had ordered) but told me to return if I vomited any more blood, felt weaker, anything like that. Came home and slept since I hadn’t slept any and when I got up was still bleeding so went back in. This time they put me in the Fast Track area (for cases such as headaches, colds, back pain, things that aren’t too serious at present). The PA that examined me just didn’t seem like he knew what to do. He said he would get me some protonix for the pain, and some zofran for my nausea. Okay, well the protonix never came and I finally got my Zofran when I was leaving. They did another H&H on me, my hemoglobin and such had dropped some since that morning. He did a rectal exam as well, he seemed nervous about it, more so than I was. He was nice about it all though just seemed like he was afraid of those things (can’t blame him in some cases haha). But got discharged and said to make an appointment with my doctor. Well I see him on Tuesday but the bleeding finally stopped, I can tell I lost a bit of blood due to the weakness and I’m sure my HGB is low low low.

I got to watch Cory play some music today! Was pretty cool, he used his webcam and some site to stream it to live. Hes pretty awesome!

I’ve been considering a career lately. Its actually something I’ve wanted to do for most of my life. Joining the military. I’ve wanted to be a Marine as far back as I can remember, but I don’t think I could make it through their training at this point. I’ve been looking into the Army Reserve. This would allow me to be able to work and to also serve if called upon. Maybe even go fulltime if I like it well enough. I’m not going to jump right into it just yet though. I have a lot of thinking to do on it. I have some stuff I want to see how it turns out first, and depending on the result, then I can proceed forward or stick with the other stuff.

Ok time for sleep..

Well not a whole lot has happened the past few days. It’s been snowing though, which, is super awesome! Its not as much snow as we had the weekend before Christmas but its still out there and more is on the way I heard.

I had to visit the ED Thursday afternoon for a migraine. It had started Wednesday and none of my meds were helping it so I went over there and got checked out and given 1mg of Dilaudid and 12.5mg of Phenergan. That stuff usually helps my headache, it doesn’t make it go away but it makes it much much more tolerable, enough to where I can actually sleep. They gave me half the normal doses I get (2mg Dilaudid, 25mg Phenergan) so the pain and nausea was still hanging around after the shot but not as bad but not a huge improvement that I probably would’ve had with the higher dosing.

I slept for awhile after coming home from there and got back up around 21:00. Cory had sent me a message so I tried to talk to him some. I was really hungover groggy and stuff so couldn’t really concentrate that well to talk as much as I usually do.

I managed to get up at a decent time today, got woke up around 07:30 then off to sleep again, then up around 8something then 10 and finally got up around 11. Pretty tired now too, since I didn’t nap or anything at all today.

I played some Spirit Tracks today, I beat the Fire Temple, the boss there Cragma (I think that’s his name) is a neat boss, hes pretty easy compared to some of the others. I’m getting close to the end, but I will be doing all the side quests too since I enjoy those.

I guess that’s all for tonight, got more to talk about but am just too tired to go on.