I hate to ask... but I need a bit of help

Joined
Jun 28, 2010
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I have asked for Smoke and Prayers before, but for those that I care about. Today, I humbly ask for myself. There are many here and elsewhere that have endured so much more than I, and over a longer period of time than what I have been trying to overcome. Because of that, I didn't feel it right or comfortable to ask. But I find myself still at a struggle that has had it's ups and downs, and will have a long and slow recovery process. Because of that, I humbly ask for myself.

Asthma has been in my life since I was born. I always hoped I would outgrow it but never did. It was much worse when I was younger and over the past few years had gotten to the point where I would only need my inhaler a few times each year. In November 2012 I did reach a point where my troubled breathing was not relieved by my inhaler. I visit to my doctor had me complete a quick breathing treatment and receive a cortisone shot. It worked.

This past December I felt a "revisit" of that situation, though with more trouble breathing which left me wheezing and short of breath, and coughing. I went back to my doctor, had x-rays of my chest completed (came out ok), received the same treatment and relief did not come. I missed time at work despite attempting to go back. I followed up with my doctor shortly after who prescribed me an antibiotic and different inhaler. Relief did not come. I went back again shortly thereafter, received another breathing treatment, cortisone shot, refill of the antibiotic, a 2nd different inhaler, prescription for a nebulizer and albuterol, and a referral to a pulmonologist.

Because of the time of year, the pulmonologist could not see me until late January. I tried to get in sooner and explained how bad I was feeling but they could not get me fit in. So I continued missing work, staying on my course of treatment, and resting until then. Surprisingly, early January I felt a much improved change in my breathing and thought the medications were finally working. I was able to return to work 4 full days. Unfortunately, by the last day my symptoms (Shortness of breath, wheezing, coughing, chest pains, lightheaded, trouble sleeping, low energy level, migraines) had returned and were in full force by that evening. Constant short movements (work related), minimal walking, or talking in a normal conversation had me sucking for air. Over the next week I ended up in ER twice. All I received was long breathing treatments (about an hour or so), IV feeds (with a steroid fed through it as well), additional x-rays (came out okay again), and blood work. I was there both times about 6-7 hours but never admitted overnight. The second time almost kept me but released me to see my pulmonologist the next day. Both ER visits, I felt a little improved relief after the long breathing treatments but they were short lived my symptoms usually returned within 30 minutes. This was explained upon my second visit. The only reason why I had not returned immediately after was new prescriptions of medications and antibiotics were given to me and I felt they might need time to work.

The pulmonologist visit had me being evaluated and completing a series of lung function tests and began treating me for a respiratory infection. I received 2 additional antibiotics, a 3rd different inhaler, and other medications (including starting probiotics). Kept out of work for a week until re-evaluation. When I returned, the pulmonologist noted improvement in the way my breathing sounded, though physically, I did not feel much better. I was kept out another week to continue treatment and rest. Upon returning, the pulmonologist noted more improvement, and I felt better than I did at the previous visit. At this time he wanted to send me for labwork to test for allergens. After receiving the results and being checked over the pulmonologist noted my breathing had worsened from the previous visit. I was given a cortisone shot, and then sent to an allergist for further evaluation and to assist in the pulmonologist's treatment.

At the allergist, my breathing had worsened to the "level" I was at when I first visited the pulmonologist. I had to complete a couple of additional lung function tests. I was given a breathing treatment and a different short term nebulizer treatment. The next day I returned to receive a long lasting cortisone shot. The allergist explained that all of the previous cortisone/steroid (via IV) shots I received were only short term acting. I was told they didn't give my lungs the needed window to allow the medications and antibiotics I had been taking enough time to do what they needed to do. Asked me back for a follow-up in two days and said I should be feeling much better by then. Went back and was showing no improvement. The allergist was confused, stated I should be showing improvement. Started thinking it might be heart related. He checked my pulse in both arms to see if there was any differences. He also requested my x-rays (first primary care pyshician visit in December, as well as the ones taken at both ER visits). Everything checked out. The allergist then consulted with the pulmonologist by phone while I waited in the room. When he returned he explained they were ordering up an Arterial Blood Gasses test. I then left to have that completed at a near by diagnostics lab and returned to await the results. When the allergist returned to my room he said he again consulted with the pulmonologist and they both agreed it to be acute severe asthma. In short it is when asthma does not respond to standard medications and steroids. He said it's kind of rare and one of only a few cases he was personally seen. I was placed on a larger dose of an antibiotic that I was taking and told to follow up with the pulmonologist the following week. If the extra dose of antibiotics did not work I would then have to be admitted for stay and treatment in the hospital.

Followed up with the pulmonologist and I was showing improvement. Was told to try going back to work the following week and see how I feel, with a follow up in 4 weeks. I attempted to go back to work but only made 3 days out of the week, and they were not full days. Despite being on light and restricted duty, the small and minimal movements I made in my work were enough to trigger my symptoms. I continued to do my treatments and take all of my medications while resting. The following week I was able to work my full schedule (still restricted, light duty). This week I missed 2.5 days due to symptoms and a visit to my primary care physician. The other night I woke up wheezing, and I just finished the short term nebulizer treatment two days ago. Since then I have noticed my chest is getting tighter more often. Whether that means that my lung function is going to revert I don't know, and I really hope not. Over the next two weeks I have 4 different appointments with my pulmonologist, primary care physician, and 2 new specialists that I have not seen.

I cannot say how much I hate feeling like this, hate having to go to the doctors multiple times, hate having to take all the medications I have had to while spacing them all out with enough time, hate all the money I have spent in co-pays, medications, and everything that my insurance will not cover. The long term antibiotic(s) use has also caused several issues that I am dealing with currently as well.

If and when I am able to get well enough, the pulmonologist wants me to undergo a bronchial thermoplasty. And while I would welcome any positive effects I would receive from that, I am very much not looking forward to extended antibiotic use during treatment and recovery period (9-12+ week process). I would just like to feel like my old self again. To breathe normal and do normal things that many, including myself, take for granted. To not have to deal with the side effects that I have, which some in return have required additional antibiotics. To be able to continue all of the training I had been doing with my dog and take him for walks again. To not feel confined to the house. To hang out with my friends. To go back to bike riding, which I like to do throughout the year. To go back to work full time without restrictions. To go back to school, which had been my plan this semester. To not feel tired and drained from this process. To feel alive.
 
Smoke and prayers sent. I like to try, and research natural remedies. I'm not a doctor, and I'm not advising you to do anything you may or may not want to do. My only aim is to help people live long, happy, healthy, productive lives.
I found this from a quick search. Many people talk about things that did or didn't work. If there's any thing else I can do please feel free to let me know.
http://www.earthclinic.com/CURES/asthma.html
 
bronchial thermoplasty
wifes a Nurse Critical Care
This stuff will help BUNCHES do some research............

Smoke and prayers buddy
 
Lots of smoke and prayers for you. I can understand the absolute frustration having to see doctors, getting referred and starting from scratch with new doctors. Especially not knowing if they can help you. The time and money involved is also a big burden. The one thing I can say is that if you land in a doctors office and you aren't comfortable with the treatment, or steps they are taking, don't be afraid to question what is happening at every step of the way. You are paying for a service and need to be made to understand what is going on at all times. If you are not satisfied, research and find alternate doctors that may have more experience with cases similar to yours. Asthma is terrible and I have seen family members struggle with it over the years. Buy yourself an air purifier/ionizer for your home (bedroom) that helps, it worked for my cousin who was born with asthma (now 40 years old). He removed the carpeting from his home, switched to leather couches, and with the help of air filters in his home and office has managed to improve his quality of life greatly.

Hang in there.

This article is 4 years old, but imagine the advances they've made since then.
http://usatoday30.usatoday.com/news/health/2010-05-04-asthma-alair_N.htm
 
Bronchial thermoplasty "does bunches" for a select group of patients. (Nothing against your wife,Gizmo.)
I agree - research the treatment, and talk to the pulmonologist. I very much understand what you are going through; and what you describe has piqued my curiosity. Obviously, it isn't reasonable to be entirely specific in on online forum; but, if you are willing to break things down into the smallest of details, and get some straight talk in real person terms, you are welcome to contact me. (I am not promising some miracle cure, or selling anything.) If you prefer to stick with smoke and prayers, I'm content to send some your way.
 
moshow9,
Your problem could be aggrevated significantly by dairy and pop.
You may want to look at Your enviroment and what You consume.
I have been to Doctors that will not solve the problem without therapy, medications, or surgery and
offer NO advise as to how I can get better by either avoiding something or adding something to my routine.
Hopefully you are doing some of your own research to help to get better and stay that way.
GOOD LUCK.
p.s.
I am sure that Your Doctors want to see you get better.
 
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Sorry to hear of your health problems. I wish there was something I could do to help. So much of that stuff is trial and error with regards to treatments, addressing the cause(s), and prevention. It's undoubtedly extra-difficult with a health issue that may come and go randomly on it's own for no apparent reason.

In the meantime, best wishes to you and your family. And keep your spirits up.

Sounds like a good time for doing small non-physical tasks around the house, like looking at pocketknives, reading about pocketknives, photographing pocketknives, and posting online about pocketknives. :thumbup:
 
Good luck. I am sorry to hear about your troubles. I know that it is hard to stay positive, but try to do it. Follow your Dr.'s advice but also read up and ask lots of questions. If you are seeing a bunch of them, make sure that they are coordinating their efforts so they aren't working at cross purposes.
 
I will post a much better response in a couple of days but for now, and to everyone that has responded, I thank you from the bottom of my heart.
 
I hate to hear this. Smoke and Prayers my friend. I will hope to hear better news from you in the coming days. Stay positive.
 
Thoughts and prayers (no smoke, it's bad for asthma). I found in my own medical issues, which were orthopedic, keeping a journal and notes helped me wrap my head around what was going on and reduced stress considerably.

Best of luck!


-X
 
moshow9 - best wishes. I sincerely hope you start to feel better soon, so you can go back to living your life.
 
Nothing worse than struggling to breathe.

Smoke and best wishes...........
 
I'll just send prayers, as smoke might aggravate your condition ;) sorry for the pun but figured you could use a smile about now ! Edited to add that I see Fast14riot also felt the same way too...:)

G2
 
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Please bear with me as the forums are not liking lengthy responses at the moment. - Thank you for the continued smoke (nothing wrong with it if it is good and well intentioned smoke ;)), wishes, and prayers. I had intended to post an update but had more visits with the various doctors and decided to wait until an important one last week.

On the asthma front, lately I have more good days than bad. I have been able to go 2-3 days at times without using any inhalers or nebulizer treatments (Qvar, Combivent, Symbicort, Brovana), but still have bouts every now and then. I have exhausted all of my sick and vacation time at work. While I have been granted FMLA leave, I am going in and "working" intermittently doing work that does not require too much movement. The other day I unpacked 6 boxes of toner and carried two boxes about 25 feet from where I was, however, that proved to be too much. I've decided to go forward with Bronchial Thermoplasty provided my health insurance provider will authorize it (I'm hoping).
 
The other issues have moved to the forefront at the moment. The antibiotics and anti-inflammatory medications I have taken seem to have taken a toll. From oral thrush that I cannot shake. I have done 2 rounds of Nystatin, an oral medication I cannot recall the name of, and a compound oral mouth rinse I am currently taking containing Nystatin, Prednisone, Sterile Water and another ingredient. It has subsided a little but won't go away. Muscle spasms and joint pain - I take vitamins regularly and have taken potassium when this occurs for a day or two only. And about 2 months ago I developed teeth sensitivity. It sometimes hurts to breath in through my mouth, and warm tap water feels like ice water. I have tried brushing with sensodyne for two weeks as directed and felt no improvement.

I was referred to a urologist for another issue that came up after two rounds of antibiotic treatments from my PCP failed to work. The urologist felt that due to the amount of antibiotics I had taken, my issue could be related to what he said could be my prostrate locking up. I was given medication to take. When the medication didn't work, there was concern that there could be some sore of obstruction or abnormality, possibly a tumor. Last week I underwent a cystoscopy to rule those concerns out. Everything came out okay, but it did not explain why the issue was present and still currently is. Unfortunately, I had to be placed on an antibiotic the day prior, during, and after the procedure.
 
This leads another problem. My digestive track has taken a beating with these medications, despite taking in lots of probiotics (currently 2-3 a day). My PCP has told me just to keep doing what I am doing and let him know if it gets worse. But some days it does get worse. I called today and left the message with the medical assistant, but didn't hear back. Tomorrow I will be calling back.

And one final concern. About a month ago I had labwork completed and received the results last week from my PCP. The numbers for my kidneys are at the normal level, but just barely. The numbers for my liver were doubled what normal should be. The liver numbers, I was told, could be attributed to the antibiotics use. For my kidneys, I was told to drink more water. Only problem is, for almost two months now all I have drank is water, and about 8-10 glasses a day. My PCP wants me to wait 3 months and go back for follow-up labwork, so more info should be known then. We'll see how it goes.
 
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