Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 Hi Veri, I apologize it has been two days until I got to the computer - it was dinnertime when we got home from the appt, all 3 grandkids were here, yada, yada...(and yes, the " baby " is 2 1/2 - she is sweet, smart, hilarious, headstrong and has boundless energy...some days she adds to my stress, but she is always our greatest joy. She surely wears me out! I watch her 5 days a week for my oldest daughter as she is a single mom- she also has twin 12 y.o.) Yesterday was another hectic day... Anyway, the dr said it could have been related to her being ill, i.e. being overtired and likely dehydrated, combined with her issues of chronic low blood pressure (~100/66 normally), and (looking at past labs) always having a somewhat low sodium level, so he wants her to increase her fluid AND sodium levels The other consideration is blood sugar levels - if she has another episode, he will do extended glucose tolerance testing. The fainting is referred to as a vasovagal syncope and he found it very interesting (he's a relatively new dr for her) is she also has cholinergic uticaria (hives that occur in response to any sort of temp change to or on her skin) - he says both are related, I guess as they have to do with something overreacting in her autonomic system. Her present immuno has her on THREE antihistamines at once, which makes me uncomfortable, so he has referred her to another allergist, and her appt is mid-November. I hope she can help with all these rashes (not just temp related) and constant itching. How did Jaye's IEP go yesterday? I understand how it is with Jaye not wanting others to know of her issues, and she sounds very independent...my is the same...it can be a very good thing, but there are times when it would benefit them to accept the help. I understand ( Jaye just started high school this year?) the last thing they want is something that will cause them to stand out from the crowd in a way that implies they are getting special treatment or might cause someone to " feel sorry " for them...there was a great speaker at the JA Conference (young adults) this summer on this topic and I think it helped , in terms of school...I hope...we shall see. Yet, Jaye would probably have less pain and less fatigue at the end of the day if she did not push herself too much during the day, right? I don't recall why the dr changed Jaye to the Mobic? Mobic never helped for , and from what many members chimed in here to Donna's questions about it, many had the same issue. If it doesn't give her more relief soon, is there another option? I am sorry you are having headaches and problems with your blood pressure. Are you on meds for your bp? I hope your appt goes well on the 15th...and the dr can give you some answers. Please let us know how Jaye's IEP went yesterday and let us know what you find out when you go to your appt on the 15th. I will be praying for you and Jaye. From: veristroud@... <veristroud@...> Subject: Date: Monday, September 29, 2008, 4:37 PM I hope you have a good day tomorrow and pray that the appt will go well for . I am sure that after waiting for an hour and a half and then not getting in to see the doctor she was probably irritated.? The good thing is that they only put you off for one day and will see her tomorrow. Jaye is doing well right now. She has more pain then she had been having since we changed her med from Naproxin to mobic. I just hope that the mobic will kick in soon for her and give her more relief. She keeps going though so it has not got her down. She just mentions that walking very far at all hurts and climbing stairs is painful. She has only a very few stairs at school so that is good but the school is large and she does have a distance to walk between some of her classes. She will not ask for extra time or leave early so she just hurries and then hurts.? She did not want me to call the school to talk to them so I will just wait unil Wednesday at her IEP when I have a change to mention it to several people. does not like to talk about her issues and so she is not very happy that she is invited to the IEP. She does not realize that she could refuse to attend and so I am not going to tell her. I want her there and she is a good kid so will be there and will not be too grumpy. My hands are still giving me fits and I have not made it to the doctor yet. My appt is Oct. 15th.? My knees and feet have also started giving me trouble but not as bad as the hands so I will just bear with it and go day to day. Right now I am having problems with my blood pressure and headaches so am trying to figure that out first. I've had a headache for over a week now. It is not severe and I can work with it but it just nags and exhausts me so I am afraid it is related to my blood pressure problem.? Be sure to post tomorrow after the appt at least a short one to let us know how things are going. Know that I will continue to keep you and ?in my prayers. By the way who is the baby you mentioned? I'd assume a grandbaby? Veri & Jaye 14 poly Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 12, 2008 Report Share Posted November 12, 2008 Hello Veri, I am glad Jaye has been doing pretty well. Today is your visit to her rheumy again, so hopefully in the next day or so you will update how it went. As for the orthotics, hopefully Jaye is feeling the benefit and adjusting to them. used orthotics and they made such a difference (that was pre-diagnosis). She prefers her flip-flop style sandals here in California when it's warm, but when she had any sort of activity, they were so helpful. She still has them. is doing better, thank you. Our orthopedist is an orthopedic surgeon and we first started seeing him when was about 8 and havinh chronic tendonitis. He is the best in our area and is comfortable with him. I have had two surgeries by him and we both have had injections - I have good confidence in him. Her other hip was hurting a lot Monday, so she was considering seeing him about it (she was overusing it to compensate for the bad hip) but it seems to be calming down. He couldn't believe the ER did not evaluate well enough to diagnosis, so then she was using heat which made a bad situation much worse! At least we know now. Apparently jra/ra can bring on bursitis and this has been a real problem area for . She sees her rheumy next week and is supposed to start a new med with the Enbrel, instead of mtx, since mtx causes cellulitis with her PIDD. Your trip to Paraguay sounds amazing and you deserve it. I am so pleased you are able to take the trip. How long will you be gone? I hope you will tell us all about it when you return. As for what you said about not understanding why God allows things to happen, I still won't understand the why's, but we got a new pastor about 6 weeks ago and he is amazing...he is doing a series right now called, " God is greater that.... " and each week is a different topic. I feel as if he designed the series just for me....anyway, God is ministering to me and it is helping. Let us know how Jaye's visit went. Have an amazing trip and visit with you family. Hugs, From: veristroudaol (DOT) com <veristroudaol (DOT) com> Subject: Re: 's flare @group s.com Date: Tuesday, November 4, 2008, 7:07 PM , So sorry to hear that is flaring and so badly. I will pray that things will turn around soon for her so she can have some relief.? I know this is so hard on you as well.? I am sure you will keep us informed as to how she is doing.? Veri & Jaye 14 poly 's flare Sat a.m. awoke early with a level 10 pain in her left hip, radiating to her knee.? With pain meds and heating pad, she slept a bit more, but again the pain awoke her.? On-call nurse and rheumy insisted we take her directly to ER to rule out infection in joint.? After x-ray, lab testing, physical exam, meds for pain control, they said they felt it was a bad flare but not an infection and sent her home on pred and more pain meds. She has now developed her rash covering her thighs, a scarlet rash across her cheeks (no fever), and more joints involved, with her pain level back to 9-10 this afternoon.? Her rheumy is out of town for a week+ but my rheumy said to take her back to ER for shot of steroids and pain control....we are waiting for my older nieces to get home from school to watch the toddler...? Too often (99%) the drs at this ER seem lost as to what to do with jra/pidd pts.... would appreciate prayers for wisdom for the dr, a nurse with a touch of compassion, but mostly some relief for 's.... (she hates the hospital and hates the ER, so for her to be willing to go twice in 3 days....she is in agony...) Thank you... nancy (amanda, poly) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 13, 2008 Report Share Posted November 13, 2008 I am glad to hear that is doing a bit better. It is good that she has had the same ortho for a long time. When you find a good doctor you want to stick with them and it seems that they are on the move more often then we like.? I am glad you have a new pastor that you enjoy. It is amazing when you realize that the sermon being preached is meant just for you. That means that you are not only asking for God's help but you are hearing His?voice and you are willing for His guidance. My Jaye had a great appt today, I posted an update so you can read that if you want to, I'll not duplicate what I put in that post.? She is such a trip these days. Today she tried to convice the rheumy to change his scheduled days of work to fit our schedule better. He only works at the other clinic on Monday's and I am not able take Monday's off very well and she does not like coming to the downtown clinic. She told him it is too far for her to walk and besides that we get lost. She also suggested to him that he should help her break all of the field visual test machines so that she does not have to do that test anymore. She asked him if he knew how many of the machines they had. She infomed him that her birthday is in January and that when she comes to see him at the end of January he should have a birthday present for her. He told her that she should bring the present since it is near her birthday and since he is taking the time to see her. He also told her that he wanted a picture of her to put on his bullitin board with all his other patients. After our scary trip to the apptointment it sure was good to laugh before we got back in the car to drive home. And we did not take any wrong turns on our way home, NOT EVEN ONE. I will let you know about my trip to Paraguay. Jaye is more excited then I am about me going I think. She keeps telling me that I deserve it and so does Kristie Jo. They both remind me of all the things I do for them and nothing for me. I just need them to promise me to not get sick while I am gone. If they do, I assume that they will not tell me until I get home.? Veri & Jaye 14 poly 's flare Sat a.m. awoke early with a level 10 pain in her left hip, radiating to her knee.? With pain meds and heating pad, she slept a bit more, but again the pain awoke her.? On-call nurse and rheumy insisted we take her directly to ER to rule out infection in joint.? After x-ray, lab testing, physical exam, meds for pain control, they said they felt it was a bad flare but not an infection and sent her home on pred and more pain meds. She has now developed her rash covering her thighs, a scarlet rash across her cheeks (no fever), and more joints involved, with her pain level back to 9-10 this afternoon.? Her rheumy is out of town for a week+ but my rheumy said to take her back to ER for shot of steroids and pain control....we are waiting for my older nieces to get home from school to watch the toddler...? Too often (99%) the drs at this ER seem lost as to what to do with jra/pidd pts.... would appreciate prayers for wisdom for the dr, a nurse with a touch of compassion, but mostly some relief for 's.... (she hates the hospital and hates the ER, so for her to be willing to go twice in 3 days....she is in agony...) Thank you... nancy (amanda, poly) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 23, 2009 Report Share Posted July 23, 2009 Sorry to over-react, I'm so glad to hear that you are already well ahead of the insurance getting her meds. I guess I read your email incorrectly. So sorry! I wonder if 's foot is JRA and if so what the rheumy would think of it. When does she see him next? Maybe pain management would help, too. I hope that everything comes together and that you get everything taken care of. Hopefully she is in less pain today! Take care. and Rob 20 JAS xray results & Insurance frustrations > > > > Today we got the results from Jaye's xrays on her foot. > > The report came back saying that there was nothing there. I am > > not sure whether I like that or not.? When you have active > > arthritis does it show up on the xray or sometimes does it not > > show up.? Jaye has as much pain today as she has had > all > > week in her left foot but today her wrists started getting bad > > and also now her right foot/ankel is hurthing her.? Her knee > is > > not bothering her but it is a bit swollen now. I never know > for > > sure what to call her issues whether or not it is a flare but > > this one seems to sure be headed that way.? What bothers me > the > > most is that this has stopped her going out and about. > Normally > > even when she is hurting she keeps going except when she is > > asleep. She has now sat around the house for three days and > she > > is grumbling a bit, not too much but any grumbling from her > > aches is abnormal. She is one that generally just suffers in > > silence and when I ask her how she is she says " fine " or > > " well I am ok " .? My other complaint today is that her > > insurance has refused to pay for her seizure medication and > her > > arthritis med's.? New insurance is a royal pain in the rear. > > When I called to check with the pharmacy tonight to make sure > it > > was ready, the pharm tech said that it could take up to 7 days > > to get an approval. I was baffled. I have never had a script > > that I could not drop off and go and pick up the same day. She > > said it was normal for it to take up to seven days and that > the > > doctor has already been notified.? I am guessing that is > because > > they have to have documentation on why she needs these med's.? > I > > guess I can understand the $500+ medication each month for her > > seizures but the $24 anti inflamitory surprised me. GRRRRRRR?? > > We are still waiting to hear from pain management for an > > appointment, I had been told they would call the first of this > > week. I think we are now into the latter part of the week but > > maybe their week is different then mine.? I am trying to stay > > positive but when I talk to the rheumy's nurse in the mor > > > > > > ning I think she might be able to help me get things moved > > along.? They understand that we need the appointments on the > > same day and they wanted us to be seen in July so maybe they > can > > get us in soon.? > > > > Veri & Jaye 15 poly > > > > > > Quote Link to comment Share on other sites More sharing options...
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