Showing posts with label Starlix. Show all posts
Showing posts with label Starlix. Show all posts

Friday, May 1, 2009

Be/Loved


Hello, Dedicated Reader Base!


I was discharged from the hospital yesterday afternoon, to the great relief of everyone involved, particularly the hospitalists and nurses. When I am a little stronger, a post on hospitalists and certain types of RN will be forthcoming. I am pretty sure that the three hospitalists (one an intensive care hospitalist, one a pulmonologist, one a whiz-girl at internal medicine) were not "Happy." And I am positive that Happy the Hospitalist (The Happy Hospitalist) would not recognize himself in the performance of these particular three colleagues.


Anyway, the short version:


Surgery went well, although we failed in our goal of putting in a full shoulder prosthesis because the orthopedic surgeon found more infection... that continues to *not* grow in petri dishes. Later that night, I twice went into what we will call respiratory distress -- O2 sats dropped from the low 90s to the 30s within 5 seconds. I learned the meaning of gratitude at that moment, because my nurse happened to have just walked in the room. I mean, being on continuous monitoring doesn't do a whole heck of a lot of good if no one is watching! She stuck to me like glue until a Super-Duper Respiratory Therapist arrived, who then rescued me a second time. We were on our way to Intensive Care before the third episode even had a chance. I don't remember the third go 'round, anyway, as I was, if you can believe these medical types, "obtunded," and they proceeded to tube and then attach moi to a vent.


Yadda yadda -- I'll spare 'ya. [EEGs, CT scans, MRIs, echos, blood sugars and more!]


After some mis / management -- that wasn't all that big a deal, so long as you weren't the patient -- and a few days time, I am home. With the infection still blooming, and the explanations still lacking. We're doing i.v. vancomycin through the PICC line again.


The Poor Fredster. He is sleeping in this morning, and I am so glad. He is lovely, have I told you?

Tuesday, April 14, 2009

My BS

Major Boogers! Captain Secretions! Holy Hay fever!

No, not allergies, just a random outburst, but with a theme.

I am being put on sliding scale insulin. [Late breaking update! No insulin! Yay! He is adding Amaryl. Wise Choice, Wise Choice...] Too bad I have never paid much attention to the uptight and innately irritating Diabetes Educators that come to my bedside whenever I'm in ICU. Given that I only learn well in cement-blocked classrooms, where I sit in the back, huddled with a caffe latte, it was always a waste of breath.

Fred just sketched the major points again for me -- in a matter of 2-3 minutes -- and wasn't condescending or obtuse or nothin'.

It's the infection that has caused my blood sugars to go schizophrenic. That's what I was told. I don't understand how or why that could be, but if so, at least I will be able to stop the insulin when the infection(s) is cured. Right? "Before" -- I was put on Starlix because steroids were elevating the blood sugars. Now infection gets the blame.

Wanna hear how wacky these readings are? (Ha! Whose blog is it, anyway?) Let's see... Oh, and before every meal, I take 2 120 mg Starlix, an oral med designed to help keep this krapola under control.

Sunday -- at 8 am it was 135. Around 2 pm, I ate one boneless, skinless nuked chicken breast with herbs, had sugar free Jello with one dollop (about 1 tablespoon) sour cream. Four hours+ after eating that? 286.

How about the creepy fact that if I test blood sugar between 10 and 11pm, the readings are always between 240 and 250?! Is that not creepy?

I don't sleep much. Several times late at night, I have tested because of an inexplicable weird feeling (a host of generalities) -- to find readings in the 300+ range. It was my understanding that hyperglycemia didn't really have any symptoms --but I seem to have some sort of sensor -- vision is blurry, thirst, and a vague sense of not feeling well.

One day when I was really hit with fever and pain -- 252 was as low as I could get --even with an almost zero carb diet and starlix. I hope Dr. Go-to-guy's Nurse can explain this schtuff to me.

This morning, my fasting reading was 195.

Shoot. I don't wanna give myself shots. Cure the freaking infection.