For the week ending 08/15/14, it will quiet time, my jute box is broken, so I will be doing this report solo. My desktop is on it last breath and the new one is sitting on my desk, I am just waiting for my new Office Professional Suite to arrive, and my IPod moved to the new computer and it will be full speed ahead. But other than having computer and music woes I am doing I pretty good.
I have had a bad week for coughing, in retrospect I believe I had and got away with having very mild exacerbation of my COPD I will be talking to Doc Lungs Monday and get his read, hell he might say I just had a cold. My energy level is low, and that damn SOB with be the death of me LOL. As many of you know I spend a considerable amount of time complaining about my not sleeping worth a damn. My internist at Hospice changed the medication, had me stop taking the Ambien and start taking Trazodone. The 1st night under this drug, I kinda laid there like a log. Not sleeping but not awake. The 2nd night I slept slightly better than day 1. The 3rd and 4th nights I had my Alpazolam about an hour before the Trazodone and that put me to sleep a bit better, but not as good as it should. The next night as I prepared for bed I ended taking the Alpazolam and Trazodone as well as my bedtime morphine and I slept real good. But that was way to much medication before bed. So I have stopped taking the Trazodone and gone back to the Ambien, I may not sleep great but I don’t run the risk of not waking up.
When I see Hospice again I this will be part of the main conversation. Speaking of Hospice, the organization I am being treated thru is just like any other company or organization. When change happens, it sinks to the lowest of levels. There has been a reduction of staff, and clearly they have not worked all the kinks out of how to perform the necessary services with fewer people, I was called on Thursday afternoon about 30 prior to my appointment and the new nurse asked me how I was doing, to which I honestly replied I was doing okay. To which she immediately responded then she guessed it wouldn’t be necessary for her to stop in this week, but if I needed anything to give the office a call and they would take care of it, then she promptly hung up. It’s a good thing that I honestly felt okay because being blown off like that could be hazardous to ones’ health. Then I thought of the more timid folks who say they feel okay or fine or good, when they in fact don’t. This too will be addressed next week with the Sapphire Team Leader.
I think my most telling symptom of having COPD today is the higher than normal respiration per minute. I believe that a normal healthy person breaths at the rate of 12 to 20 breaths per minute I am consistently breathing at a rate that exceeds 20 breaths a minute, sometimes as much as 25 to 27 per minute. The increased respirations per minute have an impact on other components of the body especially the heart. I will be seeing my heart doctor in a couple of months and maybe we can work out a plan to slow me down. I am also seeing Doc Head Monday and Doc Lungs Monday afternoon, I will be addressing the issue of rapid respirations Monday, so Monday is going to be CO-Pay day LOL.
All things considered I am going to rate this week a 2.50 physically, and an 8 on the mental meter. Going back to talk about Trazodone for a minute, it’s prime purpose is to treat depression, aiding one’s’ ability to sleep is a “side-affect” of the drug. Personally I don’t feel depressed maybe I should but I don’t, and clearly the component of the side-affect didn’t work for me.
Let’s get the vitals out-of-the-way for the week ending 08/15/14
- INR = 2.6 taken 07/28/14 – next INR reading scheduled for 05.12.14
- O2 level @ 2.5 LPM = 93 taken on 08/15/14
- Peak Flow = 210 taken 08/15/14
- BP = 142/73 taken 08/14/14
- Heart rate = 102 taken 08/14/14
- Temp = 98.7 taken 08/14/14
- Weight = 260. taken 08/16/14
So ends the technical aspect of my “How I Feel This Week” report for the week ending 08/15/14, moving now to the word of the week discussion aspect. This week I want to spend a few of your minutes talking about “Medicine” as the word for the week. As usual I have gone to the internet for an “official” definition. This weeks’ definition comes to us via Yahoo. I am not providing the link because I have copied the complete definition into the post.
Medicine – noun — 1 — The science and art of diagnosing and treating disease or injury and maintaining health. 2 — The branch of this science encompassing treatment by drugs, diet, exercise, and other non-surgical means. 3 — The practice of medicine. 4 — A substance, especially a drug, used to treat the signs and symptoms of a disease, condition, or injury. 5 — Something that serves as a remedy or corrective. medicine for rebuilding the economy; measures that were harsh medicine. 6 — Shamanistic practices or beliefs, especially among Native Americans. 7 — Something, such as a ritual practice or sacred object, believed to control natural or supernatural powers or serve as a preventive or remedy.
The word medicine comes to play this week because of my bout with the drug Trazodone. I complained that I wasn’t sleeping and was given an anti-depressant to solve the problem. The problem still exists. While I am a diehard do as the doctor says kinda guy, I hardly ever question the medicines I am given to help with my battle against COPD, this doesn’t mean I have given up my rights to know what I am taking, the impact (both good and bad) or the and potential side effects. Each prescription I get comes with an information filled document, whether it’s the 1st time taking the drug or the 100th refill. That document is always provided and extremely important to both you and me, especially if you have more than one pharmacy filling prescriptions. You really need to read and familiarize yourself on what each of your medicines are for, potential side effects, restrictions, and when and how to take. Things like; must we snack prior, is a sip of water enough or should we drink an entire glass. All of this information is in our hand, should we need more information regarding a drug we can follow it onto the internet and do more research. I will be the 1st to admit that in the past I most likely just dropped that info sheet into the circular file, and just started taking whatever med I was prescribed. But you can teach an old dog new tricks, and my interest is more keen now than ever before. So yes I do read the info sheets on my meds. We have to be our own advocates when it comes to the medicines we need to take. If you have difficulty understanding the document I know my pharmacist will explain to me in terms I understand, and I am 99 pct sure yours will be more than happy to help you understand.
As always if you have any questions, concerns, or comments please feel free to bring to my attention, I will answer as completely and honestly as possible.. Please take care, Bill
PS: My editor is working on a COPD video project. This will be a series of helpful how-to videos with tips for COPD patients such as how to quit smoking and how to get a good night’s sleep. I was asked if I knew anyone in the DC or close by that would want to participate. Someone with COPD close to D.C. who would be willing to speak on camera about these tips and their experiences? I told her I would ask my readers. So if anyone who lives in the DC area that would be interested n taking part contact me, I will forward your name on. Thanks Bill