Tuesday, December 1, 2009

Better than a Sharp Stick in the Eye!!!!

So I did my PFTs again yesterday and didn't exactly get the result I was looking for. They went down again as they did last week. I have now dropped 12% of lung function while I've been in the Hole. No problem though, this just gives me the opportunity to work my butt off and get these numbers back up! Check out the video below:


Let's hear em! What suggestions do you guys have for me? If you were playing doctor, what would you do???

Comments (7)

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Okay, so "if I were your doctor I would...":

1) Remind you that it's not actually all that uncommon for PFTs to get worse before they get better. Obviously you're not giving up and you're still going strong, but I think it's always worth hearing that sometimes these things happen and it doesn't spell disaster. I know for me my PFTs don't improve for about 2 weeks (sometimes longer) on IVs, largely b/c I'm moving around so much gunk that it all sort of moves into my upper airways and actually pushes my numbers down. Then suddenly they'll pop back up in a BIG way -- and this happens to me frequently.

2) Check your cultures for synergy -- maybe the abx combo you're using has lost some of its effectiveness?

3) Make sure you're inhaling as much HTS as possible. Yeah, that one kinda sucks I know, but for me I always use the stuff at least 3 times a day because it is SO good at hydrating the airways and helping to make me cough.

4) Is one of your meds leaving you feeling "tight" or could you be having an asthma-like reaction to something in the hospital? This is a long shot, but some meds/smells/chemicals/etc can cause restriction in airways and then PFTs will go down.

and finally, 5) Have you tried/considered the dreaded prednisone burst (cue scary music)? You might find it works wonders in terms of opening you up enough to get that air moving and the junk up and OUT so that your "windbags" can come back stronger than ever. It will also help you appreciate those yummy snacks even more ;)

Good luck -- thinking of you dude!
Piper
2 replies · active 800 weeks ago
1) Yeah, it's not unusual for them to go down. I'm just not used to this big of a decline :)

2) Did you know that they're shutting down the synergies lab in NY? They say that synergies don't help all that much. Crazy!

3 )I'm doing it twice a day in here. Maybe I can ask for 3?

4) That could be a possibility. I moved to a new room and my symptoms have increased since the move!

5) I HATE prednisone, but I have a feeling that's what I need. My lungs feel SUPER inflamed.

Thank you SOOOOOOOO much Piper! Means a lot to me that you would take the time to write this stuff out :)

Ronnie
No problem! Love sharing information with fellow cystics anyway :)

As to #2, they were thinking about shutting down the lab, but the CFF just renewed funding with specific criteria for who could get cultures (i.e., you have to meet certain FEV1 and infection criteria). Apparently synergy testing is really only valuable in target populations, not necessarily CFers overall. But you're right, my doctor often says that even though certain synergies are "better" in the lab, patients often respond well to their familiar, "staple" combination anyway. So synergy testing does have limited value -- I just know the lab is still up and running b/c it happens to be affiliated with my hospital up here. They have a website listing the criteria for submitting samples.

If your throat can take it, 3 HTS treatments certainly can't hurt! And as for the pred, I hate it too (see the multiple posts dedicated to hating prednisone on my blog ;)) but if you're in the joint already you could ask for solumederol (the IV form). It's brutal, but it also does the job of pred in about 2 days, so no long taper. Seriously every time they put me on the IV steroids I show immediate improvement.

BTW, that's super interesting about the room change and symptoms increase. I would talk to your doc about that for sure -- CF lungs are SO sensitive to environmental irritants. I always have to leave my hospital room for an hour after they clean it b/c the chemicals will make me tight for days.
All my love Ronnie. Thinking about you constantly and am so glad that the girls' pictures are going to brighten up your room! Enjoy your reunion with your sweet fiance! :)
Best,
Kat
Maybe instead of prednisone. .. .cuz it has a TON of side effects and seriously should be used sparingly. Have you ever been on like Singular ~ it's an ani-inflamatory but easier on your body (I think). Just might be worth looking into. Maybe you are already on it or been on it. . . who knows. I just know that my Doc. in Pittsburgh recommended it for a friend of mine instead of prednisone. Good Luck !
No recommendations, but I have to say I love the positive attitude. I hope that the numbers go back up soon!
Been thinking and praying for you. I really admire how you keep up that awesome attitude of yours. Very inspiring! =)

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