Posts Tagged ‘health’

Since we are still medicating this thing…

Since I don’t think I’ve mentioned it here, my primary care doctor referred me to a wound care clinic. Through that, we found out that I am allergic to the adhesive in Tegaderm (and no, WordPress, that is not “megadeath”), so I had to be given… something that’s slightly different, a bit itchier once it stays on my skin for a long enough period of time, but not entirely bad. I was also put on two different antibiotics, and predictably at high doses, because of the severity of this wound. If side effects from these continue I’m going to be calling, or conversing with, the wound care clinic before the fourteen days are up that I’m supposed to spend on the longer of the two and asking if I can just be put on IV antibiotics. Apparently you can do those at home if you’re competent enough to manage your own care, and I would like to give doing those a try.

As the generation Z kids say, I have regrets about this wound care clinic… to include the fact that they do not prescribe pain medication that is not lidocaine for wounds even when the wounds clearly need medicating.

Not exactly what I wanted to do out of the gate, but…

So it seems to be set in stone that my insurance is going to continue to deny my pain clinic’s Botox request.

So the doctor that’s been managing my case decided to get an X-ray off of me to see if he could lobby my insurance with it and that I should receive steroid shots to the neck instead. I suppose I’ll be finding out about that soon, whether it’s by a letter sent in the mail letting me know that my doctor’s request was denied, or… I don’t know what. If I can’t have Botox treatments done, I suppose that steroid shots to the neck might be the next best thing. But knowing the luck I’ve had lately, insurance might try to deny that as well.

At the end of the day, I don’t really care as long as it ameliorates migraine pain or makes it more manageable, even if that treatment may have side effects. Right now, I’m reduced to wearing prescription sunglasses in the house to try and make migraine pain… less than, if that makes sense, and that makes navigating around my house a bit tricky. I do what I have to do to get through the day in general, though.

I stand corrected. I completely stand corrected.

I got the results of my blood work back, and in a twist that is going to surprise everyone that has anything to do with my care… I do not have diabetes. At all. My fasting blood sugar was 86, and my A1C actually dropped from 5.8 to 5.5. The only thing that was outside of normal bounds was my good cholesterol, which was four points from being within normal bounds. My bad cholesterol was within the acceptable range, though. So that kind of makes you think… if one’s good cholesterol is a bit too low, shouldn’t you expect your bad cholesterol to be a bit too high? Except that wasn’t the case here. But I suppose my doctor can explain it.

Now that I don’t have diabetes, we need to figure out what is causing these wounds, because something has to be. I’ve had the worst one for going on a month and a week now. You don’t just get wounds like these for no reason. Google hasn’t been particularly helpful, either. It keeps telling me that the most likely cause of these wounds is uncontrolled diabetes, and I don’t even have diabetes, which throws that out the window.

It also took nine years for this to happen.

I have a smaller wound next to the… largest wound.

Since I had been preparing for that likelihood, taking oral antibiotics in addition to using antibiotic cream on the infected areas, I was quickly able to find it. This one formed a bit more painfully than that one, although that one formed slightly painfully as well (and was misattributed to “chub rub”). It formed almost like a burn would have, and it certainly looked like one, although now I know what the most likely cause of these are.

With my third stimulus check, I bought an indoor bicycle since that is more my “style” and can easily be put together and stored in my room. If I can keep this at bay with exercise, I fully intend to do so, although I also know that I have an extensive family history of early-onset type two diabetes… so I may not be able to outrun this. Not entirely. I can see me needing to be put on some kind of medication for it in the (near) future.

To be honest, I did expect cellulitis to be a diagnosis because of how some of these wounds formed. To know that there is a specific cause behind them connected with family history has been a bit depressing, though.

But in case it needs to be said, I also spent a portion of my third stimulus check on exercise equipment.

It took nine years for this to happen.

So I made an appointment with my primary care physician over a wound that would not heal. I began taking 60mg of prednisone to break a migraine that persisted in coming back in spite of my medication regimen for it with the intent to stop taking said prednisone once it had broken for twenty-four hours… you know, standard operating procedure here. Within a few days, I had noticed a wound beginning to form on my left leg that I thought was “chub rub”, as it certainly looked like it. I began to bandage and medicate it with Neosporin four times a day just to see another, smaller wound appear on my right leg. So I began to bandage and medicate that one as well, curious as to why they had appeared — and why, as a friend that saw them had stated, they looked like burn marks. Four weeks came and went without them healing at all. They didn’t get any worse, but they didn’t get any better, either. And frankly, they were kind of weird…

I had enough foresight to take pictures of them and save them on my phone, which I showed my doctor in lieu of having to take my yoga pants off since they were on the insides of my thighs. He became concerned that I had begun to develop steroid-dependent diabetes as a result of the nine years that I’ve done taking prednisone as needed and started me on some antibiotics in an attempt to help these wounds heal up. If they don’t, or if they heal very minimally, we’ll be talking wound care to the tune of having a skin graft placed on the worse one since it is causing me significant pain and is impairing my ability to sit normally. It’s weird.

I did some blood work for my doctor and will be getting the results of that (diabetes? no?) at my next visit.

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