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Shocked again lastnight (Read 8553 times)
Riverwn
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Shocked again lastnight
05/11/11 at 11:55:02
 
I knew I was trying to shock because I was reacting slightly each day, and bleeding under the skin on my arms. It was the 4th day after ending my predisone. I started itching like crazy, so I took 50 mg of benadryl. It didnt stop. I was nauseaous and threw up a few times, tasted like supper beef--was bad, acid so I think it may have had too many histamines in it.  I took 40 mg of prednisone, It slowed down but didnt stop. Next time I dont fool around , I will take 60mg to 80 mg. My life is t worth the worry Smiley

My daughters boyfriend took me to meet the ambulance in the usual place. They were funny, neither one had been with me before so I was giving the one caring for me a quick lesson on what to do. I told him what I took and said, "I will need an IV quickly and solumedrol." He did it. Then I told him my BO would sky rocket then drop like a stone , dont let it throw you. He was amazed when my BP went from 140/90 to 231/133 to 90/70 all in 2 minutes.. He said, "You sure know your disease!".

The hospital took good care of me but the DR was one of those "I know better than you." type.  He refused to do a Tryptase and gave me Pepcid when I asked for Zantac LOL.. I did get better though.

The bad part of my day is, not one family member showed up or even called the hospital. They have a lot of excuses but I still hurt over it. Empty lobby when I was released, Empty parking lot..I called all of them and got many excuses of why someone else will come pick me up. I saw an inconvenience. Next time I will take my own car, no matter what. I sat for 3 hours until someone came to pick me up... Really hurt my feelings. Now they are angry that I dare to get upset with them over it, "after all they have done for me."

The good thing is, I had some resaly important testing done when I was in the hospital 2 weeks ago but I didnt have the results,. I have most of them now (got them this morning while waiting).

The 24 hour urine is still pending but I have some results that answer A LOT of questions.  Lisa and Heather can you help me here> My brain is mush and you are both so brilliant. Can you shed some light on what this means for me??

Here are ONLY the abnormal lab values;

WBC-----------17.8--HIGH---normal is 3.0 to 10.1
HGB-----------15.6--HIGH---normal is 12.0 to 15.4
NA ------------133---LOW----normal is 143 to 145

PROTEIN TOTAL-CHANGES IN NUTRITION
ALB------------3.2--LOW----normal is 3.4 to 5.0
GLOB---------4.0---HIGH----normal is 2.3 to 3.5
A2 GLOB------1.2--HIGH----normal is o.4 to 0.9

"Hypoalbuminemia pattern, Consider protein deficiency or protein losing disease state."

BETA GLOB---1.5--HIGH----normal is 0.5 to 1.2
A/G RATIO----0.0----LOW---normal is 3.3 to 3.6
AST/SGOT----10-----LOW---normal is 15 to 37
ALT/SGOT----27-----LOW----normal is 37 to 55
TSH --------- .29-----LOW----normal is .38 to 6.15
PLT-----------379----HIGH----normal is 140 to 350
NEUT #------13.2----HIGH----normal is 1.0 to 6.6
MONO#------1.4-----HIGH----normal is 0.0 to 0.9

DIFF----
SEGs--------84-------HIGH----normal is 50 to 70
LYMPH------10-------LOW-----normal is 20.0 to 40.0

BAS0# -----0.0------LOW-----normal is 0.0 to 20

IGG subclasses;
IGG3<--- 17 ----LOW----normal is 41 to 129
"IgG3: Along with IgG1, the IgG3 subclass is most frequently present in the antibody response to protein antigens. IgG3 deficiency has been associated with a history of recurrent infectious, leading to chronic lung disease. Decreased IgG3 levels are frequently associated with IgG1 deficiency (63)."

But, MOST dramatic, is this lab result;
My IGE is 1330.0 normal is anything under 100.
My IGM is low 40.0

I got the results of my ECG which say I had an anterior infarct in May of last year. I guess it was during an episode. Abnormal ECG but normal sinus rhythm. chest xray shows no problems with heart or bone formation around it. My LDH and HDL are both very good.

ok, what do you think??
Love ya,
Ramona
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gnbailey
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Re: Shocked again lastnight
Reply #1 - 05/11/11 at 14:24:24
 
Ramona,

I'm so sorry that you shocked last night!  But it breaks my heart to think that you had to sit outside of the ER for 3 hours!   I am so sorry!

I also and tapering off of Prednisone and on the first day at 10mg and had a really rough morning.

After going to the ER and getting the IV solumedrol, will you have to start back on the Prednisone at 30 or 40 mg again?  This was a question that my ER doc had on Sunday and I was not sure what the answer should be.  What did your ER doc say?   And what a jerk he was - refusing to take a tryptase level??  Ridiculous!

Hope you have had a better day!
Smiley Smiley
Gaynell
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Susan
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Re: Shocked again lastnight
Reply #2 - 05/11/11 at 14:45:25
 
So sorry your family was not supportive.
It is hard for people to understand illness that goes on and on. So sad that the lack of understanding left you sitting at the ER for all those hours.

I don't know all the labs, but usually a low TSH is good news. It means you are making enough thyroid hormone and don't need your thyroid further stimulated. That is presuming you do not have something like Graves disease, where you make too much thyroid. I don't know what the rest of the labs mean in light of mast cell issues, but it looks like your immune system is having trouble functioning up to par. Is this common with mast cell disease? Low IgG subclass 3 and low IgM can sometimes be associated with primary immune deficiency. Have you been checked yet for all of those kind of things?
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Susan

Chronic Fatigue Syndrome/ Chronic neurological infections
Diagnosed with Mastocytosis August 2011
 
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Starflower
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Re: Shocked again lastnight
Reply #3 - 05/11/11 at 15:22:02
 
Hi Ramona,

When are you doing that BMB with Dr. Lottenberg?  I think it's important not just to check for mast cells, but to check on the general health of your bone marrow.  Was it your dad that has/had polycythemia vera?  Your CBC is off on a lot of numbers... I don't think it's just an infection.  (The IgG deficiency could explain your chronic problems with infections though!)

Your TSH is fine.  Normal is 0.3 to 3.0... you're just barely below that.  It's not worth treating with radioactive iodine.  I would, however, ask to test for thyroid antibodies.  I bet your numbers are high.

Your sodium was low, but not dramatically low.  Was it measured during an attack?  Did you have vomiting and diarrhea?  It's easy to replace sodium with an IV of saline solution, but usually sodium and potassium stay in pretty tight balance with one another.

I'm sorry that your family was not there for you! Sad  My husband is kind of clueless about these things... I could see him doing something like that.

Heather
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Riverwn
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Re: Shocked again lastnight
Reply #4 - 05/11/11 at 17:18:56
 
Gaynell,
Yes I did. They want me on 60 mg of prednisone for 5 days (i say 4 days, the solunedrol and emergency pred made 5 days, I dont want to have to taper, I want off of it quickly). I spend too much time on it and it irritates me--I gain weight instead of losing it and my blood sugar spikes up, so more insulin (im a diabetic).  

So, the question of do you need a 4 or 5 day course after a reaction, really needs to be answered by you--and you need to ask yourself, was this a pretty general and small reaction or full blown shock? If it was full blown  and severe, I personally think you need a break--mast cell wise and would take that 4 or 5 day offer. If it was a less severe episode, I would opt to just keep my emergency prednisone near me ... now you have to know your own body and choose wisely for YOU.

hugs
Ramona
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Riverwn
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Re: Shocked again lastnight
Reply #5 - 05/11/11 at 17:22:44
 
PS, next time, for me--my emergency prednisone will be 60 or 80 mg , not 40.. that isnt working for me anymore and I like being able to stop the episode and stay home--but be VERY careful doing this. If you dont show improvement quickly, call 911 and do NOT risk your life.
Hugs
me
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Riverwn
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Re: Shocked again lastnight
Reply #6 - 05/11/11 at 17:40:11
 
Hi Susan,
Well, the first DR to catch this, told me that my immune system was going crazy and the prednisone was forcing it to act normal.. but the side effects are so terrible for long term use, I try to get off of it quickly.

Ive been checked for many things, like ANA for lupus, fribromya;gia--which they did diagnosis me with but I think my pain is from the masto in my bones. They checked me for Mast Cell Leukemia, negative. And alot of other things that I dont quite understand just yet. Heather and Lisa are the true experts in biology and tests--so is Jilli Smiley

Im a nurse but this was never one of my experienes with a patient so it is not my area of expertise until I came down with it. You learn fast when it happens, you have to!

Yes, my family can be very loving and then very much in denial and a bit cruel. Tonight my Mom told me, to stop being a Baby, that Im 55 yrs old and do not need someone to hold my hand when I go into shock, that the world is not about me....next time, I will drive myself and not bother them... we will see how that turns out, but I dont need extra stress and trouble from them.
Hugs
Ramona
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Joan
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Re: Shocked again lastnight
Reply #7 - 05/11/11 at 18:00:13
 
So sorry about your family!  I wish I'd been there.  I wouldn't have just picked you up, I'd have taken you to the ambulance, followed it to the hospital, sat there until you were better , and then taken you home!

It looks like you're a little more complicated than the average bear! It's hard to know, because you've had infections and been on prednisone so much for while.  If there's an immune deficiency, e.g., you aren't producing antibodies to some bacteria, that can be corrected, but the diagnosis is important.

Heather's right.  They need to check out everything on the bone marrow.

Has Lottenberg seen these?  Keep me posted!
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Joan
 
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Riverwn
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Re: Shocked again lastnight
Reply #8 - 05/12/11 at 01:11:06
 
Ackkk! I wrote a long reply to Heather last night and I guess it got lost befpre I posted it... oh well, I will redo it as soon as I wake up LOL...

Thanks Joan, I bet you would Smiley and I would love it. so I will imagine it if I have to go again lol..
love u
me
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Riverwn
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Re: Shocked again lastnight
Reply #9 - 05/12/11 at 01:33:48
 
Hey Heather  Smiley
Thanks for answering me. I see Dr Lottenberg on Monday. I will tell him then to go ahead with the BMB and schedule it. Even the NIH is saying I should and it will give them more info on which study program I belong in.  You think they need to test for eosinophils also then, with the BMB??

Yes my Father is the one who has Polycythemia Vera. His DR told him it was because he had Scarlet Fever as a child. I dont think thats correct but Im no expert there.

No, these values (blood samples)  were drawn 2 weeks ago,when I had not reacted in 3 months (shock wise). I was reacting in small ways though.

I will ask to test for thyroid antibodies.  Heather I know that you also test high for IGE, Doesnt that tell us that the Masto is auto immune? Doesnt it mean that I will also test positive for C Kit gene abnormality?  Are there any other tests you should I should ask for on Monday?

Im sorry your husband is out of the loop emotionally. I know how that hurts. My ex sig other (the one who ran when I got sick) took me to meet the ambulance once, then said "Im going home to watch TV".. the female EMT was furious, she told him "You might want to go to the hospital and even call relatives, I cant say she will make it to the hospital alive." He did go but he was furious that she dared to say that to him and he humiliated me by voicing loudly in the ER. I was glad when he left. He has now called 3 times and wants to come back, I said ' NO WAY."  LOL  I keep you in my prayers, Hon.. I hope your Hubby starts understanding how we feel.
Love u,
Ramona
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Josie
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Re: Shocked again lastnight
Reply #10 - 05/12/11 at 04:40:31
 
Hi Ramona ,

Ah yes family . I have had to distance myself from mine for my own health . I have more examples than I can say . A couple .

When I ahd my first shock , my mother when told by my sister said , oh how exciting .

When I finally used a wheelchair after a yr of agony when walking , my dad said I was giving up .

I won't go on . I will not upset myself anymore . I have used many excuses for them . I hope they understand one day without getting unwell themselves .

I completely agree with your comment about not fully understanding until you are in it yourself . Its what drives my teach nurses plan i spoke of before . For others . i want nurses and doctors to experience chronic pain for a period of time 24 hours . This could be achieved with a tens machine , and wouldn't do any damage . I know from being anurse I empathised . I was caring , but I didn't really understand . Interestingly I think my fibro diagnosis is bone pain . All my other symptoms have found other causes . I adapted my guide yesterday to this fact .

many hugs

Jose
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Re: Shocked again lastnight
Reply #11 - 05/12/11 at 06:04:04
 
Josie:
Sorry to hear about your shocking again & hope you get better. Am working on mine from the sulphites angle you gave me. Found out even the generic zrytec has cornstarch, so switched to the real more expensive zrytec that doesn't. Anyway I have the opposite family story. My Mom & she like I never shocked or showed any overt sign of problems, complained about being in pain & was misdiagnosed  with fibro although her mom had RA & my daughter has RA. From when I could remember she was bare footed as much as possible. But she was the picture of health until a stroke got her a couple years back at 88. I always listened to her & basically put up with her complaining as she went from small town doc to another. I now wish she was still here so that I could tell her how sorry I am that I never believed her & thought as my whole family did that she was a hypochondriac. Because I sometimes get the same treatment. How can someone like me look & normal test so good on the outside be in such pain on the inside.
Hope you get better & thanks again for your help
MikeV
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Re: Shocked again lastnight
Reply #12 - 05/12/11 at 18:31:32
 
Ramona, I'm so sorry, for both, shock and family! Maybe next time you can mention to the staff you don't have a ride and they could get you one. Either with a police officer already there dropping off a patient or possibly the ambulance on it's way back from dropping someone off? Of course on the "low down" Smiley I'm guessing a cab ride would be horribly expensive? I live in the boonies so it would be for me!
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Riverwn
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Re: Shocked again lastnight
Reply #13 - 05/12/11 at 20:15:56
 
Thanks Sandi, thats my problem too, I live in the boonies about 38 miles from the nearest hospital. I have my own car, I'll use that Smiley
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me
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Re: Shocked again lastnight
Reply #14 - 05/12/11 at 20:20:00
 
Josie,.Im so glad you are in a better living arrangement and using things to help make you more comfortable--I know how that is, dont let your ego get to you. Do what you need to do for YOU Smiley I cant wait to read your lesson to Nurses. All I can add to that is amen. lmao.
Hugs
Ramona
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