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Erin, Some Research Please

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Posted 9/20/2005 8:22 AM (GMT 0)
Hi Sweetie, I need you to do a huge favor and research something for me, I no longer have my books or resources to do this.

HX of:,  Diabetes, Anxiety/ Panic disorder, Gerd, IBS, DDD, MVP and Fibro. (Whew, now I really feel sick)

54 yowf presents with bilateral lower extremity non-pitting edema x 5 days.Patient states " I can no longer wear my shoes".

Petechia present x 2 days . VS=WNL, lungs=CTA,  SOB noted with exertion, SAO2= 98%. cap refill=WNL. Unable to palpate pedal pulse.

Thank you very much

finally flopped

 

Posted 9/20/2005 7:57 PM (GMT 0)
Flopsie,
wow...what a combo, but so common on medsurg floors especially.
i am going to read a little bit and get back to you in a while; but my immediate suspicion would be like a new onset or exacerbation of L sided or R sided heart failure.

ttyl,
erin
Posted 9/20/2005 8:04 PM (GMT 0)
watch out girl, this is me we are diagnosing here....LOL
Posted 9/20/2005 11:30 PM (GMT 0)
OH! well you know....always think of the most critical thing first! are you on morphine or any BP meds that cause lower extremity swelling?
i'm also thinking it's microvascular due to diabetes.
still reading...kinda slow today. bad flare :( but in good spirits.

absent pedal pulses...do you have peripheral artery diseasa? i would get the doppler out on you if i was there! i'de get that pulse! tee hee.

is the swelling ALL day? less after waking up first thing in the am? worse after the days end??
get off them feet and elevate Flop!!!! before ya flop yourself onto the floor.
{{{{{{{{ hugs to Flopsie }}}}}}}}}}}}}
Posted 9/20/2005 11:31 PM (GMT 0)
oh, and when are you seeing the doc?
i'de get there...they may want a Cxray.
Posted 9/20/2005 11:41 PM (GMT 0)
No PAD, Neuropathy of hands and feet R/T Diabetes. 2+ upon waking 4+ by afternoon.
Posted 9/22/2005 3:04 AM (GMT 0)
Hey Flop, knock it off now, we can't have you fallin out too. LOL. I am having problems w/CHF and its really a booger. I have no energy, short winded, and oh the swelling. I sure relate.

Hugs comin your way. Susie
Posted 9/22/2005 3:35 AM (GMT 0)
Sure am glad to hear from you gal. Thought you dropped off the face of the Earth, been looking everywhere. LOL Have an appt with a new doc on monday, to see what is going on,

flopped
Posted 9/23/2005 4:45 AM (GMT 0)
Ok Ladies...and Gents,

eyes  Heres the deal, I know I have not been on much today and here is why.Woke up this morning with 2+ bilateral edemain lower extremities, continues to be non-pitting. Felt really strange when I woke up, hands trembling. Started to walk across the room and could not make it from bedroom to living room without sitting down. So very SOB. Felt like I could not get air all the way into my lungs.My B/P was 111/59, BS 190. Took my usual meds and just sat around for awhile. As you know I live on a lake and my nieghboor who never comes up was next door. So I take myself outside and by the time I got halfway around the fence, I knew it was wrong thing to do. By the time I got to her house I could not talk. Rested a while and made my way back home.

All in all it was a terrible day. By this evening the SOB was gone for the most part.But still have not felt good all day, very tired. wellll...ideas? (erin at least I was not foaming at the mouth, then I would know I was in CHF and raced to hospital)

yep, think I have

flopped

 

Posted 9/23/2005 12:44 PM (GMT 0)
How are you feeling today Flopsie?  Please go to the doctor, I'm worried about you....  sad  - Duck

Posted 9/23/2005 1:55 PM (GMT 0)
Thanks duck, appt Monday at 1.00 PM.
Posted 9/23/2005 2:10 PM (GMT 0)
scool  Thank goodness... Please keep us posted on how you do until then... my thoughts and prayers are with you.... {{{{{[[[[[(((((Flopsie)))))]]]]]}}}}} :-) - Duck

Posted 9/24/2005 5:03 PM (GMT 0)
Flopsie!

be careful girl. you've got somethin' going on here. some sort of shift in fluids. with the breathing problems and edema???? don't do anything till you see the doc!!! he may want to screen your kidneys too.
be careful sweetie, you know what to do. am saying good prayers for you. try to stay off your feet.
luv
erin
Posted 9/25/2005 2:46 AM (GMT 0)

Yikes, Flopsie! Feel better and take extra caution until you see doc on Monday! I cannot believe you did not go to the hospital after that episode!!!!

Feel better soon!

**

Posted 9/25/2005 6:38 AM (GMT 0)
Thanks for all the concern. You are all a great family and a great comfort to me.
and My sweet hubby is making me dinner..LOL it is 2:30 AM, but gottal love him..
Posted 9/25/2005 10:09 AM (GMT 0)
Dear flopsie,

I am so so sorry to hear you are going through this. I read the first post and did not understand all the medical talk so I did not open it again until tonight. I did not realize it was about you. Talk about dumb.!!!!

Oh I feel terrible that you are going through something else. Could it be like that lung problem or pnemonia you had in the spring, I think that is when it was?

I am glad you are going to the doctor tomorrow.

Make sure you are assertive and get them to check you out for everything. I know lots of peeps and little ones that are counting on you.
You gotta be well for them, and for the hubby that still cooks romantic meals at 2:30 in the morning.

I will keep you in my prayers. let us know how you make out.
Judy/Effie
Posted 9/25/2005 11:58 AM (GMT 0)
0230am!!! what a man! hey..at lest you remembered to eat!LOL. you're in my thoughts Flops! what sort of doc are you seeing tomorrow? PCP or a specialist? i'm still convinced it's gotta be related to the diabetes affecting some vascular aspect...preventing circulation and flow back from the lower extremities. and the SOB on top of that too! hmmm. but i can't play diagnostician to my dear Flopsie! hate to even think of anything..not even a splinter....making the Flop feel bad. :(

hope the doc gets to the knitty gritty about this!!!

HAPPY SUNDAY!!!!!!!!!!!!!!!!!!!!

Fall IS HERE! it's only 50 degrees where i am! frost on the windows! yikes
Posted 9/25/2005 2:03 PM (GMT 0)
Hi effie, am so very sorry you are feeling bad, knew soething was wrong...you were gone too long.Erin, I think you are right, I think all this is related to the Diabetes. The Left knee, I had surgery on started acting up again last night, just a little twinge of pain on movement,today it hurts so bad and I can not lift it, have to drag leg when I walk. OH Lord, lets just face it, I am coming apart at the seams. Like that old Johnny Cash song LOL one piece at a time(course he was talking about stealing). Looks like fall here today also. Overcast and gloomy.Not complaining, got windows open and it is nice.Everybody have a wonderful day, wish you were all here and we could go out and play.
Posted 9/26/2005 9:26 PM (GMT 0)

Good evening friends,

Well, just got back from doctor and he seems to think most of my problems are related to the uncontrolled diabetes, No more oral meds..Insulin now..Sniff..sniff

Will know a litle more when the results from the gallon of blood he took today comes back. I also go in the morning for some fasting blood work. The result I did get ..protien in urine. Oh, and he increased my Lasix to 80 mg.

I also got one more diagnoses that just scares the beegees out of me (as if I needed another one) Bi-Polar Depression. Don't know much about that one yet, will have to go on-line and see what I can find

so really not much to tell till lab results come back cept..well, I aint dead yet!

Thanks for caring,

flopsie

Posted 9/26/2005 9:32 PM (GMT 0)
it's good that you went. it could be worse, if we have to think of it that way!!! i'm sorry you have to go on insulin now....but remember, it's SURVIVAL!!! am praying for you! you'll get through.
Posted 10/1/2005 7:21 AM (GMT 0)

Ok folks, I am still in shock here eyes ,

got all my lab work back today and oooohhhwwweeee, I think I am dead, well ok, maybe not yet. nono

My tryglicerides are double normal level at 700. My cholesterol is a little high also at 400, lol should be under 200. cardio CRP up there. A1C at 8.6. Should be less than 7. gee I wonder why I am having double vision all the time and can not keep my balance.

My wonderful doctor says "Something has to change, you have the 3 major factors going on for all 3 of the main causes of death.. Now why would he say a thing like that...mm I wonder. redface

K, here is what we are doing #1. Trygliceride diet and you should see it. Nothing but no, no, no, no...

Tricor daily, (and do not read about side effects)

Here is the kicker, I must walk everyday for exercise..how the devil am I gonna do that when I can barely hobble to my bed. Well, I have decided, I will ride my scooter down to the beach area, park and walk to the water and ride back home. yeah   At least it is a start.

So he is giving me six weeks to get it down!..What he is going to do if it is not? I don't know I was too scared of him to ask, he was to say the least "looking like a mean ol bear".

oh yeah, the diet? no sugar, candy, cakes, pies, pastry, cookies, ice creeam, red meat, syrup, jelly, yep all the goodies are gone sad

Must have chicken, fish or veal, 3 ozs only, lots of veggies, 1/2 cup per serving. water, water, water, and I HATE water. skull

Well, ok, will try to do what he says, I may or may not be around in six weeks, we shall see. mad mad mad tongue tongue tongue

yeah   redface devil eyes   i can feel myself getting weaker as we speak from no food. What shall I do? confused

Oh yeah, I forgot i don't start the diet till tomorrow..forgot  LOL.

The one really hard part truly is..I have to stick myself 8 times a day and test my BS untill I see him again! ouch..my fingers are throbbing already,

nitey night

Posted 10/1/2005 6:41 PM (GMT 0)
tongue  Flopsie!...my my my....what am I gonna do with you?  perhaps i'll go on your diet with you!  that's it...i'm not suppose to have any of that stuff either because of my cholesterol and family Hx.

but i was getting in the right direction with my initial Dx!  i kinda thought it sounded like it was diabetes related effecting the vasculature.

 

                                                 YOU GO FLOPSIE!!!!!

you're on a good start with your plan of action.  we have to start somewhere right??  i need to walk more too.  haven't since last week.  so hopefully a little tonite and sunday.

 

so what are we talking about here?  is this like clogged peripheral arteries and the blood isn't getting where it should be?  confused what about your kidneys??  did he say anything about that?? confused

 

your diet should be no sweat Flop....remember, you forget to eat! LOL! tongue

 

times like these i wish we were all neighbors smurf .  someone should contact Peter and inquire about setting up a HW retirement village!  tongue

 

what's the A1C?  no, i should look it up...how am i ever to learn!

be careful my friend.

 

so basically what he's saying is,"you're the walking dead?!"  that's a way to put it!

is tricor like a statin drug?  mmm....i should find out on my own.  being lazy.

 

with the BS...can you do it on your forearm?  awe...poor little fingers.

 

now here's the question and i'm serious!  you sound like you're putting things "lightly"...but this is some serious business.  how high was your CRP??

just when you say.."may or may not be around in 6 weeks"  WHAT?????

you're scarin' me!!!

 

please please please take care of yourself.  i'll do your diet with you OK!  we need to do it.  i shake on it...it's a done deal!  it's survival.  sign a contract with yourself!  you're like my HW mom!  and we gotta take care of the Flopsie momma!

 

{{{{{{{{ hugs }}}}}}}}}}}}

erin

Post Edited (erin kachmar) : 10/1/2005 12:44:17 PM (GMT-6)

Posted 10/1/2005 7:16 PM (GMT 0)
Flopsie and Erin -

WHAT AM I GONNA DO WITH YOU GUYS?!?!?! Ok, that's it, I'm on my way to NJ, and Flopsie where do you live, 'cause I'm on my way there too... you guys need to take it easy and do what the doctor says! Don't make me come up there! hee hee hee... but seriously, you two need to take it easy and do what you gotta do to make yourselves better....

I'll do the diet with you too ok? I'm a fat @$$ and need to loose the weight, this is bound to help right? I'm already cutting back on everything, so cutting out the not so good for me things will be even better for me.

Done deal, we've all shaken and agreed on it. I have to go this week and get all my labwork done, so I'll let you guys know what my triglycerides and chol. levels are... Hang in there, you guys are fab-u-lous and we're gonna do whatever we have to to keep you around for a LONG LONG TIME! - Duck
Posted 10/1/2005 7:29 PM (GMT 0)
Erin, hold up,
Not taking it lightly..saying this stupid diet is gonna KILL me. starting my diet this morning. It really is not bad, just he small portions I will have to get use to.
A1C measures the glucose in the blood for the past 3 months and gives an average of what it has been running. Basically..yeah.the walking dead and that is why I have to REALLY stick to this diet stuff. Have to eat 3 meals a day + 2 snacks. Granted they are small meals and 1/2 cup snacks, but I have to eat them. Have set my alarm clock for meal times and it is working good.

Yes Erin..PAD and he said that the internal vaginal like pain(sorry guys) is because the diabetes is working on my kidneys, but it will be alright. I just have to change a lot of things.


Ok..I agree, contract signed..I suggest we all take a before picture, but erin, honey, you need to gain weight, but still need to eat healthy.


ALLRIGHT GALS, READY NOW..LET'S GO! October 1, 2005
Posted 10/1/2005 8:57 PM (GMT 0)
HOORAH! here's to kicking some triglyceride a**!!
we've a good agreement going on here! i like our contract.
or else Ducky's gonna come and beat our butts! hah.
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