Monday, August 14, 2006

Another Toccata in the Organ Recital

I went to the cardiologist a few weeks ago for a 6 month checkup, and he said the fluid was back in my pericardium, not as much as before, but he thought that it was due to connective tissue disease causing chronic inflammation.

He sent the results of his exam to my rheumatologist, who concurred with his thought that it's a (yet to be named) connective tissue disorder. The rheumy has decided that I should do a short course (6-8 weeks) of steroids to reduce the inflammation and fluids.


The other item on that stead is that the steroids spike blood sugar, so for the next 6-8 weeks I'll also be doing insulin. The cool part about that is that when I went to see my endocrinologist (how many doctors do I have to buy boats for??) , he gave me an insulin pen with which you don't have to measure the dose... just turn a dial until your number comes up. It doesn't have to be refrigerated, and I don't have to measure blood sugar before and after meals... just shoot twice a day and it's long acting stuff.

So now I don't have to figure out how to do this while I'm sailing across the Bay at a 20 degree heel...

I like technology.

So the next week I went to the pulmonary clinic, which I have been doing monthly since my diagnosis in January.

One of the things I do each time is walk for six minutes and see how far I can go. Often in the past, I have either had to walk with supplemental oxygen, or end the walk early because of oxygen desaturation. In May, I had to stop after two and a half minutes because my saturation had dropped below 80%.

In July, however, I walked more than 460 meters in six minutes and my oxygen level, on room air, never dropped below 87%. Boys and girls, that is four and a half football fields. Last Christmas, my husband followed me through Target and said I stopped every fifteen paces to catch my breath.

The prednisone is going well. I have not grown a beard, retained fluids, had an urge to wax the car at 3 am, or shot anyone. My heart rate is down ten points in five days, indicating that the pericardial effusion is lessening. In fact, I've lost four pounds from the fluid thrown off from the increased cardiac output. I have bones in my ankles and feet, instead of marshmallow-looking appendages...

The insulin is still a little tricky, but my fasting glucose was 113 this morning, which is completely normal for me. This long-acting stuff is much gentler than your grandma's insulin.

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