Tuesday was a really long and confusing clinic day....I have been avoiding writing this update blog, because it is just such a puzzle. That is the only word to really describe how Tuesday went. Sooo after almost 4 weeks on colliston and ceftazdine, increased energy, lung function, and general well being....everything is still not exactly perfect.
so here are the dilemmas and puzzle....
1st piece of puzzle) I have a hyper thyroid. I went on a hunch when I saw on a sign at a hospital, all the symptoms that you might have from a thyroid problems. Well I started ticking off almost all of them. Just out of curiousity and on a whim, I asked them when they take blood, to test my thyroid, turns out from the blood test, my thyroid is a little elevated (still can't believe I guessed that correctly)
The doctors are not sure though whether it is a "sick thyroid" meaning your thryiod hormone goes out of whack when you are sick, and then gets better when you are not sick. They are not going to treat it because A) it's only elevated a little, and B) the drugs are quite hard on organs and C) it might return to normal on it's own. We're going to re-test in a month and see what the deal is...I hope it goes away...I dont' really want to deal with another thing. Although it would fix quite a lot of these other none CF weird symptoms that I've been having. Perhaps fix my blood sugar levels, since the thyroid controls a lot of your hormones and regulates them in your body....my blood sugars have been soo out of whack the past week, so maybe it is all related.
2nd piece of puzzle) the aspergillious fungus in my lungs may be acting up. I have wheezing in my chest, which I have never had in all 20 years, that they can hear in a stethoscope, which is a new symptom for me. I am also coughing up little mucus plugs and streaks of blood, which this aspergillious fungus is known to present in symptoms.
I have all of those symptoms....the only reason why the doc. hopes/thinks it's not aspergillious allergy acting up in my lungs, is because of my spiking blood sugars, which indicates infection. If it is aspergillious it would mean increasing my prednisone, or going on IV drugs which are really hard on your other organs...my kidneys would take a beating. I do not want to go up on my pred. either. I hate that drug...sigh. so it would be best if it was another infection, because it seems like the lesser of the two evils.
3rd piece of the puzzle) It could be another infection. another strain of the bacteria pseudamonus rearing it's ugly head,which would explain the spiking blood sugars, it could explain my wheezing, and blood streaking....and the hyperthyroid is just do to being sick, and will go back to normal once the infection is gone...?
4th piece of puzzle) my lung function is up to the highest it's been in 8 months, 0.82liters.....23% FEV1 and 1.91 FVC, the highest it's been in a year. sooo you would think it would have dropped lower if I had an infection.....
5th piece of puzzle) Is it a COMBINATION of thyroid problem, making blood sugars spike, as well as an aspergillious allergy, and are we barking up the wrong tree thinking it's an infection...
Sooo this is the pieces of the puzzles that I have to figure out.
Is your brain fried yet reading/thinking about it? mine is....haha
The doctor suggested we do this till next Tuesday, "hope" that it is an infection, since having an aspergillious allergy would suck. So we switched my drugs, to pipp/tazo and staying on colliston.
So far I've been on the new drugs for 48 hours and my blood sugars are still super high. I think they would have come down by now after 24 hours if it was an infection on these new drugs, leading me to believe my hyper thyroid is playing a role in all this and not to be pushed off like the doctors seem to be doing....
anyways I guess all we can do is wait till next Tuesday, maybe it will take 5 days for these drugs to start working and bring my blood sugars down....
What a puzzle to be solved, but the good new is, at least there are viable answers....at least we have some options, and are not left in the dark wondering what is going on, we just have to be patient as we try out the different options. let the waiting game begin!