NRAS Logo
Logged in as: pedro-pmc Search | Moderate | Active Topics | My Profile | Members | Logout

2 Pages 12>
New Topic Post Reply
Update Options
jenni_b
#1 Posted : Saturday, February 04, 2012 7:29:16 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
I've been for my second lot of cyclophosphamide
It went ok but it was a very long day
The ra is dire but the crp is under 100 (97!) so that's a plus!!

Had a jolt of steroid
At the same time to try heading off any reactionary flair like last time

Feeling pretty rough
I just can't seem to get out of bed
The steroid means I'm moving easier
But I'm instantly exhausted

It's not a pleasant treatment and my hairs thinning!
Im going for my knee pre op
Ive decided to go for the left knee replacement
The right one is also a mess
But it's not completely destroyed like the left
So I'm going to try for left replacement
Right debridment and synovectomy as I had on left last year

Having lots of pain in right knee and left elbow and hands

I'll stop before you're all bored!
I haven't been to church this year yet and I miss it

Bernie keeps my spirits up a lot- she's full of the joys of a 4 yr old
Also
Keeping the sights on going to Disney for Easter

Can I ask you wise ones some questions?
1) please can you tell me when the rheumy talks about drugs that have gone belly up with you- do they say something like 'I know you've had some side effects (which makes you feel like you've had a twitchy nose or something not nearly snuffed it!) and then you feel guilty about not passing the test
2) has anyone been told if they continued on steroids for months on 35mg that it will kill them? I do have secondary addisons (which my rheumy doesn't seem to really grasp!)

My rheumy is a clever man
I do end up having a bit of a jovial patter with him and he doesn't really know how to take this but he is v clever and 17 treatments in he hasn't given up when many others would have.
I don't think his opinion is lacking but the response to the treatments IS missing in me!

Appreciate all supports as ever

Jenni xx
how to be a velvet bulldoser
smith-j
#2 Posted : Saturday, February 04, 2012 8:03:19 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 714
Jenni

I am glad the second dose of cyclophoshamide was a little easier. The trouble with these drugs is that they are so invasive, it is no wonder you feel completely wiped out.

Yes I feel a failure but would not admit it to anyone other than on here. I have failed on two anti-tnf's and Rituximab. My Rheumy team are brilliant but I feel embarassed that I have let the side down. I also feel embarassed with my family and work colleagues. They all get exicted when I try new drugs and you can see them routing for you and then it fails. I know in my hearts of heart that I should not blame myself, but silly as it may sound, I just want to please everyone that I have finally found my "cure". I am waiting for the home delivery service to get it's act together and then will be trying Simponi. Another round of bright faces and encouragement looms.

Good luck with the knee replacement and I hope it brings the relief that it brought me over a year ago.

Take care

Jackie
xx
Naomi1
#3 Posted : Sunday, February 05, 2012 12:39:42 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 9/3/2011
Posts: 717
Location: Torbay
Jackie, I completely understand about feeling a failure when a drug doesn't work for you. Silly isn't it but true. I have 'failed' 3 drugs now (due to side effects rather than inefficacy) and feel the same.
Jenni, I really hope the cyclophosphamide works for you. Keep us posted on this. I want to see you improve so much and want you to know I am rooting for you, and I'm sure this is true for many others on here too. Good Luck X
jenni_b
#4 Posted : Sunday, February 05, 2012 7:12:22 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
Good evening
I definately have some kind of reaction to the drug
I keep needing a wee!

It's sudden
The pelvis hurts
But no pinky wee

I think it must just annoy my bladder...
Then I wonder if the mesna makes you go more to try and rid the body of the stuff?

I'm in bed so much
But loved playing snap
Dominoes
And the dinosaur shapes game
With bernie boo this afternoon

I'm going to see the knee surgeon in the morning
Feeling grotty still
But
I'm trying to feel better!

Im trying so hard to make this work
how to be a velvet bulldoser
Anne-P
#5 Posted : Sunday, February 05, 2012 7:35:17 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 2/14/2011
Posts: 301
Location: South Hampshire
Hi Jenni

I really hope it works too.

Regarding your 2nd question at the beginning - my mum was told that if she kept on going with high dose steroids all the time she was at a higher risk of heart attack. It was quite funny sitting listening to the Consultant trying to persuade her (a retired GP) that she needed to reduce her steroids down!!! As she was considerably older than you are (72 years at the time) - she took no notice of the advice!! She still lived another 5 years, it was cancer not a heart attack that took her life.

I guess she was kind of told the same as you... but months or a time scale was never mentioned. It was just that she was at a higher risk of heart attack. I am sure she was well aware of the any other risks herself.

I've been told to try and reduce down the steroids because it is bad in the long run and also that they may not work so well if I have a flare, if my body is so used to them. So I guess it is a bit of a balancing act. I must admit I never asked why they were bad in the long run... I just assumed the same as my mum was told!! And I already knew about Addison's disease.

We need to hope that cyclophosphamide works for you. Would some people from your church come round and pray for you too?

Still getting my daughter sorted out at the moment.. but hopefully at some time we'll get that coffee together.

lots of love
Anne xxxxx

PS wasn't sure about tackling the 2nd question - but I hope I have been sensitive.
Rose-B
#6 Posted : Sunday, February 05, 2012 8:56:41 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 4/20/2010
Posts: 1,749
Location: Somerset

Hello Jenni

Glad you managed to have your second round of cycl.. I hope that the bladder thing sorts itself out and
you don't get anymore trouble. Thinking of you , you are so brave.

Take care
Julia17
#7 Posted : Sunday, February 05, 2012 9:29:59 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 2/18/2010
Posts: 1,098
Location: farningham kent
Hi Jenni

Hope all goes well with the knee surgeon tomorrow, and as ever admire your strength, we all understand how hard you try to deal with all these drugs, no one could try harder !

With love Julia xx
Sue10
#8 Posted : Monday, February 06, 2012 10:33:20 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 6/18/2010
Posts: 351
Location: Herne Bay Kent
Hi Jenni
Hope your appointment is worthwhile today and that you are feeling a little better.
Hope the ice and snow has not been a problem

Best Wishes
Sue
bevie
#9 Posted : Monday, February 06, 2012 11:47:49 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/4/2009
Posts: 346
Hi Jenni sorry to hear you are still feeling so grotty. It sounds like Berni keeps your spirits up though. Hope you are well enough to go to your knee appointment, good luck with it.

Bevxx
annamaria
#10 Posted : Monday, February 06, 2012 1:19:25 PM Quote
Rank: Advanced Member

Groups: Registered

Joined: 12/3/2009
Posts: 154
Hi Jenni,
So sorry you are feeling so very grotty from the infusion but well done for hanging in there. Hopefully the bladder will settle, I often get this after infusions.

Hope all goes well with the knee chap today, out of 22 ops, my knee replacements have been the most successful. My legs were totally deformed, stuck at 45 deg outwards from the knee and it was feared too late for correction, but they are great thanks to brilliant surgeons.

Its hard when the drugs dont work, most of all for you, but it is the word 'failure to respond' which we take to heart. Its just that we are all different with responses and side effects, but it isnt a test we have to pass, just a journey to try and help you have a better quality of life, which I so hope for you with all my heart.

Arent children a tonic!? They are so open too, our 4 y ro ld granddaughter is full of' death' questions at the moment which I remember is normal at this age, so I dont take it personally! \But she is so full of fun too.

High doses of steroids? Well they can be life savers and many people have to stay on high doses for all sorts of reasons. Reduction has to be carefully monitored or we can end up with an Addisons crisis as I did recently after my hand op. make sure the anaesthetist knows your dosage and they will boost the drip around the knee op time. I had no problems with that op at all, it was managed very well. Being discharged very quickly this time (at my requestConfused ) led to a too sudden drop for the adrenals -we live and learn!

Take care dear Jenni and stay strong,
Love Lizxx
hen
#11 Posted : Tuesday, February 07, 2012 11:06:09 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/7/2009
Posts: 262
Hi Jenni, hope you're feeling a bit better today.
Thinking of you
Diane x
jenni_b
#12 Posted : Tuesday, February 07, 2012 1:58:49 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
Thank you all

I'm back from hospital visits and inbed again
Such a rock and roll life!

They did the pre op
I met the anaesthetist who asked a lot if questions Inc how I'd feel about having a spinal block and epidural
I said if you can be sure youll get it in first Time with no complications fine
But they took 7 goes getting my epidural in when I had bernice and I had to have my lumbar puncture under guided xray and I still had electric jolting and I still can't feel part of my big toe after having bernie! The spine is all tight and chewed by ra

I havent an objection to being awake
But I don't think I can manage a spinal

So instead I asked about a general and a block in my leg which he thinks is possible
It does depend on what mr grumpy surgeon (think of the dentist from my family!) says and how soon I'm to face the right knee operations

I did have a positive experience of sister there who was kind thorough professional and treated me with respect and caring
The other nurse who did my obs tests- different all together

What to you think about this
She asked me to stand for height and weight. Well I can't. So I said I can tell you. No she said l just say can't do
She had a thick African accent
I'm good at picking out what people say but I had a job

She then took me into a room no room for wheelchair as lots of desks chairs and a couch at the end
I struggled onto the couch which was a good 5 steps and she said she couldn't help me walk so I furniture walked it
She then told me to undress
I said I can't
Please can you help me
So she did

Took my top off and put it on my chair
Then she said now take your bra off
I said please can you help me

She said how do you manage at home then if you can't do this simple thing
I said that I have people help me
As she took off my bra
I asked if I could have a blanket
The door was unlocked
Anyone could have come in
She said they have no blanket but she would pull curtain
So I nodded
She did the ECG without a word moving my boobs about
Then asked if I was very Anxious (i said not really but a lot of pain on this couch)and did the ECG again
She then said she'd do blood pressure
Temperature
All of this she did to me with my boobs out!

I don't consider myself a prude
But I felt deeply uncomfortable about this

I didn't complain because the rest of the pre op staff were truly marvellous especially the sister
Am I being ott about the nurse who did the bp test?
how to be a velvet bulldoser
Sara-R
#13 Posted : Tuesday, February 07, 2012 3:10:51 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 11/20/2010
Posts: 244
Location: Cornwall
Hi Jenni,
Just catching up with everyone and wishing you well. No you are not being ott, we are people not pieces of meat and deserve respect whatever we can or can't do for ourselves. I would complain if I were you. I complained recently about a nurse and the result was her being sent on a Patient Care course. Maybe they don't mean it but they need reminding of the impact they have on how people feel. I think they just become desensitized because they deal with this stuff all the time but that is no excuse. Wishing you well for the op.
Sara
x
Sue10
#14 Posted : Tuesday, February 07, 2012 3:20:55 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 6/18/2010
Posts: 351
Location: Herne Bay Kent
Hi Jenni

You are definitely not being difficult about being exposed, it should be at the very basic level of nursing care that you are treated with respect.
Do hope that you manage to get a general anaesthetic if that is what you want. Sadly it seems you have to fight all the way and stand up for yourself.
Do hope the whole experience has not exhausted you too much.

God Bless
Sue
dorat
#15 Posted : Tuesday, February 07, 2012 3:39:32 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
Hi Jenni,

No you are not being ott! When I had the ECG for my pre-op test I didn't even take my top off never mind the bra (good job because a man did it!). I just had to lift my top for him to get the leads in place. So I am not sure what is normal practise but I have a feeling that it's the nurse who was being ott by asking you to undress! She certainly should have let you get dressed before doing your blood pressure. You should complain.
Hope you can rest now to recover.

Love Doreen xx
suzanne_p
#16 Posted : Tuesday, February 07, 2012 4:30:41 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 8/25/2010
Posts: 1,289
Location: Buckinghamshire
hi Jenni,

sorry to hear you've been through such an ordeal.

no way are you being OTT .. it's hard enough to do as she asked with all the pain and imobility problems let alone while feeling exposed and vunerable. i thought a hospital gown would have at least been offered !!

let's hope your knee op's come round quickly and are successful, you've been through more than enough,

sending my best wishes your way,

Suzanne x
smith-j
#17 Posted : Tuesday, February 07, 2012 8:13:56 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 714
Jenni

You are not being OTT. I had exactly the same tests as you for my pre-op for my knee replacement and the nurse was considerate all the way. She made sure I could maneouver around the room. She made sure I was not exposed and she explained everything she did before doing it. She even warmed her hands before moving my rather large boobs out of the way for the ECG. Because of my RA I was classed as a category 1 patient and only the very experienced pre-op nurse was allowed to assess me.

I think you have gone for the right option with the general and leg block. I had a general and an epidural in my spine. However, it took the anaesthetist over half and hour and many goes to try and get the epidural in my spine. Apparantly I had a very large bruise and abrasion on my back for weeks afterwards. He said that the RA and Osteo had obviously seriously affected my spine. At one point he nearly gave in as I was in so much discomfort bending forward for so long but I told him to persevere. That was one place I was exposed and very cold. Every anaesthetic room I have been in before an operation always seems freezing.

Please see my other post under Surgery.

Take care

Jackie
xx
bevie
#18 Posted : Wednesday, February 08, 2012 12:00:28 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/4/2009
Posts: 346
Hi Jenni, no i don't think you are being ott about being undressed and no blanket /sheet to cover you while having ecg and bp. In my last job, in outpatients, we always had sheets or blankets to cover our patients as much as possible and that was in gynae clinic.

Bevxx

Julia17
#19 Posted : Wednesday, February 08, 2012 7:35:29 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 2/18/2010
Posts: 1,098
Location: farningham kent
Hi Jennie

I feel this nurse needs to be reprimanded over the way she treated you, it was totally unacceptable and like Doreen says you certainly should have got dressed to have the BP checked, she needs to be told how to treat patients in a respectful way as it obviously doesn t come naturally to her !

Sending my love Julia xx
hen
#20 Posted : Wednesday, February 08, 2012 8:31:49 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/7/2009
Posts: 262
Oh Jenni,
You are definitely not being OTT. What an insensitive, uncaring 'nurse' she was! Whenever I've had an ECG, I've been given a gown ( not that I have much to hide unfortunatelyBlushing lol). At the least she should have helped you get dress after the ECG before doing the other obs.
I had a spinal block for both my ankle and knee replacement ops. I prefer them as I recover more quickly, I don't get along with GAs very well. We are all different though and if you have had problems with this procedure in the past, I think you re right to discuss other options. Hope you can have what you're most comfortable with.
Diane x
Users browsing this topic
2 Pages 12>
New Topic Post Reply
Forum Jump  
You can post new topics in this forum.
You can reply to topics in this forum.
You cannot delete your posts in this forum.
You can edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.

SoClean Theme By Jaben Cargman (Tiny Gecko)
Powered by YAF 1.9.3 | YAF © 2003-2009, Yet Another Forum.NET
This page was generated in 0.239 seconds.