Tag Archives: Mirapex

Do Lung Doctors in Kitsap County Neglect Support Group Patient Education, part 2

Obstructive Sleep Apnea is serious.  A recent Swiss study shows that even a short break in using the CPAP is harmful:

“Within 14 days, they had significant increases in heart rate and blood pressure, and deterioration in vascular function.  The results suggest that even a short break in CPAP therapy has a negative effect on the cardiovascular system … OSA patients need to continuously use CPAP….” …according to US News and World Report.  Presumably, that goes for those of us on the BIPAP machine too.

Then there is  …

  1.  Lack of treatment can lead to mental confusion, dementia and Alzheimer’s.

A physician could have answered the questions that ensued.

  1. New Medicare rules say the patient must be on the machine 4 hours a night for the entire CPAP or BIPAP rental period – no matter what – or lose the machine.

As a patient with RLS, I take meds for – Mirapex that no longer works – that is worrisome.  The fact is sometimes I cannot stay in bed where the only relief from RLS is to stand up and/or walk.

When I asked about the 4-hour Medicare rule when a person has other medical conditions, I was told I had to make the choice – the BIPAP or RLS. – Not a choice at all for me and many patients like me.

A plus here is that the last session was so bad that I spent the entire night standing up using my laptop at the kitchen counter and came to the conclusion  I think a food allergy may play a part in my RLS problem.  I will talk to my doctor about it.

Harrison has a superb respiratory department team – professional people, open and transparent.  Patients need to be educated and Harrison is stepping up with professionals educating us….but we need more physician involvement to answer the tough medical questions for pulmonary support group patients.  In Kitsap County, it is past time for physician pulmonary education now.

COPD and Sleep Apnea is a huge medical dilemma where ignorance might well be bliss for the patient…but not in the long term.  What happens when we do not get oxygen to our organs?

For starters, we lose brain cells without the oxygen to sustain them.  Our lessor organs begin to fail because the larger organs grab the available oxygen first.

Incontinence is only one of many issues that can occur from lack of oxygen to organs…

No doubt, most of my brain cells are long gone so I have one less thing to think about.  My point here is to suggest you not to lose yours if it can be avoided.  Patient education is key to having the best quality of life possible with any medical condition and we NEED lung support group physician involvement.

http://pugetsoundblogs.com/copd-and-other-stuff/2011/08/13/do-lung-doctors-in-kitsap-county-neglect-support-group-patient-education/

The U.S. National Heart, Lung, and Blood Institute have more about sleep apnea treatments.

Copyright © 2011 HealthDay. All rights reserved.

http://www.nhlbi.nih.gov/health/dci/Diseases/SleepApnea/SleepApnea_Treatments.html

http://health.usnews.com/health-news/family-health/sleep/articles/2011/08/12/sleep-apnea-makes-quick-return-when-treatment-stops

Better Breather’s meeting Wednesday… http://www.harrisonmedical.org/home/calendar/4897

If anyone needs a ride, let me know…the car is super clean.

Thanks for reading… Sharon O’Hara

 

 

We all cheer for the GREAT MEDICAL CARE  already in Kitsap County…and for more Pulmonary Physician support group education.

February Heart Month – 911 – CK Medics and Me

February is Heart Month…. And I called 911 for help.

I called 911 for myself early morning a couple of Saturdays ago.  I thought I was having a heart attack.  I’d migrated from bed to sit right here in this chair in what is loosely called my ‘office’ next to my computer and a wall phone and waited until the pain in my throat and down into my chest subsided.  Trouble is it got worse and tighter.  The pain exploded in my throat and chest with every cough.  Pursed lip breathing didn’t seem to help.  My airway felt like it was closing.

I dialed 911 and told them how to get where I was.  Afterward, still conscious, I called the Old Guy and told him company was coming.

I remember the relief when the paramedics put a C Pap mask on me and I could breathe easier – most comfortable mask I’ve ever had on… and remember the tough time they had getting me out of here –too many steps – to the unit parked in the driveway.

Thank you CK 911 responders!  You were efficient and lifesaving…same with Harrison when you got me there. I appreciate the professional help, but especially those really special nurses and staff who understood that I have to maintain whatever degree of independence I have.

The Progressive Care Unit was a new area for me with – again – outstanding care.  Without exception, they helped me maintain my independence even though it took longer.  From the cheery “Darlin’” nurse to the incredibly kind assistants who make things work well for patients to the MD’s, Barbora Volovarova, (Attending) and Dr. Irina Case –to the well-done discharge RN, Debra Clough Russell and to the cheery Rhonda who wheeled me on out the front door to await the Old Guy bringing the gas guzzler.

The diagnosis was Bronchitis and the pain was pleurisy – the exact diagnosis the Norwegian doctor gave when I got sick in Norway in 1997.  The prescribed meds in Norway 1997 allowed me to finish a tight schedule there and get me home.

Shortly after getting home in 1997 and running out of the medications,  I was in Harrison and life changed forever.  I stopped a 40 year smoking habit and learned the real meaning of the word “addiction” as I fought against the sudden gut wrenching cravings to smoke that continued over the following two years and occasional cravings to a lesser degree, even beyond.

I was scheduled for a stress test at Harrison, but I opted out after the tech helped me do a perfect first scan and we had several delays.  The cardiologist asked about my throat and I told him the pain was still there and he kindly suggested that it probably wasn’t my heart but that the stress test would give a good base – I already have Right Heart Failure.

What I didn’t think to mention is that with all the sitting my legs, Restless Leg Syndrome (RLS) began acting up and I doubt I could have held them still for the second scan.  The Mirapex I take for RLS doesn’t work like it used to.  The stress effort would have been wasted without a good second scan.  They planned to do the chemical stress test since it seemed unlikely I could do a treadmill testing.  Too bad they don’t do water stress testing where they can get the heart pumping hard as they want without the external problems popping up – such as RLS.

The bottom line for me about Harrison is that they do not treat their patients all alike – they help each patient maintain what they are able to do and encourage that independence.  For that, they are unique and a special place for patients like me fighting to maintain strength even as we are there for medical help.

I missed that Saturday’s swim session with Coach Marilyn but her lessons stayed with me in that I was able to swing both legs up on the bed and gurneys using my new found core strength and beginning muscle protection for my left hip.  And we were back on track for the following Monday hour session.

I’m including a scan of a great morning tool Harrison gave me on discharge to keep track of such things as heart, weight to catch a heart attack before it happens.  I’ve added a blood/oxygen check (Nonin) column and check the time too.

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002347

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002347

I use the following sheet every morning to keep track of what is going on and will take it to my next doctor appointment.

The single one thing I will change on the sheets I see every day is to change the “Heart Failure Log” to Heart HEALTH Log.

As a patient, I do not want to see “Failure” before me every morning.  Heart HEALTH Log is more accurate.

More later…. Sharon O’Hara