BajaNomad

MEDICAL LESSON LEARNED:

Udo - 8-1-2014 at 12:01 PM

This past Monday the 28th of July, I went to bed at me regular time. (around 8 p.m.)
However, I woke up at 2 a.m. on Tuesday morning with some severe chills to the point that my teeth would not quit chattering.
I had a fever of 103, and my blood pressure was 108/60.
My wife finally got a hold of my home nurse at 5:30 a.m. and she said to rush me to the emergency room, which she did.

About two hours after the arrival to the emergency room, and several blood tests later (plus urine and stool samples, and chest x-ray), they still could not figure out the source of the infection. Then they isolated the pic line the hospital had implanted in me a couple of weeks ago for a portable IV that I used as a walking feeding tube for my nutritional needs.
The area around the feeding tube entrance was not red, and it was till in sterile condition, but the doctors decided to remove the pic line anyway and sent it to the lab for cultures also. It would take about 24 hours for the cultures (all of them) to come back with some results. So back to being admitted (again).
They now were pumping me with antibiotics via an IV.

Two days later, now, I find out that I had a severe blood infection from the pic line the hospital had inserted. So I had to spend another night in the hospital hooked to three bags this time.
I was finally discharged last evening and given a prescription for 600mg of ZYVOX anti biotic that cost $7,000 for 28 tablets!

Lesson learned:
Even sterile implanted devices with an external (outside the skin) connection, appear to be susceptible to infections, as was in my case.
I am now back home and slowly recuperating from my blood infection.

DENNIS - 8-1-2014 at 12:09 PM

jeeezo...one thing after another. Doesn't seem far, does it, Udo.
Hang in there.





.

[Edited on 8-1-2014 by DENNIS]

Mexitron - 8-1-2014 at 12:11 PM

Yikes! Let's hope you've been through the worst of it.

wessongroup - 8-1-2014 at 12:42 PM

Thanks Undo ... every time I think I have it bad ... I've got you :):)

Get well ...

Lee - 8-1-2014 at 12:49 PM

THere might be some research on this type infection. I've heard it's a common way to get an infection.

Person doing the stick needs to be wearing gloves, needle/catheter package should be opened in front of you. Swab the site and swab again.

Something wasn't sterile -- could have been your skin.

Hey Udo? YOU are your own best medical advocate. DON'T trust anyone -- doctors, nurses, hospitals -- look at what's being done and question everything.

Good luck on recovery and glad you caught the problem. Smart doctor who took the catheter out and had it checked.

What a stupid way to die.

Gypsy Jan - 8-1-2014 at 01:40 PM

Please get well!

Ask questions and demand answers.

GJ

EnsenadaDr - 8-1-2014 at 01:47 PM

That is the first thing doctors check for in the hospital if someone has a blood infection and usually remove it just in case. Good luck and smooth sailing from now on Udo!!
Quote:
Originally posted by Udo
This past Monday the 28th of July, I went to bed at me regular time. (around 8 p.m.)
However, I woke up at 2 a.m. on Tuesday morning with some severe chills to the point that my teeth would not quit chattering.
I had a fever of 103, and my blood pressure was 108/60.
My wife finally got a hold of my home nurse at 5:30 a.m. and she said to rush me to the emergency room, which she did.

About two hours after the arrival to the emergency room, and several blood tests later (plus urine and stool samples, and chest x-ray), they still could not figure out the source of the infection. Then they isolated the pic line the hospital had implanted in me a couple of weeks ago for a portable IV that I used as a walking feeding tube for my nutritional needs.
The area around the feeding tube entrance was not red, and it was till in sterile condition, but the doctors decided to remove the pic line anyway and sent it to the lab for cultures also. It would take about 24 hours for the cultures (all of them) to come back with some results. So back to being admitted (again).
They now were pumping me with antibiotics via an IV.

Two days later, now, I find out that I had a severe blood infection from the pic line the hospital had inserted. So I had to spend another night in the hospital hooked to three bags this time.
I was finally discharged last evening and given a prescription for 600mg of ZYVOX anti biotic that cost $7,000 for 28 tablets!

Lesson learned:
Even sterile implanted devices with an external (outside the skin) connection, appear to be susceptible to infections, as was in my case.
I am now back home and slowly recuperating from my blood infection.

bajabuddha - 8-1-2014 at 01:48 PM

Quote:
Originally posted by Lee
...What a stupid way to die.


JAYZUS, LEE !!!!! Nothing like cheering a body up !! :P :lol: ;D

vgabndo - 8-1-2014 at 02:07 PM

At the age when death becomes a more and more frequent visitor to our conversations, it seems to me, the manner becomes even more important than the timing. I'm with Lee, if the timing isn't as I would hope, at least I don't want the cause to be someone's stupid error. :!:

Udo - 8-1-2014 at 02:27 PM

As was in my case, Dr.
The ER Dr. removed the PICC line and immediately sent it for a culture, which 2 days and 2 confirming retests later, was tested positive.


Quote:
Originally posted by EnsenadaDr
That is the first thing doctors check for in the hospital if someone has a blood infection and usually remove it just in case. Good luck and smooth sailing from now on Udo!!
Quote:
Originally posted by Udo
This past Monday the 28th of July, I went to bed at me regular time. (around 8 p.m.)
However, I woke up at 2 a.m. on Tuesday morning with some severe chills to the point that my teeth would not quit chattering.
I had a fever of 103, and my blood pressure was 108/60.
My wife finally got a hold of my home nurse at 5:30 a.m. and she said to rush me to the emergency room, which she did.

About two hours after the arrival to the emergency room, and several blood tests later (plus urine and stool samples, and chest x-ray), they still could not figure out the source of the infection. Then they isolated the pic line the hospital had implanted in me a couple of weeks ago for a portable IV that I used as a walking feeding tube for my nutritional needs.
The area around the feeding tube entrance was not red, and it was till in sterile condition, but the doctors decided to remove the pic line anyway and sent it to the lab for cultures also. It would take about 24 hours for the cultures (all of them) to come back with some results. So back to being admitted (again).
They now were pumping me with antibiotics via an IV.

Two days later, now, I find out that I had a severe blood infection from the pic line the hospital had inserted. So I had to spend another night in the hospital hooked to three bags this time.
I was finally discharged last evening and given a prescription for 600mg of ZYVOX anti biotic that cost $7,000 for 28 tablets!

Lesson learned:
Even sterile implanted devices with an external (outside the skin) connection, appear to be susceptible to infections, as was in my case.
I am now back home and slowly recuperating from my blood infection.

shari - 8-1-2014 at 02:31 PM

dang Udo...that's really tough man...so sorry for all your suffering but the good thing is...it wasnt your day to visit the Grim Reaper! Animo amigo!

DENNIS - 8-1-2014 at 02:31 PM

Quote:
Originally posted by vgabndo
I don't want the cause to be someone's stupid error. :!:


You'll be the last to know.
Now...if we could just sue in advance, we'd have something.

Udo - 8-1-2014 at 02:32 PM

So do I, my fellow Nomad!

This really has been quite an ordeal!


Quote:
Originally posted by Mexitron
Yikes! Let's hope you've been through the worst of it.

BajaRat - 8-1-2014 at 02:41 PM

Udo, I'm so happy you made it AGAIN ! I da Know but maybe they should wipe the bill....... no :?:
And I'm with Parry and Lee on this one , I don't wanna go from somebody else's mistakes, YIKES

[Edited on 8-1-2014 by BajaRat]

[Edited on 8-1-2014 by BajaRat]

ncampion - 8-1-2014 at 03:32 PM

It probably wasn't anyone's "stupid mistake". I would be willing to bet it was inserted competently and using good sterile technique. Infection is one of the risks of PICC line usage. I think the national benchmark is around 4 per 1000 PICC line days. Our bodies are covered with bacteria and we're constantly fighting them off. The PICC line just gives them one more opportunity to get in. Glad it was correctly diagnosed and properly treated. Hope the recovery goes well.

LancairDriver - 8-1-2014 at 04:33 PM

Sorry to hear of your continuing ordeal Udo. Your perserverence is admirable and will carry you through this. Best thoughts for full your recovery.

dtbushpilot - 8-1-2014 at 04:37 PM

What, no pictures?:lol::lol:

Just kidding buddy, hope you get better soon....

David K - 8-1-2014 at 04:53 PM

Hang tough Udo... there is still so much more Baja for you to see! Let's make a plan for when you are mobile again!

:coolup:

Udo - 8-1-2014 at 06:29 PM

For sure DK!

I'll be using your services for our new place in Ensenada, when we move in.
We have a guest house for you and Lizabeth when you come down.


Quote:
Originally posted by David K
Hang tough Udo... there is still so much more Baja for you to see! Let's make a plan for when you are mobile again!

:coolup:

Udo - 8-1-2014 at 06:35 PM

You are correct in your assessment of a small percentage of patients having a problem with their procedure.

But this is another example of my being one of the few who have problems or exceptions, or have a side effect to a drug.
I am batting 100% when it comes to having ill-effects to everything I have ever done with my health.
The only thing that has gone well for me has been that I'm not allergic to any drugs that I have to take.


Quote:
Originally posted by ncampion
It probably wasn't anyone's "stupid mistake". I would be willing to bet it was inserted competently and using good sterile technique. Infection is one of the risks of PICC line usage. I think the national benchmark is around 4 per 1000 PICC line days. Our bodies are covered with bacteria and we're constantly fighting them off. The PICC line just gives them one more opportunity to get in. Glad it was correctly diagnosed and properly treated. Hope the recovery goes well.

DENNIS - 8-1-2014 at 06:47 PM

Quote:
Originally posted by Udo
The only thing that has gone well for me has been that I'm not allergic to any drugs that I have to take.




You're still on the right side of the dirt, Udo. That's something.

Ateo - 8-1-2014 at 06:49 PM

You are an example of how to stay in good spirits during a trying time. Get well man.

Tioloco - 8-1-2014 at 07:29 PM

Get well, Udo!

BajaGringo - 8-1-2014 at 07:32 PM

Get well and STAY OUT OF HOSPITALS!

They can be very dangerous to your health...

bajabuddha - 8-1-2014 at 09:45 PM

Udo... next time in to the doc's, ask 'em if stem-cell therapy will do you any good. I'll be glad to donate my foreskin for ya man!!! 'Sides, ain't doin' me any good.......
What the hey. As we said in the Airborne Corps, DRIVE ON. We're all rootin' for you.

dtbushpilot - 8-1-2014 at 09:52 PM

I'd be happy to donate my foreskin too but I was born without eye lids, fortunately there was a plastic surgeon on call and he was able to use the foreskin to make eyelids.

bajabuddha - 8-1-2014 at 09:58 PM

DT, i'm not gonna touch that lead-in with a 10-foot pole......... :lol:
{my edit} no pun intended. Well, maybe.

[Edited on 8-2-2014 by bajabuddha]

Skipjack Joe - 8-1-2014 at 10:58 PM

A great many ailments recently. I don't think that's just a coincidence. Your immune system is probably weak now. You should eat healthy and do much less than you want to. Don't try to resume your past lifestyle. It will take a long while to fully recover from surgery and feel as strong as before. Sleep more. Take frequent naps.

I'm no doctor so all this advice is unprofessional but I've been through my own challenges and have some insight.

Udo - 8-2-2014 at 08:25 AM

:lol: :bounce:


Quote:
Originally posted by dtbushpilot
I'd be happy to donate my foreskin too but I was born without eye lids, fortunately there was a plastic surgeon on call and he was able to use the foreskin to make eyelids.

Udo - 8-2-2014 at 08:27 AM

That is a great idea!

I never would have thought of it...I'll ask him next week when I see them.


Quote:
Originally posted by bajabuddha
Udo... next time in to the doc's, ask 'em if stem-cell therapy will do you any good. I'll be glad to donate my foreskin for ya man!!! 'Sides, ain't doin' me any good.......
What the hey. As we said in the Airborne Corps, DRIVE ON. We're all rootin' for you.

boe4fun - 8-2-2014 at 11:13 AM

dtbushpilot - did you end up c-ck-eyed???:bounce:

DocRey - 8-2-2014 at 11:55 AM

Godspeed Udo.

dtbushpilot - 8-2-2014 at 01:16 PM

Quote:
Originally posted by boe4fun
dtbushpilot - did you end up c-ck-eyed???:bounce:


Of course......

BajaBlanca - 8-2-2014 at 01:21 PM

Udo,changing the subject a mite - does your insurance cover the $7000 meds or did you accidently add someextra zeros?

28 pills for $7000 - daaaaang that is a lot to get my mind around.

Kgryfon - 8-2-2014 at 03:09 PM

Glad you are mending, Udo. You've had a bit of a stretch of bad luck here. Take care of yourself!

DENNIS - 8-2-2014 at 03:23 PM

Quote:
Originally posted by BajaBlanca

28 pills for $7000 - daaaaang that is a lot to get my mind around.


Like Big Pharma would like to say, "Hey, kid...the first one's free."

vandenberg - 8-2-2014 at 04:17 PM

Quote:
Originally posted by DENNIS
Quote:
Originally posted by BajaBlanca

28 pills for $7000 - daaaaang that is a lot to get my mind around.


Like Big Pharma would like to say, "Hey, kid...the first one's free."


One of the reasons I passed on Pradaxa, 300 bucks a month.
Stuck with Aspirin. Still kicking.:saint::bounce:

wessongroup - 8-2-2014 at 05:34 PM

Not to detract from Undo's situation ... but saw this a while back and it really got my attention

UPDATE 3-US FDA approves Gilead's $1,000-a-day hepatitis C pill

http://www.reuters.com/article/2013/12/06/gilead-fda-hepatit...

Get well .. and take it easy :):)

[Edited on 8-3-2014 by wessongroup]

cliffh - 8-3-2014 at 08:01 AM

Ok DT what happens when you blink, I probably don't want to know ?

mrfatboy - 8-3-2014 at 08:19 AM

Hey Udo,

I'm just curious. Are you recouperating in Mexico or back in the states? I saw that your house is for sale.

Get better!

dtbushpilot - 8-3-2014 at 08:30 AM

Quote:
Originally posted by cliffh
Ok DT what happens when you blink, I probably don't want to know ?


Actually cliffh I can blink just fine, they even implanted a row of hair follicles along the edge so that I would have eye lashes.

Everything was going fine until I discovered Playboy magazine in my early teens. I found that when I looked at pictures of naked women my eyes would swell shut. In time I was able to control the swelling, by the time I reached my 50th birthday I realized that my eyes hadn't swelled in years.

Funny thing is, the swelling is back, wonder if it has anything to do with my new medication?

SFandH - 8-3-2014 at 10:31 AM

Quote:
Originally posted by dtbushpilot
Quote:
Originally posted by cliffh
Ok DT what happens when you blink, I probably don't want to know ?


Actually cliffh I can blink just fine, they even implanted a row of hair follicles along the edge so that I would have eye lashes.

Everything was going fine until I discovered Playboy magazine in my early teens. I found that when I looked at pictures of naked women my eyes would swell shut. In time I was able to control the swelling, by the time I reached my 50th birthday I realized that my eyes hadn't swelled in years.

Funny thing is, the swelling is back, wonder if it has anything to do with my new medication?


If the swelling lasts longer than 4 hours, go see a doctor.

shari - 8-3-2014 at 10:38 AM

best hijack ever

bajabuddha - 8-3-2014 at 10:44 AM

... brings a tear to my one good eye...:lol:

Osprey - 8-3-2014 at 11:17 AM

Udo, when I was a kid my eyes were so crossed that when I cried, the tears ran down my back. Later I learned the condition was called "Backteria".

Udo - 8-3-2014 at 11:21 AM

Insurance did not cover the meds, but the pharmacy helped us out with a $1500.00 grant from some foundation, Blanca.

And I did not add any extra zeros.

Apparently, blood infections are really tough to get rid of, and these pills would do the job for sure.


Quote:
Originally posted by BajaBlanca
Udo,changing the subject a mite - does your insurance cover the $7000 meds or did you accidently add someextra zeros?

28 pills for $7000 - daaaaang that is a lot to get my mind around.

Udo - 8-3-2014 at 11:23 AM

You don't know how right you are, Dennis...the first one was free, which I received at the hospital.


Quote:
Originally posted by DENNIS
Quote:
Originally posted by BajaBlanca

28 pills for $7000 - daaaaang that is a lot to get my mind around.


Like Big Pharma would like to say, "Hey, kid...the first one's free."

Udo - 8-3-2014 at 11:25 AM

I'm recuperating in the states, in the middle of Orange County, CA.
I've been in and out of St. Joseph's Hospital in Orange.


Quote:
Originally posted by mrfatboy
Hey Udo,

I'm just curious. Are you recouperating in Mexico or back in the states? I saw that your house is for sale.

Get better!

Lee - 8-3-2014 at 12:13 PM

Quote:
Originally posted by Udo
…. I had a severe blood infection from the pic line the hospital had inserted. So I had to spend another night in the hospital hooked to three bags this time…..


Hey Udo -- has anyone addressed this? No one was cleaning or checking the line? My question is how could this have happened unless someone dropped the ball (not paying attention).

So, this can't happen again, right? Speedy recovery.

SFandH - 8-3-2014 at 01:28 PM

Quote:
Originally posted by Udo

I was finally discharged last evening and given a prescription for 600mg of ZYVOX anti biotic that cost $7,000 for 28 tablets!



Udo,

I hesitated posting this because I don't want to spike your blood pressure but since you are paying for this medication you should know that you can get 20 tablets at Walmart and other places for around $2,900.

http://www.goodrx.com/zyvox

DianaT - 8-3-2014 at 01:35 PM

Quote:
Originally posted by SFandH
Quote:
Originally posted by Udo

I was finally discharged last evening and given a prescription for 600mg of ZYVOX anti biotic that cost $7,000 for 28 tablets!



Udo,

I hesitated posting this because I don't want to spike your blood pressure but since you are paying for this medication you should know that you can get 20 tablets at Walmart and other places for around $2,900.

http://www.goodrx.com/zyvox


Good advice for everyone.

For meds not covered by insurance always also check Costco --- the difference in prices at different places is HUGE.

Udo,
I sure hope this will be your last visit to the hospital for a very long time! Just keep healing. And those meds are worth it, no matter what you paid this time.




[Edited on 8-7-2014 by DianaT]

durrelllrobert - 8-3-2014 at 01:42 PM

Quote:
Originally posted by bajabuddha
... brings a tear to my one good eye...:lol:

As the one eyed hooker you to say "I'll keep an eye out for you honey"

Udo - 8-6-2014 at 06:21 PM

Thanks for the tip!

We went by the recommendation of the hospital as to where to fill this prescription.
I'll know for next time.


Quote:
Originally posted by SFandH
Quote:
Originally posted by Udo

I was finally discharged last evening and given a prescription for 600mg of ZYVOX anti biotic that cost $7,000 for 28 tablets!



Udo,

I hesitated posting this because I don't want to spike your blood pressure but since you are paying for this medication you should know that you can get 20 tablets at Walmart and other places for around $2,900.

http://www.goodrx.com/zyvox

KurtG - 8-6-2014 at 07:22 PM

Just in case some are not aware. In California, don't know about other states, one does not need to be a Costco member to fill prescriptions there.

Quote:
Originally posted by Udo
Thanks for the tip!

We went by the recommendation of the hospital as to where to fill this prescription.
I'll know for next time.


Quote:
Originally posted by SFandH
Quote:
Originally posted by Udo

I was finally discharged last evening and given a prescription for 600mg of ZYVOX anti biotic that cost $7,000 for 28 tablets!



Udo,

I hesitated posting this because I don't want to spike your blood pressure but since you are paying for this medication you should know that you can get 20 tablets at Walmart and other places for around $2,900.

http://www.goodrx.com/zyvox

David K - 8-6-2014 at 10:03 PM

Correct, at the door just tell the person checking membership card you are going to the pharmacy. Did it for my son's epi-pen Rx which needed frequent refilling and Costco was 50% cheaper than other pharmacies. I needed one for school and one for home. Can't remember why I didn't have a membership for a few years there...?

DianaT - 8-6-2014 at 11:08 PM

Udo,
Good to see your post --- was concerned as you had not posted for a couple of days. I feared you were hanging out at the hospital again and you need to stay away from there! How are you feeling?

We learned about Costco and their prices with medicines for our dogs. We have great insurance that covers our drug costs. When our Maggie was ill, CVS wanted over $200.00 for one of the human meds she needed, and it was just over $30.00 at Costco and a bit more at Wal-mart.

And just as a side note for dog owners, Costco carries common dog meds now.

Udo, I hope you will not need to shop for any more of those expensive drugs! GET WELL

Whale-ista - 8-6-2014 at 11:17 PM

Feel better Udo!

Hope all the meds work quickly and you recuperate quickly from this latest setback.

wetto - 8-17-2014 at 08:05 AM

Stay well my friend....attitude is everything.
some good info here as I approach my own bone marrow transplant procedure this October at Stanford Med Center. Thanks for sharing your info and prospective.
I hope to share a few beers with you in Baja... Screw hope, let's Do it!