Monday, July 27, 2009

Hospital Cost Craziness

One night in the hospital:

room & board: $605
pharmacy: $2,433
medical supplies: 100
labs: $2071
Radiology: $1944
Emergency Room: $1587
GI Services: $1260

Total: $10,000

Wow. Luckily we have insurance to pay most of it, but man getting sick is expensive!

Saturday, July 25, 2009

Carrera (and Twerp)

Carrera is the newest addition to our family (below). So that makes Pam, Mike, Chiaroscuro (Scuro), Ra, Uluru (Ru), and Carrera. We found her at the Great Dane Rescue of Charlotte which is near North Lake Mall. They had named her Flurry, and she was there with her sister Wrinkles (named for her wrinkly face). Her paperwork says she is a Chinese Shar Pei which I could see for her sister but not at all for her. We are guessing that her mom might have been part Shar Pei (She might be half Chinese like me!), and she is just a mutt just like me. She is extremely sweet and gentle (opposed to Ru who is sweet and crazy). She is a little timid, but she is getting more bounce in her step every day. We took her to the vet today and found out she has whip worms. The vet treated her, but they say that it is hard to get rid of the eggs once they are in your yard so the chance of reinfection is high. Hopefully we caught it in time. Mike de-pooped the yard today. Generally, the vet said that the whip worms shouldn't be that serious - just more of a nuisance.

She is a great dog! She loves to walk on the leash - without pulling (much). She doesn't chase around the cats. She is a little bit of a guard dog - she barked at the lawn guy next door but doesn't bark at the neighbors. She hasn't had any accidents in the house. She growls at Ru when he isn't using his manners but otherwise is very well-mannered. She eats very slowly which we aren't used to. I had to put a Beggin' Strip mixed in her food to get her to eat.

The worse mishap we have had so far is really our fault. We still have some injured ducks and a pre-teen duck in the corner of our yard. We fenced it off where the dogs couldn't really get in but Twerp (our pre-teen) could get out. Twerp is a gutsy little guy, so while the dogs were outside, I was in the garage cleaning the litter boxes, and Mike was cooking dinner, Twerp ran out into the backyard lawn. Carrera was very interested in this, so we picked up Twerp in her mouth. Thank God, Mike happened to see this, so he ran outside and chased her down. Poor things. It scared Mike, Twerp, and Carrera half to death. We examined Twerp. He only seemed to have one small pin point of blood on his back near is Twerpy little wing. It has been 2-3 days, and he is running around just like ever - we are praying he doesn't have any internal injuries or infections. We went right out and got a mesh fence to zip tie to the border fence so that Twerp (Blue-Duck and Speckled-Head) can't get out of the corner of the yard. We are keeping a much closer eye on them now.

At first, we were going to name her Quarry as in a "marble quarry" because 1) it rhymed with Flurry (her original name) and 2) her coat looks very much like white marble with gray marbling. We even got her a tag. However, it didn't stick. (Mike's mom started calling her Cory and in general it wasn't very easy to say. Plus, she didn't really know her name as Flurry anyway.) So, her name is now Carrera after Carrera marble which comes from the Carrera quarries - and is the classic white and gray marble. Not officially, it is also because when Mike sold his Boxster S he wanted to get a Carrera but we got an XTerra instead. Now he can say that he finally got the Carrera he wanted. Maybe if we get a Porsche Carrera we could name it "Dog" or "Mutt."

She has learned how to chew a raw hide, but she still isn't quite sure of the concept of toys. She now knows "sit" and "shake," but she is still working on "lay down." She is quite the shaking machine though. If you have a treat, she dances with both of her paws trying to give them to you so she can get the treat. Very cute.

So that is Carrera's story so far.


CarreraRu 006
Originally uploaded by pamela_j_karr

Me and My Colon

So I now know more about my colon than I ever wanted to know. (Don't worry, I'll spare you the pictures.) A couple of weeks ago, I went to Urgent Care, then the emergency room, then was admitted to the hospital. The GI doctor says I have the classic symptoms of chronic ulcerative colitis (UC). Basically, it is inflammation of the colon which is in the Irratable Bowel Sydrome (IBS) family. Considered worse than general IBS but not as bad as Chrone's Disease (UC is infection of the large intestine while Chrone's is both the large and small intestine). I am still trying to learn about it. At first, I thought I might have gotten a bacterial infection (salmonella) from the ducks (another long story), but they said they tested and biopsied and there was no sign of that and that it looked more chronic (I guess it would have just been colitis then instead of ulcerative colitis). It showed infection all the way to the "left-side" which is basically the whole large intestine/colon instead of just part of it (colon goes up through your right side than over). Anyway, they treated me with a whole bunch of medicine in the hospital and gave me some prescriptions to take home.

One medicine I have to take 3 capsules 3 times daily. It is called Balsalazide. Possible Side effects: Headache, nausea, vomiting, joint pain, abdominal pain, trouble sleeping, or loss of appetite may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. (Probably explains why I am blogging at 5:30 AM.)

The other medicine tastes horrible! At first I had to take 5 pills a day, but luckily I am now down to two a day. It is called Prednisone. Possible Side Effects:
  • problems with your vision;

  • swelling, rapid weight gain, feeling short of breath;

  • severe depression, unusual thoughts or behavior, seizure (convulsions);

  • bloody or tarry stools, coughing up blood;

  • pancreatitis (severe pain in your upper stomach spreading to your back, nausea and vomiting, fast heart rate);

  • low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or

  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious side effects may include:

  • sleep problems (insomnia), mood changes;

  • acne, dry skin, thinning skin, bruising or discoloration;

  • slow wound healing;

  • increased sweating;

  • headache, dizziness, spinning sensation;

  • nausea, stomach pain, bloating; or

  • changes in the shape or location of body fat (especially in your arms, legs, face, neck, breasts, and waist).

So when I thought I would at least lose some weight being sick, I have actually been voraciously hungry. Argh. From my understanding, I am supposed to stay on Balsalazide long term but not Prednisone - that only when my colon gets really inflamed. The GI said that the side effects of Balsalazide are far better than letting your UC go uncontrolled (some people have to have their colon removed, yikes!). Just listening to the doctor right now since I am relying he knows better than me.

Irronically, the medication that I was already on which interacts the worst and causes flare ups of UC is Ziana which is a topical acne gel. In fact, some people think that it might actually cause UC. Who would have thought that your most dangerous medication might be your acne cream?! Regardless, I stopped using it and am back to good ol' Neutrogena.

So, that is all I really know so far. Needless to say, I haven't been feeling my best the last few weeks. Randomly feel better and worse, but hopefully it will get better instead of worse over time. I cried at my 2 week check up with the GI even though he has already diagnosed me. I guess it just felt more serious and long term hearing it when I wasn't drugged up in the hospital. I also have over active bladder, so this is going to make it fun for me. (Maybe the next home improvement project should be a master bath upgrade since I will probably be spending a lot more time in there.) With everything else wrong with me, I was just frustrated and upset. Dr. Barkley (my PCP) said that when he got the medical records sent over from the hospital, he thought, "Boy this girl just can't get a break. She is too young to have all these problems..." Okay, changing subject because I am tearing up again.

On a happier note, we adopted a dog from the Great Dane Rescue of Charlotte. No, she isn't a great dane - we have no idea what she is. Her name was Flurry, then we renamed her Quarry, and then we renamed her again to Carrera. However, I will write a separate post about that since we has nothing to do with me and my colon.