Just as I had predicted the day before, it’s August and I’d probably end up having an ER trip. I just didn’t think it’d be happening so soon. Three days in a row I was exposed to some sort of smoke and the third time apparently worked. A racetrack several miles away was having a special event that night where they were attempting to make as much carbon pollution as possible. The result of said event made my entire neighborhood, several miles away, smell like burning tires.
I gave it almost a couple hours before deciding to throw in the towel and admit defeat on this one. On the way, Liz said,
I’m sorry for making you go to the hospital.
She knows how much I don’t like going there, even though I get the help I need, because it tends to set me back a bit with work and other things. For example, I’ve been awake close to 2 days now. That’s what happens when I’m injected with solumedrol and my prednisone dose is greatly increased afterward.
We were surprised to see the place so empty on a Saturday night. I never really have to wait, but that just means they get to me even faster. Recently a friend of mine blogged about how emergency treatment protocols for asthma seem to have changed. I’ve noticed some of the changes myself. As usual I was having trouble talking clearly and being understood so Liz was able to answer a lot of questions for them. I think this was the 4th time I had seen this particular respiratory tech, and she totally remembered me, so a lot of the initial questions were just confirming medical history and medications.
They checked on me fairly often because I wasn’t able to move a lot of air when I arrived, but the treatment was pretty identical to my other two trips this year. One duoneb treatment, followed by listening to my lungs and checking O2 sat a while later, followed by 125mg solumedrol, see the doc, and then go from there. I can always tell how much the doctor has read my chart by how the conversation goes with him or her. I know this doctor hadn’t read much at all. She told me I was moving more air, sounded ok, x-rays looked ok, and she was going to “send me home with steroids that’ll make me better in a couple days.”
I’m fairly familiar with prednisone as I’ve been taking it off and on for years. In fact, I’ve been taking it every day for the past 15 months. I’m also on every type of maintenance medication they give to asthmatics including xolair. That and the fact I’m prednisone dependent gets me labeled as a severe asthmatic by many. When doctors have read all this stuff they usually want to have a 10-15 minute conversation with me or longer. They want to know how I’ve been recently, what I’ve tried, what works/doesn’t work, what brought on this exacerbation, symptoms, what I think we should do, do I think I should be admitted, have I heard of BT, etc, etc, etc.
So on this trip I got a few nebs, solumedrol, and was sent home after a few hours. Some of my severe asthmatic friends liken this to a tune-up or oil change for your car. You know, a quick maintenance sort of thing that needs to be done, and there are probably many other things you’d rather be doing instead. I really hope I can stay on track with things for a while and not have to go back. Things are really starting to ramp up right now with school starting soon and I kind of need to be around for stuff.
The funny part for me would have to be when the nurse was going through discharging papers with me and pointed out I was diagnosed with an asthma exacerbation followed by, “you probably know more about it than the paperwork…you probably know more about it than I do.” Sounds like the nurse read through my chart.