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Showing posts with label medication. Show all posts
Showing posts with label medication. Show all posts

Tuesday, November 15, 2011

Cornea Transplant Update

Okay, first of all, thus far, it seems it is NOT rejecting. But it was getting infected, and in turn THAT could have started a graft rejection, if I waited another day or so.

But I did have the BEGINNINGS of an infection, thanks to a stitch that had popped loose from the graft. So, the doctor I had to see on Triage/emergency basis removed it just with the tweezers. I asked and SHE (who is a Retina Specialist, not cornea) said it was ONLY the popped stitch, and kept me on my OmniPred steroid drop every 4 hours, and added Vigamox antibiotic drops 4 times a day.

Well.....

I'd gone back yesterday (Monday) for a re-check with my regular doctor, the Cornea Specialist. And he found something that must have developed over the weekend, otherwise the other doctor, I'm certain would have seen it while looking at my eye on Friday.

It seems that I have developed an abscess where the stitch was loose and just "floating" there. So, now I am a self-proclaimed walking Drug Store. At least through tomorrow morning, when the decision will be made to either keep me on my drug plan, or take a knife (again) to my eyeball (same thing he said, as when he removes the stitches). Yes, he may have to lance the abscess, let it drain, and grab a culture to see exactly what kind of infection is growing.

Of course, I'm hoping and praying feverishly that the drugs all are WORKING.

What's my drug regimen, you ask? The kind where it has made it impossible to volunteer at the school at all this week.

Twice a day, Aleve (one in morning, one at nighttime, both with food).

Once a day, Doxycycline (at bedtime, no dairy/calcium at least 2 hours before taking)

EVERY (waking) hour, Vigamox drops (antibiotic to stave off rejection and bacteria).

Every 2 hours, OmniPred drops (steroid) to ward off swelling and inflammation and eye pressure problems.

Every 4 hours, Bacitracin Ointment in lower eye lid, also an anti-bacterial medication.

To say I feel like I'm on a never-ending merry-go-round is probably a horrible understatement at the moment. And I have to do this regimen AT LEAST through a part of tomorrow morning. Probably even longer if he has to cut in to the abscess.

But!!!... Yes, there is a "but". There is a so-called silver lining in all of this mess.

It seems (seeing as I haven't seen the doctor in over a year) that we BOTH got a surprise. Because the doctor on Friday claimed I still had five stitches to go, but I don't know if she was actually looking for anymore of them other than the infected one. My regular specialist (Cornea) said he saw NONE.

Either he already removed some (which he did, a total of eight altogether), the other doctor removed the one, or they even actually DISSOLVED somehow, though they aren't considered "dissoluble" by what I had always understood.

So, that is ONE less worry to have to go through anymore. And that is apparently why my vision was now pegged in that eye as being either 20/50 or 20/40 (depending on which test I took between two different eye chart tests that they give me).

We'd talked about it many times in the past (and yes, he reminded me yesterday lol) that as stiches came out, being that the graft was sewn in pretty tightly and "flattened" it, to where it 'touched' my pupil, that the cornea would round its self out, and that this is FINALLY happening..

Now it seems that it is NOT the stitches, but the cataract that I have had since about a month post-transplant, that is hindering my peripheral vision on the outer left side of the eye.

So, of course, that means I am STILL facing (at least) one last surgical procedure to remove the cataract-ridden lens, and have it replaced with an implant.

So, there's the current news from the last post, If It's Not One Thing, It's Another... (WARNING!!!! language laced!) .. At least this one isn't filled with words that would make a sailor blush and pass out. (=

Friday, February 4, 2011

One Hot Mama!...I'm Pretty Ticked & Heed My Warning.

If I could, I would have this shooting out of my head..


And have these shooting from my eyes...


Why?

Because, for the now third or fourth time, my local Walgreen's Pharmacist has messed up. It's one thing to miscount the number of pills. It's also one thing to not even fill one of them. Heck, it's even one thing to place your child's medications in the WRONG "filled and ready to go" bins.

But when your "mistake" at reading the prescription goes as far as one, filling it with the WRONG refill number, as well as with the WRONG DOSE, that is when I am DONE.

And that is also when I write to Corporate Office, and to the District Office, and to the Local Store. Yep. Every single level of Walgreen's got a copy of my letter of complaint about this "mix up".

The medications that my child is on are pretty "powerful" and can have some pretty bad side effects if given wrong. The one that was completely dispensed wrong can hurt his Blood Pressure or even his heart.

What SHOULD HAVE BEEN 2 mg. of a dose at 2 refills was ACTUALLY FILLED as 3 mg. dose with 3 refills.

How does someone read a "copy" wrong? When in doubt CALL THE DOCTOR that prescribed the medication, THEN proceed to fill it. It's not rocket science.

Please, my readers, for your safety and for the safety of your family, especially your children, READ LABELS on the medication bottles. Every time. No matter how many times you filled the same medication.

Here is a copy of my letter to all of the branches of Wallgreen's...

To Whom It May Concern,

I'm writing to complain about the (now) third or fourth "accident" in regards to my son's medications being improperly filled.

My nine-year-old is on medications that can have a great impact on his heart and his blood pressure.

His Intuniv was filled COMPLETELY wrong. I was supposed to have 2 mg dose with 2 refills. Instead I received 3 mg dose and 3 refills.

I cannot tell who had filled my son's medications last night, seeing as you do not have your Pharmacists place their names on the prescriptions that they are having to fill. That alone to me, is discouraging. Because I now cannot tell you in fact WHO ACTUALLY filled my child's medications.

At this time I am NOT "taking my business else where", but do know that I will NOT be talking very kindly about your store, and especially not in regards to this branch.

When filling medications, it means that your staff is literally holding their customer's/patient's lives in their hands. Including children.

Thank you,
Melissa C

Thursday, September 16, 2010

ADHD...

As a mother, it is hard to watch your child struggle. What are ordinary, everyday tasks and expectations to us, is a ball of confusion and frustration for our kids.

Sitting still. Focusing. Being organized. Paying attention to the instructor. Following multiple directions at a rapid pace.

Sounds like a lot, and even a bit confusing to you? I'm sure that it does. But to my son, and to millions of other children in the United States alone, it is a hardship for them every single day to keep up with those tasks while in the classroom, and even at home.

Constantly, I have to remind my hyper, active, not-very-attentive son to complete this task first, so he can move on to the next. Then, after that, I have to remind him to let me check his work against his Agenda, to ensure that he completed the assignments. Then, and only then, may he have his computer or his TV time.

The same goes for his household chores. And the teachers have to stay on top of Bryce as well, being he can fall off of the track pretty quick, and pretty often.

Case in point.. Bryce was found to be sitting in the hall, by his Science and Social Studies Teacher's room. Apparently, he was disrupting the class and "poking at" one girl constantly. After being told to finally move himself to an area where he could be alone, he started to bawl and be belligerent. So, the teacher sent him to the hall.

Then, at snack time, when the Mixed Berries were passed out, he couldn't have any, being that the kitchen never made him a separate bowl without the Blackberries, being he is allergic to them. He went buck wild, pitching a fit, not concentrating on the teacher's explanation, and saying he was being abused because she was "starving" him.

It's not ALL stemming from his ADHD. The lashing out is from another disorder he is inflicted with. But the "poking" of the child, his fidgeting, his lack of concentration, and organization skills, as well as his hyperness, even in his talking to others is a part of the ADHD that he has. Bryce has the more severe form of the disorder.

And yes, he is on medication therapy for it. He takes Vyvanse in the morning, before school. His Intuniv is taken before bedtime. It also serves as a sleep aide, being that his brain stays in "overdrive". The Intuniv relaxes the centers in the brain to control his sleep pattern. And it helps him focus on going to sleep, along with his bedtime routine rituals.

One thing that I have noted the last few years, as the parent of an ADHD child that is medicated, is that most (not all, mind you) teachers think that the medication is the "magic cure-all" for the ADHD while the child is in their classroom. That cannot be further from the truth.

While the medications DO help the child stay focused, attentive, and with less likelihood to blurt out or talk out of turn (or even go way off the topic at hand), the medicines can only control those points to a certain extent.

The remainder of the ADHD child's success relies upon both the child's willingness to gain SELF-control and SELF-discipline, as well as the teacher's willingness to work with the child to achieve those same goals that ADHD students need to be successful students.

This may mean giving the ADHD child a separate desk area, where fellow students will not be a distraction. Or even asking the child if the student is understanding and able to follow the lesson. The teacher can't be "all mouth". They must be about action as well. This means walking around, using hand gestures. Anything to keep the ADHD child engaged in the lesson.

On average, the typical ADHD child can give you no more than fifteen minutes of their attention. For the ones with severe ADHD, you are lucky, and I mean LUCKY, to get ten minutes of their attention, being most severe cases have an attention span of only five minutes.

Too many teachers rely on medication therapy. And anti-medicating advocates talk about us parents? MOST of us parents tried EVERYTHING else under the sun for our children BEFORE going the "pill route".

Our child's first line of defense of course, are the parents. Then, the doctors and therapeutic team. Teachers though, as well as the other school staff round out the team for these kids. We ALL have to work together to help these children with ADHD be successful . Within the classroom setting, as well as out in the community and within the world.

So, remember that while ADHD medications DO help, it's far from being the "cure-all" route of having a successful child. One-on-one working with your child (or student, if that is the case), providing the appropriate tools for success, and helping them to build their SELF-esteem and SELF-control are the REAL keys for having an ADHD child that is well-rounded, adjusted, organized and an overall good student in the classroom and beyond.

Saturday, August 21, 2010

Walgreens Drugs should have been named "Failgreens".

At this point in time, I have nothing good to say about this company. At least not where my local store is concerned. While the staff IS friendly, they have a major problem with CORRECTLY filling drug prescriptions for ONE client.

No one should have to (after this evening) make THREE trips to the pharmacy to pick up my child's medications. Why? Because I got only ONE of three to be filled (along with his sister's one).

Then, I had to go get the ones left behind (that are NORMALLY bagged together), only to get 5 freaking pills from a 30-day supply refill. Because apparently (without my knowledge) they were running low.

Even this evening when I pick up, I can only have a total of 20 from the 30 I'm supposed to have.

The person(s) filling my son's medications 'accidentally' placed the ones I was missing in the WRONG pick-up bin as well. I found this out yesterday evening when I noticed the 'mistake' and called them about it.

I'm glad that what he takes are not drugs he needs to live (like Insulin or Anti-Rejection meds)..He missed a dose last night. If he was on the latter that I mentioned, that COULD POTENTIALLY kill or seriously injure someone because they were not able to have access to their medication!

The employees also need to only have ONE person filling for ONE client when there are multiple scrips for that one person. I mainly blame THAT as the reason for this whole entire debacle even taking place.

Yes, they are human. Yes, people make mistakes. But when you work in ANY area of the health care system, being it as a CNA, a Medical Doctor, or a Pharmacist, there really isn't much, or even any period, room for error. Especially when it comes to the health, well-being and overall LIVES that you are taking care of.

I've learned a VALUABLE lesson, especially after today. BEFORE you even pull out of the parking lot, pull the medications OUT of the bag(s), read them and make sure you have all the pills accounted for on the label(s) and ensure that you have ALL of your medicines you were to have filled that day in your hands.

Wednesday, June 23, 2010

Pour Your Heart Out Wednesday w/Shell





I'm angry. I'm scared. I'm confused. And I keep asking that golden question, "why?!".

Yesterday, I had to take Hayley to the doctor. Usually, she is the healthiest of the three kids. For her, it's just basic check-ups and any shots needed. End of story.

Not anymore. I took her in for two reasons. One being her left ear hurt really bad. Come to find out, she had a severe blockage of wax deeply near the ear drum.

But, that was the least of my problems. And her's.

The other night I fixed tacos the way I normally do. Within just hours, Hayley came to my room between 12:30 and 1:00 AM, scratching herself to the point of trying to almost tear her skin off, as she cried.

When I turned on the light (main light in the room), what I saw scared me almost to death. She was red and hived from head to toe. Her lips, jaws, and throat were AT LEAST double their size. And her breathing was a bit off/erratic.

In a blind haze, Scott gave her Tylenol. So I got the Benadryl pills and popped one down her. Within thirty minutes she was doing better and she fell back to sleep in my bed.

After going to the doctor, we found out that she had her first Anaphylaxis episode. Her sensitivity to Soy (which she has had all her life) usually is to a point where she is (like) a Lactose Intolerant person. She can have small, minute amounts, and it won't hurt her.

Not anymore! That was the culprit. And she has now developed a hyper-sensitivity to it. As well as already being hyper-sensitive to shrimp (steamed and uncooked), Red Dye 40 (in red Popsicles only), mushrooms, Blue Cheese Dressing (and other fungi-based foods). As well as an allergy to Amoxicilline.

From now on, Hayley must carry an Epinephrine Pen (Eppy Pen) with her at all times. No matter where she goes. Including to her dad's house. And also we will all have to read ingredient labels more carefully, maybe sub a food out here and there for her to have if she can't have a certain food at a mealtime. And I will also have to ask places we go to eat at how they cook their food, how they serve it up (using separate utensils for each item, no cross-contaminating). And I will need to get allergy friendly recipes for all of us to have (as to not single her out as much as possible).

Why am I angry? Because it seems like no matter how I get ahead and my kids do well, life has to throw another monkey wrench in to the fire. I need a break, as do Hayley and Bryce who are now BOTH considered "Special Needs Kids". I'm tired and I'm tired of seeing my children go through all this crap. And there isn't a whole lot I can do for them.

Why am I scared? Because now, her allergies have gotten to a point, that they can POTENTIALLY KILL my child. I saw that with my own eyes the other night. And it scares me. I don't want to live without my kids. I'd be lost without a single one of them. And I am scared that her (bio) dad won't get his head out his ass and get educated, or will do what is needed if the need arises...That is injecting the shot in her leg (due to his fear of needles and shots).

Why am I confused? Because I know of NO ONE else in the family from either her father's side, or mine that have allergic reactions this bad, or to this many things. So I cannot pinpoint how or why she has these allergies, or the severity of reactions she suffers. We only share a couple of allergies. Bee stings (from any stinging bug) and the medicine.

As for the "why"...I just want to know WHY. Why my kids. What did any of them do to deserve the medical hardships all of them are dealing with. Skyler has that wart/immune system problem. Bryce has his Mental Disorder issues. Now, Hayley has her allergy issues. Why them? What for? Is someone above getting their jollies off on seeing my kids suffer, and I suffer along with them.

In a nutshell, a lot of changes are coming. And it's going to take time to figure it all out. I'm going to need help on this one. I've been thrown in to the lion's den and I'm sinking in the water without a paddle.

Tuesday, June 22, 2010

Mama Bear Is Striking Back Again. Compliance Dept., Here I Come!

As mothers, many of us possess this uncanny gift. We call it Mom-dar. With this gift we can sense things from a mile away (it seems) that just feels "off". Be it about a place, a situation, or even a person.

And for me, my Mom-dar was right on target that day, but I couldn't place why. I knew the who. But for what reason?

Well, as of last night I now know the why, to go along with the who.

Many readers know that I had a lot of problems obtaining Bryce's Intuniv. I was able to get samples. But the going in every one to two weeks was getting to be a real hassle. And of course, it didn't help the doctor (once again) was on a month-long leave when I needed him for the Pre-Authorization process.

Being the doctor in charge of Bryce's care was gone, another doctor who in fact is over the other doctors in the practice is to pick up the slack and help with prescriptions (if they are established) and pre-auth's.

Not the Office Manager! And believe me, he SUCKED! Yes, it is a male head Office Manager/Nurse. Gender is not the issue. The ability to perform duties, and get the IMPORTANT matters taken care of in a TIMELY manner are the issues.

The one nurse that DID help us by taking charge when I came in crying and finding lie after lie had gotten more done in TWO DAYS than the idiot did in (almost) a month.

After all was said and done, I made formal grievance complaints against the Office Manager, and then called insurance and filed one with them as well. The lady in Compliance for the Doctor's Building was pretty upset and took care of it all right away. She even apologized to me (though I told her it wasn't her place, and nothing was her fault).

Last night, I had gotten a call. It was from the nurse that HELPED me and my son. I found out this happened to more than just us. It happened to a few families. And I was not the only one to file a complaint. A few of us did.

And our beloved nurse got FIRED last week because of it all. Because she stood up for us and our kids. Because she voiced herself over what she was seeing. And because she could EASILY get many in that building fired...

Though the office manager (if you want to call him that) claims he is going nowhere and that he has friends in "high places" to ensure his stay. And he has been REPORTED on several occasions for various screw ups and "no call, no shows" to work. He comes and goes as he pleases. No consistency in the office.

She was fired based on "aggressive communication" and for "overstepping authority". In other words, she got somewhere with insurance by playing their game back with them and got somewhere, where as the one appointed to do so, didn't do a damn thing and it made him look bad.

I've done it once, and I will GLADLY do it again. I am calling Compliance to file a grievance on my fave nurse's behalf. And writing her a Letter Of Recommendation. Plus I found out from the "birdie" that my other favorite nurse (that knew what the hell she was doing) was 'pushed out' by the Office Manager because he didn't like that she could run circles around him and do HIS job and her's 110% better than he ever could.

Sometimes, I hate men. Especially the egotistical, narcissistic, asshole types.

Off to start my busy day of calls and (maybe) taking a kid to the doctor due to an allergy problem and a (possible) ear infection.

Sunday, May 30, 2010

My Shining Star (My Son)

Well, yet another chapter has been written for my child. Another diagnosis. Another medication. And I'm okay with it. We know what it is, what it's caused by and how long he could have the problem.

Finally, after almost a month of fighting and nipping the heels of the doctor's office staff manager, the insurance company and making some complaints filed, it happened. Bryce FINALLY got his prescription for the Intuniv approved to be covered by his insurance carrier. That's one less thing to worry about.

As for his oral tics, they have gotten worse. And we noted that they picked up more after the Intuniv was started. Although, we pinpointed that it is NOT the medication causing them. But the medications (one, two, or possibly all three) are bringing them out more than they would usually show.

Bryce has now been diagnosed with Tardive Diskinesia. Basically, his tics are a neurological disorder consisting of abnormal, involuntary body movements caused by certain medicines. It is usually associated with long-term use of medicines for treating schizophrenia and other psychotic disorders. And this disorder will most likely NEVER go away. He has a strong possibility of always having tics to some degree for the rest of his life. And some bouts can and do affect his day-to-day living.

By what we have seen, as early as infancy, he has always had a very mild case of tics. But since starting certain medicines (primarily the Seroquel and the Intuniv that was just added), the tics have become more prominent and vary in degree of progression and regression. They have once again gotten not only in to his mouth region, but also in his hands and feet. Even his eyebrows are getting the tics.

We as his parents, have seen great improvement in everything thanks to the Intuniv being added. He isn't as aggressive, or volatile. He has a better time focusing and being organized. Even his teachers had stated how improved he had been (they did NOT know I placed him on the Intuniv for the first 2 or so weeks). They said he was like day and night with the (positive) changes.

Of course, those changes came with a price. But it's one that all of us (myself, my husband Scott, and Bryce himself) are willing to pay. And that is the severe increase in the tic disorder. I'm calling him my Jumping Jellybean. 

My son, no matter his outward appearance is still a NORMAL, active, (for the most part) healthy boy. He just has A LOT of twitches. And yes, it can impact his speech and verbalizing things he wants to say. It takes him a bit longer to get his sentences out. Patience is the key. For both of us.

In fact, this year, Bryce (for the first time) is taking the Standards Of Learning Tests (math, reading, science, social studies). He has a "Test-Taking Buddy", where he goes off to the teacher's room that does Title-One reading to do his testing. He finds it better to be alone so he can talk-think his answers, doesn't feel as pressured to perform well, and isn't on a time limit (being he is disabled, those are his afforded rights as a disabled student). His scores will come in the mail with his final report card of the 2009-2010 school year.

He may not "look" normal, but he isn't your "average" kid either. He may be at about a 4 to 6-year-old mental-maturity level, but he has been deemed (like his older sister) to be Academically Gifted. He can do work from normal grade (3rd) range, up to 6th-grade-level, based on the subject.

I'm proud of all three of my kids. They are all my shining stars in one way or another. But Bryce's star shines just a tad brighter. He has endured one struggle after another in stride, and with pride. And he has (in his own unique way) shown this old mama just how strong and how far she will go to see that my kids are NEVER 'left behind'. And for that, I will forever be in his debt and he will always have my gratitude.

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