Sigh.
Hopefully all I need is a higher dose of Cellcept. I don't even want to think about what happens if that doesn't work. I'm stuck at 12.5mg of predisone until this problem gets better, and therefore stuck being fat.
I need a loooong weekend. And a couple of extra days in the month to get all my work done.
I have an appointment with McDreamy tomorrow. Another ultrasound of my kidneys, so hopefully there's some improvement since March. And I totally need to get prints to put on my fridge.
Heavenly cupcakes. I only had a piece of the Devil Dog and the Caramel Apple, but they were sooo delicious. The apple cake was so moist it was unbelievable. Too bad the closest shop is in Westport. But I will have to swing by next time I'm down that way.
I've noticed that on days that my kidney hurts I lean to the left to offset the discomfort. Most of the time I don't even notice the pain, I notice that I'm leaning. Then I realize I'm in pain. The pain isn't too bad, it's just uncomfortable and I wish it would go away.
Today my everything hurts. I realized on the drive to work this morning that I forgot to take my plaquenil and the citrate for my kidney stones last night at dinner. I don't think this will have any major impact on anything, but I think maybe the missed plaquenil may be contributing to the extra pains. I've also been having more and more trouble getting out of bed in the morning, and today was especially hard because my whole body ached. I'm just so tired and I can't stay awake. This is a drastic change from when I was on a higher dose of pred and I couldn't stay asleep and I would wake up before my alarm even went off. Lately, with the combination of my fatigue and the fight over the shower with my mom, I don't get up until about 7:30/7:45. I did manage to get up before 7 yesterday so I could snag the shower before my mom and leave early enough to get my bloodwork done before work without being later than usual. Good thing I forgot my meds AFTER I had the bloodwork, huh?
I'm taking vacation time next month and I don't know where to go or what to do. My sister has the same week off, and last year we went to the Jersey Shore, which was a lot of fun. I was thinking this year we could head north to NH or Vermont and go camping. Like, for real tent camping. I don't think I've camped in a tent since I was 3. I keep hearing about this trip to Lake Champlain when I was 3, and we had a big green canvas tent with cots, and our dog got sprayed by a skunk. I don't remember that, I just remember the sharp black rocks on the shores of the lake, and that they didn't go well with flip flops. Anywho, my sister doesn't think all the gear we'd need for camping would fit in my car. I think it would. And camping would be much cheaper than a hotel or motel, so we'd be able to stay longer on the same amount of dough. I honestly don't know how to start a campfire, but the though of making Jiffy Pop is getting me excited. Places I remember from when I was kid and I'd like to go back to are: Lake George, Lake Champlain, White Mtns. NH. I have no idea where to stay in these areas so I better get a move on with the research. And Harriet's post about the alpine slide has me wanting to go to one of those too.
Oy vey.
I need to remember to ask McDreamy about switching to mail order for some of my meds. I want to make sure he's not going to change the dosing on them anytime soon. I love that my doctors do everything electronically, but mail order is still a pain. I have to fill out a form to mail in to Aetna to register, plus mail in a written prescription for each medication from my doctors. But in the end it saves me 3 copays per year (I will pay 2 months' copay for 3 months of meds through mail order). I'm curious to see how the new insurance handles the Cellcept. The patent ran out on it in May, so my last refill at the regular pharmacy was a generic substitute. I tried looking it up on Aetna's website for pricing and it said it was a specialty pharmacy order and a month's supply was like $450. Um, I don't think so. I hope this is just a pre-authorization issue again. I also don't know what's going on with my kidney stones. I was reading about the dosing for the Urocit-K that I'm taking. The last time I was tested my citrate was still too low, so McDreamy upped the Urocit-K to 9g per day. The manufacturer states that doses of 10g or higher have not been studied and is not recommended. So I don't know what the next step will be if the higher dosage doesn't make a change. So many things to remember. And I only get 15 minutes with the doctor! And the doctor charges $145 for each visit. I should be a doctor. Oh wait, I failed chemistry. Maybe not.
Pig roast tomorrow! I will be testing my SPF 70 sunblock.
I finally went and picked up my contacts yesterday. I haven't really been wearing them because I was supposed to throw my last pair out like 2 months ago. I wore them the other day and they didn't feel too good, so I decided it was time. My eyes don't feel 100%, but they feel a whole lot better than wearing my glasses with all this oak pollen flying around. The other day my eyes were so red they looked like they were going to bleed.
No change in the pred for now :( I kinda figured as much, because my creatinine went from 1.5 to 1.6, causing my eGFR to go down from 41 to 38. I wonder how long it takes for the CellCept to completely take over? I hope it's not much longer. I've seriously gained 7-10lbs and I'm starting to feel uncomfortable in my clothes.
Also, she thinks I may have a UTI because there was bacteria present in my pee. Just what I need! So far I don't feel like I have one, but it's entirely possible. But then again the first sign for me is usually kidney pain, and my kidney always hurts a little bit. Because I'd like to add a few more pills to my box....
Doing the math in my head and looking at the last time I refilled this med, I won't have enough to last me until my appointment next Friday. And insurance won't let me refill it early. So I'll have to call McDreamy's AGAIN to ask for a new Rx.
Seriously, I am so sick of phone calls. And my leg hurts, because I'm a clutz and I walked into a table at the library last night and I now have a huge bruise on my huge thigh.
I called my rheumy yestereday and the receptionist said the dr. would call me back. So I hesitated to even use the bathroom because, seriously, people only call me when I'm away from my desk. One day I was waiting for the dermatologist to call me back with test results, and I waited until after 5 to pee because I figured they were closed, and they totally called while I was in the bathroom. So I was really quick yesterday and didn't miss the call. I waited until a little after 5, but I know the rheumy sometimes has appointments at 5, so I made sure I had my cell in my lap as I drove to class so I'd feel it vibrate if it rang. I had to plug it in because the battery was low. So tell me why I'm driving on I-91 in Windsor and my phone suddenly beeps because I have a voicemail? It didn't even ring! My phone is so crappy. When I plug it in at home, even though it's set to only vibrate, it gives this shrill ring when I get a text. So annoying.
So I practically caused a few accidents while trying to listen to the voicemail. Bascially she returns calls between 5-6pm so if there is an alternate number to reach me, blah, blah. So I should probably call to tell her to try again, give her my work number, and stay late so I don't miss the call. I don't have to be to school until 7:30 for my exam. Or I could sit in my car somewhere and study until she calls, hoping my cell actually rings this time. The funny thing is, last night when I got home I checked my call history and it didn't show up at all. It wasn't in missed or incoming calls. Strange. But then again, Sprint blows. I only stayed with them because their service is considerably cheaper than Verizon or AT&T. I'm holding out for the Palm Pre because it's snazzy. If only they'd actually release it. Stop saying it will be released before the second half of the year. You know you're just going to release it June 30th.
Ironically, the dermatologist called this morning because I got sick of playing phone tag with them a few weeks ago about my mole biopies. They were both benign, yay. I wish they would hurry up and heal already, very dry and itchy (but looking much better).
And just this morning I was looking at all my medical claims since the beginning of the year, marveling at how out of almost $16k in doctor visits/procedures I've only had to pay $165. I guess that's probably going to change. AWESOME.
P.S. My face hurts. I decided last night that I couldn't stand my 14-year-old-boy 'stache anymore so I waxed it off. It still stings a little. I'm off to call the dr. to see if my latest bloodwork will grant me a 5mg taper off pred. Maybe it will slow down the Teen Wolf effect it's having on my face.
I stopped at Best Buy on my way to class to pick up my laptop (YAY). I forgot how damn heavy that thing is. They had to replace the mainboard so hopefully this means it won't break again. I'm just glad all my data is still there. I had backed up my pictures when it started acting funny just to be safe, because last time my hard drive crapped out and I lost everything. It's just nice knowing I don't have to re-load everything. Traffic going into Hartford was horrendous. I swear, people don't understand the zipper effect. Merge!!! I got to campus, returned a library book. Class was so pointless. We couldn't go over last week's exam because one person in our class still hasn't taken it. She rambled through some powerpoints, made us do problems in the book, and made us research accounting information systems and give presentations on them. It was so dumb. The whole time I was starving (I made it a whole 8 hours without eating) and I wanted to go home and watch TV. But I stayed. Oh well.
I had bloodwork drawn this morning. I'm supposed to call the rheumy when I get my copy of the results, which should be Friday. She said if my numbers look good I can go down to 35mg of pred. So that would be pretty awesome. I almost cut a finger off trying to cut coupons over the weekend because my hands shake so much. Sometimes I don't recognize my handwriting anymore. I also submitted a 24-hour collection sample to the kidney stone people. Hopefully things are improving with that because I really don't want to cut anything more out of my diet. If things haven't improved I think I'm going to have to see a dietitian to plan my meals for me. I haven't really had much kidney pain lately, but I don't know if that's from the diet/drugs or the inflammation decreasing. But I'm keeping my fingers crossed and hoping for the best.
I'm really looking forward to going home tonight and not worrying about projects, presentations, or papers. I'm going to do laundry, go for a jog, and watch TV. And eat popcorn. I smell popcorn.
I told my classmate who was suppposed to proofread my paper and give feedback that I would have it to him on Friday. I don't think I even had the title page done on Friday. I stayed up last night working on it, but I don't think I had really written much of anything by the time I decided my eyes hurt too much so I was going to bed. I woke up at 6:45, took my pills and went back to bed. I kept waking up and going back to bed. I think I got up around 9 and I worked on it until noon, then I had to shower and get dressed to go to the Delta Mu Delta (International Honor Society in Business Administration...wha?? I'm smrt??) induction ceremony at school. I guess in a way it was good that I went because then I went straight to the computer lab afterwards to work on my paper. I felt bad because my mom came with me, and she had to take a separate car because I wasn't going home, and I was in a bad mood because I didn't really want to be there. We left after I got my honor cords and certificate because they meshed in the academic achievement awards into the same ceremony. I finally sent an unfinished paper to my classmate at 7:30.
I'm just so tired. I don't know if it's the withdrawal from the prednisone or what. I really didn't eat much at all today, which is good. It could've just been because I wasn't here near my stash of snacks. It's unbelievable how much junk food I've bought over the past couple of weeks. Doritos, Tostitos, Chex mix, pretzels, chips, popcorn...do we see a pattern? I realized on my drive home from school that I didn't drink much water today and my kidney was hurting pretty bad. My eyes are really red and dry. That could be from wearing contacts that I should've thrown out a month ago, or pollen. I don't know. My whole body is just really tired and it hurts. I've felt so good physically since being on the prednisone I think I forgot how I used to feel every day? All I want to do is lay in bed for a day. But I don't have time. Maybe I'll stay at work for half a day tomorrow then tell them I don't feel well and go home early. I mean, go to the computer lab to finish my project. It wouldn't exactly be lying.
I'm a little disappointed about my bloodwork results. I don't know why but I was hoping they'd keep improving every time. I never thought to ask McDreamy if there were certain numbers he's hoping to get me to.
3/11/09
BUN 22 (normal 7-18)
Creatinine 1.9 (normal 0.6-1.0)
eGFR 31(normal >60)
4/15/09
BUN 22
Creatinine 1.5
eGFR 41
4/29/09
BUN 33
Creatinine 1.5
eGFR 41
I guess I just need to ask more questions! I wish I could just shoot him an email every once in a while with questions so I don't have to wait until my next appointment and then forget to ask them. There really isn't enough time in one appointment to ask all the questions I have anyway. I guess I will just wait and hope that starting CellCept will help things along. I know he wouldn't be weaning me off the prednisone if my eGFR hadn't gone up, so that's good. I think that's the most important number to watch. I just wish I knew how close to normal he thinks I can get.
It's totally not helping that I ate so much I had to unbutton my pants. My left kidney hurts, too. I think my fat stomach is pushing it out of the way.
So I don't get to see McDreamy again for 4 weeks, bummer. But that's good, right? I'm sure I'll be hearing from his assistant in the meantime as he gets new results. I'm curious to see if lowering the pred will create noticeable differences yet. I had already taken 60mg when I got the call so I'll have to drop it down starting tomorrow. I haven't noticed any yucky stomach issues yet from the CellCept. I hate how everything changes around the same time so I can never definitely associate a particular symptom/side effect with a particular drug.
