Needle Mania or How I Became a Pincushion

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It’s been one of those weeks and, being black and blue and sore, I’m glad other people aren’t scheduled to stick sharp objects in my poor veins for a while.

I’ve written before about how much of a needle-phobe I was when I was younger. When you have RA, you pretty much have to get over that. But occasionally, like this week, sometimes enough is enough.

I am pre-diabetic so I take a daily injection to help control my glucose levels. It’s a short, tiny, tiny needle and I don’t even feel it, so it’s no big deal.

On Sundays, I take two injections. In addition to my daily glucose shot, it’s also methotrexate day. I hate this one because even though I use a pretty fine (25 or 30 gauge needle), I have problems actually getting the needle inserted (more about this later).

Monday was my infusion day. There was a new infusion nurse. My doctor has changed the company that does the infusions. My old infusion nurse was great. I have tough veins but she figured out what worked and usually got the IV started on the first try and I seldom bruised afterward. The new nurse, even though I told her what had worked in the past, didn’t do as well. She hit a vein the first try but then it blew out when she irrigated it. So we tried a couple more times. Finally, her supervisor tried a smaller gauge needle and found a vein and (after 45 minutes of poking me with sharp objects) finally got my 30-minute infusion started.

I turned black and blue and every vein that is worth its salt has been poked and bruised but I had to get labs done. I waited a couple of days hoping my veins would heal up and headed to the lab. I love the lab. They’re great and they know me and immediately start reaching for the small butterfly needles when I come in. But when I went in I told them I wanted them to look first and if they wanted me to wait a few more days to heal up, I would. After a couple of them looked and thumped and consulted, they decided I had one vein that would work. The tech hit the vein between two knuckles on my right hand on the first try and the tube filled quickly. (Happy dance!) Then it just … stopped. We still needed two more tubes.

At this point we’re committed because the order has been started in the computer, the labels have been printed and the first tube has been drawn. I won’t tell you how many times I got stuck trying for those last two tubes because it was WAY over how many times their lab policy says you can stick a patient. But I just wanted to get it done and not have to come back, so I told them to keep trying. Which they did. Time and time again. Finally, we found something that would work and they took only the bare minimum amount that they needed.

So, so far this week, I’ve been stuck 17 times. Sigh. #PinCushion indeed.

On a related subject, I don’t know why I have such problems with my MTX injection. I use a standard vial and syringe, but I have major issues getting the needle to go in. I’ve tried different gauge needles and everything I can think of. Today, in a discussion in a Facebook study group I’m in, someone mentioned that they use an autoinjector for their MTX injections and it works amazingly. Apparently you fill up your regular syringe, put the whole apparatus in the autoinjector and push the button. I’ve always preferred the autoinjectors for my biologics but I wasn’t aware that you could get them for use with regular syringes. Apparently a lot of people use them to give their pets injections. At any rate, I’ve ordered one. It should be here in time for my next MTX injection, so we’ll see. I’d be interested to know if anyone else has used these and what your experience has been.

So that’s my life at the moment. Colorful (at least black and blue) and full of holes. I hope you life is full of good things that make you smile. Thanks for checking in.

 

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No. 9 – Take One Day at a Time

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In the ninth of 10 things I’d like to go back and tell my newly diagnosed self, I talk about the unpredictability of RA and the frustrations that come with having to reschedule your life. Patience has not been one of my virtues, so having to deal with these issues has been one of the big lessons of having the disease.

Read the entire post here: https://rheumatoidarthritis.net/living/no-9-take-one-day-at-a-time/

No. 8 – Find Community

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When I get asked what positive things RA has brought to my life, I usually burst out laughing because the question is so absolutely ridiculous. Except for the fact that without RA, I never would have found the amazing community of people with RA. It has been my strength, my inspiration and my passion. I think this is critical to anyone with a chronic disease like RA.

Read the full article here: https://rheumatoidarthritis.net/living/no-8-find-community/

No. 7 – Enjoy Your Life

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Sometimes it seems like RA can suck all the positive things out of your life, but it’s important that you enjoy your life as much as you can. In the seventh of 10 things I would like to tell my newly diagnosed self, I share some of this journey on rheumatoidarthritis.net here: https://rheumatoidarthritis.net/living/no-7-enjoy-your-life/comment-page-1/#comment-17987

28 More Pills + A Red, White, Blue, Green and Purple Knee

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So I had the second esophagus procedure this week, and that went pretty well. Hopefully that will solve the problem although there is a chance that I may need some additional testing, but not for a few weeks. Fingers crossed.

That’s the good news. The bad news is that the doctor discovered that what we thought was acid reflux is actually bile. So instead of taking one additional pill first thing in the morning, I have to take a huge tablet four times a day — 28 times a week. And I can’t take them with other pills or with food, so I’ve got this 4X a day thing that is completely offsync from anything else I do.

I counted the pills I take and it comes up to 30 pills per day which breaks into 20 prescription pills and 10 supplements. (Some of these are a single medication that I take multiple times per day.) That’s 210 pills per week or almost 11,000 pills every year. That’s not taking into account if I need Tylenol or other pain medication or Claritin for allergies, or anything else. In addition, I have a daily injection, a weekly injection, and an infusion every six weeks. Sheesh.

In other news, my knee has been bothering me since we came back from Havana. I wound up walking up (and down) three steep flights of stairs. Since that time, my knee has been getting more and more sensitive to pressure to the point that I actually nearly stopped walking. I was down to walking/limping the minimum 30 minutes a day then having to stop and rest/ice when I was done. Not a happy girl.

Last Friday I had an appointment with my orthopedic surgeon, since this is the replaced knee. Everything looked good on the Xrays. Where I indicated it was painful is on the bottom part of the knee where a tendon inserts into the knee joint and, assuming horses instead of zebras, my doctor did a steroid injection in my knee right there, just below the actual joint. Which is a good thing because you really can’t/shouldn’t inject into a replaced joint.

By the next day, Saturday, things had actually improved.

But then I did my personal impression of falling and not being able to get up. Directly on the knee.

We were at the movies and I had gone to the ladies room. On the way back I somehow tripped on the part of the floor that turns and starts to incline up into the theater, smacking my full (over)weight directly on the replaced knee joint. I couldn’t stand, I couldn’t breathe, it hurt so bad I couldn’t even cry. Of course it was a very loud movie and I didn’t think anyone could hear me, so I crawled/dragged myself along the floor until I got far enough into the movie theater that I got someone’s attention who went to find my husband and theater management.

Long story short, I found out that titanium is harder than flesh and bone (good thing). We went to the ER and, after Xrays and a couple of hours, they determined that the artificial joint was still firmly attached and none of the naturally occurring parts had been broken.

By the time we got home, I was able to put enough weight on it that I could get around with my walker and by the next morning I was walking without assistance, although with a limp. A week later it’s still very sore. I must say, however, that I don’t think I’ve ever had a more colorful bruise — even when I had the knee replaced originally. I was going to post a picture but it is still a bit too colorful for good taste. But it definitely has red, white, blue, green and purple hues.

The next couple of weeks are going to be busy with travel so I may be offline for a bit. In the meantime, I wish you the best health and happiness, and I thank you for checking in.

No 6 – Ask for Help

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This is the sixth of ten things I’d like to go back and tell my newly diagnosed self about living with RA.

Being the micro-managing control freak that I am, asking for help is completely contrary to my nature. Having RA puts a whole new perspective on the situation. I share some of the things I’ve learned about asking for help (including how hard it sometimes is) in my recent article for RheumatoidArthritis.net here: https://rheumatoidarthritis.net/living/no-6-ask-for-help/

Havana Pics

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Since (most of you) asked, my wonderful photographer husband has posted pictures of our recent Havana trip to his SmugMug account: jwktexas.smugmug.com. Click on “Cuba” on the left hand side. When the gallery opens, you can flip through the pictures individually by clicking on the > under the big main picture, or you can click on the individual thumbnails. Photo albums of some of our other trips are also on the site if you’re interested. Enjoy!