Thursday, September 03, 2009

The Never Ending Virus - In Which I've Now Become a Drug Addict

SO, it's been 6 MONTHS since I got that little cold back in March. 5 MONTHS since they diagnosed me with sub acute thyroiditis.
It's never good when your doctor calls you a "medical mystery." It seems that after two weeks of steroids, my thyroid continued to stubbornly be inflamed. That was over a month ago. As a bonus, I suffered from withdrawal symptoms at the end of those two weeks - fever, extreme cold, and nausea for days. Those few days of suffering made that day of taking Vicodin a fun little jaunt in the park.
It was back to the primary care physician who took a look at my even more swollen thyroid, lymph glands and bright red itchy neck and prescribed giant horse pill sized ibuprofen, Zantac to prevent my stomach from bleeding as a result of all that ibuprofen (yikes!) and then a Claritin for the HIVES that were apparently afflicting my neck as a result of all that irritation and inflammation. Does it ever end?
Everything seems to only stifle the pain and some of the inflammation, but nothing is FIXING it. My regular doctor shot down my request to continue with the herbal drinks from the acupuncturist/herbal doctor. However, two weeks of six pills a day did not do the job. Back to the endocrinologist who suggested a higher, longer dose of Prednisone. And a huge promise to taper the dosage down a lot slower so I wouldn't feel like dying when I got off the drugs.
Here I am three weeks later, still on a dose so high that my brain is speedy like a run-on sentence, singing songs, planning my schedule days ahead, worrying about every little minutiae... mainly during the wee hours of 12am-3am when I'd really like to sleep. When I tried to taper down after the first week per the doctor's plan, I could feel it. And then the chest pains started whenever I didn't make sure to have a steady stream of the medicine in my system. An hour late with the pills? Feels like someone punched me in the chest. So now I call every Monday to let him know how I'm doing (nothing changes, glands still swollen!) and he just keeps me on this dose.
I asked him a few weeks ago "What if this just doesn't get better?" Both he and my primary physician never even saw it as an option. "It'll eventually get better. It's just taking a lot longer than normal."
Last week, I decided to be more persistent. "I'm getting very frustrated. It doesn't seem like I'm getting any better no matter what medicine or dosage I'm taking. What happens if it doesn't get better and how long do we do this?"
Again the endocrinologist was not fazed. "We can stay on the Prednisone longer. We can do this for a few more months. The last resort is to remove your thyroid. But since it's surgery, that will be a last resort." This means having to take synthetic hormones for the rest of my life. I'm not really happy with the options.
Here's the kicker. For some reason, they only have Prednisone at a certain dose and only allot a certain amount of pills for each prescription. I'm not sure if it's the pharmacy's policy or my insurance policy. I have to take four pills a day and I need a refill every 2 weeks. Insurance only allows monthly refills. Imagine my displeasure when I went to the pharmacy Monday night to get a refill only to be told I didn't qualify for one until five days later.
All I could think of was how bad the withdrawal had been when I tried to stop taking the steroids at the lowest dose. To suddenly be cut off at the highest dose? Someone might have to die. And it might be me.
Hearing myself tell the pharmacist that I needed these pills tonight and that there would be WITHDRAWAL, felt like a new low in my life. Luckily, the lady took pity on me and called the insurance company to sort it out. And luckily, there was someone with power who still took calls for Blue Shield at 11:30pm on a Monday night to allow me to pick up these pills. When I got home and told the bf what happened, he looked at me sadly and said "Probably didn't help that you had dark circles under your eyes."
After much pressure from the parents and the bf, I'm currently seeking a second opinion. We'll see what happens...

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