Tuesday, January 8, 2008

Tests and Rest

I was a busy patient yesterday as doctors tried to diagnose the root cause of my pneumonia. In addition to my regular visit with Dr. Forman, I met with a pulmonologist and two infectious disease specialists. I had another chest X-ray, a CT scan and a diagnostic bronchoscopy.

When I wasn't testing or talking, I was sleeping. I cat-napped between procedures and then went down for a 2.5 hour snooze until George visited at 8:30 pm. I woke up feeling fatigued and fiery hot, and soon found out that I had a 103 degree fever.

Apparently, I'm still not on that "magical" antibiotic bullet and doctors admit we're still in a "let's try everything and hope that one will be the right one" approach.

Dr. Forman also introduced the possibility that bleomycin, one of the chemo drugs I took before the stem cell transplant, has downsized my lung capacity. The side effects usually rear their ugly head about two months after administration.

I first read about the possibility of lung damage last year on the blog of Jenna, another one of Dr. Forman's auto stem cell transplant patients. The treatment is Prendisone, a powerful steroid that restores lung capacity while temporarily puffing up the face and belly and giving me the ability to hit one out of the ball park. Naturally, when Dr. Forman brought up Prendisone, I winced, but puffiness beats breathlessness.

The bleomycin effect could also explain the other symptoms, such as high temps, low blood pressure and dipping blood counts.

I'm hoping that we'll have most of the answers by tomorrow.

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