I managed a 90 minutes nap between early morning labwork and morning rounds. I had the lamest dream that I was tiling a bathroom. I’m sure it has something to do with staring at the floor most of the night whilst on the toilet (have I mentioned how much my bowels hate saline? am I alone on this one?).
After speaking with the intern and resident this morning, I didn’t know much of anything new. It’s possible since starting cimzia that my platelet production has gone done, and it’s only mildly low, so unlikely to be the actual cause. BUT, clotting times were significantly longer than normal. Vitamin A, C, E, and I think K are being tested, but the other stuff is send out so I won’t know the results for another week. My hematologist told them to throw another 2 units of blood at me, so that happened.
It doesn’t take a genius to figure out I have a bleeding problem. I’ve blown three IV’s, and they’re running out of places to stick me, so the new one in the side of my arm had better stay put.
My CNP from the endo clinic said my estrogen/progesterone actually look really good. Prolactin was high? Gotta look that one up. Cortisol was low along with adrenocorticotropin hormone (I’m full of 20 dollar terms), and thyroid stimulating hormone was really low, but the circulating thyroid hormones were either normal or low, meaning it’s most likely euthyroid sick syndrome. They’ve used this term before. I guess it means some of my endocrine glands are shutting down because I’m sick, but I’m not sick as a result of them shutting down. Does that make sense? It does to me, but I’m not very good at explaining these things.
Dr. P, the beantard, sent one of her minions to talk to me about my acute kidney injury. She wants to keep me on fluids and electrolytes for the next 24 hours, then see where we’re at then. I actually don’t feel too bad, which makes it even more difficult to keep myself from sneaking out and running away. Even if the cimzia is screwing with my qi in some not so great ways, it really does feel like my GI stuff has settled quite a bit. Tears of joy, my friends. Or tears of exhaustion because I can’t stop yawning. And now you’re yawning because I said the ‘y’ word twice. 😉
I managed to keep my linner keto-ish. I didn’t order (or eat) the brown puck of mystery meat under the cheese and mayo. I guess I look hungry? The salmon is impressively palatable for being hospital food, although I’m sure the tzatziki helped. It’s taking all of my strength to not order the chocolate chunk brownie. It’s ridiculous how difficult it is to eat healthy in a hospital. That seems fucked up, eh?