Flu shot concerns. Generally, the flu shot is something I had avoided whenever I could. When I was in the Navy, this avoidance could have gotten me sent to Captain's Mast for disobeying a lawful order. But I did. Why? Because they usually made me ill & yet not enough so that I could be excused from work. They expected us to go to work after receiving the shot in all cases but those showing severe reactions. Low grade fevers, etc, weren't enough.
But in recent years, I had been asking for the flu shot. I've gotten it for the past 2 or 3 years. This year? When I went to the VA clinic last week, my doctor's nurse said I wasn't eligible by the standards they had set for this vaccine shortage. When I sat in the waiting area after getting my vitals checked, I saw the guidelines poster they had on the clinic door. It specifically mentioned CANCER, among other needs. I questioned the nurse's denial of this preventative treatment... but then only in my head.
On Tuesday, I had another appointment at the clinic. I went to see the rheumatologist for my multiple conditions that fall under her specialty. There's a different nurse for the visiting specialists who come over from the VA clinic on Oahu. I mentioned the madhouse that had ensued the previous week of Veterans signing up for services just to get the shot, resulting from a front page article in our local paper. I learned when I came in that the clinic would only be providing the vaccine to patients already registered, since they only received enough to cover those already in the system who are qualified under their restricted guidelines. That's unfortunate for those who had hoped to get the vaccine but hadn't previously registered for clinic services.
The nurse asked me about my getting the shot. I told her what the other nurse had said along with my concerns regarding their guidelines & my having auto-immune disorders. She said I definitely qualify! BUT... I had a fever.
99.6° when my normal temp is 96.8°. Damn! (No, my normal temp is not a dyslexic type-o... that's what it normally is... or at least was until menopause, so when I had a 'normal' temp, it was actually a fever! My son's the same way!) So, when I return to the clinic on Monday for another appointment, if my temp's 'normal,' I get the flu shot. Blech!
The nurse said she already got it & it made her ill this time. I wonder what viral forms it is this time if it's that bad? I hadn't felt any effects from the ones I have taken over the past few years, except achiness about a week or so after last year's. I took my son to a clinic early last week because he hadn't been feeling well & had a sore throat. The nurse practitioner said he didn't have strep (my real concern, but I could see his throat was red, but didn't have the tell-tale white bumps that come with strep) & that it was probably the flu. The VA nurse thinks that my exposure to my son's illness is why I had that fever. It never progressed to full-blown flu. I must be doing something right! Perhaps it's the shiitake mushrooms I've been adding to my cooking lately.
It may also be the herbal tablets I've been taking since last summer that's helped me in other ways, recommended by a Chinese herbalist.
My visit with the rheumatologist went along the same lines. I showed her the soft lump that had materialized on the back of my right hand between my middle finger & ring finger knuckles just a couple days after my last appointment with her a couple months ago. Also another that had shown up only a couple days before on the left hand, between my fore & middle finger knuckles. When I had shown the first to the regular doc, she really couldn't see it & dismissed it as perhaps from a ruptured vein. Not according to the rheumatologist! She verified it's my RA. I also told her that since the temperature has gotten cooler, I've been having more pain in my hands, etc.
Again, she spoke to me about prescribing one of a class of antibiotics now used to treat early stages of RA. She went over what they are & the possible 'side'-effects, & explained that they're no longer prescribed as antibiotics since they don't work against bacteria anymore. One is a derivative of quinine, once used to treat malaria (which it no longer works for), called Plaquenil (hydroxychloroquine). This is the least 'offensive' of the drugs used to treat RA. Here's what the mayoclinic.com has to say about possible 'side'-effects:
Precautions While Using This Medicine
Check with your doctor immediately if blurred vision, difficulty in reading, or any other change in vision occurs during or after long-term treatment . Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor).
If your symptoms do not improve within a few days (or a few weeks or months for arthritis), or if they become worse, check with your doctor.
Hydroxychloroquine may cause blurred vision, difficulty in reading, or other change in vision. It may also cause some people to become dizzy or lightheaded. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert or able to see well . If these reactions are especially bothersome, check with your doctor.
Check with your doctor immediately if any of the following side effects occur:
Less common
Blurred vision or any other change in vision—this side effect may also occur or get worse after you stop taking this medicine.
Rare
Convulsions (seizures); increased muscle weakness; mood or other mental changes; ringing or buzzing in ears or any loss of hearing; sore throat and fever; unusual bleeding or bruising; unusual tiredness; weakness.
More common
Diarrhea; difficulty in seeing to read; headache; itching (more common in black patients); loss of appetite; nausea or vomiting; stomach cramps or pain.
Less common
Bleaching of hair or increased hair loss; blue-black discoloration of skin, fingernails, or inside of mouth; dizziness or lightheadedness; nervousness or restlessness; skin rash.
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Here's what the PDR online says about this drug:
Side effects of treatment for lupus erythematosus and rheumatoid arthritis may include:
Abdominal cramps, abnormal eye pigmentation, acne, anemia, bleaching of hair, blind spots, blisters in mouth and eyes, blood disorders, blurred vision, convulsions, decreased vision, diarrhea, difficulty focusing the eyes, diminished reflexes, dizziness, emotional changes, excessive coloring of the skin, eye muscle paralysis, "foggy vision," halos around lights, headache, hearing loss, heart problems, hives, involuntary eyeball movement, irritability, itching, light flashes and streaks, light intolerance, liver problems or failure, loss of hair, loss or lack of appetite, muscle paralysis, muscle weakness and wasting, nausea, nervousness, nightmares, psoriasis (dry, scaly, red skin patches), reading difficulties, ringing in the ears, skin eruptions, skin inflammation and scaling, skin rash, vertigo, vomiting, weariness, weight loss
Ok... so I should take this drug to prevent further destruction of my joints. But here's the kicker... I have blurriness of vision generally (besides my myopia) on occassion & for an hour or so after I wake up every morning, I can't read text very well. I also get foggy vision occasionally & virtually always see 'halos' around lights (especially flourescent & halogen). Another issue... I have tinnitis, in BOTH ears, BAD! I also have spastic colon, thanks to the fibromyalgia, so don't need diarrhea from a drug. Involuntary eye movement? Shoot! I have issues with that already in that when I try to read, my eyes sometimes jump back & forth. Irritability? Ask my son about that! Light intolerance? Already have serious issues with that one! Big time! I can't stand flourescent lighting or quartz halogen lights. I also can't read on white paper & get blinded by sunlight reflected off chrome or glass. Lose my hair?! Shit! I like my hair & don't like how much turns up in my brush as it is! Muscle weakness? The fibromyalgia's already got that one. I already have tinnitis & occassional vertigo. I'm also easily exhausted.
I asked her how long I'd have to take drugs for the RA. Her answer? For the rest of my life!!! The way she explained it is that 'we' would try one drug for awhile. If I develop 'side'-effects or it doesn't work or loses effectiveness, she'll change me to another, & so on & so on. Hell of stuff to look forward to. She's also starting me out on a low dosage, to increase it if needed. I wonder how long it takes before she determines that the dosage is too low to be effective? From what I read about the drug, it takes weeks to months to show any effectiveness against RA. It can also lose its effectiveness within 6 months. Sheesh!
She had looked over my x-rays of my hands & feet. She said they showed signs of the osteoarthritis, but not the RA... yet. OA doesn't cause swelling in the synovial tissues like I'm now experiencing... RA does. Both cause degeneration of the joints, however, from what I learned off mayoclinic's website.
Why am I allowing the medication? Because I'd have to consume alot of the flaxseed to prevent progression of the disease... enough to give me a constant case of the runs. The herbalist said I'd need to consume about 4 tablespoons of flaxseed oil every day or about 4 times that of ground flaxseed! It would also get expensive! The best source of omega-3 fatty acids that our bodies need is cold water fatty sea fish. I can't eat that, because I'm allergic to them. The omega-3 in these fish is already converted into the type of amino acid that our bodies can utilize directly.
One doctor I recently saw thinks my alergy may be shellfish. Yet, I've experienced reactions when eating local foods that contain such things as cod liver oil or bonito oil. That's NOT shellfish! I guess the best thing to do is ask them to do an allergy test on me. Or try to eat some fish when I'm close enough to medical care so that I can be helped if I get ill & be able to document my allergy. Frankly, I avoid eating anything that comes from the ocean, concerned that I may also be allergic to shellfish.
If the plaquenil doesn't work, the next drug in line is minocyclin (tetracycline), with even more 'side'-effects. Sigh!
Anyway... Here's the first in my list of irritating commercials:
Enzyte. The commercials for this 'male enhancement' non-prescription erectile dysfunction remedy are particularly annoying. The grins are attrocious. The allusions to men's nicknames for their third leg anatomy are insidious. The clothing, hair & makeup are out of the 1950s. It took me awhile to figure out why they did that. I theorize that the ad agency is using appearance styles out of that generation to alude to the 'perfect families' as portrayed on TV during the 1950s in shows such as "Leave it to Beaver" & "Ozzie & Harriet." In other words, that the men went out to earn a living while wives stayed home to take care of the children & home ("man's home is his CASTLE"). GET A LIFE! It's only TV... entertainment... which has little to do with REAL LIFE! Not many women are (or were) content with being a 'housewife' (they're not married to the house!). It resulted in alot of alcoholic women & addicts (tranquilizers), along with various forms of depression. It's also the reason for things such as that woman who drowned all her children in the bath tub not so long ago. She was a 'stay-at-home' mom, under her husband's rule. She cracked.
Women AREN'T servants! Norman Lear showed that when he portrayed role reversals in his sit-com "All that Glitters." Men take heed! Stop being selfish. Kinda strange that these prescription & over-the-counter drugs are doing so well, isn't it? What's the matter men, can't get it up? Try fixing your stress problems first!
Incidentally, I got a call yesterday from that nurse who said I didn't qualify for the flu shot. It was to remind me of my Monday appointment. But first, she started off with APOLOGIZING for disallowing me to get the flu shot! Apparently, the other nurse reprimanded her & reminded her about my auto-immune disorders, which qualify me for the shot.
This is the first apology I've ever gotten from her! She's the one who ignored my cat bite infection that had me the next day with a red streak all the way up my arm when I had to fly to Oahu for an appointment at Tripler. I was also feverish, nauseated & weak while there. I never got an apology for her ignoring my health issue when I had pointed it out to her. My finger was badly swollen & red when I showed it to her! I give credit where it's due. She's gotten very little from me over the years I've seen her. Maybe she's finally wizening up? We AREN'T there to serve HER... it's the other way around! She acts like we Veterans are nothing more than an imposition on her. If not for us, she wouldn't be there.
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