Saturday, June 15, 2013

Jonathan's Final Update


Jonathan had a doctor's appointment with his Primary Care doctor this past Thursday.  We met with Dr. McAden who did a full physical workup: blood tests, EKG, and regular exam.  We discussed with Dr. McAden about all of Jonathan's recent ER visits, Allergist follow-ups and findings, and what his symptoms still were.

Jonathan's doctor prescribed him some medication that will hopefully help and will be the ultimate solution to the problem.  Dr. McAden feels that the diagnosis he made and the medication he prescribed  will solve the problems that he found.

Jonathan and I sincerely thank you for all of your prayers and well wishes that you have sent our way.  We greatly appreciate the support from our family and friends!

Jackie's Journey


On Tuesday I went to see my Endocrinologist because my Primary Care doctor was concerned about my thyroid functions and my weight.  I booked an appointment at The Endocrine Center in Katy (about an hour south from Conroe) to see Dr. Daniel Tung.  In his bio from the website he specializes in hypothyroidism (which is what I have) and weight management....perfect!!

After waiting for a while, we finally got back to see the doctor.  He was very thorough with his questions asking about my major complaints, my eating habits, thyroid symptoms, and more.  He told me that he was going to increase my thyroid medicine as my labs showed that it needed to be increased, and he put me on a strict diet plan to help lose weight.

My diet is based on eating 4 major groups: meats, veggies, eggs, and nuts.  Dr. Tung said I could have any type of these categories, whether it is steak, pork, chicken, fried chicken (YES,he said i could eat fried chicken), barbeque, all types of veggies, eggs any way, and nuts of all varieties.  For beverages, I can only drink water, unsweet tea, and black coffee.  I have been enjoying drinking unsweet tea, which isn't that bad, and water with flavoring.

Everything else that is not encompassed in that list is pretty much a no-go.  I am not allowed to have pasta, rice, potatoes, cereal, milk, soda, sugary snacks, and anything that is high carb and high fat.  Jonathan and I have cleaned out the pantry and cabinets so that I am not tempted to sneak anything.  I have had a hard time finding something that is sweet to eat.  My sweet tooth is STARVING, but I usually just make some ice water with some flavoring, and it helps.

So far I have lost 4 pounds!!  I made a chart that I put in the bathroom to help keep track of my progress. Every day I weight myself and then mark it on the chart.  Dr. Tung said that he would like to see me at 170 lbs and he talked about making long term changes so that I don't relapse back.  My goal is to get to 170 lbs, but then go a little lower, maybe to 160 lbs or 150 lbs.

 

Friday, June 7, 2013

Skin Testing

Jonathan had a rough night last night.  He did not sleep at all, maybe a total of 2-3 hours.  He was really anxious and nervous about the testing today.  I was glad we made it to the testing day so we could finally get some answers, hopefully!!

We got to the appointment and talked to the nurse who took vitals and all the normal stuff.  They came in and did a control test to see if the Benadryl he took in the ER on Tuesday had worked itself out of his system.  The first picture is of his back before testing.  The second is the control test....he passed!!  We could continue with the full testing.


  

The nurse came in and did a total of 133 skin pricks on his back.  It breaks down to 77 food allergines and 56 environmental re-tests.  Here are some pictures of all the pricks and the slight reactions.


 
 

 Here the list of what they tested him for:

TREES:
Red Cedar   |   Virginia Oak   |   Pecan Tree   |   Arizona Ash
American Elm   |   Red Mulberry   |   Box Elder   |   American Sycamore
Alder White   |   Acacia   |   Pine Mix   |   Sweet Gum
Bayberry/Wax Myrtle   |   Queen Palm
Eastern Cottonwood ----- Reaction

GRASS:
Bahia Grass
Bermuda
Johnson Grass
Timothy ----- Reaction

WEEDS:
Marsh Elder   |   Ragweek Mix
Sheep/Red Sorrel   |   Russian Thistle
Careless Weed   |   Sagebrush
English Plaintain ----- Reaction

MOLDS:
Penicillium Mix   |   Bipolaris   |   Cladosporium   |   Aspergillus Mix
Alternaria   |   Fusarium Mix   |   Drechsiera   |   Epicoccum
Stemphylium   |   Aureobasidium   |   Trichophyton   |   Botrytis Cinerea
Paecilomyces   |   Phoma   |   Rhizopus   |   Candida
Corn Smut   |   Rhodotoruia   |   Mucor Mix   |   Trichoderma
Chaetomium

OTHERS:
Cat
Dog
Dust Mites
Cockroach
House Dust
Mouse

FOODS:
Peanut   |   Soybean   |   Whole Wheat   |   Pecan
Corn    |   Crab    |   Lobster    |   Sesame Seed 
Mustard   |   Cottonseed   |   Sunflower Seed   |   Poppy Seed
Almond   |   Cashew   |   Black Walnut   |   Hazelnut
Brazil Nut   |   Tuna   |   Salmon   |   Oyster
Scallop   |   Clam   |   Banana   |   Avocado
White Potato   |   Celery   |   White Grape   |   Rye
Oat   |   Barley   |   Rice   |   Navy Bean
Lima Bean   |   Green Pea   |   Black Pepper   |   Cinnamon
Nutmeg   |   Vanilla   |   Basil   |   Milk
Shrimp   |   Codfish   |   Egg Whites   |   Clove 
Parsley   |   Sill   |   Cumin   |   Oregano
Thyme   |   Caraway   |   Ginger   |   Garlic
Onion   |   Coffee   |   Chocolate   |   Carrot
Pear   |   Apple   |   Peach   |   Strawberry
Cherry   |   Orange   |   Tomato   |   Watermelon
Cantaloupe   |   Spinach   |   Lettuce   |   Cabbage
Cucumber   |  Pineapple   |   Coconut   |   Pork
Beef   |   Chicken   |   Baker's Yeast

Jonathan only reacted to 3 of the environmental allergines.  He reacted to none of the food allergines.  The doctor then came and talked to us instead of scheduling a follow-up.  He brought in Jonathan's allergy skin tests from last year and compared it to this year.  It was night and day difference; many of the allergines that were the highest last year were 0 today, which proves that the allergy shots are working extremely well!  He was allergic to over 40 allergines before....what an improvement!!!   :-)

Unfortunately, this doesn't really explain why Jonathan was having the reactions that put him in the ER.  He called it "Idiopathic Anaphalyxsis".  They are going to continue with the allergy shots and have given Jonathan permission to start taking his normal meds again.  They said to not take NSAIDs or Aspirin, but he is allowed to take Tylenol.  They gave him some antihistamines in the office before leaving (he said that he felt so much better 10 minutes after they gave him the antihistamine).  They also have prescribed that he take Zantac twice a day as it acts as another antihistamine and an acid controller.

Jonathan has a physical scheduled on Thursday with his Primary Care doctor for some blood work and to see if his reactions are something other than his allergies.

Thursday, June 6, 2013

Jonathan Update

Yesterday was an interesting day.  Jonathan woke up fine but progressively got worse throughout the day.  He developed a migraine headache and started vomiting around lunch time and stayed with him for a couple of hours.  He then started getting the chest tightness and he described his throat as "somebody swallowing with a finger in your mouth".  He had difficulty swallowing and talking for the rest of the day.  It never got bad enough to go to the ER but he was in a substantial amount of pain for the whole day.  He eventually got rid of his headache but still had the chest/throat symptoms.

I was in contact with Jonathan's allergist all day.  They decided to take him off of all the meds that he was currently taking (Prednisone and antibiotic) just in case he is allergic to the meds.  They put him on a dose of Prevacid just in case it is acid reflux.

I had to run church choir practice yesterday night and I gave him the decision whether or not to stay at home or come with me.  He decided he wanted to come with me but just to observe.  Driving home he still didn't feel good, so I dropped him off at home to let him rest so I could run some errands that I needed to do.  When I got home, I checked his blood pressure and pulse which was considerably high on both numbers.  I gave him an Ativan to help calm him down and about 30 mins later he was relaxed and falling asleep on the couch.


This morning I made Jonathan breakfast in bed.  I got to use my Orgreenic pan that I got for Valentines Day this year (yes....I asked for it!)  I made omelets and cinnamon rolls.  Jonathan has felt considerably better.  He complained of a small headache but as of 1:30 this afternoon he said that it was gone.  He has had no chest or throat problems today, knock on wood, and hopefully it will stay that way.

He has his skin testing tomorrow at 9:30 AM.  We will hopefully know more tomorrow at least by his skin reactions then we will go back for a follow-up with the doctor to review the results.

More will be posted tomorrow....keep the prayers coming!!

Tuesday, June 4, 2013

Jonathan in the ER

Today was another day in the ER.  Jonathan was suppose to have his skin testing done today but he got sick, probably from not being on his normal antihistamines.  He might have a sinus infection.  His ears were plugged and pressurized along with swollen and puffy sinuses under his eyes.  He also had a low-grade fever and was vomiting the whole afternoon.  He was severely dizzy all day and was in lots of pain.  The allergist wanted us to reschedule his skin testing for when he was feeling better.

I gave him some Excedrin to see if he had a migraine which is common for him.  He started feeling much better after an hour or two.  After about 2 hours after taking the Excedrin he felt his chest tighten and found it was hard to swallow.  I grabbed his EpiPen from the bedroom, but by the time I got back he couldn't swallow any liquids anymore.  I looked at his tongue and it was about the size of a clementine.  I gave him his EpiPen and we sped off to the ER.

 http://physicianser.net/images/conroe2.jpg

I don't especially like Conroe Regional Hospital so we went to Physician's ER, a free-standing ER over by our movie theater at 6 PM.  They took him right back while I filled out all the paperwork.  They gave him the allergy trifecta (steroids-pepcid-benadryl) and let him rest a little bit.  He started feeling better and his throat swelling was starting to come down.  They later gave him some Ativan because he had a high pulse and blood pressure; once they gave him that he started to fall asleep.  An hour later they discharged him with some more prescriptions.  We dropped off the scripts at Walgreens and grabbed some grub because we were both starving, and got home at 9:30 PM.

While Jonathan was talking to the doctors I called his allergist and had a very frank discussion with the head nurse on call and the allergist.  We discussed his symptoms he had today.  The nurse said that all his symptoms he had earlier are factors of having an allergic reaction, but since they are so non-specific they could be confused for an infection.  They called in an antibiotic for him to take just in case.  After that we discussed the rescheduling of his skin testing.  I was making sure to reiterate to the nurse that I did not want to have Jonathan be off his antihistamines for another 5 days and have this same thing happen all over again.  She got the doctor on the line and we discussed the possibility of doing a blood test for allergines but he does not prefer that.  We rescheduled his skin testing for this Friday at 9:30 AM.  He will have to be on Prednisone for the next couple of days, not being able to take antihistamines still.  They are going to do a control skin test first to make sure that the antihistamines the ER gave him are out of his system; once he passes that test they will either do or not do the skin testing.

This will be reaction number 3 in the past 3 weeks.  It has been completely frustrating not knowing answers or anything.  Jonathan will now have missed a week's worth of work.  He is hopefully going to be getting off Wednesday, Thursday, and Friday.  We are still praying for answers and to not get frustrated with the puzzle solving process.  The medical bills are certainly climbing after 3 ER visits, 4 Allergist visits, 1 Ambulance, plus my medical visits this past month added in.  It will be a rough month or two for the income, and it doesn't help that since its the summer I don't receive paychecks from SHSU until school starts.  Oh brother......

We are a little overwhelmed, concerned, and will continue to pray for Jonathan's health and wellness.  I'm pretty sure that Walgreens is tired of seeing my face picking up prescriptions....they know my last name now when I walk up!

Keep your prayers coming!!