Over the past year, Jens has been prescribed steroids more often than in the past to help fight infections. The increased steroid use can lead to issues with bone strength. He had a procedure on Friday to help strengthen his bones before transplant. The options were to get a once yearly injection of a medicine called "Reclast," or take pills every few days. Since Jens will have a crazy pill regimen after transplant, we opted for the one injection. One of the side effects is flu-like symptoms, but to lessen the severity and chance of it, we decided to have it infused over one hour.
A few hours after the procedure, Jens started feeling a little weak. After his last treatment was over at 1 AM, his chest was aching. This made it very hard for him to breathe. He told me that he felt like he couldn't take a deep breath. I knew something was wrong because Jens isn't even able to take the same "deep breaths" that you and I know. I have heard someone compare a CF patient's breathing to a normal person breathing through a straw.
We stuck to the recommended Tylenol schedule and he drank lots of water. However, the pain worsened, and when the alarm went off at 5:30 AM for his hourly water intake, he took his pulse. It was an alarming 190+, and his O2 saturation percentage was 77. (His heart rate is usually in the 100-110 range, and the O2 saturation should stay above 90.)
We rushed to the ER, and they took him straight back. There were more medical staff members in the room than I've ever seen, causing me to have to step outside as they began treatment. They eventually lowered his HR to the 140-150 range, while he was on a high-flow oxygen mask.
We then went to the Medical ICU floor, where they started a bi-pap machine to help force positive oxygen into his lungs. He was on this machine for a few hours, eventually helping his HR back to its normal range in the low 100s.
At that point, it was close to 1 PM, and he was worn out! His body had been working at a higher rate for at least 9 hours, if not more! He felt achy, especially in his chest area, but he was able to come off of the bi-pap machine, taking oxygen in through his typical nasal canula.
He stayed in the hospital until Monday afternoon/evening. I'll spare you all the details of the "not-so excellent care" that we received on Sunday and Monday, with messed up medicine and breathing treatment schedules. ("Excellent care" is a goal that the staff at VUMC writes on your board in your room.)
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