Showing posts with label tacrolimus. Show all posts
Showing posts with label tacrolimus. Show all posts

Wednesday, March 02, 2011

Be still my body, this is meant to help.

Its funny to hink back sometimes. Not that long ago, I put my body through a heck of a lot of abuse. I am pretty sure that it didnt like it, but it went along and never complained too much. Yet now, I try to be nice to it, give it what it needs, but it kicks back at me. Digs its heels in and complains loudly. I shouldnt be surprised really, after all, sounds kinda like me.

I actully thought I had gotten away with it. Antibiotics mess up my stomach big time. A mix of thick sticky adhesions glueing parts of my bowels together from many previous surgeries as well as many other factors such as medications and gentics, mean that I often walk a narrow line in bowel health. Adding antiobitcs in, usually makes the line that bit narrower, so I have to add in a couple more tablets a day and cut certain things out of my diet. Did all that and finished my course of antibiotics yesterday.

Then, this evening, pain, I hate the pain. I can deal with most pain, but this makes me curl around my stomach, hold my breath and often curl up on the bathroom for a few hours till it passes. Its still there now, 3 hours later, but it is fading. Maybe its a sign to slow down.

Yesterday, was a good day yet a sad day. I went to the ice rink with my friend. I went on the ice, hoping to maybe get a couple of just plain laps in, to feel the wind in my hair, the slice of the blade against the ice. I did a couple of slow laps, but I think perhaps I did not prepare enough. When I used to go regularly, I could just jump on the ice, couple of laps to warm up and then off to play around with different moves.

This time, after each lap, I had to stop for a short while. I never noticed before, just how heavy the boots and blades at the end of my legs were. I had control of them, but, the more I moved, the more I felt a searing, burning pain in my legs. It started in my toes, up my feet and spreading up my calfs. Burning, tingling. Standing  still, just observing, helped ease the burning, but then my feet would complain. But it felt good to be moving. To move faster than a slow walk and be in full control of it using just my own body.

I miss it. Skating I mean. Dodging in and out of people, while overtaking them, there faces a blur with no time to focus, wind blowing my hair back behind me, each step controlled, crossovers coming automatically on the corners as I pick up speed. A quick movement of shoulders and suddenly traveling backwards, moving with speed and grace. Standing, then spinning. Round and round, keep the other foot out the way, dont let the pic catch and throw you off balance. Stopping and laughing as the rink continues to spin. Making routines, quick turning forwards to backwards and back again, one foot, two foot, spin, jump all in time to the music. Using the middle of the rink, where those who can skate tend to play. Music on, moving to the beat. Seeing people watching, the excitement of it, the thrill of dont let me fall, dont make me look a fool. Or o course, standing at the barrier, thinking and then someone asking you to show them how to do things. It was always such fun. Excitement.

Skating in Scotland May 2008 (me in blue)

I had not long mastered backwards at this point.



I miss it. Miss it so much. Maybe one day, I can go back, one day. We will see.

It was odd though, during the day, I didnt feel out of breathe, yet, I was having trouble getting full sentences out. I have a feeling this chest infection hasnt cleared. But that of course brings on a whole new dilema. Do I speak to the GP and get meds? send off for more cultures? But if that comes back positive, then the next surgery can not go ahead. Or wait it out, let my body have a go at fighting it. Not mention it to the docs, go to theatre on Monday. They always send me home on antibiotics anyway. Lets see how it plays.

They rang yesterday anyway. My tacrolimus levels are still out, far out. Time to increase the meds, then more bloods next week. Tell my liver to behave and my kidneys. I am trying to give them the attention they want, just behave, for now please.

Im going to curl up in bed with a film. night.

Monday, February 14, 2011

Back to normal service?

This week, has not been a very good week. I have been getting increasingly ill, with wierd symptoms that I dont normally get. For example, I have not had a full migraine since I was hmm about 15, yet this week, I have had 3 full ones in 4 days.

When I say a full one, I mean, the whole, practically blind, in agony and chucking up for 6 hours+ each time. They come on within minutes with no warning sign and last for ages. For example, I had one yesterday at dinner time. Right now, I still have a headache, just not the aura and nausea. I have also been so shaky that my arms feel slow and sluggish. That, sitting at the table today at dinner time, the effort of eating, completely put me off, which is very unusual for me.

So of course the next question, was where to go next. Was it the beginning of another random infection and should I go see my GP or let it run through, or get seen by a hospital doctor. But, I am already on antibiotics, so it cant be an infection right?

And then the thought struck, is it the antibiotics? It seemed unlikely, as I had them last month without this trouble, but I got the leaflet out and skipped to the side effects, and yes headaches were on there. And then I continued reading the leaflet, and found it say, that they are not to be taken with Tacrolimus, which of course is one of my main anti rejection drugs, that I take twice a day.

Turns out, the meds (clarithromycin) interact, and can mean that the tacrolimus (FK506) levels in the blood, can go way to high. What are the effects of too high levels? Headaches, tremors and fatigue.

Mystery solved? I hope so. It wont have effected my liver, as the levels would be high not low. So, I guess from here, its going to be a matter of waiting and seeing if the side effects disappear. If they get worse tomorrow, then it will be back to the drawing board.

damn meds grrr lol.