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» Saturday, May 16, 2020Tilting at Medical Windmills
On Sunday morning, James was showing signs that his UTI from April (see April 21 entry) had returned, and come back worse than ever. He drank as much as he could, and was doing quite well until Sunday evening, when he started running a fever. James shot off a note to his urologist after he finished with work.
Sunday night and into Monday we became even more worried: his urine output had halved despite the fact he was drinking more water, and he gained five pounds overnight. At noon we drove to Kaiser so he could take a urine test as the urologist had ordered. He worked the rest of the day, but was feeling worse every hour. At dinner time, we decided we had to fish or cut bait. So we had dinner, waffled a bit, then about 9:30 we took our nightly showers, got into fresh clothes, put Tucker and Snowy to bed, and drove to Urgent Care. Of course I packed snacks and things to do, and a good thing I separated the snacks into "his" and "hers" bags, because they took him back and left me to cool my heels in the car from eleven p.m. through 4:30 a.m. (I did expect this, but it was still annoying.) I tried to sleep, but Butch's seats are damn uncomfortable even with a back support and extra cushion; I still had the car blanket and that kept me warm, as it got down into the 40s, but Fred the traveling pillow has long been relegated to the spare room. Instead I used a crescent-shaped travel pillow, which would have worked if I wasn't so distracted: twice I had to pee, several times cars drove up with people dropped off at Urgent Care, I kept losing things in the front seat (like my glasses and my phone), James and I were texting each other, and at three a.m. a mockingbird started singing in the parking lot. Eventually I just pulled out my tablet and started to read.
James spent a miserable five and a half hours being prodded, stabbed, scanned, and other diagnostic miseries. They took blood and urine, scanned his bladder (they said he is emptying properly, so we worried about his kidneys seemingly needlessly), and also revealed he has a hernia. I wasn't in the treatment room with him to turn out the lights between pokes and prods, so he had to lie the whole time with the Nazi-interrogation-fluorescent lights in his eyes. In a way, even in Butch's non-ergonomic seat, I had a more comfortable place to perch. I was even almost warm enough, especially when I doubled up the blanket.
So, it turns out the UTI du jour is e.coli, and he's also anemic. They gave him two bags of antibiotic intravenously. When he emerged we were both so tired it needed all four of our eyes to get us home, but thankfully, since we'd showered before we left, we could just get undressed and go straight to bed. We slept till eleven and then James tried to work, but he was still feverish and after two hours could not read the teeny-tiny type on his computer screen. Then he gave up.
Of course the doctor put him on an antibiotic, but even that caused a problem. James made it clear to both the Urgent Care doctor and the nurse who was assigned to him that he could not take Ciproflaxin because of its interaction with hydrochloroquine. And guess what we came home with a prescription for! So we had to call them back and get something else that would not affect him. They finally decided on amoxicillin clavulanate, which, of course, we had to go pick up. What fun.
His fever didn't break until Wednesday, although it went off and on up and down to 99 point whatever for a few days. But between the fever and the anemia he's been feeling rotten and his temper has ebbed and flowed. All we did on Thursday was go to Publix and that wiped him out, and he was really upset about it. You see, even after two heart attacks he's still not used to being sick for any extended period of time. James' way of "being sick" used to be him coming home early from work or fading in the middle of an afternoon with "I'm cold" (even in 90 degree weather), going to bed early, calling in sick the next day and spending the morning in bed to drag downstairs about noon to eat soup and stare dully at the television. At night he'd feel better, go to bed, and go back to work the next day, all well.
It didn't help that his arthritis has been acting up and his back has been very painful. He finally had me put on the cream the rheumatologist prescribed, and that did help, thank goodness!
He did feel a little better on Friday, when we hosted a "socially distanced" picnic in the garage. I went out there in the morning, measured the garage, and marked safe distances out in chalk with a tape measure after backing the vehicles out. Aubrey had to work, and Juanita had something come up, and Mel and Phyllis had a medical appointment, but Alice and Ken were able to come and that was nice, to be able to chat in person! Of course I made sure the downstairs bath was nice and tidy, and stuck a sign on the toilet that said "Sanitized for your protection by the Sheldon Cooper Cleaning Co., Ltd" as a joke.
We ended up going to Dragon for our weekly eat-out meal out again; since they've been closed over a month I want to give them as much business as I can. I tried the barbecue ribs and they were excellent and meaty, but they have to be saved for a treat—much too rich.