Showing posts with label Hepatotoxicity. Show all posts
Showing posts with label Hepatotoxicity. Show all posts

Tuesday, 11 August 2015

My Latest Snuggle Buddy



I'm madly in love, I tell you. After months of aridity - more months than I care to count - I'm finally getting it again. Coffee that is. I finally got a new coffee maker, and the coffee to go in it, and I'm thrilled to death to be able to report that I had my first cup today. Wow, yum. That's all I can say. It's the perfect little doodad for me, too. Just look at the picture and you'll see what I mean. It does a cup at a time, which is all I can drink usually anyway. It came with a mug, scoop, and permanent filter. It's absolutely sublime. I'm sure the infatuation will fade eventually, but for now I will revel in newfound love.
My New Snuggle Buddy







Additionally I've had some other wonderful things happen lately, and maybe a not-so-wonderful wake-up call, or two. For starters, I'm working on this great project. It's a video about rape prevention, protection and recovery. As usual I'm working with my friend and business partner, +Steve Kovacs, who is really pushing this project. It says wonderful things about him that he feels this is so important. It's a multi-prong approach to dealing with rape. Not just for women, either. It's for parents who want to teach their boys not to rape, and their girls not to engage in victim-blaming. It's for anyone who wants to physically prevent being raped using techniques from a real expert (that would be Steve, since he's a 9th Dan Black Belt in Minna Jiu-Jitsu, and the soke of that style), and it's for anyone who wants to recover from rape.

So, in the spirit of having to be on film for certain segments of this project, I knuckled under and decided it was time to do the wild and crazy things I've been putting off. Such as dyeing my hair a crazy colour, growing my nails, wearing make-up, etc. I actually had to go out and buy make-up, because mine is long past any expiration date. The one thing I should have bought, and didn't, was mascara. That's the one you have to watch for when it comes to bacteria getting into your eyes. I think I've got a fairly recent one, however, so I'll take a chance. After all, the colour I get never really changes.

I wanted to get a haircut, too, but chose a six-pack of beer after a hard day's shopping, rather than walk several blocks to the hair place. I was already worn out, and hey, The Beer Store was right there (yes, it's actually called The Beer Store here in Ontario, Canada). I hadn't had beer in so long. Sadly, six beers were only enough to get me mildly tipsy, despite the fact that I rarely drink. I have a very high tolerance for alcohol for some reason. Probably the Irish and Scottish in me.

I chose Manic Panic's Hot Hot Pink for my new crazy colour. I'm not stripping it first, so it will come out sort of a raspberry colour I think, which really isn't extreme, but I'll get there eventually. I'm personally angling for bright purple, blue or green at some point, but I'll surf through all the colours at some point.

I was a little confounded and depressed by the whole make-up thing. I mean, even the regular, drug-store type stuff like Revlon is getting expensive. $17 for an ounce of a substance that's actually supposed to look invisible - also known as foundation. $70 later, and sans mascara or blush, we left the cosmetics department. Ugh. Still, it'll be fun to play dress-up.

I've finally managed to set up my shot appointment again, too, for those ultrasound-guided injections into my hips. Took weeks of calling, but I finally got bumped way ahead on the list. I already had an appointment for July 3rd, but they cancelled, so by rights they had to put me in ahead of the pack. Yesterday I saw my doctor for a physical for the first time in about 4 or 5 years, and went through the whole deal. I also got my tetanus shot, and all the bloodwork, plus a liver function test and a check on my B12 levels. I'll probably have to go back in once more to get my vial of B12, along with some needles, but if I have to go in there for the shots I'll never stay with them consistently. Other than that, assuming my results are relatively normal from the tests, I won't have to go back to my family doctor for years again, and I'm fully up-to-date on everything. Yeah, baby!

I've been put on Tylenol 3s, since I was taking far too many Tylenol 1s. This will save my liver a lot of aggravation, and hopefully I'll notice fewer issues with my blood sugar. She's also sending me for an x-ray and ultrasound on that knee I hurt in March. This was the first time a doctor has looked at it. I know, I'm terrible, but not being able to get down the stairs at the old place meant not getting to the ER when it would have made a difference. And then I procrastinated even though I knew something was still wrong with it.

There were two things from Friday and yesterday that I wasn't exactly thrilled with, but I maintain my positive attitude anyway. The first is that it looks like our 15-year-old cat has cancer, but she's still healthy and probably has a lot of life left. She goes back in a couple of weeks for a check-up and possible testing. I don't think surgery will be viable, since they would have to remove her mammary area pretty much completely, along with spaying her to get rid of the hormones. The vet said the tumours tend to come back pretty aggressively if they miss anything, though, and it's very hard to get it all. Plus she's not exactly a kitten anymore, so I'm not sure if we'll put her through surgery. We'll decide when the time comes. As I said, she's still acting completely normal, and the vet said she seems healthy and active, so we're not borrowing trouble.

The other item that wasn't great was my weight. I'm heavier than I've ever been in my life, and I can't fool myself into thinking it's muscle these days, so I need to get a lot more serious about that exercise plan I mentioned in my last post. If I average out what I've done since my birthday, I'd say I've been getting some pretty loose exercise a couple of times a week. It's not enough. I can still do sit-ups, touch my toes, and boogie to the music - I just don't look as good doing it. So, it's time to do more than a little yoga and a few sit-ups. I have to build up some muscle to start burning up my stored energy (also known as fat).

Still, things feel really good for me today. Knowing most of my issues are being taken care of, and that I've gone ahead with the plans I made for my life this year, makes me feel positive about pretty much everything. And now to celebrate, I think I'm going to snuggle up with that adorable little coffee maker again, and possibly wheedle another cup for myself. The first one went down just a little too smoothly.

Sunday, 15 September 2013

Hypoglycemia and Hepatotoxicity, or Excuses Excuses

I'm afraid that, despite how long it's been since my last post, this will probably be a short one. I've been going through some health issues that have prevented me from writing. To start I have been in a lot of pain, so I've been spending a lot of time lying down which is much less painful on my hip joints than sitting up. Anyone who has been following my blog knows that I am awaiting surgery for labral hip tear injuries, as well as joints that have become misshapen and need to be re-shaped surgically.

In addition to this I started experiencing near-constant low blood sugar issues, which can be very debilitating. Now, for those who don't know, hypoglycemia (literally translated as low blood sugar) is not a disease in and of itself. It's always caused by something, and there are numerous things that can cause it. Many diabetics experience it because insulin levels are very difficult to control, and too much insulin causes low blood sugar. I'm not diabetic, however, so the reasons I'm experiencing low blood sugar have been unknown. Through my own research, and after discussing it with a nurse at my doctor's office, the current determination is that my liver function is impaired because I'm ingesting too much Tylenol (acetaminophen). The dosage of gabapentin (a neuropathic pain reliever, rather than a narcotic) prescribed by my doctor at my last visit was too low, so I had to continue with my Tylenol Ones.

I have not been experiencing symptoms of hepatotoxicity per se, but generally a fair bit of damage is done before the symptoms become clear. Generally the liver swells up and there will be tenderness to the touch that can be completely missed. I know because I've been through it before. I was sent to the hospital a few years ago, very suddenly I might add, having had no symptoms of liver impairment. My family doctor discovered the swelling of my liver upon examination when we discussed my Tylenol intake. Of course, considering my general level of pain even on a good day, I'd never notice a tender liver even if I got slapped in the face with it. Thankfully no one chose my liver to do that with, however. A couple of pokes from my doctor was enough to tell me there was an issue.

The joyful note to this is that the liver is the one organ that can regenerate itself quite nicely. Once you've stopped poisoning it, it's content to get on with rebuilding itself. In fact, partial liver transplants have become the thing nowadays. They can put a piece of a liver into someone and it will grow into a full liver. The donor who loses a piece of theirs, will actually grow it back. Wonderful organ. It has to do with stem cells, and the identical mechanism that is used by salamanders when they grow back a tail or limb. Science is currently looking into ways for us to regenerate our other organs, which will be a step in the right direction rather than having to do transplants. Unless you have a faulty liver to begin with, there's quite a bit of damage you can do to your own before you hit a point of no return. Since no one has any idea where that point is, however, it's not advisable to push it. Believe me, the feelings of having your liver not working properly, and the symptoms of low blood sugar, are nothing that anyone wants to experience on a daily basis.

So, what are those feelings and symptoms? Well, with low blood sugar there's blurred vision, full-body tremors, sweating, headaches, etc. Those are the mild and moderate symptoms. Severe ones include seizures, coma and death. Not a state I recommend to anyone. Impaired liver function, before you get to the jaundice and swelling and bloated abdomen, are things like nausea and exhaustion. You can imagine that I don't spend my days in a state of comfort right now.

All's well that ends well, however, as I've got my follow-up appointment on Tuesday at 10 AM. I'll get the increased dose of gabapentin and have acetaminophen out of my life for good. I still have to take some of it until then, but I've cut it back drastically. Taking it makes me feel pretty sick now, so it's a toss-up with juggling the pain issues. I can't take NSAIDs at all, so aspirin and its ilk are out of the question for me. The even better news is that I will likely have my first surgery scheduled pretty soon, and that means I'm on the road to no longer needing pain relief at all, which is exactly where I dream of being. My life awaits!!