Rust and More Rust

 

Plus:

• History of hypertension - w/ diastolic dysfunction 
• Gout with urate nephropathy - improved on Uloric 
• RLS 
• OSA on CPAP 
• arthritis multiple sites
• Depression     
• History of diabetes mellitus - 20+ yrs 
• osteopenia ~s/p bilateral TKR for OA ~s/p shoulder repair (left) 
• hypoventilation syndrome, ~mild restrictive lung disease (based on low FVC), reduced DLCO 
• PTCA Sept. 2015- dual antiplatelet regimen for 1 yr, complicated by aspiration pneumonia 
• HFpEF ~bilateral pulmonary embolisms - 10/2017 
• severe c spine DISH - s/p fusion C3-6, now severe disc space narrowing C2-3, C6-7 1/18 c spine MRI- 
• mental status change related to narcotics per Dr. P
• SIRS due to cellulitis 11/2018  ~persistent erysipelas 2019 - BMC ID- on Keflex 500 mg bid on-going

These are how my doctor sees me. I am showing you what I deal with daily, and my medication list is even longer.

• These diagnoses are my rust ... rust that has been accumulating for years. Although I am a retired nurse, the interactions of my rust and my medications are complex. Therefore, I have a nurse case manager to assist me, including advocating for me, as needed; and in-home caregivers four hours each day. 
• 
• Sorry, Maxine is having a crotchety moment ... as usual. 
• Until next time, when I continue on the subject of rust. Take care.
•                  Connie
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