Changing the standard of thinking.

Raging Animal – Testosterone Update

You wouldn't like me when I'm angryNot getting into too much detail, I’ve been a raging animal for several months. Months. I’ve flipped out on a dime, popped blood vessels out of my forehead, and pissed off some clients a time or two (you know you’re raging when it comes across via e-mail). This is why I had my blood drawn for levels Friday at clinic.

The results are in.

A little background first

I began shots when I was barely over 100lbs and pre-diabetic, on the verge of going on diabetic pills. After doing that for a while, I gained weight and we changed our diet and I had been vitamin compliant for a few months. I started getting angrier and angrier. They reduced my dosage and switched me to doing it every 2 weeks to reduce the ups and downs. Eventually that concentration of testosterone cypionate wasn’t available, so when that got cut in half, we doubled the frequency to get the same amount.

Here’s my history:

Date Free Total
April 2010 74 402
August 2010 104 376 November 2010 167 516 September 2011 255 966

Legend

April 2010: post-compliant, pre-diet change, no change in dose: 300mg bi-weekly
August 2010: post-compliant, pre-diet change, gained weight, changed frequency, not amount: 150mg weekly
November 2010: post-compliant, post-diet change, maintained weight, same frequency: down to 100mg weekly
September 2011: post-compliant, post-diet change, maintained weight, changed frequency and dose: down to 50mg bi-weekly

I’m being cut back by 75% because my levels are anywhere between 2 and 4 times what they should be, depending on which number and who you believe about what levels are normal. I guess now would be a good time to apologize to anyone who’s had a “bad Jesse experience” in the last few months. Maybe you deserved it, but I probably still overreacted beyond my normal, even demeanor.

So… it would appear that the boys are working doing their job making juice. This is starting to explain a little bit why I was so small as a teen considering how underweight I was. I know CF probably had some to do with it, along with my parent’s height, but I was also darn thin and small-boned. I’ve just started to fill out like a man in the last year. We’ve been eating a lot of fresh veggies and fresh meats since Beautiful was diagnosed with several allergies, so I have relatively few processed foods compared to our first 3 years of marriage.

The more we watch shows on food-related health issues, the more we’re able to weed out the crap and get good stuff. I’m eating a ton of eggs, more salmon, taking fish oil caps, and actually taking my ADEK + zinc, all of which are supposed to increase natural levels anyway.

It’s starting to look like I won’t need any next time we do levels, which I’d be fine with, because it’s a pain in the butt.

What CFers Do: Stab Themselves With Hypodermic Needles

Owie!!Hi, I’m Jesse and I’m weird.

OK, you already knew that, but try this on for size. I have a decent-sized list of things that I have visions of happening. Bad things. Worst case scenario things. Here are a few:

  • mis-stepping on the first step going downstairs and tumbling down and cracking my head on the shoe chest at the foot of the stairs
  • bleeding to death from a papercut
  • biting my tongue off coughing
  • busting my jugular out coughing (have you seen that thing stick out?)
  • popping the tube off the end of my port or pulling it out of my clavicle vein and bleeding to death
  • stepping on something sharp that goes clear through my foot
  • ending up in the water doing jet skis or tubing and having a gator eat me or one of those worm parasites climb up my you know what… and bleeding to death
  • stabbing myself in the eye or hand with a hypodermic needle when adding saline to my Colistin vials

Well, that’s quite a strange list, but that last one happened today. Not my eye. Not my hand.

My pinkie AND my ring finger. More precisely, my ring finger through my pinkie finger. Please, allow me to explain before I lose my audience for fear that my stupidity is contagious.

I was holding the vial upside down in my left hand and clasped the cap on the syringe with my pinkie and ring fingers. Perfectly normal. What follows was not.

I pulled on the cap, using my usual micro-resistance so I don’t pull too hard and make some wild movement and stab myself in the eye (see aforementioned list). Apparently I used too much resistance this time (macro-resistance, perhaps), and I drove the needle straight through the outside of my pinkie, under the fleshy part, back out the inside of it, and into the outside of my ring finger… and back out in the blink of an eye! I was like a sewing machine.

It started bleeding from the insertion point on my pinkie immediately and profusely. I soon noticed that my ring finger was bleeding. “Son of a gun! I poked myself twice,” I thought. Not sure those were my actual words in my head, but that’s my story and I’m sticking to it. After squeezing my pinkie for a couple of minutes because it refused to stop gushing, I noticed it starting to leak out the other side when I let off pressure. “Son of a gun! I impaled myself clean through,” I thought, again not sure but sticking to it.

Beautiful thinks I should have left it in my fingers to take a photo of it, but all I have is this lousy photo of my Band-Aid brand owie-strip. At least it wouldn’t have bled until I pulled the needle out.

Oh, and in case any of you are wondering, yes, it really, really, really hurts to do that.

At least I stuck myself with my own darn needle.

While I’m on the Topic of Transplants

Let's talk about itClinic visits and figuring out details related to planning for future events always turns my mind towards transplants. I’m sorry if it depresses you, and I know I’ll be scared bowel-less in pre-op if that day ever comes (even though my doctor said “we’ve never lost anyone on the table”), but some people also need to be reminded that this as a reality of CF. Unless there is a cure before my bugs become resistant to every treatment available, it is inevitable sometime down the road.

What I have been thinking tonight, though is among the happier thoughts related to transplants. I’ve been down hard with the combination of recovering from a cold, my quarterly Boniva injection, and a triple flu shot on Friday. Until today at lunch, I’ve been blob-like, unmotivated, and going between hot and cold flashes faster than, well, moving on… I don’t think that much of my missed time from my client work will be directly related to my ability to do what I do. It takes very little physical effort to type and drag my finger around my trackpad. I do need to have a clear mind, though, and I have read that can be an issue with the meds and getting the right dosing and cocktail working.

Knowing myself, I think my biggest issue after an event like that will be motivation. I’m pretty sure I’d come back home and it would be similar to when I graduated from college: “now what?” My working so hard right now is very much motivated in planning for the future. When that future comes, what will I have on my horizon? I’ve had plenty to do this weekend, but I haven’t felt able to do anything until after lunch today.

Why? I have no idea why. I just know it’s been impossible to sit at my desk or on the couch with my laptop and do anything to the benefit of my clients or our checking account. Now that I had a good weekend of rest and got some work done today, I’m confident that I’ll be able to go out and kill it this week. We’ll just have to chalk this weekend up in the “getting rest so I don’t burn out or get sick” column.

Yes, I have a column called that for days like this weekend.

I’d be very interested to hear from those of you who’ve been through a txp or have also thought similar things as me. What kept you from working/do you imagine will keep you from working?

Transplant Fund “Angel”

ButterflyI’ve mentioned a few times on finance-related posts before that we have several savings accounts that are directly associated with my CF. We’ve come a long way since we got married with our financial planning, and every time I wonder where our money goes, I’m reminded of how much we need to have sitting out of touch for medical events – medical events that would have sunk us faster than the Titanic had they happened 4 years ago.

One is our annual deductible/out-of-pocket savings account. We know each year that my first Rx is a $500 co-pay and we have a set maximum out-of-pocket that we are due to spend, so, with Beautiful being as wise and frugal as she is beautiful and kind, decided to set aside a set amount each month throughout the year to have that money banked in January. You may remember how useful that was this year when I had surgery on the 6th day of the year. No freaking out here.

The other account is our “absolutely don’t ever touch this unless/until Jesse has his lung transplant” fund. We’ve been saving for at least a year to put money away for the event of a transplant. About the time I created this site, we had been following several CFers who’d had transplants and saw how long they were out of work. Depending on complications with meds and stomach issues, they seemed to range from 3-6 months off the job.

Enough with the background and setup – I can’t wait to tell you all our exciting news.

Scene One

So about a month ago, my top-notch WordPress connections sent me a client in a pickle with a design gone bad and an urgent need to get her site back online. Since it was a personal recommendation from one of the top referrals, I made extra effort to make a good impression with my customer service skills and we got to know each other pretty quickly. We got her site running with a basic design and ultra-security in just a couple of hours with the intention to re-design in November with the full employ of my skills. Soon came a LinkedIn and Facebook request. I obliged.

Within another day I was asked something to the effect of when we were expecting a little Petersen running around. I sent her an e-mail with a quick line that I usually don’t let clients into my inner circle this quickly, but with her medical background, I sent her the link to my fostering category. About an hour later, after watching her go from post to post to page to page on the site, she sent another e-mail that she was crying tears of joy for us.

[Read more…]

Raging Animal – Testosterone Update

Not getting into too much detail, I've been a raging animal for several months. Months. I've flipped out on a dime, popped blood vessels out of my forehead, and pissed off some clients a time or two (you know you're raging when it comes across via … [Read more]

What CFers Do: Stab Themselves With Hypodermic Needles

Hi, I'm Jesse and I'm weird. OK, you already knew that, but try this on for size. I have a decent-sized list of things that I have visions of happening. Bad things. Worst case scenario things. Here are a few: mis-stepping on the first step … [Read more]

While I’m on the Topic of Transplants

Clinic visits and figuring out details related to planning for future events always turns my mind towards transplants. I'm sorry if it depresses you, and I know I'll be scared bowel-less in pre-op if that day ever comes (even though my doctor said … [Read more]

Transplant Fund “Angel”

I've mentioned a few times on finance-related posts before that we have several savings accounts that are directly associated with my CF. We've come a long way since we got married with our financial planning, and every time I wonder where our money … [Read more]

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