We are coming to a decision regarding next step in treatment. We think that it's going to be remicade. It will be one year in a few days since all of hubby's stuff started; it's going to be a rough couple of days...
We need to get some chest stuff resolved first though. Almost immediately after starting pred January (40mg/day for 2 weeks to start), he got a pretty bad cold: sinus, coughing, chest tightness, etc. PCP treated him for that (GI said to go through PCP). Cold got better all except for this annoying dry cough, and tightness in chest (feels like someone sitting on chest he says), and occasional heart racing.
Then, PCP gave him 2 different types of inhalers: first was albuterol (10 days I think), second was advair, one week. Still had problems (also meanwhile tapering from the pred). Then came: chest x-ray, pulmonary function test, and and EKG--all normal. Still having the tightness happening. Thursday he goes for stress test.
GI says he doesn't think it the prednisone. What do you all think?
He's also on:
oxycodone (percocet); been on that for almost a year!
ambien CR; been on that for a while too
pentasa 500mg, 9 pills a day; been on that since November
prednisone 20mg/day, and now tapering by .5 per week
xifaxan 200mg, 2 tabs 3x day; been on that for a few weeks (fistula)
aciphex 200mg, 1 per day; started this last week
We get all scripts at the same pharmacy and they have always been on the ball about interactions and whatnot. He doesn't want to start remicade untill this gets resolved; talked to GI again today, still doesn't think it's related to the pred. If the stress test comes out normal, I think we will just go ahead and start the remicade; last thing he need to do is have a TB prick test.
Sorry for the book, but what say you?
Learning can only happen when a child is interested. If he's not interested, it's like throwing marshmallows at his head and calling it eating. Make him interested!