Need Advice if to go to ER tonite; wheezing/dr. wants chest xray

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Regular Member

Date Joined Jan 2010
Total Posts : 221
   Posted 2/14/2010 6:29 PM (GMT -7)   
Hey all:
I need some advice.  I just started a new job this week and doing training on off hours, starting reg hours tomorrow AM.   I'm actually taking a break right now and will work until 11pm tonight.  I went to Acute Care this afternoon as after lunch I complained to a friend that my asthma which I haven't had in years was out of control and I was exhausted.  Strangly, my lower back - left side only hurt.  She suggested pneumonia. 
I should say that I'm six weeks out of the hosp with an acute Crohn's flare, tapering off of prednisone, now on 45mg and started Imuran (50mg) 4 weeks ago.  My gut has been angry today esp with increased bm and cramps which I haven't had in the past weeks.
So, at acute care, my blood pressure (and I'm on bp meds) was really high:  156/98 and my temp was 90 degrees (I didn't even have temp in the hosp!) and 90 is a temp for me as I usually run below normal.  I feel lousy.  It is hard to breathe and I wheeze when I excert, esp after I eat (maybe pressure from the food on my daighram?).  The doc said she doesn't hear anything in my lungs but that doesn't mean anything.  I told her I don't rememeber getting any cold, flu but maybe a sniffle?  I've had to use my inhaler for the past few weeks, but every few hours the last two days.  She said that if she did a white blood cell count it would most likely be elevated. I told her that I'm the odd duck in that mine are always normal.  She said she didn't want to just put me blindly on an antibiotic (bless her!) and said she wanted to do a chest Xray.
So this is my quandry:  all this medical workup is costing me SO much money but yet I'm starting a new job. Could this just be a little virus and should I just wait and see?  Or the fact that I'm already on a high dose of prednisone and I'm having trouble breathing of concern? 
The only way to go to work on time tomorrow is to go to the ER tonight to get the Xray. I couldn't make it to training and get my Chest X-ray and see the doc and get the RX all in time to make it to work this evening ... argh!
So this is a vent and a question - what should I do?
Also, - to make matters worse, my COBRA benefits are expiriing next month and my new job has zero benefits.  Does anyone know if I have any options in Iowa????  I'm really stressing over this.  My thought is to maybe just go to the ER as I have insurance now and maybe I can nip what I have in the bud and go to work and be productive ,... as for the Crohn's itself, I feel like I'm getting that under control (of course this is all realted, but you know what I mean!)
44-single mom diagnosed with Crohn's 2004 via pill camera    6MP kicked into remission (along with modified diet) so went off in 2006.
2009/2010 acute flare and hospitalization - now on Imuran. Currently taking 55 mg prednisone.
Current problem - protruding thrombosed hemorrhoids (external as well as internal).
Fibromyaglia; migraines; herniated disks C5,6 and arthritis in neck; asthma; scolisis in back/arthritis.

Veteran Member

Date Joined May 2007
Total Posts : 1220
   Posted 2/14/2010 6:58 PM (GMT -7)   
I am really sorry all this is happening! I totally understand not wanting to go to the doc because it might mean time off from work. But if it is something like pneumonia, the sooner you get on the right meds, the sooner you will be better! Hope you feel better very soon!
Diagnosed with Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.

Rider Fan
Veteran Member

Date Joined May 2008
Total Posts : 1445
   Posted 2/14/2010 7:54 PM (GMT -7)   
I'm so sorry that you're in this situation. Yet another US insurance horror story...
I agree with you and think you should go...
33 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. Proferrin iron pills.

Tried SCD, didn't work, now avoiding gluten and dairy.

Go Saskatchewan Roughriders!

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 2/15/2010 9:08 AM (GMT -7)   
I think you need to get this nipped in the bud quickly. Just because we have Crohns, not everything is Crohns related. My friends husband just had problems like you described, hard to breathe etc and it turned out it was Pneumonia. Better to catch it quickly. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Veteran Member

Date Joined Dec 2005
Total Posts : 1768
   Posted 2/16/2010 3:05 AM (GMT -7)   
Why do you have to go to the ER again?? Why didn't the dr just order a chest xray, then have the results called to them and treat you based on that? It would only take a matter of maybe an hour, which is less time than an ER visit.

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, Coumadin

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