There's fungus among us.
Oct. 11th, 2008 02:17 am![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
Possible medical emergency averted. My doctor looked at my throat and declared it to be thrush. I now have the wonderfully-named Fungilin lozenges, containing the even more wonderful active ingredient amphotericin. (Its structural formula is a joy to behold but should probably not be viewed by those with an organic chemistry phobia). After one lozenge my throat was sufficiently recovered for me to sing for an hour in Rock Band. Hooray!
While I'm pleased it's nothing sinister, I'm even more annoyed with the other doctor I saw. Thrush on the soft palate and/or tonsils is one of the main side-effects of inhaled steroids - especially powder inhalers. A quick survey of my medications should have shown it as a possibility. And thrush in the throat is really obvious to look at - a nasty whitish discharge that looks a bit like cream cheese (ewww). If I could see my own tonsils, I would have known it was thrush. Gah! So I've gone on being ill for several weeks entirely needlessly.
I am also going to have a blood test to check various things that are sensible for people taking carbamazepine: FBC (full blood count including white blood cell count and differential - useful as carbamazepine can cause a severe shortage of white blood cells), ESR (technically Erythrocyte sedimentation rate, but acts as a generic test of inflammation - useful to see whether I am experiencing an allergic reaction to the med) and Urea and Electrolytes (useful as carbamazepine can make sodium levels in the blood dangerously low). I'll wait until after the results are back before trying to increase the dose again, just in case it is making me ill. I'll also have a random glucose test, because I haven't had one for a few years and diabetes Type I and II both run in our family. Will try to get it all done on Monday as my earliest student comes to the house at 2 pm, meaning that I can come home and collapse in a heap for a while before needing to have a brain.
Oh yeah, and I had a flu jab. Probably sensible as Richard has lurgy from work and is sneezing a lot.
While I'm pleased it's nothing sinister, I'm even more annoyed with the other doctor I saw. Thrush on the soft palate and/or tonsils is one of the main side-effects of inhaled steroids - especially powder inhalers. A quick survey of my medications should have shown it as a possibility. And thrush in the throat is really obvious to look at - a nasty whitish discharge that looks a bit like cream cheese (ewww). If I could see my own tonsils, I would have known it was thrush. Gah! So I've gone on being ill for several weeks entirely needlessly.
I am also going to have a blood test to check various things that are sensible for people taking carbamazepine: FBC (full blood count including white blood cell count and differential - useful as carbamazepine can cause a severe shortage of white blood cells), ESR (technically Erythrocyte sedimentation rate, but acts as a generic test of inflammation - useful to see whether I am experiencing an allergic reaction to the med) and Urea and Electrolytes (useful as carbamazepine can make sodium levels in the blood dangerously low). I'll wait until after the results are back before trying to increase the dose again, just in case it is making me ill. I'll also have a random glucose test, because I haven't had one for a few years and diabetes Type I and II both run in our family. Will try to get it all done on Monday as my earliest student comes to the house at 2 pm, meaning that I can come home and collapse in a heap for a while before needing to have a brain.
Oh yeah, and I had a flu jab. Probably sensible as Richard has lurgy from work and is sneezing a lot.
no subject
Date: 2008-10-11 03:28 am (UTC)I have to say I terrified by the approach of virgin/tesco/HMO healthcare taking over our surgeries with their removal of individual doctor patient relationships as "inefficient" and their replacement with 10 minute cattle call access, with first come first serve doctors working of quick read medical records. I suppose doctor patient relationship sessions will be still be available as part of their paid for GP extra packs!!!
no subject
Date: 2008-10-12 04:41 pm (UTC)Having said that, I've been surprised in the past by how good the emergency GP service at Kingston Hospital has become. I think two things have happened: firstly, they now have access to my usual notes, and secondly, their doctors are trained to realise they don't have the full picture and act accordingly. There clearly is a balance to be struck... Mind you, when I go to the emergency GP it's normally because I have a ridiculously high temperature and obvious signs of infection. I wouldn't expect them to deal with things like depression.
no subject
Date: 2008-10-11 08:16 am (UTC)no subject
Date: 2008-10-11 09:38 am (UTC)And, *hugs*.
no subject
Date: 2008-10-11 03:37 pm (UTC)Glad it is something non sinister and that you have lots of test to reassure and keep track of things, this data will give you a good baseline and it will be worth you recording the results and how you felt (LJ?) so you can see if your number/data results aren't standard for normative expectations.
Thanks for the flu jab reminder, I'm going to see if I can get one.
no subject
Date: 2008-10-12 04:36 pm (UTC)