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  • Roger Bliss

    Member
    May 26, 2021 at 9:41 pm

    I haven’t updated in a while. That’s because nothing has happened up to today. Went in and got my right lung drained. 3 doctors looked at my scans and thought there wasn’t enough fluid where I “needed” it, but wanted it drained to see what was in there. Surprise surprise, they took out 1.6 liters. The doctor was VERY surprised to find that much in there. Last time it looked like beer with a head on it. This time it looked like a red wine with a head on it. I would post pictures, but don’t want to gross anyone out. I will update when it is analyzed and they figure out what was in there.

    As far as the Tyvaso goes….that is still in limbo. About 2 weeks ago the pharmacy called and said it was in the works and they would let me know in 72 hours. A week later I called them and they said it was still in the works. This Friday, which will be 2 weeks after they told me 72 hours…….I will call them again.

    I have a “phone appointment” with my doctor this Sat. Don’t know if he will have the results from my lung fluid by then??? Hopefully he can rattle the pharmacies cage and see whats going on.

    • jen-cueva

      Member
      May 27, 2021 at 12:04 pm

      Hey there @wheeldog,
      I am grateful that they did go ahead and drain the lungs. Just so you know, I will not be able to drink a beer or red wine now, LOL.

      Are you feeling any relief after that much fluid drained? I would think a bit less SOB?

      As far as the Tyvaso, I am sorry that You are still trying to get that going. Is this with Accredo? I know it can be frustrating to wait and wait some more. As @colleensteele suggests, I would ask for a supervisor in the department to see why they are taking so darn long.

      I hope that your doctor can rattle the cages at the pharmacy. I have been dealing with mine for reorders since last week. Good luck, and please let us know what the doc says.

      • Roger Bliss

        Member
        May 27, 2021 at 11:15 pm

        I am not as short of breath as before. My lung is not used to having so much room. The doctor explained as the lung expands into the new space it will cause me to cough. If I take a deep breath I start coughing. While they were draining my lung it was hard not to cough as it expanded.

        Yeah……I am with Accredo. I am not sure whose fault it is??? My doctor has a new staff who may not of sent all the information????

  • Colleen

    Member
    May 26, 2021 at 11:58 pm

    @wheeldog thank you for the update. It sounds like it was a good thing they proceeded with the drain! I don’t have experience with this so I’m not sure which is worse, the fluid resemblance of beer or red wine. I’m sure neither is good to see but red…perhaps an infection of some sort?

    Whatever it is I hope it is easily treatable and most of all, that you start feeling some relief. I’m sorry you are going through this. I would think it’s possible your doctor will have answers by Saturday, fingers crossed!

    As far as the Tyvaso goes, next time you call I would ask to speak to a case manager or someone over the heads of those you have already spoken too. Perhaps mention this to your doctor during the call Saturday. Maybe he can do something to expedite the order.

    So, how are you feeling since the fluid was drained?

    • Roger Bliss

      Member
      May 27, 2021 at 11:31 pm

      The beer colored fluid wasn’t a big deal…..just part of my CLL/SLL. I’ll admit the red stuff has me concerned.

      Guess I need to deal with a “higher up”. My cancer meds come from Optum in Phoenix and they have been Great to work with.

      It helps things are busy at work. It keeps my mind off of my health. As one of my good buddies always says ” If you keep moving, they can’t put you in a box”.

      • Colleen

        Member
        May 28, 2021 at 3:21 pm

        @wheeldog what kind of work do you do? I can’t remember if you already shared that with us.

        “If you keep moving, they can’t put you in a box” is a new favorite saying of mine. That is a good one!

      • Roger Bliss

        Member
        May 29, 2021 at 12:46 pm

        I have a small gravel hauling business. Used to have 3 trucks, but am down to just 1 now. I got tired of dealing with employees. If you get bored you can check out my web page. I just have the truck with the blue cab left.
        https://www.wheeldogtrucking.com/

      • jen-cueva

        Member
        May 30, 2021 at 2:57 pm

        Hey @wheeldog, I love the name of your company. My hubby is a diesel mechanic and works for a major trucking company for almost 20 years. Thanks for sharing the information about your company. That takes a lot of one person to run a successful business, so congrats to you.

        I love that saying, “If you keep moving, they can’t put you in a box”, such a great reminder and true.

        I hate that you had to make another trip to the ER. How are you feeling today?

        LOL about the wine, you are such a crack-up, we enjoy the laughter. Thanks for sharing that with us all.

      • Roger Bliss

        Member
        May 30, 2021 at 10:03 pm

        Tell your husband that it’s us drivers screwing trucks up that keeps him in business.;-)

        I am feeling fine……just a little tired as usual. Coughing up blood just kinda spooked me. It was on my discharge papers to call my doctor if I was coughing up blood……so I did. He sent me to ER and ordered some tests.

        I don’t take life too seriously. No matter how you live your life your gonna end up on the other side of the grass sooner than later. I would rather enjoy myself than worry about everything.

      • jen-cueva

        Member
        June 1, 2021 at 10:46 am

        LOL @wheeldog, my hubby tells me all about the drivers, hehe. They have company drivers and also owner-operators, so that it can be a challenge some days. The crazy part is all of the new technology on the trucks,. He does diagnostics on a computer majority of the time.

        Have you had any further spells of coughing up blood?

        Once again, you are offering us quotes to hold on to and remember, “No matter how you live your life, your gonna end up on the other side of the grass sooner than later”- this is another true statement, and we all could learn from you. It’s always more fun to laugh rather than cry—cheers to a new week ahead.

      • Roger Bliss

        Member
        June 1, 2021 at 10:14 pm

        I’m doing ok. Coughing up just a little blood. Have an appointment Friday will report on how it turns out. Worked all day today…..kinda fried. Hope you are doing well.

      • jen-cueva

        Member
        June 2, 2021 at 11:23 am

        Hey @wheeldog, I hope that you rested well last night after a busy day working. I can relate to wanting to stay busy and not dwell on your health issues. It sounds like your business is keeping steady, which is great news. Please try and take rest periods when you can. I have a feeling I will learn another quote in your response to this. Hehe.

        But the coughing up blood is concerning. If it worsens before Friday, will you go back to the ER? Please do keep us posted and let us know how we can best support you.

        @colleensteele, I did not know that your dad drove a truck. Manny has mentioned that at times he may want to be a driver versus working on the trucks. But, of course, he wouldn’t leave me home alone for more than a few days, so he keeps on working on them. I told him maybe we could do short drives, and I could join in and travel for free, LOL

      • Roger Bliss

        Member
        June 2, 2021 at 10:42 pm

        Thanks for the concern. Blood is almost gone a nurse from the ER actually called me today to do a follow-up. She said it sounded like I was ok . I worked all day and will be busy through Sat. Not as fried tonight. Even when I am healthy it takes a toll going from “couch potato” to working 10-11 hours a day. I will get used to it in a week or so. Don’t have a saying for that one.LOL

      • jen-cueva

        Member
        June 3, 2021 at 1:18 pm

        Hey @wheeldog, I am happy to hear that the blood is almost gone. Also, happy that the ER nurse called to check on you. I am surprised that you answered with your busy workday.

        Like you mention, healthy me struggled when I worked more than my usual 8-10 hour days.

        Please do take breaks. Owning your own business, often the downside is you are responsible for all needs. For you, this is loading, driving, and unloading gravel to clients.

        Your appointment is tomorrow, right? Will you have help at work then, or will you work before and after your appointment?

      • Roger Bliss

        Member
        June 3, 2021 at 9:44 pm

        Your giving me way too much credit for working hard. 98% of the time I drive into a pit, tell the loader operator over the CB what I want. He loads me. Then I deliver the product to the customer, pull a lever and the truck dumps itself. When the customer has enough product I write up an invoice and they pay me……no hard work involved. Basically, I just drive around all day in a big pickup on steroids.

        Nobody needs to replace me. I just told the contractor I had to leave work early for my appointment.

        All my calls go to my cell phone in the truck. I have a high end Blue Parrot headset (your husband can tell you about them as most truckers use them) so it isn’t a big deal to take a phone call. I have people text me their information so I know where to deliver. My world is pretty simple.

      • jen-cueva

        Member
        June 4, 2021 at 1:51 pm

        Hey @wheeldog, I had to laugh as you are still working hard. I love that you say you are like driving around all day in a “pickup on steroids”. I have seen what steroids can do for me, so this could be scary. HEHE.

        I hope that you have some answers at your appointment today. Once you are rested up after a busy day, please update us. I know you mentioned that Saturday is busy, too.

        Your positive attitude and your simple life approach are contagious. Take care, my PHriend.

      • Roger Bliss

        Member
        June 4, 2021 at 7:54 pm

        Hmmmmmmm…..don’t know how to reply to 2 people at once????

        Anyway……my appointment got canceled at the last minute due to the Doctor having an emergency. While it is VERY frustrating having to wait, I understand someones life in danger is more important than my appointment. The gal who notified me about my cancellation is not able to make another appointment. I’ll have to make another Monday.

      • jen-cueva

        Member
        June 7, 2021 at 11:47 am

        LOL @wheeldog, if you want to tag us both, do and @ then type our names, one at a time. For example, @jenc and @colleensteele.

        I know it can be frustrating to have a doctor cancel on you, especially at the last minute. How was your weekend? I hope that when you called this morning, you could get in ASAP.

        In the meantime, let us know how we can support you. I am betting you have yet another busy week with gravel.

        I love the suggestion from @colleensteele to save all of your sayings, LOL.

      • Roger Bliss

        Member
        June 8, 2021 at 12:34 am

        Well nobody is ever gonna accuse me of being a “computer geek”. If you compare my computer literacy to reading I am still at a reading level of “See Spot run”. LOL

        I have a phone appointment Friday at 6:00PM. The blood is gone when I cough now. I am actually feeling much better. I can work a 10 hour day without getting “real fried”. I seem to get stronger every day. All I want to do is get my Tyvaso and find out what the stuff in my lung was and get on with my life. I am fairly sure the fluid in my lung has to do with my cancer, so you folks with PH don’t have to worry.

        Seems like the longer I stay away from doctors and their tests/drugs, the better I feel.LOL

        It’s pretty easy to have a positive attitude up here in the summer. Warm temps and lots of sunlight. It was pushing 70 today and sunrise was at 4:20 AM sunset 11:34 PM. I can’t imagine being any place else in the summer. My wife retired in December and have never seen her happier than this summer as she does “stuff” around the house and yard. I am so happy for her. Winter is another story. We get days with less than 6 hours of daylight. It has the opposite effect and bummbs you out. “Cabin Fever” is described as having a 12 ft stare in a 10 foot room. It gets weird up here in the winter. It was ok when we were younger and had lots of outdoor activities in the winter. Now we head to our place in AZ.

        Where are you guys posting about your PH problems? I need to start supporting you. 🙂

      • Colleen

        Member
        June 8, 2021 at 12:52 pm

        @wheeldog that is a good sign that you have stopped coughing up blood. It would be nice though to find out what was causing it. PH can cause this in some people but your situation is different and it sounds like the cancer might have been the culprit. Again, so sorry you experienced this.

        Honestly, you really do support everyone here by sharing your story and asking questions. We have many members who prefer following the forums but aren’t comfortable posting. You never know who among them needs the same support you do at the moment.

        Just stick with us. You will see people posting their hard days too. Thank you for being part of the PHamily!

      • Roger Bliss

        Member
        June 8, 2021 at 10:57 pm

        Thanks for the concern. I’ll post after I talk to the doctor Friday.

      • jen-cueva

        Member
        June 9, 2021 at 12:25 pm

        Hey @wheeldog, yes, please do update us after your appt this Friday. I am happy that they got you rescheduled so soon. Take care.

  • Carol Volckmann

    Member
    May 28, 2021 at 2:32 pm

    Hi Roger, hope you are feeling much better. You did know that beer goes in your tummy not your lungs! So, no more beer in your lungs! I use UptumRx also for all my other meds. They are very helpful, I always call to speak to live person! Have a great weekend and keep on moving forward!! ????

  • Roger Bliss

    Member
    May 29, 2021 at 11:48 am

    I am feeling better today. Started coughing up blood yesterday and ended up in the ER. After CT scan and blood tests it turns out it isn’t enough to worry about. Got to admit I was nervous for a while.

    I figure over the years enough beer went down the wrong way and accumulated. 😉 Don’t know how the wine got in there….I rarely drink it.

  • Colleen

    Member
    June 1, 2021 at 3:06 pm

    @wheeldog thanks for sharing your company with us. My dad was a tractor trailer driver for a company in NJ. He wasn’t long haul, just the tri-state area. He loved his job. Enjoyed being on the road and seeing new places. I know it isn’t quite the same as your job. Just wanted to share my trucking connection too.

    Coughing up blood would have seriously startled me too. Thank God the test results were not concerning.

    • Roger Bliss

      Member
      June 1, 2021 at 10:27 pm

      I just deliver topsoil/gravel products in the local area. Most deliveries are less than an hour round trip. We just do a lot in a day.

      I’ll admit I was scared with the blood. I will give an update after my Friday appointment. Thanks for your concern. I hope you are doing well.

  • Colleen

    Member
    June 4, 2021 at 2:03 pm

    @wheeldog I hope your appointment goes well today. We are thinking of you.

    A few posts ago you wrote, “Don’t have a saying for that one.” It made me laugh because I have been thinking we should save all your sayings to refer to as needed. You are a delight!

  • Roger Bliss

    Member
    June 12, 2021 at 9:12 pm

    @jenc

     

    @colleensteele

    Guess I did that right????

    I never got a phone call, so no update. I’ll call the office Monday and see what they can do.

    Got a call from the pharmacy and my Tyvaso was approved and it will be delivered to me on Tuesday. I am not supposed to use it till a nurse shows me how. What could possibly go wrong with that!!!! LOL

    • jen-cueva

      Member
      June 14, 2021 at 11:06 am

      WTG, Roger. But once you figured that out, our new design no longer allows us to tag one another. I think it makes it more personal when replying by name rather than a username. How about you?

      I am happy that Tyvaso is on the way. Yes, when starting a new PH treatment, it’s common for the Accredo home health nurse to do a visit. They mostly do this for educational purposes. So ask questions when that time comes.

      Please keep us posted on the doctor’s call and your Tyvaso.

       

       

       

      • Colleen

        Member
        June 14, 2021 at 5:26 pm

        Jen, I see now that tagging is no longer an option and I agree using proper names is more personal.

         

    • Colleen

      Member
      June 14, 2021 at 5:28 pm

      Roger, I’m happy to hear Tyvaso is on it’s way! As Jen mentioned, it is common for Accredo to go through training prior to started a new treatment. They will cover side effects and how to handle dosage changes, etc.. You might find it helpful. Write down questions and be sure to ask them!

  • Roger Bliss

    Member
    June 18, 2021 at 2:01 am

    @jenc

     

    @colleensteele

    Hmmmmmm Never got any notification of your posts. Not sure why???

    My Tyvaso showed up Tuesday. They told me not to take any till a nurse teaches me how to use it. So…….it’s still sitting here.

    Was supposed to get a call from the doctor Wed…never called.

    Got my first ambulance ride ever today. Power steering line broke on my dump truck and leaked all the fluid out. Had to muscle my truck around to get it dumped…took a lot out of me. Called the mechanic and got him on the way. The foreman of the job wanted me to look at part of the job site to see if trucks could make it in. Started following him and things started getting weird. I felt like crap and everything  started to go dark. I sat down and the workers gathered around me. They all said I looked terrible. Someone called an ambulance. The ambulance crew was very nice and strongly suggested I go with them. I was feeling better and was thinking it over. One of the construction workers had talked to my wife and she said make him do what ever the ambulance crew suggest. He piped up and said if he refuses to go we’ll throw him in the back of the ambulance. I took the easy way out and off I went.

    Turns out it was nothing serious (most of the time), and I don’t think it was related to PAH. They did tests and a couple hours later I went home. They said it was “near-syncope”.

    When the ER doc called my doc…..it got his attention and I have an office visit Tuesday. Hopefully that won’t get canceled. I’ll update then.

    Gonna have to take a few days off work…..which is probably good for me.

    • Colleen

      Member
      June 18, 2021 at 4:08 pm

      @wheeldog to be honest, that very much sounds like a PH episode to me. Very similar to a few experiences my son had. My guess is the excitement of the moment, physical activity and (was it hot), pushed your PH to the limit. I’m with your wife, I would have made you get in that ambulance too!

      Please update us on how things go on Tuesday. And if you still don’t hear from the nurse by then maybe the doctor can work some magic to get things going, especially after having an episode.

      I’m not sure why you weren’t notified of our responses. I have noticed random forum notifications sometimes go to my spam box, maybe that happened? I tagged you in this message. If you don’t receive the notification let me know and I will ask our IT person about it.

    • jen-cueva

      Member
      June 18, 2021 at 7:10 pm

      Hi @wheeldog, I agree with Colleen. It does sound like this was related to your PH. It sounds like you overdid it a bit, and that often happens. Passing out or almost passing out is common, and I have had those episodes, too.

      That was earlier in my PH mostly, but off and on, I still have those issues. I think we women will have to agree. I am happy that you did take that ambulance ride.

      Please try and take it easy this weekend. My husband works on trucks in the heat, and it’s tough on him without PH. So he often takes cool off-breaks.

      I hope that your doctor can get the Accredo nurse your way to start your meds; some are doing virtual visits. But with teaching of new meds, I am unsure of what they may do in your area right now.

      We care about you and want to support you as much as we can.

      I hope that this will get to your email. Also, we updated our website last week, so maybe they had a glitch if it was then. Please do let one of us know if you are still not getting them.

  • Roger Bliss

    Member
    June 19, 2021 at 3:25 pm

    @jenc

     

    @colleensteele

    Got those notices ok.

    Guess you are probably right…..I over did it. Heat didn’t have anything to do with it though. Was in the 60’s. I had a flannel shirt over a tee shirt. My hands were so cold the Fingertip Pulse <b>Oximeter</b> wouldn’t work in the ambulance…..had to put a deal on my ear. That’s one thing nice about this area of Alaska…..it rarely hits 80. Usually high 60’s low 70’s.

    Other than the “near-syncope” diagnosis, they said my lung needed draining again. That’s interesting as I just had it done a month or so ago. Guess I will have to wait for Tuesday to get the whole story.

     

    • jen-cueva

      Member
      June 21, 2021 at 12:25 pm

      Hi @wheeldog, my guess is you are probably back out working today.

      I am happy to hear that you are receiving the notifications again. I also give you kudos for tagging us both.

      You’re resting some or were over the weekend, correct?

      Ughh, that pulse ox and pre-syncope certainly mimic PH to me. I am sorry that you are holding so much fluid so fast. I hope and pray that Tuesday, tomorrow, you will know more as you talk to your doctor. Please keep us posted. We are here to support you.

      • Roger Bliss

        Member
        June 21, 2021 at 1:09 pm

        Actually, I am not back to work. Still not feeling right. Went to the neighbors outdoor wedding reception just down the street Saturday. Was standing around talking to folks and after 10 or 15 min started feeling woozy……had to leave. Got a lymph node in my back acting up. Usually that only happens when I get into some gluten. Still have to figure that one out. I don’t remember getting into anything with gluten.

        Hopefully, I’ll get some answers tomorrow at my doctors appointment.

      • Colleen

        Member
        June 21, 2021 at 1:47 pm

        @wheeldog I have to say I agree with @jenc, all of what you are experiencing sound very much like PH to me. I’m concerned for you and hope your doctor can figure things out and come up with a treatment plan to help you.

        Cold can be as much as an issue for PH as heat. If you are having PH episodes to begin with and feeling cold, let’s just say the one doesn’t help the other.

        As you know, draining the lungs will help but I hope they figure out why it happened again so soon.

        Thank you for the update. I’m praying things turn around for you!

      • jen-cueva

        Member
        June 22, 2021 at 10:27 am

        Hey @wheeldog, I am concerned, as Colleen says about these episodes. I hope that you get much needed answers today at your appointment. It will not surprise me if your doctor wants to admit you to drain the lungs and monitor other PH-related symptoms.

        At the least, some testing would be a possibility, too.

        Thinking of you today, sending you positive thoughts and prayers.

  • Roger Bliss

    Member
    June 22, 2021 at 8:59 pm

    @jenc

     

    @colleensteele

    Had my appointment today……didn’t learn much. The report from the fluid in my lung didn’t have hardly any information. The doctor called the guy who analyzed the fluid on speaker phone. Basically, he said there was too much blood in it to see anything. They made plans for tests on the next batch where they could figure something out with all the blood. The doctor is concerned as to why it filled up so fast and is trying to figure it out. I have an appointment on Monday to draw more fluid out.

    Nothing new on what caused me to be woozy. Still don’t know why I coughed up blood after my last lung draw. He upped my Tadalafil from 1, 20 mg tablet to 2 a day. Hopefully this will help.

    The doctor called Accredo Pharmacy on speaker phone to find out when the nurse would be in contact with me. He also made a crack if the call was coming in ’21 or ’22. The gal said probably a month. Didn’t know if she was being sarcastic or not??? At that point I didn’t much care. I have about had it with all the BS.

    I have another doctor appointment Tuesday. Doubt if the results of the lung fluid will be ready by then???

     

     

  • Roger Bliss

    Member
    June 29, 2021 at 2:24 pm

    @jenc

     

    @colleensteele

    Another update.

    Sunday a nurse from Accredo showed up and got me started on Tyvaso. So far so good.

    Got my lung drained yesterday. They pulled out 2 liters of fluid. The doctor said there was more in there, but didn’t take it out. If they take too much fluid out it could leave enough of an air space to collapse my lung. It’s a real mystery why so much fluid came back so fast.  Every one seems to think the fluid is associated with my cancer.

    Sent an email to my oncologist in San Diego requesting an on line appointment to discuss this. If it is cancer related, I’ll probably head south and let them check me out.

    Got an appointment with the local doctor here this afternoon. Doubt if I will learn much as it is too soon for yesterdays test results to be completed.

    • Colleen

      Member
      June 29, 2021 at 2:50 pm

      @wheeldog I’ve been thinking about you and wondering how things were going. Appreciate the update.

      One thing I’ve learned throughout this journey is that any progress is big progress because there are times when you will feel like you aren’t making any.

      Once Accredo showed up I hope you found them helpful. They were always great whenever they visited my son. Congratulations on finally getting started on Tyvaso! Also good to hear you got the lung drained.

      Perhaps it is the Cancer causing the fluid build up but if they decide it isn’t, I hope they will look further into the PH and options to keep it at bay. In any case, at least they are being proactive one way or another in trying to help you.

      • Roger Bliss

        Member
        June 30, 2021 at 12:24 am

        The nurse from Accredo was outstanding. They flew her up from Portland Sat night and she showed up around 10:00AM Sunday. She stayed about 3.5 hours explaining things. She set me up with a local nurse to monitor on a weekly basis.

        The local doctor figures the cancer meds might be causing it. He will get with my oncologist in San Diego to discuss it. He wants to get an x-ray Thursday and get another x-ray next week to see how fast it fills up.

        Got to admit I feel really feel good now. Slept better last night than I have in a long time. Been a “good boy” too didn’t go to work for the last couple of days. Coughing up very little blood.  Before getting my lung drained didn’t do much for my breathing. This time it did……go figure. It is my understanding that Tyvaso takes a few weeks to kick in. Don’t know how much it contributed to me feeling so good???

      • jen-cueva

        Member
        June 30, 2021 at 2:22 pm

        Hi @wheeldog, thanks for sharing your positive experience with the Accredo nurse. I have also found them very helpful when starting a new treatment.

        It sounds like you had enough time to learn about Tyvaso and ask any questions that you may have.

        I have not been on Tyvaso but most often I hear complaints about a scratchy throat and cough after treatments. Do you notice that at all?

        Overall, I am grateful that you are feeling much better. I hope that they find out more about your lungs filling so fast from your doctor in SD.

        I hope that Tyvaso works well for you. Most people notice a difference within the first few weeks on most medications. But, of course, we are all different.

        I always questioned if Tyvaso works faster as it is inhaled. It should get to your lungs much quicker than oral medications. Please keep us posted on how you are doing as you titrate on Tyvaso.

        Also, let us know what you find out from the cancer doctor. Take care and we are here to support you.

      • Roger Bliss

        Member
        June 30, 2021 at 7:29 pm

        I already had a cough when I started Tyvaso….so hard to tell if it is causing anything??? Don’t have a scratchy throat. I am only on 3 puffs 4 times a day. As I work my way up to 9 puffs things may change?????

        Had a video appointment with oncologist in SD on the 15th. Local doctor got in touch with him and now he moved the appointment to the 7th. Kinda makes me go hmmmmmm.

         

      • Colleen

        Member
        June 30, 2021 at 11:22 pm

        @wheeldog I’m happy but not surprised that the Accredo nurse was extremely helpful. My son had one who in addition to the occasional home visit as needed, she would go to his grade school every year before school began in September, to educate his teachers and staff about PH and his treatments. If she didn’t do that I don’t know if they would have approved him continuing to attend school. How awesome is that?

        Ordering from Accredo can get a little frustrating sometimes but the nurses are fantastic!

        I’m really so happy to hear how well you are doing right now. Getting better rest is a big sign that things are going in a better direction! May it continue!

  • Carol Volckmann

    Member
    June 30, 2021 at 7:57 pm

    <p style=”text-align: left;”>Hope Tyvaso works for you Roger. If ever you need help the Accredo Nurses over the phone 24/7 are great. I have had a few emergency situations and, of course, they happen on a weekend night! Do not hesitate to call them no matter the time or even though you may not think it is an emergency. They are there for you.</p>
    Good luck on the 7th. Sending you positive vibes that you have some answers and a positive plan moving forward. ????

     

     

    • Roger Bliss

      Member
      June 30, 2021 at 11:19 pm

      Thanks for the concern and information. So far I have had good luck dealing with the nurses and pharmacists.

      I’ll give an update after my appointment.

      • jen-cueva

        Member
        July 1, 2021 at 3:48 pm

        Thanks, @wheeldog; I appreciate your updates. I am a bit curious about your call with your oncologist. But knowing it is a week sooner is a plus, too.

        Please do try to rest more in between your working. I hope that the Tyvaso continues to be effective for you.

        I agree with @colleensteele and @cdvol3gmail-com. The Accredo nurses have always been awesome.

        Enjoy your weekend. Is Monday a holiday for you and your company?

      • Roger Bliss

        Member
        July 1, 2021 at 9:35 pm

        The jury is out on how the Tyvaso is working. So far no bad reactions to it. In the past draining my lung has had little impact on my breathing. Then again I never had this much taken out before. I have read Tyvaso takes a few weeks to work. So I honestly don’t know what is causing me to breathe better???

        I am only working for my longtime good customers. Haven’t taken on anything new, so I am not working too hard now. I am finding out the hard way I not as tough as I was 20 years ago.;-) I am sending others to other companies. Was able to take today off.

        Everyone will be shut down Sat & Sunday. Most places are shut down Monday for the holidays. If one of my good customers needs something Monday I will help them out.

      • Colleen

        Member
        July 1, 2021 at 9:51 pm

        @wheeldog PH comes with a lot of statistics about everything, including medication. Some people respond to things out of the common range. My son was often one of them. So, who knows, maybe Tyvaso has started working faster for you than it has for others. That is just my theory though. But hey, if it has started working already then maybe that means you will feel even better in a week or so.

        I think you are being very wise with how you are handling work right now. This way if you experience any new symptoms or side-effects, you won’t have to play a guessing game of whether it’s due to pushing yourself at work, or if it’s the Tyvaso.

        Keep updating. We like hearing from you.

      • jen-cueva

        Member
        July 2, 2021 at 9:42 am

        Hi @wheeldog, I hope that the combination of draining that fluid and the Tyvaso is helping you. Tyvaso is inhaled, so as I mentioned, it most likely would be absorbed quicker than, say, oral medications.

        But @colleensteele is correct; everyone reacts differently to treatments. The time one person may feel the benefits of Tyvaso can be longer than others.

        I am happy to hear that you are slowing down a bit with work. I know it is not your first choice, but making yourself and your health a priority. Kudos to you; I am very proud of you for doing that.

        Enjoy a relaxing 4th weekend. Is that what your plans are? I look forward to hearing more as you can update us.

  • Roger Bliss

    Member
    July 7, 2021 at 11:37 pm

    Had a video appointment with my oncologist today. I am going to drop the cancer drug for a month or two to see if it is causing my lung to fill up. My last blood test showed everything close to normal. Hopefully I can stay off them for good.

    The nurse showed up last night for my Tyvaso. I’m doing well on 3 puffs every 4 hours and moved up to 6. She will stop by again next Tuesday.

    Going in for a x-ray tomorrow to check on the fluid in my lung. Will have a doctor appointment on the 21st to see if I need to be drained again.

     

     

    • Colleen

      Member
      July 8, 2021 at 4:00 pm

      @wheeldog it sounds like you have a good doctor. I’m sure neither of you feel comfortable stopping for cancer drug for a while but you really do need to figure out whether it’s that, PH or something else causing your lungs to fill up.

      My sister-in-law has breast cancer and was having similar problems (she doesn’t have PH though). They gave her a break from the treatments and ended up placing her on something else. She is doing better now. I’m praying things will improve for you too.

      Yay for the good news! So happy to hear Tyvaso continues to do well by you!

      Good luck with the x-ray and future appointment. Really appreciate the updates. Keep them coming.

  • Roger Bliss

    Member
    July 22, 2021 at 10:21 pm

    6 breaths turned out to be too much moved back to 4 for a while…..just moved up to 5, we’ll see how that goes. If I take too much, I get short of breath. I carry it in my dump truck to get my 4 hour treatment. The guys at work razz me about my electronic bong. LOL

    Had a Dr appointment yesterday. My lungs need draining again. Got an appointment to do it tomorrow. My next Dr appointment is Aug 31th. If it comes back after quitting the cancer drug for that long, they want to put a scope in my body cavity to see whats going on. I’m not too crazy on doing that.

    So far I haven’t seen much improvement from Tyvaso, but it is supposed to take 6 weeks or so to see any progress. Patience isn’t my strong suit. 😉

    Had a local nurse visit me for 2 weeks. She lived about 15 min from our place. She was great, however she had too much on her plate and had to quit. I hate to see her go. Tried to do a video conference with the nurse from Portland on Tuesday…..couldn’t get it to work right. She if going to fly up here on Aug 10th to check on my progress and see if she can get the video program working right. Gotta be a LOT of money in these drug companies to be able to afford these trips.

    Whenever I have been sick or hurt in the past I have been able to “walk it off” and get back to normal fairly quickly. It hasn’t been working with this PAH, so it’s pretty frustrating.

     

     

  • jen-cueva

    Member
    July 23, 2021 at 11:28 am

    Hi @wheeldog, I am happy to see an update, but sorry it isn’t more positive. I was hoping that the Tyvaso was going to help you. Someone times if we have too much medication, it can make us feel worse instead of helping. Don’t give up!

    I am hopeful that decreasing to 4 puffs will be better for you, and you will notice some benefit. That is too funny about the guys calling it your “electric bong,” laughter is a good thing. It sounds like they are jokesters like you.

    Sorry that you could not get the video to work. I hate to hear that the fluid is back; that is certainly a huge factor affecting your breathing, I am most certain. I hope and pray that once they drain it, it stays away.

    Flying for treatment is expensive. I, too, have had to do that in my early years with PH.

    I can feel the frustration as I read your update. Knowing you and the hard workingman that you are, this has to be extremely difficult. I am sending you hugs and prayers from Texas.

  • Roger Bliss

    Member
    July 23, 2021 at 8:07 pm

    Had my lung drained today. They took 2 liters out. The good news is there was no blood in it. My best “guess” is the cancer med was causing the blood.

    I am optimistic that the Tyvaso will work out after I take it for a while and my dosages get higher. I am at 5 now.

    I am glad the nurse is flying to me. I am not all that excited about flying south. The plan is to winter in AZ this winter. Hopefully, I will be stable with the PAH by then. If not my oncologist can fix me up with someone at UCSD.

    • Colleen

      Member
      July 26, 2021 at 10:58 am

      @wheeldog it must have been a relief to hear that at least there was no blood this time around. Still, having your lungs needing draining is no fun. I hope you won’t need this again any time soon, if at all.

      We have friends who use to always winter in AZ. They loved it so much that when they retired, they moved and live there year round now.

      Thank you for keeping us updated on how you are doing.

      • Roger Bliss

        Member
        July 27, 2021 at 1:56 am

        Sounds like you and Jen need more support than me. You guys are much too young to have serious health problems.

        The way it’s supposed to work is your “check engine light” comes on in your 50’s. Sometimes you fix it…other times you let it go, but nothing serious should happen no matter what you do. When you hit 60’s that’s when the red light comes on and you really gotta fix that.

        I hope you both can shake off your health problems. Thoughts and prayers for both of you.

        Between getting my lung drained and the lung meds, I am doing pretty good. I was able to go down in the basement and back up without getting out of breath…..well not too bad.

      • jen-cueva

        Member
        July 27, 2021 at 11:09 am

        LOL, @wheeldog, my hubby, the diesel mechanic, says he feels defeated when he cannot fix my “check engine light” from my PH and other health issues.

        You are so kind, thanks. I feel better at home, just a bit of stuffiness and congestion, so no complaints here.

        I’m thinking of you and hope that they can figure out why you are accumulating that fluid so quickly.

        Are you working Monday through Saturday or Friday? Please listen to your body and take breaks.

      • Roger Bliss

        Member
        July 27, 2021 at 7:54 pm

        Actually when it’s busy we work 7 days a week. Drive for 6 and wash/grease the truck and do paper work on Sunday. July and August are slow months. It will pick up in September and October.

        Everyone shuts down for the winter at the end of October.

      • jen-cueva

        Member
        July 28, 2021 at 10:34 am

        Hi @wheeldog, I hope that you are taking advantage of the slower months when they happen. Otherwise, it sounds like you are nnn-stop.

        You crack me up with your descriptions. I am happy that you keep a cooler in your truck and snacks. Staying hydrated and eating, as you know, will help keep you healthy as you can be.

        You sound like you would run circles around me, so no old guy on your end. Keep taking care of yourself, and know we are here for you.

        I hope that your wife is also doing well.

      • Colleen

        Member
        July 28, 2021 at 12:55 pm

        @wheeldog I had to laugh at the “check engine light” comment. The closer I get to 50 the more those lights are turning on. I could be dealing with a lot worse so I can’t complain…well, maybe a little but not too much. Thank you for the kind thoughts and prayers. Much appreciated!

        It does sound like you are doing a bit better. Being able to take a walk with a friend and go up and down the basement is actually huge considering all you have been going through. You sound happy and I hope things just keep looking up for you.

  • jen-cueva

    Member
    July 23, 2021 at 8:51 pm

    Hi @wheeldog, are you noticing any difference with your breathing after that 2 liters of fluid was drained off?

    I am grateful to know that there was no blood. I hope and pray that this fluid stays away. Do they have you on a fluid restriction?

    My apologies, I read that you were flying there, and they were paying, LOL. I am happy that the nurse is flying to you. I do love that and have not heard of that before. You will have to let us know how that goes next month.

    Please keep us posted. What can we do to support you as you deal with this and titrating Tyvaso? I wish that I could drive your truck and do deliveries for you. LOL

    • Roger Bliss

      Member
      July 25, 2021 at 12:36 pm

      I can breathe better after the drainage. It takes a day or two for my lung to settle down with all its newfound space.

      Once they figure out how to prevent the fluid from returning, and the Tyvasco kicks in, I should be good to go.

      I will be back to work tomorrow…..gotta keep moving.;-)

  • jen-cueva

    Member
    July 27, 2021 at 10:48 am

    Hey @wheeldog, I bet that you can breathe a bit better after having that fluid drained. I am also certain that you are busy back at work.

    As you mention, once they figure out why and how to stop this fluid from accumulating in your lungs, you should feel some relief. That and the best Tyvaso dosing for you will help.

    Maybe when you are resting after a busy workday, you can update us. Are you staying hydrated and taking breaks?

    • Roger Bliss

      Member
      July 27, 2021 at 7:49 pm

      I am doing good!! If I felt like this all the time I would be a happy camper. I keep a cooler ant the truck so I have lots to eat and drink. Slow day and got off early Went on a mile walk with the neighbor. Did a brisker pace than normal as the “old guy” didn’t go. He had to crank his oxygen up another notch. We both did good.

  • jen-cueva

    Member
    July 27, 2021 at 11:39 am

    Hey @terry, how are you doing? I have had you on my mind, and thinking I had not seen any updates from you. How are you doing?

    I know that we had chatted in messages a few times, and your name popped up as I was scrolling, so I wanted to check in on ya. @mknevada, did you start on your PH medications? How is that going for you?

    • Meghan Nevada

      Member
      July 28, 2021 at 11:20 am

      Hi Jen – Thanks for reaching out. Hope you are feeling better! I am on triple therapy – Tadalifil, Opsumit and Uptravi. I finished my titration of Uptravi mid June so I have been at the max dose for about a month and half now. Glad to be done with the titration as the side effects were not fun. I don’t get them so much anymore which is nice, just occasional jaw and leg pain. Happy to be at the top of the mountain on from a dose perspective, as is my doctor. We’ve spoken about cardiac rehab so I have been doing some research on that. I think I might wait until my next heart cath and echo before starting to see what the effects of the Uptravi have been on my pressures and right heart health. Going to explore the forums to see what other people’s experiences have been with cardiac rehab.

      • Colleen

        Member
        July 28, 2021 at 12:00 pm

        @mknevada here is a link to a previous post about cardiac rehab. It is helpful for everyone when we revisit old topics so please feel free to ask questions or comment to this topic. I will also tag you there and ask others to share their experience.

      • Meghan Nevada

        Member
        July 28, 2021 at 12:10 pm

        Thanks Colleen, I agree! There were a couple to choose from so I actually just posted in the forum about rehab lol.

      • jen-cueva

        Member
        July 29, 2021 at 10:01 am

        Hi @mknevada, I am happy to hear that you reached the max dose of Uptravi. I am also on that dose. I, to continue to get that nagging jaw pain as well as leg pain.

        I use hot soaks in the bath and heat to help my leg pains. My doctor also started me on gabapentin twice per day when I started having leg pains. I am now taking it 3 times per day, and it does help me.

        An Accredo nurse told me that some have tried taking a sip of something cold before their first bite of food to help lessen the jaw pain. She told me a few weeks ago. I forgot about that until I read your post.

        I love that “top of the mountain” referring to the max dosage. That is a great way to think of it.

        I did pulmonary rehab when I was first diagnosed. Unfortunately for me, they were not the best, so I feel like I did not get as much out of it as some do.

        But, I have many PHriends who have excellent results with cardiac and/or pulmonary rehab.

        When are you scheduled for your next echo and RHC?

        Thanks for the well wishes; I am feeling better.

    • Terry

      Member
      July 28, 2021 at 5:24 pm

      G’Day Jen or is it Megan I am replying to .Never quite sure which reply button to press .The top one or the bottom one. I’m doing great. What bliss its been not to see a doctor for a month or so . After stopping the tadalafil I reckon I got around 41% hearing back in left ear but it comes and goes.
      Busy Sept./Oct coming up with Rheumatology for my GCA and decision as to whether I can cease taking Methotrexate as I have not had a relapse for over twelve months . Cardiologist check up re lad stent, Ophthalmology check up regarding damage to eye from GCA and lastly PH doc with tests to see how I’m progressing on macitentan only.
      Hang on, then I have to see my tax accountant and be told the real bad news.
      Mate ,it’s  good to hear you are back home but don’t go trying out for the Paris Olympics in the back yard  just yet.

  • jen-cueva

    Member
    July 29, 2021 at 10:10 am

    G’Day, @terry, it was me, Jen, so you are good.

    It sounds like you are doing pretty well. I would say with no doc visits. But your Oct/Sept certainly sounds like you will be making up for lost time, huh?

    Interesting about the hearing relating to tadalafil. But grateful that you do have some of your hearing back. No relapses in 12 months. Do you think the reason could be Methotrexate?

    I am certain that you and your rheumatologist will make that call.

    Have you been out on the water lately? How’s your beautiful bride?

    Oh yes, the great tax struggle. You are not alone, my friend. Wishing you good luck that he doesn’t hit you too hard.

    Thanks for the good wishes; no Olympics for me anytime soon, hehe.

  • Terry

    Member
    July 29, 2021 at 6:09 pm

    The PH doc. advised  he had one other patient who experienced hearing loss when taking tadalafil . On reflection the hearing loss has been in the left ear which used to cause me trouble when flying ,you know not popping back to normal after landing .
    My breathing difficulties started around 8 months into reducing the Prednisone  when I was put on Methotrexate to help get off the Prednisone without GCA relapses.
    Both the PH doc.and Rheumatologist are wary of me being on the drug as seemingly its counter to pah treatment.

    Yep still sail once a week weather permitting and loving every minute.

    Now the boss is back on her clotting tabs after getting the second Astra jab things a looking up , hell I’m being kept on my toes so she must be getting better.
    Keep smiling and say hi (g’day) to everyone you pass on the street .

     

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