Suggest Treatment To Deal With Pain Due To Pleurisy

Question: This past Tuesday NR Medical Center ER prescribed hydrocodone to deal with the severe pain of dx pleurisy. we have yet to determine the virus that caused the pleurisy. My daughter had a total of three hydrocodone 325 mg pills between Wed AM and Thurs 10:10 PM. On Friday, through the day a slightly red fine rash that that felt like a burning sensation with more severe sense of burning when touched spread from her elbows up her arms, across the top of her back. By 4:30 PM Friday she felt like electrical current sensations going down both arms and she flinched from the pain. Last evening she had a fine rash in the back of her throat.I think it is significant that she has had eight head injuries. Do you think she is having a reaction to the hydrocodone?

She is 15 years old
Weighs 155 lbs

Significantly she is a red-head and has many times in her life-time been sensitive to medication dose, strength, substance...and some doctors have been very attuned to the red-headed issue

Even though she has not had the hydrocodone since 10:10 pm Thursday..she continues to flinch with severe pain from the feeling of electricity shooting down her hand.

I am concened STILL about this

I am concerned...if it is related to the hydrocodone or if it is related to post viral neurapathy....
she was woken up at 8:45 AM this morning for 25 mg benadryl
at 9:30 we tried to get her to drink, eat scrambled eggs and a piece of toast she was exhausted, lethargic, flinching in pain from the electrical shocks up her arm, better she w s clear since the tardol shot last night the pain oer rash, the feeling of electrical current was 4 05 out of ten, when she was clear last evening it was tired. She REALLY did not want to eat. We gave her 600mg ibruprofen for the pain, per previous instruction. She could barely stay awake through breakfast and has been sleeping every since. We have tried to wake her enough to she that she can respond. It is now after 2:30 PM and she is still asleep. I am beginning to be VERY WORRIED again. Is it the meds that is making her sleepy? Is the virus getting worse? Do we need to go to the emergency room NOW? Does she need to see a neurologist IMMEDIATELY? Is it better to letter her sleep? My motherly instinct since last night is that there is something REALLY wrong. My husband thinks after all that has transpired since going to the ER last night, just let her sleep. This is the worse that she seems to me since we originally took her to the ER on Tuesday evening about 6:15 PM when she was very tearful from the pain of the alleged pleurisy.

I took her to the Emergency Room Saturday night. The staff fromthe night before treated me as if I had the heebijeebies, subsequently I read the clinical notes from Friday, and indeed, every work I said and every action I took from the moment I mentioned "electricity running down her arms" was the basis for treating me as if I were crazy. the doc Sat night/sunday Am, rulled out pleurisy due to a very clear x-ray, confirmed she most probably had a virus, did more blood studies, advised d/c hydrocodone, and gave rx for prdisone AM & PM for five days, and gave impression of viral periphral neurapathy, viral induced carpal tunnel syndrome, and made apt for earliest availble neurologist this Fri at 10 AM. most of today predisone seemed to rally my daughter, Tonight she is exausted. Tomorrow she want to go to school because she has a choir concert in the evening. I am prone to let her try to go to school but expect she will crash during the day, around the concert or the next day. She has hardly drank or eaten anything all day. I feel if the predisone were given Tuesday we would not have had to deal with ER Friday and Saturday. perhaps she will be symptom free on Friday...know am wondering if seeing neurologist then is really appropriate.

Also the extreme exhaustion MOST of yesterday and the tiredness through 11 AM and since 6 PM really concerns me.

So my daughter cried for an hour before going to sleep. Her greatest love is singing. When she was in choir last week she was tearful through out both classes due to the pain of breathing. She wants to sing in the choir. She would need to be at school at 8 AM through 3:38 PM to be academically to sing in the concert. She would therefore need to be at full capacity for TWELVE HOURS through school, after school, preparation for concert, rehearsal and concert, which would end about 8:15 PM. Tomorrow AM XXXXXXX will be half way through five day course of steroid treatment. She knows at her best in the last two plus weeks the longest she has been at full capacity is six hours. She is fully aware the exahaustion, the loss of appetite, the body muscle ache, the intermittent neurological pains, still continue. She wonders why her mother was MOCKED at the Emergency Room and the whole focus of Friday's visit was that her mother was crazy and needed to be removed from the ER the more insistent she was that the presenting neurological needs be addressed. She feels embarassed her mother has bruises from intentional harm by the Glacier County Sherriffs Office who believed four or five more men were needed beyond two police men to remove her mother forcibly in front of her and intentionally inflict pain and remove her mothers pants to have her arrested, put in the police car and taken to jail. She is traumatized by watching how her mother was treated. She has seen her sister treated the same way by the sherriffs and the same treating provider as Friday. she is experiencing flash-backs from her mother's and sister's treatment. i her mother tried to speak with hospital, insurance company, police, sheriffs, and even lawyer today to tell the story. there is no legal case, since her health is improving. I believe, the steroids are addressing the virsus, and really should have been prescribed last Tuesday. my position is the hospital will be the only one to benefit from THREE ER visits, and the housing of the neurologist who will see my daughter on Friday at 10 AM. We live in rural XXXXXXX to have seen a Neurologist in the ER would have meant to drive approximately three hours. If indeed my daughter has an enterovirus, I believe it could be into next week or longer before she can make it through a full day of school. She physically and mentally was not able to do her homework last Monday and Tuesday, even though she went to school. She only was scheduled for a half day Wed, as of this afternoon, she has not been able to catch up on last week's homework. So she has assignments from last week and today to catch up and is over-whelmed even considering that. She wants to sing in the concert and is so emotionally pulled that from 6 PM today she has been unable to eat without a lot of prompting, drink without a lot of prompting, think clearly, is even more verbally sad, mad, angry and over-whelmed. i think the steroids may be helping with the virous, but also may be impacting her ability to function and it is scaring her.

I am not sure what you mean by "I went through the harlotry which you provided."
Something is STILL not right with my daughter, medically, physically, emotionally.
Three ER visits last week. Neurologist this Fri at 10 AM. Will hear results of entervirus culture possibly Fri. My daughter experienced at best six good hours yesterday, then seemed much worse. The lethargy, and viral symptoms, are now complicated by emotional trauma. I think her experiences in my attempts to address her health care needs have exacerbated the situation. I can let her go to school and let her experience and try. Do you not understand how concerned I am of her emotional break-down in facing her desire to go to school in reconciliation with how she is holistically feeling. I think the predisone is further effecting her emotionally. It helped her for possibly six hours XXXXXXX today allowing her to minimally function, though at her mental and emotional expense for hours following. Can predisone do this? If she indeed has enterovirus. How long until she will be "back to normal?"

I very much appreciate your comments for the last several days. As her mother, my intuition I do find is generally right on, however professionals who do not know what they are doing, like our exerpience last Fri at NRMC ER when I took her with presenting neurological issues of feelings of electricity down her arms and a burning rash often have people doubting my sanity, and saying I am just trying to get attentions for me. I knew on Fri there was neurological issues. I am glad for your e-mails through out Sat to have us return to ER to see MD who confirmed the viral peripheral neuropathy and the adverse reaction to hydrocodone. I questioned if indeed my daughter should go to school today. This AM she was too exhausted to get up. Eventually she agreed to go to clinic of PCP. provider there concurred with the need to ID virus, and keep neurologist apt Fri at 10 AM, and wrote a note to keep my daughter out of school for the remainder of the week so she can rest.
So now, we will wait out this virus, knowing that Fri 10 AM's assessment can direct us further in diagnosis and treatment and plan. It is reassuring for me to have your support, as I will be seeing provider for myself this afternoon for the bruising and back injuries from 4+ sherriffs and 2 police who escourted me out of ER and into jail with charges becasuse I was insistent that the burning rash from elbow, up arm, across back and tingling down my daughter's arms that felt like electricity was neurological and not "a figment of my imagination." My daughter and I have Mental Health appointment Fri also. Thank You for your support and direction. XXXXXXX