Hello and thank you for being there. Sorry for jumping right in before I'm very worried. I am excited to have a place like this and think it's incredible. I am even considering getting a smart phone for use here and I've never even had a cell phone. XXXXXXX is on 2 liters of oxygen at night. He didn't need it in daytime before. We saw his
primary care Dr. Renderler on 3-11-14 and they walked him and couldn't get saturation to drop below 91. The last week and 1/2 his saturation is sporadic in day time ranging from 83 to 95 even at rest. I kept the liters at 2 and am putting it on him when saturation drops checking every 15 min to 30 min when it's off. At 2 liters his saturation is 95 and seems steady. After testing his lung Dr. XXXXXXX said XXXXXXX didn't have COPD on 2-5-14, however he said XXXXXXX has a small cist that wasn't there in Nov. 2013 and wants to check it again in March 2014. XXXXXXX was given an expired rabies
vaccination in July of 2013 and had to have another the next day. His gout only flared once a year prior to that, but after flared constantly until recently. He was put on
indomethacin, but was taken off that in Nov. 2013 when he was hospitalized coughing up a small amount of frothy bright red blood. They said indomethacin at that dose could cause
internal bleeding. XXXXXXX had 8 oz. of fluid between lung and lung sac. They couldn't get a sample with needle because of location. He absorbed the fluid overnight and we opted not to have surgery as his breathing wasn't inhibited nor did he have an infection, so there was no sample of fluid. His new
prednisone prescription is for 10 mg daily. XXXXXXX coughed up blood in Dec 2013 again, but refused to go to hospital. The pharmacist said as gout flares have decreased to go back to old use of prednisone for occasional gout flares, 30 mg for 3 days then 20 mg for 3 days then 10 mg for 3 days then 5 mg for 3 days, until we see
rheumatologist again. His inside ankle and left calf are swelling now too. He is resting with feet & legs above heart and I can't reach primary care Dr. until Monday. His liver and kidneys tested good in November, in spite of consuming around 12 oz. of whiskey almost daily most of his adult life. I don't know if swelling (edema?) could be related to
oxygen saturation. When I push ankle it takes 30 seconds for finger prints to disappear and it feels squishy. Should I try to take him to hospital or wait until Monday and call primary? He isn't in any pain and feels normal. He agreed not to drink alcohol until swelling subsides and has gone with out booze and didn't have DT's recently. Will alcohol affect swelling? Could this be gout and should I give him prednisone for treating gout as mentioned above. He always rallies when he gets steroids, but I don't know if it will hurt with the swelling.
P.S.
What kind of breathing exercises, deep breathing or in to 5 count hold 6 count exhale 7 count or something else?
Thanks again