Saturday, January 12, 2013

Kidney update

Last weekend I started feeling sick again.  Back pain and nausea returned.  On Monday afternoon/evening things went down hill fast.  I was feeling really bad and had a low fever and chills started.  Then I vomited that night.  Thankfully Doug went to the store and bought some Unisom for me which helped with the nausea.  My blood sugar levels started to get high over the weekend as well.  Once I stopped eating due to the vomiting I stopped checking.

My appointment with the urologist was on Tuesday.  He didn't have any records from the OB office, and didn't have anything from December.  Awesome.  He said looking at the positive culture I had in November it didn't seem very convincing and was most likely just contamination since it was under 100,000 units.  I was too sick to even fight back.  Because when they do a urinalysis they're saying it's really clean so that would negate the chances of contamination.  Also, the OBs are the ones that don't want to treat me with antibiotics if I'm negative so if they're convinced I really don't get why he's not.  He wouldn't do a culture on me that day.  And he told me to not take the suppressive antibiotic once I finish my round of amoxicilin since he's not convinced I ever had an infection.  My kidney ultrasound "didn't turn up much."  I agree that's good and what I was expecting.  Though looking back that terminology annoys me.  Why not say "looked perfect."  Does it mean I have some swelling or something but because he's used to seeing people with like kidney failure it's not important?  I'm not saying real life is very often like a House episode, but it's possible.  What everyone else is saying is small might really mean something when it's combined with all the other factors.

I said, "Ok.  So let's scratch the kidney pain, that goes away when I start an antibiotic, and say that's normal.  I'm still left with bouts of nausea and vomiting, fever and chills.  Is there something else I should follow up on?"  He said he couldn't comment since he was a urologist and to go back and ask my pcp.  That annoys me so much because while he's sure it's kidney related he can't treat me because I'm pregnant.  The OBs aren't arguing with cultures and agree I have a UTI.  It's the kidney pain they're trying to say is normal.  But it's the same pain I've had when I haven't been pregnant.  And there's a difference in how you treat a UTI and kidney infection.  I called the OB to get my culture levels and they weren't that low.  I read online that it's usually only levels of 100 or so that they think is contamination.  Mine are 52,000 (December 18th- finished antibiotic a few days earlier) and 10,000 (December 27th- still on antibiotics).  I know it's not 100,000 but it's not nothing either.

I'm going back to my pcp.  Maybe he can refer me to a different urologist and maybe if he talks to the doctor I'll be taken seriously.  Maybe it's something else that's causing kidney pain.  But what could it be?  It's so similar to what happened in 2007-2008.  And then it went away but I usually had a UTI or kidney infection at least once a year.  The only thing similar I can think of is that I'm living in FIL's house.  As much as I might dislike it here, I can't believe that would be an actual reason for all of this.

I know I'm not a doctor.  But with Teddy I was on some pretty powerful pain medications due to the migraines and they decided that was fine.  But an antibiotic is going to hurt the baby?  Wouldn't having a really bad and poorly treated infection be worse?  Every time I read about a kidney infection that's exactly what it says.  I understand the issue of not wanting to treat if I'm not testing positive.  That happened for a month.  But now I'm testing positive and the OBs want to treat me.  It makes no sense that the Urologist doesn't want to.  I just want it all to end.

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