General Medical issues thread

Went for what I thought might be my last IVIG infusion today only to be told my immunoglobulin level just isn't making the grade yet and I will probably need 2 more. Haven't I been told this before, just 2 more. I don't mind how long it takes, it will take what it takes and it is no big deal, except that by late afternoon all my joints ache terribly. Have taken a couple of panadol osteo which has not fixed it but has taken a little of the edge off. Might be an early night. The heamatologist was interested that my cardiac vasospasm diagnosis was correct and that no one had picked it up. Is vasopsam not that common? Discussion about providing a new script for anlopidine which currently seems to be a little high. Am on 5mg and this has adverse affects. When I cut it in half it works better but not consistent as it is difficult to get the tablet halves equal in size. The dose really is that critical to how I feel.
 
Went for what I thought might be my last IVIG infusion today only to be told my immunoglobulin level just isn't making the grade yet and I will probably need 2 more. Haven't I been told this before, just 2 more. I don't mind how long it takes, it will take what it takes and it is no big deal, except that by late afternoon all my joints ache terribly. Have taken a couple of panadol osteo which has not fixed it but has taken a little of the edge off. Might be an early night. The heamatologist was interested that my cardiac vasospasm diagnosis was correct and that no one had picked it up. Is vasopsam not that common? Discussion about providing a new script for anlopidine which currently seems to be a little high. Am on 5mg and this has adverse affects. When I cut it in half it works better but not consistent as it is difficult to get the tablet halves equal in size. The dose really is that critical to how I feel.
In my experience Barossa is more common than assumed. Any “”angina “ which gets worse with B blockers but settles with Ca channel blockers is likely to be vasospasm. It can be proven but you have to be lucky. I remember 2 patients with frequent angina who were having a thought to be an absolutely normal angiography but had their symptoms and a blockage appeared with their pain and completely resolved when the pain goes.
 
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Went for what I thought might be my last IVIG infusion today only to be told my immunoglobulin level just isn't making the grade yet and I will probably need 2 more. Haven't I been told this before, just 2 more. I don't mind how long it takes, it will take what it takes and it is no big deal, except that by late afternoon all my joints ache terribly. Have taken a couple of panadol osteo which has not fixed it but has taken a little of the edge off. Might be an early night. The heamatologist was interested that my cardiac vasospasm diagnosis was correct and that no one had picked it up. Is vasopsam not that common? Discussion about providing a new script for anlopidine which currently seems to be a little high. Am on 5mg and this has adverse affects. When I cut it in half it works better but not consistent as it is difficult to get the tablet halves equal in size. The dose really is that critical to how I feel.
Had a horrible night with pain through my joints. Poor MrsP kept awake by my tossing and turning and grizzling. Yeah, I wasn't so tough. Blazing headache this morning. I am wondering if the infusion was given too quickly as I have never had a reaction this intense to IVIG.
 

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