The Importance of Good Venipuncture

This is a short, but vital, post. If you’re anything like me, you’ve had more than your lifetime’s share of needle sticks. Chronic pain / illness patients get a lot of blood drawn, right? Well, I’ve been getting blood drawn at my family practice doc’s office for the last few years. But the last time one of their nurses drew my blood, I had a 3″ x 2″ bruise AND a huge lump! If that wasn’t enough, I actually had a needle scratch near the site too. Clearly, this nurse was NOT skilled at venipuncture. And the lump? It was there because she not only punctured my vein as she entered, but then kept on going and punctured the other side of the vein too.

This was of course completely unacceptable. I called the doc’s office to let them know (kindly) that this particular nurse had been sorely lacking in skills. And remind them that it’s especially unacceptable on a patient who is immunosuppressed. They did apologize, and suggested that I request a different nurse the next time. Yup … you bet!

Instead, I decided to do what I had done some years ago. I decided to make friends with some people who do nothing but venipuncture – at a local diagnostic lab location. I chose Quest Diagnostics because they had been processing the blood from the doctor anyway. So I assumed (rightly) that my health insurance would cover that lab. And let me tell you, this was the right choice!

The lab tech was fantastic! Friendly, professional, no waiting, and most of all … really, really skilled at venipuncture. The bruise is only the size of a pencil eraser, if that! Minimal pain and maximum patient satisfaction. Definitely worth the switch!

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When everything is going too well …

I haven’t posted since May – mostly because life has been good and I’ve been busy. I did have an experience with the evil skin infection cellulitis, which thankfully resolved itself pretty quickly. But mostly the last few months have been full of big business decisions and happy family times.

Poor car, poor me ...

Until this morning … I was returning home after a lovely yoga class and was in a car accident. On a scale of 1-10 with 10 being the worst, it was about a 3 to 4. NOT what I was hoping for from my day. My car is really a mess thanks to the winch on the other guy’s truck. It’s safe in the towing company’s storage lot for now while I wait for the adjuster to assess the situation. And I am sitting in bed … waiting to hear if I broke any ribs. Or really to find out if my seatbelt broke any of my ribs!

The accident happened in the middle of a string of rainy days, which were already making more achey than normal. Now I am having trouble moving in some directions with this rib pain. Strangely, there’s no bruising on the outside. It’s the perfect example of “But You Don’t Look Sick.”

Interestingly, this accident reminds me how closely connected my core muscles are to my ribs. The hardest part of this pain is what happens when I try to lie down or rise back up from horizontal. I just can’t access my core muscles to help me. But I’m grateful for strong legs and arms to help support what my core can’t. Now I have to be careful not to strain those joints and muscles.

As I said to the x-ray tech, “I feel like a feeble old lady.” And as my spoonie peeps know, we all have been there and we don’t like it at all!

And here’s the rest of the challenge. Much of my ability to see massage therapy clients depends on my ability to move freely. For the last eight years I’ve been able to work pretty darn consistently even with RA, but I cancelled all of my clients today. It’s been quite some time since I’ve had to do that. And as a small business person, I don’t have paid vacation or sick time. So I’m pulling out all the stops to get better soon!

One of the things I always tell my clients is that the MOST important time to eat healthy food is when your body is trying to heal. Your body needs all the fuel for its building blocks to rebuild the injured tissue … and this doesn’t come from cheeseburgers and french fries. It comes from fresh veggies, whole fruits and some lean protein. So although my mom suggested hot cocoa (and I may do that!), I am also making sure I eat super healthy. In fact once I made it back home, I made myself a green smoothie right away. Some part of the reason was to have food in my stomach to calm my nerves. Another part was to get food in my stomach to take my meds. And then the general need to feed myself the healing food!

Send me some prayers and healing thoughts if you would … and I’ll really really try to get back here and update you on my progress. Thanks friends!

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The Humira Incident

I really do love Humira. It has helped me huge crazy lots. All the other medications took me from 10% of normal to 70% of normal, which is pretty great. But Humira has brought me to 95-100% of normal. And I am so grateful!

On the downside … the injections. My rheumy showed me the first time. Two weeks later when it was up to me, I didn’t remember how the pen worked. I ended up with a massive bruise, and a slightly bruised ego too. And after a few injections, I discovered that injecting into my belly is not for me. After some hints and tricks from another RA patient, I felt like Humira injections were mastered. And everything has been just ducky for nearly a year.

Today I had a first though … so I thought I’d share. Just because.

I was in the middle of cooking this afternoon and I realized that I had twice ignored my iPhone reminders for my injection. I was afraid I’d forget my dose. So I quick ran upstairs for a bandaid and grabbed my supplies (alcohol swab, injector pen, etc.). In the middle of this cooking endeavor, I stopped to do my injection.

Probably I shouldn’t have been rushing. Probably I should have stuck to my usual schedule. But either way … I had a little incident.

When I injected the Humira today I must have hit a blood vessel because I had seriously spurting blood for about 30 seconds. That’s never happened before. It was a little freaky … maybe even a bit scary. Thankfully the blood clotted pretty quickly. And hopefully I won’t have much of a bruise. Next time I will look for blood vessels close the surface of my skin …

All in the fun day of an RA patient!

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