Anyone Know a good Roofer,
I Need Some Shingles fixed
As I wrote on Monday, it was not my intent to write a blog today. I was scheduled and ready to have the second of two infusions yesterday morning. All was going according to plan until I woke up with open sores and the fluid running down my face. When I did wake up it was dark in the room but I knew instantly where the wetness on my face had come from. It was more blisters.
So let’s back up a bit, see for a few days I have been fighting a persistent bout of acne on the back of my neck. As you might suspect something like that is a little unbalancing. What is this I asked to no one in particular? (secret song lyric) Well not surprising I suppose, this was not the first time I asked questions to no one in particular. Actually I am rather good about asking silly questions and getting obviously ridiculous answers.
This particular silly question was if something more serious might be wrong? You see over the last few days something was causing very painful very sore areas. I mean this stuff really hurt. It started on the left side of my face then the back of my neck I figured in each case I had some kind of ridiculous acne outbreak. Sometimes that happens after an infusion. I get rapidly advancing acne that comes up and then goes away. However what started on Friday was different. It was rapidly acting, but it scabbed over and hurt terribly bad after a blister ruptured.
All of this resulted in a bad feeling about the infusion so I was concerned enough to get up and I went to the computer where it was clear in fairly short order that this was different. At 5:30 I called my rheumatologist for a consultation before the treatment and by 9:00 AM I was visiting with the doctor. It was true; I have shingles and unfortunately not the kind that requires a contractor.
Now I don’t have a bad case. The rash is minor and caught early but still at least for a few (3 to be exact) weeks I cannot have an immno-suppressant infusion like for instance Rituxan. When I got home I started investigating some facts about shingles, I found some interesting issues, here is a bit of a recap:
1. You cannot transmit shingles. What you can transmit is chickenpox. It is the fluid inside the blisters that carry and can transmit the chickenpox if a person is susceptible.
2. Shingles usually form in a band around the torso, they usually form around the chest in a band or around the stomach area. You can have facial shingles and they are different if you have them on your face area. For some reason if you have them on your face you are less likely to have a second outbreak.
3. Shingles can infiltrate internal areas of your body. These include the mouth, nose, ear canal, eyes and there are some gruesome pictures on the web of tongue infections. Obviously facial shingles are more likely to spread to these body cavities.
4. If the ear canal is attacked it can cause hearing loss. That was fascinating to me.
5. Everyone who has had chickenpox has the potential of shingles. The infection remains with you for a life time. In my case it was likely that the immuno- suppressants allowed it to come break out. However, it could have happened any time.
6. They prescribe a strong antiviral drug to combat the outbreak.
7. Oh and so you know they are incredibly painful.
Here is a good web site from the CDC about shingles:
http://www.cdc.gov/shingles/about/
I used the above white paper to get some facts for this writing.
One more thing there is a vaccine. It is recommended that all people age 60 and above have the vaccine. The CDC does suggest the vaccine for high risk groups, like diabetics who are above age 55 or based on your doctor’s recommendation. The issue may be more about your insurance than a medical need. Many insurance plans do not cover Shingles below age 60. Again that is dependent on your plan. So if your doctor advises you to get it find out the insurance issues before vaccination.
Finally if you are undecided about getting it or not you should know that living with it for a few days I would do most anything to get the vaccine. If you can get it you will save yourself one of the worst experiences I have ever had.
Yuck, call the roofer, I some need shingles fixed, pronto.
-30-
Rick