NEClimbs.com forum

General => Injuries, Medical & Training => Topic started by: danf on July 31, 2013, 04:03:46 PM

Title: Pleural effusion....
Post by: danf on July 31, 2013, 04:03:46 PM
While this is nothing like what strandman is going through, its still going to keep me off the rock for a while yet.

Found out a week ago I have fluid between my lung and ribcage on my right side. Went in to get it drained today only to find out via ultrasound that there are adhesions in the fluid, which are essentially like scar tissue that is creating pockets in the fluid. So, about my only option is to have it surgically removed. I'm meeting with the surgeon tomorrow morning and my assumption is the procedure will be next week. I'm too young for this shit!!
Title: Re: Pleural effusion....
Post by: perswig on July 31, 2013, 05:36:35 PM
Troy and I were at Lost Horizon this weekend and I was thinking about your trad leads out there.  Sorry to hear it's not just free fluid going on with you.  Did they just do rads initially w/o an u/s, or was today's a recheck with adhesions newly forming?  Any tentative diagnosis for your issues? 

Should be SOP but would inquire as to whether they plan to culture the fluid and submit for cytology as well in hopes of ID'ing a cause.  Seems worrisome in someone I assume is young and otherwise healthy.  Any history of old trauma?  Recent pneumonia/bronchitis/fever?

Good luck getting over this whatever-it-is and salvaging your rock season!
Dale
Title: Re: Pleural effusion....
Post by: danf on July 31, 2013, 06:17:15 PM
Thanks, Dale.

The symptoms started appearing about a month ago, mostly a "creaking" in my chest that I attribute to my lung rubbing across my ribs.  After the symptoms (shortness of breath, extreme fatigue, movement of the feeling in my chest) worsened last week I finally broke down and went to get checked.  I had x-ray's done at the walk-in clinic that I went to last Wednesday.  My primary care was out of town for the week so the walk-in after work hours is the route I went.  The chest x-ray is what led to the diagnosis.  I got a referral to see a pulmonologist and met with him Friday last week, basically an initial consult.  It was set up on Friday for the thoracentisis (sp?), aka- tap/drain, today with the ultrasound to guide the tap.

What I didn't mention in my first post was that twice today I felt as if I was going to pass out right before the doctor was going to start the actual procedure.  Part of it was that the room was small and had no air circulation.  There was also 7 people in the room and I was instructed not to eat anything for 4 hours before the CT scan which was scheduled for 1:30.  It was after my "normal" lunch time (noon-ish) when this all occurred too, so I'm sure blood sugar played no small part in how I felt.  The doc was going to stick the needle in me anyway, even if it drained only one pocket so that labs could be run on it, but after my second episode of feeling hot/ready to pass out, he decided not to since there would be little benefit right now.

I don't know how long the adhesions have been there.  My guess, from discussing it with the doc today, is that it's related to a severe bout of costochondritis that I had about 2 years ago.  Costo is an inflammation of the cartilage and connective tissue around the lungs.  I was never officially diagnosed with it, but my symptoms fit to a "T" what I found online and after starting a heavy regimen of ibuprofen it pretty quickly went away.  My assumption is whatever is removed during the surgical procedure will be sent off for labwork.  The doc told me last Friday that the ideal situation is (obviously) that this never comes back, and that they not figure out what caused it.  If they can figure out definitively what caused it, chances are good that it won't be good.

"Young and otherwise healthy"- yeah, that's the problem.  I'm 34 and have had no major health issues.  The guy that checked off the form for the CT today made the comment that I was the easiest one he'd ever had as far as medical history/issues!  Hell, I've never even broken any bones.  I don't remember the last time I missed work due to *me* being sick...
Title: Re: Pleural effusion....
Post by: slink on July 31, 2013, 07:35:55 PM
Dan hope they figure this out for you. The broken bone thing happens a lot in the climbing world watch out.
Title: Re: Pleural effusion....
Post by: strandman on July 31, 2013, 08:24:24 PM
Good luck man...sucky anyway...i had no symptoms of anything and now it's a shitstorm...i originally thought pleurisy..guess not
Title: Re: Pleural effusion....
Post by: danf on August 01, 2013, 07:32:20 PM
Met with the surgeon this morning.  Surgery is scheduled for next Tuesday morning at Frisbie in Rochester.  Doc said I should be home by Friday, likely no restrictions following surgery but probably 6-8 weeks until I'm feeling 100%. :(

Title: Re: Pleural effusion....
Post by: Admin Al on August 02, 2013, 09:26:51 AM
this should be a positive move. get it taken care of and you'll be good to go...

Met with the surgeon this morning.  Surgery is scheduled for next Tuesday morning at Frisbie in Rochester.  Doc said I should be home by Friday, likely no restrictions following surgery but probably 6-8 weeks until I'm feeling 100%. :(
Title: Re: Pleural effusion....
Post by: danf on August 04, 2013, 01:27:25 PM
Put away all the climbing gear earlier. The gear rack hasn't been filled up like that since April or so.... Thinking about packing some of it in a small bag to take to the hospital and work on some rigging and hauling scenarios with my fiance while I'm there.

My hope is that we'll be back on the rock in some fashion by the end of the month!
Title: Re: Pleural effusion....
Post by: Admin Al on August 04, 2013, 02:12:59 PM
good luck man. let us know how you're going if you can. big positive vibes going out to you...
Title: Re: Pleural effusion....
Post by: strandman on August 04, 2013, 03:53:17 PM
Met with the surgeon this morning.  Surgery is scheduled for next Tuesday morning at Frisbie in Rochester.  Doc said I should be home by Friday, likely no restrictions following surgery but probably 6-8 weeks until I'm feeling 100%. :(

another cripple climbing club member..hang tough man
Title: Re: Pleural effusion....
Post by: perswig on August 05, 2013, 07:36:27 PM
Good luck tomorrow, danf, if you're still on with the surgeon.
Have lots of climbing vids to watch while your sucking down prescription narcotics!

Dale
Title: Re: Pleural effusion....
Post by: danf on August 06, 2013, 03:52:38 PM
Made it through surgery OK. Sitting here with 2 chest tubes coming out of me and 2 other incisions stitched up. Throat is sore from the intubation tube. I'm tired but on the road to recovery at this point.
Title: Re: Pleural effusion....
Post by: Admin Al on August 06, 2013, 04:42:32 PM
good good good news...
Title: Re: Pleural effusion....
Post by: sneoh on August 06, 2013, 07:59:49 PM
That is great!  You are clearly clear minded, judging from your last post.
Wishing you a speedy and complete recovery, Dan.
Title: Re: Pleural effusion....
Post by: danf on August 07, 2013, 09:48:44 AM
Just got an oxycodone a bit ago. Plan is to get up this morning after the oxy kicks in and move around a bit. Still pushing stuff out of my chest tubes but nothing unexpected. Mentally I'm more than ready to go home but I know I'm physically not even close to it...
Title: Re: Pleural effusion....
Post by: xcrag_corex on August 07, 2013, 09:50:32 AM
Keep on keeping on man. You'll be back climbing again in no time.
Title: Re: Pleural effusion....
Post by: danf on August 08, 2013, 01:49:07 PM
Up and around again this morning. Took 2 laps around the halls here- wasn't really trying but pretty sure it was faster than yesterdays laps. Ate lunch and was trying to nap when the doc came in and interrupted. He yanked one of the chest tubes out so its gonna be a bit before I can get back to sleep! Chest x-ray sometime yet today and hopefully discharged tomorrow around noon.
Title: Re: Pleural effusion....
Post by: Admin Al on August 08, 2013, 03:37:06 PM
+++++
Title: Re: Pleural effusion....
Post by: strandman on August 08, 2013, 07:05:38 PM
PSYCH !!! Your gonna beat me by a day
Title: Re: Pleural effusion....
Post by: M_Sprague on August 08, 2013, 07:18:13 PM
Nice John! Sounds like good news.
Title: Re: Pleural effusion....
Post by: danf on August 08, 2013, 08:33:20 PM
Glad to hear you are getting out John! Now is it going to be a race to get back on the rock? I'm hoping to be roped up in 4 weeks or less...
Title: Re: Pleural effusion....
Post by: sneoh on August 08, 2013, 09:50:15 PM
Toasting your imminent discharge right now, John.  Hooray.
Take it easy for a while, OK?
Title: Re: Pleural effusion....
Post by: danf on August 09, 2013, 05:53:56 PM
Sitting on my bed typing this. AT HOME!! I still have a chest tube in me- doc says x-ray shows around 350mL under the lung as of yesterday. He was guessing nearly 900mL of gelled crap before surgery. Doc decided me sitting in the hospital wasn't exactly the best thing and I decided trying to get as much fluid out as possible was going to be best; thus the reason I'm home but still with a chest tube hanging out of me. Tube is supposed to come out during my follow-up appointment next Friday.

It's good to be home!
Title: Re: Pleural effusion....
Post by: strandman on August 09, 2013, 06:48:07 PM
Dude..keep it in !! that will be cool.... 8)

I tried get a cath tube to stay in my neck,but no luck.............
Title: Re: Pleural effusion....
Post by: DaveR on August 10, 2013, 11:23:09 AM
Hope all goes well Dan and your back out soon!

Sent you a PM Strandman.
Title: Re: Pleural effusion....
Post by: xcrag_corex on August 13, 2013, 11:23:58 PM
Glad to hear you are getting well man!!! You're on The road to recovery/ climbing from what it sounds like
Title: Re: Pleural effusion....
Post by: danf on August 16, 2013, 02:52:17 PM
Last chest tube came out this morning. I was more than ready for it to come out a couple days ago..... My 'catch can'  had over 400ml of fluid in it but the x-ray that I had done yesterday showed only minor improvement in the amount of fluid under my lung. Doc says it's. A minor amount and not likely to increase in volume. Eventually it will gel and harden I guess. Regardless I'm going to have to live with a slightly reduced lung capacity.

The good news is the effusion was caused by inflammation. No idea what caused the inflammation though. Doc said 6-8 weeks before I'm back to 100% but I need to try and speed that up a bit- there's supposed to be a certain ceremony involving my fiance and me at the top of Cathedral the first weekend in October. And the plan is to climb Upper Refuse first...
Title: Re: Pleural effusion....
Post by: sneoh on August 16, 2013, 05:24:05 PM
Good news and congrats, Dan!
What a great time to have "a certain ceremony involving my fiance and me at the top of Cathedral" the first weekend in October.   It should be awesome then.

There was a bride-to-be who top-roped Reverse Camber in a white dress and legging a number of years back. 
http://grazierphotography.com/gallerymain.asp?GalleryID=55015&AKey=B2RVBF6S
Title: Re: Pleural effusion....
Post by: strandman on August 16, 2013, 06:42:49 PM
danf- is the fluid blood or "fluid" ??? i had a bunch of clots that eventually break up..( areally fun feeling)
Title: Re: Pleural effusion....
Post by: danf on August 16, 2013, 08:40:13 PM
danf- is the fluid blood or "fluid" ??? i had a bunch of clots that eventually break up..( areally fun feeling)
It had some red tinge to it, but it was more fluid of some sort than blood.  It was interesting seeing more chunky stuff appear in the tube the last few days.  I'm assuming that chunky-ness was more of the adhesions finally working out.

Soon- that's awesome!  We haven't figured out all of the details just yet, so no idea what we will be wearing.  The plan is for me to lead it and her to follow, but past that I don't know.  We haven't even been on Upper Refuse yet, but I want to climb it at least 2-3 times before October so I can get it mostly dialed in.

I know I'm far from leading shape, but we're thinking about heading to Devils Den on Sunday and at least getting the kids on the rock via top rope.  I may take a trip up too.  It's amazing the difference in how I feel without that damn tube hanging out of me.  My freedom of movement alone is a huge difference- I don't have to worry about catching the tube on anything!
Title: Re: Pleural effusion....
Post by: danf on August 21, 2013, 09:42:57 PM
Didn't go to the Den last weekend.

Walked tonight with my better half. Did 1.65 miles at a 3.1 mph pace- WITH my pack on. Granted, the pack was a bit light with only a rope and rack but it was more to see how it felt with the incision on my back.

Not sure yet how much overhead pulling I'm able to do, so we're thinking easy slab stuff at Lost Ledge on Sunday. The approach is a bit longer but I honestly don't think it will be an issue. I'm really itching to get back on the rock!
Title: Re: Pleural effusion....
Post by: Admin Al on August 21, 2013, 11:05:37 PM
Not sure yet how much overhead pulling I'm able to do, so we're thinking easy slab stuff at Lost Ledge on Sunday. The approach is a bit longer but I honestly don't think it will be an issue. I'm really itching to get back on the rock!

maybe something a bit closer to home, just in case. Lost Ledge is a bit off the beaten track. how about something on Whitehorse, like Sea Of Holes or the like?
Title: Re: Pleural effusion....
Post by: danf on August 22, 2013, 06:04:30 PM
I'll take a look. Right now I'm not sure if I'm ever going to get back out there.... Had a sore spot develop on my right forearm yesterday afternoon and it swelled slightly last night. More swelling overnight and I couldn't hardly use my hand today, it hurt so bad. Trip to the doc then ended up back at Frisbie for an ultrasound on the arm. Determined its simply a hematoma but doc was slightly concerned it might have been a blood clot due to the IV. Icing it now.

I know this will pass too, but I'm getting frustrated!