Update:
  • Nerve damage, hand pain and paraesthesia getting much better.
  • Gabapentin ran out last week - seemed to help a little bit during the worst time
  • Talked about cymbalta, but would like to consider addressing mental awareness instead of depression.
  • Screwed over from vegas prescription for pain medicine
  • Would like to talk about something to help with withdrawal 
Symptoms:
  • Joint Pain
  • Fatigue
  • Nerve Pain
  • Malaise 
  • Low stamina & energy
  • Trouble concentrating
  • Trouble with follow-through
  • Mental Fogginess
  • Apathy  
  • Sadness / Depression 
  • Social Anxiety
  • ​
Goals:
  • Get off Predisone and find an alternative to methotrexate 
  • Improve cognition which will hopefully improve morale and battle depression. 
  • Find a more effective pain regimen 
  • Start getting off opioid pain medicine starting January
Bernard Bukowski (Apollo)
Age: 31
Weight:175
Drug Allergies: None
Phillipino/Polish
Current Medications
Prednisone 25mg per day
Oxycodone IR 15mg 2 per day
Oxycodone ER 20mg 2 per day

2013

 

March 2013

  • LEGIONNAIRES DISEASE

  • ADMITTED TO ICU

  • ACUTE RESPIRATORY FAILURE

  • ACUTE RENAL FAILURE

  • VENTILATOR FOR 6 DAYS

  • CARDIOMYOPATHY

  • STILL'S DISEASE 

  • INPATIENT FOR 5 WEEKS

  • FULL BODY RASH

  • DEPRESSION

  • JOINT PAIN / BONE PAIN / FATIGUE / HAIR LOSS / SWOLLEN JOINTS / 

 

 

MEDICATIONS

  • KINERET 100MG INJECTION

  • METHOTREXATE

  • LISINOPRIL 

  • CARVADOL 

  • FENTENAL

  • DILAUDID

  • PART TIME DISABILITY

 

MANY ER VISITS FOR CHEST PAIN & FLARE-UPS

  • PAIN MEDICINES INEFFECTIVE 

  • INCREDIBLE UNBEARABLE FULL BODY PAIN / LOSS OF MOBILITY / FATIGUE

  • MAJOR DEPRESSION

  • SUICIDAL IDEATION

  • CHECKED INTO PSYCH WARD (2 WEEKS)​

2014

​

  • MANY FLARE-UPS

  • CONTINUED MISERABLE SYMPTOMS

  • CONTINUED VARIOUS PAIN MEDICINES

  • INCREASED KINERET INJECTIONS 2 PER DAY

  • 2015 - SYMPTOMS STARTING TO SLOWLY GET BETTER

  • ​​​2015 GOT MARRIED​​

​

​

2015-2017

  • LOST KAISER INSURANCE

  • DIFFICULT TIME ACQUIRING KINERET

    • SPURRED ON MORE FLARE-UPS

    • DEVELOPED SCIATIC NERVE PAIN

  • DIFFICULT TIME FINDING DOCTORS / MAINTAINING INSURANCE / NEW DOCTORS

  • ESTABLISHING RELATIONSHIP & TRUST

  • MEDICAL BILLS & LACK OF CARE FAMILY OF DOCTORS - VERY DIFFICULT TIME

SEPT 2 2017

 

  • FELL ON WAVE MACHINE

    • WHIP LASH / NUMB & TINGLY ARMS & HANDS

    • TINGLE & PAIN IN HANDS AND INDEX FINGERS INCREASED

  • ER VISIT

    • X RAY / CAT SCAN / MRI

      • HERNIATED DISCS, BUT NO CLUE ABOUT HANDS AND FINGERS

      • VERY SCARED / ANXIETY & DEPRESSION HAVE RISEN FROM FEAR OF PARALYSIS & MEDICAL STATE