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