Showing posts with label swallow test. Show all posts
Showing posts with label swallow test. Show all posts

Thursday, December 17, 2020

Day 4011

My swallow test was inconclusive. I thought this might happen. I ate or drank a variety of substances, all mixed with barium so they would show up on the x-ray video. It doesn't appear that I have any problems with pulmonary aspiration or dysphagia. The doctor said that my swallowing actually appeared fairly normal. She suspected that the coughing was associated with my ongoing heartburn problems. I used to take Protonix, a proton pump inhibitor that effectively eliminated the heartburn. As I grew older doctors said I should quit using this because it has been known to cause bone density to decrease. The older you get, the more your doctor tends to worry about weak, brittle bones. Gradually the acid reflux returned and now I just take a Pepsid AC whern I have a problem. "Why don't you just start taking these every day," my doctor suggested. Famotidine seems to work and there are few known side effects. We'll try this. It sure seems a lot easier than more aggressive treatments. While I was getting my tests done in the Baylor radiology department, I was afraid that I was just going to be referred to another specialist. Perhaps I would need to see a gastroenterologist or an esophageal specialist. Nope. We're just going to try the Pepsid for a while. Sounds good to me.

My medical exam ate up a lot of time today, so there wasn't much else on the agenda. Just finding a parking place in a hospital parking garage can take forever. By the time I returned home, there was time for an afternoon walk and not much else. Janet walked Dawn while I was gone. They went further than we did yesterday, but Janet said that Dawn still seemed uncomfortable. I still think she is just sore from the injections she got at the vet. My arm often feels sore for several days after an injection myself. Hopefully Dawn will be back to normal by this weekend.

I used to be so good at bookkeeping when I was working full-time. Now, I hate to even open Quickbooks. I finally got around to entering October credit card charges today but I'm still way behind. Sometimes I wonder what would happen if I just quit keeping track of things, but I'm way too disciplined to go that far. I guess I'll continue methodically keeping track of everything while gradually getting further and further behind.

My editor at Sky & Telescope gave me the go ahead to start on a new article. He wants an outline this time before I submit a finished draft. That's OK, even though I'm not much of an outline guy. When advertising clients wanted an outline, I often complete the assignment first and then write an outline afterwards based on what I'd already written. I've got a good relationship with SpaceFlight Magazine now. I hope I can build one with Sky and Telescope as well.

I went out after dinner and looked at Jupiter and Saturn again. The two planets are getting closer and closer together every day. I hope it stays clear for the conjunction next Monday. I'm going to try to photograph the two planets together, but since Jupiter is so much brighter than Saturn, getting the right exposure might be challenging. The fact that I'm even thinking about photographing the conjunction here in Dallas is a good sign that my interest in astronomy is real. I seldom even leave the house after dark in Dallas.

Tomorrow I'll go looking for the shoes that the foot surgeon recommended. I doubt that new shoes will eliminate the foot pain, but maybe it will help. I can live with the aches and pains I have now. I just don't want them to get worse.

Duke is today's Dalmatian of the Day


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Wednesday, December 16, 2020

Day 4010

I think I finally know what is wrong with my foot. The cartilage between the metatarsal and cuneiform bones in the middle of my left foot has worn away, allowing bone to bone contact. This is basically the definition of arthritis. I also have a partially collapsed arch on this same foot caused by these bones not being aligned correctly. When I saw the x-rays and listened to the doctor, it all started to make sense. The doctor seemed surprised that I routinely walk as far as I do, but he said that if I want to stabilize the situation, I needed to wear a shoe with a very stiff sole to prevent the arthritic bones from flexing as much. This need for stiffness even explained why it was sometimes more comfortable when I walked with a limp. The doctor recommended two brands of running shoes that would provide the support I need and suggested that I wear them with arch support orthotics. He wants to see me again in six weeks wearing the shoes I selected.

I liked this doctor. He was able to explain exactly what was happening in a way I could easily understand. He also didn't recommend surgery, even though he was an orthopedic surgeon. He said in severe cases you could fuse the metatarsal and cuneiform bones to eliminate the flexing that was causing me pain, but that recovery was slow from this type of surgery and he seldom recommended it. You can't put any weight on the foot for a full six weeks after surgery. No thank you. I think I'd rather try some new shoes.

Dawn really didn't want to walk this morning. We only made it to the end of the block and then she refused to go any further. It was very cold this morning and she had to wear a sweater along with her outer coat, but I don't think that was the problem. Dawn had a rabies vaccination at her exam yesterday and I think she is feeling some soreness at the injection site. She also had another vaccination for leptospirosis. Hopefully she'll feel better tomorrow, but the soreness could last for several days.

Although it was overcast this morning, the skies had completely cleared by sunset. This looked like a good time to find a site to view the conjunction of Jupiter and Saturn on December 21. It turns out that there is a a great place to view the conjunction very near the house. It's actually exactly where Dawn decided she'd had enough this morning and turned around to go home. I won't need to drive anywhere, and can just walk down the street a few blocks instead. Jupiter and Saturn are already very close together, but they don't look as dramatic as I expected. Saturn is pretty dim compared to Jupiter, but both planets are clearly visible.

I have one more trip to Baylor tomorrow and then my doctor's appointment marathon will be over. I learned a lot more than I expected today, so maybe I will learn something tomorrow as well. I've never had a swallow test before and I don't look forward to drinking the barium liquid they use to provide contrast for the x-rays they'll be taking. The whole procedure is painless and doesn't take long though. I'd like to know what is causing my periodic coughing spasms, but I'm a little apprehensive about what these doctors are going to recommend. I don't want any surgery on my esophagus and I definitely don't want to hear anyone say the word cancer.

I wish that dogs could talk. I feel bad that we tried to get Dawn to take a walk when she was feeling uncomfortable. It makes sense that Dawn was feeling painful from her rabies shot, but she could have just wanted to go back to bed. Dawn is a very stubborn dog.

Hannah is today's Dalmatian of the Day


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Wednesday, December 2, 2020

Day 3996

I received the press proofs of my article about the Crew 1 launch today. The article will appear in the February 2021 issue of SpaceFlight Magazine and it looks pretty good. I got six full pages in the magazine this time and they used quite a few of my photos. I'm pleased with how everything turned out. February is looking good for me. That's when my Sky & telescope article will appear as well. My editor wondered if I'd be interested in covering the upcoming Perseverance landing at the Jet Propulsion Laboratory in February. Sure. Why not. I'll have to get credentials approved though. I kind of wanted to go out to JPL when the Curiosity rover landed, but I wasn't able to get approved. Maybe it will be easier now that I've gotten a few more articles published. Who knows. I may become a legit space and astronomy journalist yet.

An HVAC technician came over to the house this morning to diagnose what was wrong with my old dehumidifier so I could submit a warranty claim. I thought the guy would just do a quick write up saying that the unit wasn't working anymore. Nope. He tore the unit apart and was determined to find the problem. It turned out that the compressor wasn't leaking after all. Something inside the sealed system was restricting the flow of refrigerant to the evaporator coil and causing it to freeze almost instantly as soon as you turned the dehumidifier on. The good news is that this is something that definitely would be covered by the warranty. I have to send all my paperwork to the manufacturer and they'll open a claim. Hopefully, sometime in the foreseeable future I will get a free replacement for this defective unit. I've already got another dehumidifier running that seems to be working well, but you can't have too many dehumidifiers in this house. 

I was completely wrong about the weather yesterday. The two forecasting services I use both predicted an almost 100% chance of rain, but it stayed dry all day. We took our morning walk at the regular time and then I took another walk later in the day. It's weird how often the weather forecasts on my phone are wrong. They are pretty good about telling you what is going to happen thirty minutes from now. Not so good about telling you what is going to happen thirty hours from now. Right now it looks like we won't have any rain for the next ten days. The forecast could be completely different tomorrow morning though. We'll have to see what happens.

I penned Dawn in the back of the house while the repair technician was here. She slept through most of the service call, but finally noticed what was going on and started barking like crazy. Luckily, the repairman was just finishing up and taking his tools back to the truck. Dawn sounded like a good watchdog, but I think she was scared. She doesn't like new situations. Janet was home at the time, so Dawn calmed down quickly. Later in the day when Janet was gone, Dawn became fearful again. I think she might have gotten me mixed up with the repairman. At any rate, I knew to leave her alone and I went on my afternoon walk. She was back to normal when I returned.

The radiology department at Baylor called to schedule me for a swallow test. I'm not looking forward to drinking the Barium liquid they use during the test, but the whole thing is painless and doesn't take long. I'll be glad when all my medical appointments are over with. They all seem to happen in November and December. I've still got a follow-up visit with the dermatologist, this swallow test x-ray, and maybe a visit to see a foot doctor. Then I probably won't see anyone else for another year. 

I need to start gathering my gear together for this weekend's Santa Paws photo shoot. It would probably be a good idea to test my strobe lights and wash the backdrop as well. Most of this studio gear I only use one a year. It's all getting pretty old by now and I'm never certain whether everything will work. Fingers crossed. I'm not even certain that I'm working properly anymore.

Gretta is today's Dalmatian of the Day


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