and how I find myself right back where I started . . .
May began with Mom finding herself on the floor with hypotension, (low blood pressure).
After a short hospitalization and tests, the Doctor's solution was to remove ONE of the blood pressure lowering drugs and to place her on a sodium sparing hormone (florinef) to RAISE her blood pressure by increasing fluid volume. (Ok, this is going to get ugly fast . . . just warning you!)
Mom and I are both prone to swollen ankles, (--from sitting, hot weather, or too much sodium . . . which we both avoid like the plague! We have both had dopplers done of our legs and our vessels appear to be fine.), so I warned my brother to be on watch for increased fluid elsewhere and to especially watch her breathing. Exactly one month later, Mom called him in a panic about her ability to catch her breath.
Back to the hospital
Lung sounds clear, need 4 liters of oxygen to maintain sats, some fluid on x-ray, don't think it's Pneumonia, but we will put her on Rocephen anyway, and we will do a thoracentesis in 3 days. (it was a weekend) They then removed 1600 cc of fluid from her left chest. (Yes, that's almost a 2 liter bottle!)
So now the Doctor removes the OTHER blood pressure lowering med and puts her on a CONGESTIVE HEART FAILURE MED, (also lowers BP). (She has never had a diagnosis of CHF.) The Doctor does not get rid of the Florinef. (that caused the fluid build-up and CHF!)
This is her Cardiologist of many years. It's left me scratching my head. I had the opportunity to talk to the treating Pulmonologist . . . and he didn't seem to understand either.
We now appear to have gone Through The Looking-Glass!
or right into the Twilight Zone.