Throat Blog — Tuesday Night Fever

I've been suspicious that my 15 year old fever thermometer has been reading high. Every time I check at home, it is around 100. But, at Dr's offices it is always 98-ish. So, while picking up some other supplies at Walgreens I invested in a new model.

Got home, started my dinner, and decided to compare the new thermometer's reading with the old thermometer. Well, the new thermometer read 101.7, which is well above the "go to the ER immediately" threshold of 100.5. I didn't feel like I had a fever, and would not have even checked it except for the new thermometer.

So, I packed up a go bag, hopped in the car, and headed to UTSW ER, arriving around 9pm. They got me into an exam room pretty quickly, got me into a hospital gown, then I just hung out for a while. Eventually, after taking many samples of my bodily fluids and one chest x-ray, they determined that I didn't have the flu, nor did I have an infection. Their best guess was that my body is reacting to the dead tumor tissue and the fever is a benign symptom. When the put in the trach tube, the basically drilled through part of the tumor. I occasionally smell decomp coming from the tube (yuck). It is probably there somewhat all the time, but I'm "nose blind" to it.

Meanwhile, they also decided that my heart rate was too fast and really wanted to figure that out. This actually happens just about every visit. I explained that I've always had a faster heart rate. Even when I was riding 100-mile bike rides, my riding (and resting) heart rate was always 20-30 beats faster than the people I was riding with.

So, I managed to talk them down from calling in a heart team, but not before they'd started a liter of IV fluids. Supporting my "just ignore it for now"  was that I have an appointment with a cardiologist on Thursday (primarily to finally rule out any heart issues as a cause for the intestinal blood clot). They started the IV a little after midnight, and told me they'd cut me loose as soon as the hydration bag finished…and it took a little over an hour.

Drove home and crawled into bed around 2am. Actually slept better than I've been sleeping, lately, but I was so tired, I didn't hook up the humidifier (which does make me wake up coughing a bit). Today, went into the office for few hours before my surgical followup on the trach tube. By lunch I was having to force myself to stay awake at my desk. I actually got more productive things done after I got home from the appointment and took a nap.

Oh, that followup established that the trach tube looked OK. Swelling was going down, but airway was still too small to consider removing the trach tube. Next-re-evaluation for that will be the first week of February (after the PET scan). So, I've got to live with this in my neck for at least 6 more weeks.

So, now sitting here with a fever of 101.0. I don't feel like I have a fever…no sweats, aches, or chills. New ER trigger removes the fever from the equation. (Well, I suppose if it were to go over 103, I'd head that way.) Now, just watch for other reactions (rash, chills, aches, etc). I know the routine there too well…we need some time apart.

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