Monday, October 27, 2008

27 Oct 2008

Another month has passed. Today is Deepavali holiday, finally found some time to sit down and update my blog...

How shld i start? Ok, my issue with high blood pressure medication is one. This has been causing me much distress and i realized again the importance of health & that all medications will have adverse reactions. I really hope that i will have a chance to be healthy again and not lived in the shadows of any illness. I prayed...

Then the financial crisis in US which is affectong the rest of the world. Our governmenthas announced the economic recession which is estimated to last for a few years. Business in recruitment is also affected because of the economic situation. Employees are fearful to resign at this time and companies are cautious of employing perm staff. I went to the airport to have dinner on Huifen's invitation last week and was surprised that not much people dines at the restaurants. Was it because of the economic recession? How long will it last?

Time passes quickly, 2 more months and we will be approaching 2009. Well, i guesed i have changed a lot since the occurence of my kidney failure. I learned flower arrangement, started to enjoy cooking rather than watching tv, being closer to mum and going to temples. Have i become older or rather more matured in thinking?

Sunday, October 26, 2008

Struggle with HBP medications

Amlodipine has all along been giving me problems of ankle swollenness since i started taking it to control my Bp. Initially i thought the oedema is due to my kidney condition. But i found out after changing several medications for Bp that it was not so, as the problem of ankle oedema only occurs with Calcium Channel Blockers (CCBs).

23 Sep 2008 Dr Roger Tan changed Atenalol for me. I took it for abt 2 weeks and realized that this medication is not suitable for me. Blood pressure is not as effectively controlled as amlodipine and pulse rate becomes very low (40s per min).

09 Oct 2008 Medical follow up with Dr HK Tan at SGH. He changed the medication to Adalat for me based on my request that CCBs are best effective for me. He prescribed Adalate LA 30 mg for me. Well, the medication was very effective, so effective that the BP can be reduced to quite low 1-2 hours after taking. However, the effect only last for 6-7 hours. Same side effects as amlodipine - ankle oedema.

16 Oct 2008 Roger Tan came to the dialysis centre again. Well, can see that he is a good doc and quite commited though young. He know abt my problem with Adalat and prescribed another medicine for me to replace it -Valsartan. He said it was very good and i though with this medication will be the end of my ankle swollenness & BP problems. I was overjoyed too soon. Lucky the pharmacist only gave me 2 weeks of medication. Valsartan don't work for me at all (same as Lorsatan). After one week of trying, i gave it up and switched back to Amlodipine.

Amlodipine ultimately is the most comfortable medication that i can be contented with. Although it will cause ankle swollenness, its most effective in controlling my BP. Ankle swollenness is unsighlt esp when i want to wear skirts or 3 quarters. But what to do? I just have to make do with it and think of ways which i can reduce the swollenness. Anyway no point thinking of prettyness when i'm a kidney failure person. Health comes bef anything.