I'm in the Zone: Cortisone.
So yesterday I went to the orthopedist for this wrist mess.
I was all, "I've been wearing the brace and I stopped lifting at the gym and have generally been taking it as light as I can, but no improvement."
And he was all, "Well, we looked at your x-rays from today and your radial and ulna bones are in perfect position, so it does appear to be a tendon issue and not a bone issue."
And I was all, "That's good, right?"
And he was all, "Yeah. So let's talk about options. We can move with the brace for another month, or you can do physical therapy, or you can do surgery."
And I was all, "Hmm. Well the brace isn't helping yet. And I don't want surgery. Let's do a cortisone shot and follow up with physical therapy?"
And he was all, "You're an educated patient. Okay, we'll do a very small shot today and see how that works for you."
So I sat down in a chair in his office and he moved a small table towards me for me to prop my elbow up on. He left for a minute and then returned with a small bottle, a cotton swap and injection prep wipe, and a massive needle.
And I was all, "Whoa, that's a big needle. Do you put the whole thing in? That would come right out the other side of my hand!"
And he was all, "But you do needles every day, don't you? This should be okay with you."
And I was all, "Irony, eh? I hate needles that I'm not controlling. And that mega-needle? Scares me."
And my blood in my face was all draining, so I looked white as a sheet.
He was all, "You're going a little pale on me. Are you okay?" He swabbed my wrist and shifted my arm around until the proper injection area was exposed.
And I was all, "I'm okay, I'm just not going to watch, okay?"
He nodded. And the needle was all of a sudden embedded into my wrist and the pressure of the cortisone being injected made me squirm instantly.
I was all, "Ow."
He was all, "Just a few more seconds and I'll be done. And ... you're done. You okay? Do you need to lie down?"
And I was all badass: "Nah, I'm good. I'm just going to sit here for a minute while you explain what happens next and I pretend to listen fully despite the pain." I smiled. But winced. Sort of at the same time.
And he was all, "Elevated numbers for a few days ... increase basals with your endo's help ... keep wearing the brace ... it's going to hurt where I did the shot tomorrow, but you should feel real improvement by about this time next week ... if you don't, we'll want to do that physical therapy and consider maybe another shot depending on how you feel ... you'll be okay ... hey, are you okay?"
And my color was all returning, but slowly. We finished up, and I tested. 155 mg/dl. Okay, a little higher than the 114 mg/dl I walked into the doctor's office at, but it must have been a stress bump. I didn't want to fool with my basals until I was sure that the cortisone would make me high, so I waited a few hours before doing some tweaking
In the course of six hours, I went from 155 to a steady stream of 190 - 240 mg/dl numbers. I tested for ketones and - low and behold! - the little stick went light purple on me. Small ketones, prolonged highs, and the pain from the actual shot set in around 8:45 pm. This morning, I woke up at 213 mg/dl and even after an aggressive bolus, I'm still cruising in that general range. Basals have since been cranked to 150% and I'm both wearing the Dexcom and testing every hour.
The ketone thing is what's throwing me for a loop. I hardly ever throw ketones - why now? I drank a lot of water, ate some carbs, and still had the ketones this morning. (Poor Chris - I asked him to test himself for ketones because I was convinced the Ketostix weren't working right. He was all, "Um, I'm negative." And I was all, "At least I like the color purple. Blaaaargh.... ")
I hope this was the right decision. I'm desperate for my wrist to heal. The doctor said this pain and the highs could go on for 3 - 7 days.
And I was all, "This sucks."