Self-medication in Pulmonary Oedema…

For some years I have been experiencing bouts of Pulmonary Oedema, though I had no idea that’s what it was, I just put it down to more COPD buggeration** – until the day it almost killed me.

**It’s primarily a symptom of heart failure, which I also have.

At that point, once I got out of hospital, I asked my GP to prescribe Salbutamol and Atrovent nebules, as that’s what the paramedics and the hospital use, my idea being to nip the moderate attacks in the bud and, hopefully, prevent severe attacks either hospitalising me or killing me. It took 8 months and another emergency hospital admission before that was successful.

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A new nebuliser…

I spent much of Saturday shopping for a new nebuliser, as I noticed last time I was in hospital that mine’s running a bit hot. I need one because I’m still having bouts of pulmonary oedema, most recently Friday night/Saturday morning.

I can get it under control by megadosing using my Volumatic spacer. For those of you unfamiliar with it, it’s a big one (the trend seems to be for smaller ones, which is a bit pointless in my view). This is it, alongside a Salbutamol inhaler:-

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I need a domiciliary support package from my GP.

Dear Dr. X,

I am also sending this letter to Dr. XY, as I think I need you both on board.

Since getting out of hospital, I’ve had 5 or 6 repeat performances of that which put me in there. Not as severe, and not all with bleeding lungs (so some other cause for those perhaps, not pulmonary oedema – like heart failure). The most recent, and worst, last night.

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