Thoughts on my Health and the Year 2023

After a week-long stay at the hospital with a few days of septic delirium, a week of IV antibiotics, and a month of Cipro, this is a loud-and-pronounced call that I need to focus on my health and getting control over my leg lymphedema as best I can.

Despite my best efforts for walking 60-90mi each month with the pups, doing frequent showers and moisturizing, I still seem to be getting cellulitis and sepsis several times each year. My last echocardiogram shows that it’s taking a toll on my heart health as I repeatedly get pumped full of IV fluids and antibiotics.

So, my goal now is to be thorough and persistent with my physical therapy at Kaiser and Virginia Hospital Center, to do more frequent/longer walks and cycling, and to hopefully get my leg into a healthier long-term state.

Or, at the very least, to be able to enjoy long walks, hikes, and cycling again?

Today was an exhaustive visit, but one of the best visits I’ve had with Kaiser about my short-term health, long-term health, and long-term treatment:

• Yes, I do have a slightly enlarged heart and decreased ejection fraction, but it’s due to pseudomonas and sepsis as a blood infection. Seeing increased heart size and changes to ejection fraction are common. They’re scheduling me for a transesophageal echocardiogram in 2-3 weeks to verify my recovery once the Cipro is over. They’ll also schedule me for a full panel of bloodwork to verify my bloodwork, recovery, and level of immunity/immunocompromised.
• Yes, I do have Stage 3 Lymphedema of my left leg. It’s pronounced. They want to photograph it monthly, document it, and do more aggressive physical therapy to see if we can’t see some recovery, improvement in mobility, decreased neuropathy. I’m being referred to Virginia Hospital Center (VHC) for my lymphedema care.
• They’re documenting that I have a severe reaction to a flea bite, not uncommon for my lymphoma, lymphedema, decreased immune response. Pseudomonas itself was likely acquired during frequent clinical visits. MRSA and Pseudomonas are concerns given my health and history.
• They recommended a Bifenthrin Insecticide fogger for front yard and back to reduce mosquitoes and insects, fog yard every 2-3 weeks. Safe for both me and our dogs. They recommended spraying my pants and shirts with Permethrin and/or DEET, to wear long pants and shirts for all walks outdoor exposure due to severe reaction to flea bite.